7Baggers
Quarterly
Annual
    Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 
      
                                                              
      cash flows from operating activities:
                                                              
      net income
    22,848,000 22,052,000 21,228,000 19,526,000 20,163,000 18,079,000 15,830,000 19,578,000 15,411,000 14,852,000 12,675,000 14,762,000 11,543,000 11,250,000 8,470,000 13,058,000 8,449,000 9,119,000 6,907,000 8,658,000 9,990,000 4,802,000 3,546,000 4,297,000 4,858,000 3,242,000 3,407,000 2,700,000 4,259,000 7,568,000 1,699,000 2,600,000 157,000 3,321,000 2,887,000 3,253,000 2,162,000 3,923,000 3,237,000 2,729,000 2,354,000 885,000 2,567,000 2,432,000 13,261,000 3,745,000 1,797,000 1,464,000 629,000 4,882,000 -9,049,000 1,333,000 853,000 1,537,000 1,479,000 1,654,000 1,358,000 -1,784,000 
      adjustments to reconcile net income to net cash from operating activities, net of acquisitions:
                                                              
      depreciation and amortization
    4,408,000 3,913,000 3,943,000 3,214,000 3,446,000 3,401,000 3,469,000 3,677,000 3,620,000 3,382,000 3,447,000 3,489,000 3,441,000 3,609,000 3,521,000 3,900,000 3,179,000 3,045,000 2,940,000 2,887,000 3,209,000 1,966,000 2,535,000 2,334,000 1,807,000 1,852,000 1,781,000 1,514,000 1,516,000 1,704,000 826,000 1,745,000 2,372,000 1,213,000 1,197,000 1,161,000 1,146,000 1,146,000 1,106,000 1,083,000 495,000 533,000 540,000 541,000 546,000 636,000 639,000 635,000 634,000 771,000 927,000 927,000 929,000 1,091,000 1,058,000 951,000 946,000 1,235,000 
      deferred income taxes
    189,000 301,000 166,000 13,004,000 -76,000 133,000 131,000 2,573,000 81,000 237,000 -72,000 3,495,000 122,000 165,000 126,000 6,677,000 -4,703,000 -49,000 58,000 42,000 -1,435,000 -440,000 152,000 116,000 129,000         851,000        -724,000 5,425,000     1,579,000        -486,000 
      stock-based compensation
    4,287,000 4,420,000 3,170,000 2,858,000 2,833,000 2,855,000 2,619,000 2,488,000 2,572,000 2,613,000 2,646,000 2,680,000 2,780,000 2,680,000 2,485,000 2,329,000 2,018,000 1,462,000 1,118,000 1,407,000 1,580,000 1,148,000 1,105,000 997,000 859,000 734,000 727,000 664,000 427,000 -191,000 444,000 482,000 337,000 411,000 412,000 414,000 336,000 265,000 231,000 208,000 123,000 150,000 148,000 112,000 105,000 62,000 139,000 73,000 67,000 90,000 96,000 97,000 48,000 58,000 69,000 66,000 62,000 85,000 
      amortization of debt issuance costs under the credit facility
    329,000 320,000 318,000 406,000 214,000 215,000 215,000 215,000 215,000 215,000 215,000 215,000 215,000 215,000 215,000 214,000 183,000 184,000 184,000 186,000 183,000 156,000 152,000                                    
      benefit from credit losses
    367,000 346,000 335,000 309,000 326,000 262,000 224,000 223,000 195,000 169,000 144,000 197,000                                               
      gain on disposal of assets
    2,000 -1,000 -7,000 -8,000                                                      
      loss on termination of operating leases
    4,000 -4,000 23,000  -1,000                                                      
      changes in operating assets and liabilities, net of acquisitions:
                                                              
      accounts receivable
    7,423,000 -6,477,000 -9,459,000 4,269,000 12,506,000 -5,190,000 10,552,000 5,737,000 -11,466,000 21,310,000 85,000 2,360,000 -2,017,000 13,128,000 7,121,000 -2,010,000 -6,886,000 7,404,000 14,565,000 8,777,000 -15,187,000 3,115,000 -7,912,000 -2,999,000 5,627,000 5,572,000 40,521,000 -23,863,000 -1,207,000 -38,146,000 38,762,000 -17,166,000 -16,056,000 -7,427,000 -32,281,000 26,101,000 -5,905,000 -6,199,000 -14,493,000 10,274,000 1,142,000 -6,867,000 -11,795,000 16,630,000 9,850,000 -589,000 -2,655,000 3,750,000 -2,318,000 -3,571,000 -19,677,000 12,473,000 5,086,000 3,487,000 -273,000 -1,651,000 -6,455,000 -10,402,000 
      prepaid expenses and other current assets
    6,992,000 -5,467,000 8,323,000 -25,252,000 -940,000 -2,204,000 9,331,000 -9,390,000 10,295,000 -11,048,000 7,030,000 -9,097,000 2,659,000 3,748,000 4,161,000 -4,989,000 619,000 1,016,000 -4,581,000 973,000 -3,614,000 -43,000 -1,280,000 2,126,000 1,161,000 -2,083,000 -2,361,000 75,000 2,005,000 -1,418,000 35,000 -587,000 1,688,000 2,786,000 -3,395,000 1,907,000 1,020,000 -231,000 -2,382,000 300,000 1,440,000 64,000 -413,000 -239,000 1,649,000 447,000 -184,000 -912,000 631,000 2,616,000 -3,905,000 1,955,000 767,000 1,015,000 164,000 -2,316,000 370,000 40,000 
      government stimulus advances
    -2,143,000 -775,000 -2,537,000 -2,416,000 655,000 -548,000 7,783,000 -2,049,000 -2,146,000 -1,037,000 -2,345,000 -8,246,000 4,423,000   -3,501,000                                           
      accounts payable
    640,000 -12,256,000 -588,000 -2,912,000 7,336,000 -2,001,000 -4,332,000 4,143,000 -1,521,000 -103,000 -494,000 3,207,000 -2,091,000 12,000 1,386,000 -4,030,000 4,655,000 204,000 -724,000 -1,976,000 2,782,000 2,391,000 -614,000 366,000 2,092,000 -647,000 1,474,000 -2,023,000 967,000 -953,000 -322,000 315,000 -570,000 -128,000 1,362,000 512,000 -1,176,000 338,000 -286,000 16,000 -918,000 173,000 -1,036,000 597,000 701,000 -472,000 -340,000 1,209,000 -1,546,000 605,000 1,450,000 -313,000 220,000 -1,296,000 -811,000 1,026,000 622,000 -978,000 
      accrued payroll
    4,993,000 13,570,000 -7,124,000 -1,577,000 2,880,000 11,080,000 -12,529,000 4,712,000 1,676,000 13,689,000 -10,901,000 9,503,000 -4,665,000 11,687,000 -17,443,000 12,441,000                                           
      accrued expenses and other long-term liabilities
    927,000 2,587,000 1,158,000  -809,000 -7,274,000 5,385,000  2,845,000 -2,665,000 6,369,000  1,743,000 -2,697,000 -5,391,000   -1,108,000 9,414,000 -736,000  -3,820,000 6,782,000 -1,587,000 -2,482,000                                  
      net cash from operating activities
    51,266,000 22,529,000 18,949,000 10,418,000 48,525,000 18,813,000 38,678,000 30,049,000 21,785,000 41,614,000 18,799,000 24,292,000 18,316,000 56,519,000 5,983,000 25,201,000 36,112,000 22,412,000 30,445,000 20,442,000 3,935,000 8,524,000 4,515,000 5,888,000 14,276,000 10,193,000 53,953,000 -20,990,000 9,615,000 -31,734,000 49,256,000 -12,306,000 -5,959,000 -4,680,000 -26,258,000 35,948,000 -904,000 -562,000 -7,413,000 12,333,000 2,670,000 2,290,000 -9,143,000 21,221,000 13,025,000 6,069,000 3,604,000 7,015,000 -1,283,000 4,132,000 -17,283,000 17,647,000 11,451,000 5,629,000 4,279,000 -802,000 1,597,000 -10,677,000 
      capex
    -1,920,000 -1,253,000 -1,883,000 -1,697,000 -1,932,000 -1,071,000 -1,350,000 -5,320,000 -2,363,000 -994,000 -777,000 -5,436,000 -1,326,000 -434,000 -1,104,000 -1,431,000 -938,000 -1,051,000 -2,095,000 -2,747,000 -1,544,000 -1,965,000 -1,722,000 -1,246,000 -416,000 -527,000 -1,318,000 -609,000 -1,162,000 -544,000 -457,000 -369,000 -342,000 -897,000 -555,000 -30,000 -731,000 -2,474,000 -1,484,000 -310,000 -170,000 -228,000 -179,000 -101,000 -259,000 -466,000 -288,000 -274,000 -145,000 -90,000 -42,000 -88,000 -178,000 -255,000 -91,000 -315,000 
      free cash flows
    49,346,000 21,276,000 17,066,000 8,721,000 46,593,000 17,742,000 37,328,000 24,729,000 19,422,000 40,620,000 18,022,000 18,856,000 16,990,000 56,085,000 4,879,000 23,770,000 35,174,000 21,361,000 28,350,000 17,695,000 2,391,000 6,559,000 2,793,000 4,642,000 13,860,000 9,666,000 52,635,000 -21,599,000 8,453,000 -32,278,000 48,799,000 -12,675,000 -6,301,000 -5,577,000 -26,813,000 35,918,000 -1,635,000 -562,000 -7,413,000 9,859,000 1,186,000 1,980,000 -9,313,000 20,993,000 12,846,000 5,968,000 3,345,000 6,549,000 -1,571,000 3,858,000 -17,428,000 17,557,000 11,409,000 5,541,000 4,101,000 -1,057,000 1,506,000 -10,992,000 
      cash flows from investing activities:
                                                              
      acquisitions of businesses, net of cash acquired
    -20,831,000 -3,350,000  -400,000  -108,860,000 25,000 -965,000  -84,490,000 -8,151,000 -195,791,000 -11,574,000 -208,000 -87,000 -130,852,000 -93,000 -538,000 -58,526,000 -3,283,000 -1,935,000                                 
      purchases of property and equipment
    -1,920,000 -1,253,000 -1,883,000 -1,697,000 -1,932,000 -1,071,000 -1,350,000 -5,320,000 -2,363,000 -994,000 -777,000 -5,436,000 -1,326,000 -434,000 -1,104,000 -1,431,000 -938,000 -1,051,000 -2,095,000 -2,747,000 -1,544,000 -1,965,000 -1,722,000 -1,246,000 -416,000 -527,000 -1,318,000 -609,000 -1,162,000 -544,000 -457,000 -369,000 -342,000 -897,000 -555,000 -30,000 -731,000   -2,474,000 -1,484,000 -310,000 -170,000 -228,000 -179,000 -101,000 -259,000 -466,000 -288,000 -274,000 -145,000 -90,000 -42,000 -88,000 -178,000 -255,000 -91,000 -315,000 
      proceeds received from disposal of assets
    -10,000 11,000 7,000 10,000                                                      
      proceeds received from previous acquisition
                                                             
      proceeds received from divestiture of business
    3,848,000 757,000                                                      
      net cash from investing activities
    -22,761,000 1,695,000 -1,378,000 -354,486,000 -1,922,000 3,548,000 -1,750,000 -5,302,000 -111,223,000 -969,000 -1,742,000 -19,236,000 -1,326,000 -434,000 -85,594,000 -9,582,000 -196,729,000 -12,542,000 -2,131,000 -2,834,000 -132,396,000 -2,058,000 -2,260,000 -59,772,000 -3,699,000 -1,160,000 -23,737,000 -609,000 1,238,000   -369,000 -20,791,000     -484,000 -1,908,000 -9,757,000 -1,484,000 -16,189,000 -170,000 -228,000 19,480,000 -101,000 -259,000 -466,000 207,000 -274,000 -145,000 -590,000 -42,000 -89,000 -5,416,000 -495,000 -200,000 -12,775,000 
      cash flows from financing activities:
                                                              
      payments on revolver — credit facility
    -30,000,000 -30,000,000 -20,000,000    -25,000,000                                                    
      proceeds from borrowings on revolver — credit facility
                12,000,000                                              
      payments for debt issuance costs under the credit facility
    -83,000 -1,000 -21,000                  -11,000 -850,000 -21,000                                    
      proceeds from public offering
       22,000                                                      
      cash received from exercise of stock options
    985,000 -1,000 493,000 452,000    294,000 25,000 1,261,000 737,000 69,000 479,000 906,000 609,000 2,158,000 28,000 1,151,000 1,076,000 544,000 182,000 244,000 24,000 204,000 954,000 2,846,000 170,000 142,000 163,000 214,000                  
      net cash from financing activities
    -17,763,000 -30,002,000 -19,528,000 220,127,000 2,944,000 74,225,000 -25,000,000 -39,706,000 85,000,000 -30,000,000 -23,475,000 -30,739,000 -32,263,000 -59,931,000 35,479,000 897,000 135,364,000 1,912,000 -228,000 1,141,000 566,000 -83,537,000 76,005,000 59,695,000 -925,000 -967,000 -401,000 18,316,000 290,000 422,000 -17,593,000 11,835,000 31,726,000 -1,081,000 -334,000 -1,144,000 -82,000 285,000 3,904,000 214,000 -16,458,000 -5,944,000 -3,125,000 -6,375,000 375,000 -3,135,000 -5,380,000 5,793,000 -10,970,000 -5,336,000 814,000 1,012,000 -695,000 21,350,000 
      net change in cash
    10,742,000 -5,778,000 -1,957,000 -123,941,000 49,547,000 96,586,000 11,928,000 -14,959,000 -4,438,000 10,645,000 -6,418,000 -25,683,000 -15,273,000 -3,846,000 -44,132,000 16,516,000 -25,253,000 11,782,000 28,086,000 18,749,000 -127,895,000 -77,071,000 78,260,000 5,811,000 9,652,000 8,066,000 29,815,000 -3,283,000 11,143,000 -31,433,000 31,206,000 -840,000 4,976,000 -10,773,000 -27,147,000 34,628,000 -5,967,000 -761,000 -5,417,000 2,576,000 1,400,000 -13,899,000 -9,313,000 20,993,000 16,047,000 24,000 220,000 174,000 -701,000 723,000 -22,808,000 22,850,000 439,000 204,000 -323,000 -285,000 702,000 -2,102,000 
      cash, at beginning of period
    98,911,000 64,791,000 79,961,000 168,895,000 111,714,000 53,754,000 8,013,000 4,104,000 13,363,000 15,565,000 1,737,000 2,020,000 816,000 518,000 
      cash, at end of period
    10,742,000 -5,778,000 96,954,000 -123,941,000 49,547,000 96,586,000 76,719,000 -14,959,000 -4,438,000 10,645,000 73,543,000 -25,683,000 -15,273,000 -3,846,000 124,763,000 16,516,000 -25,253,000 11,782,000 28,086,000 130,463,000 -127,895,000 -77,071,000 78,260,000 5,811,000 63,406,000 8,066,000 29,815,000 -3,283,000 19,156,000 -31,433,000 31,206,000 -840,000 9,080,000 -10,773,000 -27,147,000 34,628,000 7,396,000 -761,000 -5,417,000 2,576,000 16,965,000 -13,899,000 -9,313,000 20,993,000 17,784,000 24,000 220,000 174,000 1,319,000 723,000 -22,808,000 22,850,000 1,255,000 204,000 -323,000 -285,000 1,220,000 -2,102,000 
      supplemental disclosures of cash flow information:
                                                              
      cash paid for interest
    3,052,000 3,276,000 3,743,000 1,719,000 310,000 1,964,000 2,527,000 2,890,000 2,948,000 2,106,000 2,310,000 2,396,000 2,186,000 1,784,000 1,619,000 1,446,000 496,000 877,000 261,000 731,000 726,000 1,137,000 1,375,000 1,061,000 766,000 723,000 600,000 282,000 656,000 574,000 733,000 657,000 358,000 258,000 176,000 175,000 177,000 198,000 188,000 156,000 156,000 288,000 120,000 104,000 213,000 324,000 346,000 516,000 371,000 526,000 520,000 606,000 685,000 1,196,000 817,000 667,000 875,000 2,668,000 
      cash paid for income taxes
    4,379,000   6,815,000 5,450,000   4,420,000 3,798,000   854,000    3,053,000 1,471,000 2,705,000 4,460,000 1,954,000 1,495,000 80,000 1,241,000 1,806,000 1,187,000 1,481,000 2,380,000 2,895,000 82,000 1,851,000 1,488,000 1,465,000 283,000 336,000 516,000 38,000 21,000 582,000 1,282,000 485,000 2,116,000 753,000 1,862,000 2,194,000 880,000 315,000 480,000 963,000 658,000 208,000 615,000 524,000 148,000 376,000 684,000 249,000 417,000 
      weighted-average number of shares outstanding for basic per share calculation
    27,000 69,000 17,976,000  1,691,000 114,000 16,063,000  10,000 53,000 15,949,000  18,000 43,000 15,811,000                                            
      effect of dilutive potential shares:
                                                              
      stock options
    -9,000 -4,000 223,000  27,000 24,000 227,000  -10,000 -14,000 251,000  14,000 6,000 235,000                                            
      restricted stock awards
    40,000 -44,000 112,000  39,000 -13,000 83,000  3,000 -53,000 97,000  21,000 3,000 33,000                                            
      adjusted weighted-average shares for diluted per share calculation
    58,000 21,000 18,311,000    16,373,000    16,297,000    16,079,000                                            
      anti-dilutive shares:
                                                              
      cash paid (refunded) for income taxes
      -11,000    13,000                                                    
      impairment of operating lease assets
           5,000     1,174,000                                            
      (gain) loss on termination of operating leases
                                                              
      gain on divestiture of business
                                                              
      accrued expenses and other liabilities
                                                              
      acquisition of businesses, net of cash acquired
                                                              
      payments on revolver loan — credit facility
       -10,000,000    -25,000,000    -45,000,000                                              
      supplemental disclosures of non-cash investing and financing activities
                                                              
      leasehold improvements acquired through tenant allowances
                    290,000                                         
      licensing fees included in fixed assets
                                                              
      allowance for credit losses
                                                              
      year ended december 31, 2024
                                                              
      year ended december 31, 2023
                                                              
      year ended december 31, 2022
                                                              
      payment for debt issuance costs
                                                              
      adjusted weighted-average shares outstanding for diluted per share calculation
        1,757,000    3,000    53,000                                              
      gain on termination of operating leases
                                                              
      business acquisition, net of cash acquired
                                                              
      proceeds on disposal of property and equipment
                                                              
      borrowings on revolver — credit facility
                  35,000,000                                          
      payments on term loan — credit facility
              -23,500,000     -245,000 -245,000   -490,000                                      
      tax benefit related to the amortization of tax goodwill in excess of book basis
                                 83,000 40,000 40,000 40,000 3,000 40,000 40,000 40,000 3,000 40,000 40,000 40,000 40,000 40,000 40,000 40,000 40,000 39,000 40,000 40,000 40,000 40,000 40,000 39,000 -149,000 103,000 103,000 103,000  
      year ended december 31, 2021
                                                              
      other
                                                   220,000 1,001,000          
      acquisition consideration payable included in accrued expenses
                                                              
      impairment of assets
                                                              
      proceeds on disposal of businesses
                                                              
      proceeds from issuance of common stock, net of issuance costs
                                                              
      payments on financing lease obligations
                    -1,000 -11,000 -10,000 -9,000                                      
      year ended december 31, 2020
                                                              
      benefit from doubtful accounts
                 160,000 158,000 218,000 237,000 245,000 212,000 224,000 175,000 58,000 49,000 87,000 78,000 2,051,000 2,106,000 2,070,000 2,032,000 2,284,000 1,908,000 1,813,000 1,368,000 1,335,000 949,000 1,254,000 771,000 -14,000 1,098,000 564,000 1,170,000 917,000 884,000 405,000 813,000 686,000 396,000 945,000 850,000 1,121,000 1,044,000 1,087,000 1,023,000 1,271,000 1,208,000 1,050,000 900,000 2,417,000 
      loss on sale and/or impairment of assets
                                                              
      borrowings on term loan — credit facility
                                                             
      allowance for doubtful accounts
                                                              
      year ended december 31, 2019
                                                              
      gain of disposal of assets and asset impairment
                                                              
      proceeds from disposal of assets
                     83,000                                         
      payments for debt issuance costs
                                 -8,000 -3,000 -324,000 -168,000 -1,079,000 -65,000                        
      operating lease assets
                                                              
      short-term operating lease liabilities
                                                              
      long-term operating lease liabilities
                                                              
      total operating lease liabilities
                                                              
      gain of disposal of assets
                                                              
      government stimulus
                                                              
      contingent consideration
                                                              
      gain on sale and/or impairment of assets
                                                              
      year ended december 31, 2018
                                                              
      proceeds from issuance of common stock, net of offering costs
                                                              
      supplemental disclosures of non-cash investing and financing activities:
                                                              
      net service revenues
                     20,111,000 10,438,000 139,254,000                         6,476,000              
      gross profit
                     5,516,000 2,896,000 37,574,000                                       
      general and administrative expenses
                     5,728,000                                         
      total operating expenses
                     5,949,000                                         
      operating income from continuing operations
                                                              
      income from continuing operations before income taxes
                                                              
      income tax expense
                     149,000 632,000 978,000                                       
      net income from continuing operations
                                                              
      basic income per share
                     -60 50 370                                       
      diluted income per share
                     -70 50 360                                       
      operating income
                      1,470,000 6,243,000                                       
      income before income taxes
                      1,288,000 5,840,000                       -90,000 657,000 -911,000              
      non-cash restructuring
                                -4,000                             
      amortization of debt issuance costs under the terminated credit facility
                                                              
      gain on sale of assets
                                                              
      proceeds from the sale of assets
                                                              
      borrowings on revolver — terminated credit facility
                                                              
      payments on revolver — terminated credit facility
                                                              
      payments on term loan — terminated credit facility
                                                              
      computer equipment
                         3,000 3,000 3,000 3,000 3,000                  
      furniture and equipment
                         5,000 5,000 5,000 5,000 5,000                  
      transportation equipment
                         5,000 5,000 5,000 5,000 5,000                  
      computer software
                         -2,000 5,000 5,000 5,000 5,000 5,000                  
      leasehold improvements
                                                              
      loss of disposal of assets
                                                              
      contingent and deferred consideration accrued for acquisition
                          847,000                                  
      operating lease right of use assets
                                                              
      payments on term loan- credit facility
                         -103,170,000 -563,000                                    
      borrowings on revolver- credit facility
                                                              
      borrowings on revolver- terminated credit facility
                                                              
      borrowings on term loan- credit facility
                                                            
      borrowings on term loan- terminated credit facility
                                                              
      payments on revolver- credit facility
                                                              
      payments on revolver- terminated credit facility
                                                              
      payments on term loan- terminated credit facility
                                                              
      payments on capital lease obligations
                         -61,000 -211,000 -373,000 -368,000 -365,000 -359,000 -357,000 -351,000     -271,000 -269,000 -265,000 -245,000 -241,000                     
      payments for debt issuance costs under the terminated credit facility
                                                              
      excess tax benefit from exercise of stock options
                                                              
      payment on contingent earn-out obligation
                                                          
      property and equipment acquired through capital lease obligations
                                                            
      amortization of debt issuance costs under the new credit facility
                            147,000 147,000 142,000                                
      borrowings on revolver—terminated credit facility
                                                              
      payments on revolver—terminated credit facility
                                                              
      payments on term loan—new credit facility
                            -563,000                                  
      payments on term loan—terminated credit facility
                                                              
      payments for debt issuance costs under the new credit facility
                            -18,000 -39,000 -42,000                                
      amortization and write-off of debt issuance costs under the terminated credit facility
                                                            
      revaluation of contingent consideration
                                                             
      accrued expenses
                             -2,027,000 5,773,000 -3,625,000 1,602,000 -1,346,000 3,254,000 -1,596,000 4,668,000 -7,093,000 2,477,000 1,331,000 728,000 -2,102,000 4,036,000 -2,889,000 -3,111,000 3,524,000 -86,000 711,000 -391,000 538,000 3,834,000 -84,000 137,000 -3,419,000 2,037,000 189,000 2,127,000 -2,482,000 1,660,000 -1,664,000 3,430,000 -3,222,000 
      acquisition of customer list
                                                          
      borrowings on revolver- new credit facility
                                                              
      borrowings on term loan- new credit facility
                                                              
      payments on revolver- new credit facility
                                                              
      payments on term loan- new credit facility
                                                              
      adjustments to reconcile net income to net cash from operating activities:
                                                              
      gain on sale of adult day services centers
                              -2,065,000                              
      proceeds from the sale of adult day services centers
                                                             
      borrowings on revolver—new credit facility
                                                              
      borrowings on term loan—new credit facility
                                                              
      borrowings on term loan—terminated credit facility
                                                              
      payments on revolver—new credit facility
                                                              
      payments on contingent earn-out obligation
                                                              
      acquisitions of businesses
                                 423,000 -20,449,000 -4,115,000   14,000                     
      borrowings on term loan - new credit facility
                                                              
      borrowings on revolver - terminated credit facility
                                                              
      borrowings on term loan - terminated credit facility
                                                              
      payments on revolver - terminated credit facility
                                                              
      payments on term loan - terminated credit facility
                                                              
      amortization of debt issuance costs
                                79,000 96,000 96,000 88,000 77,000 51,000 17,000 15,000 14,000 35,000 40,000 40,000 39,000 41,000 39,000 39,000 47,000 49,000 52,000 57,000 57,000 57,000 57,000 55,000 55,000 61,000 44,000 37,000 37,000 60,000 
      net proceeds from the sale of adult day services centers
                                2,400,000                              
      borrowings on revolver
                                20,000,000 10,000,000                            
      borrowings on term loan
                                                            
      payments on revolver
                                -20,000,000                             
      payments on term loan
                                -313,000 -313,000 -312,000                 -625,000 -625,000   -625,000 -417,000     -48,381,000 
      borrowings on capital lease obligations
                                                             
      contingent and deferred consideration accrued for acquisitions
                                                       9,000 1,509,000 -580,000 677,000 534,000 
      net cash (used in) investing activities
                                      -555,000 -176,000 -4,981,000                      
      payments on capital leases
                                  -278,000                            
      changes in operating assets and liabilities, net of acquisition:
                                                              
      changes in operating assets and liabilities, net of acqusitions:
                                                              
      borrowings on long-term debt
                                    32,000,000                          
      payments on long-term debt
                                    -276,000                          
      gain on sale of home health business
                                              -18,838,000              
      net proceeds from sale of home health business
                                             -3,554,000 19,659,000              
      net repayments on term loan
                                                              
      net payments on revolving credit loan
                                                              
      borrowings on capital lease obligation
                                                              
      other assets
                                            -10,000                  
      acquisition of business
                                        -4,250,000                      
      gain on sale of agency
                                                  -495,000          
      net proceeds from sale of agency
                                                 495,000          
      payments on subordinated dividend notes
                                                 -1,069,000 -1,000,000 -1,000,000 -1,000,000 -750,000 -750,000 -500,000 -500,000 -500,000 -250,000 -250,000 -250,000  
      changes in operating assets and liabilities, net of acquired businesses:
                                                              
      deferred revenue
                                          -2,000 -54,000 40,000 9,000 -7,000 -143,000 128,000 -74,000 -122,000 71,000 -173,000 -10,000 -156,000 343,000 33,000 -303,000 -30,000 252,000 318,000 
      purchases of property and equipment, excluding capital lease obligations
                                                              
      goodwill and intangible assets impairment charge
                                                             
      (gain) on sale home health business
                                                              
      (gain) loss on sale of agency
                                                              
      changes in operating accounts, net of acquisitions:
                                                              
      net borrowings (repayments) on term loan
                                                              
      net (payments) borrowings on revolving credit loan
                                                              
      debt issuance costs
                                                     -10,000 -5,000 -19,000   -43,000  
      net borrowings (repayments) on other notes payable
                                                              
      cash flows from operating activities
                                                              
      adjustments to reconcile net income to net cash from operating activities
                                                              
      changes in operating assets and liabilities:
                                                              
      cash flows from investing activities
                                                              
      cash flows from financing activities
                                                              
      net payments on term loan
                                              -208,000              
      net payments on credit facility
                                              -16,250,000  -1,500,000            
      supplemental disclosures of cash flow information
                                                              
      income tax benefit
                                              -37,000 270,000 -374,000              
      net income from discontinued operations
                                              -53,000 387,000 -537,000              
      change in fair value of financial instrument
                                                         -191,000 -191,000 
      (gain)/loss on sale of assets
                                                              
      acquisitions of businesses, net of cash received
                                                         -5,238,000 -240,000 -109,000  
      net payments on other notes
                                                              
      goodwill, at december 31, 2010
                                                              
      adjustments to previously recorded goodwill
                                                              
      impairment charge
                                                              
      goodwill, at december 31, 2011
                                                              
      goodwill, at september 30, 2012
                                                              
      acquisitions of business, net of cash received
                                                              
      payments on other notes
                                                        -284,000      
      prepaid health insurance
                                                   -376,000 3,817,000          
      prepaid workers’ compensation and liability insurance
                                                   1,131,000 634,000          
      prepaid rent
                                                   -12,000 188,000          
      workers’ compensation insurance receivable
                                                   -51,000 1,866,000          
      net (payments) borrowings on credit facility
                                                    2,000,000   7,000,000 -9,750,000      
      contingent purchase price deemed interest expense
                                                              
      write-off of debt issuance costs
                                                              
      loss on sale of assets
                                                              
      net proceeds from issuance of common stock
                                                              
      net (repayments) borrowings on revolving credit loans
                                                              
      payments on preferred stock dividends
                                                              
      undeclared accrued preferred stock dividends
                                                              
      conversion of accrued preferred dividends into subordinated dividend notes
                                                              
      net (payments) borrowings on term loan
                                                              
      cash
                                                      5,140,000      
      issuance of 248 shares of common stock at 5.00 per share
                                                      1,240,000      
      contingent earn-out obligation
                                                      1,600,000      
      total purchase price
                                                      7,980,000      
      net (payments) borrowings on other notes
                                                              
      income taxes
                                                         407,000 -16,000 75,000 266,000 -365,000 
      checks issued against future deposits
                                                              
      proceeds on sale of equipment
                                                              
      net borrowings (repayments) on revolving credit loans
                                                              
      net borrowings on new term loan
                                                             
      net borrowings (payments) on credit facility
                                                              
      issuance of subordinated promissory notes payable for acquisitions
                                                              
      net borrowings on revolving credit loan
                                                              
      net repayments on new credit facility
                                                              
      net borrowings (payments) from other notes
                                                              
      undeclared accrued preferred stock dividend; declared and converted november 2009
                                                              
      total preliminary purchase price
                                                              
      net borrowings on new credit facility
                                                              
      net proceeds from other notes
                                                              
      net borrowings under credit facility
                                                            250,000  
      net repayments on other notes
                                                            -652,000  
      borrowings on new credit facility
                                                              
      net borrowings (repayments) on other notes
                                                              
      undeclared accrued preferred stock dividend
                                                              
      preferred stock dividends, undeclared subject to payment upon conversion
                                                              
      net income attributable to common shareholders
                                                              
    The information provided in this report is taken from www.sec.gov and many other data providers. While we have conducted our best efforts to ensure that the parsed data is accurate, we cannot guarantee its accuracy. Please use caution and understand that any consequences of its use are your own responsibility.