Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016
Cash flows from operating activities:
Net income	$ 4,259	$ 157
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Depreciation and amortization	1,516	2,372
Stock-based compensation	427	337
Amortization of debt issuance costs	79	77
Provision for doubtful accounts	2,032	1,368
Gain on sale of adult day services centers	(2,065)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(1,207)	(16,056)
Prepaid expenses and other current assets	2,005	1,688
Accounts payable	967	(570)
Accrued expenses	1,602	4,668
Net cash provided by (used in) operating activities	9,615	(5,959)
Cash flows from investing activities:
Net proceeds from the sale of adult day services centers	2,400
Acquisitions of businesses		(20,449)
Purchases of property and equipment	(1,162)	(342)
Net cash provided by (used in) investing activities	1,238	(20,791)
Cash flows from financing activities:
Cash received from exercise of stock options	954	170
Borrowings on revolver	20,000	10,000
Borrowings on term loan		22,000
Payments on revolver	(20,000)
Payments on term loan	(313)
Payments for debt issuance costs		(168)
Payments on capital lease obligations	(351)	(276)
Net cash provided by financing activities	290	31,726
Net change in cash	11,143	4,976
Cash, at beginning of period	8,013	4,104
Cash, at end of period	19,156	9,080
Supplemental disclosures of cash flow information:
Cash paid for interest	656	358
Cash paid for income taxes	$ 82	283
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis		$ 40