Look at their cash flow statement and notice the huge outflow on receivables. They are recognizing a lot of revenues for which they aren't collecting the cash. Cash from operations is down YoY - incredible considering how many acquisitions they have made and the capital they have raised. This looks near fraudulent to me. Trust me - I have seen many companies like this which use aggressive accounting to put up good numbers, raise capital, go on an acquisition binge, and finally end up in bankruptcy.
Short.. Alot of us have held afam for a couple of years now when volume was 20k a day. For your safty don't short any stocks related to the medical field its about the strongest sector in this economy. Go short some raw materials company.
ANd go BS some other message board or at least stick around and learn something new.
True, rising sales should lead to more a/c receivables, but not to the extent that AFAM is showing. Also, shouldn't lead to decrease in cash from operations. Acquisitions will not show a cash outflow from receivables in the cash flow statement, as anyone with a basic knowledge of accounting will know.