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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2017
Jul. 01, 2016
Cash flows of operating activities:    
Net income attributable to Almost Family, Inc. $ 8,410 $ 8,694
Net income (loss) attributable to noncontrolling interests 1,485 (323)
Consolidated net income 9,895 8,371
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation and amortization 3,193 1,848
Provision for uncollectible accounts 7,442 7,859
Stock-based compensation 1,414 1,402
Loan cost amortization 473 136
Deferred income taxes 3,825 4,236
Net cash provided by operating activities 26,242 23,852
Change in certain net assets and liabilities, net of the effects of acquisitions:    
Accounts receivable (13,194) (10,081)
Prepaid expenses and other current assets (1,363) (511)
Other assets (900) (492)
Accounts payable and accrued expenses 975 (2,363)
Net cash provided by operating activities 11,760 10,405
Cash flows of investing activities:    
Capital expenditures (3,117) (2,275)
Transaction deposit 128,930  
Acquisitions, net of cash acquired (129,164) (30,754)
Net cash used in investing activities (3,351) (33,029)
Cash flows of financing activities:    
Credit facility borrowings 143,917 145,538
Credit facility repayments (283,697) (124,153)
Debt Issuance Fees (46) 102
Proceeds from stock offering, net 143,907  
Proceeds from stock option exercises 1,455 16
Purchase of common stock in connection with share awards (2,567) (484)
Tax impact of share awards   256
Principal payments on notes payable and capital leases (39) (55)
Net cash provided by (used in) provided by financing activities 3,022 21,016
Net change in cash and cash equivalents 11,431 (1,608)
Cash and cash equivalents at beginning of period 10,110  
Cash and cash equivalents at end of period $ 21,541 $ 5,914