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Income Taxes
12 Months Ended
Dec. 31, 2015
Income Tax Disclosure [Abstract]  
Income Tax
5. Income Taxes
The Company accounts for income taxes using the asset and liability method. Under the asset and liability method, deferred taxes are determined based on differences between the financial reporting and tax bases of assets and liabilities and are measured using the enacted tax laws that will be in effect when the differences are expected to reverse.
 
Significant components of the Company’s deferred tax assets and liabilities as of December 31, 2015 and 2014 were as follows (amounts in thousands):
 
 
 
2015
 
2014
Deferred tax assets:
 
 
 
 
Allowance for uncollectible accounts
 
$
9,048

 
$
6,397

Accrued employee benefits
 
5,260

 
4,195

Stock compensation
 
1,068

 
1,228

Accrued self-insurance
 
2,517

 
2,526

Acquisition costs
 
1,651

 
1,510

Net operating loss carry forward
 
983

 
927

Intangible asset impairment
 
43

 
49

Uncertain tax position—state tax portion
 
215

 
215

Uncertain tax position - interest expense
 
254

 
186

Other
 
93

 
121

Valuation allowance
 
(44
)
 
(44
)
Deferred tax assets
 
$
21,088

 
$
17,310

Deferred tax liabilities:
 
 
 
 
Amortization of intangible assets
 
(35,355
)
 
(29,370
)
Tax depreciation in excess of book depreciation
 
(8,201
)
 
(7,994
)
Prepaid expenses
 
(655
)
 
(697
)
Non-accrual experience accounting method
 
(606
)
 
(1,459
)
Deferred tax liabilities
 
(44,817
)
 
(39,520
)
Net deferred tax liability
 
$
(23,729
)
 
$
(22,210
)

Based on the Company’s historical pattern of taxable income, the Company believes it will produce sufficient income in the future to realize its deferred income tax assets. Management provides a valuation allowance for any net deferred tax assets when it is more likely than not that a portion of such net deferred tax assets will not be recovered.
The components of the Company’s income tax expense from continuing operations, less noncontrolling interest, were as follows (amounts in thousands):
 
 
 
2015
 
2014
 
2013
Current:
 
 
 
 
 
 
Federal
 
$
18,094

 
$
10,195

 
$
11,962

State
 
3,232

 
1,916

 
1,546

 
 
21,326

 
12,111

 
13,508

Deferred:
 
 
 
 
 
 
Federal
 
1,389

 
2,187

 
1,448

State
 
133

 
215

 
903

 
 
1,522

 
2,402

 
2,351

Total income tax expense
 
$
22,848

 
$
14,513

 
$
15,859



A reconciliation of the difference between the federal statutory tax rate and the Company's effective tax rate for income taxes for each period is as follows:
 
 
2015
 
2014
 
2013
Federal statutory tax rate
 
35.0
%
 
35.0
 %
 
35.0
%
State income taxes, net of federal benefit
 
3.9

 
3.5

 
3.5

Nondeductible expenses
 
2.5

 
2.3

 
3.1

Credits and other
 

 
(0.9
)
 

Effective tax rate
 
41.4
%
 
39.9
 %
 
41.6
%


 A reconciliation of the differences between income tax expense on net income attributable to the Company, computed at the federal statutory rate and provisions for income taxes for each period is as follows (amounts in thousands):
 
 
 
2015
 
2014
 
2013
Income taxes computed at federal statutory tax rate
 
$
19,314

 
$
12,723

 
$
13,360

State income taxes, net of federal benefit
 
2,184

 
1,407

 
1,641

Nondeductible expenses
 
1,352

 
766

 
1,022

Other items
 
278

 
(99
)
 
101

Income tax credits
 
(280
)
 
(284
)
 
(265
)
Total income tax expense
 
$
22,848

 
$
14,513

 
$
15,859


The Company is subject to both federal tax and state income tax for jurisdictions within which it operates. Within these jurisdictions, the Company is open to examination for tax years ended after December 31, 2011.
As of December 31, 2015, $3.4 million was recorded in income tax payable as an unrecognized tax benefit which, if recognized, would decrease the Company’s effective tax rate. All of the Company's unrecognized tax benefit is due to the settlement with the United States of America, which was announced September 30, 2011. On July 31, 2014, the Internal Revenue Service ("IRS") issued a notice of proposed adjustment asserting that a portion of the original tax deduction claimed by the Company associated with the settlement of the United States of America should be disallowed. The Company is currently appealing this proposed adjustment with the IRS Appeals. The Company intends to vigorously defend its original position of the deductibility of the full settlement on its 2011 tax return. A reconciliation of the total amounts of unrecognized tax benefits follows (amounts in thousands):
 
 
 
Total unrecognized tax benefits as of December 31, 2014
$
3,415

Increases (decreases) in unrecognized tax benefits as a result of:
 
Tax positions taken during the current period

Total unrecognized tax benefits as of December 31, 2015
$
3,415


The Company recognizes interest and penalties related to uncertain tax positions in interest expense and general and administrative expenses, respectively. During the years ended December 31, 2015, 2014 and 2013, the Company recognized $0.2 million each year in interest expense, and recorded an accrued liability of interest payments related to uncertain tax positions.