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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2018
Income Taxes [Abstract]  
Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets
Significant components of deferred tax assets and liabilities included in the consolidated balance sheets at December 31, 2018 and 2017 were as follows (in thousands):

  
December 31, 2018
  
December 31, 2017
 
       
Deferred tax assets:
      
Compensation
 
$
1,842
  
$
1,529
 
Allowance for doubtful accounts
  
600
   
478
 
Lease obligations - closed clinics
  
34
   
54
 
Deferred tax assets
 
$
2,476
  
$
2,061
 
Deferred tax liabilities:
        
Depreciation and amortization
 
$
(11,309
)
 
$
(12,590
)
Other
  
(179
)
  
(346
)
Deferred tax liabilities
  
(11,488
)
  
(12,936
)
Net deferred tax liability
 
$
(9,012
)
 
$
(10,875
)
Differences Between Federal Tax Rate and Company's Effective Tax Rate for Results of Continuing Operations
The differences between the federal tax rate and the Company’s effective tax rate for the years ended December 31, 2018, 2017 and 2016 were as follows (in thousands):

  
December 31, 2018
  
December 31, 2017
  
December 31, 2016
 
U. S. tax at statutory rate
 
$
9,710
   
21.0
%
 
$
9,900
   
35.0
%
 
$
11,351
   
35.0
%
Tax legislation adjustment
  
-
   
0.0
%
  
(4,325
)
  
(15.3
)%
  
-
   
-
 
State income taxes, net of federal benefit and tax reform
  
1,722
   
3.7
%
  
1,060
   
3.7
%
  
945
   
2.9
%
Excess equity compensation deduction
  
(806
)
  
(1.7
)%
  
(1,139
)
  
(4.0
)%
  
(911
)
  
(2.8
)%
Non-deductible expenses
  
743
   
1.6
%
  
560
   
2.0
%
  
495
   
1.5
%
Other
  
-
   
0.0
%
  
(24
)
  
(0.1
)%
  
-
   
-
 
  
$
11,369
   
24.6
%
 
$
6,032
   
21.3
%
 
$
11,880
   
36.6
%
Significant Components of Provision for Income Taxes for Continuing Operations
Significant components of the provision for income taxes for the years ended December 31, 2018, 2017 and 2016 were as follows (in thousands):

  
December 31, 2018
  
December 31, 2017
  
December 31, 2016
 
Current:
         
Federal
 
$
5,357
  
$
9,332
  
$
7,620
 
State
  
1,199
   
1,564
   
1,281
 
Total current
  
6,556
   
10,896
   
8,901
 
Deferred:
            
Federal
  
3,771
   
(5,233
)
  
2,548
 
State
  
1,042
   
369
   
431
 
Total deferred
  
4,813
   
(4,864
)
  
2,979
 
Total income tax provision
 
$
11,369
  
$
6,032
  
$
11,880