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Income Taxes (Tables) | 12 Months Ended
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Dec. 31, 2025
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 as of the periods below were as follows.
|  | As of the Year Ended |
|  | December 31, 2025 |  |  | December 31, 2024 |
|  | (In thousands) |
Deferred tax assets: |  |  |  |  |  |
Compensation |  | $ | 2,045 |  |  | $ | 2,370 |
Provision for credit losses |  |  | 792 |  |  |  | 747 |
Lease obligations - including closed clinics |  |  | 29,888 |  |  |  | 36,205 |
Other |  |  | 94 |  |  |  | - |
Deferred tax assets |  | $ | 32,819 |  |  | $ | 39,322 |
Deferred tax liabilities: |  |  |  |  |  |  |  |
Depreciation and amortization |  | $ | (31,274 | ) |  | $ | (32,392 | )
Operating lease right-of-use assets |  |  | (28,109 | ) |  |  | (34,221 | )
Gain on cash flow hedge |  |  | (244 | ) |  |  | (960 | )
Change in revaluation of put-right liability |  |  | (312 | ) |  |  | (638 | )
Other |  |  | (1,271 | ) |  |  | (576 | )
Deferred tax liabilities |  |  | (61,210 | ) |  |  | (68,787 | )
Net deferred tax liabilities |  | $ | (28,391 | ) |  | $ | (29,465 | )
Reconciliation of Statutory Federal Income Tax Rate to Effective Income Tax Rate | For the years ended December 31, 2025, 2024, and 2023 income taxes for financial reporting purposes differ from the amount computed by applying the statutory federal income tax rate of 21% as shown as in the following table:
|  | Year Ended |
|  | December 31, 2025 |
U.S. federal statutory rate |  | $ | 12,472 |  |  |  | 21.0 | %
State and local income taxes, net of federal income tax effect (1) |  |  | 5,068 |  |  |  | 8.5 | %
Non-deductible expenses |  |  | 133 |  |  |  | 0.2 | %
Shortfall equity compensation deduction |  |  | 330 |  |  |  | 0.6 | %
Non-deductible executive compensation |  |  | 1,186 |  |  |  | 2.0 | %
Other reconciling items |  |  | 619 |  |  |  | 1.1 | %
Income tax expense |  | $ | 19,808 |  |  |  | 33.4 | %
(1) | State and local income taxes primarily consist of taxes in Tennessee, Maryland, Pennsylvania, Oregon, Georgia, New Jersey, and Virginia (which collectively represent the majority of this category).
|  | Year Ended |
|  | December 31, 2024 |
U.S. tax at statutory rate |  | $ | 9,667 |  |  |  | 21.0 | %
State income taxes, net of federal benefit |  |  | 2,946 |  |  |  | 6.4 | %
Shortfall equity compensation deduction |  |  | 75 |  |  |  | 0.2 | %
Non-deductible expenses |  |  | 907 |  |  |  | 2.0 | %
Return to provision adjustments |  |  | 1,014 |  |  |  | 2.1 | %
Income tax expense |  | $ | 14,609 |  |  |  | 31.7 | %
|  | Year Ended |
|  | December 31, 2023 |
U.S. tax at statutory rate |  | $ | 8,483 |  |  |  | 21.0 | %
State income taxes, net of federal benefit |  |  | 2,135 |  |  |  | 5.3 | %
Shortfall equity compensation deduction |  |  | 123 |  |  |  | 0.3 | %
Non-deductible expenses |  |  | 710 |  |  |  | 1.8 | %
Return to provision adjustments |  |  | 705 |  |  |  | 1.7 | %
Income tax expense |  | $ | 12,156 |  |  |  | 30.1 | %
Significant Components of Provision for Income Taxes for Continuing Operations | Significant components of the provision for income taxes for the years ended December 31, 2025, 2024 and 2023 were as follows (in thousands):
|  | December 31, 2025 |  |  | December 31, 2024 |  |  | December 31, 2023 |
Current income tax expense: |  |  |  |  |  |  |  |  |
Federal |  | $ | 6,753 |  |  | $ | 5,805 |  |  | $ | 6,996 |
State |  |  | 2,456 |  |  |  | 3,930 |  |  |  | 512 |
Total current expense |  |  | 9,209 |  |  |  | 9,735 |  |  |  | 7,508 |
Deferred income tax expense: |  |  |  |  |  |  |  |  |  |  |  |
Federal |  |  | 7,471 |  |  |  | 4,006 |  |  |  | 3,819 |
State |  |  | 3,128 |  |  |  | 868 |  |  |  | 829 |
Total deferred expense |  |  | 10,599 |  |  |  | 4,874 |  |  |  | 4,648 |
Total income tax expense |  | $ | 19,808 |  |  | $ | 14,609 |  |  | $ | 12,156 |
Components of Income Taxes Paid | The components of income taxes paid for the period ended December 31, 2025, were as follows:
|  | December 31, 2025 |
Total Income Taxes Paid |  | $ | 14,348 |
Federal |  | $ | 9,647 |
State & Local: |  |  |  |
TN |  | $ | 1,181 |
Other |  | $ | 3,520 |

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