CARETENDERS HEALTH CORP
10-Q, 2000-08-09
HOME HEALTH CARE SERVICES
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1



                       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 June 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
                       (Formerly Caretenders HealthCorp.)
             (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 June 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 June 30, 2000
        and March 31, 2000                                                 3


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


        Consolidated Statements of Cash Flows for the Three
        Months ended June 30, 2000 and 1999                                5


        Notes to Interim Consolidated Financial Statements               6 - 8


        Item 2. Management's Discussion and Analysis of Financial
        Condition and Results of Operations                             9 - 14

        Item 3. Quantitative and Qualitative Disclosures About Market
        Risk                                                              15

Part II. Other Information

        Items 1 through 6                                                 16



<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                       INTERIM CONSOLIDATED BALANCE SHEETS


<TABLE>
<CAPTION>
ASSETS                                      June 30, 2000      March 31, 2000
------                                      -------------      --------------
                                            (UNAUDITED)
<S>                                         <C>                <C>

CURRENT ASSETS
   Cash and cash equivalents               $   689,567        $1,427,537
   Accounts receivable - net                 6,463,534         6,459,004
   Prepaid expenses and other current
     assets                                    675,783           301,415
                                          -----------------  --------------
        TOTAL CURRENT ASSETS                 7,828,884         8,187,956

PROPERTY AND EQUIPMENT - net                 3,123,420         3,079,636

COST IN EXCESS OF NET ASSETS ACQUIRED
  - net                                      2,516,070         2,537,740

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

OTHER ASSETS                                   971,714           916,482
                                         -----------------  --------------
                                           $17,869,181       $18,159,907
                                         =================  ==============

         LIABILITIES AND STOCKHOLDERS' EQUITY


CURRENT LIABILITIES:
   Accounts payable and
     accrued liabilities                    $5,106,371         $5,309,359
                                        -----------------   -------------
          TOTAL CURRENT LIABILITIES          5,106,371          5,309,359
                                        -----------------   -------------


LONG-TERM LIABILITIES:
   Revolving Credit Facility                   274,106           651,221
   Other liabilities                         1,044,959         1,037,296
                                         -----------------   -------------
          TOTAL LONG-TERM LIABILITIES        1,319,065         1,688,517
                                         -----------------   -------------
          TOTAL LIABILITIES                  6,425,436         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                   (14,159,669)      (14,450,383)
                                         ---------------     ------------
          TOTAL STOCKHOLDERS' EQUITY        11,443,745        11,153,031
                                         ---------------     ------------
                                           $17,869,181       $18,150,907
                                         ===============     ============


</TABLE>


      See accompanying notes to interim consolidated financial statements.



<PAGE>


                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                  INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)
<TABLE>
<CAPTION>
                                                   Three Months Ended
                                              ------------------------------
                                              June 30, 2000    June 30, 1999
                                              -------------  ---------------
<S>                                           <C>            <C>

   Net revenues                               $11,776,440     $10,335,008
   Cost of sales and services                   9,666,253       8,617,912
   General and administrative expenses          1,152,218       1,104,360
   Depreciation and amortization expense          264,558         225,002
   Provision for uncollectible accounts           133,873         179,378
                                             -------------  -------------
   Income (loss) before other income
    (expense) and income taxes                    559,538         208,356


   Other income (expense):
    Interest expense                              (13,908)       (110,931)
    Loss on sale of building                            -         (91,701)
                                               -------------  ------------
   Income before income taxes                     545,630           5,724

   Income tax expense (benefit)                   254,916           2,404
                                               -------------  ------------
     Net income from Continuing Operations        290,714           3,320
   Discontinued Operations:
     Net Income from operations net of
      applicable income taxes of $40,552                 -         56,000
                                              --------------  ------------
   Net income (loss)                          $   290,714     $    59,320
                                              ==============  ============

   Per share amounts - Basic and Diluted:
     Average shares outstanding - Basic         3,141,186       3,120,436
     Average shares outstanding - Diluted       3,173,501       3,185,945

     Net income from Continuing Operations    $      0.09    $          -
     Net income from Discontinued Operations            -            0.02
                                              -------------  -------------
     Net income (loss)                        $      0.09    $       0.02
                                              =============  =============






</TABLE>



      See accompanying notes to interim consolidated financial statements.


<PAGE>


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

<TABLE>
<CAPTION>

                                                     Three Months Ended
                                                -------------------------------
                                                 June 30, 2000    June 30, 1999
                                                --------------- ---------------
<S>                                              <C>            <C>

  Cash flows from operating activities:
   Net income (loss)                            $ 290,714        $  3,320

   Adjustments to reconcile net income to
   net cash provided
   (used) by operating activities:
       Depreciation and amortization              264,558         225,002
       Provision for uncollectible accounts       133,873         179,378
       Loss on sale of assets                           -          91,701
                                             --------------- ---------------
                                                  689,145         499,401

       Change in certain net assets (Increase)
             decrease in:
           Accounts receivable                   (138,403)         75,199
           Prepaid expenses and other            (396,298)       (474,429)
             current assets
       Increase (decrease) in:
           Accounts payable and accrued          (202,988)       (244,422)
            liabilities                      --------------- ---------------
         Net cash provided (used) by              (48,544)       (144,251)
            operating activities             --------------- ---------------

  Cash flows from investing activities:
       Capital expenditures                      (259,742)       (296,411)
       Other Assets                               (55,232)         44,971
       Goodwill                                    (5,000)              -
       Sale of Assets                                   -         119,099
                                             --------------- ---------------
          Net cash provided (used) by            (319,974)       (132,341)
             investing activities            --------------- ---------------


  Cash flows from financing activities:
       Net revolving credit facility
         borrowings                              (377,115)     (1,048,300)
       Other                                        7,663         (88,087)
                                             --------------- ---------------
          Net cash provided (used) by            (369,452)     (1,136,387)
             financing activities            --------------- ---------------

  Cash Flows from discontinued operations               -         618,719
                                             --------------- ---------------

  Net increase (decrease) in cash                (737,970)       (794,799)

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

  Cash and cash equivalents at end
     of period                                 $  689,567      $  242,152
                                             =============== ===============




</TABLE>


      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
     months  ended June 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 June 30,  2000 and the  results  of  operations  and cash  flows for the
     periods ended June 30, 2000 and 1999.

     The results of operations  for the three months ended June 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  refiled  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 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 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 will go
      into effect on October 1, 2000 replacing the current reimbursement system,
      which is cost-based. Unlike the current cost-based system, which prohibits
      profitable operation for the visiting nurse business,  PPS will make 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 evaluating  the impact of these newly  released  rules 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  $6.7 million for
      the quarter ended June 30, 2000.  Interest  expense has been  allocated to
      continuing  and  discontinued  operations  on the basis of allocated  debt
      balances.  Accordingly,  interest expense of $47,000 has been allocated to
      discontinued operations for the quarter ended June 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 Quarter Ended June 30,
                                                     2000
                                                 -------------
           Revenues                              $  6,669,234
           Operating expenses                       6,972,951
           Interest expense                            47,000
                                                 -------------
             Pre-tax income (loss)                   (350,717)
           Income taxes                               161,330
                                                 -------------
             Net income (loss)                       (189,387)
             Less amounts previously provided         189,387
                                                 -------------
           Shown in accompanying
           statement of operations               $          -
                                                 =============

            Discontinued Operations - Balance Sheet - As Of June 30,
                                                     2000
                                                 -------------
           Accounts receivable                   $  7,410,303
           Other current assets                     1,093,256
           Long-term assets                                 -
           Current liabilities                      5,034,650
           Revolving credit facility                2,943,820
           Long-term liabilities                      525,089
                                                 -------------
             Net assets held for sale            $          -
                                                 =============



<PAGE>


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

6.    SUBSEQUENT EVENT

      The Company has been notified by the Medicaid  programs of certain  states
      in which it operates  that those  programs  have  increased  reimbursement
      rates paid for adult day care  services.  In the  aggregate  the  Medicaid
      rates  received by the Company for  services  provided on or after July 1,
      2000 will be approximately 6.7% higher than the rates received for similar
      services in the quarter  ended June 30,  2000.  During that  quarter,  the
      Company's   Medicaid   program   revenues  in  the  affected  states  were
      approximately $4 million.



<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 June 30, 2000 Compared with Year Ended June 30, 1999
           ------------------------------------------------------------------
<TABLE>
<CAPTION>

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

Net Revenues        $11,776,440  100.0%     $10,335,008  100.0%     $1,441,432     13.9%

Cost of Sales
  and Services        9,666,253   82.0%       8,617,912   83.4%      1,048,341     12.2%
                     -----------           -------------            ----------

Center Contribution   2,110,187   18.0%       1,717,096   16.6%        393,091     22.9%

General &
  Administrative      1,152,218    9.8%       1,104,360   10.7%         47,858      4.3%

Depreciation and
  Amortization          264,558    2.2%         225,002    2.2%         39,556     17.6%

Provision for
  uncollectible
  accounts              133,873    1.1%         179,378    1.7%        (45,505)   (25.4%)

Interest, Net            13,908      -%         110,931    1.1%        (97,023)   (87.5%)
                       ---------                --------            -----------

Income from continuing
operations before
non-recurring items and
    taxes              $ 545,630    4.6%       $ 97,425     0.9%    $  448,205    460.1%
                       =========               ========             ===========
</TABLE>





<PAGE>


Net Revenues
Net revenues  increased  14% to $11.8  million  from $10.3  million in the prior
year. Growth came primarily from volumes,  which grew to 179,208 days of care in
2000 from 149,509 in 1999.  Average  revenue per day of care decreased 5% due to
mix changes  offsetting  price  increases  of about 2%.  Increased  volumes were
derived primarily from increased occupancy in the adult day care centers,  which
grew to 78% of capacity in 2000 from 75% of capacity in 1999.  Average  capacity
increased 8.5% from the same quarter last year. As of June 30, 2000 total system
capacity was 1,621 guests per day.

The Company  has been  notified by the  Medicaid  programs of certain  states in
which it operates,  that those programs have increased  reimbursement rates paid
for adult day care services. In the aggregate the Medicaid rates received by the
Company for services  provided on or after July 1, 2000,  will be  approximately
6.7% higher than the rates  received for similar  services in the quarter  ended
June 30, 2000. During that quarter,  the Company's  Medicaid program revenues in
the affected states were approximately $4 million.

Cost of Sales and Services
Cost of sales and services as a percent of revenues declined to 82% in 2000 from
83% in 1999 primarily as a result of increased volumes of business and increased
occupancy rates for in-facility care.

General and Administrative
General and  Administrative  costs  increased  $47,858 due  primarily  to normal
annual salary  increases.  G&A as a percent of revenues  dropped to 9.8% in 2000
from 10.7% in 1999.

Depreciation and Amortization
Depreciation  and  amortization  increased  by 17%  or  $39,556  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.

Income Taxes
As of June 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  quarter  ended  June  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 June 30, 1999 include net income of
$56,000  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 will go into effect on October 1,
2000 replacing the current reimbursement system, which is cost-based. Unlike the
current cost-based system, which prohibits profitable operation for the visiting
nurse  business,  PPS will make 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  evaluating  the  impact of these  newly
released rules 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  $6.7 million for the
quarter ended June 30, 2000.  Interest  expense has been allocated to continuing
and   discontinued   operations  on  the  basis  of  allocated   debt  balances.
Accordingly,  interest  expense of $47,000 has been  allocated  to  discontinued
operations for the quarter ended June 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,  plant  and  equipment,  net of
accumulated  depreciation  and  goodwill.  Refer  to Note 6 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.



<PAGE>


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 July 10, 2001.

As of June 30, 2000  approximately  $3.2 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,  are expected to reduce the  Company's  bank
borrowings  to  approximately  $241,000.  Accordingly,  as  of  June  30,  2000,
approximately  $2.9  million of debt has been  classified  with net assets  from
discontinued operations in the accompanying balance sheet.

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.

Cash Flows and Financial Conditions

Key elements to the Consolidated Statements of Cash Flows for the quarters ended
June 30, 2000 and 1999 were (in thousands):

Net Change in Cash and Cash Equivalents        2000            1999
---------------------------------------       ------          -----
Continuing Operations
  Provided by (used in)
  Operating activities                  $       (49)       $   (144)
  Investing activities                         (320)           (132)
  Financing activities                         (370)         (1,136)
                                        ------------    ------------
                                        $      (738)       $ (1,414)
Discontinued operations                 $         -        $    619
                                        ------------    ------------
Net Change in Cash and Cash             $      (738)       $   (795)
                                        ============    ============
Equivalents


2000
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 50 from 53 at March 31, 2000. The decrease in
accounts  payable and accrued  liabilities  resulted  primarily  from income tax
payments made during the quarter. 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 used in financing
activities  resulted  primarily from lower borrowings under the Company's credit
facility.

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 54 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 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
future 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 June 30, 2000, a hypothetical 100 basis point increase in short-term interest
rates would  result in a reduction  of  approximately  $2,400 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


                                                   Three Months Ended
                                                      June 30, 2000

BASIC                                               2000           1999
                                                 ------------   ------------
Net income (loss)                                $   290,714     $   59,232
Weighted  average  outstanding  shares  during     3,141,186      3,120,436
the period
                                                 ------------   ------------
Net income (loss) per share                       $     0.09     $     0.02
                                                 ============   ============
DILUTED
Net income for diluted income per common share   $   290,714     $   59,232
                                                 ------------   ------------
Weighted  average  outstanding  shares  during
  the period                                       3,141,186      3,120,436
Add-common   equivalent  shares   representing
 shares  issuable  upon  exercise  of  dilutive
 options and warrants                                 32,315         65,509
                                                 ------------   ------------

                                                   3,173,501      3,185,945
                                                 ------------   ------------
Net income (loss) per share                      $      0.09     $     0.02
                                                 ============   ============







<PAGE>


2





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: August 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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