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5) INCOME TAXES

    Components of income tax expense are as follows:

Year Ended December 31 (000s) 1999 1998 1997
Currently payable
    Federal $48,558 $18,731 $23,923
    State 4,449 1,738 2,989
  53,007 20,469 26,912
Deferred
    Federal (7,350) 21,122 10,201
    State (649) 1,863 1,534
  (7,999) 22,985 11,735
    Total $45,008 $43,454 $38,647


    The Company accounts for income taxes under the provisions of Statement of Financial Accounting Standards No. 109, “Accounting for Income Taxes,” (SFAS 109). Under SFAS 109, deferred taxes are required to be classified based on the financial statement classification of the related assets and liabilities which give rise to temporary differences. Deferred taxes result from temporary differences between the financial statement carrying amounts and the tax bases of assets and liabilities. The components of deferred taxes are as follows:

Year Ended December 31 (000s) 1999 1998
Self-insurance reserves $30,305 $31,984
Doubtful accounts and other reserves 8,541 (1,699)
State income taxes (1,354) 766
Other deferred tax assets 10,084 7,532
Depreciable and amortizable assets (51,427) (50,997)
Total deferred taxes $(3,851) $(12,414)


    A reconciliation between the federal statutory rate and the effective tax rate is a follows:

Year Ended December 31 1999 1998 1997
Federal statutory rate 35.0% 35.0% 35.0%
Deductible depreciation, amortization and other (0.2) (1.6) (1.3)
State taxes, net of federal income tax benefit 1.9 1.9 2.8
Effective tax rate 36.7% 35.3% 36.5%


    The net deferred tax assets and liabilities are comprised as follows:

Year Ended December 31 (000s) 1999 1998
Current deferred taxes
    Assets $26,768 $12,315
    Liabilities (1,477)
    Total deferred taxes-current 26,768 10,838
Noncurrent deferred taxes
    Assets 22,384 27,967
    Liabilities (53,003) (51,219)
    Total deferred taxes-noncurrent (30,619) (23,252)
Total deferred taxes ($3,851) ($12,414)


    The assets and liabilities classified as current relate primarily to the allowance for uncollectible patient accounts and the current portion of the temporary differences related to self-insurance reserves. Under SFAS 109, a valuation allowance is required when it is more likely than not that some portion of the deferred tax assets will not be realized. Realization is dependent on generating sufficient future taxable income. Although realization is not assured, management believes it is more likely than not that all the deferred tax assets will be realized. Accordingly, the Company has not provided a valuation allowance. The amount of the deferred tax asset considered realizable, however, could be reduced if estimates of future taxable income during the carry forward period are reduced.


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