CARETENDERS HEALTH CORP
10-Q, 2000-02-14
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 December 31, 1999

                                       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. (FORMERLY CARETENDERS HEALTH CORP).
             (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, Louisville, KY 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 December 31, 1999 - 3,130,413



<PAGE>




     ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP)

                                    FORM 10-Q

                                      INDEX

Part I. Financial Information

     Item 1. Financial Statements
     Consolidated Balance Sheets as of December
     31, 1999 and March 31, 1999                                          3

     Consolidated Statements of Operations
     for the Three Months ended December
     31, 1999 and 1998                                                    4

     Consolidated Statements of Operations
     for the Nine months ended December 31,
     1999 and 1998                                                        5

     Consolidated Statements of Cash Flows for
     the Nine months ended December 31,
     1999 and 1998                                                        6

     Notes to Interim Consolidated
     Financial Statements                                                7 - 9


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


        Part II. Other Information
        Items 1 through 6


<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       (FORMERLY CARETENDERS HEALTH CORP)
                       INTERIM CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>

               ASSETS                                                                        December 31, 1999  March 31, 1999
                                                                                             -----------------  --------------
<S>                                                                                          <C>                <C>
                                                                                               (UNAUDITED)
CURRENT ASSETS:
   Cash and cash equivalents                                                                  $    461,184    $  1,036,951
   Accounts receivable - net                                                                     7,262,663       6,430,368
   Prepaid expenses and other current assets                                                       443,790          85,571
   Net assets of discontinued operations                                                         1,624,150       9,200,093
                                                                                                ----------     ------------
   TOTAL CURRENT ASSETS                                                                          9,791,787      16,752,983

PROPERTY AND EQUIPMENT - net                                                                     3,135,216       3,434,518

COST IN EXCESS OF NET ASSETS ACQUIRED - net                                                      2,431,076       2,517,543

DEFERRED TAX ASSETS                                                                              2,722,647       4,137,000

OTHER ASSETS                                                                                       340,716         284,595
LONG TERM ASSETS OF DISCONTINUED OPERATIONS                                                           --         9,227,753
                                                                                              ------------    ------------
                                                                                              $ 18,421,442    $ 36,354,392
                                                                                              ============    ============


         LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
   Accounts payable and accrued liabilities                                                   $  3,471,546    $  4,001,426
   Current portion of term debt and
     capital lease obligations                                                                        --         3,062,749
   Other current liabilities                                                                       164,061         673,000
                                                                                              ------------    ------------
                  TOTAL CURRENT LIABILITIES                                                      3,635,607       7,737,175
                                                                                              ------------    ------------

LONG-TERM LIABILITIES:
   Revolving Credit Facility                                                                     3,296,836      12,530,258
   Other liabilities                                                                               118,370         231,733
                                                                                              ------------    ------------
   TOTAL LONG-TERM LIABILITIES                                                                   3,415,206      12,761,991
                                                                                              ------------    ------------
   TOTAL LIABILITIES                                                                             7,050,813      20,499,166
                                                                                              ------------    ------------

Commitments and Contingencies

Stockholders' equity:
   Common stock, par value $.10;
         authorized 10,000,000 shares;
         3,130,436 issued and outstanding                                                          313,044         313,044
   Treasury stock, at cost, 10,000 shares                                                          (95,975)        (95,975)
   Additional paid-in capital                                                                   25,345,586      25,345,586
   Accumulated deficit                                                                         (14,192,026)     (9,707,429)
                                                                                              ------------    ------------
   TOTAL STOCKHOLDERS' EQUITY                                                                   11,370,629      15,855,226
                                                                                              ------------    ------------
                                                                                              $ 18,421,442    $ 36,354,392
                                                                                              ============    ============
</TABLE>

                 See accompanying notes to interim consolidated
                             financial statements.


<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       (FORMERLY CARETENDERS HEALTH CORP)
                  INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)
<TABLE>
<CAPTION>


                                                                                Three Months Ended December 31,
                                                                                 ------------------------------
                                                                                   1999            1998
<S>                                                                             <C>               <C>

                                                                                  ------------    ------------
Net revenues                                                                      $ 11,884,749    $ 10,159,459
Cost of sales and services                                                           9,836,275       8,537,431
Selling, general and administrative expenses                                         1,104,360       1,042,410
Depreciation and amortization expense                                                  245,020         230,041
Provision for uncollectible accounts                                                   234,337          93,114
                                                                                  ------------    ------------
Income from continuing operations
 before other income (expense) and income taxes                                        464,757         256,463

Other income (expense):
  Interest expense                                                                     (60,555)       (135,058)
                                                                                   ------------    ------------
Income from continuing operations
  before provision for income taxes                                                    404,202         121,405

Provision (benefit) for income taxes                                                   169,765          50,079
                                                                                   ------------    ------------
Net income from continuing operations                                             $    234,437    $     71,326

Discontinued operations (Note 7):
  Income from operations,
   net of applicable income taxes of
    $0 and $694,867                                                                        --           991,543
                                                                                  ------------     ------------
Net income (loss)                                                                 $    234,437     $  1,062,869
                                                                                  ============     ============

Per Share Amounts - Basic and Diluted

  Average shares outstanding                                                         3,120,413        3,120,413

  Net income (loss)from continuing operations                                     $       0.08    $        0.02
  Discontinued operations:
    Income (loss) from operations,
     net of applicable income taxes                                                         --             0.32
                                                                                   ------------    ------------
    Net income (loss)                                                              $       0.08    $       0.34
                                                                                   ============    ============

</TABLE>













                 See accompanying notes to interim consolidated
                             financial statements.


<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       (FORMERLY CARETENDERS HEALTH CORP)
                  INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS

                                   (UNAUDITED)
<TABLE>
<CAPTION>

                                                                                Nine months Ended December 31,
                                                                                ------------------------------
                                                                                         1999            1998
                                                                                 ------------    ------------
<S>                                                                              <C>            <C>
Net revenues                                                                     $ 33,324,894    $ 29,472,651
Cost of sales and services                                                         27,534,082      25,222,253
Selling, general and administrative expenses                                        3,313,079       3,541,303
Depreciation and amortization expense                                                 693,265         694,662
Provision for uncollectible accounts                                                  645,061         308,639
Goodwill write-down                                                                      --           113,196
                                                                                 ------------    ------------
Income (loss) from continuing operations
 before other income (expense) and income taxes                                     1,139,407        (407,401)

Other income (expense):
  Interest expense                                                                   (294,007)       (409,400)
  Loss on sale of building                                                            (91,701)           --
                                                                                  ------------    ------------
Income (loss) from continuing operations
  before provision for income taxes                                                    753,699        (816,802)

Provision (benefit) for income taxes                                                   316,554        (336,931)
                                                                                  ------------     ------------
Net income (loss)from continuing operations                                       $    437,145    $   (479,871)
                                                                                  ------------    ------------
Discontinued operations (Note 7):
  Income (loss) from operations,
   net of applicable income taxes of
    $57,000 and ($1,957,000)                                                            78,258      (4,189,649)
  Loss on disposal, net of applicable
   income tax provision of $527,000                                                 (5,000,000)           --
                                                                                    ------------    ------------
                                                                                    (4,921,742)     (4,189,649)
                                                                                    ------------    ------------
Cumulative effect on prior years of a change
 in method of accounting for pre-opening costs,
  net of tax                                                                              --          (171,974)
                                                                                    ------------    ------------
Net income (loss)                                                                  $ (4,484,597)   $ (4,841,494)
                                                                                    ============    ============

Per Share Amounts - Basic and Diluted

  Average shares outstanding                                                          3,120,413       3,120,413

  Net income (loss)from continuing operations                                      $       0.14    $      (0.15)
                                                                                    ------------    ------------
Discontinued operations:
    Income (loss) from operations,
     net of applicable income taxes                                                        0.02           (1.34)
    Loss on disposal, net of applicable
     income taxes                                                                         (1.60)           --
                                                                                     ------------    ------------
                                                                                          (1.58)          (1.34)
Cumulative effect on prior years of a change
 in method of accounting for pre-opening costs,
  net of tax                                                                               --             (0.06)
                                                                                     ------------    ------------
    Net income (loss)                                                               $      (1.44)   $      (1.55)
                                                                                     ============    ============
</TABLE>

                 See accompanying notes to interim consolidated
                             financial statements.


<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       (FORMERLY CARETENDERS HEALTH CORP)
                  INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (UNAUDITED)
<TABLE>
<CAPTION>



                                                                                    Nine months Ended December 31,
                                                                                    ------------------------------
                                                                                      1999                  1998
                                                                                    -------------      --------------
<S>                                                                                 <C>                 <C>
Cash flows from operating activities:

Net income (loss) from continuing operations                                        $    437,145    $   (651,845)
Adjustments to reconcile net income from
continuing operations to net cash provided
(used) by operating activities:
    Depreciation and amortization                                                        693,265         694,662
    Provision for uncollectible accounts                                                 645,061         308,639
    Goodwill write-down                                                                                  113,196
    Loss on sale of building                                                              91,701            --
    Accounting change                                                                         --         171,974
    Deferred taxes                                                                        80,900        (107,026)
                                                                                    ------------      ----------
                                                                                       1,948,072         529,600
Change in certain net current assets
 (Increase) decrease in:
   Accounts receivable                                                                (1,477,356)        112,215
   Prepaid expenses and other current assets                                            (495,599)       (140,183)
 Increase (decrease) in:
   Payables, accrual and other liabilities                                              (643,244)       (307,095)
                                                                                    --------------    -----------
Net cash provided (used) by continuing operations                                       (668,127)        194,537
                                                                                    --------------    -----------
Cash flows from investing activities:

  Capital expenditures                                                                  (518,296)       (374,196)
Sale of assets                                                                           119,009            --
                                                                                     ------------      ----------
    Net cash provided (used) by
     investing activities                                                               (399,197)       (374,196)
                                                                                     ------------      ----------

Cash flows from financing activities:
Net revolving credit facility borrowings                                             (12,296,171)      1,208,141
                                                                                     ------------      ---------
Net cash provided (used) by financing activities                                     (12,296,171)      1,208,141
                                                                                     ------------      ---------
Net cash provided (used) by discontinued
  operations                                                                          12,787,728      (1,813,716)
                                                                                    ------------      -----------

Net increase (decrease) in cash                                                         (575,767)       (785,234)

Cash and cash equivalents
      at beginning of period                                                           1,036,951         818,555
                                                                                     -----------       ----------
Cash and cash equivalents
      at end of period                                                               $   461,184    $     33,321
                                                                                     ============   ============

                 See accompanying notes to interim consolidated
                             financial statements.
</TABLE>
<PAGE>

                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       (FORMERLY CARETENDERS HEALTH CORP)
               NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS

1.      BASIS OF PRESENTATION

       The accompanying interim consolidated  financial statements for the three
       and nine  months  ended  December  31,  1999 and 1998 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,  1999 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  December  31,  1999 and the
       results of operations  and cash flows for the periods ended  December 31,
       1999 and 1998.

       The results of  operations  for the three and nine months ended  December
       31, 1999 are not necessarily  indicative of the operating results for the
       year.

       Name Change

       On January 31, 2000,  the  Company's  name was changed from  "Caretenders
HealthCorp" to "Almost Family, Inc."

       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.

       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 believes it has meritorious defenses to the
       claims but is currently unable to predict whether the ultimate outcome of
       the suit will have a material impact on the Company's financial position.
       The Company  plans to  vigorously  defend its  position in this case.  No
       amounts  have been  recorded  in the  accompanying  financial  statements
       related to this suit.


<PAGE>


    ALMOST FAMILY, INC. (FORMERLY CARETENDERS HEALTH CORP). AND SUBSIDIARIES
               NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS

       Legal Proceedings (continued)

       In January  1998,  Aetna Life and  Casualty  Company  withdrew  its claim
       against the Company  without  prejudice.  Trial is scheduled for February
       2000.

3.     FINANCIAL STATEMENT RECLASSIFICATIONS

        Certain amounts have been reclassified in the 1998 financial  statements
        in order to conform to the 1999  presentation.  Such  reclassifications,
        which include  reclassification  of the results of the Company's product
        and visiting nurse  operations as discontinued  operations 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.      ACCOUNTING FOR THE COSTS OF START-UP ACTIVITIES

        Effective April 1, 1998, the Company adopted AICPA Statement of Position
        98-5  "Reporting on the Costs of Start-up  Activities"  (SOP 98-5) which
        requires all costs incurred  readying a new business for operation prior
        to revenue  generation  to be expensed  as  incurred.  Accordingly,  the
        accompanying  statement of operations for the nine months ended December
        31, 1998 includes a  non-recurring,  net of tax, expense of $171,974 for
        the  cumulative  effect  on  continuing  operations  of this  change  in
        accounting principle.

6.      GOODWILL WRITE-DOWN

        During  the  quarter  ended  June  30,  1998,  the  Company  recorded  a
        non-recurring  write-down  of  goodwill of $113,196  before  taxes.  The
        write-down  of  goodwill  was  required  under  Statement  of  Financial
        Accounting Standard No. 121 ("SFAS 121"), "Accounting for the Impairment
        of Long-lived  Assets and for Long-lived Assets to be Disposed Of" based
        upon  management's  estimate of the future cash flows from operations in
        one of its adult day health centers.

7.     Discontinued Operations

       As part of a formal plan of separation,  the Company on November 12, 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 are being 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.  This  charge  reduced  the book value of the  operations  to their
       expected net realizable value and includes the estimated future operating
       results of the  visiting  nurse  operations  prior to  separation.  These
       changes  have  been  accounted  for  as  discontinued  operations  in the
       accompanying financial statements.

       The estimated loss on disposal of  discontinued  operations  reflected in
       the accompanying  financial statements includes  management's estimate of
       the results of operating the visiting nurse segment prior to disposal and
       the estimated  financial  results of such disposal  based on  information
       currently  available.  The form and  timing  of the  implementation  of a
       Medicare  Prospective  Payment  System  for home  care  (PPS)  may have a
       material  impact on the disposal value of the visiting nurse  operations,
       as described in more detail below.
<PAGE>

       Revenues from  discontinued  operations were  $11,216,872 and $14,065,495
       for the  quarter  ended  December  31,  1999 and 1998  respectively,  and
       $40,641,753  and  $42,338,417 for the nine months ended December 31, 1999
       and 1998 respectively.  Interest expense has been allocated to continuing
       and  discontinued  operations  on  the  basis  of  relative  net  assets.
       Accordingly,   interest   expense  has  been  allocated  to  discontinued
       operations  in the amounts of $117,159 and $261,301 for the quarter ended
       December  31, 1999 and 1998  respectively,  and $568,827 and $454,898 for
       the nine months ended December 31, 1999 and 1998 respectively. Results of
       discontinued  operations for the three and nine months ended December 31,
       1998 included a $783,000 after-tax gain on a litigation settlement.

       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.

       During  the  quarter  ended  June  30,  1998,  the  Company   recorded  a
       non-recurring  write-down of goodwill of $6,854,364  million before taxes
       as a result of changes in  Medicare  reimbursement  brought  about by the
       Balanced Budget Act of 1997 (the BBA) and their  resulting  impact on the
       home health market place and the Company.  The write-down of goodwill was
       required under Statement of Financial  Accounting Standard No. 121 ("SFAS
       121"),  "Accounting  for the  Impairment  of  Long-lived  Assets  and for
       Long-lived Assets to be Disposed Of" based upon management's  estimate of
       the  impact of the  changes in  Medicare  reimbursement  for home  health
       nursing  services.  Management  determined that this impact indicated the
       carrying value of goodwill should be written down by  approximately  $6.8
       million based on the net present  value of expected  future cash flows of
       specific  acquired   (primarily   Medicare)  nursing   operations.   This
       write-down is included in loss from operations of discontinued operations
       in the accompanying  consolidated statement of operations,  net of income
       tax effects.

       The BBA  included  a  requirement  for  implementation  of a  prospective
       payment  system or "PPS"  which  would not be  cost-based,  no later than
       October 1, 2000.  Proposed  PPS  regulations  were  published  by HCFA in
       October 1999 with an invitation  for comment.  HCFA's  schedule calls for
       final  rules to be  published  in the  summer  of 2000.  The  Company  is
       currently  evaluating the proposed  regulations for a prospective payment
       system,  its potential impact on the visiting nurse operations,  and what
       mitigating  actions,  if any, the Company may be able to take in response
       to PPS.

       The Company is unable to predict at this time what Medicare payment rates
       will be under PPS. Likewise the Company is unable to predict what impact,
       if any,  PPS will have on the  viability  and  disposition  values of its
       visiting nurse operations.


<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
<TABLE>
<CAPTION>

Quarter Ended December 31, 1999 Compared With Quarter Ended December 31, 1998
- --------------------------------------------------------------------------------
<S>     <C>    <C>
                                             1999                             1998                          Change
                                       -------------------             -------------------           -------------------
                                         Amount      %Rev.              Amount       %Rev.           Amount        %Rev.
                                       -----------  ------          ----------     -------       ----------      -------

Net Revenues                           $11,884,749     100.0%         $10,159,459      100.0%       $1,725,290        17.0%

Cost of Sales

  and Services                           9,836,275      82.8%           8,537,431       84.0%        1,298,844        15.2%

  Center

    Contribution                         2,048,474      17.2%           1,622,028       16.0%          426,446        26.3%

Selling, General &
  Administrative                         1,104,360       9.3%           1,042,410       10.2%           61,950         5.9%

Depreciation and

  Amortization                             245,020       2.1%             230,041        2.3%           14,979         6.5%

Provision for
uncollectible

accounts                                   234,337       2.0%              93,114        0.9%          141,223           NM

Interest, Net                               60,555       0.5%             135,058        1.3%          (74,503)     (55.2)%
                                       -----------                     ----------                   ----------

Income from
continuing operations
before taxes, and
accounting change                          404,202       3.4%             121,405        1.2%          282,797           NM

Income taxes                               169,765       1.4%              50,079        0.5%          119,686           NM
                                       -----------                     ----------                   ----------

Net income
from continuing
operations non-
recurring items
and accounting
change                                     234,437       2.0%              71,326        0.7%          163,111           NM
                                       ===========                     ==========                   ==========

NM=Not Meaningful

- -------------------------------------------------------------------------------------
</TABLE>


<PAGE>



Net Revenues

Net revenues  increased  17% to $11.8  million  from $10.2  million in the prior
year. Growth came primarily from volumes,  which grew to 168,731 days of care in
1999 from 141,759 in 1998.  Average revenue per day of care decreased just under
2% as mix changes  offset price  increases  from  Medicaid  programs.  Increased
volumes were derived  primarily from  increased  occupancy in the adult day care
centers which grew to 74% of capacity in 1999 from 70% of capacity in 1998.

Cost of Sales and Services

Cost of sales and services as a percent of revenues declined to 83% in 1999 from
84% in 1998 primarily as a result of increased volumes of business and increased
occupancy rates for in-facility care.

Selling, General and Administrative

The  decrease of $61,950 is due  primarily  to  increased  administrative  costs
associated  with  the  Company's   strategic   repositioning   and  name  change
activities.  SG&A as a percent of revenues dropped to 9.3% in 1999 from 10.2% in
1998.

Depreciation and Amortization

Depreciation  and  amortization  increased  by  6% or  $14,979  due  to  capital
expenditures.

Provision for Uncollectible Accounts

Management  establishes  an allowance for  uncollectible  accounts  based on its
estimate  of  probable   collection   losses.  The  increase  in  provision  for
uncollectible  accounts resulted from certain individual customer accounts which
became uncollectible during the period.

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 post-1998 transactions.


<PAGE>


<TABLE>
<CAPTION>

Nine months Ended December 31, 1999 Compared With Nine months Ended December 31, 1998
- -------------------------------------------------------------------------------------
                              1999                       1998                          Change
                            -------------------      -------------------           -------------------
<S>                       <C>              <C>           <C>         <C>          <C>           <C>

                              Amount      %Rev.      Amount          %Rev.        Amount       %Rev.
                          -----------     ------   ----------       -------      ----------     -------

Net Revenues             $ 33,324,894     100.0% $ 29,472,651         100.0%  $  3,852,243       13.1%

Cost of Sales

  and Services             27,534,082      82.5%   25,222,253          86.4%     2,311,829        9.2%

  Center

   Contribution             5,790,812      17.5%    4,250,398          13.6%     1,540,414       36.2%

Selling, General &
  Administrative            3,313,079      10.3%    3,541,303          14.7%      (228,224)      (6.4)%

Depreciation and

  Amortization                693,265       2.1%      694,662           2.4%        (1,397)      (0.2)%

Provision for
 uncollectible

  accounts                    645,061       1.9%      308,639           1.1%       336,422      109.0%

Goodwill

  write-down                     --     -%            113,196           0.6%      (113,196)   NM

Interest, Net                 294,007       1.1%      409,400           1.4%      (115,393)     (28.2)%
                             --------               ----------                    ---------

Income (Loss) from
 continuing operations

  before taxes, and
   accounting change          845,400       3.1%     (816,802)         (6.6)%    1,662,202    NM

Loss on sale of
  building                     91,701       0.4%         --                         91,701    NM

Income taxes                  316,554       0.7%     (336,931)         (2.7)%      653,485    NM
                             --------              ------------                    -------

Net income (loss)
 from continuing
  operations before
   accounting change          437,145       0.9%     (479,871)         (3.9)%      917,016    NM
                             ========               ==========                     =======

NM=Not Meaningful

- ---------------------------------------------------------------------------------------------------------
</TABLE>

Net Revenues

Net revenues  increased  13% to $33.3  million  from $29.5  million in the prior
year. Growth came primarily from volumes,  which grew to 475,631 days of care in
1999  from  442,337  in  1998.   Average  revenue  per  day  of  care  increased
approximately 5% as a result of pricing and mix changes.  Increased volumes were
derived  primarily from increased  occupancy in the adult day care centers which
grew to 74% of capacity in 1999 from 70% of capacity in 1998.

Cost of Sales and Services

Cost of sales and services as a percent of revenues declined to 83% in 1999 from
86% in 1998 primarily as a result of increased volumes of business and increased
occupancy rates for in-facility care.
<PAGE>

Selling, General and Administrative

The decrease of $228,224 is due primarily to the Company's July 1998 down-sizing
in response to changes in the  reimbursement  environment.  SG&A as a percent of
revenues dropped to 10.3% in 1999 from 14.7% in 1998.

Depreciation and Amortization

Depreciation  and  amortization  was  approximately  the same as 1998 due to the
following factors: the June 1998 non-recurring write-down of goodwill, partially
offset by the impact of capital  expenditures,  net of  certain  property  items
still in service reaching the end of their useful lives.

Provision for Uncollectible Accounts

Management  establishes  an allowance for  uncollectible  accounts  based on its
estimate  of  probable   collection   losses.  The  increase  in  provision  for
uncollectible  accounts resulted from certain individual customer accounts which
became uncollectible during the period.

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 post-1998 transactions.

Income Taxes - Three and Nine months ended December 31, 1999 and 1998
As  of  December  31,  1999,   the  Company  has  net  deferred  tax  assets  of
approximately  $2.5  million.  The net  deferred  tax asset is  composed of $2.7
million of long-term  deferred  tax assets and $200,000 of current  deferred tax
liabilities.

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.

The  effective  income tax rate was  approximately  42% of income  before income
taxes for 1999 as  compared  to an  effective  income tax rate of  approximately
41.25% of loss before taxes for 1998. The benefit in 1998 resulted directly from
the recognition of losses  incurred from continuing  operations and was provided
at a lower than  statutory rate due to the tax  implications  of state and local
net operating loss carryforwards arising from the 1998 losses.

Discontinued Operations

As part of a formal plan of  separation,  the Company on November  12, 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 are being
used to repay  obligations  outstanding under the Company's bank line of credit.
As a result of the operational separations,  the Company has recorded a one-time
net of tax loss of  approximately  $5 million or  ($1.60) in the  quarter  ended
September  30, 1999.  This charge  reduced the book value of the  operations  to
their expected net realizable  value and includes the estimated future operating
results of the visiting nurse operations prior to separation. These changes have
been  accounted for as  discontinued  operations in the  accompanying  financial
statements.

The  estimated  loss on disposal of  discontinued  operations  reflected  in the
accompanying  financial statements includes management's estimate of the results
of operating  the visiting  nurse  segment  prior to disposal and the  estimated
<PAGE>

financial results of such disposal based on information currently available. The
form and timing of the implementation of a Medicare  Prospective  Payment System
for home care  (PPS) may have a  material  impact on the  disposal  value of the
visiting  nurse  operations,  as  described  in more  detail in the notes to the
accompanying financial statements.

Revenues from  discontinued  operations were $11,216,872 and $14,065,495 for the
quarter  ended  December 31, 1999 and 1998  respectively,  and  $40,641,753  and
$42,338,417  for the nine months ended December 31, 1999 and 1998  respectively.
Interest expense has been allocated to continuing and discontinued operations on
the  basis of  relative  net  assets.  Accordingly,  interest  expense  has been
allocated to discontinued operations in the amounts of $117,159 and $261,301 for
the quarter  ended  December  31, 1999 and 1998  respectively,  and $568,827 and
$454,898 for the nine months ended December 31, 1999 and 1998 respectively.

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.

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  0.50%)  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 April 10, 2001.

As part of a formal plan of separation,  the Company 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  are  being  used to repay
obligations  outstanding under the Company's bank line of credit. As of December
31, 1999 approximately $3.2 million remained  outstanding on the line of credit.
The Company has retained  certain  assets and  liabilities  associated  with the
discontinued  operations,  the  liquidation  of which is  expected  to  generate
additional  proceeds of  approximately  $1.6 million thus reducing the Company's
bank borrowings to approximately  $1.6 million.  Borrowing capacity will then be
available  to the Company to pursue  further  development  of the adult day care
business.

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 were (in thousands):

Net Change in Cash and Cash Equivalents       1999              1998
Continuing Operations:
  Provided by (used in)
    Operating activities                   $      (668)     $         194
    Investing activities                          (399)              (374)
    Financing activities                       (12,297)             1,208
                                            ----------       ------------
                                           $  (13,364)      $       1,208
Discontinued operations                        12,788              (1,813)
                                             ---------       -------------
Net Change in Cash and Cash Equivalents    $     (576)      $        (785)
                                             =========       =============

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 accounts  receivable  resulted  entirely  from volume
increases.  Days sales outstanding declined to 56 from 58 at March 31, 1999. The
decrease in accounts payable and accrued liabilities  resulted  principally from
the  timing  of  payments.  Net  cash  used  in  investing  activities  resulted
principally  from  amounts  invested  in adult  day  health  services  expansion
activities,  and improvements in information systems, net of cash generated from
the sale of a building. Net cash used in financing activities resulted primarily
from reduced borrowings under the Company's credit facility and reduced mortgage
obligations related to the building sold.

1998

Net cash used by operating  activities resulted  principally from current period
losses,  adjusted for non-cash  items (refer to discussion of operating  results
above and to  statement  of cash flows) net of changes in  accounts  receivable,
accounts  payable and accrued  expenses.  Net cash used in investing  activities
resulted  principally  from  amounts  invested  in  adult  day  health  services
expansion activities, and improvements in information systems. Net cash provided
by financing  activities  resulted  primarily  from an increase in the Company's
credit facility related to investments made in acquisitions and expansion.

Year 2000 Computer System Issue

The Company has  experienced no significant  business issues related to the Year
2000 computer issue. Expenditures related to this issue were not material to the
Company's financial position or results of operations.

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 payors.  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.  There can be no assurance that
<PAGE>

future legislation or regulatory changes will not have a material adverse effect
on the operations of the Company.

State  legislative  proposals  continue to be introduced  that would impose more
limitations  on  payments  to  providers  of health  care  services  such as the
Company.  Many states have enacted, or are considering  enacting,  measures that
are designed to reduce their Medicaid expenditures.

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, 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
fiscal year ended March 31, 1999 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 2a. 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 December 31,  1999, a  hypothetical  100 basis point  increase in  short-term
interest  rates would result in a reduction of  approximately  $30,000 in annual
pre-tax earnings.


<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


<PAGE>


      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       Nine months Ended
                               December 31,             December,
                             ------------------------- -------------------------
<S>                        <C>          <C>        <C>         <C>

                           1999          1998          1999           1998
                          -----------   -----------   -----------    -----------

BASIC

Net income (loss)       $   234,437   $ 1,062,869   $(4,484,597)   $(4,841,494)

Weighted average
outstanding shares
during the period         3,120,413     3,120,413     3,120,413      3,120,413

                         -----------   -----------   -----------    -----------
Net income (loss)
per share               $      0.08   $      0.34   $     (1.44)   $     (1.55)
                        ===========   ===========   ===========    ===========


DILUTED

Net income (loss) for
diluted income
 per common share       $   234,437   $ 1,062,869   $(4,484,597)   $(4,841,494)

Weighted average
outstanding shares
during the period         3,120,413     3,120,413     3,120,413      3,120,413

Add-common equivalent
 shares representing
 shares issuable upon
 exercise of dilutive
 options and warrants           (a)           (a)           (a)            (a)

                          -----------   -----------   -----------    -----------
Diluted Net
 income (loss)
 per common share       $      0.08   $      0.34   $     (1.44)   $     (1.55)
                         ===========   ===========   ===========    ===========

(a) anti-dultive or would not impact rounded EPS
</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 of the
undersigned thereunto duly authorized.

Date:   February 14, 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



<TABLE> <S> <C>

     <ARTICLE>                5

     <S>                      <C>
     <PERIOD-TYPE>            OTHER
     <FISCAL-YEAR-END>        Mar-31-2000
     <PERIOD-END>             Dec-31-1999
     <CASH>                   461
     <SECURITIES>             0
     <RECEIVABLES>            7604
     <ALLOWANCES>             (341)
     <INVENTORY>              0
     <CURRENT-ASSETS>         444
     <PP&E>                   8644
     <DEPRECIATION>           (5508)
     <TOTAL-ASSETS>           18421
     <CURRENT-LIABILITIES>    3636
     <BONDS>                  0
         0
                   0
     <COMMON>                 11371
     <OTHER-SE>               0
     <TOTAL-LIABILITY-AND-EQUITY> 18421
     <SALES>                  33325
     <TOTAL-REVENUES>         33325
     <CGS>                    27534
     <TOTAL-COSTS>            27534
     <OTHER-EXPENSES>         4006
     <LOSS-PROVISION>         645
     <INTEREST-EXPENSE>       294
     <INCOME-PRETAX>          754
     <INCOME-TAX>             316
     <INCOME-CONTINUING>      437
     <DISCONTINUED>           (4922)
     <EXTRAORDINARY>          0
     <CHANGES>                0
     <NET-INCOME>             (4485)
     <EPS-BASIC>              (1.44)
     <EPS-DILUTED>            (1.44)


</TABLE>


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