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Almost Family Announces Record First Quarter 2007 Results

     EPS from Continuing Operations up 74% over 2006, Net Income up 97%

    LOUISVILLE, Ky., May 8 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM) today announced its operating results for the quarter ended
March 31, 2007.
    First Quarter 2007 Highlights
    -- Net Income From Continuing Operations was $1,716,168 or $0.30 per
       diluted share in 2007 as compared to $927,650 or $0.18 per diluted
       share in 2006
    -- Consolidated revenues increased approximately 56%
    -- Operating income from continuing operations increased 111%
    -- Net income from continuing operations increased 85%
    -- The Company's VN segment revenues grew 94%
    -- VN markets with no acquisition activity generated 27% revenue growth,
       while markets with acquisitions added $8.5 million to revenue for the
       quarter
    William B. Yarmuth, AFAM's Chairman and CEO commented on the results:
    "We are extremely pleased to report our first quarter results in which
continuing EPS increased by 74%. This is the first full quarter including
the Mederi operations acquired in early December 2006. We've been very
happy with the commitment and loyalty demonstrated by all our employees and
our referral sources as we transition the largest acquisition, so far, in
the history of our Company. Our integration work is on track and the
acquisition has more than met our expectations for first quarter
performance. Perhaps more exciting than our acquisition results, our same
store revenues grew 27% from last year which we take as a reflection of the
market's affirmation of our high level of quality care."
    The Company noted that the quarter's results also include the
operations of a Jacksonville, FL home health agency acquired in
mid-January. Additionally, in January 2007, the Company completed a 2-for-1
stock split. All share and per share information included in this release
has been adjusted to give effect to the split for all periods presented.
The number of weighted average shares outstanding for purposes of
calculating diluted earnings per share increased 6% between periods.
    On April 27, 2007 the Federal Centers for Medicare and Medicaid
Services (CMS) published proposed regulations for Medicare reimbursement
for home health services for 2008. CMS is seeking public comment and will
consider those comments along with other information prior to publishing
final regulations later this year. The Company noted in its May 1, 2007
release on this topic that the proposed regulations are extensive and it
will take some time for its staff to analyze them and estimate, if enacted
in their current form, the impact these changes would have on its home
health agencies.
    Quarterly Discussion
    Net Income From Continuing Operations grew 85% to $1,716,168 or $0.30
per diluted share for the March 2007 quarter as compared to $927,650 or
$0.18 per diluted share in the March 2006 quarter. Revenues grew 56% to
$31.9 million in the March 2007 quarter from $20.5 million in the March
2006 quarter. Revenues in the Company's "Caretenders" Visiting Nurse (VN)
segment grew 94% over the same period last year.
    VN Revenue Comparison
    Due to the significant impact of acquisition activities on VN revenue
growth, the following tables are presented comparing revenue growth by
market type for the quarters ended March 31, 2007 and 2006:
    VN Revenue Comparison
    by Market Type -       # of
    All VN Operations      Mkts    2007          2006       Change    Percent

    Newly acquired markets  17   $6,530,609          $ -   $6,530,609

    Markets with in-market
     acquisitions            7    4,208,806    2,193,862    2,014,945   91.8%
      Acquisition related
       markets              24   10,739,416    2,193,862    8,545,554

    Markets with no
     acquisition
     impact                 23   12,389,258    9,749,181    2,640,076   27.1%
                            47  $23,128,674  $11,943,043  $11,185,630   93.7%
    VN revenues grew approximately $11.2 million between years of which 58%
came from newly acquired markets, 18% came in markets with in-market
acquisitions and 24% came from markets with no acquisition impact.
    The following table provides a comparison of revenues related specifically
to the Mederi acquisition (excludes all markets not impacted by the Mederi
acquisition):

    VN Markets Impacted        # of
     by Mederi                 Mkts     2007          2006       Change

    Newly acquired
     Mederi markets             14   $5,683,530        $  -    $5,683,530

    Mederi markets overlapping
     Almost Family Markets       6    3,647,662    1,728,663    1,918,999
      Mederi related markets    20   $9,331,192   $1,728,663   $7,602,529
    Markets with acquisitions not related to Mederi generated $1,408,224 of
revenue in the quarter ended March 31, 2007 as compared to $465,199 in
2006.
    As noted in our Form 10-K for the year ended December 31, 2006, our
Visiting Nurse segment operations located in Florida normally experience
higher admissions during the March quarter than in the other quarters due
to seasonal population fluctuations.
    Results of operations for the quarters ended March 31, 2007 and 2006
are set forth in the tables below:
                      March              March
                      2007               2006                Change
                     Amount  % Rev       Amount  % Rev       Amount      %
    Net revenues
      Visiting
       Nurses     $23,128,674  72.4%  $11,943,043  58.2%  $11,185,630   93.7%
      Personal
       Care         8,820,641  27.6%    8,568,279  41.8%      252,362    2.9%
                  $31,949,314 100.0%  $20,511,323 100.0%  $11,437,992   55.8%

    Operating income
      Visiting
       Nurses      $4,488,865  19.4%   $2,032,199  17.0%   $2,456,666  120.9%
      Personal
       Care           497,953   5.6%      568,928   6.6%      (70,974) -12.5%
                    4,986,819  15.6%    2,601,126  12.7%    2,385,692   91.7%

    Unallocated
     corporate
     expenses       1,875,628   5.9%    1,127,934   5.5%      747,694   66.3%
      Operating
       Income       3,111,190   9.7%    1,473,192   7.2%    1,637,998  111.2%
    Interest
     expense/
     (income)         255,708   0.8%      (37,999) -0.2%      293,707     NM%
    Pre-tax income  2,855,482   8.9%    1,511,191   7.4%    1,344,291   89.0%
    Income taxes    1,139,313   3.6%      583,541   2.8%      555,772   95.2%
    Net income
     from continuing
     operations    $1,716,168   5.4%     $927,650   4.5%     $788,518   85.0%
    Income (loss)
     from
     discontinued
     operations,
     net of tax       (49,876)            (81,987)             32,111      NM
      Net income   $1,666,293            $845,663            $820,630   97.0%

    Diluted earnings
     per share
      Diluted shares
       outstanding
       (1)          5,639,243           5,299,298             339,945    6.4%
      Continuing
       operations     $  0.30             $  0.18             $  0.13   73.9%
      Discontinued
       operations       (0.01)              (0.02)                  -      NM
                      $  0.30             $  0.16             $  0.14   85.2%

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

    Continuing Operations
      EBITDA       $3,323,156          $1,750,576          $1,572,580   89.8%
      Effective
       tax rate         39.9%               38.6%                1.3%
    Net income including discontinued operations, was $1,666,292 or $0.30
per diluted share in the quarter ended March 31, 2007 and $845,663 or $0.16
per diluted share in 2006. During the quarter ended March 31, 2007, the
Company closed its personal care operations in Cincinnati OH and Ft. Myers
FL and reclassified the results of those operations to discontinued
operations for all periods presented. Revenues from discontinued operations
were approximately $164,000 and $283,000 in the quarters ended March 31,
2007 and 2006, respectively.
    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 measurements of borrowing availability and certain
covenants contained in our credit agreement.
    The following table sets forth a reconciliation of Continuing
Operations Net Income to EBITDA:
                                  Quarter Ended March 31,
  2007    2006
    Net income from continuing operations    $1,716,168    $927,650
    Add back:
      Interest expense (income)                 255,708     (37,999)
      Income taxes                            1,139,313     583,541
      Depreciation & amortization               211,967     277,384

    Earnings from continuing operations
     Before Interest, Income Taxes,
     Depreciation & Amortization (EBITDA)    $3,323,156  $1,750,576
    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).
    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 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, 2006, 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.




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