Income Taxes (Tables)

12 Months Ended

Dec. 31, 2015

Income Tax Disclosure [Abstract]

Schedule of Components of Income Taxes

The provision for income taxes consists of the following (in thousands):

	Year Ended December 31,
	2015			2014			2013
Current:
Federal	$	31,295		$	28,581		$	26,284
State	5,837			5,060			4,910
Foreign	2,048			2,181			1,204
	39,180			35,822			32,398
Deferred:
Federal & State	11,520			15,991			4,244
Foreign	(209		)	(256		)	(84		)
	11,311			15,735			4,160
	$	50,491		$	51,557		$	36,558

Income (Loss) before Income Tax Provision

Income from continuing operations before income taxes consists of the following (in thousands):

	Year Ended December 31,
	2015		2014		2013
United States	$	116,011	$	122,496	$	82,970
Foreign	5,902		2,556		4,728
	$	121,913	$	125,052	$	87,698

Schedule of Deferred Tax Assets and Liabilities

The components of deferred tax assets (liabilities) are as follows (in thousands):

	December 31,
	2015			2014
Intangibles	$	(70,588	)	$	(59,226	)
Depreciation expense	(14,369		)	(13,405		)
Allowance for doubtful accounts	2,607			2,027
Employee related accruals	7,573			7,240
Workers’ compensation and medical malpractice loss reserves	720			4,068
Stock-based compensation	7,354			3,022
Other	5,061			7,286
Net operating loss carryforwards	1,147			1,260
Valuation allowance	(1,044		)	(1,114		)
	$	(61,539	)	$	(48,842	)

Schedule of Effective Income Tax Rate Reconciliation

The reconciliation between the amount computed by applying the U.S. federal statutory tax rate of 35.0 percent to income before income taxes and the income tax provision is as follows (in thousands):

	Year Ended December 31,
	2015		2014		2013
Income tax provision at the statutory rate	$	42,669	$	43,768	$	30,694
State income taxes, net of federal benefit	4,559		4,674		3,807
Disallowed meals and entertainment expenses	1,718		1,608		1,592
Other	1,545		1,507		465
	$	50,491	$	51,557	$	36,558

Schedule of Unrecognized Tax Benefits Roll Forward

The following is a reconciliation of the total amounts of unrecognized tax benefits (in thousands):

	Year Ended December 31,
	2015			2014			2013
Unrecognized tax benefit beginning of year	$	848		$	979		$	376
Gross increases - tax positions in prior year	—			126			1,240
Gross decreases - tax positions in prior year	(34		)	—			(177		)
Lapse of the statute of limitations	—			(131		)	—
Discontinued operations	—			(126		)	(460		)
Unrecognized tax benefit end of year	$	814		$	848		$	979