Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 29, 2017	Dec. 30, 2016	Jan. 01, 2016
Cash flows from operating activities:
Net income attributable to Almost Family, Inc.	$ 20,414	$ 17,653	$ 20,009
Net income attributable to noncontrolling interests	(3,523)	(519)	468
Net income attributable to Almost Family, Inc.	23,937	18,172	19,541
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	5,916	4,445	3,927
Provision for uncollectible accounts	14,526	11,708	12,743
Stock-based compensation	5,468	2,760	2,121
Loan cost amortization	954	336	281
Deferred income taxes	(2,550)	8,725	3,914
Net cash provided by operating activities	48,251	46,146	42,527
Change in certain net assets and liabilities, net of the effects of acquisitions:
Accounts receivable	(19,664)	(18,701)	(17,393)
Prepaid expenses and other current assets	(2,242)	(377)	2,402
Other assets	(3,966)	(1,215)	(585)
Accounts payable and accrued expenses	8,151	(1,410)	(5,745)
Net cash provided by operating activities	30,530	24,443	21,206
Cash flows from investing activities:
Capital expenditures	(6,112)	(6,206)	(3,117)
Cost basis investment			(1,000)
Transaction deposit	128,930	(128,930)
Acquisitions, net of cash acquired	(130,808)	(31,486)	(82,578)
Net cash used in investing activities	(7,990)	(166,622)	(86,695)
Cash flows from financing activities:
Credit facility borrowings	245,471	389,328	233,425
Credit facility repayments, net	(407,673)	(240,662)	(166,082)
Debt issuance fees	(25)	(3,900)	(1,161)
Distribution of capital	(128)
Proceeds from stock offering, net	143,905
Proceeds from stock option exercises	4,344	230	128
Purchase of common stock in connection with share awards	(7,195)	(527)	(338)
Tax impact of share awards		353	215
Payment of special dividend			(50)
Principal payments on notes payable and capital leases	(39)	(55)	(12)
Net cash (used in) provided by financing activities	(21,340)	144,767	66,125
Net increase (decrease) in cash and cash equivalents	1,200	2,588	636
Cash and cash equivalents at beginning of period	10,110	7,522
Cash and cash equivalents at end of period	11,310	10,110	7,522
Supplemental disclosures of cash flow information:
Cash payment of interest, net of amounts capitalized	6,471	5,980	1,890
Cash payment of taxes	576	2,549	4,651
Summary of non-cash investing and financing activities:
Acquisitions funded by notes payable	$ 300	6,000	5,000
Acquisitions funded by stock		$ 10,675	$ 18,982