CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (USD $) In Thousands, unless otherwise specified	Total	Common Stock	Treasury Stock	Additional Paid-in Capital	Retained Earnings	Non-controlling Interest - Non-redeemable	Non-controlling Interest - Redeemable
Balance at Dec. 31, 2010	$ 182,168	$ 924	$ (139)	$ 97,073	$ 84,310
Balance (in shares) at Dec. 31, 2010		9,243	(4)
Increase (Decrease) in Stockholders' Equity
Options exercised, Stock award maturities, net of shares surrendered or withheld	353	13	(292)	632
Options exercised, Stock award maturities, net of shares surrendered or withheld (in shares)		125	(9)
Share awards and related compensation	1,423	1		1,422
Share awards and related compensation (in shares)		13
Tax benefit (loss) from exercise of non-qualified stock options	1,551			1,551
Net income attributable to Almost Family, Inc.	20,802				20,802
Balance at Dec. 31, 2011	206,297	938	(431)	100,678	105,112
Balance (in shares) at Dec. 31, 2011		9,381	(13)
Increase (Decrease) in Stockholders' Equity
Options exercised, Stock award maturities, net of shares surrendered or withheld	70	1		69
Options exercised, Stock award maturities, net of shares surrendered or withheld (in shares)		11
Share awards and related compensation	(415)	3	(1,889)	1,471
Share awards and related compensation (in shares)		29	(78)
Special dividend	(18,648)				(18,648)
Tax benefit (loss) from exercise of non-qualified stock options	(273)			(273)
Net income attributable to Almost Family, Inc.	17,284				17,284
Balance at Dec. 31, 2012	204,315	942	(2,320)	101,945	103,748
Balance (in shares) at Dec. 31, 2012	9,421	9,421	(91)
Increase (Decrease) in Stockholders' Equity
Options exercised, Stock award maturities, net of shares surrendered or withheld	(2)	1	(20)	17
Options exercised, Stock award maturities, net of shares surrendered or withheld (in shares)		1	(1)
Share awards and related compensation	1,465	5		1,460
Share awards and related compensation (in shares)		52
Tax benefit (loss) from exercise of non-qualified stock options	(62)			(62)
Stock provided in acquisitions	500	2		498
Stock provided in acquisitions (in shares)		26
Acquired noncontrolling interest	210					(210)	(3,639)
Net loss noncontrolling interests - redeemable							(185)
Noncontrolling Interests - redeemable fair value accretion	(185)				(185)		185
Net loss noncontrolling interests - nonredeemable	(7)					7
Net income attributable to Almost Family, Inc.	8,226				8,226
Balance at Dec. 31, 2013	$ 214,054	$ 950	$ (2,340)	$ 103,858	$ 111,789	$ 203	$ 3,639
Balance (in shares) at Dec. 31, 2013	9,500	9,500	(92)