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Almost Family, Inc. Completes Acquisition of Patient Care, Inc.

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

    LOUISVILLE, Ky., Aug. 1 /PRNewswire-FirstCall/ -- Almost Family, Inc.
(Nasdaq: AFAM), a leading regional provider of home health nursing
services, today announced that it completed the previously announced
acquisition of Patient Care, Inc.

    William B. Yarmuth, President and CEO of Almost Family, Inc., noted,
"We are extremely pleased to welcome all the employees, the patients, and
referral sources of Patient Care to the Almost Family team. We look forward
to building upon Patient Care's well-known long standing brand name in the
northeast."

    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 operates 89 branches across 11 states.

    Patient Care was acquired for $45.2 million, subject to a working
capital adjustment. Additionally, the Company assumed approximately $1.3
million in capital lease obligations. 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.

    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.

    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,
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.


Almost Family, Inc. Steve Guenthner (502) 891-1000 The Ruth Group Stephanie Carrington / Jared Hoffman (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; or investors, Stephanie Carrington,
+1-646-536-7017, scarrington@theruthgroup.com, or Jared Hoffman,
+1-646-536-7013, jhoffman@theruthgroup.com, or media, Jason
Rando, +1-646-536-7025, jrando@theruthgroup.com, or Jeneane
Smith, +1-646-536-7021, ajsmith@theruthgroup.com, all of The Ruth
Group for Almost Family, Inc.