Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Net income	$ 6,959	$ 2,757
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation and amortization	3,030	3,223
Non-cash restructuring		894
Stock-based compensation	1,091	819
Amortization and write-off of debt issuance costs under the terminated credit facility	1,484	165
Amortization of debt issuance costs under the new credit facility	93
Provision for doubtful accounts	4,102	3,181
Gain on sale of adult day services centers	(2,065)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(25,070)	(33,222)
Prepaid expenses and other current assets	2,080	1,101
Accounts payable	(1,056)	(255)
Accrued expenses	(2,023)	3,072
Net cash used in operating activities	(11,375)	(18,265)
Cash flows from investing activities:
Proceeds from the sale of adult day services centers	2,400
Acquisitions of businesses		(20,449)
Purchases of property and equipment	(1,771)	(711)
Net cash provided by (used in) investing activities	629	(21,160)
Cash flows from financing activities:
Cash received from exercise of stock options	1,158	3,016
Borrowings on term loan - new credit facility	45,000
Borrowings on revolver - terminated credit facility	20,000	17,000
Borrowings on term loan - terminated credit facility		25,000
Payments on revolver - terminated credit facility	(20,000)
Payments on term loan - terminated credit facility	(24,063)	(313)
Payments for debt issuance costs under the new credit facility	(2,781)
Payments for debt issuance costs under the terminated credit facility		(492)
Payments on capital lease obligations	(708)	(550)
Payments on contingent earn-out obligation		(100)
Net cash provided by financing activities	18,606	43,561
Net change in cash	7,860	4,136
Cash, at beginning of period	8,013	4,104
Cash, at end of period	15,873	8,240
Supplemental disclosures of cash flow information:
Cash paid for interest	938	1,015
Cash paid for income taxes	$ 2,977	1,748
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis		$ 80