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8. NOTES PAYABLE, REVOLVING CREDIT FACILITY AND CAPITAL LEASES (Tables)
 12 Months Ended
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