Income Taxes and Tax Receivable Agreement - Approx. Tax Effects of Temporary Differences, Deferred Tax Asset and Liability (Details) - USD ($) $ in Thousands |
Dec. 31, 2016 |
Dec. 31, 2015 |
| Deferred tax assets: |
|
|
| Medical malpractice liability |
$ 4,194
|
$ 869
|
| Accrued vacation and incentive compensation |
1,112
|
2,212
|
| Net operating loss carryforwards |
158,796
|
146,663
|
| Allowance for bad debts |
8,343
|
1,846
|
| Capital loss carryforwards |
2,785
|
2,052
|
| Deferred rent |
1,371
|
2,288
|
| Depreciation on property and equipment |
530
|
0
|
| Deferred financing costs |
0
|
3,083
|
| TRA liability |
4,542
|
2,750
|
| Other deferred assets |
4,879
|
3,286
|
| Total gross deferred tax assets |
186,552
|
165,049
|
| Less: Valuation allowance |
(7,358)
|
(6,949)
|
| Total deferred tax assets |
179,194
|
158,100
|
| Deferred tax liabilities: |
|
|
| Deferred financing costs |
(8,797)
|
0
|
| Depreciation on property and equipment |
0
|
(806)
|
| Amortization of intangible assets |
(15,241)
|
(16,083)
|
| Basis differences of partnerships and joint ventures |
(68,160)
|
(46,494)
|
| Other deferred liabilities |
(3,203)
|
(612)
|
| Total deferred tax liabilities |
(95,401)
|
(63,995)
|
| Net deferred tax assets |
$ 83,793
|
$ 94,105
|