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Income Taxes | 12 Months Ended
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Dec. 31, 2022
Income Taxes [Abstract] |
Income Taxes | 13. Income Taxes Significant components of deferred tax assets and liabilities included in the consolidated balance sheets at December 31, 2022 and 2021 were as follows (in thousands):
|  | December 31, 2022 |  |  | December 31, 2021 |
Deferred tax assets: |  |  |  |  |  |
Compensation |  | $ | 1,464 |  |  | $ | 2,817 |
Allowance for credit losses |  |  | 605 |  |  |  | 573 |
Lease obligations - including closed clinics |  |  | 28,525 |  |  |  | 26,856 |
Deferred tax assets |  | $ | 30,594 |  |  | $ | 30,246 |
Deferred tax liabilities: |  |  |  |  |  |  |  |
Depreciation and amortization |  | $ | (23,836 | ) |  | $ | (19,607 | )
Operating lease right-of-use assets |  |  | (26,318 | ) |  |  | (24,637 | )
Gain on cash flow hedge |  |  | (1,373 | ) |  |  | - |
Other |  |  | (370 | ) |  |  | (387 | )
Deferred tax liabilities |  |  | (51,897 | ) |  |  | (44,631 | )
Net deferred tax liability |  | $ | (21,303 | ) |  | $ | (14,385 | )
The deferred tax assets and liabilities related to purchased interests not yet finalized may result in an immaterial adjustment. During 2022, the Company recorded net deferred tax assets of $0.4 million related to the revaluation of redeemable non-controlling interests and acquisitions of non-controlling interests. In addition, during 2022, the Company recorded an adjustment to the deferred tax assets of $0.3 million as a result of a detailed reconciliation of its federal and state taxes payable and receivable accounts along with its federal and state deferred tax asset and liability accounts with its federal and state tax returns for 2021. The offset of this adjustment was an increase to the previously reported state income tax receivable and to federal income tax. As of December 31, 2022, the Company has a federal tax receivable of $3.9 million and state tax receivables of $0.7 million. The federal and state income tax receivable is included in other current assets on the accompanying consolidated balance sheets. The differences between the federal tax rate and the Company’s effective tax rate for the years ended December 31, 2022, 2021 and 2020 were as follows (in thousands):
|  | December 31, 2022 |  |  | December 31, 2021 |  |  | December 31, 2020 |
U. S. tax at statutory rate |  | $ | 9,307 |  |  |  | 21.0 | % |  | $ | 11,782 |  |  |  | 21.0 | % |  | $ | 10,125 |  |  |  | 21.0 | %
State income taxes, net of federal benefit |  |  | 2,079 |  |  |  | 4.7 | % |  |  | 2,478 |  |  |  | 4.4 | % |  |  | 1,956 |  |  |  | 3.9 | %
Shortfall (excess) equity compensation deduction |  |  | 149 |  |  |  | 0.3 | % |  |  | (246 | ) |  |  | -0.4 | % |  |  | (99 | ) |  |  | 0.0 | %
Non-deductible expenses |  |  | 629 |  |  |  | 1.4 | % |  |  | 1,258 |  |  |  | 2.2 | % |  |  | 1,040 |  |  |  | 2.1 | %
|  | $ | 12,164 |  |  |  | 27.4 | % |  | $ | 15,272 |  |  |  | 27.2 | % |  | $ | 13,022 |  |  |  | 27.0 | %
Significant components of the provision for income taxes for the years ended December 31, 2022, 2021 and 2020 were as follows (in thousands):
|  | December 31, 2022 |  |  | December 31, 2021 |  |  | December 31, 2020 |
Current: |  |  |  |  |  |  |  |  |
Federal |  | $ | (770 | ) |  | $ | 7,477 |  |  | $ | 10,506 |
State |  |  | 518 |  |  |  | 2,107 |  |  |  | 2,774 |
Total current |  |  | (252 | ) |  |  | 9,584 |  |  |  | 13,280 |
Deferred: |  |  |  |  |  |  |  |  |  |  |  |
Federal |  |  | 9,933 |  |  |  | 4,866 |  |  |  | (38 | )
State |  |  | 2,483 |  |  |  | 822 |  |  |  | (220 | )
Total deferred |  |  | 12,416 |  |  |  | 5,688 |  |  |  | (258 | )
Total income tax provision |  | $ | 12,164 |  |  | $ | 15,272 |  |  | $ | 13,022 |
For 2022, 2021 and 2020, the Company performed a detailed reconciliation of its federal and state taxes payable and receivable accounts along with its federal and state deferred tax asset and liability accounts. The adjustments were immaterial. The Company considers this reconciliation process to be an annual control. The Company is required to establish a valuation allowance for deferred tax assets if, based on the weight of available evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable income and projections for future taxable income in the periods which the deferred tax assets are deductible, management believes that a valuation allowance is not required, as it is more likely than not that the results of future operations will generate sufficient taxable income to realize the deferred tax assets. The Company’s U.S. federal returns remain open to examination for 2019 through 2021 and U.S. state jurisdictions are open for periods ranging from 2018 through 2021. The Company does not believe that it has any significant uncertain tax positions at December 31, 2022 and December 31, 2021, nor is this expected to change within the next twelve months due to the settlement and expiration of statutes of limitation. The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the years ended December 31, 2022, 2021 and 2020.

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- Definition The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 21 -URI https://asc.fasb.org/extlink&oid=121826272&loc=d3e32857-109319 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SAB Topic 11.C) -URI https://asc.fasb.org/extlink&oid=122134291&loc=d3e330215-122817 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 17 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=121826272&loc=d3e32809-109319 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SAB TOPIC 6.I.5.Q1) -URI https://asc.fasb.org/extlink&oid=122134291&loc=d3e330036-122817 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 10 -Section 50 -Paragraph 14 -URI https://asc.fasb.org/extlink&oid=121826272&loc=d3e32705-109319 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 270 -Section 50 -Paragraph 1 -URI https://asc.fasb.org/extlink&oid=6424409&loc=d3e44925-109338 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -URI https://asc.fasb.org/topic&trid=2144680 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 740 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a) -URI https://asc.fasb.org/extlink&oid=6424122&loc=d3e41874-109331 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08(h)(2)) -URI https://asc.fasb.org/extlink&oid=120395691&loc=d3e23780-122690 + Details
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