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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
9 Months Ended
Sep. 29, 2017
Sep. 30, 2016
Cash flows from operating activities:    
Net income attributable to Almost Family, Inc. $ 11,580 $ 14,060
Net income attributable to noncontrolling interests 2,046 689
Consolidated net income 13,626 14,749
Adjustments to reconcile net income to net cash provided by (used in) operating activities:    
Depreciation and amortization 4,924 2,813
Provision for uncollectible accounts 11,151 10,626
Stock-based compensation 2,094 2,013
Loan cost amortization 706 207
Deferred income taxes 5,624 6,081
Net cash provided by operating activities 38,125 36,489
Change in certain net assets and liabilities, net of the effects of acquisitions:    
Accounts receivable (22,302) (12,831)
Prepaid expenses and other current assets (4,625) (4,451)
Other assets (875) (620)
Accounts payable and accrued expenses 4,476 (3,302)
Net cash provided by operating activities 14,799 15,285
Cash flows from investing activities:    
Capital expenditures (5,346) (4,364)
Transaction deposit 128,930  
Acquisitions, net of cash acquired (130,069) (31,256)
Net cash used in investing activities (6,485) (35,620)
Cash flows from financing activities:    
Credit facility borrowings 202,934 215,430
Credit facility repayments (345,016) (195,396)
Debt Issuance Fees   102
Proceeds from stock offering, net 143,908  
Proceeds from stock option exercises 1,505 (9)
Purchase of common stock in connection with share awards (2,567) (484)
Tax impact of share awards   257
Principal payments on notes payable and capital leases (39) (56)
Net cash provided by financing activities 725 19,640
Net increase (decrease) in cash and cash equivalents 9,039 (695)
Cash and cash equivalents at beginning of period 10,110  
Cash and cash equivalents at end of period $ 19,149 $ 6,827