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Note 13 - Income Taxes (Tables)
12 Months Ended
Dec. 31, 2013
Income Tax Disclosure [Abstract]  
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
   

Year Ended December 31,

 
   

2013

   

2012

   

2011

 
   

(in thousands)

 
           

(as adjusted)

   

(as adjusted)

 

Current Tax Provision

                   

Federal

  $ 34,680     $ 29,147     $ 29,311  

State

    5,588       4,010       3,131  
      40,268       33,157       32,442  

Deferred Tax Provision

                       

Federal

    (2,226 )     892       1,719  

State

    (479 )     132       233  
      (2,705 )     1,024       1,952  

Income Tax Provision

  $ 37,563     $ 34,181     $ 34,394  
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
   

December 31,

 
   

2013

   

2012

 
   

(in thousands)

 
           

(as adjusted)

 

Current deferred tax asset:

             

Allowance for doubtful accounts receivable

  $ 1,802     $ 1,022  

Accrued expenses

    7,489       7,490  
      9,291       8,512  

Current deferred tax liability:

               

Unrealized gains on marketable securities

    (28,526 )     (31,154 )

Other

    (1,922 )     (1,832 )
      (30,448 )     (32,986 )

Net current deferred tax liability

  $ (21,157 )   $ (24,474 )
                 

Noncurrent deferred tax asset:

               

Financial reporting depreciation in excess of tax depreciation

  $ 5,872     $ 4,086  

Deferred gain on sale of assets (net)

    (3,135 )     (3,135 )

Tax basis intangible asset in excess of financial reporting basis

    127       663  

Stock-based compensation

    2,214       1,682  

Long-term investments

    (2,276 )     (1,387 )

Nonrefundable entrance fees

    45       -  

Refundable entrance fees

    1,647       1,555  

Obligation to provide future services

    1,439       698  

Accrued expenses

    2,502       2,132  

Deferred revenue

    6,096       6,523  

Net noncurrent deferred tax asset

  $ 14,531       12,817  
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
   

Year Ended December 31,

 
   

2013

   

2012

   

2011

 
   

(in thousands)

 
           

(as adjusted)

   

(as adjusted)

 

Tax provision at federal statutory rate

  $ 35,762     $ 32,718     $ 34,784  
                         

Increase (decrease) in income taxes

                       

resulting from:

                       

State, net of federal benefit

    2,325       3,261       3,246  

Nondeductible expenses

    197       118       188  

Insurance expense

    35       39       26  

Other, net

    (258 )     823       57  

Unrecognized tax benefits

    1,107       409       85  

Expiration of statute of limitations

    (1,605 )     (3,187 )     (3,992 )
      1,801       1,463       (390 )

Effective income tax expense

  $ 37,563       34,181     $ 34,394  
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
   

Deferred Tax Asset

   

Liability For Unrecognized Tax Benefits

   

Liability For Interest and Penalties

   

Liability Total

 

Balance, January 1, 2011

  $ 10,089     $ 14,511     $ 4,350     $ 18,861  

Additions based on tax positions related to the current year

          1,452       183       1,635  

Additions for tax positions of prior years

    (70 )     189       (449 )     (260 )

Reductions for statute of limitation expirations

    (93 )     (2,387 )     (1,605 )     (3,992 )

Balance, December 31, 2011

    9,926       13,765       2,479       16,244  

Additions based on tax positions related to the current year

          1,695       185       1,880  

Additions for tax positions of prior years

    728       845       170       1,015  

Reductions for statute of limitation expirations

    (1,999 )     (4,309 )     (940 )     (5,249 )

Balance, December 31, 2012

    8,655       11,996       1,894       13,890  

Additions based on tax positions related to the current year

            1,832       198       2,030  

Additions for tax positions of prior years

    2,120       1,427       641       2,068  

Reductions for statute of limitation expirations

    (2,177 )     (2,802 )     (661 )     (3,463 )

Balance, December 31, 2013

  $ 8,598     $ 12,453     $ 2,072     $ 14,525