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5. REVOLVING CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASES (Details - Schedule of debt) - USD ($) $ in Thousands	Jun. 30, 2018	Dec. 31, 2017
Discounts on term loans	$ (16,791)	$ (18,470)
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019	396	592
Equipment notes payable at interest rates ranging from 4.3% to 5.6%, due through 2020, collateralized by medical equipment	140	195
Obligations under capital leases at interest rates ranging from 3.7% to 11.2%, due through 2022, collateralized by medical and office equipment	7,417	6,538
Total debt obligations	594,893	609,127
Less: current portion	(33,583)	(34,090)
Long term portion debt obligations	561,310	575,037
First Lien Term Loans [Member]
Term loans	$ 603,731	$ 620,272

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