Income Taxes (Tables)

12 Months Ended

Dec. 31, 2018

Significant Components of Deferred Tax Assets and Liabilities

Significant components of the Company’s deferred tax assets and liabilities as of December 31, 2018 and 2017 were as follows (amounts in thousands):



	2018			2017
Deferred tax assets:
Allowance for uncollectible accounts	$	8,645		$	5,224
Accrued employee benefits	6,038			4,147
Stock compensation	2,322			663
Accrued self-insurance	8,656			2,157
Acquisition costs	1,413			2,064
Net operating loss carry forward	9,147			1,299
Intangible asset impairment	18			21
Other	1,021			91
Capital loss carryforward	—			12
Valuation allowance	(3,574		)	(44		)
Deferred tax assets	$	33,686		$	15,634
Deferred tax liabilities:
Amortization of intangible assets	(64,001		)	(35,955		)
Tax depreciation in excess of book depreciation	(7,693		)	(5,988		)
Prepaid expenses	(1,134		)	(623		)
Non-accrual experience accounting method	(602		)	(534		)



Other	(3,562		)	—
Deferred tax liabilities	(76,992		)	(43,100		)
Net deferred tax liability	$	(43,306	)	$	(27,466	)

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):



	2018		2017			2016
Current:
Federal	$	892	$	12,798		$	12,563
State	3,382		2,621			2,371
	4,274		15,419			14,934
Deferred:
Federal	15,383		(6,273		)	6,223
State	2,742		1,798			1,019
	18,125		(4,475		)	7,242
Total income tax expense	$	22,399	$	10,944		$	22,176

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:



	2018		2017		2016
Federal statutory tax rate	21.0	%	35.0	%	35.0	%
State income taxes, net of federal benefit	5.7		4.4		3.8
Nondeductible expenses	2.6		3.2		2.6
Uncertain tax position	(1.3	)	—		(3.3	)
TCJA Enactment	—		(22.9	)	—
Excess Tax Benefit	(2.6	)	(1.6	)	—
Credits and other	0.7		(0.1	)	(0.4	)
Effective tax rate	26.1	%	18.0	%	37.7	%

Schedule of Unrecognized Tax Benefits

A reconciliation of the total amounts of unrecognized tax benefits follows:



Acquired unrecognized tax position	$	3,786
Increased (decreases) in unrecognized tax benefits as a result of:
Tax positions taken in the current year	1,835
Lapse of statute of limitations	(1,324		)
Total unrecognized tax benefits as of December 31, 2018	$	4,297