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Almost Family, Inc. Achieves Top-25 Ranking on Forbes '200 Best Small Companies' List

Wednesday, October 15, 2008 General News J E 4
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LOUISVILLE, Ky., Oct. 14 Almost Family, Inc. (Nasdaq: AFAM), a leading regional provider of home health nursing services, today announced that it has been ranked No. 24 in Forbes' 2008 listing of the 200 Best Small Companies in America, rising from its No. 77 ranking in 2007.



William B. Yarmuth, President and CEO of Almost Family, Inc., noted, "We're very proud to once again be recognized in this prestigious listing of best small companies. More importantly, we're thrilled to have moved so far up the list in only one year, reflecting the continued commitment and dedication of our employees and the execution of our growth strategy."



To qualify for the '200 Best Small Companies' list, companies had to have shown a consistent pattern of positive growth over the past 12 months and also over a five-year period. Forbes selected companies with revenues between $5 million and $750 million, net profit margins greater than 5% and share prices above $5 as of September 29, 2008.



About Almost Family, Inc.

Almost Family, Inc., founded in 1976, is a leading regional provider of home health nursing services, with branch locations in Florida, Kentucky, Connecticut, New Jersey, Ohio, Massachusetts, Alabama, Missouri, Illinois, Pennsylvania, and Indiana (in order of revenue significance). Almost Family, Inc. and its subsidiaries operate a Medicare-certified segment and a personal care segment. Altogether, Almost Family operates over 90 branch locations in 11 U.S. states.



Forward Looking Statements

All statements, other than statements of historical facts, included in this news release are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of forward-looking terminology such as "may," "will," "expect," "believe," estimate," "project," anticipate," "continue," or similar terms, variations of those terms or the negative of those terms. These forward-looking statements are based on the Company's current plans, expectations and projections about future events.



Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from any future results, performance or achievements expressed or implied by such forward-looking statements. The potential risks and uncertainties which could cause actual results to differ materially include: regulatory approvals or third party consents may not be obtained, the impact of further changes in healthcare reimbursement systems, including the ultimate outcome of potential changes to Medicare reimbursement for home health services and to Medicaid reimbursement due to state budget shortfalls; the ability of the Company to maintain its level of operating performance and achieve its cost control objectives; changes in our relationships with referral sources; the ability of the Company to integrate acquired operations; government regulation; health care reform; pricing pressures from Medicare, Medicaid and other third-party payers; changes in laws and interpretations of laws relating to the healthcare industry; and the Company's self-insurance risks. For a more complete discussion regarding these and other factors which could affect the Company's financial performance, refer to the Company's various filings with the Securities and Exchange Commission, including its filing on Form 10-K for the year ended December 31, 2007, in particular information under the headings "Special Caution Regarding Forward-Looking Statements" and "Risk Factors." The Company undertakes no obligation to update or revise its forward-looking statements.



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

SOURCE Almost Family, Inc.
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