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Income Taxes
12 Months Ended
Dec. 31, 2023
Income Taxes [Abstract]  
Income Taxes
13. Income Taxes

Significant components of deferred tax assets and liabilities included in the consolidated balance sheets as of the periods below were as follows.

    As of the Year Ended
 
 
December 31, 2023
   
December 31, 2022
 
    (In thousands)
 
Deferred tax assets:
           
Compensation
 
$
1,680
   
$
1,464
 
Allowance for credit losses
   
574
     
605
 
Lease obligations - including closed clinics
   
28,592
     
28,525
 
Deferred tax assets
 
$
30,846
   
$
30,594
 
Deferred tax liabilities:
               
Depreciation and amortization
 
$
(27,290
)
 
$
(23,836
)
Operating lease right-of-use assets
   
(26,427
)
   
(26,318
)
Gain on cash flow hedge
    (955 )     (1,373 )
Change in revaluation of put-right liability
    (586 )     -  
Other
   
(403
)
   
(370
)
Deferred tax liabilities
   
(55,661
)
   
(51,897
)
Net deferred tax liabilities
 
$
(24,815
)
 
$
(21,303
)

The deferred tax assets and liabilities related to purchased interests not yet finalized may result in an immaterial adjustment.

As of December 31, 2023, the Company has a federal tax payable of $1.0 million and state tax receivables of $2.1 million. The federal and state income tax receivable is included in other current assets on the accompanying consolidated balance sheets.

The differences between the federal tax rate and the Company’s effective tax rate for the years ended December 31, were as follows for the periods presented:

    For the Year Ended
 
 
December 31, 2023
   
December 31, 2022
    December 31, 2021  
    (In Thousands)
 
U. S. tax at statutory rate
 
$
8,483
     
21.0
%
 
$
9,307
     
21.0
%
 
$
11,782
     
21.0
%
State income taxes, net of federal benefit
   
2,135
     
5.3
%
   
2,079
     
4.7
%
   
2,478
     
4.4
%
Shortfall (excess) equity compensation deduction
   
123
     
0.3
%
   
149
     
0.3
%
   
(246
)
   
-0.4
%
Non-deductible expenses
   
710
     
1.8
%
   
629
     
1.4
%
   
1,258
     
2.2
%
Return to provision adjustments
    705       1.7 %     -       0.0 %     -       0.0 %
   
$
12,156
     
30.1
%
 
$
12,164
     
27.4
%
 
$
15,272
     
27.2
%

Significant components of the provision for income taxes were as follows for the periods presented.

    For the Year Ended
 
 
December 31, 2023
   
December 31, 2022
   
December 31, 2021
 
    (In Thousands)
 
Current:
                 
Federal
 
$
6,996
   
$
(770
)
 
$
7,477
 
State
   
512
     
518
     
2,107
 
Total current
   
7,508
     
(252
)
   
9,584
 
Deferred:
                       
Federal
   
3,819
     
9,933
     
4,866
 
State
   
829
     
2,483
     
822
 
Total deferred
   
4,648
     
12,416
     
5,688
 
Total income tax provision
 
$
12,156
   
$
12,164
   
$
15,272
 

Each year, the Company performs a detailed reconciliation of its federal and state taxes payable and receivable accounts along with its federal and state deferred tax asset and liability accounts. This process resulted in a $1.0 million increase in income tax expense in 2023. The Company considers this reconciliation process to be an annual control.

The Company is required to establish a valuation allowance for deferred tax assets if, based on the weight of available evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers the projected future taxable income and tax planning strategies in making this assessment. Based upon the level of historical taxable income and projections for future taxable income in the periods which the deferred tax assets are deductible, management believes that a valuation allowance is not required, as it is more likely than not that the results of future operations will generate sufficient taxable income to realize the deferred tax assets.

The Company’s U.S. federal returns remain open to examination for 2020 through 2022 and U.S. state jurisdictions are open for periods ranging from 2019 through 2022.

The Company does not believe that it has any significant uncertain tax positions at December 31, 2023 and December 31, 2022, nor is this expected to change within the next twelve months due to the settlement and expiration of statutes of limitation.

The Company did not have any accrued interest or penalties associated with any unrecognized tax benefits nor was any interest expense recognized during the years ended December 31, 2023, 2022 and 2021.