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Almost Family, Inc. Signs Definitive Agreement to Acquire Patient Care, Inc.

  - Adds $47 million in annual revenues and eight locations in New Jersey,
                      Connecticut, and Pennsylvania -

    LOUISVILLE, Ky., June 19 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM), a leading regional provider of home health nursing
services, today announced that it has signed a definitive agreement to
acquire the stock of Patient Care, Inc. This acquisition, the Company's
largest to date, expands Almost Family's presence in the Northeast with
three locations in New Jersey, one in Pennsylvania, and four in
Connecticut. With this acquisition, Almost Family will operate almost 90
branches across 11 states.

    William B. Yarmuth, President and CEO of Almost Family, Inc., noted,
"We are extremely pleased with the acquisition of Patient Care and the
opportunity to expand significantly in our Northeast region. Patient Care
gives us a strong presence in New Jersey, strengthens our presence in
Connecticut and provides us an entry into Pennsylvania. Patient Care has
long standing franchise value in its brand name and we intend to continue
our practice of maintaining acquired brands in the local markets. We are
very excited to have the employees, patients and referral sources of
Patient Care join our growing family of home care companies."

    Bob Nixon, President and CEO of Patient Care, stated, "We carefully
evaluated a number of options before choosing Almost Family as our partner
for growth. The similarities in our cultures and our values make Almost
Family the perfect merger partner and we can rest assured that the future
of Patient Care is in the right hands. Almost Family's industry-leading
qualities, in particular its tradition of being an advocate for the needs
of its patients, are an excellent match for Patient Care's patients,
employees and referral sources. We will be better positioned to build upon
the strength of our branch network to expand our market presence."

    Established in 1975, Patient Care operates Medicare-certified home
health agency locations in three Northeast states. Patient Care is the
largest for-profit home health provider in New Jersey serving four densely
populated counties; is one of the largest providers in Connecticut; and
operates one branch in eastern Pennsylvania. With a total of eight branch
locations, Patient Care generated 2007 annual revenues of approximately $47
million. Ray Rasa, Senior Vice President of Patient Care, will join Almost
Family as its senior home care manager in the Northeast region.

    With this acquisition, Almost Family's annual net revenue run rate
surpasses the $200 million mark. The Company noted that it reached the $100
million milestone just 18 months ago. The Patient Care transaction furthers
the Company's objective of balancing its geographic coverage. In
combination with its existing operations, the Company's Northeast region
should generate over $60 million in annual revenues.

    The total purchase price for the stock is $45.2 million, subject to a
working capital adjustment. Additionally, the Company will assume
approximately $1.3 million in capital lease obligations. The transaction
will be funded from Almost Family's existing cash and borrowings from its
senior secured revolving credit facility. Almost Family expects the
transaction to be completed during the third quarter, subject to regulatory
approvals. Due to 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.

    About Almost Family, Inc.

    Almost Family, Inc., founded in 1976, is a leading regional provider of
home health nursing services, with branch locations in Florida, Kentucky,
Ohio, Connecticut, Massachusetts, Missouri, Alabama, Illinois 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 81 branch locations in nine
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.


Almost Family, Inc. The Ruth Group Steve Guenthner Stephanie Carrington/Jared Hoffman (502) 891-1000 (investors) (646) 536-7017/7013 scarrington@theruthgroup.com jhoffman@theruthgroup.com Jason Rando/Jeneane Smith (media) (646) 536-7025/7021 jrando@theruthgroup.com ajsmith@theruthgroup.com
SOURCE Almost Family, Inc.




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    CONTACT:
    Steve Guenthner of Almost Family, Inc.,
    +1-502-891-1000; for Investors: Stephanie Carrington,
    +1-646-536-7017, scarrington@theruthgroup.com, or Jared Hoffman,
    +1-646-536-7013, jhoffman@theruthgroup.com, both of The Ruth
    Group for Almost Family, Inc., for Media: Jason Rando,
    +1-646-536-7025, jrando@theruthgroup.com, or Jeneane Smith,
    +1-646-536-7021, ajsmith@theruthgroup.com, both of The Ruth Group
    for Almost Family, Inc.