5. REVOLVING CREDIT FACILITY, NOTES PAYABLE AND CAPITAL LEASES (Tables)

9 Months Ended

Sep. 30, 2018

Debt Disclosure [Abstract]

Schedule of notes payable, line of credit and capital lease obligations

As of the nine months ended September 30, 2018 our debt obligations consist of the following (in thousands):

Notes payable, long-term debt, line of credit and capital lease obligations consist of the following (in thousands):
		September 30,			December 31,
		2018			2017
First Lien Term Loans		595,461			620,272
Discounts on first lien term loans		(15,951	)		(18,470	)
Promissory note payable to the former owner of a practice acquired at an interest rate of 1.5% due through 2019		298			592
Equipment notes payable at interest rates ranging from 5.2% to 5.6%, due through 2020, collateralized by medical equipment		112			195
Obligations under capital leases at interest rates ranging from 3.7% to 9.3%, due through 2022, collateralized by medical and office equipment		6,420			6,538
Total debt obligations		586,340			609,127
Less: current portion		(33,376	)		(34,090	)
Long term portion debt obligations	$	552,964		$	575,037

Schedule of First Lien Credit Agreement

Thereafter, the rates of the applicable margin for borrowing under the First Lien Credit Agreement adjust depending on our leverage ratio, according to the following schedule:

First Lien Leverage Ratio	Eurodollar Rate Spread	Base Rate Spread
> 5.50x	4.50%	3.50%
> 4.00x but ≤ 5.50x	3.75%	2.75%
>3.50x but ≤ 4.00x	3.50%	2.50%
≤ 3.50x	3.25%	2.25%

Schedule of leverage ratio

Pursuant to the Fifth Amendment, the applicable margin was amended to vary based on our leverage ratio in accordance with the following schedule:

First Lien Leverage Ratio	Eurodollar Rate Spread	Base Rate Spread
> 5.50x	4.50%	3.50%
> 4.00x but ≤ 5.50x	3.75%	2.75%
>3.50x but ≤ 4.00x	3.50%	2.50%
≤ 3.50x	3.25%	2.25%