Income Taxes (Tables)

12 Months Ended

Dec. 31, 2016

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,
	2016		2015		2014
	(amounts in thousands)
United States	$	3,309	$	3,565	$	(33,574	)
Foreign	1,236		595		2,256
Income (loss) before income taxes	$	4,545	$	4,160	$	(31,318	)

Components of Income Tax Expense (Benefit)

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

	Year Ended December 31,
	2016			2015			2014
	(amounts in thousands)
Current:
Federal	$	227		$	551		$	—
State	587			(21		)	811
Foreign	322			220			262
Total	1,136			750			1,073
Deferred:
Federal	(4,114		)	(1,819		)	(1,320		)
State	(866		)	8			68
Foreign	(342		)	267			395
Total	(5,322		)	(1,544		)	(857		)
Total income tax (benefit) expense	$	(4,186	)	$	(794	)	$	216

Significant Components of Deferred Tax Assets and Liabilities

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

	December 31,
	2016			2015
	(amounts in thousands)
Deferred Tax Assets:
Accrued other and prepaid expenses	$	3,494		$	2,973
Allowance for doubtful accounts	704			1,278
Intangible Assets	10,725			11,365
Net operating loss carryforwards	17,228			22,662
Derivative interest	7,940			10,144
Accrued professional liability	2,632			2,536
Accrued workers’ compensation	3,439			3,061
Share-based compensation	—			891
Credit carryforwards	1,055			797
Other	584			595
Gross deferred tax assets	47,801			56,302
Valuation allowance	(46,454		)	(55,336		)
	1,347			966
Deferred Tax Liabilities:
Depreciation	(70		)	(123		)
Indefinite intangibles	(13,971		)	(18,714		)
Tax on unrepatriated earnings	(263		)	(604		)
Share-based compensation	(197		)	—
	(14,501		)	(19,441		)
Net deferred taxes	$	(13,154	)	$	(18,475	)

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,
	2016			2015			2014
	(amounts in thousands)
Tax at U.S. statutory rate	$	1,591		$	1,456		$	(10,961	)
State taxes, net of federal benefit	344			611			219
Noncontrolling interest	(260		)	—			—
Non-deductible meals and entertainment	1,546			1,510			1,425
Foreign tax expense	(5		)	(6		)	44
Valuation allowances	(8,379		)	(5,078		)	12,038
Uncertain tax positions	1,090			917			(996		)
Audit settlements	—			(624		)	—
Other	(113		)	420			(1,553		)
Total income tax (benefit) expense	$	(4,186	)	$	(794	)	$	216

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: 

	2016		2015
	(amounts in thousands)
Balance at January 1	$	4,071	$	3,777
Additions based on tax positions related to the current year	1,054		861
Additions based on tax positions related to prior years	55		62
Reductions based on settlements of tax positions related to prior years	—		(624		)
Other	—		(5		)
Balance at December 31	$	5,180	$	4,071