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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2020
Income Tax Disclosure [Abstract]  
Components Of Deferred Income Taxes
The components of deferred income taxes at December 31, 2020 and 2019 are as follows:
20202019
Deferred income tax assets:
Accrued expenses$588 $331 
Bad debt reserves143 89 
Insurance reserves187 139 
Lease liabilities204 180 
Retirement liabilities205 216 
Deferred compensation31 28 
Federal and state operating loss carryforwards274 124 
Other113 71 
Subtotal1,745 1,178 
Less: valuation allowance(84)(45)
Total deferred income tax assets1,661 1,133 
Deferred income tax liabilities:
Federal and state intangible assets2,073 1,999 
Capitalized software670 554 
Depreciation and amortization37 62 
Investment basis407 230 
Retirement assets260 249 
Lease right-of-use asset131 164 
Prepaid expenses102 102 
Total deferred income tax liabilities3,680 3,360 
Net deferred income tax liabilities$2,019 $2,227 
Components Of Provision For Income Taxes
Significant components of the provision for income taxes for the years ended December 31, 2020, 2019 and 2018 consist of the following:
202020192018
Current tax expense:
Federal$1,731 $1,019 $1,128 
State and local461 84 78 
Total current tax expense2,192 1,103 1,206 
Deferred tax (benefit) expense(526)75 112 
Total income tax expense$1,666 $1,178 $1,318 
Reconciliation Of Income Tax Expense Computed At The Statutory Federal Income Tax Rate
A reconciliation of income tax expense recorded in the consolidated statements of income and amounts computed at the statutory federal income tax rate for the years ended December 31, 2020, 2019 and 2018 is as follows:
 202020192018
 AmountPercentAmountPercentAmountPercent
Amount at statutory rate$1,310 21.0 %$1,257 21.0 %$1,064 21.0 %
State and local income taxes net of federal tax expense/benefit
235 3.8 138 2.3 63 1.2 
Tax exempt interest and dividends received deduction
(22)(0.4)(24)(0.4)(27)(0.5)
HIP fee330 5.3 — — 324 6.4 
Basis adjustments from recent acquisitions(110)(1.8)— — (28)(0.6)
Tax Cuts and Jobs Act— — — — (28)(0.6)
Other, net(77)(1.2)(193)(3.2)(50)(0.9)
Total income tax expense$1,666 26.7 %$1,178 19.7 %$1,318 26.0 %
Change In The Carrying Amount Of Gross Unrecognized Tax Benefits From Uncertain Tax Positions
The change in the carrying amount of gross unrecognized tax benefits from uncertain tax positions for the years ended December 31, 2020 and 2019 is as follows:
20202019
Balance at January 1$146 $241 
Additions based on:
Tax positions related to current year76 
Tax positions related to prior years40 — 
Reductions based on:
Tax positions related to prior years(13)(63)
Settlements with taxing authorities— (33)
Balance at December 31$249 $146