LOUISVILLE, Ky., Aug. 5 /PRNewswire-FirstCall/ -- Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, announced today its financial results for the three months and six months ended June 30, 2008.

William B. Yarmuth, Chairman and CEO, commented, "By all measures, 2008 has been a period of outstanding accomplishments by Almost Family. We're reporting record revenues and earnings, a continuation of our aggressive growth strategy and the achievement of numerous capital market milestones. I couldn't be more pleased with our financial report for the second quarter, in particular with our 33% organic revenue growth rate in our VN segment. Total revenue growth in the VN segment, where we focus most of our effort, was 66% over the same quarter last year and 30% over the first quarter of 2008. All of this serves as further validation that we are on the right track as we move forward into the second half of the year."

Second Quarter Financial Results

Almost Family reported second quarter 2008 net service revenues of $48.7 million, a 50% increase from $32.5 million in the second quarter of 2007. Operating income for the second quarter of 2008 increased to 14% of net service revenues versus 11% for the second quarter of 2007.

Net income for the second quarter of 2008 was $3.9 million, or $0.50 per diluted share, compared to $2.0 million, or $0.35 per diluted share, in the second quarter of 2007. The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 39% between periods as the Company completed a common stock offering, of 2,512,500 shares in the second quarter of 2008.

The number of days sales outstanding in accounts receivable, or DSO, for the three months ended June 30, 2008, decreased to 47 days, compared to 51 days for the three months ended March 31, 2008. The decline in DSO was attributable to resolved billing issues related to Medicare claims, partially offset by rapid growth from acquisitions and organic initiatives.

Second Quarter Segment Results

Net revenues in the Visiting Nurse segment for the second quarter of 2008 were $38.9 million, a 66% increase from $23.5 million in the second quarter of 2007. The total revenue growth of $15.4 million came from a 33% organic growth rate plus $7.6 million from acquired operations. Operating income before corporate expense in the VN segment for the second quarter 2008 was $8.6 million, an 88% increase from $4.6 million in the second quarter 2007.

Net revenues in the Personal Care (PC) segment for the second quarter of 2008 were $9.8 million, a 9% increase from $9.0 million in the second quarter of 2007. Operating income before corporate expense in the PC segment for the second quarter of 2008 was $821,000.

Six Month Period Ended June 30, 2008

Almost Family reported net service revenues for the six month period ended June 30, 2008 of $87.7 million, a 37% increase from $64.3 million in the same period last year. Operating income for the six month period increased to 13% of net service revenues versus 11% for the prior year period.

Net income for the six month period was $6.4 million, or $0.95 per diluted share, compared to $3.6 million, or $0.65 per diluted share, in the prior year period. The weighted average shares outstanding for purposes of calculating diluted earnings per share increased 21% between periods.

Six Month Period Segment Results

Net revenues in the Visiting Nurse (VN) segment for the six month period of 2008 were $68.7 million, a 48% increase from $46.5 million in the same period last year. The total revenue growth of $22.2 million came from a 25% organic growth rate plus $10.6 million from acquired operations. The six month results included results from the Quality of Life acquisition completed in late October of 2007 and results from the Apex Home Healthcare acquisition completed in late March 2008. Operating income before corporate expense in the VN segment for the six month period was $14.0 million, a 58% increase from $8.9 million in the same period last year.

Net revenues in the Personal Care (PC) segment for the six month period were $19.0 million, a 7% increase from $17.8 million in the same period last year. Operating income before corporate expense in the PC segment for the six month period was $1.6 million, a 9% decrease from $1.7 million in the same period last year.

Recent Corporate Developments

On April 16, 2008, Almost Family completed a common stock offering of 2,250,000 shares at $17.75 per share, which generated net proceeds of $37.3 million.

On May 9, 2008, Almost Family announced that the underwriter of the public offering exercised its over-allotment option in part and purchased 262,500 additional shares of common stock at the public offering price of $17.75 per share.

On June 16, 2008, Almost Family was named one of Fortune Small Business' 100 fastest-growing small public companies.

On June 27, 2008, Almost Family was added to the Russell 2000(R) Index.

On July 15, 2008, Almost Family established a new $75.0 million senior secured multi-bank credit facility replacing its previous facility.

On August 1, 2008, Almost Family completed the acquisition of Patient Care for $45.2 million, subject to a working capital adjustment. The acquisition was previously under a definitive agreement signed on June 18, 2008. The acquisition added $47 million in annual revenues and eight locations in New Jersey, Connecticut, and Pennsylvania. Due to the transition, wind down costs and the timing of the close, the acquisition is not expected to contribute significantly to earnings in 2008 but is expected to be accretive to EPS in 2009.

Conference Call

A conference call to review the results will begin today at 11:00 a.m. ET and will be hosted by William B. Yarmuth, President and Chief Executive Officer, and Steve Guenthner, Senior Vice President and Chief Financial Officer. To participate in the conference call, please dial 1-877-407-0789 (USA) or 1-201-689-8562 (International). In addition, a dial-up replay of the conference call will be available beginning today at 12:00 p.m. ET and ending on August 19, 2008. The replay telephone number is 1-877-660-6853 (USA) or 1- 201-612-7415 (International) along with the account number 3055 and conference ID 291752.


    A live webcast of the call will also be available from the Investor
Relations section on the corporate web site at http://www.almostfamily.com. A
webcast replay can be accessed on the corporate web site beginning August 5,
2008 at approximately 12:00 p.m. ET and will remain available until September
5, 2008.

    Almost Family, Inc.      The Ruth Group
    Steve Guenthner          Investor Relations
    (502) 891-1000           Stephanie Carrington / Jared Hoffman
                             (646) 536-7017 / 7013
                             scarrington@theruthgroup.com
                             jhoffman@theruthgroup.com



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF INCOME
                                 (UNAUDITED)

                                                Three months ended June 30,
                                                   2008              2007

     Net service revenues                      $48,700,372       $32,509,503
     Cost of service revenue                    22,780,475        15,541,684
     Gross margin                               25,919,897        16,967,819
     General and administrative expenses:
        Salaries and benefits                   12,988,447         8,835,801
        Other                                    6,261,283         4,616,580
     Total general and administrative
      expenses                                  19,249,730        13,452,381
     Operating income                            6,670,167         3,515,438
     Interest expense, net                        (170,756)         (241,220)
     Income from continuing operations
      before income taxes                        6,499,411         3,274,218
     Income tax expense                         (2,600,457)       (1,310,738)
     Net income from continuing
      operations                                 3,898,954         1,963,480
     Discontinued operations, net of tax
      of ($22,619) and $2,348                      (34,936)           17,642
     Net income                                 $3,864,018        $1,981,122


     Per share amounts-basic:
        Average shares outstanding               7,642,806         5,433,679
        Income from continued operations             $0.51             $0.36
        Loss from discontinued operations                -                 -
     Net income                                      $0.51             $0.36

     Per share amounts-diluted:
        Average shares outstanding               7,809,475         5,638,665
        Income from continued operations             $0.50             $0.35
        Loss from discontinued operations                -                 -
     Net income                                      $0.50             $0.35



                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                        CONSOLIDATED STATEMENTS OF INCOME
                                   (UNAUDITED)

                                                 Six months ended June 30,
                                                  2008              2007

     Net service revenues                      $87,727,325       $64,282,682
     Cost of service revenue                    41,402,549        30,979,221
     Gross margin                               46,324,776        33,303,461
     General and administrative expenses:
        Salaries and benefits                   23,540,855        17,681,653
        Other                                   11,664,808         8,886,067
     Total general and administrative
      expenses                                  35,205,663        26,567,720
     Operating income                           11,119,113         6,735,741
     Interest expense, net                        (378,757)         (496,928)
     Income from continuing operations
      before income taxes                       10,740,356         6,238,813
     Income tax expense                         (4,266,792)       (2,450,052)
     Net income from continuing
      operations                                 6,473,564         3,788,761
     Discontinued operations, net of tax
      of ($50,902) and ($35,048)                   (78,620)         (141,348)
     Net income                                 $6,394,944        $3,647,413


     Per share amounts-basic:
        Average shares outstanding               6,592,203         5,400,946
        Income from continued operations             $0.98             $0.70
        Loss from discontinued operations            (0.01)            (0.03)
     Net income                                      $0.97             $0.67

     Per share amounts-diluted:
        Average shares outstanding               6,753,403         5,602,962
        Income from continued operations             $0.96             $0.68
        Loss from discontinued operations            (0.01)            (0.03)
     Net income                                      $0.95             $0.65



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                         CONSOLIDATED BALANCE SHEETS


                                            June 30, 2008
     ASSETS                                  (UNAUDITED)    December 31, 2007
     CURRENT ASSETS:
     Cash and cash equivalents                  $16,480,426          $473,222
     Accounts receivable - net                   25,011,813        16,965,316
     Prepaid expenses and other current
      assets                                      1,824,294         1,203,454
     Deferred tax assets                          2,811,047         1,829,895
     TOTAL CURRENT ASSETS                        46,127,580        20,471,887

     PROPERTY AND EQUIPMENT - NET                 1,877,916         1,458,844

     GOODWILL AND OTHER INTANGIBLE ASSETS        58,795,818        45,155,300

     OTHER ASSETS                                   287,046           274,359
     TOTAL ASSETS                              $107,088,360       $67,360,390

     LIABILITIES AND STOCKHOLDERS' EQUITY
     CURRENT LIABILITIES:
     Accounts payable                            $3,281,899        $3,943,555
     Accrued other liabilities                    9,810,654        10,369,346
     Current portion - capital leases and
      notes payable                               4,596,945           653,891
     TOTAL CURRENT LIABILITIES                   17,689,498        14,966,792

     LONG-TERM LIABILITIES:
     Revolving credit facility                          -          12,386,783
     Notes payable                                3,000,000         4,000,000
     Long-term deferred tax liabilities           1,481,750           776,672
     Other liabilities                              417,006           388,230
     TOTAL LONG-TERM LIABILITIES                  4,898,756        17,551,685
     TOTAL LIABILITIES                           22,588,254        32,518,477

     STOCKHOLDERS EQUITY:
     Preferred stock, par value $0.05;
      authorized 2,000,000 shares; none
      issued or outstanding                             -                 -
     Common stock, par value $0.10;
      authorized 10,000,000 shares;
      8,131,790 and 7,808,819
      issued and outstanding                        813,179           780,882
     Treasury stock, at cost, 2,276,898
      shares                                            -          (8,877,641)
     Additional paid-in capital                  64,551,981        30,198,671
     Retained earnings                           19,134,946        12,740,001
               TOTAL STOCKHOLDERS' EQUITY        84,500,106        34,841,913
     TOTAL LIABILITIES AND STOCKHOLDERS'
      EQUITY                                   $107,088,360       $67,360,390



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (UNAUDITED)
                                                   Six months ended June 30,
                                                    2008               2007
     Cash flows from operating
      activities:
        Net income                               $6,394,944        $3,647,413
           Loss from discontinued operations        (78,620)         (141,348)
     Income from continuing operations            6,473,564         3,788,761
     Adjustments to reconcile income from
      continuing operations to
     net cash provided by operating
      activities:
        Depreciation and amortization               642,674           428,888
        Provision for uncollectible accounts      1,221,959           402,711
        Stock-based compensation                    333,332           202,371
        Deferred income taxes                      (276,073)          355,771
                                                  8,395,456         5,178,502
     Change in certain net current
      assets, net of the effects of
      acquisitions:
        (Increase) decrease in:
        Accounts receivable                      (6,787,893)       (2,600,820)
        Prepaid expenses and other current
         assets                                    (577,650)         (247,401)
        Other assets                                (12,687)          (29,519)
     Increase (decrease) in:
        Accounts payable and accrued
         expenses                                   397,696           165,801
     Net cash provided by operating
      activities                                  1,414,922         2,466,563

     Cash flows from investing
      activities:
        Capital expenditures                       (322,053)         (272,855)
        Acquisitions, net of cash acquired      (14,493,231)         (547,599)
     Net cash used in investing
      activities                                (14,815,284)         (820,454)

     Cash flows from financing
      activities:
        Net revolving credit facility
         repayments                             (12,387,721)       (1,178,323)
        Proceeds from stock option exercises         42,800           107,187
        Purchase of common stock in
         connection with option exercises                 -        (3,804,883)
        Tax benefit from non-qualified stock
         option exercises                            78,667           677,954
        Proceeds from stock offering             41,808,449                 -
        Principal payments on capital leases
         and notes payable                          (56,009)       (1,013,720)
     Net cash provided by (used in)
      financing activities                       29,486,186        (5,211,785)

     Cash flows from discontinued
      operations
     Operating Activities                           (78,620)         (141,348)
     Investing Activities                                 -                 -
     Financing Activities                                 -                 -
     Net cash used in discontinued
      operations                                    (78,620)         (141,348)

     Net increase (decrease) in cash and
      cash equivalents                           16,007,204        (3,707,024)
     Cash and cash equivalents at
      beginning of period                           473,222         4,125,592
     Cash and cash equivalents at end of
      period                                    $16,480,426          $418,568

     Summary of non-cash investing and
      financing activities:
     Acquisitions funded by notes payable        $3,000,000              $-
     Acquisitions funded by stock                $1,000,000              $-



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                             RESULTS OF OPERATIONS

                                 Three months ended June 30,

                       2008                 2007               Change
                      Amount   % Rev       Amount   % Rev      Amount     %
     Net revenues
       Visiting
        Nurse      $38,857,909  79.8%  $23,460,195  72.2%   $15,397,714  65.6%
       Personal
        Care         9,842,463  20.2%    9,049,308  27.8%       793,155   8.8%
                    48,700,372 100.0%   32,509,503 100.0%    16,190,869  49.8%
     Operating
      income
       Visiting
        Nurse        8,586,003  22.1%    4,566,721  19.5%     4,019,282  88.0%
       Personal
        Care           820,534   8.3%    1,052,642  11.6%     (232,108) -22.1%
     Operating
      income before
      unallocated
      corporate
      expenses       9,406,537  19.3%    5,619,363  17.3%     3,787,174  67.4%
     Corporate
      expenses       2,736,370   5.6%    2,103,925   6.5%       632,445  30.1%
     Operating
      income         6,670,167  13.7%    3,515,438  10.8%     3,154,729  87.7%
     Interest
      expense, net    (170,756)  0.4%     (241,220)  0.7%        70,464 -29.2%
     Income taxes   (2,600,457)  5.3%   (1,310,738)  4.0%    (1,289,719) 98.4%
     Net income
      from continuing
      operations    $3,898,954   8.0%   $1,963,480   6.0%    $1,953,474  98.6%

     EBITDA from
      continuing
      operations    $7,214,248  14.8%   $3,864,105  11.9%    $3,350,143  86.7%



                     ALMOST FAMILY, INC. AND SUBSIDIARIES
                             RESULTS OF OPERATIONS

                                Six months ended June 30,

                       2008                2007              Change
                      Amount   % Rev      Amount   % Rev      Amount    %
     Net revenues
       Visiting
        Nurse      $68,696,167  78.3%  $46,508,313  72.3%  $22,187,854  47.7%
       Personal
        Care        19,031,158  21.7%   17,774,368  27.7%    1,256,789   7.1%
                    87,727,325 100.0%   64,282,682 100.0%   23,444,643  36.5%
     Operating
      income
       Visiting
        Nurse       14,040,673  20.4%    8,882,511  19.1%    5,158,162  58.1%
       Personal
        Care         1,562,027   8.2%    1,714,016   9.6%    (151,989)  -8.9%
     Operating
      income before
      unallocated
      corporate
      expenses      15,602,700  17.8%   10,596,527  16.5%    5,006,173  47.2%
     Corporate
      expenses       4,483,587   5.1%    3,860,786   6.0%      622,801  16.1%
     Operating
      income        11,119,113  12.7%    6,735,741  10.5%    4,383,372  65.1%
     Interest
      expense, net    (378,757)  0.4%     (496,928)  0.8%      118,171 -23.8%
     Income taxes   (4,266,792)  4.9%   (2,450,052)  3.8%   (1,816,740) 74.2%
     Net income
      from continuing
      operations    $6,473,564   7.4%   $3,788,761   5.9%   $2,684,803  70.9%

     EBITDA from
      continuing
      operations   $12,095,119  13.8%   $7,367,000  11.5%   $4,728,119  64.2%




                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     VISITING NURSE SEGMENT OPERATING METRICS

                                         Three months ended June 30,

                                       2008         2007        Change
                                      Amount       Amount       Amount    %

     Average number of locations          58           47           11  23.4%

     All payors:
     Admissions                        9,400        7,311        2,089  28.6%
     Billable Visits                 240,757      143,078       97,679  68.3%

     Medicare Statistics:
     Revenue                     $36,428,290  $21,703,970  $14,724,320  67.8%
       Percentage of total
        revenues                        93.7%        92.5%
       Billable Visits               222,673      129,704       92,969  71.7%
       Admissions                      8,638        6,569        2,069  31.5%
       Episodes                       12,485        8,058        4,427  54.9%

       Revenue per episode            $2,918       $2,693         $224   8.3%
       Visits per episode               18.7         17.3          1.4   8.1%




                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     PERSONAL CARE SEGMENT OPERATING METRICS

                                              Three months ended June 30,
                                            2008      2007    Change
                                           Amount    Amount   Amount     %

     Average number of locations                23        23     -        -

     Admissions                                569       639     (70)  -11.0%
     Patient Days of Care                  131,525   126,515   5,010     4.0%
     Billable Hours                        518,555   514,586   3,969     0.8%

     Revenue per billable hours             $18.98    $17.59   $1.39     7.9%



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     VISITING NURSE SEGMENT OPERATING METRICS

                                          Six months ended June 30,
                                       2008         2007        Change
                                      Amount       Amount       Amount    %

     Average number of locations          58           47           11  23.4%

     All payors:
     Admissions                       17,810       14,816        2,994  20.2%
     Billable Visits                 428,097      286,617      141,480  49.4%

     Medicare Statistics:
     Revenue                     $64,397,617  $43,261,558  $21,136,059  48.9%
       Percentage of total
        revenues                        93.7%        93.0%
       Billable Visits               393,078      260,364      132,714  51.0%
       Admissions                     16,223       13,375        2,848  21.3%
       Episodes                       22,839       16,194        6,645  41.0%

       Revenue per episode            $2,820       $2,671         $149   5.5%
       Visits per episode               18.9         17.4          1.5   8.7%



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                     PERSONAL CARE SEGMENT OPERATING METRICS

                                                 Six months ended June 30,
                                              2008       2007     Change
                                             Amount     Amount    Amount   %

     Average number of locations                 23         23     -      -

     Admissions                               1,447      1,451      (4) -0.3%
     Patient Days of Care                   262,986    250,414  12,572   5.0%
     Billable Hours                       1,026,106  1,029,175  (3,069) -0.3%

     Revenue per billable hours              $18.55     $17.27   $1.28   7.4%


Non-GAAP Financial Measure

The information provided in the tables in this release includes certain non-GAAP financial measures as defined under Securities and Exchange Commission (SEC) rules. In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures.

EBITDA:

EBITDA is defined as income before depreciation and amortization, net interest expense and income taxes. EBITDA is not a measure of financial performance under accounting principles generally accepted in the United States of America. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. The items excluded from EBITDA are significant components in understanding and evaluating financial performance and liquidity. Management routinely calculates and communicates EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within our industry to evaluate performance, measure leverage capacity and debt service ability, and to estimate current or prospective enterprise value. EBITDA is also used in certain covenants contained in our credit agreement.

The following tables set forth a reconciliation of Continuing Operations Net Income to EBITDA:




                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                            RECONCILIATION OF EBITDA

     RECONCILIATION OF EBITDA:                  Three months ended June 30,
                                                   2008              2007
     Net income from continuing
      operations                                $3,898,954        $1,963,480
     Add back:
       Interest income (expense)                   170,756           241,220
       Income taxes                              2,600,457         1,310,738
       Depreciation and amortization               336,791           218,170
       Amortization of stock-based
        compensation                               207,290           130,497
     Earnings before interest, income
      taxes,
     depreciation and amortization
      EBITDA)
     from continuing operations                 $7,214,248        $3,864,105



                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                             RECONCILIATION OF EBITDA

     RECONCILIATION OF EBITDA:                    Six months ended June 30,
                                                   2008               2007
     Net income from continuing
      operations                                 $6,473,564        $3,788,761
     Add back:
       Interest income (expense)                    378,757           496,928
       Income taxes                               4,266,792         2,450,052
       Depreciation and amortization                642,674           428,888
       Amortization of stock-based
        compensation                                333,332           202,371
     Earnings before interest, income
      taxes,
     depreciation and amortization
      EBITDA)
     from continuing operations                 $12,095,119        $7,367,000

About Almost Family

Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing services, with branch locations in Florida, Kentucky, Connecticut, New Jersey, Ohio, Massachusetts, Alabama, Missouri, Illinois, Pennsylvania, and Indiana (in order of revenue significance). Almost Family, Inc. and its subsidiaries operate a Medicare-certified segment and a personal care segment. Altogether, Almost Family operates 89 branch locations in 11 U.S. states.

Forward Looking Statements

All statements, other than statements of historical facts, included in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of forward-looking terminology such as "may," "will," "expect," "believe," estimate," "project," anticipate," "continue," or similar terms, variations of those terms or the negative of those terms. These forward-looking statements are based on the Company's current plans, expectations and projections about future events.

Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. The potential risks and uncertainties which could cause actual results to differ materially include: regulatory approvals or third party consents may not be obtained, the impact of further changes in healthcare reimbursement systems, including the ultimate outcome of potential changes to Medicare reimbursement for home health services and to Medicaid reimbursement due to state budget shortfalls; the ability of the Company to maintain its level of operating performance and achieve its cost control objectives; changes in our relationships with referral sources; the ability of the Company to integrate acquired operations; government regulation; health care reform; pricing pressures from Medicare, Medicaid and other third-party payers; changes in laws and interpretations of laws relating to the healthcare industry; and the Company's self-insurance risks. For a more complete discussion regarding these and other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended December 31, 2007, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and "Risk Factors." The Company undertakes no obligation to update or revise its forward-looking statements.

SOURCE Almost Family, Inc.