ALMOST FAMILY INC
10-Q, 2000-11-08
HOME HEALTH CARE SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                                  WASHINGTON, DC 20549

                                    FORM 10-Q


        [ X ] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
                                   EXCHANGE ACT OF 1934

                    For the quarterly period ended September 30, 2000

                                       OR

         [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
                                  EXCHANGE ACT OF 1934

                      For the transition period from ___________to_______


                          Commission file number 1-9848
                                 ALMOST FAMILY, INC. TM
                  (Exact name of registrant as specified in its charter)

                 Delaware                            06-1153720
       (State or other jurisdiction                 (IRS Employer
     of incorporation or organization)           Identification No.)

     100 Mallard Creek Road, Suite 400                  40207
  (Address of principal executive offices)           (Zip Code)


                                     (502) 899-5355
                  (Registrant's telephone number, including area code)

                                 Not Applicable
   (Former  name,  former  address and former fiscal year, if changed since last
report.)

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the  Securities  and  Exchange Act of 1934
during the preceding 12 months (or for such shorter  period that the  registrant
was  required  to file such  reports),  and (2) has been  subject to such filing
requirements for the past 90 days.

                              Yes __X____ No ____.

Indicate the number of shares  outstanding  of each of the  issuer's  classes of
common stock, as of the latest practicable date.

                      Class of Common Stock $.10 par value

                   Shares outstanding at September 30, 2000 3,141,186



<PAGE>



                            ALMOST FAMILY, INC. AND SUBSIDIARIES

                                    FORM 10-Q

                                      INDEX


      Part I.     Financial Information

            Item 1.  Financial Statements

                  Consolidated Balance Sheets as of September 30, 2000
                  and March 31, 2000                                      3


                  Consolidated Statements of Operations for the Three
                  Months ended September 30, 2000 and 1999                4

                  Consolidated Statements of Operations for the Six
                  Months ended September 30, 2000 and 1999                5

                  Consolidated Statements of Cash Flows for the Six
                  Months ended September 30, 2000 and 1999                6


                  Notes to Interim Consolidated Financial Statements   7 - 9


            Item 2.  Management's Discussion and Analysis of Financial
                     Condition and Results of Operations              10 - 16

            Item 3.  Quantitative and Qualitative Disclosures
                     About Market Risk                                   17

      Part II.    Other Information

                  Items 1 through 6                                      18



<PAGE>


                       ALMOST FAMILY, INC. AND SUBSIDIARIES
                       INTERIM CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>


               ASSETS                          September 30,    March 31, 2000
                                                  2000
                                             ---------------   --------------
                                             (UNAUDITED)
<S>                                          <C>                <C>

CURRENT ASSETS
   Cash and cash equivalents                 $    480,058       $ 1,427,937
   Accounts receivable - net                    6,215,574         6,459,004
   Prepaid expenses and other current assets      910,531           301,415
   Net assets of discontinued operations
                                                1,021,432         -
                                             ------------       -----------
        TOTAL CURRENT ASSETS                    8,627,595         8,187,956

PROPERTY AND EQUIPMENT - net                    3,565,549         3,079,636

COST IN EXCESS OF NET ASSETS ACQUIRED - net     2,507,376         2,537,740

DEFERRED TAX ASSETS                             3,429,093         3,429,093

OTHER ASSETS                                      948,900           916,482
                                            -------------       -----------
                                             $ 19,078,513       $18,150,907
                                            =============       ===========

         LIABILITIES AND STOCKHOLDERS' EQUITY


CURRENT LIABILITIES:
   Accounts payable and accrued liabilities  $  5,844,061        $ 5,309,359
                                             ------------        -----------
          TOTAL CURRENT LIABILITIES             5,844,061          5,309,359
                                             ------------        -----------

LONG-TERM LIABILITIES:
   Revolving credit facility                      327,551           651,221
   Other liabilities                              959,084         1,037,296
                                             ------------        ----------
          TOTAL LONG-TERM LIABILITIES           1,286,635         1,688,517
                                             ------------        ----------
          TOTAL LIABILITIES                     7,130,696         6,997,876
                                             ------------        ----------

COMMITMENTS AND CONTINGENCIES

 Stockholders' equity:
     Common stock, par value $.10; authorized
      10,000,000 shares;
      3,141,186 issued and outstanding            315,119           315,119
     Treasury stock, at cost, 10,000 shares       (95,975)          (95,975)
     Additional paid-in capital                25,384,270         25,384,270
     Accumulated deficit                      (13,655,597)       (14,450,383)
                                              ------------       -----------
          TOTAL STOCKHOLDERS' EQUITY           11,947,817         11,153,031
                                              -----------        -----------
                                              $19,078,513        $18,150,907
                                              ===========        ===========


</TABLE>


            See accompanying notes to interim consolidated financial statements.



<PAGE>


                            ALMOST FAMILY, INC. AND SUBSIDIARIES
                  INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)
                                                       Three Months Ended
                                                  ----------------------------
                                                    September      September
                                                     30, 2000       30, 1999
                                                   -------------  -------------

   Net revenues                                   $ 12,545,155    $ 11,105,137
   Cost of sales and services                       10,170,205       9,217,895
   General and administrative expenses                 973,351         966,360
   Depreciation and amortization expense               270,033         223,243
   Provision for uncollectible accounts                152,626         231,347
                                                  -------------  -------------
   Income before other income (expense)
     and income taxes                                  978,940         466,292

   Other income (expense):
    Interest expense                                   (33,402)       (122,521)
                                                   -------------  -------------
   Income before income taxes                          945,538         343,771

   Income tax expense                                  441,466         144,384
                                                   -------------  -------------
     Net income from continuing operations             504,072         199,387

   Discontinued operations:
     Net income from operations net of applicable
      income taxes of $16,000                               -           22,347
     Estimated loss on disposal, net of
      applicable income tax provision of $527,000           -       (5,000,000)
                                                    -------------  -------------
   Net income (loss)                                $  504,072    $ (4,778,266)
                                                    ============= ==============

   Per share amounts - Basic:
         Average shares outstanding - Basic         3,141,186        3,120,436

          Net income from continuing operations     $    0.16      $      0.06
          Discontinued operations
               Income from operations, net
                 of applicable income taxes               -               0.01

               Loss on disposal, net of applicable        -              (1.60)
                 income taxes
                                                   -------------  -------------
           Net income (loss)                        $    0.16      $     (1.53)
                                                   =============  =============

   Per share amounts - Diluted:
         Average shares outstanding - Diluted        3,378,615        3,120,436

          Net income from continuing operations    $     0.15      $      0.06
          Discontinued operations
               Income from operations, net
                of applicable income taxes                  -             0.01

               Loss on disposal, net of applicable          -            (1.60)
                 income taxes
                                                   -------------  -------------
           Net income (loss)                        $    0.15      $     (1.53)
                                                   =============  =============








            See accompanying notes to interim consolidated financial statements.


<PAGE>


                            ALMOST FAMILY, INC. AND SUBSIDIARIES
                  INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)
                                                       Six Months Ended
                                                   ----------------------------
                                                     September      September
                                                      30, 2000       30, 1999
                                                   -------------  -------------

   Net revenues                                     $24,321,595    $21,440,145
   Cost of sales and services                        20,090,284     17,973,807
   General and administrative expenses                1,871,743      1,932,719
   Depreciation and amortization expense                534,591        448,245
   Provision for uncollectible accounts                 286,499        410,725
                                                   -------------  -------------
   Income before other income (expense)
     and income taxes                                 1,538,478        674,649

   Other income (expense):
    Interest expense                                    (47,310)      (233,452)
    Loss on sale of building                                -          (91,701)
                                                   -------------  -------------
   Income before income taxes                         1,491,165        349,496

   Income tax expense                                   696,382        146,789
                                                    -----------    ------------
     Net income from continuing operations              794,783        202,707

   Discontinued operations:
     Net income from operations net of
       applicable income taxes of $57,000                   -           78,258
     Estimated loss on disposal, net of
      applicable income Tax provision of $527,000           -       (5,000,000)
                                                   -------------  -------------
   Net income (loss)                                $   794,786    $(4,719,035)
                                                   =============  =============

   Per share amounts - Basic:
         Average shares outstanding - Basic           3,141,186      3,120,436

          Net income from continuing operations       $    0.25     $     0.06
          Discontinued operations
               Income from operations, net
                of applicable income taxes                   -            0.03
               Loss on disposal, net of applicable           -           (1.60)
                income taxes                       -------------  -------------
           Net income (loss)                         $    0.25      $    (1.51)
                                                   =============  =============

   Per share amounts - Diluted:
         Average shares outstanding - Diluted         3,378,615       3,120,436

          Net income from continuing operations       $    0.24      $     0.03
          Discontinued operations
               Income from operations, net
                 of applicable income taxes                -               0.01

               Loss on disposal, net of applicable         -              (1.60)
                 income taxes
                                                     ------------- -------------
           Net income (loss)                          $    0.24     $    (1.51)
                                                    =============  =============









            See accompanying notes to interim consolidated financial statements.


<PAGE>


                            ALMOST FAMILY, INC. AND SUBSIDIARIES
                  INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (UNAUDITED)


                                                    Six Months Ended
                                             -------------------------------
                                              September        September
                                               30, 2000        30, 1999
                                             --------------- ---------------

  Cash flows from operating activities:
   Net income from continuing operations      $     794,786   $     202,708
   Adjustments to reconcile net income to
  net cash provided
    by operating activities:
       Depreciation and amortization                534,591         448,245
       Provision for uncollectible accounts         286,499         410,725
       Loss on sale of assets                             -          91,701
       Deferred taxes                                     -         730,908
                                             --------------- ---------------
                                                  1,615,876       1,884,287
       Change in certain net assets (Increase)
           decrease in: Accounts receivable         (43,069)     (1,257,487)
           Prepaid expenses and other current
             assets                                (652,976)       (497,310)
       Increase (decrease) in:
           Accounts payable and accrued
              liabilities                           534,702        (318,108)
                                             --------------- ---------------
         Net cash provided (used) by              1,454,533        (188,618)
              operating activities                1,454,533        (188,618)

  Cash flows from investing activities:
       Capital expenditures                        (923,389)       (466,120)
       Other assets                                 (32,418)        (74,380)
       Goodwill                                     (22,700)       (108,794)
       Sale of assets                                     -         119,009
                                             --------------- ---------------
          Net cash used by investing
           activities                              (978,507)       (530,285)
                                              -------------- ---------------

  Cash flows from financing activities:
       Net revolving credit facility               (323,670)          8,942
        borrowings (payments)
         Other                                      (78,403)        (90,595)
                                             --------------- ---------------
          Net cash used by financing
           activities                              (402,073)        (81,653)
                                             --------------- ---------------

  Cash flows from discontinued operations        (1,021,432)        170,303
                                             --------------- ---------------

  Net decrease in cash                             (947,479)       (630,253)

  Cash and cash equivalents at
   beginning of period                            1,427,537       1,036,951
                                             --------------- ---------------

  Cash and cash equivalents at end of period  $     480,058   $     406,698
                                             =============== ===============






            See accompanying notes to interim consolidated financial statements.



<PAGE>


                            ALMOST FAMILY, INC. AND SUBSIDIARIES
                    NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS

1.    BASIS OF PRESENTATION

     The accompanying  interim  consolidated  financial statements for the three
     and six  months  ended  September  30,  2000 and 1999  have  been  prepared
     pursuant  to the rules  and  regulations  of the  Securities  and  Exchange
     Commission.  Certain information and footnote disclosures normally included
     in financial  statements  prepared in accordance  with  generally  accepted
     accounting  principles  have  been  omitted  pursuant  to  such  rules  and
     regulations.  Accordingly,  the reader of this Form 10-Q is referred to the
     Company's  Form  10-K  for the  year  ended  March  31,  2000  for  further
     information.  In the opinion of management of the Company, the accompanying
     unaudited interim financial statements reflect all adjustments  (consisting
     of  normally  recurring   adjustments)  necessary  to  present  fairly  the
     financial  position at September 30, 2000 and the results of operations and
     cash flows for the periods ended September 30, 2000 and 1999.

     The results of operations for the three and six months ended  September 30,
     2000 are not necessarily indicative of the operating results for the year.

     Use of Estimates

     The  preparation  of financial  statements  in  conformity  with  generally
     accepted  accounting  principles  requires management to make estimates and
     assumptions  that affect the reported amounts of assets and liabilities and
     disclosure  of  contingent  assets  and  liabilities  at  the  date  of the
     financial  statements and reported  amounts of revenues and expenses during
     the reported period. Actual results could differ from those estimates.

2.   COMMITMENTS AND CONTINGENCIES

     Legal Proceedings

     The Company,  from time to time,  is subject to claims and suits arising in
     the  ordinary  course of its  business,  including  claims for  damages for
     personal injuries. In the opinion of management, the ultimate resolution of
     any of these pending claims and legal  proceedings will not have a material
     effect on the Company's financial position or results of operations.

     Franklin
     On January  26,  1994  Franklin  Capital  Associates  L.P.,  Aetna Life and
     Casualty Company and Aetna Casualty and Surety Company,  shareholders,  who
     at one time held approximately 320,000 shares of the Company's common stock
     (approximately  13% of shares  outstanding) filed suit in Chancery Court of
     Williamson  County,  Tennessee claiming  unspecified  damages not to exceed
     three million dollars in connection with registration  rights they received
     in the  Company's  acquisition  of National  Health  Industries in February
     1991.  The suit  alleges  the  Company  failed to use its best  efforts  to
     register  the  shares  held by the  plaintiffs  as  required  by the merger
     agreement.  The Company  settled with Aetna shortly before the case went to
     trial in February  2000.  In mid-trial  Franklin  voluntarily  withdrew its
     complaint  reserving  its legal rights to bring a new suit as allowed under
     Tennessee  law.  In May 2000,  Franklin  re-filed  its claim.  The  Company
     believes it has meritorious defenses to the claims and does not expect

<PAGE>




                              ALMOST FAMILY, INC. AND SUBSIDIARIES
                     NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS


2.   COMMITMENTS AND CONTINGENCIES (continued)

     the ultimate outcome of the suit to have a material impact on the Company's
     results of operations,  liquidity or financial position.  The Company plans
     to  vigorously  defend  its  position  in this case.  Anticipated  costs of
     litigation  have  been  included  in  the  Company's  one-time  charge  for
     discontinuing its home health operations in September 1999.

3.   FINANCIAL STATEMENT RECLASSIFICATIONS

      Certain amounts have been reclassified in the 1999 financial statements in
      order to conform to the 2000 presentation.  Such  reclassifications had no
      effect on previously reported net income (loss).

4.   LOSS ON SALE OF BUILDING

      In  May  1999,  the  Company  sold  an  office  building  resulting  in  a
      non-operating  loss of  $91,701.  The  transaction  generated  net cash of
      $79,093 after repaying mortgage debt of approximately $40,000.

5.   DISCONTINUED OPERATIONS

      As part of a formal plan of separation,  the Company in late 1999 sold its
      product  operations  (consisting of infusion  therapy and  respiratory and
      medical equipment  businesses) to Lincare Holdings,  Inc. in an asset sale
      for $14.5  million and is pursuing  available  strategic  alternatives  to
      complete the  separation of its visiting nurse  operations.  Proceeds from
      the sale were used to repay  obligations  outstanding  under the Company's
      bank line of  credit.  As a result  of the  operational  separations,  the
      Company recorded a one-time net of tax loss of approximately $5 million or
      ($1.60) in the quarter ended  September 30, 1999.  That charge reduced the
      book value of the  operations  to their  expected  net  realizable  value,
      provided  for  losses on  fulfilling  certain  obligations  and close down
      costs, and included the estimated future operating results of the visiting
      nurse operations through disposition.

      The implementation of Medicare's  Prospective Payment System for home care
      (PPS) may have a material  impact on the  disposal  value of the  visiting
      nurse operations.  Proposed rules for a home care PPS reimbursement system
      were released by HCFA on October 1, 1999. On June 28, 2000 HCFA  published
      final rules. The final rules vary  significantly  from the proposed rules.
      Among other changes,  the rate of reimbursement  per episode was increased
      by  approximately  4% as compared to the proposed rules.  This system went
      into  effect on  October  1, 2000  replacing  the  previous  reimbursement
      system, which was cost-based. Unlike the previous cost-based system, which
      prohibited profitable operation for the visiting nurse business, PPS makes
      it at least possible to make a profit.  However, there can be no assurance
      that the  visiting  nurse  business  will  operate  profitably  under PPS.
      Management is continuing to evaluate this new reimbursement  system and is
      currently  unable to  predict  what  impact,  if any,  PPS may have on the
      disposal value of the visiting nurse operations.  Additionally,  there can
      be no assurance that HCFA will not make further significant changes to the
      published  rules that may impact the disposal  value of the visiting nurse
      operations.


<PAGE>


                               ALMOST FAMILY, INC. AND SUBSIDIARIES
                     NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS

5.    DISCONTINUED OPERATIONS (continued)

      Revenue from visiting nurse operations was approximately $12.1 million for
      the  six-months  ended  September  30,  2000.  Interest  expense  has been
      allocated  to  continuing  and  discontinued  operations  on the  basis of
      allocated debt  balances.  Accordingly,  interest  expense of $278,000 has
      been  allocated  to  discontinued  operations  for  the  six-months  ended
      September 30, 2000.

      The accompanying balance sheet includes net current assets and liabilities
      of discontinued  operations,  consisting primarily of accounts receivable,
      inventory,  accounts payable and accrued liabilities, and long term assets
      of discontinued operations consisting primarily of property and equipment,
      net of accumulated depreciation and goodwill.

               Visiting Nurse Operations - Statement of Operations
                     For the Six-Months Ended September 30,
                                                     2000
                                                 -------------
           Revenues
                                                 $12,114,361
           Operating expenses                     13,025,885
           Interest expense                          277,542
                                                 -------------
             Pre-tax income (loss)                (1,189,066)
           Income taxes                             (451,845)
                                                 -------------
             Net income (loss)                      (737,221)
             Less amounts previously provided        737,221
                                                 -------------
           Shown in accompanying
           statement of operations                  $        -
                                                 =============

               Discontinued Operations - Balance Sheet - As Of September 30,
                                                     2000
                                                 -------------
           Accounts receivable                     $8,715,026
           Other current assets                     1,225,688
           Long-term assets                                 -
           Current liabilities                      2,381,270
           Revolving credit facility                6,005,068
           Long-term liabilities                      532,944
                                                 -------------
             Net assets held for sale              $1,021,432
                                                 =============



<PAGE>



ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS

As described  elsewhere herein,  the Company has sold its product operations and
is  pursuing   strategic   alternatives  for  its  visiting  nurse   operations.
Accordingly,  the results of continuing  operations presented below include only
the result of the Company's adult day health services  operations  consisting of
in-center  adult day care and personal care  services  provided in the patients'
homes.

RESULTS OF CONTINUING OPERATIONS

The  financial  tables  that  follow are  presented  for  continuing  operations
excluding non-recurring items.

Quarter Ended September 30, 2000 Compared with Quarter Ended September 30, 1999
-------------------------------------------------------------------------------
<TABLE>
<CAPTION>

                           2000                  1999              Change
                     Amount     % Rev.        Amount    % Rev.      Amount    %
<S>                <C>          <C>           <C>       <C>        <C>        <C>

Net Revenues       $12,545,155  100.0%     $11,105,137  100.0%   $ 1,440,018  13.0%

Cost of Sales
  and Services     10,170,205     81.1%      9,217,895   83.0%       952,303  10.3%

Center Contribution 2,374,950     18.9%      1,887,242   17.0%       487,715  25.8%

General &
  Administrative      973,351      7.8%       966,360    8.7%          6,991   0.7%

Depreciation and
  Amortization        270,033      2.2%       223,243    2.0%         46,790  21.0%

Provision for
  uncollectible accounts
                      152,626      1.2%       231,347     2.1%       (78,721)(34.0%)

Interest, Net          33,402      0.3%       122,521     1.1%       (89,119)(72.7%)

Income from continuing
operations before
non-recurring items and
    taxes          $  945,538      7.5%     $ 343,771     3.1%      $ 601,774 175.1%
</TABLE>


<PAGE>


Net Revenues
Net revenues  increased  13% to $12.5  million  from $11.1  million in the prior
year. Growth came primarily from volumes,  which grew to 180,566 days of care in
2000 from 158,103 in 1999. Average revenue per day of care decreased 1.1% due to
mix changes  offsetting  price  increases  of about 5%.  Increased  volumes were
derived primarily from increased attendance in the adult day care centers, which
grew to 1,280  guests  per  weekday  in 2000  from  1,179 in 1999 and  increased
personal care volumes in state funded  programs.  ADC in-center  occupancy rates
were  76.6%  and  78.9% in 2000 and 1999  respectively  while  average  capacity
increased 11.8% to 1,671 in 2000 from 1,494 in the same quarter last year. As of
September 30, 2000 total system capacity was 1,671 guests per day.

Cost of Sales and Services
Cost of sales and services as a percent of revenues declined to 81% in 2000 from
83% in 1999  primarily  as a  result  of  increased  volumes  of  business,  and
increased pricing relative to operating costs.

General and Administrative
General and administrative  costs remained relatively flat between years. G&A as
a percent of revenues dropped to 7.8% in 2000 from 8.7% in 1999.

Depreciation and Amortization
Depreciation and amortization increased by $46,790 due to capital expenditures.

Provision for Uncollectible Accounts
Management  establishes  an allowance for  uncollectible  accounts  based on its
estimate  of  probable   collection   losses.  The  decrease  in  provision  for
uncollectible accounts resulted from improved collection results in 2000.

Interest, Net
The decrease in interest, net is primarily a result of lower average outstanding
debt  levels  associated  with the  Company's  improved  operating  results  and
proceeds from the sale of the product operations.


<PAGE>



               Six-Months Ended September 30, 2000 Compared with
                      Six-Months Ended September 30, 1999
<TABLE>
<CAPTION>

                           2000                  1999              Change
                     Amount      % Rev.        Amount  % Rev.      Amount         %
<S>                  <C>         <C>          <C>      <C>         <C>           <C>

Net Revenues        $24,321,595  100.0%    $21,440,145 100.0%     $  2,881,450   13.4%

Cost of Sales
  and Services      20,090,284    82.6%     17,973,807  83.8%        2,116,470   11.8%

Center Contribution  4,231,311    17.4%      3,466,338  16.2%          764,980   22.1%

General &
  Administrative      1,871,743   7.7%       1,932,719   9.0%          (60,976) (3.2%)

Depreciation and
  Amortization           534,591   2.2%        448,245   2.1%           86,346  19.3%

Provision for
  uncollectible
   accounts              286,499   1.2%         410,725  1.9%        (124,226) (30.2%)

Interest, Net             47,310   0.2%         233,452  1.1%        (186,142) (79.7%)

Income from continuing
operations before
non-recurring items
 and taxes            $1,491,168   6.1%       $ 441,197  1.6%     $  1,049,978 238.0%
</TABLE>

Net Revenues
Net revenues  increased  13% to $24.3  million  from $21.4  million in the prior
year. Growth came primarily from volumes,  which grew to 357,710 days of care in
2000 from 307,129 in 1999. Average revenue per day of care decreased 2.6% due to
mix changes  offsetting  price  increases  of about 4%.  Increased  volumes were
derived primarily from increased attendance in the adult day care centers, which
grew to 1,268  guests  per  weekday  in 2000  from  1,147 in 1999 and  increased
personal care volumes in state funded  programs.  ADC in-center  occupancy rates
were  77.0%  and  76.7% in 2000 and 1999  respectively  while  average  capacity
increased 10.2% to 1,646 in 2000 from 1,494 last year.

Cost of Sales and Services
Cost of sales and services as a percent of revenues declined to 83% in 2000 from
84% in 1999  primarily  as a  result  of  increased  volumes  of  business,  and
increased pricing relative to operating costs.

General and Administrative
General and  administrative  costs  declined  slightly  between years due to the
elimination of certain corporate positions. G&A as a percent of revenues dropped
to 7.7% in 2000 from 9.0% in 1999.

Depreciation and Amortization
Depreciation and amortization increased by $86,346 due to capital expenditures.

Provision for Uncollectible Accounts
Management  establishes  an allowance for  uncollectible  accounts  based on its
estimate  of  probable   collection   losses.  The  decrease  in  provision  for
uncollectible accounts resulted from improved collection results in 2000.



<PAGE>


Interest, Net
The decrease in interest, net is primarily a result of lower average outstanding
debt  levels  associated  with the  Company's  improved  operating  results  and
proceeds from the sale of the product operations.

Income Taxes
As  of  September  30,  2000,  the  Company  has  net  deferred  tax  assets  of
approximately  $3.5  million.  The net  deferred  tax asset is  composed of $3.4
million of long-term  deferred  tax assets and $117,000 of current  deferred tax
assets.

The Company has provided a valuation  allowance against certain net deferred tax
assets  based upon  management's  estimation  of  realizability  of those assets
through  future  taxable  income.  This valuation was based in large part on the
Company's  history of  generating  operating  income or losses,  individual  tax
locales and expectations for the future.  The Company's  ability to generate the
expected  amounts of taxable  income from future  operations  is dependent  upon
general economic conditions,  competitive  pressures on revenues and margins and
legislation  and  regulation  at  all  levels  of  government.   Management  has
considered the above factors in reaching its conclusions  that it is more likely
than not that future  taxable income will be sufficient to fully utilize the net
deferred tax assets.  However,  there can be no assurances that the Company will
meet its expectations of future taxable income.

For the three and  six-month  periods ended  September  30, 2000,  the effective
income tax rate was approximately 47% of income before income taxes, as compared
to an effective income tax rate of approximately  42% of income before taxes for
1999. The change in the effective tax rate results from changes in the Company's
business and the state and local tax  jurisdictions  in which taxable income was
generated.

Discontinued Operations
Results of  operations  for the quarter  ended  September  30, 1999 included net
income of  $22,347  from  operations  which have  subsequently  been sold or are
subject to disposition. Please refer to the Company's report on Form 10K for the
year ended March 31, 2000 for a more detailed description.

The  estimated  loss on disposal of  discontinued  operations  reflected  in the
Company's  financial  statements  for the year  ended  March 31,  2000  included
management's  estimate of the results of operating the visiting  nurse  segment,
through  the date of  disposal,  and the  estimated  financial  results  of such
disposal.  The implementation of Medicare's  Prospective Payment System for home
care  (PPS) may have a material  impact on the  disposal  value of the  visiting
nurse operations.  Proposed rules for a home care PPS reimbursement  system were
released  by HCFA on October  1, 1999.  On June 28,  2000 HCFA  published  final
rules. The final rules vary  significantly  from the proposed rules. Among other
changes, the rate of reimbursement per episode was increased by approximately 4%
as compared to the  proposed  rules.  This system went into effect on October 1,
2000 replacing the previous  reimbursement system, which was cost-based.  Unlike
the previous cost-based system,  which prohibited  profitable  operation for the
visiting  nurse  business,  PPS  makes it at least  possible  to make a  profit.
However, there can be no assurance that the visiting nurse business will operate
profitably  under PPS.  Management  continues to evaluate the impact of this new
reimbursement system and is currently unable to predict what impact, if any, PPS
may have on the disposal value of the visiting nurse  operations.  Additionally,
there can be no assurance that HCFA will not make further significant changes to
the  published  rules that may impact the disposal  value of the visiting  nurse
operations.

Revenue from visiting nurse operations was  approximately  $12.1 million for the
six months ended  September  30, 2000.  Interest  expense has been  allocated to
continuing and discontinued  operations on the basis of allocated debt balances.
Accordingly,  interest  expense of $278,000 has been  allocated to  discontinued
operations for the six months ended September 30, 2000.
<PAGE>

The  accompanying  balance sheet includes net current assets and  liabilities of
discontinued operations, consisting primarily of accounts receivable, inventory,
accounts payable and accrued  liabilities,  and long term assets of discontinued
operations  consisting  primarily  of  property,  plant  and  equipment,  net of
accumulated  depreciation  and  goodwill.  Refer  to Note 5 to the  accompanying
financial statements for additional information.

Building Sale
In May 1999, the Company sold an office  building  resulting in a  non-operating
loss of $91,701.  The  transaction  generated net cash of $79,093 after repaying
mortgage debt of approximately $40,000.

Liquidity and Capital Resources

Revolving Credit Facility

The Company has a $20 million  revolving credit facility with Bank One Kentucky,
NA. The credit  facility bears interest at prime plus a margin  (ranging from 0%
to 1.0%,  currently  1.0%)  dependent  upon  total  leverage  and is  secured by
substantially all assets and the stock of the Company's subsidiaries. Borrowings
are  available  equal to the  greater  of:  a) a  multiple  of  earnings  before
interest,  taxes,  depreciation  and  amortization  (as defined) or, b) an asset
based formula,  primarily  based on accounts  receivable.  Borrowings  under the
facility may be used for working capital, capital expenditures,  development and
growth of the  business  and  other  corporate  purposes.  The  facility  has an
expiration date of October 10, 2001.

As of September 30, 2000  approximately $6.3 million was outstanding on the line
of credit.  The Company has retained  certain assets and liabilities  associated
with the  discontinued  operations,  the  liquidation  of which,  together  with
disposition  of the  visiting  nurse  operations,  is  expected  to  reduce  the
Company's  bank  borrowings  to  approximately  $327,551.   Accordingly,  as  of
September 30, 2000,  approximately $6.0 million of debt has been classified with
net assets from discontinued  operations in the accompanying balance sheet. This
balance has  increased  since June 30, 2000 due to the  repayment of  previously
recorded  liabilities to visiting nurse  third-party  payers and finance
operating results.

The Company believes that this facility will be sufficient to fund its operating
needs for at least the next twelve months.

Management will continue to evaluate  additional capital including possible debt
and equity investments in the Company to support a more rapid development of the
business than would be possible with internal funds.



<PAGE>


Cash Flows and Financial Conditions

Key elements to the  Consolidated  Statements  of Cash Flows for the  six-months
ended September 30, 2000 and 1999 were:

Net Change in Cash and Cash Equivalents       2000            1999
Continuing Operations
  Provided by (used in)
  Operating activities                  $  1,455,000     $  (188,000)
  Investing activities                       (979,000)      (530,000)
  Financing activities                       (402,000)       (82,000)
                                        $      74,000    $  (800,000)
Discontinued operations                 $  (1,021,000)   $   170,000
                                        --------------   ------------
Net Change in Cash and Cash             $    (947,000)   $  (630,000)
   Equivalents                          ==============   ============

2000
Net cash  provided by operating  activities  resulted  principally  from current
period  income,  net of changes in  accounts  receivable,  accounts  payable and
accrued  expenses.  The increase in prepaid expenses resulted from the timing of
insurance  payments.  The increase in accounts  receivable  resulted from volume
increases.  Days sales outstanding declined to 45 from 53 at March 31, 2000. The
increase in accounts  payable and accrued  liabilities  resulted  primarily from
accrued income taxes. Net cash used in investing activities resulted principally
from  amounts  invested  in  adult  day  health  services  expansion  activities
(including  approximately  $330,000 used in the  acquisition of a building for a
new adult day care center),  and improvements in information  systems.  Net cash
used in financing  activities resulted primarily from lower borrowings under the
Company's credit facility.  Discontinued  operations used cash to reduce certain
previously recorded liabilities to third party payers and finance operating
results.

1999
Net cash used by operating  activities resulted  principally from current period
income,  net of changes in  accounts  receivable,  accounts  payable and accrued
expenses. The increase in prepaid expenses resulted from the timing of insurance
payments.  The increase in accounts  receivable  resulted from volume increases.
Days sales outstanding declined to 60 from 62 at March 31, 1999. The decrease in
accounts  payable  and accrued  liabilities  resulted  from a reduction  in days
payables outstanding. Net cash used in investing activities resulted principally
from amounts  invested in adult day health services  expansion  activities,  and
improvements  in  information  systems,  plus  the  proceeds  from the sale of a
building.  Net cash used in financing activities resulted primarily from reduced
borrowings under the Company's credit facility. Discontinued operations provided
cash from operating results and a reduction in accounts receivable.

Health Care Reform

The health  care  industry  has  experienced,  and is  expected  to  continue to
experience,  extensive and dynamic  change.  In addition to economic  forces and
regulatory influences, continuing political debate is subjecting the health care
industry  to  significant  reform.  Health  care  reforms  have been  enacted as
discussed  elsewhere in this document and proposals for  additional  changes are
continuously formulated by departments of the federal government,  Congress, and
state legislatures.

Government   officials  can  be  expected  to  continue  to  review  and  assess
alternative health care delivery systems and payment  methodologies.  Changes in
the law or new  interpretations  of existing laws may have a dramatic  effect on
the definition of permissible or impermissible activities,  the relative cost of
doing business, and the methods and amounts of payments for medical care by both
governmental and other payers.  Legislative  changes to "balance the budget" and
slow the annual rate of growth of  expenditures  are expected to continue.  Such
future changes may further impact reimbursement.
<PAGE>

There can be no assurance thatfuture legislation or regulatory changes will not
have a material adverse effect on the operations of the Company.

The Company cannot predict what additional government regulations may be enacted
in the  future  affecting  its  business  or how  existing  or  future  laws and
regulations might be interpreted,  or whether the Company will be able to comply
with such laws and regulations in its existing or future markets.

Refer to the  sections on  Reimbursement  Changes and  Cautionary  Statements  -
Forward Outlook and Risks in Part I, and the notes to the accompanying financial
statements and Management's  Discussion and Analysis of Financial  Condition and
Results of Operations  all included in the Company's  report on Form 10K for the
year ended March 31, 2000 for additional information.

Impact of Inflation

Management  does not believe that inflation has had a material  effect on income
during the past several years.


<PAGE>


ITEM 3. Quantitative and Qualitative Disclosures About Market Risk

Derivative Instruments

The Company does not use derivative instruments.

Market Risk of Financial Instruments

The Company's primary market risk exposure with regard to financial  instruments
is to changes in interest rates.

At September  30, 2000, a  hypothetical  100 basis point  increase in short-term
interest  rates would  result in a reduction of  approximately  $3,200 in annual
pre-tax earnings from continuing operations.



<PAGE>



                                                   Commission File No.  1-9848


                           Part II - Other Information

      Item 1.  Legal Proceedings

            None

      Item 2.  Changes in Securities

            None

      Item 3.  Defaults Upon Senior Securities

            None

      Item 4.  Submission of Matters to a Vote of Security Holders

            None

      Item 5.  Other Information

            None

      Item 6.  Exhibits and Reports on Form 8-K

            (a)    Exhibits

                 Exhibit 11 Calculation of Earnings Per Share (attached)
                 Exhibit 27 Financial Data (electronic filing only)

(b)   Form 8-K - None



<PAGE>


                            ALMOST FAMILY, INC. AND SUBSIDIARIES
                             (FORMERLY CARETENDERS HEALTH CORP)
                        COMPUTATION OF EARNINGS PER SHARE
                                   EXHIBIT 11

<TABLE>
<CAPTION>

                                                  Three Months Ended          Six Months Ended
                                                    September 30,              September 30,
                                               -------------------------  --------------------------
<S>                                           <C>            <C>           <C>           <C>


BASIC                                              2000         1999          2000           1999
                                               -----------  ------------   -----------    -----------

Net income (loss)                                $504,079   $(4,778,266)   $  794,793     $(4,719,035)

Weighted  average  outstanding  shares
 during the period                               3,141,186    3,120,413     3,141,186       3,120,413
                                               -----------  ------------   ----------     -----------
Net income (loss) per share                          $0.16       $(1.53)        $0.25         $ (1.51)
                                               ===========  ============   ==========     ===========
DILUTED
Net income for diluted income per common share    $504,079   $(4,778,266)   $ 794,793     $(4,719,035)
                                               -----------  ------------   ----------     -----------
Weighted  average  outstanding  shares
during the period                                3,141,186     3,120,413    3,141,186       3,120,413
Add-common   equivalent  shares   representing
shares  issuable  upon  exercise  of  dilutive
options and warrants                               237,429       (a)          237,429          (a)
                                               -----------   ------------   ----------    -----------

                                                 3,378,615     3,120,413    3,378,615       3,120,413
                                               -----------  ------------   -----------    -----------
Net income (loss) per share                          $0.15       $(1.53)       $0.24         $  (1.51)
                                               ===========  ============   ===========    ===========

(a) Omitted since effect is anti-dilutive
</TABLE>





<PAGE>








SIGNATURES


Pursuant  to the  requirements  of the  Securities  Exchange  Act of  1934,  the
registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned thereunto duly authorized.


Date: November 8, 2000

                                          ALMOST FAMILY, INC.

                                          BY  /s/ William B. Yarmuth
                                          William B. Yarmuth,
                                          Chairman of the Board, President
                                          and Chief Executive Officer


                                          BY  /s/ C. Steven Guenthner
                                          C. Steven Guenthner,
                                          Senior Vice President and
                                          Chief Financial Officer



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