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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2022
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, 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
)
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, 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 Provision for Income Taxes for Continuing Operations

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