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        <link:definition>0010 - Statement - CONSOLIDATED BALANCE SHEETS</link:definition>
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        <link:definition>0020 - Statement - CONSOLIDATED STATEMENTS OF INCOME</link:definition>
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        <link:definition>8020 - Disclosure - Net Service Revenues</link:definition>
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        <link:definition>1020 - Disclosure - Segment Data</link:definition>
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      <link:roleType roleURI="http://www.almostfamily.com/role/DisclosureCapitalizedSoftwareDevelopmentCosts" id="DisclosureCapitalizedSoftwareDevelopmentCosts">
        <link:definition>1030 - Disclosure - Capitalized Software Development Costs</link:definition>
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      <link:roleType roleURI="http://www.almostfamily.com/role/DisclosureGoodwillAndOtherIntangibleAssets" id="DisclosureGoodwillAndOtherIntangibleAssets">
        <link:definition>1040 - Disclosure - Goodwill and Other Intangible Assets</link:definition>
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      <link:roleType roleURI="http://www.almostfamily.com/role/DisclosureEarningsPerCommonShare" id="DisclosureEarningsPerCommonShare">
        <link:definition>1080 - Disclosure - Earnings per Common Share</link:definition>
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        <link:definition>8020 - Disclosure - Equity Issuances</link:definition>
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        <link:definition>1100 - Disclosure - Acquisitions</link:definition>
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      <link:roleType roleURI="http://www.almostfamily.com/role/DisclosureIncomeTaxes" id="DisclosureIncomeTaxes">
        <link:definition>1110 - Disclosure - Income Taxes</link:definition>
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        <link:definition>8010 - Disclosure - Discontinued Operations</link:definition>
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      <link:roleType roleURI="http://www.almostfamily.com/role/DisclosureSubsequentEvents" id="DisclosureSubsequentEvents">
        <link:definition>1120 - Disclosure - Subsequent Events</link:definition>
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