Income Taxes (Tables)

12 Months Ended

Dec. 31, 2015

Deferred Tax Assets and Liabilities [Table Text Block]

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	)

Income Tax Expense (benefit) from Continuing operations, Less Noncontrolling Interest

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

Statutory Rate and Provisions for Income Taxes

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

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	%

Total amounts of Unrecognized Tax

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