Document and Entity Information Statement [Table] Statement [Line Items] Entity Registrant Name Entity Central Index Key Document Type Document Period End Date Amendment Flag Current Fiscal Year End Date Entity Current Reporting Status Entity Filer Category Entity Common Stock, Shares Outstanding Document Fiscal Year Focus Document Fiscal Period Focus CONSOLIDATED BALANCE SHEETS Assets [Abstract] ASSETS Assets, Current [Abstract] CURRENT ASSETS: Cash and Cash Equivalents, at Carrying Value Cash and cash equivalents at end of period Cash and cash equivalents at beginning of period Cash and cash equivalents Accounts Receivable, Net, Current Accounts receivable - net Prepaid Expense and Other Assets, Current Prepaid expenses and other current assets Deferred Tax Assets, Net of Valuation Allowance, Current Deferred tax assets Assets, Current TOTAL CURRENT ASSETS Property, Plant and Equipment, Net PROPERTY AND EQUIPMENT - NET Goodwill Balance at the end of the period Balance at the beginning of the period GOODWILL Intangible Assets, Net (Excluding Goodwill) Balance at the end of the period Balance at the beginning of the period OTHER INTANGIBLE ASSETS Other Assets, Noncurrent OTHER ASSETS Assets TOTAL ASSETS Liabilities and Equity [Abstract] LIABILITIES AND STOCKHOLDERS' EQUITY Liabilities, Current [Abstract] CURRENT LIABILITIES: Accounts Payable, Current Accounts payable Accrued Liabilities, Current Accrued other liabilities Long-term Debt and Capital Lease Obligations, Current Current portion - notes payable and capital leases Liabilities, Current TOTAL CURRENT LIABILITIES Liabilities, Noncurrent [Abstract] LONG-TERM LIABILITIES: Long-term Line of Credit, Noncurrent Revolving credit facility Deferred Tax Liabilities, Net, Noncurrent Deferred tax liabilities Other Liabilities, Noncurrent Other Liabilities, Noncurrent TOTAL LONG-TERM LIABILITIES Liabilities TOTAL LIABILITIES Redeemable Noncontrolling Interest, Equity, Carrying Amount [Abstract] Redeemable Noncontrolling Interest, Carrying Amount Redeemable Noncontrolling Interest, Equity, Carrying Amount NONCONTROLLING INTEREST - REDEEMABLE Stockholders' Equity Attributable to Parent [Abstract] STOCKHOLDERS' EQUITY: Preferred Stock, Value, Issued Preferred stock, par value $0.05; authorized 2,000 shares; none issued or outstanding Common Stock, Value, Issued Common stock, par value $0.10; authorized 25,000; 9,633 and 9,574 issued and outstanding Treasury Stock, Value Treasury stock, at cost, 103 and 94 shares of common stock Additional Paid in Capital, Common Stock Additional paid-in capital Nonredeemable Noncontrolling Interest Noncontrolling interest - nonredeemable Retained Earnings (Accumulated Deficit) Retained earnings Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest TOTAL STOCKHOLDERS' EQUITY Liabilities and Equity TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY Preferred Stock, Par or Stated Value Per Share Preferred stock, par value (in dollars per share) Preferred Stock, Shares Authorized Preferred stock, authorized shares Preferred Stock, Shares Issued Preferred stock, issued shares Preferred Stock, Shares Outstanding Preferred stock, outstanding shares Common Stock, Par or Stated Value Per Share Common stock, par value (in dollars per share) Common Stock, Shares Authorized Common stock, authorized shares Common Stock, Shares, Issued Common stock, issued shares Common Stock, Shares, Outstanding Common stock, outstanding shares Treasury Stock, Shares Treasury stock, shares CONSOLIDATED STATEMENTS OF INCOME Sales Revenue, Services, Net Net service revenues Cost of Services, Excluding Depreciation, Depletion, and Amortization Cost of service revenues (excluding depreciation & amortization) Gross Profit Gross margin General and Administrative Expense [Abstract] General and administrative expenses: Labor and Related Expense Salaries and benefits Other General and Administrative Expense Other Represents the amount of deal and transition costs incurred during the period. Deal and transition costs Deal and transition costs General and Administrative Expense Total general and administrative expenses Operating Income (Loss) Operating income Interest Income (Expense), Nonoperating, Net Interest expense, net Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Extraordinary Items, Noncontrolling Interest Operating loss before noncontrolling interest Income before income taxes Income Tax Expense (Benefit) Income tax expense Income (Loss) from Continuing Operations, Including Portion Attributable to Noncontrolling Interest Net income from continuing operations Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest [Abstract] Discontinued operations: Discontinued Operation, Income (Loss) from Discontinued Operation During Phase-out Period, Net of Tax Loss from operations, net of tax of ($9), ($41), ($5) and ($90) Net Income (Loss), Including Portion Attributable to Noncontrolling Interest Net income Net income Net Income (Loss) Attributable to Noncontrolling Interest Net loss (income) - noncontrolling interests Net Income (Loss) Available to Common Stockholders, Basic Net income attributable to Almost Family, Inc Earnings Per Share, Basic [Abstract] Per share amounts-basic: Weighted Average Number of Shares Outstanding, Basic Average shares outstanding (in shares) Basic weighted average outstanding shares Income (Loss) from Continuing Operations, Per Basic Share Income from continuing operations attributable to Almost Family, Inc. (in dollars per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Basic Share Discontinued operations (in dollars per share) Earnings Per Share, Basic Net income attributable to Almost Family, Inc. (in dollars per share) Earnings Per Share, Diluted [Abstract] Per share amounts-diluted: Weighted Average Number of Shares Outstanding, Diluted Average shares outstanding (in shares) Diluted weighted average number of shares Income (Loss) from Continuing Operations, Per Diluted Share Income from continuing operations attributable to Almost Family, Inc. (in dollars per share) Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Diluted Share Discontinued operations (in dollars per share) Earnings Per Share, Diluted Net income attributable to Almost Family, Inc. (in dollars per share) Discontinued Operation, Tax Effect of Discontinued Operation Discontinued operations, tax benefits CONSOLIDATED STATEMENTS OF CASH FLOWS Net Cash Provided by (Used in) Operating Activities, Continuing Operations [Abstract] Cash flows of operating activities: Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest Loss on discontinued operations, net of tax Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Adjustments to reconcile net income to net cash provided by (used in) operating activities: Depreciation, Depletion and Amortization Depreciation and amortization Provision for Doubtful Accounts Provision for uncollectible accounts Share-based Compensation Stock-based compensation Deferred Income Tax Expense (Benefit) Deferred income taxes This element represents the net cash from or used in all of the entity's operating activities before increase decrease in operating capital. Net Cash Provided by used in Operating Activities before Increase (Decrease) in Operating Capital Net cash provided by operating activities Increase (Decrease) in Operating Capital [Abstract] Change in certain net assets and liabilities, net of the effects of acquisitions: Increase (Decrease) in Accounts Receivable Accounts receivable Increase (Decrease) in Prepaid Expense and Other Assets Prepaid expenses and other current assets Increase (Decrease) in Other Operating Assets Other assets Increase (Decrease) in Accounts Payable and Accrued Liabilities Accounts payable and accrued expenses Net Cash Provided by (Used in) Operating Activities, Continuing Operations Net cash provided by (used in) operating activities Net Cash Provided by (Used in) Investing Activities, Continuing Operations [Abstract] Cash flows of investing activities: Payments to Acquire Productive Assets Capital expenditures The cash outflow to acquire cost basis investment. Payments To Acquire Cost Basis Investment Cost basis investment Payments to Acquire Businesses, Net of Cash Acquired Acquisitions, net of cash acquired Cash paid Net Cash Provided by (Used in) Investing Activities, Continuing Operations Net cash used in investing activities Net Cash Provided by (Used in) Financing Activities, Continuing Operations [Abstract] Cash flows of financing activities: Proceeds from (Repayments of) Other Long-term Debt Credit facility borrowings Repayments of Lines of Credit Credit facility repayments Payments of Debt Issuance Costs Debt issuance fees Proceeds from Stock Options Exercised Proceeds from stock option exercises Payments for Repurchase of Common Stock Purchase of common stock in connection with share awards Represents the tax impact associated with share-based awards. Tax Impact from Share-based Compensation Tax impact of share awards Payments of Dividends Payment of special dividend in connection with share awards Repayments of Long-term Debt, Long-term Capital Lease Obligations, and Capital Securities Principal payments on notes payable and capital leases Net Cash Provided by (Used in) Financing Activities, Continuing Operations Net cash used in financing activities Net Cash Provided by (Used in) Discontinued Operations [Abstract] Cash flows from discontinued operations: Cash Provided by (Used in) Operating Activities, Discontinued Operations Operating activities Net Cash Provided by (Used in) Discontinued Operations Net cash provided by discontinued operations Cash and Cash Equivalents, Period Increase (Decrease) Net change in cash and cash equivalents Accounting Policies Organization, Consolidation, Basis of Presentation, Business Description and Accounting Policies [Text Block] Accounting Policies Segment Data Segment Reporting Disclosure [Text Block] Segment Data Capitalized Software Development Costs Research, Development, and Computer Software Disclosure [Text Block] Capitalized Software Development Costs Goodwill and Other Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Goodwill and Other Intangible Assets Revolving Credit Facility Debt Disclosure [Text Block] Revolving Credit Facility Fair Value Measurements Fair Value Disclosures [Text Block] Fair Value Measurements Stock-Based Compensation Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Stock-Based Compensation Earnings per Common Share Earnings Per Share [Text Block] Earnings per Common Share Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Commitments and Contingencies Acquisitions Business Combination Disclosure [Text Block] Acquisitions Income Taxes Income Tax Disclosure [Text Block] Income Taxes Subsequent Events Subsequent Events [Text Block] Subsequent Events Basis of Accounting, Policy [Policy Text Block] Basis of Presentation Use of Estimates, Policy [Policy Text Block] Use of Estimates New Accounting Pronouncements, Policy [Policy Text Block] Recently Issued Accounting Pronouncements Discontinued Operations, Policy [Policy Text Block] Discontinued Operations Disclosure of cost basis investment Cost Basis Investment Policy Text Block Cost-basis Investment Schedule of Segment Reporting Information, by Segment [Table Text Block] Summary of segment data Schedule of Intangible Assets and Goodwill [Table Text Block] Summary of the activity and segment-wise information related to goodwill and other intangible assets Disclosure of Share-based Compensation Arrangements by Share-based Payment Award [Table Text Block] Summary of changes in restricted share and option awards outstanding Schedule of Weighted Average Number of Shares [Table Text Block] Schedule of reconciliation of the weighted average shares outstanding used in the calculation of basic and diluted earnings per common share Schedule of goodwill and intangible assets, which may be categorized by segment or major class. Schedule of Intangible Assets and Goodwill [Table] No definition available. Schedule of Significant Accounting Policies [Line Items] Basis of Presentation Represents the length of fiscal year of the reporting entity in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Length Of Fiscal Year Length of fiscal year Represents the length of fiscal quarter of the reporting entity in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Length Of Fiscal Quarter Length of fiscal quarter Represents the change in number of workdays in the reporting period compared to a 13 week reporting period. Change In Number Of Workdays Compared To Prior Year Reporting Period Number of additional days in the period Represents the incremental Diluted EPS due to additional workdays compared to a 13 week reporting period. Incremental Diluted E P S From Additional Days Incremental diluted EPS due to additional days compared to 13 week reporting period Payments to Acquire Interest in Subsidiaries and Affiliates [Abstract] Cost-basis Investment Payments to Acquire Additional Interest in Subsidiaries Investment Represents the number of divisions. Number Of Divisions Number of divisions Number of Reportable Segments Number of reportable segments Schedule of Segment Reporting Information, by Segment [Table] Health Care Organization, Revenue Sources [Axis] Health Care Organization Revenue Sources [Domain] Health Care Organization, Revenue Sources [Domain] Represents the details pertaining to medicare-certified services provided by the entity. Medicare Program [Member] Medicare program Represents the details pertaining to medicaid and other government services provided by the entity. Medicaid And Other Government Programs [Member] Medicaid and other government programs Segments [Axis] Segment [Domain] Segments [Domain] Represents Visiting Nurse, a reportable segment of the entity. Visiting Nurse Segment [Member] Visiting Nurse Represents Personal Care, a reportable segment of the entity. Personal Care Segment [Member] Personal Care Consolidation Items [Axis] Consolidation Items [Domain] Consolidation Items [Domain] Operating Segments [Member] Reportable segments Segment Reporting Information [Line Items] Segment data Represents the percentage of net service revenue to total net revenue from rendering of services as of year end for a reportable segment. Segment Reporting Sales Revenue Services Net Percentage Segment revenues (as a percent) Represents the net result for the period of deducting operating expenses but before deducting corporate expenses from operating revenues. Operating Income Loss before Corporate Expenses Operating income before corporate expenses Represents the amount of corporate expenses incurred during the reporting period. Corporate Expenses Corporate expenses Represents the amount of deal and transition costs incurred in the reporting period. Business Acquisition Cost Of Acquired Entity Period Transaction Costs Deal transition and other Property, Plant and Equipment [Table] Property, Plant and Equipment, Type [Axis] Property Plant And Equipment Type [Domain] Property, Plant and Equipment, Type [Domain] Software Development [Member] Internally developed software Property, Plant and Equipment [Line Items] Capitalized software development costs Capitalized Computer Software, Additions Software development costs capitalized Property, Plant and Equipment, Useful Life Amortization period Goodwill and Intangible Asset Impairment Impairment loss on goodwill and other intangible assets Schedule of assets, excluding financial assets and goodwill, lacking physical substance with a finite life and exist in perpetuity. Schedule of Finite and Indefinite Lived Intangible Assets [Table] Indefinite-lived Intangible Assets [Axis] Indefinite Lived Intangible Assets Major Class Name [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] Represents the certificates of need and rights under a license arrangement. Certificates Of Need And Licenses [Member] Certificates of Need and Licenses Trade Names [Member] Trade Names Finite-Lived Intangible Assets by Major Class [Axis] Finite Lived Intangible Assets Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Noncompete Agreements [Member] Non-compete Agreements Schedule of Finite and Indefinite Lived Intangible Assets [Line Items] Activity related to goodwill and other intangible assets Goodwill [Roll Forward] Goodwill Goodwill, Acquired During Period Additions Indefinite Lived and Finite Lived Intangible Assets [Roll Forward] Other Intangible Assets The aggregate amount of intangible assets acquired in the period and allocated to the reportable segment. The value is stated at fair value based on the purchase price allocation. Indefinite Lived and Finite Lived Intangible Assets Acquired During Period Additions Finite-Lived Intangible Assets, Accumulated Amortization Amortization Line of Credit Facility [Table] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Revolving Credit Facility [Member] Revolving Credit Facility. Variable Rate [Axis] Variable Rate [Domain] Variable Rate [Domain] Prime Rate [Member] Prime rate London Interbank Offered Rate L I B O R [Member] LIBOR Range [Axis] Range [Member] Range [Domain] Minimum [Member] Minimum Maximum [Member] Maximum Line of Credit Facility [Line Items] Revolving credit facility Line of Credit Facility, Maximum Borrowing Capacity Revolving credit limit Maximum borrowing capacity available under the credit facility attributable to the accordion feature. Line of Credit Facility, Maximum Borrowing Capacity under Accordion Feature Potential future expansion of the Facility under accordion feature Debt Instrument, Description of Variable Rate Basis Variable rate basis Debt Instrument, Basis Spread on Variable Rate Interest rate margin per debt instrument (as a percent) Represents the number of times the earnings before interest, income tax, depreciation and amortization needs to be maintained under loan covenants. Line of Credit Facility, Covenants Earnings before Interest Income Tax Depreciation and Amortization Multiplier EBITDA multiplier Line of Credit Facility, Current Borrowing Capacity Borrowing capacity permitted to be used per formula Letters of Credit Outstanding, Amount Irrevocable letters of credit outstanding Line of Credit Facility, Remaining Borrowing Capacity Remaining borrowing capacity available for use Represents the minimum net worth required to be maintained as per loan covenants. Line of Credit Facility, Covenants Minimum Net Worth Minimum net worth required to be maintained Debt Instrument, Interest Rate, Effective Percentage Effective interest rate (as a percent) Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Award Type [Axis] Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain] Equity Award [Domain] Restricted Stock [Member] Restricted shares An arrangement whereby an employee or director is entitled to receive in the future, subject to vesting and other restrictions, a number of shares in the entity at a specified price, as defined in the agreement. Stock Options Employees And Directors [Member] Option awards Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Stock-based compensation Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage Option share awards vest annually in increments (as a percent) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Changes in option awards outstanding, Shares Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Balance at the end of the period (in shares) Balance at the beginning of the period (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross Number of shares awarded Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period Vested or Exercised (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period Forfeited (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Changes in option awards, Wtd Avg Ex. Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Balance at the end of the period (in dollars per share) Balance at the beginning of the period (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Granted (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Vested or Exercised (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price Forfeited (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures [Abstract] Aggregate Intrinsic Value Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Balance at the end of the period Balance at the beginning of the period Represents the grant date intrinsic value of options granted during the reporting period as calculated by applying the disclosed option pricing methodology. Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Intrinsic Value Granted Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value Vested or Exercised Amount of accumulated difference between fair value of underlying shares on dates of exercise and exercise price on options exercised (or share units converted) into shares. Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Intrinsic Value Forfeited Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Dilutive effect of outstanding compensation awards Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Anti-dilutive shares excluded from calculation Loss Contingencies [Table] Loss Contingency Nature [Axis] Loss Contingency Nature [Domain] Loss Contingency, Nature [Domain] Represents the details pertaining to large-deductible workers' compensation insurance program. Large Deductible Workers Compensation Insurance Program [Member] Large-deductible workers' compensation insurance program Represents the details pertaining to self-insured employee health program. Self Insured Employee Health Program [Member] Self-insured employee health program Professional Malpractice Liability [Member] Professional liability General Liability [Member] General liability Directors And Officers Liability Insurance [Member] D&O coverage Loss Contingencies [Line Items] Insurance Programs Amount of risk retained by the entity per incident before the insurance arrangement begins to provide coverage under the stop-loss coverage that is maintained. Insurance Program Deductible Amount Per Incident Insurance program, Company's risk per incident Amount of risk retained by the entity per individual covered life before the insurance arrangement begins to provide coverage under the stop-loss insurance that is purchased. Insurance Program Limit Amount Per Individual Life Insurance program, Company's risk per individual covered life Amount of risk retained by the entity per claim before the insurance arrangement begins to provide coverage. Insurance Deductible Amount Per Claim Insurance program, Company's risk per claim Schedule of Business Acquisitions, by Acquisition [Table] Geographical [Axis] Segment Geographical [Domain] Geographical [Domain] O [H] Ohio Significant Acquisitions and Disposals by Transaction [Axis] Significant Acquisitions And Disposals Transaction [Domain] Significant Acquisitions and Disposals, Transaction [Domain] Represents information pertaining to WillCare, a proprietary home healthcare company. Willcare [Member] WillCare Significant Acquisitions and Disposals [Line Items] Acquisitions Payments to Acquire Businesses, Gross Cash consideration Business Acquisition, Percentage of Voting Interests Acquired Interest acquired (as a percent) Unaudited result of operations Proforma results of operations Business Acquisition, Pro Forma Revenue Revenues Effective Income Tax Rate Reconciliation, Percent Effective income tax rates (as a percent) Unrecognized Tax Benefits Subsequent Event [Table] Subsequent Event Type [Axis] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Subsequent Event [Member] Subsequent event Business Acquisition [Axis] Business Acquisition Acquiree [Domain] Business Acquisition, Acquiree [Domain] Represents information pertaining to Ingenios Health Co. Ingenios Health Company [Member] Ingenios Health Co. Subsequent Event [Line Items] Subsequent Events Stock Issued During Period, Shares, Acquisitions Shares issued Represents the number of states. Number of States Number of states Represents Healthcare Innovations, a reportable segment of the entity. Healthcare Innovations Segment [Member] Healthcare Innovations Subsegments [Axis] Subsegments [Domain] Subsegments [Domain] Represents activity under the Home Health Care division during the reporting period. Home Health Care Division [Member] Home Health Care division Scenario [Axis] Scenario Unspecified [Domain] Scenario, Unspecified [Domain] Scenario Forecast [Member] Forecast