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Almost Family Announces Quarterly and Year End Results

FY 2006 EPS from Continuing Operations up 67% over 2005, excluding one-time
                                   items

    LOUISVILLE, Ky., March 12 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM) today announced its operating results for the quarter and
year ended December 31, 2006.
    Fourth Quarter Financial Highlights
    -- Net Income From Continuing Operations -- As Reported was $1,395,586 or
       $0.26 per diluted share in the quarter ended December 31, 2006 as
       compared to $1,272,396 or $0.24 per diluted share in the same quarter
       of 2005.
    -- Net Income From Continuing Operations -- As Adjusted, (excluding for
       2005 a one-time litigation settlement gain and the effect of changes in
       state income tax valuation allowances), was $1,395,586 or $0.26 per
       diluted share in the quarter ended December 31, 2006 as compared to
       $852,299 or $0.16 per diluted share in the same quarter of 2005 for
       diluted EPS growth of 63%.
    -- Consolidated revenues increased approximately 36% over the same quarter
       last year.
    -- The Company's VN segment revenues grew 63% over the same quarter last
       year.

    Fiscal Year Financial 2006 Highlights
    -- Net Income From Continuing Operations -- As Reported was $4,273,526 or
       $0.80 per diluted share in 2006 as compared to $2,950,607 or $0.57 per
       diluted share in 2005.
    -- Net Income From Continuing Operations -- As Adjusted, (excluding for
       2005 a one-time litigation settlement gain and the effect of changes in
       state income tax valuation allowances), was $4,273,526 or $0.80 per
       diluted share in 2006 as compared to $2,530,510 or $0.48 per diluted
       share in 2005 for diluted EPS growth of 67%
    -- Consolidated revenues increased approximately 22% over last year
    -- The Company's VN segment revenues grew 39% over last year
    -- During 2006, the Company invested approximately $25 million of capital
       in acquisitions and startup home health agencies.

    William B. Yarmuth, AFAM's Chairman and CEO commented on the results:
    "We are extremely pleased to report our fourth quarter results.
Excluding 2005 one-time items our diluted earnings per share from
continuing operations increased 63%. All three prongs of our growth
strategy: 1) same store sales growth, 2) startups and 3) acquisitions
continue to contribute significantly to our performance. In 2006 we were
once again able to dramatically improve our earnings per share and EBITDA,
complete acquisitions with a combined annual revenue run rate of over $30
million, generate meaningful internal revenue growth and still exit the
year with substantial financial capacity to fuel continued future growth."
    "In 2006 our shareholders saw an unprecedented increase in the value of
their investment. This is a direct result of the continued commitment and
dedication of all our employees, and I thank them sincerely for their
outstanding efforts."
    Quarterly Discussion
    Net Income From Continuing Operations -- As Reported grew 10% to
$1,395,586 or $0.26 per diluted share for the December 2006 quarter as
compared to $1,272,396 or $0.24 per diluted share in the December 2005
quarter (which including a net gain on litigation settlement of $267,426 or
$0.05 per diluted share and the effect of revised state income tax
valuation allowances of $152,671 or $0.03 per diluted share). Revenues grew
36% to $26.2 million in the December 2006 quarter from $19.2 million in the
December 2005 quarter. The quarter ended December 2006 included
approximately $2 million of revenue from the Mederi acquisition completed
December 3, 2006.
    Revenues in the Company's "Caretenders" Visiting Nurse (VN) segment
grew 63% over the same period last year. Acquired operations contributed
approximately $3.7 million of that revenue growth. The $2.8 million balance
of the VN revenue increase came from internal growth.
    Net income including discontinued operations, was $1,469,065 or $0.27
per diluted share in the quarter ended December 31, 2006 and $1,483,036 or
$0.28 per diluted share in 2005.
    Results of operations for the quarters ended December 31, 2006 and 2005
     are set forth in the tables below:

                     December           December
                       2006               2005                Change

                      Amount   % Rev     Amount     % Rev     Amount       %
    Net revenues
      Visiting
       Nurses      $17,020,943  64.9% $10,474,930   54.5%  $6,546,013    62.5%
      Personal
       Care          9,204,785  35.1%   8,748,558   45.5%     456,227     5.2%
                   $26,225,728 100.0% $19,223,488  100.0%  $7,002,240    36.4%

    Operating
     income
      Visiting
       Nurses       $3,166,646  18.6%  $1,402,663   13.4%  $1,763,983   125.8%
      Personal
       Care          1,141,844  12.4%     958,074   11.0%     183,770    19.2%
                     4,308,490  16.4%   2,360,737   12.3%   1,947,753    82.5%

    Unallocated
     corporate
     expenses        1,956,353   7.5%   1,083,579    5.6%     872,774    80.5%
                     2,352,137   9.0%   1,277,158    6.6%   1,074,979    84.2%

    Litigation
     settlement
     gain                    -   0.0%    (267,426)  -1.4%     267,426  -100.0%
    Interest
     expense/
     (income)           39,780   0.2%     (69,433)  -0.4%     109,213  -157.3%
    Pre-tax
     income          2,312,357   8.8%   1,614,017    8.4%     698,340    43.3%
    Income taxes       916,771   3.5%     341,621    1.8%     575,150   168.4%
    Net income
     from
     continuing
     operations     $1,395,586   5.3%  $1,272,396    6.6%    $123,190     9.7%
    Income (loss)
     from
     discontinued
     operations,
     net of tax         73,479            143,727             (70,248)     NM
    Gain on sale
     of ADC seg-
     ment, net
     of tax                  -             66,913             (66,913)     NM
    Net income      $1,469,065         $1,483,036            $(13,971)     NM

    Diluted
     earnings per
     share
      Diluted
       shares
       outstand-
       ing(1)        5,394,000         5,307,554               86,446     1.6%

      Continuing
       operations        $0.26             $0.24                $0.02     8.3%
      Discontinued
       operations         0.01              0.03                (0.02)     NM
      Gain on
       sale of ADC
       segment               -              0.01                (0.01)     NM
                         $0.27             $0.28               $(0.01)     NM

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007

    Continuing
     Operations
     As Adjusted,
     (excluding
     litigation
     settlement
     gain and
     one-time
     income tax
     item)
      EBITDA        $2,561,367        $1,332,398           $1,228,969    92.2%
      Net income    $1,395,586          $852,299             $543,287    63.7%
      Diluted EPS        $0.26             $0.16                $0.10    62.5%
      Effective tax
       rate               39.6%             36.7%                 2.9%



    Year End Results
    Net Income From Continuing Operations -- As Reported grew 45% to
$4,273,526 or $0.80 per diluted share for the year ended December 2006 as
compared to $2,950,607 or $0.57 per diluted share in 2005 (which included a
net gain on litigation settlement of $267,426 or $0.05 per diluted share
and the effect of revised state income tax valuation allowances of $152,671
or $0.03 per diluted share). Revenues grew 22% to $91.8 million in 2006
from $75.1 million in 2005.
    Revenues in the VN segment grew 39% over the same period last year.
Acquired operations contributed approximately $6.1 million of that revenue
growth. The $9.4 million balance of the VN revenue increase came from
internal growth. Net income including discontinued operations, was
$4,239,444 or $0.80 per diluted share in the year ended December 31, 2006
and $7,868,468 or $1.51 per diluted share (including a gain on the sale of
the adult day care segment of $5,205,698 or $2.00 per diluted share) in
2005.
    Results of operations for the years ended December 31, 2006 and 2005 are
     set forth in the tables below:

                     December           December
                       2006               2005                Change

                      Amount   % Rev     Amount     % Rev     Amount       %
    Net revenues
      Visiting
       Nurses      $55,190,258  60.1%  $39,732,561  52.9% $15,457,697    38.9%
      Personal
       Care         36,621,690  39.9%   35,354,834  47.1    1,266,856     3.6%
                   $91,811,948 100.0%  $75,087,395 100.0%  16,724,553    22.3%

    Operating
     income
       Visiting
        Nurses      $9,004,859  16.3%   $5,372,837  13.5%  $3,632,022    67.6%
       Personal
        Care         3,781,372  10.3%    3,278,887   9.3%     502,485    15.3%
                    12,786,231  13.9%    8,651,724  11.5%   4,134,507    47.8%

    Unallocated
     corporate
     expenses        5,749,115   6.3%    4,449,661   5.9%   1,299,454    29.2%
                     7,037,116   7.7%    4,202,063   5.6%   2,835,053    67.5%

    Litigation
     settlement
     gain                    -     -%     (267,426) -0.4%     267,426  -100.0%
    Interest expense   (54,440) -0.1%      112,608   0.1%    (167,048) -148.3%
    Pre-tax income   7,091,556   7.7%    4,356,881   5.8%   2,734,675    62.8%
    Income taxes     2,818,030   3.1%    1,406,274   1.9%   1,411,756   100.4%
    Net income from
     continuing
     operations     $4,273,526   4.7%   $2,950,607   3.9%  $1,322,919    44.8%
    Income (loss)
     from
     discontinued
     operations,
     net of tax        (34,082)           (149,325)           115,243      NM
    Gain on sale of
     ADC segment             -           5,067,186         (5,067,186)     NM
        Net income  $4,239,444          $7,868,468        $(3,629,024)     NM

    Diluted earnings
     per share
      Diluted
       shares out-
       standing (1)  5,326,997           5,218,658            108,339     2.1%

      Continuing
       operations        $0.80               $0.57              $0.23    42.1%
      Discontinued
       operations            -               (0.03)              0.03      NM
      Gain on sale
       of ADC
       segment               -                0.97              (0.97)     NM
                         $0.80               $1.51             $(0.71)     NM

    (1) shares adjusted to give effect to 2-for-1 share split completed in
        January 2007


    Continuing
     Operations
     -- As
     Adjusted,
     (excluding
     litigation
     settlement
     gain and
     one-time
     income tax
     item):
       EBITDA       $8,040,882          $5,391,292       $2,649,590      49.1%
       Net income   $4,273,526          $2,530,510       $1,743,016      68.9%
       Diluted EPS       $0.80               $0.48            $0.32      66.7%
       Effective
        tax rate          39.7%               38.1%             1.6%



    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.
    Net Income From Continuing Operations -- As Adjusted
    Although "Net Income From Continuing Operations -- As Adjusted" is a
non- GAAP financial measure, management believes that the presentation of
net income as calculated using a normalized tax rate, which, for 2005,
excludes the nonrecurring tax benefits as described in Note 1, and
excluding the litigation settlement gain as described in Note 2, is a
useful adjunct to "Net Income From Continuing Operations -- As Reported"
under GAAP because it measures the Company's financial performance in a
consistent manner between the results for the fourth quarters and fiscal
years 2006 and 2005 and since these adjustments represent special or
non-recurring items. For these reasons, management believes that "Net
Income From Continuing Operations -- As Adjusted" is useful to investors.
Investors should not view "Net Income From Continuing Operations -- As
Adjusted" as an alternative to the GAAP measure of net income.
    The following table sets forth a reconciliation of Net Income From
Continuing Operations -- As Reported to Net Income From Continuing Operations
-- As Adjusted:



                       Quarter Ended December 31,    Year Ended December 31,

                           2006         2005          2006            2005
    Net income from
     continuing
     operations - As
     Reported          $1,395,586   $1,272,396    $4,273,526      $2,950,607
    2005 One-time
     items:
      Reduction in
       state income
       tax valuation
       allowance
       (Note 1)                 -     (152,671)            -        (152,671)
      Litigation
       settlement
       gain (Note 2)            -     (267,426)            -        (267,426)
    Net income from
     continuing
     operations - As
     Adjusted          $1,395,586     $852,299    $4,273,526      $2,530,510

    Continuing
     Operations
     Earnings Per
     Diluted Share:
      As Reported           $0.26        $0.24         $0.80           $0.57
      As Adjusted           $0.26        $0.16         $0.80           $0.48


    Note 1:  The Company's income tax provision for 2005 included a one-time
             reduction of $152,671 or $0.03 per diluted share resulting from
             changes in state income tax valuation allowances relating to the
             anticipated realization of net operating loss carry-forwards.
    Note 2:  In December 2005, the Tennessee Court of Appeals issued its
             ruling in the Franklin Litigation, a long contested contract case
             dating back to 1994.  The court partially overturned the findings
             of the trial court thus lowering the amount of damages previously
             assessed to and recorded by the Company.  The Company and the
             plaintiff subsequently entered into a settlement agreement on
             this case which resulted in a one-time net of tax gain of
             $267,426 or $0.05 per diluted share being recorded in the
             Company's results for the quarter and year ended December 31,
             2005.



    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 measurements of borrowing availability and certain
covenants contained in our credit agreement.
    The following table sets forth a reconciliation of Continuing
Operations Net Income -- As Adjusted to EBITDA - As Adjusted:
                         Quarter Ended December 31,   Year Ended December 31,
                              2006         2005           2006         2005
    Net income from
     continuing
     operations - As
     Adjusted           $1,395,586      $852,299      $4,273,526    $2,530,510

    Add back:
      Interest
       expense
       (income)             39,780       (69,433)       (54,440)       112,608
      Income taxes         916,771       341,621      2,818,030      1,558,945
      Depreciation
       & amortization      209,230       207,911      1,003,766      1,189,229

    Earnings from
     continuing
     operations Before
     Interest, Income
     Taxes, Depreciation
     & Amortization
     (EBITDA) - As
     Adjusted           $2,561,367    $1,332,398      $8,040,882    $5,391,292



    Sale of ADC Operations
    On September 30, 2005 the Company sold its ADC operating segment
resulting in an after tax gain of approximately $5.1 million or $0.97 per
diluted share reported in the year ended December 31, 2005.
    Almost Family, Inc. TM and subsidiaries (collectively "Almost Family")
is a leading regional provider of home health services. The Company has
service locations in Florida, Kentucky, Ohio, Connecticut, Massachusetts,
Missouri, Alabama, Illinois and Indiana and (in order of revenue
significance).
    Contact: William Yarmuth or Steve Guenthner (502) 891-1000.
    All statements, other than statements of historical facts, included in
this news release, including the objectives and expectations of management
for future operating results, the Company's ability to accelerate growth in
its home health operations, the Company's ability to achieve expected cost
savings net of incremental overhead post-acquisition, the ultimate outcome
of the Company's allocation of purchase price to amortizable intangible
assets, the Company's ability to generate positive cash flows, and the
Company's expectations with regard to market conditions, are
forward-looking statements. These forward-looking statements are based on
the Company's current expectations. Although the Company believes that the
expectations expressed or implied in such forward-looking statements are
reasonable, there can be no assurance that such expectations will prove to
be correct.
    Because forward-looking statements involve risks and uncertainties, the
Company's actual results could differ materially. 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 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 Securities and
Exchange Commission filing on Form 10-K for the year ended December 31,
2005, in particular information under the headings "Special Caution
Regarding Forward-Looking Statements" and "Risk Factors." The Company
disclaims any intent or obligation to update its forward-looking
statements.


SOURCE Almost Family, Inc.




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    CONTACT:
    William Yarmuth or Steve Guenthner,
    +1-502-891-1000, both for Almost Family, Inc.