Income Taxes (Tables)

12 Months Ended

Dec. 31, 2017

Deferred Tax Assets and Liabilities [Table Text Block]

Significant components of the Company’s deferred tax assets and liabilities as of December 31, 2017 and 2016 were as follows (amounts in thousands):



	2017		2016
Deferred tax assets:
Allowance for uncollectible accounts	$	5,224	$	9,735
Accrued employee benefits	4,147		5,532



Stock compensation	663			1,004
Accrued self-insurance	2,157			2,762
Acquisition costs	2,064			1,781
Net operating loss carry forward	1,299			1,880
Intangible asset impairment	21			38
Uncertain tax position—state tax portion	—			63
Uncertain tax position - interest expense	—			90
Other	91			155
Capital loss carryforward	12			154
Valuation allowance	(44		)	(44		)
Deferred tax assets	$	15,634		$	23,150
Deferred tax liabilities:
Amortization of intangible assets	(35,955		)	(45,622		)
Tax depreciation in excess of book depreciation	(5,988		)	(8,397		)
Prepaid expenses	(623		)	(817		)
Non-accrual experience accounting method	(534		)	(255		)
Deferred tax liabilities	(43,100		)	(55,091		)
Net deferred tax liability	$	(27,466	)	$	(31,941	)

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):



	2017			2016		2015
Current:
Federal	$	12,798		$	12,563	$	18,094
State	2,621			2,371		3,232
	15,419			14,934		21,326
Deferred:
Federal	(6,273		)	6,223		1,389
State	1,798			1,019		133
	(4,475		)	7,242		1,522
Total income tax expense	$	10,944		$	22,176	$	22,848

Statutory Rate and Provisions for Income Taxes

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:



	2017		2016		2015
Federal statutory tax rate	35.0	%	35.0	%	35.0	%
State income taxes, net of federal benefit	4.4		3.8		3.9
Nondeductible expenses	3.2		2.6		2.5
Uncertain tax position	—		(3.3	)	—
TCJA Enactment	(22.9	)	—		—
Excess Tax Benefit	(1.6	)	—		—
Credits and other	(0.1	)	(0.4	)	—
Effective tax rate	18.0	%	37.7	%	41.4	%

Total amounts of Unrecognized Tax




Total unrecognized tax benefits as of December 31, 2016	$	1,315
Increases (decreases) in unrecognized tax benefits as a result of:
Tax positions taken during the current period	(1,315		)
Total unrecognized tax benefits as of December 31, 2017	$	—