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Income Taxes - Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($)
$ in Thousands
Dec. 31, 2019
Dec. 31, 2018
Deferred tax assets [Abstract]    
Compensation $ 1,964 $ 1,842
Allowance for doubtful accounts 514 600
Acquired net operating losses 840 0
Lease obligations - including closed clinics 21,445 34
Deferred tax assets 24,763 2,476
Deferred tax liabilities [Abstract]    
Depreciation and amortization (13,195) (11,309)
Operating lease right-of-use assets (21,416) 0
Other (223) (179)
Deferred tax liabilities (34,834) (11,488)
Net deferred tax liability $ (10,071) $ (9,012)