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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2013

Income Tax Disclosure [Abstract]

Schedule of Components of Deferred Tax Assets Included in Consolidated Balance Sheets

Significant components of deferred tax assets included in the consolidated balance sheets at December 31, 2013 and 2012 were as follows (in thousands):

		2013				2012
Deferred tax assets:
Compensation		$	1,280			$	1,059
Allowance for doubtful accounts			449				607
Lease obligations - closed clinics			77				39
Other			—				22
Deferred tax assets		$	1,806			$	1,727
Deferred tax liabilities:
Depreciation and amortization		$	(4,237	)		$	(2,166	)
Other			(546	)			(575	)
Deferred tax liabilities			(4,783	)			(2,741	)
Net deferred tax assets (liabilities)		$	(2,977	)		$	(1,014	)
Amount included in:
Other current assets		$	482			$	590
Long term liabilities		$	(3,459	)		$	(1,604	)

Schedule of Differences Between Federal Tax Rate and Company's Effective Tax Rate for Results of Continuing Operations

The differences between the federal tax rate and the Company’s effective tax rate for results of continuing operations for the years ended December 31, 2013, 2012 and 2011 were as follows (in thousands):

		2013								2012								2011
U. S. tax at statutory rate		$	10,415				35.0	%		$	10,299				35.0	%		$	9,979				35.0	%
State income taxes, net of federal benefit			1,814				6.1	%			1,219				4.2	%			963				3.4	%
Deductible losses			(98	)			-0.3	%			(404	)			-1.4	%			—				0.0	%
Nontaxable gain			—								—								(1,342	)			-4.7	%
Nondeductible expenses			105				0.3	%			101				0.3	%			98				0.3	%
		$	12,236				41.1	%		$	11,215				38.1	%		$	9,698				34.0	%

Schedule of Significant Components of Provision for Income Taxes for Continuing Operations

Significant components of the provision for income taxes for continuing operations for the years ended December 31, 2013, 2012 and 2011 were as follows (in thousands):

		2013				2012				2011
Current:
Federal		$	8,445			$	7,117			$	6,376
State			1,422				360				(511	)
Total current			9,867				7,477				5,865
Deferred:
Federal			1,970				3,183				3,603
State			399				555				230
Total deferred			2,369				3,738				3,833
Total income tax provision for continuing operations		$	12,236			$	11,215			$	9,698

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- Definition

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.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 740

-SubTopic 10

-Section 50

-Paragraph 9

-URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32639-109319

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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.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 740

-SubTopic 10

-Section 50

-Paragraph 2

-URI http://asc.fasb.org/extlink&oid=6907707&loc=d3e32537-109319

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Schedule Of Income Tax Reconciliation Table [Text Block]

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