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CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASE OBLIGATIONS (Details - Schedule of debt) - USD ($) $ in Thousands | 9 Months Ended |
--- | --- | ---
Sep. 30, 2019 | Dec. 31, 2018
Debt Instrument [Line Items] |  |
Equipment notes payable at interest rates ranging from 3.3% to 5.6%, due through 2020, collateralized by medical equipment | $ 351 | $ 632
Obligations under capital leases at interest rates ranging from 4.3% to 11.2%, due through 2022, collateralized by medical and office equipment (1) | 0 | 12,119
Total debt obligations | 702,324 | 672,279
Less: current portion | (39,719) | (39,267)
Long term portion debt obligations | 662,605 | 633,012
Term Loan | First Lien Term Loan |  |
Debt Instrument [Line Items] |  |
Debt | 659,522 | 587,191
Discounts on First Lien Term Loans | (14,549) | (15,112)
Term Loan | Term Loan Agreement collateralized by NJIN's tangible and intangible assets |  |
Debt Instrument [Line Items] |  |
Debt | 57,000 | 59,250
Line of Credit | Revolving Credit Facility |  |
Debt Instrument [Line Items] |  |
Debt | $ 0 | 28,000
Equipment Notes Payable |  |
Debt Instrument [Line Items] |  |
Maturity date | Dec. 31, 2020 |
Capital Lease Obligations |  |
Debt Instrument [Line Items] |  |
Maturity date | Dec. 31, 2022 |
Promissory Note |  |
Debt Instrument [Line Items] |  |
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019 | $ 0 | $ 199
Interest rate, stated percentage | 1.50% |
Maturity date | Dec. 31, 2019 |
Minimum | Equipment Notes Payable |  |
Debt Instrument [Line Items] |  |
Interest rate, stated percentage | 3.30% |
Minimum | Capital Lease Obligations |  |
Debt Instrument [Line Items] |  |
Interest rate, stated percentage | 4.30% |
Maximum | Equipment Notes Payable |  |
Debt Instrument [Line Items] |  |
Interest rate, stated percentage | 5.60% |
Maximum | Capital Lease Obligations |  |
Debt Instrument [Line Items] |  |
Interest rate, stated percentage | 11.20% |

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