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Income Taxes (Tables)

12 Months Ended

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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Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years.

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Tabular disclosure of the components of net deferred tax asset or liability recognized in an entity's statement of financial position, including the following: the total of all deferred tax liabilities, the total of all deferred tax assets, the total valuation allowance recognized for deferred tax assets.

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Tabular disclosure of the reconciliation using percentage or dollar amounts of the reported amount of income tax expense attributable to continuing operations for the year to the amount of income tax expense that would result from applying domestic federal statutory tax rates to pretax income from continuing operations.

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