Almost Family (AFAM) Inactive 10-Q8 Nov 132013 Q3 Quarterly reportFinancial data

Company Profile

Document_and_Entity_Informatio

Document and Entity Information	9 Months Ended
Document and Entity Information	Sep. 30, 2013	Nov. 01, 2013
Document and Entity Information	'	'
Entity Registrant Name	'ALMOST FAMILY INC	'
Entity Central Index Key	'0000799231	'
Document Type	'10-Q	'
Document Period End Date	30-Sep-13	'
Amendment Flag	'false	'
Current Fiscal Year End Date	'--12-31	'
Entity Current Reporting Status	'Yes	'
Entity Filer Category	'Accelerated Filer	'
Entity Common Stock, Shares Outstanding	'	9,408,651
Document Fiscal Year Focus	'2013	'
Document Fiscal Period Focus	'Q3	'

CONSOLIDATED_BALANCE_SHEETS

CONSOLIDATED BALANCE SHEETS (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified	Sep. 30, 2013	Dec. 31, 2012
CURRENT ASSETS:	'	'
Cash and cash equivalents	$28,096	$26,120
Accounts receivable - net	48,060	49,971
Prepaid expenses and other current assets	7,045	6,968
Deferred tax assets	7,044	6,580
TOTAL CURRENT ASSETS	90,245	89,639
PROPERTY AND EQUIPMENT - NET	5,775	5,401
GOODWILL	141,370	132,014
OTHER INTANGIBLE ASSETS	21,121	19,967
OTHER ASSETS	626	781
OTHER ASSETS, HELD FOR SALE	'	1,457
TOTAL ASSETS	259,137	249,259
CURRENT LIABILITIES:	'	'
Accounts payable	4,862	4,599
Accrued other liabilities	22,097	21,874
Current portion of notes payable	842	625
TOTAL CURRENT LIABILITIES	27,801	27,098
LONG-TERM LIABILITIES:	'	'
Notes payable	116	500
Deferred tax liabilities	17,356	16,785
Other liabilities	169	561
TOTAL LONG-TERM LIABILITIES	17,641	17,846
TOTAL LIABILITIES	45,442	44,944
STOCKHOLDERS' EQUITY:	'	'
Preferred stock, par value $0.05; authorized 2,000 shares; none issued or outstanding	'	'
Common stock, par value $0.10; authorized 25,000; 9,500 and 9,421 issued and outstanding	950	942
Treasury stock, at cost, 91 and 91 shares of common stock	-2,320	-2,320
Additional paid-in capital	103,419	101,945
Retained earnings	111,646	103,748
TOTAL STOCKHOLDERS' EQUITY	213,695	204,315
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	$259,137	$249,259

CONSOLIDATED_BALANCE_SHEETS_Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2013	Dec. 31, 2012
CONSOLIDATED BALANCE SHEETS	'	'
Preferred stock, par value (in dollars per share)	$0.05	$0.05
Preferred stock, authorized shares	2,000	2,000
Preferred stock, issued shares	0	0
Preferred stock, outstanding shares	0	0
Common stock, par value (in dollars per share)	$0.10	$0.10
Common stock, authorized shares	25,000	25,000
Common stock, issued shares	9,500	9,421
Common stock, outstanding shares	9,500	9,421
Treasury stock, shares	91	91

CONSOLIDATED_STATEMENTS_OF_INC

CONSOLIDATED STATEMENTS OF INCOME (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
CONSOLIDATED STATEMENTS OF INCOME	'	'	'	'
Net service revenues	$88,818	$83,880	$261,471	$257,027
Cost of service revenues (excluding depreciation & amortization)	47,551	43,803	139,565	132,951
Gross margin	41,267	40,077	121,906	124,076
General and administrative expenses:	'	'	'	'
Salaries and benefits	25,814	23,334	75,170	72,193
Other	11,739	9,871	33,281	29,874
Total general and administrative expenses	37,553	33,205	108,451	102,067
Operating income	3,714	6,872	13,455	22,009
Interest expense, net	-13	-17	-42	-87
Income before income taxes	3,701	6,855	13,413	21,922
Income tax expense	-1,462	-2,708	-5,264	-8,547
Net income from continuing operations	2,239	4,147	8,149	13,375
Discontinued operations:	'	'	'	'
(Loss) gain from operations, net of tax of ($72), ($32), ($74) and $127	-110	-48	-420	204
Gain on sale, net of tax of $973	'	'	169	'
(Loss) gain on discontinued operations	-110	-48	-251	204
Net income	$2,129	$4,099	$7,898	$13,579
Per share amounts-basic:	'	'	'	'
Average shares outstanding (in shares)	9,302	9,256	9,269	9,262
Continued operations (in dollars per share)	$0.24	$0.45	$0.88	$1.44
Discontinued operation (in dollars per share)	($0.01)	($0.01)	($0.03)	$0.03
Net income (in dollars per share)	$0.23	$0.44	$0.85	$1.47
Per share amounts-diluted:	'	'	'	'
Average shares outstanding (in shares)	9,348	9,315	9,354	9,329
Continued operations (in dollars per share)	$0.24	$0.45	$0.87	$1.43
Discontinued operation (in dollars per share)	($0.01)	($0.01)	($0.03)	$0.03
Net income (in dollars per share)	$0.23	$0.44	$0.84	$1.46

CONSOLIDATED_STATEMENTS_OF_INC1

CONSOLIDATED STATEMENTS OF INCOME (Parenthetical) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Discontinued operations:	'	'	'	'
(Loss) gain from operations, tax	($72)	($32)	($74)	$127
Gain on sale, tax	'	'	$973	'

CONSOLIDATED_STATEMENTS_OF_CAS

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012
Cash flows from operating activities:	'	'
Net income	$7,898	$13,579
(Loss) gain on discontinued operations, net of tax	-251	204
Net income from continuing operations	8,149	13,375
Adjustments to reconcile income to net cash provided by operating activities:	'	'
Depreciation and amortization	2,005	1,893
Provision for uncollectible accounts	4,087	1,926
Stock-based compensation	1,039	1,128
Deferred income taxes	1,108	2,674
Change in certain net assets and liabilities, net of the effects of acquisitions:	'	'
Accounts receivable	-1,884	-5,918
Prepaid expenses and other current assets	-129	-595
Other assets	151	179
Accounts payable and accrued expenses	-279	-1,009
Net cash from operating activities	14,247	13,653
Cash flows from investing activities:	'	'
Capital expenditures	-1,625	-1,498
Acquisitions, net of cash acquired	-12,011	-538
Net cash from investing activities	-13,636	-2,036
Cash flows from financing activities:	'	'
Proceeds from exercise of stock options	4	70
Purchase of common stock in connection with share awards	'	-1,852
Tax impact of share awards	-61	-142
Principal payments on notes payable and capital leases	-532	-1,200
Net cash from financing activities	-589	-3,124
Cash flows from discontinued operations:	'	'
Operating activities	-1,129	561
Investing activities	3,083	-31
Net cash from discontinued operations	1,954	530
Net change in cash and cash equivalents	1,976	9,023
Cash and cash equivalents at beginning of period	26,120	33,693
Cash and cash equivalents at end of period	28,096	42,716
Summary of non-cash investing and financing activities:	'	'
Acquisitions funded by stock	$500	'

Accounting_Policies

Accounting Policies	9 Months Ended
Accounting Policies	Sep. 30, 2013
Accounting Policies	'
Accounting Policies	'
	1. Accounting Policies

	Basis of Presentation

	The accompanying unaudited consolidated financial statements for the three and nine months ended September 30, 2013 and 2012 have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been omitted pursuant to such rules and regulations. Accordingly, the reader of this Form 10-Q is referred to Almost Family, Inc.’s (the “Company”) Annual Report on Form 10-K for the year ended December 31, 2012 for further information. In the opinion of management of the Company, the accompanying unaudited consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) necessary to present fairly the financial position at September 30, 2013, the results of operations for the three and nine month periods ended September 30, 2013 and cash flows for the nine month periods ended September 30, 2013 and 2012. The results of operations for the three and nine month periods ended September 30, 2013 are not necessarily indicative of the operating results for the year.

	Use of Estimates

	The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

	Discontinued Operations

	The Company follows the guidance in Accounting Standards Codification (ASC) 205-20, Discontinued Operations and, when appropriate, reclassifies operating units closed, sold or held for sale out of continuing operations and into discontinued operations for all periods presented. During the quarter ended June 30, 2013, the Company completed the sale of its only two Alabama locations, which operated in the Visiting Nurse (VN) segment. The operations and gain on sale related to the Alabama operations were reclassified from continuing operations into discontinued operations for all periods presented. Other Assets Held for Sale primarily relate to prior period VN segment goodwill that was allocated to the Company’s Alabama operations. Unless otherwise noted, amounts in these Notes to Consolidated Financial Statements exclude amounts attributable to discontinued operations.

Segment_Data

Segment Data	9 Months Ended
	Sep. 30, 2013
Segment Data	'
Segment Data	'
	2. Segment Data

	The Company has two reportable segments, VN and Personal Care (PC), which operate locations in Florida, Ohio, Kentucky, Connecticut, New Jersey, Massachusetts, Missouri, Indiana, Illinois, and Pennsylvania. Reportable segments have been identified based upon how management has organized the business by services provided to customers and the criteria in ASC 280, Segment Reporting. The Company does not allocate certain expenses to the reportable segments. These expenses are included in corporate expenses.

	The VN segment provides skilled medical services in patients’ homes largely to enable recipients to reduce or avoid periods of hospitalization and/or nursing home care. Approximately 93% of the VN segment revenues are generated from the Medicare program while the balance is generated from Medicaid and private insurance programs. VN Medicare revenues include revenues from all Medicare sources including traditional Medicare and Medicare Advantage, whether paid on a per episode basis or a per visit basis.

	The PC segment services are also provided in patients’ homes. These services (generally provided by paraprofessional staff such as home health aides) are generally of a custodial rather than skilled nature. PC revenues are generated on an hourly basis. Approximately 85% of the PC segment revenues are generated from Medicaid and other government programs while the balance is generated from insurance programs and private pay patients.

		Three Months Ended						Nine Months Ended
		September 30,						September 30,
		2013			2012			2013			2012
	Net service revenues:
	Visiting Nurse	$	67,802		$	64,632		$	201,153		$	199,255
	Personal Care	21,016			19,248			60,318			57,772
		88,818			83,880			261,471			257,027
	Operating income before corporate expenses:
	Visiting Nurse	7,316			8,986			22,497			30,367
	Personal Care	2,566			2,822			7,739			7,583
		9,882			11,808			30,236			37,950
	Corporate expenses	6,168			4,936			16,781			15,941
	Operating income	$	3,714		$	6,872		$	13,455		$	22,009
	Interest expense, net	(13		)	(17		)	(42		)	(87		)
	Income tax expense	(1,462		)	(2,708		)	(5,264		)	(8,547		)
	Net income from continuing operations	$	2,239		$	4,147		$	8,149		$	13,375

Capitalized_Software_Developme

Capitalized Software Development Costs	9 Months Ended
Capitalized Software Development Costs	Sep. 30, 2013
Capitalized Software Development Costs	'
Capitalized Software Development Costs	'
	3. Capitalized Software Development Costs

	The Company capitalizes the cost of internally generated computer software developed for the Company’s own use. Software development costs of approximately $119 and $188 were capitalized in the three months ended September 30, 2013 and 2012, respectively. Software development costs of approximately $524 and $465 were capitalized in the nine months ended September 30, 2013 and 2012, respectively. Capitalized software development costs are amortized over the estimated useful life, generally three years, once the software is ready for its intended use.

Goodwill_and_Other_Intangible_

Goodwill and Other Intangible Assets	9 Months Ended
	Sep. 30, 2013
Goodwill and Other Intangible Assets	'
Goodwill and Other Intangible Assets	'
	4. Goodwill and Other Intangible Assets

	The Company conducts annual reviews for impairment, or more frequently if circumstances indicate impairment may have occurred. Other intangible assets consist of certificates of need and licenses, trade names and non-compete agreements. Finite-lived intangible assets are amortized on a straight-line basis over their estimated useful lives. Licenses, provider numbers, certificates of need and trade names have indefinite lives and are reviewed at least annually for possible impairment, or whenever events or changes in circumstances indicate that carrying amounts may not be recoverable. The Company completed its most recent annual impairment test of goodwill and other indefinite-lived intangible assets as of December 31, 2012 and determined that no impairment existed.

	The following table summarizes the activity related to goodwill and other intangible assets for 2013:

				Other Intangible Assets
				Certificates
				of Need and		Trade			Non-compete
		Goodwill		licenses		Names			Agreements			Total
	Balances at 12-31-12	$	132,014	$	9,391	$	10,421		$	155		$	19,967
	Changes	9,356		1,100		75			50			1,225
	Amortization	—		—		(8		)	(63		)	(71		)
	Balances at 9-30-13	$	141,370	$	10,491	$	10,488		$	142		$	21,121

	Of total goodwill, $110,396 and $30,974 relates to the VN segment and the PC segment, respectively. Changes to goodwill include VN segment acquisition additions and adjustments related to a previous acquisition. Changes in other intangible assets relate to preliminary purchase allocations of current period acquisitions. Amortization expense recognized on finite-lived intangible assets for the third quarter of 2013 and 2012 was $26 and $19, respectively, and $71 and $52 for the nine month period ended September 30, 2013 and 2013, respectively.

Revolving_Credit_Facility

Revolving Credit Facility	9 Months Ended
Revolving Credit Facility	Sep. 30, 2013
Revolving Credit Facility	'
Revolving Credit Facility	'
	5. Revolving Credit Facility

	At September 30, 2013, the Company had a $125 million senior secured revolving credit facility with JP Morgan Chase Bank, NA, as Administrative Agent, Bank of America, as Syndication Agent and certain other lenders (the “Facility”). The Facility consists of a $125 million credit line with a maturity date of December 2, 2015 and an “accordion” feature providing for potential future expansion of the Facility to $175 million. Borrowings (other than letters of credit) under the credit facility are at either the bank’s prime rate plus a margin (ranging from 1.25% to 2.25%, currently 1.25%) or the London Interbank Offered Rate (LIBOR) plus a margin (ranging from 2.25% to 3.25%, 2.25% at September 30, 2013). The margin for prime rate or LIBOR borrowings is determined by the Company’s leverage. Borrowings under the Facility are secured by a first priority perfected security interest in all tangible and intangible assets of the Company, and all existing and future direct and indirect subsidiaries of the Company, as guarantors.

	The weighted average prime rate-based interest rate was 4.50% for both the nine months ended September 30, 2013 and 2012. The weighted average LIBOR rates were 2.53% and 2.72% for the nine months ended September 30, 2013 and 2012, respectively. The Company pays a quarterly commitment fee of 0.30% to 0.50% on the average daily unused facility balance based on leverage. Borrowings are subject to various covenants including a multiple of 3.0 times earnings before interest, income tax, depreciation and amortization (“EBITDA”). “EBITDA” may include “Acquired EBITDA” from pro-forma acquisitions pursuant to a calculation rider, up to 50% of “Adjusted EBITDA,” as defined. Borrowings under the Facility may be used for general corporate purposes, including acquisitions. As of September 30, 2013, the formula permitted $73.1 million to be used, of which no amounts were outstanding. The Company had irrevocable letters of credit totaling $5.5 million outstanding in connection with the Company’s self-insurance programs, which resulted in a total of $66.7 million being available for use at September 30, 2013. As of September 30, 2013, the Company was in compliance with the Facility’s various financial covenants. Under the most restrictive of its covenants, the Company was required to maintain minimum net worth of at least $160.5 million at September 30, 2013. At such date, the Company’s net worth was approximately $213.7 million.

Fair_Value_Measurements

Fair Value Measurements	9 Months Ended
Fair Value Measurements	Sep. 30, 2013
Fair Value Measurements	'
Fair Value Measurements	'
	6. Fair Value Measurements

	The Company’s financial instruments consist of cash, accounts receivable, payables and debt instruments. The carrying values of cash, accounts receivable and payables are considered representative of their respective fair values due to the short-term nature of these instruments. The fair value of the Company’s debt instruments approximates their carrying values as substantially all of such debt instruments have rates which fluctuate with changes in market rates. The Company does not have any assets or liabilities carried at fair value that are measured on a recurring basis.

StockBased_Compensation

Stock-Based Compensation	9 Months Ended
Stock-Based Compensation	Sep. 30, 2013
Stock-Based Compensation	'
Stock-Based Compensation	'
	7. Stock-Based Compensation

	The Company issues both restricted share and option awards to employees and non-employee directors. Restricted share awards cliff vest on the third anniversary, while option share awards vest annually in 25% increments over four years. Stock option grant date fair values are determined at the date of grant using a Monte Carlo option valuation model with suboptimal exercise behavior. Changes in awards outstanding are summarized as follows:

		Restricted shares				Options
				Wtd Avg. Grant				Wtd Avg. Ex.
		Shares		Price		Shares		Price
	December 31, 2012	50		$	31.35	341		$	25.62
	Granted	58		20.29		68		20.71
	Vested or exercised	(7	)	42.72		(1	)	4.28
	Forfeited	—		—		(23	)	30.77
	September 30, 2013	101		$	24.16	385		$	24.51

Earnings_per_Common_Share

Earnings per Common Share	9 Months Ended
Earnings per Common Share	Sep. 30, 2013
Earnings per Common Share	'
Earnings per Common Share	'
	8. Earnings per Common Share

	A reconciliation of the weighted average shares outstanding used in the calculation of basic and diluted earnings per common share is as follows:
		Three Months Ended		Nine Months Ended
		September 30,		September 30,
		2013	2012	2013	2012
	Basic weighted average outstanding shares	9,302	9,256	9,269	9,262
	Add common equivalent shares representing shares issuable upon exercise of dilutive awards	46	59	85	67
	Diluted weighted average number of shares	9,348	9,315	9,354	9,329

	Anti-dilutive shares excluded from calculation	378	218	254	218

Commitments_and_Contingencies

Commitments and Contingencies	9 Months Ended
Commitments and Contingencies	Sep. 30, 2013
Commitments and Contingencies	'
Commitments and Contingencies	'
	9. Commitments and Contingencies

	Insurance Programs

	The Company bears significant insurance risk under its large-deductible workers’ compensation insurance program and its self-insured employee health program. Under the workers’ compensation insurance program, the Company bears risk up to $400 per incident, after which stop-loss coverage is maintained. The Company purchases stop-loss insurance for the employee health plan that places a specific limit, generally $300, on its exposure for any individual covered life.

	Malpractice and general patient liability claims for incidents which may give rise to litigation have been asserted against the Company by various claimants. The claims are in various stages of processing and some may ultimately be brought to trial. The Company is aware of incidents that have occurred through September 30, 2013 that may result in the assertion of additional claims. The Company currently carries professional and general liability insurance coverage (on a claims made basis) for this exposure with no deductible. The Company also carries Director and Officer (D&O) coverage (also on a claims made basis) for potential claims against the Company’s directors and officers, including certain securities actions, with deductibles ranging from $100 to $250 per claim.

	The Company records estimated liabilities for its insurance programs based on information provided by the third-party plan administrators, historical claims experience, the life cycle of claims, expected costs of claims incurred but not paid, and expected costs to settle unpaid claims. The Company monitors its estimated insurance-related liabilities and recoveries, if any, on a monthly basis and as required by Accounting Standards Update (ASU) 2010-24, Health Care Entities (Topic 954): Presentation of Insurance Claims and Related Insurance Recoveries, has recorded amounts due under insurance policies in other current assets, while recording the estimated carrier liability in other current liabilities. As facts change, it may become necessary to make adjustments that could be material to the Company’s results of operations and financial condition.

	Legal Proceedings & Investigations

	The Company is currently, and from time to time, subject to claims and suits arising in the ordinary course of its business, including claims for damages for personal injuries. In the opinion of management, after discussions with legal counsel, the ultimate resolution of any of these ordinary course pending claims and legal proceedings will not have a material effect on the Company’s financial position or results of operations.

	As previously disclosed, four derivative complaints were filed in Jefferson Circuit Court, Kentucky, against the members of the Company’s board of directors (the Board) and chief financial officer. All four lawsuits named the Company as a nominal defendant and were consolidated into a single action. All of the complaints and the resulting consolidated complaint refer to an April 27, 2010 The Wall Street Journal article and the subsequent governmental investigations. On February 13, 2012, the independent directors filed a motion to dismiss the complaint. On October 2, 2012, the Court entered an order granting the motion to dismiss and dismissing the complaint with prejudice. On November 1, 2012 the plaintiffs filed an appeal of the Court’s ruling with the Kentucky Court of Appeals. Briefing to the Court of Appeals is complete. In the meantime, the Board has received a demand letter dated July 17, 2013, from counsel for one of the derivative plaintiff shareholders. The letter states that the shareholder believes certain of the Company’s officers and directors violated their fiduciary duties based on allegations similar to those described in the consolidated complaint. The letter requests that the Board take appropriate action against the individuals in question. The Board is working on a response to the shareholder demand. As a further result of the demand from the plaintiff shareholder, the Company’s outside directors have filed a motion with the Court of Appeals asking the Court to dismiss the appeal as moot. That motion is fully briefed and awaits decision by the Court.

	As previously disclosed, a fifth derivative complaint involving Richard W. Carey was filed in U.S. District Court for the Western District of Kentucky. The lawsuit names the Company as a nominal defendant and is substantially duplicative of the derivative complaint pending in the Jefferson Circuit Court. The Court granted the defendants’ motion to stay the lawsuit pending further order of the Court.

	The Company is unable to assess the probable outcome or potential liability, if any, arising from these unresolved matters.

Acquisitions

Acquisitions	9 Months Ended
Acquisitions	Sep. 30, 2013
Acquisitions	'
Acquisitions	'
	10. Acquisitions

	On July 19, 2013, the Company acquired the assets of the Medicare-certified home health agencies owned by Indiana based Home Care Network for a purchase price of $12.5 million, consisting of $12.0 million in cash and $0.5 million in Almost Family, Inc. common stock. The cash portion of the transaction was funded from cash on hand. A preliminary allocation of purchase price resulted primarily in the allocation of $0.7 million to both accounts receivable and property plant and equipment with the remainder being allocated to goodwill and intangible assets. Adjustments to the current fair value estimates may occur in future periods as the process conducted for various valuations and assessments is finalized.

Income_Taxes

Income Taxes	9 Months Ended
Income Taxes	Sep. 30, 2013
Income Taxes	'
Income Taxes	'
	11. Income Taxes

	The Company accounts for income taxes in accordance with ASC 740, Income Taxes. The Company’s effective income tax rates from continuing operations for the three and nine month periods ended September 30, 2013 and 2012 were approximately 39.5% and 39.5%, respectively, and 39.2% and 39.0%, respectively. The lower year to date income tax rates from continuing operations was primarily due to a benefit resulting from the January 2, 2013 retroactive extension of the Work Opportunity Tax Credit that was recognized in the first quarter of 2013, while 2012 included the favorable impact of certain tax planning strategies.

	Certain tax authorities may periodically audit the Company. Based on the Company’s evaluation, the Company concluded that no significant uncertain tax positions require recognition in the consolidated financial statements. Additionally, the Company may from time to time be assessed interest and penalties by tax jurisdictions. Any such assessments historically have been immaterial to the Company’s financial results and are classified as other general and administrative expenses in the consolidated statements of income.

Subsequent_Events

Subsequent Events	9 Months Ended
Subsequent Events	Sep. 30, 2013
Subsequent Events	'
Subsequent Events	'
	12. Subsequent Events

	In October of 2013, the Company acquired a controlling interest in Imperium Health Management, LLC, (Imperium) a Louisville, KY based, development-stage enterprise that provides strategic health management services to Accountable Care Organizations (ACO’s). The Company acquired a 61.5% interest in Imperium for a total of $5.8 million of which $3 million went into Imperium for its general corporate purposes including pursuit of its business plan. The transaction was funded from cash on hand. The purchase price is expected to be primarily allocated to goodwill.

	On November 4, 2013, the Company signed a definitive agreement to acquire the stock of Omni Home Health Holdings, Inc. (operating as SunCrest Healthcare) and subsidiaries, for approximately $75.5 million, subject to a working capital adjustment. The transaction will be primarily funded from the Company’s existing cash and borrowings from its senior secured revolving credit facility. The transaction is expected to close before the end of the year pending regulatory approvals and the satisfaction of customary closing conditions. The Company expects the acquisition will add approximately $150 million in revenue across nine states, of which approximately $134 million will be classified in the Company’s VN segment, with the remainder classified in the PC segment. The acquisition includes new service areas in Tennessee, Georgia, Mississippi and Alabama, while expanding the Company’s existing geographic footprint in Florida, Pennsylvania, Indiana, Illinois and Kentucky.

Accounting_Policies_Policies

Accounting Policies (Policies)	9 Months Ended
Accounting Policies (Policies)	Sep. 30, 2013
Accounting Policies	'
Basis of Presentation	'
	Basis of Presentation

	The accompanying unaudited consolidated financial statements for the three and nine months ended September 30, 2013 and 2012 have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been omitted pursuant to such rules and regulations. Accordingly, the reader of this Form 10-Q is referred to Almost Family, Inc.’s (the “Company”) Annual Report on Form 10-K for the year ended December 31, 2012 for further information. In the opinion of management of the Company, the accompanying unaudited consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) necessary to present fairly the financial position at September 30, 2013, the results of operations for the three and nine month periods ended September 30, 2013 and cash flows for the nine month periods ended September 30, 2013 and 2012. The results of operations for the three and nine month periods ended September 30, 2013 are not necessarily indicative of the operating results for the year.
Use of Estimates	'
	Use of Estimates

	The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
Discontinued Operations	'
	Discontinued Operations

	The Company follows the guidance in Accounting Standards Codification (ASC) 205-20, Discontinued Operations and, when appropriate, reclassifies operating units closed, sold or held for sale out of continuing operations and into discontinued operations for all periods presented. During the quarter ended June 30, 2013, the Company completed the sale of its only two Alabama locations, which operated in the Visiting Nurse (VN) segment. The operations and gain on sale related to the Alabama operations were reclassified from continuing operations into discontinued operations for all periods presented. Other Assets Held for Sale primarily relate to prior period VN segment goodwill that was allocated to the Company’s Alabama operations. Unless otherwise noted, amounts in these Notes to Consolidated Financial Statements exclude amounts attributable to discontinued operations.

Segment_Data_Tables

Segment Data (Tables)	9 Months Ended
	Sep. 30, 2013
Segment Data	'
Summary of segment data	'


		Three Months Ended						Nine Months Ended
		September 30,						September 30,
		2013			2012			2013			2012
	Net service revenues:
	Visiting Nurse	$	67,802		$	64,632		$	201,153		$	199,255
	Personal Care	21,016			19,248			60,318			57,772
		88,818			83,880			261,471			257,027
	Operating income before corporate expenses:
	Visiting Nurse	7,316			8,986			22,497			30,367
	Personal Care	2,566			2,822			7,739			7,583
		9,882			11,808			30,236			37,950
	Corporate expenses	6,168			4,936			16,781			15,941
	Operating income	$	3,714		$	6,872		$	13,455		$	22,009
	Interest expense, net	(13		)	(17		)	(42		)	(87		)
	Income tax expense	(1,462		)	(2,708		)	(5,264		)	(8,547		)
	Net income from continuing operations	$	2,239		$	4,147		$	8,149		$	13,375

Goodwill_and_Other_Intangible_1

Goodwill and Other Intangible Assets (Tables)	9 Months Ended
	Sep. 30, 2013
Goodwill and Other Intangible Assets	'
Summary of the activity related to goodwill and other intangible assets	'


				Other Intangible Assets
				Certificates
				of Need and		Trade			Non-compete
		Goodwill		licenses		Names			Agreements			Total
	Balances at 12-31-12	$	132,014	$	9,391	$	10,421		$	155		$	19,967
	Changes	9,356		1,100		75			50			1,225
	Amortization	—		—		(8		)	(63		)	(71		)
	Balances at 9-30-13	$	141,370	$	10,491	$	10,488		$	142		$	21,121

StockBased_Compensation_Tables

Stock-Based Compensation (Tables)	9 Months Ended
Stock-Based Compensation (Tables)	Sep. 30, 2013
Stock-Based Compensation	'
Summary of changes in restricted share and option awards outstanding	'


		Restricted shares				Options
				Wtd Avg. Grant				Wtd Avg. Ex.
		Shares		Price		Shares		Price
	December 31, 2012	50		$	31.35	341		$	25.62
	Granted	58		20.29		68		20.71
	Vested or exercised	(7	)	42.72		(1	)	4.28
	Forfeited	—		—		(23	)	30.77
	September 30, 2013	101		$	24.16	385		$	24.51

Earnings_per_Common_Share_Tabl

Earnings per Common Share (Tables)	9 Months Ended
Earnings per Common Share (Tables)	Sep. 30, 2013
Earnings per Common Share	'
Schedule of reconciliation of the weighted average shares outstanding used in the calculation of basic and diluted earnings per common share	'

		Three Months Ended		Nine Months Ended
		September 30,		September 30,
		2013	2012	2013	2012
	Basic weighted average outstanding shares	9,302	9,256	9,269	9,262
	Add common equivalent shares representing shares issuable upon exercise of dilutive awards	46	59	85	67
	Diluted weighted average number of shares	9,348	9,315	9,354	9,329

	Anti-dilutive shares excluded from calculation	378	218	254	218

Accounting_Policies_Details

Accounting Policies (Details) (Visiting Nurse, Alabama locations)	3 Months Ended
	Jun. 30, 2013
	item
Visiting Nurse \| Alabama locations	'
Discontinued Operations	'
Numbers of locations sold	2

Segment_Data_Details

Segment Data (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
	Sep. 30, 2013	Sep. 30, 2012	segment	Sep. 30, 2012
Segment Data	'	'	'	'
Number of reportable segments	'	'	2	'
Segment data	'	'	'	'
Net service revenues	$88,818	$83,880	$261,471	$257,027
Operating income before corporate expenses	9,882	11,808	30,236	37,950
Corporate expenses	6,168	4,936	16,781	15,941
Operating income	3,714	6,872	13,455	22,009
Interest expense, net	-13	-17	-42	-87
Income tax expense	-1,462	-2,708	-5,264	-8,547
Net income from continuing operations	2,239	4,147	8,149	13,375
Visiting Nurse	'	'	'	'
Segment data	'	'	'	'
Net service revenues	67,802	64,632	201,153	199,255
Operating income before corporate expenses	7,316	8,986	22,497	30,367
Personal Care	'	'	'	'
Segment data	'	'	'	'
Net service revenues	21,016	19,248	60,318	57,772
Operating income before corporate expenses	$2,566	$2,822	$7,739	$7,583
Medicare program \| Visiting Nurse	'	'	'	'
Segment data	'	'	'	'
Segment revenues (as a percent)	93.00%	'	93.00%	'
Medicaid and other government programs \| Personal Care	'	'	'	'
Segment data	'	'	'	'
Segment revenues (as a percent)	85.00%	'	85.00%	'

Capitalized_Software_Developme1

Capitalized Software Development Costs (Details) (Software development, USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Software development	'	'	'	'
Capitalized software development costs	'	'	'	'
Software development costs capitalized	$119	$188	$524	$465
Amortization period	'	'	'3 years	'

Goodwill_and_Other_Intangible_2

Goodwill and Other Intangible Assets (Details) (USD $)	3 Months Ended		9 Months Ended		12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Dec. 31, 2012
Goodwill and Other Intangible Assets	'	'	'	'	'
Impairment loss on goodwill and other intangible assets	'	'	'	'	$0
Goodwill	'	'	'	'	'
Balance at the beginning of the period	'	'	132,014	'	'
Changes	'	'	9,356	'	'
Balance at the end of the period	141,370	'	141,370	'	132,014
Other Intangible Assets	'	'	'	'	'
Balance at the beginning of the period	'	'	19,967	'	'
Changes	'	'	1,225	'	'
Amortization	-71	'	-71	'	'
Balance at the end of the period	21,121	'	21,121	'	19,967
Amortization expense recognized on finite-lived intangible assets	26	19	71	52	'
VN segment	'	'	'	'	'
Goodwill	'	'	'	'	'
Balance at the end of the period	110,396	'	110,396	'	'
PC segment	'	'	'	'	'
Goodwill	'	'	'	'	'
Balance at the end of the period	30,974	'	30,974	'	'
Non-compete Agreements	'	'	'	'	'
Other Intangible Assets	'	'	'	'	'
Balance at the beginning of the period	'	'	155	'	'
Changes	'	'	50	'	'
Amortization	-63	'	-63	'	'
Balance at the end of the period	142	'	142	'	'
Certificates of Need and licenses	'	'	'	'	'
Other Intangible Assets	'	'	'	'	'
Balance at the beginning of the period	'	'	9,391	'	'
Changes	'	'	1,100	'	'
Balance at the end of the period	10,488	'	10,488	'	'
Trade Names	'	'	'	'	'
Other Intangible Assets	'	'	'	'	'
Balance at the beginning of the period	'	'	10,421	'	'
Changes	'	'	75	'	'
Amortization	-8	'	-8	'	'
Balance at the end of the period	$10,491	'	$10,491	'	'

Revolving_Credit_Facility_Deta

Revolving Credit Facility (Details) (USD $)

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Revolving Credit Facility

multiplier

Minimum

Maximum

Prime rate

LIBOR

Minimum

Maximum

Minimum

Maximum

Revolving credit facility

Revolving credit limit

$125,000,000

Potential future expansion of the Facility under accordion feature

175,000,000

Variable rate basis

'Bank's prime rate plus a margin

'LIBOR

Interest rate margin per debt instrument (as a percent)

1.25%

2.25%

3.25%

Actual interest rate margin (as a percent)

1.25%

2.25%

Weighted average interest rate (as a percent)

4.50%

2.53%

2.72%

Quarterly commitment fee on the average daily unused facility balance (as a percent)

0.30%

0.50%

EBITDA multiplier

Percentage of acquired EBITDA which can be included in covenants calculation

50.00%

Borrowing capacity permitted to be used per formula

73,100,000

Amount outstanding

Irrevocable letters of credit outstanding

5,500,000

Remaining borrowing capacity available for use

66,700,000

Minimum net worth required to be maintained

160,500,000

Company's net worth

$213,695,000

$204,315,000

StockBased_Compensation_Detail

Stock-Based Compensation (Details) (USD $)	9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2013
Restricted shares	'
Stock-based compensation	'
Vesting period	'3 years
Changes in unvested awards, shares	'
Balance at the beginning of the period (in shares)	50
Granted (in shares)	58
Vested or exercised (in shares)	-7
Balance at the end of the period (in shares)	101
Changes in awards, Wtd Avg Grant Price	'
Balance at the beginning of the period (in dollars per share)	$31.35
Granted (in dollars per share)	$20.29
Vested or exercised (in dollars per share)	$42.72
Balance at the end of the period (in dollars per share)	$24.16
Option awards	'
Stock-based compensation	'
Vesting period	'4 years
Option share awards vest annually in increments (as a percent)	25.00%
Changes in option awards outstanding, Shares	'
Balance at the beginning of the period (in shares)	341
Number of shares awarded	68
Vested or Exercised (in shares)	-1
Forfeited (in shares)	-23
Balance at the end of the period (in shares)	385
Changes in option awards, Wtd Avg Ex. Price	'
Balance at the beginning of the period (in dollars per share)	$25.62
Granted (in dollars per share)	$20.71
Vested or Exercised (in dollars per share)	$4.28
Forfeited (in dollars per share)	$30.77
Balance at the end of the period (in dollars per share)	$24.51

Earnings_per_Common_Share_Deta

Earnings per Common Share (Details)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Earnings per Common Share	'	'	'	'
Basic weighted average outstanding shares	9,302	9,256	9,269	9,262
Add common equivalent shares representing shares issuable upon exercise of dilutive awards	46	59	85	67
Diluted weighted average number of shares	9,348	9,315	9,354	9,329
Anti-dilutive shares excluded from calculation	378	218	254	218

Commitments_and_Contingencies_

Commitments and Contingencies (Details) (USD $)	Sep. 30, 2013
In Thousands, unless otherwise specified	Sep. 30, 2013
Large-deductible workers' compensation insurance program \| Maximum	'
Insurance Programs	'
Insurance program, Company's risk per incident	$400
Self-insured employee health program	'
Insurance Programs	'
Insurance program, Company's risk per individual covered life	300
Professional liability	'
Insurance Programs	'
Insurance program, Company's risk per claim	0
General liability	'
Insurance Programs	'
Insurance program, Company's risk per claim	0
D&O coverage \| Minimum	'
Insurance Programs	'
Insurance program, Company's risk per claim	100
D&O coverage \| Maximum	'
Insurance Programs	'
Insurance program, Company's risk per claim	$250

Commitments_and_Contingencies_1

Commitments and Contingencies (Details 2) (Derivative complaints)	9 Months Ended
	Sep. 30, 2013
	Claim
Derivative complaints	'
Legal Proceedings & Investigations	'
Number of lawsuits consolidated into a single action	4

Acquisitions_Details

Acquisitions (Details) (USD $)	9 Months Ended		0 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Jul. 19, 2013
	Sep. 30, 2013	Sep. 30, 2012	Indiana Home Care Network
Acquisitions	'	'	'
Assets acquired	'	'	$12,500,000
Cash paid	12,011,000	538,000	12,000,000
Common stock issued	'	'	500,000
Purchase price allocated to accounts receivable and property plant and equipment	'	'	$700,000

Income_Taxes_Details

Income Taxes (Details) (USD $)	3 Months Ended		9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Income Taxes	'	'	'	'
Effective income tax rates (as a percent)	39.50%	39.20%	39.50%	39.00%
Uncertain tax positions	$0	'	$0	'

Subsequent_Events_Details

Subsequent Events (Details) (Subsequent event, USD $)	1 Months Ended	0 Months Ended
In Millions, unless otherwise specified	Oct. 31, 2013	Nov. 04, 2013	Nov. 04, 2013	Nov. 04, 2013
	Imperium	Omni Home Health Holdings, Inc. and subsidiaries	Omni Home Health Holdings, Inc. and subsidiaries	Omni Home Health Holdings, Inc. and subsidiaries
		item	Expects	Expects
				VN segment
Subsequent Events	'	'	'	'
Interest acquired (as a percent)	61.50%	'	'	'
Acquisition price	$5.80	$75.50	'	'
Amount used by acquiree for general corporate purposes including pursuit of business plan	3	'	'	'
Amount of debt assumed	'	0	'	'
Revenue	'	'	$150	$134
Number of states	'	9	'	'