through our coordinated care model , we utilize our home care aides to observe and report changes in the condition of our consumers for the purpose of early intervention in the disease process , thereby preventing or reducing the cost of medical services by avoiding emergency room visits , and or reducing the need of hospitalization . these changes in condition are evaluated by appropriately trained managers and referred to appropriate medical personnel including the primary care physicians and managed care plans for treatment and follow-up . we will coordinate the services provided by our team with those of selected health care agencies . we believe this approach to the provision of care to our consumers and the integration of our services into the broader healthcare industry is particularly attractive to managed care providers and others who are ultimately responsible for the healthcare needs of our consumers and over time will increase our business with them . our ability to grow our net service revenues is closely correlated with the number of consumers to whom we provide our services . our continued growth depends on our ability to maintain our existing payor client relationships , establish relationships with new payors , enter into new contracts and increase our referral sources . our continued growth is also dependent upon the authorization by state agencies of new consumers to receive our services . we believe there are several market opportunities for growth . the u.s. population of persons aged 65 and older is growing , and the u.s. census bureau estimates that this population will more than double by 2050. additionally , we believe the overwhelming majority of individuals in need of care generally prefer to receive care in their homes or community-based settings . finally , we believe the provision of home and community based services is more cost-effective than the provision of similar services in an institutional setting for long-term care . we have historically grown our business primarily through organic growth , complemented with selective acquisitions . our acquisitions have historically been focused on facilitating entry into new states . we entered into two definitive acquisition agreements to acquire home and community based businesses during 2013 to further our presence in both existing states and to expand into new states . on october 17 , 2013 , we entered into an asset purchase agreement to acquire the entire home and community based business of medi home private care division of medical services of america , inc. the acquisition included two agencies located in south carolina which closed effective november 1 , 2013 ; four agencies located in tennessee and two agencies located in ohio which closed in january 2014. we also entered into an asset purchase agreement to acquire the assets of coordinated home health care , llc , a personal care business located in new mexico , on november 7 , 2013. the combined purchase price for these two acquisitions was $ 12.3 million at the close and a maximum of $ 2.3 million in future cash based on certain performance . the purchase included sixteen offices located in southern new mexico . the transaction closed effective december 1 , 2013. the related acquisitions costs were $ 0.7 million for the medi home private care division of medical services of america , inc. and coordinated home health care , llc deals , respectively . on july 26 , 2010 , we entered into an asset purchase agreement ( the purchase agreement ) , pursuant to which we acquired the operations and certain assets of advantage health systems , inc. , a south carolina corporation ( advantage ) . advantage is a provider of home and community based services in south carolina and georgia , which expanded our services across 19 states . the total consideration payable pursuant to the purchase agreement was $ 8.3 million , comprised of $ 5.1 million in cash , common stock consideration with a deemed value of $ 1.2 million resulting in the issuance of 248,000 common shares , a maximum of $ 2.0 million in future cash consideration subject to the achievement of certain performance targets set forth in an earn-out agreement and the assumption of certain specified liabilities . in april 2011 , we paid the first earn-out payment of 39 $ 0.5 million to the sellers of advantage . during the fourth quarter of 2011 we completed a revaluation of the remaining contingent earn-out obligation and recorded a reduction of approximately $ 0.5 million with a remaining obligation of $ 0.7 million as of december 31 , 2012. the final earn-out payment was made to advantage for approximately $ 0.5 million on september 20 , 2013. business the results of the home health business sold are reflected as discontinued operations for all periods presented herein . continuing operations include the results of operations previously included in our home & community segment and three agencies previously included in our home health segment . following the sale of the home health business , we manage and internally report our business in one segment . the following table presents our locations , acquisitions , start-ups and closures , exclusive of the home health business for the period december 31 , 2011 to december 31 , 2013 : replace_table_token_11_th as of december 31 , 2013 , we provided our home and community based services through 121 locations across 21 states . our payor clients are principally federal , state and local governmental agencies . the federal , state and local programs under which they operate are subject to legislative , budgetary and other risks that can influence reimbursement rates . our commercial insurance carrier payor clients are typically for profit companies and are continuously seeking opportunities to control costs . we are seeking to grow our private duty business . story_separator_special_tag the credit facility is secured by a first priority security interest in all of holdings ' and the borrowers ' current and future tangible and intangible assets , including the shares of stock of the borrowers . the availability of funds under the revolving credit portion of the credit facility , as amended , is based on the lesser of ( i ) the product of adjusted ebitda , as defined , for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple , up to 3.25 , less the outstanding senior indebtedness and letters of credit , and ( ii ) $ 55.0 million less the outstanding revolving loans and letters of credit . interest on the revolving line of credit and term loan amounts outstanding under the credit facility is payable either at a floating rate equal to the 30-day libor , plus an applicable margin of 4.6 % or the libor rate for term periods of one , two , three or six months plus a margin of 4.6 % . interest on the credit facility is paid monthly on or at the end of the relevant interest period , as determined in accordance with the credit facility agreement . we pay a fee equal to 0.5 % per annum of the unused portion of the revolving portion of the credit facility . issued stand-by letters of credit are charged at a rate of 2.0 % per annum payable monthly . we did not have any amounts outstanding on our credit facility as of december 31 , 2013 and the total availability under the revolving credit loan facility was $ 42.6 million . the credit facility contains customary affirmative covenants regarding , among other things , the maintenance of records , compliance with laws , maintenance of permits , maintenance of insurance and property and payment of taxes . the credit facility also contains certain customary financial covenants and negative covenants that , among other things , include a requirement to maintain a minimum fixed charge coverage ratio , a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures , as well as restrictions on guarantees , indebtedness , liens , dividends , distributions , investments and loans , subject to customary carve outs , restrictions our ability to enter into transactions other than in the ordinary course of business , a restriction on the ability to consummate more than three acquisitions in any calendar year , or for the purchase price of any one acquisition to exceed $ 0.5 million , in each case without the consent of the lenders , restrictions on mergers , transfers of assets , acquisitions , equipment , subsidiaries and affiliate transactions , subject to customary carve outs , and restrictions on fundamental changes and lines of business . we were in compliance with all of our credit facility covenants at december 31 , 2013. during the second quarter of 2012 , the lenders under our credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio , which provides us with increased flexibility in meeting this covenant . in order to obtain consent from our lender for the sale of the home health business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment . we have received a commitment letter to renew our credit facility for a period of five years on essentially the same terms as the expiring facility . if executed , the term of the new facility will expire in november 2 , 2019. while our growth plan is not dependent on the completion of acquisitions , if we do not have sufficient cash resources or availability under our credit facility , or we are otherwise prohibited from making acquisitions , our growth could be limited unless we obtain additional equity or debt financing or unless we obtain the necessary consents from our lenders . we believe the available borrowings under our credit facility which , when taken together with cash from operations , will be sufficient to cover our working capital needs for at least the next 12 months . 48 story_separator_special_tag preferred stock accumulated dividends each quarter at a rate of 10 % , compounded annually . we accrued these undeclared dividends because the holders had the option to convert their shares of series a preferred stock into common stock at any time with the accumulated dividends payable in cash or a note payable . our series a preferred stock was converted into 4,077,000 shares of common stock in connection with the completion of our ipo on november 2 , 2009. we paid $ 0.2 million of the $ 13.1 million outstanding accumulated dividends as of november 2 , 2009 with the remaining $ 12.9 million being converted into 10 % junior subordinated promissory notes , which we refer to as the dividend notes . the dividends notes were subordinated and junior to all obligations under our credit facility . our dividend notes were repaid in full during the fourth quarter of 2012. off-balance sheet arrangements as of december 31 , 2013 , we did not have any off-balance sheet guarantees or arrangements with unconsolidated entities . critical accounting policies and estimates the discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements prepared in accordance with accounting principles generally accepted in the united states . the preparation of the financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities , revenues and expense and related disclosures . we base our estimates and judgments on historical

cash flows the following table summarizes historical changes in our cash flows for : replace_table_token_17_th year ended december 31 , 2013 compared to year ended december 31 , 2012 net cash provided by operating activities was $ 27.4 million for 2013 , compared to $ 15.4 million in 2012. this increase in cash provided by operations was primarily due to an increase in cash generated from continuing operations totaling $ 2.3 million , less cash used in discontinued operations totaling $ 1.8 million , plus amounts provided by net changes in working capital of $ 11.5 million . net cash provided by investing activities was $ 2.9 million for 2013. our investing activities for 2013 were $ 16.1 million in net proceeds received from the sale of the home health business less $ 12.3 million related to acquisitions made during the year and the purchase of $ 0.9 million of property and equipment . our investing activities for 2012 were $ 1.1 million for capital expenditures less a $ 0.5 million payment received for the sale of an agency . net cash used in financing activities was $ 16.5 million for 2013 as compared to net cash used of $ 15.1 million in 2012. our financing activities for 2013 were primarily driven by net payments of $ 16.3 million on the revolving credit portion of our credit facility and $ 0.2 million in payments on our term loan . our financing activities in 2012 were primarily driven by $ 8.5 million in payments on the revolving credit portion of our credit facility , $ 4.1 million in payments on subordinated dividend notes and $ 2.5 million in payments on our term loan .


 Write a concise suspicious activity report of the following text delimited by triple backquotes. Return your response as a formal report which covers the key points highlighting the location,dates,entity names and account holder information in chronological order of the text.
     ```cash flows the following table summarizes historical changes in our cash flows for : replace_table_token_17_th year ended december 31 , 2013 compared to year ended december 31 , 2012 net cash provided by operating activities was $ 27.4 million for 2013 , compared to $ 15.4 million in 2012. this increase in cash provided by operations was primarily due to an increase in cash generated from continuing operations totaling $ 2.3 million , less cash used in discontinued operations totaling $ 1.8 million , plus amounts provided by net changes in working capital of $ 11.5 million . net cash provided by investing activities was $ 2.9 million for 2013. our investing activities for 2013 were $ 16.1 million in net proceeds received from the sale of the home health business less $ 12.3 million related to acquisitions made during the year and the purchase of $ 0.9 million of property and equipment . our investing activities for 2012 were $ 1.1 million for capital expenditures less a $ 0.5 million payment received for the sale of an agency . net cash used in financing activities was $ 16.5 million for 2013 as compared to net cash used of $ 15.1 million in 2012. our financing activities for 2013 were primarily driven by net payments of $ 16.3 million on the revolving credit portion of our credit facility and $ 0.2 million in payments on our term loan . our financing activities in 2012 were primarily driven by $ 8.5 million in payments on the revolving credit portion of our credit facility , $ 4.1 million in payments on subordinated dividend notes and $ 2.5 million in payments on our term loan .
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 Suspicious Activity Report : through our coordinated care model , we utilize our home care aides to observe and report changes in the condition of our consumers for the purpose of early intervention in the disease process , thereby preventing or reducing the cost of medical services by avoiding emergency room visits , and or reducing the need of hospitalization . these changes in condition are evaluated by appropriately trained managers and referred to appropriate medical personnel including the primary care physicians and managed care plans for treatment and follow-up . we will coordinate the services provided by our team with those of selected health care agencies . we believe this approach to the provision of care to our consumers and the integration of our services into the broader healthcare industry is particularly attractive to managed care providers and others who are ultimately responsible for the healthcare needs of our consumers and over time will increase our business with them . our ability to grow our net service revenues is closely correlated with the number of consumers to whom we provide our services . our continued growth depends on our ability to maintain our existing payor client relationships , establish relationships with new payors , enter into new contracts and increase our referral sources . our continued growth is also dependent upon the authorization by state agencies of new consumers to receive our services . we believe there are several market opportunities for growth . the u.s. population of persons aged 65 and older is growing , and the u.s. census bureau estimates that this population will more than double by 2050. additionally , we believe the overwhelming majority of individuals in need of care generally prefer to receive care in their homes or community-based settings . finally , we believe the provision of home and community based services is more cost-effective than the provision of similar services in an institutional setting for long-term care . we have historically grown our business primarily through organic growth , complemented with selective acquisitions . our acquisitions have historically been focused on facilitating entry into new states . we entered into two definitive acquisition agreements to acquire home and community based businesses during 2013 to further our presence in both existing states and to expand into new states . on october 17 , 2013 , we entered into an asset purchase agreement to acquire the entire home and community based business of medi home private care division of medical services of america , inc. the acquisition included two agencies located in south carolina which closed effective november 1 , 2013 ; four agencies located in tennessee and two agencies located in ohio which closed in january 2014. we also entered into an asset purchase agreement to acquire the assets of coordinated home health care , llc , a personal care business located in new mexico , on november 7 , 2013. the combined purchase price for these two acquisitions was $ 12.3 million at the close and a maximum of $ 2.3 million in future cash based on certain performance . the purchase included sixteen offices located in southern new mexico . the transaction closed effective december 1 , 2013. the related acquisitions costs were $ 0.7 million for the medi home private care division of medical services of america , inc. and coordinated home health care , llc deals , respectively . on july 26 , 2010 , we entered into an asset purchase agreement ( the purchase agreement ) , pursuant to which we acquired the operations and certain assets of advantage health systems , inc. , a south carolina corporation ( advantage ) . advantage is a provider of home and community based services in south carolina and georgia , which expanded our services across 19 states . the total consideration payable pursuant to the purchase agreement was $ 8.3 million , comprised of $ 5.1 million in cash , common stock consideration with a deemed value of $ 1.2 million resulting in the issuance of 248,000 common shares , a maximum of $ 2.0 million in future cash consideration subject to the achievement of certain performance targets set forth in an earn-out agreement and the assumption of certain specified liabilities . in april 2011 , we paid the first earn-out payment of 39 $ 0.5 million to the sellers of advantage . during the fourth quarter of 2011 we completed a revaluation of the remaining contingent earn-out obligation and recorded a reduction of approximately $ 0.5 million with a remaining obligation of $ 0.7 million as of december 31 , 2012. the final earn-out payment was made to advantage for approximately $ 0.5 million on september 20 , 2013. business the results of the home health business sold are reflected as discontinued operations for all periods presented herein . continuing operations include the results of operations previously included in our home & community segment and three agencies previously included in our home health segment . following the sale of the home health business , we manage and internally report our business in one segment . the following table presents our locations , acquisitions , start-ups and closures , exclusive of the home health business for the period december 31 , 2011 to december 31 , 2013 : replace_table_token_11_th as of december 31 , 2013 , we provided our home and community based services through 121 locations across 21 states . our payor clients are principally federal , state and local governmental agencies . the federal , state and local programs under which they operate are subject to legislative , budgetary and other risks that can influence reimbursement rates . our commercial insurance carrier payor clients are typically for profit companies and are continuously seeking opportunities to control costs . we are seeking to grow our private duty business . story_separator_special_tag the credit facility is secured by a first priority security interest in all of holdings ' and the borrowers ' current and future tangible and intangible assets , including the shares of stock of the borrowers . the availability of funds under the revolving credit portion of the credit facility , as amended , is based on the lesser of ( i ) the product of adjusted ebitda , as defined , for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple , up to 3.25 , less the outstanding senior indebtedness and letters of credit , and ( ii ) $ 55.0 million less the outstanding revolving loans and letters of credit . interest on the revolving line of credit and term loan amounts outstanding under the credit facility is payable either at a floating rate equal to the 30-day libor , plus an applicable margin of 4.6 % or the libor rate for term periods of one , two , three or six months plus a margin of 4.6 % . interest on the credit facility is paid monthly on or at the end of the relevant interest period , as determined in accordance with the credit facility agreement . we pay a fee equal to 0.5 % per annum of the unused portion of the revolving portion of the credit facility . issued stand-by letters of credit are charged at a rate of 2.0 % per annum payable monthly . we did not have any amounts outstanding on our credit facility as of december 31 , 2013 and the total availability under the revolving credit loan facility was $ 42.6 million . the credit facility contains customary affirmative covenants regarding , among other things , the maintenance of records , compliance with laws , maintenance of permits , maintenance of insurance and property and payment of taxes . the credit facility also contains certain customary financial covenants and negative covenants that , among other things , include a requirement to maintain a minimum fixed charge coverage ratio , a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures , as well as restrictions on guarantees , indebtedness , liens , dividends , distributions , investments and loans , subject to customary carve outs , restrictions our ability to enter into transactions other than in the ordinary course of business , a restriction on the ability to consummate more than three acquisitions in any calendar year , or for the purchase price of any one acquisition to exceed $ 0.5 million , in each case without the consent of the lenders , restrictions on mergers , transfers of assets , acquisitions , equipment , subsidiaries and affiliate transactions , subject to customary carve outs , and restrictions on fundamental changes and lines of business . we were in compliance with all of our credit facility covenants at december 31 , 2013. during the second quarter of 2012 , the lenders under our credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio , which provides us with increased flexibility in meeting this covenant . in order to obtain consent from our lender for the sale of the home health business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment . we have received a commitment letter to renew our credit facility for a period of five years on essentially the same terms as the expiring facility . if executed , the term of the new facility will expire in november 2 , 2019. while our growth plan is not dependent on the completion of acquisitions , if we do not have sufficient cash resources or availability under our credit facility , or we are otherwise prohibited from making acquisitions , our growth could be limited unless we obtain additional equity or debt financing or unless we obtain the necessary consents from our lenders . we believe the available borrowings under our credit facility which , when taken together with cash from operations , will be sufficient to cover our working capital needs for at least the next 12 months . 48 story_separator_special_tag preferred stock accumulated dividends each quarter at a rate of 10 % , compounded annually . we accrued these undeclared dividends because the holders had the option to convert their shares of series a preferred stock into common stock at any time with the accumulated dividends payable in cash or a note payable . our series a preferred stock was converted into 4,077,000 shares of common stock in connection with the completion of our ipo on november 2 , 2009. we paid $ 0.2 million of the $ 13.1 million outstanding accumulated dividends as of november 2 , 2009 with the remaining $ 12.9 million being converted into 10 % junior subordinated promissory notes , which we refer to as the dividend notes . the dividends notes were subordinated and junior to all obligations under our credit facility . our dividend notes were repaid in full during the fourth quarter of 2012. off-balance sheet arrangements as of december 31 , 2013 , we did not have any off-balance sheet guarantees or arrangements with unconsolidated entities . critical accounting policies and estimates the discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements prepared in accordance with accounting principles generally accepted in the united states . the preparation of the financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities , revenues and expense and related disclosures . we base our estimates and judgments on historical

