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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2019
Income Taxes [Abstract]  
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, 2019 and 2018 were as follows (in thousands):

  
December 31, 2019
  
December 31, 2018
 
       
Deferred tax assets:
      
Compensation
 
$
1,964
  
$
1,842
 
Allowance for doubtful accounts
  
514
   
600
 
Acquired net operating losses
  
840
   
-
 
Lease obligations - including closed clinics
  
21,445
   
34
 
Deferred tax assets
 
$
24,763
  
$
2,476
 
Deferred tax liabilities:
        
Depreciation and amortization
 
$
(13,195
)
 
$
(11,309
)
Operating lease right-of-use assets
  
(21,416
)
  
-
 
Other
  
(223
)
  
(179
)
Deferred tax liabilities
  
(34,834
)
  
(11,488
)
Net deferred tax liability
 
$
(10,071
)
 
$
(9,012
)
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 the years ended December 31, 2019, 2018 and 2017 were as follows (in thousands):

  
December 31, 2019
  
December 31, 2018
  
December 31, 2017
 
U. S. tax at statutory rate
 
$
11,274
   
21.0
%
 
$
9,710
   
21.0
%
 
$
9,900
   
35.0
%
Tax legislation adjustment
  
-
   
0.0
%
  
-
   
0.0
%
  
(4,325
)
  
-15.3
%
State income taxes, net of federal benefit and tax reform
  
2,059
   
3.8
%
  
1,722
   
3.7
%
  
1,060
   
3.7
%
Excess equity compensation deduction
  
(871
)
  
-1.6
%
  
(806
)
  
-1.7
%
  
(1,139
)
  
-4.0
%
Non-deductible expenses
  
1,185
   
2.2
%
  
743
   
1.6
%
  
560
   
2.0
%
Other
  
-
   
0.0
%
  
-
   
0.0
%
  
(24
)
  
-0.1
%
  
$
13,647
   
25.4
%
 
$
11,369
   
24.6
%
 
$
6,032
   
21.3
%
Significant Components of Provision for Income Taxes for Continuing Operations
Significant components of the provision for income taxes for the years ended December 31, 2019, 2018 and 2017 were as follows (in thousands):

  
December 31, 2019
  
December 31, 2018
  
December 31, 2017
 
Current:
         
Federal
 
$
6,523
  
$
5,357
  
$
9,332
 
State
  
2,473
   
1,199
   
1,564
 
Total current
  
8,996
   
6,556
   
10,896
 
Deferred:
            
Federal
  
3,730
   
3,771
   
(5,233
)
State
  
921
   
1,042
   
369
 
Total deferred
  
4,651
   
4,813
   
(4,864
)
Total income tax provision
 
$
13,647
  
$
11,369
  
$
6,032