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8. NOTES PAYABLE, REVOLVING CREDIT FACILITY AND CAPITAL LEASES (Tables) | 12 Months Ended
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Dec. 31, 2017
Debt Disclosure [Abstract] |
Schedule of notes payable, line of credit and capital lease obligations | Revolving credit facility, notes payable, and capital lease obligations:
|  | December 31, |  |  | December 31, |
|  | 2017 |  |  | 2016 |
First Lien Term Loans |  | $ | 620,272 |  |  | $ | 478,938 |
Second Lien Term Loans |  |  | – |  |  |  | 168,000 |
Discounts on term loans |  |  | (18,470 | ) |  |  | (16,783 | )
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 |  |  | 592 |  |  |  | 980 |
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment |  |  | 195 |  |  |  | 341 |
Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment |  |  | 6,538 |  |  |  | 7,256 |
Total debt obligations |  |  | 609,127 |  |  |  | 638,732 |
Less current portion |  |  | (34,090 | ) |  |  | (26,557 | )
Long-term portion debt obligations |  | $ | 575,037 |  |  | $ | 612,175 |
Schedule of annual principal maturities of notes payable | The following is a listing of annual principal maturities of notes payable exclusive of all related discounts, capital leases and repayments on our revolving credit facilities for years ending December 31 (in thousands):
2018 |  | $ | 33,582 |
2019 |  |  | 33,357 |
2020 |  |  | 33,092 |
2021 |  |  | 33,081 |
2022 |  |  | 33,081 |
Thereafter |  |  | 454,866 |
Total notes payable obligations |  | $ | 621,059 |
Schedule of capital lease minimum payments | We lease equipment under capital lease arrangements. Future minimum lease payments under capital leases for years ending December 31 (in thousands) is as follows:
2018 |  | $ | 4,080 |
2019 |  |  | 2,276 |
2020 |  |  | 282 |
2021 |  |  | 162 |
2022 |  |  | 60 |
Thereafter |  |  | – |
Total minimum payments |  |  | 6,860 |
Amount representing interest |  |  | (322 | )
Present value of net minimum lease payments |  |  | 6,538 |
Less current portion |  |  | (3,866 | )
Long-term portion lease obligations |  | $ | 2,672 |
Schedule of term loans and financing activity | Included in our consolidated balance sheets at December 31, 2017 are $601.8 million of senior secured term loan debt (net of unamortized discounts of $18.5 million) in thousands:
|  | Face Value |  |  | Discount |  |  | Total Carrying Value |
Total First Lien Term Loans |  | $ | 620,272 |  |  | $ | (18,470 | ) |  | $ | 601,802 |

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- Definition Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21475-112644 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 470 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=75038535&loc=d3e64711-112823 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(e),(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 55 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=64930739&loc=d3e28878-108400 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21538-112644 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21506-112644 Reference 8: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 1A -URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28541-108399 Reference 9: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 835 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28551-108399 Reference 10: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 505 -SubTopic 10 -Section 50 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=84159872&loc=d3e21521-112644 + Details
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