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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2017
Income Taxes [Abstract]  
Schedule of Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets
Significant components of deferred tax assets and liabilities included in the consolidated balance sheets at December 31, 2017 and 2016 were as follows (in thousands):

  
December 31, 2017
  
December 31, 2016
 
       
Deferred tax assets:
      
Compensation
 
$
1,529
  
$
1,914
 
Allowance for doubtful accounts
  
478
   
572
 
Lease obligations - closed clinics
  
54
   
57
 
Deferred tax assets
 
$
2,061
  
$
2,543
 
Deferred tax liabilities:
        
Depreciation and amortization
 
$
(12,590
)
 
$
(17,896
)
Other
  
(346
)
  
(383
)
Deferred tax liabilities
  
(12,936
)
  
(18,279
)
Net deferred tax liability
 
$
(10,875
)
 
$
(15,736
)
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, 2017, 2016 and 2015 were as follows (in thousands):

  
December 31, 2017
  
December 31, 2016
  
December 31, 2015
 
U. S. tax at statutory rate
 
$
9,900
   
35.0
%
 
$
11,351
   
35.0
%
 
$
11,991
   
35.0
%
Tax legislation adjustment
 
$
(4,325
)
  
-15.3
%
  
-
   
-
   
-
   
-
 
State income taxes, net of federal benefit and tax reform
  
1,060
   
3.7
%
  
945
   
2.9
%
  
1,337
   
3.9
%
Excess equity compensation deduction
  
(1,139
)
  
-4.0
%
  
(911
)
  
-2.8
%
  
-
   
-
 
Non-deductible expenses
  
560
   
2.0
%
  
495
   
1.5
%
  
319
   
0.9
%
Other
  
(24
)
  
-0.1
%
  
-
   
-
   
-
   
-
 
  
$
6,032
   
21.3
%
 
$
11,880
   
36.6
%
 
$
13,647
   
39.8
%
Schedule of Significant Components of Provision for Income Taxes for Continuing Operations
Significant components of the provision for income taxes for the years ended December 31, 2017, 2016 and 2015 were as follows (in thousands):

  
December 31, 2017
  
December 31, 2016
  
December 31, 2015
 
Current:
         
Federal
 
$
9,332
  
$
7,620
  
$
6,502
 
State
  
1,564
   
1,281
   
1,192
 
Total current
  
10,896
   
8,901
   
7,694
 
Deferred:
            
Federal
  
(5,233
)
  
2,548
   
5,302
 
State
  
369
   
431
   
651
 
Total deferred
  
(4,864
)
  
2,979
   
5,953
 
Total income tax provision
 
$
6,032
  
$
11,880
  
$
13,647