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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2013

Income Tax Disclosure [Abstract]

Schedule of Components of Income Taxes

The provision (benefit) for income taxes consists of the following (in thousands):

		Year Ended December 31,
		2013				2012				2011
Current:
Federal		$	28,142			$	17,083			$	7,723
State		5,266				2,742				1,223
Foreign		1,223				2,645				1,465
		34,631				22,470				10,411
Deferred:
Federal & State		4,245				6,235				4,354
Foreign		(84		)		(564		)		68
		4,161				5,671				4,422
		$	38,792			$	28,141			$	14,833

Income (Loss) before Income Tax Provision

Income from continuing operations before income taxes consists of the following (in thousands):

		Year Ended December 31,
		2013				2012				2011
United States		$	88,637			$	61,828			$	31,639
Foreign		4,510				2,772				4,058
		$	93,147			$	64,600			$	35,697

Schedule of Deferred Tax Assets and Liabilities

The components of deferred tax assets (liabilities) are as follows (in thousands):

		December 31, 2013				December 31, 2012
Deferred income tax assets (liabilities):
Current:
Allowance for doubtful accounts		$	1,578			$	1,150
Employee related accruals		6,663				3,419
State taxes		611				1,064
Workers’ compensation and medical malpractice loss reserves		4,767				4,683
Other		3,595				(169		)
		17,214				10,147
Non-current:
Intangibles		(49,122		)		(23,662		)
Depreciation expense		(6,147		)		(4,449		)
Stock-based compensation		3,761				2,852
Net operating loss carryforwards		1,612				1,191
Other		1,822				1,975
		(48,074		)		(22,093		)
Valuation allowance		(1,511		)		(916		)
Total net deferred income tax liability		$	(32,371	)		$	(12,862	)

Schedule of Effective Income Tax Rate Reconciliation

The reconciliation between the amount computed by applying the U.S. federal statutory tax rate of 35.0 percent to income before income taxes and the income tax provision is as follows (in thousands):

		Year Ended December 31,
		2013				2012				2011
Income tax provision at the statutory rate		$	32,602			$	22,610			$	12,494
State income taxes, net of federal benefit		4,039				2,555				1,283
Disallowed meals and entertainment expenses		1,592				1,681				1,020
Other		559				1,295				36
		$	38,792			$	28,141			$	14,833

Schedule of Unrecognized Tax Benefits Roll Forward

The following is a reconciliation of the total amounts of unrecognized tax benefits (in thousands):

		Year Ended December 31,
		2013				2012				2011
Unrecognized Tax Benefit beginning of year		$	376			$	251			$	358
Gross increases - tax positions in prior year		1,240				159				—
Gross decreases - tax positions in prior year		(177		)		(34		)		—
Lapse of the statute of limitations		—				—				(107		)
Unrecognized Tax Benefit end of year		$	1,439			$	376			$	251

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Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years.

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Tabular disclosure of the components of net deferred tax asset or liability recognized in an entity's statement of financial position, including the following: the total of all deferred tax liabilities, the total of all deferred tax assets, the total valuation allowance recognized for deferred tax assets.

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Tabular disclosure of the reconciliation using percentage or dollar amounts of the reported amount of income tax expense attributable to continuing operations for the year to the amount of income tax expense that would result from applying domestic federal statutory tax rates to pretax income from continuing operations.

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Tabular disclosure of income before income tax between domestic and foreign jurisdictions.

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Tabular disclosure of the change in unrecognized tax benefits.

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