14. 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, 2025
   
December 31, 2024
 
    (In thousands)
 
Deferred tax assets:
           
Compensation
 
$
2,045
   
$
2,370
 
Provision for credit losses
   
792
     
747
 
Lease obligations - including closed clinics
   
29,888
     
36,205
 
Other
    94       -  
Deferred tax assets
 
$
32,819
   
$
39,322
 
Deferred tax liabilities:
               
Depreciation and amortization
 
$
(31,274
)
 
$
(32,392
)
Operating lease right-of-use assets
   
(28,109
)
   
(34,221
)
Gain on cash flow hedge
    (244 )     (960 )
Change in revaluation of put-right liability
    (312 )     (638 )
Other
   
(1,271
)
   
(576
)
Deferred tax liabilities
   
(61,210
)
   
(68,787
)
Net deferred tax liabilities
 
$
(28,391
)
 
$
(29,465
)

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

As of December 31, 2025, the Company has a federal tax payable of $0.9 million and state tax receivables of $3.1 million. The federal tax payable is included in accrued expenses and the state income tax receivable is included in other current assets on the accompanying consolidated balance sheets.

For the years ended December 31, 2025, 2024, and 2023 income taxes for financial reporting purposes differ from the amount computed by applying the statutory federal income tax rate of 21% as shown as in the following table:

 
Year Ended
 
   
December 31, 2025
 
U.S. federal statutory rate
 
$
12,472
     
21.0
%
State and local income taxes, net of federal income tax effect (1)
   
5,068
     
8.5
%
Non-deductible expenses
   
133
     
0.2
%
Shortfall equity compensation deduction
   
330
     
0.6
%
Non-deductible executive compensation
   
1,186
     
2.0
%
Other reconciling items
   
619
     
1.1
%
Income tax expense
 
$
19,808
     
33.4
%


(1)
State and local income taxes primarily consist of taxes in Tennessee, Maryland, Pennsylvania, Oregon, Georgia, New Jersey, and Virginia (which collectively represent the majority of this category).

    Year Ended
 
 
December 31, 2024
 
U.S. tax at statutory rate
 
$
9,667
     
21.0
%
State income taxes, net of federal benefit
   
2,946
     
6.4
%
Shortfall equity compensation deduction
   
75
     
0.2
%
Non-deductible expenses
   
907
     
2.0
%
Return to provision adjustments
    1,014       2.1 %
Income tax expense
 
$
14,609
     
31.7
%

 
Year Ended
 
   
December 31, 2023
 
U.S. tax at statutory rate
 
$
8,483
     
21.0
%
State income taxes, net of federal benefit
   
2,135
     
5.3
%
Shortfall equity compensation deduction
   
123
     
0.3
%
Non-deductible expenses
   
710
     
1.8
%
Return to provision adjustments
   
705
     
1.7
%
Income tax expense
 
$
12,156
     
30.1
%

Significant components of the provision for income taxes for the years ended December 31, 2025, 2024 and 2023 were as follows (in thousands):

 
December 31, 2025
   
December 31, 2024
   
December 31, 2023
 
Current income tax expense:
                 
Federal
 
$
6,753
   
$
5,805
   
$
6,996
 
State
   
2,456
     
3,930
     
512
 
Total current expense
   
9,209
     
9,735
     
7,508
 
Deferred income tax expense:
                       
Federal
   
7,471
     
4,006
     
3,819
 
State
   
3,128
     
868
     
829
 
Total deferred expense
   
10,599
     
4,874
     
4,648
 
Total income tax expense
 
$
19,808
   
$
14,609
   
$
12,156
 


The components of income taxes paid for the period ended December 31, 2025, were as follows:



   
December 31, 2025
 
Total Income Taxes Paid
 
$
14,348
 
Federal
 
$
9,647
 
State & Local:
       
TN
 
$
1,181
 
Other
 
$
3,520
 

For 2025, 2024 and 2023, the Company performed 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. The adjustments were immaterial. 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 2022 through 2024 and U.S. state jurisdictions are open for periods ranging from 2021 through 2024.

The Company does not believe that it has any significant uncertain tax positions at December 31, 2025 and December 31, 2024, 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, 2025, 2024 and 2023.

Historical Timeline

Fiscal YearFiled
2025Feb 27, 2026Showing above
2024Mar 3, 2025
2023Feb 29, 2024
2022Feb 28, 2023
2021Mar 1, 2022
2020Mar 1, 2021
2018Mar 18, 2019
2017Mar 14, 2018
2016Jun 7, 2017

About Income Taxes Disclosures

The income tax disclosure reveals how much a company actually pays in taxes versus what the statutory rate would predict. Analysts focus on the effective tax rate (ETR) reconciliation, which breaks down every item driving the gap between the 21% federal rate and the company's reported ETR — including R&D credits, foreign rate differentials, and state taxes. Deferred tax assets (DTAs) and their valuation allowances signal management's confidence in future profitability: a rising allowance suggests the company doubts it can use accumulated tax benefits. Uncertain tax benefit (UTB) reserves quantify exposure to IRS challenges on aggressive positions.

Key signals to watch: sudden ETR drops without clear operational reasons, large increases in valuation allowances, growing UTB balances, and significant unremitted foreign earnings. Post-TCJA, pay attention to GILTI and BEAT provisions that affect multinational tax structures. Compare the cash taxes paid (from the cash flow statement) against the income tax provision to gauge earnings quality.