Income Taxes (Tables)

12 Months Ended

Dec. 31, 2015

Income Tax Disclosure [Abstract]

Components of Income (Loss) Before Income Taxes

The components of the Company’s income (loss) before income taxes are as follows:

	Year Ended December 31,
	2015		2014			2013
	(amounts in thousands)
United States	$	3,565	$	(33,574	)	$	(11,216	)
Foreign	595		2,256			1,177
	$	4,160	$	(31,318	)	$	(10,039	)

Components of Income Tax Expense (Benefit)

The components of the Company’s income tax (benefit) expense are as follows:

	Year Ended December 31,
	2015			2014			2013
	(amounts in thousands)
Continuing operations:
Current
Federal	$	551		$	—		$	—
State	(21		)	811			540
Foreign	220			262			416
Total	750			1,073			956
Deferred
Federal	(1,819		)	(1,320		)	37,822
State	8			68			5,134
Foreign	267			395			299
Total	(1,544		)	(857		)	43,255
Total income tax (benefit) expense for continuing operations	$	(794	)	$	216		$	44,211
The total income tax (benefit) provision is summarized as follows:
Continuing operations	$	(794	)	$	216		$	44,211
Discontinued operations	—			—			2,122
	$	(794	)	$	216		$	46,333

Significant Components of Deferred Tax Assets and Liabilities

Significant components of the Company’s deferred tax assets and liabilities are as follows:

	December 31,
	2015			2014
	(amounts in thousands)
Deferred Tax Assets:
Accrued other and prepaid expenses	$	2,973		$	2,823
Allowance for doubtful accounts	1,278			589
Intangible Assets	11,365			13,716
Net operating loss carryforwards	22,662			38,144
Derivative interest	10,144			6,370
Accrued professional liability	2,536			—
Accrued workers’ compensation	3,061			1,356
Share-based compensation	891			959
Depreciation	—			105
Credit carryforwards	797			—
Other	595			822
Gross deferred tax assets	56,302			64,884
Valuation allowance	(55,336		)	(63,616		)
	966			1,268
Deferred Tax Liabilities:
Depreciation	(123		)	—
Accrued professional liability	—			(92		)
Indefinite intangibles	(18,714		)	(19,683		)
Tax on unrepatriated earnings	(604		)	(336		)
Other	—			(1,176		)
	(19,441		)	(21,287		)
Net deferred taxes	$	(18,475	)	$	(20,019	)

Reconciliation of Income Tax Computed At U. S. Federal Statutory Rate to Income Tax (Benefit) Expense

The reconciliation of income tax computed at the U. S. federal statutory rate to income tax (benefit) expense is as follows:

	Year Ended December 31,
	2015			2014			2013
	(amounts in thousands)
Tax at U.S. statutory rate	$	1,456		$	(10,961	)	$	(3,514	)
State taxes, net of federal benefit	611			219			(190		)
Non-deductible meals and entertainment	1,510			1,425			450
Foreign tax expense	(6		)	44			554
Valuation allowances	(5,078		)	12,038			48,556
Uncertain tax positions	917			(996		)	(257		)
Deferred tax write-offs	—			—			221
Audit settlements	(624		)	—			160
Tax on unrepatriated earnings	—			—			(1,465		)
Tax true ups and other	420			(1,553		)	(304		)
Total income tax (benefit) expense for continuing operations	$	(794	)	$	216		$	44,211

Reconciliation of Beginning and Ending Amounts of Unrecognized Tax Benefits

A reconciliation of the beginning and ending amounts of unrecognized tax benefits is approximately as follows: 

	2015			2014
	(amounts in thousands)
Balance at January 1	$	3,777		$	4,986
Additions based on tax positions related to the current year	861			709
Additions based on tax positions related to prior years	62			91
Reductions based on settlements of tax positions related to prior years	(624		)	(344		)
Reductions for tax positions as a result of a lapse of the applicable statute of limitations	—			(1,578		)
Other	(5		)	(87		)
Balance at December 31	$	4,071		$	3,777