SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) / X / ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended March 31, 2000 OR / / TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 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 of (IRS Employer incorporation or organization) Identification No.) 100 Mallard Creek Road, Suite 400, Louisville, Kentucky 40207 (Address of principal executive offices) (Zip Code) (502) 899-5355 (Registrant's telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: None Securities registered pursuant to Section 12(g) of the Act: Title of Each Class Name of Each Exchange on Which Registered ------------------- ----------------------------------------- Common Stock, par value $.10 per share NASDAQ SmallCap System 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 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 by check mark if disclosure of delinquent filers pursuant to Item 405 of regulation S-K is not contained herein, and will not be contained, to the best of the Registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ____X__ As of June 22, 2000, 3,130,413 shares of the Registrant's Common Stock were outstanding. The aggregate market value of Registrant's Common Stock held by non-affiliates of the Registrant as of June 22, 2000 was approximately $7,411,000 (based on the last sale price of a share of the common stock as of June 22, 2000 ($2.375), as reported by the National Association of Securities Dealers, Inc. ("NASDAQ") SmallCap System). DOCUMENTS INCORPORATED BY REFERENCE None. TABLE OF CONTENTS PART I Item 1. Business Item 2. Properties Item 3. Legal Proceedings Item 4. Submission of Matters to a Vote of Security Holders PART II Item 5. Market for Registrant's Common Equity and Related Stockholder Matters Item 6. Selected Financial Data Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operation Item 7a. Quantitative and Qualitative Disclosures About Market Risk Item 8. Financial Statements and Supplementary Data Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure PART III Item 10. Directors and Executive Officers of the Registrant Item 11. Executive Compensation Item 12. Security Ownership of Certain Beneficial Owners and Management Item 13. Certain Relationships and Related Transactions PART IV Item 14. Exhibits, Financial Statement Schedules and Reports on Form 8-K PART I ITEM 1. BUSINESS Strategic Mission Statement Almost Family, Inc. and subsidiaries (collectively "Almost Family TM" or the "Company") provide alternatives for seniors and other adults with special needs and their families who wish to avoid nursing home placement as long as possible and remain independent, through its network of adult day care centers and ancillary services. The Company was incorporated in Delaware in 1985. On January 31, 2000 the Company changed its name to Almost Family, Inc. from Caretenders HealthCorp. Adult Day Health Services Adult day health services is an alternative method of providing care for seniors and other adults who without such care would likely be institutionalized. The field has grown rapidly, from just 15 centers in the United States in the early 1970s to over 4,000 today. Still in its early stages, the industry is highly fragmented with the majority operated by the non-profit sector. To the best of its knowledge and belief, Almost Family, Inc. is one of the largest for-profit providers of adult day care services in the U.S. The Company's adult day health centers provide professional, high quality adult day health services for disabled or frail adults who require some care or supervision, but who do not require intensive medical attention or institutionalization. The average center has capacity for over 60 guests per day. Most operate seven days a week. The Company also provides transportation services to and from the center. The centers offer a range of therapeutic and medical services designed to promote the independence of participants and provide respite to families and caregivers. On-site staff nurses administer medications and give attention to medical care. Other services include (i) a light breakfast, a hot lunch, and an afternoon snack; (ii) a highly structured, individualized and creative activities program which includes recreation, education, field trips, sports, crafts, music and group conversations; and (iii) family counseling. In addition to services provided in the Company's physical locations, some adult day health services are also provided in the patients' homes. These services (generally provided by para-professional staff such as home health aides) are very similar in nature to the care provided in the Company's facility. This flexibility allows the patient and/or his or her family to select the venue (or combination of venues) of care that is appropriate for them. Many Almost Family, Inc. adult day health patients receive care both at home and in the Company's facilities. As of March 31, 2000, the Company provides services through centers in the following locations: Adult Day Locations Health Centers ------------------- ---------------- Kentucky: Louisville area 2 Lexington area 1 Elizabethtown 1 area Owensboro area 1 Frankfort area 1 Indiana: Evansville 1 Ohio: Cincinnati 1 Columbus 1 Cleveland 1 Massachusetts: Boston (1) 1 Connecticut: Stamford 1 Middlebury 1 Danbury 1 Maryland: Baltimore area 10 (2) Alabama: Birmingham (3) 1 Florida: Fort Lauderdale (1) 1 West Palm Beach 1 Fort Myers (1) 1 ---------------- Total 28 ================ (1)Physical facilities for in-center adult day health services are not in place in these locations. However, some in home adult day health services are currently provided. These locations are currently being evaluated for development of in-center facilities. (2)For the year ended March 31, 2000 approximately 29% of the Company's revenues and 50% of segment contribution were generated from Maryland operations where approximately 92% of that revenue is derived from Maryland Medicaid reimbursement programs (3)The Company closed its in-center facility in this market in late fiscal 2000 but continues to provide adult day health services in patients' homes. Daily capacity for in-facility care was 1,621 and 1,496 guests per day at March 31, 2000 and 1999 respectively. During fiscal 2000, the Company opened or acquired three new facilities and closed the in-center component of one facility. Discontinued Operations In addition to its Adult Day Health Services operations, the Company has historically operated two additional segments, 1) Visiting Nurses, and 2) Product Operations under the trade name "CaretendersTM". Caretenders' Visiting Nurses operations provide a comprehensive range of Medicare-certified home health nursing services. Payors also include Medicaid and private insurances. Professional staff including registered nurses, licensed practical nurses, physical, speech and occupational therapists, and medical social workers implement and monitor medical treatment plans prescribed by physicians. Professional staff are subject to state licensing requirements in the particular states in which they practice. Para-professional staff, primarily home health aides also provide care to this category of patients. The Visiting Nurse operations consist of 8 Medicare-certified home health agencies operating in Kentucky (4), Florida (3), and, Massachusetts (1). Caretenders' Product operations, with locations in Louisville and Lexington, KY and Birmingham, AL provided a wide array of infusion therapy, oxygen therapy and other product related services. 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. This charge reduced the book value of the operations to their expected net realizable value provides for losses on fulfilling certain obligations and close down costs 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. Revenues from discontinued operations were approximately $46,742,000, $57,542,000 and $64,799,000 for the years ended March 31, 2000, 1999 and 1998 respectively. Refer to Management's discussion and analysis of Financial Condition and Results of Operations and the notes to the financial statements under Part II, Items 7 and 8, respectively for additional financial information regarding discontinued operations. The Company's decisions with respect to the visiting nurse operations resulted from changes in Medicare reimbursement brought about by the Balanced Budget Act of 1997 (the BBA) and its resulting impact on the home health market place and the Company. 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 disposition values of its visiting nurse operations. Compensation for Services Almost Family, Inc. is compensated for its services through (i) private pay (paid by personal funds), (ii) Medicaid, and (iii) other third party payors (e.g. insurance companies and other government funds). See "Item 1. Business -- Payment Sources". Almost Family, Inc. employs compensation specialists who advise patients as to the availability of sources of payment for its services. See "Government Regulations - Reimbursement Changes" and "Cautionary Statements - - Forward Outlook and Risks". Management will monitor the effects of such items and may consider modifications to its expansion and development strategy when and if necessary. Acquisitions The Company continually considers and reviews (subject to availability of capital) possible acquisitions of businesses that provide health care services similar to those currently offered by Almost Family, Inc. Factors which may affect future acquisition decisions include the quality and potential profitability of the company under consideration, and the Company's profitability and ability to finance the transaction. During 1997, the Company acquired one adult day care center. During 1998, the Company completed transactions to acquire two adult day health services operations. These operations added to the Company's market presence in Florida, Connecticut and Ohio. No pro forma financial information has been provided as the acquisitions, individually and in the aggregate, were not significant compared to the Company's existing operations. During 1999 and 2000 the Company acquired one adult day care center each. Competition, Marketing and Customers The adult day health services industry is highly competitive but fragmented. Competitors include: other adult day health centers, ancillary programs provided by nursing homes and hospitals; other government-financed facilities, assisted living and retirement communities, home health providers and senior adult associations. The Company believes the primary competitive factors are quality of service and reputation among referral sources. However, competitors are increasingly focusing attention on providing alternative site health care services. Almost Family, Inc. competes by offering a high quality of care and by helping families identify and access solutions for care. Adult day care competitive advantages include transportation and superior facilities and guest activity programs. The Company markets its adult day health services through its adult day health center directors and the marketing staff. The directors contact referral sources in their areas to market the Company's services. Major referral sources include: Offices on Aging, social workers, hospital discharge planners and group living facilities. The Company also utilizes consumer-direct sales, marketing and advertising programs designed to attract customers. Government Regulations Overview 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 Medicare and Medicaid are expected to continue. Such future changes may further impact reimbursement for home health care. There can be no assurance that future legislation or regulatory changes will not have a material adverse effect on the operations of the Company. Refer to the sections on Reimbursement Changes and Cautionary Statements - Forward Outlook and Risks below, the notes to the accompanying financial statements and Management's Discussion and Analysis of Financial Condition and Results of Operations for additional information. Permits and Licensure Many states require companies providing certain health care services to be licensed as adult day care centers or home health agencies. In addition, certain health care practitioners employed by the Company require state licensure and/or registration and must comply with laws and regulations governing standards of practice. The failure to obtain, renew or maintain any of the required regulatory approvals or licenses could adversely affect the Company's business. The Company believes it is currently licensed appropriately where required by the law of the states in which it operates. There can be no assurance that either the states or the federal government will not impose additional regulations upon the Company's activities which might adversely affect its business, results of operations or financial condition. Certificates of Need Certain states require companies providing health care services to obtain a certificate of need issued by a state health-planning agency. Where required by law, the Company has obtained certificates of need from those states in which it operates. There can be no assurance that the Company will be able to obtain any certificates of need which may be required in the future if the Company expands the scope of its services or if state laws change to impose additional certificate of need requirements, and any attempt to obtain additional certificates of need will cause the Company to incur certain expenses. Other Regulations A series of laws and regulations dating back to the Omnibus Budget Reconciliation Act of 1987 ("OBRA 1987") and through the Balanced Budget Act of 1997 have been enacted and apply to the Company. Changes in applicable laws and regulations have occurred from time to time since the 1987 Act including reimbursement reduction and changes to payment rules. Changes are also expected to occur continuously for the foreseeable future. As a provider of services under Medicaid programs, the Company is subject to the Medicare and Medicaid anti-kickback statute, also known as the "fraud and abuse law." This law prohibits any bribe, kickback, rebate or remuneration of any kind in return for, or as an inducement for, the referral of Medicare or Medicaid patients. The Company may also be affected by the federal physician self-referral prohibition, known as the "Stark" law, which, with certain exceptions, prohibits physicians from referring patients to entities in which they have a financial interest. Many states in which the Company operates have adopted similar self-referral laws, as well as laws that prohibit certain direct or indirect payments or fee-splitting arrangements between health care providers, if such arrangements are designed to induce or to encourage the referral of patients to a particular provider. Health care is an area of extensive and dynamic regulatory change. Changes in laws or regulations or new interpretations of existing laws or regulations can have a dramatic effect on permissible activities, the relative costs associated with doing business, and the amount and availability of reimbursement by government and third-party payors. Furthermore, the Company will be required to comply with applicable regulations in each new state in which it desires to provide services. The Company is subject to routine and periodic surveys and audits by various governmental agencies. Management believes that the Company is in material compliance with applicable laws. The Company, however, is unable to predict what additional government regulations, if any, affecting its business may be enacted in the future, how existing or future laws and regulations might be interpreted or whether the Company will be able to comply with such laws and regulations either in the markets in which it presently conducts, or wishes to commence, business. Payment Sources The Company receives payments from Medicaid programs, private pay and insurance policies as detailed below. As noted above, the Company's dependence on government sponsored reimbursement programs makes it vulnerable to possible legislative and administrative regulations and budget cut-backs that could adversely affect the number of persons eligible for such programs, the amount of allowed reimbursements or other aspects of the program, any of which could materially affect the Company. In addition, loss of certification or qualification under Medicaid programs could materially affect the Company's ability to effectively market its services. In addition to its dependence on Medicaid reimbursement, the Company's future operating results may be dependent in part upon its ability to attract customers able to pay for the Company's charges from their own and their families' financial resources. Circumstances which adversely affect the ability or desire of seniors to pay for the Company's services could have an adverse effect on the Company. The following table sets forth the Company's revenues derived from each major class of payor during the following fiscal years (by percentage of net revenues): 2000 1999 1998 Payor Group - ---------------------- ---------- ----------------------- Medicare 0.0% 0.0% 0.0% Medicaid 48.5% 49.2% 47.5% Insurance, Private Pay and other government programs 51.5% 50.8% 52.5% Changes in payment sources from 1999 to 2000 are primarily a result of the impact of changes in the types of customers it attracts. For the year ended March 31, 2000 approximately 29% of the Company's revenues and 50% of segment contribution were generated from Maryland operations where approximately 92% of that revenue is derived from Maryland Medicaid reimbursement programs. Although the Company is not aware of any significant initiatives currently underway that would have a material adverse impact on the Maryland reimbursement program or the Company, the Company could be materially impacted by unfavorable changes in the future should they occur. In determining charge rates for goods and services provided to customers, the Company evaluates several factors including cost and market competition. The Company also negotiates contract rates with third party providers such as insurance companies. The rates of reimbursement for a significant portion of the Company's charges are dictated by Federal or State programs such as Medicaid. Insurance The Company and its subsidiaries carry general liability and professional liability insurance. The Company also carries product liability insurance associated with those operations requiring such coverage, including the durable medical equipment operations. The Company's properties are covered by casualty insurance policies. The Company carries directors and officers liability insurance. The Company carries automobile collision and liability coverage and statutory workers' compensation coverage. The Company believes that its present insurance coverage is adequate. Employees and Labor Relations As of March 31, 2000 the Company had approximately 3,900 employees. None of the Company's employees are represented by a labor organization. Management believes its relationship with the Company's employees is satisfactory. Cautionary Statements - Forward Outlook and Risks Information provided herein by the Company contains, and from time to time the Company may disseminate material and make statements which may contain "forward-looking" information, as that term is defined by the Private Securities Litigation Reform Act of 1995 (the "Act"). These cautionary statements are being made pursuant to the provisions of the Act and with the intention of obtaining the benefits of "safe harbor" provisions of the Act. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance and that actual results may differ materially from those in the forward-looking statements as a result of various factors including but not limited to the following: a) Regulation and Reform Legislative proposals are continually introduced or proposed in Congress and in some state legislatures that would effect major changes in the health care system, either nationally or at the state level. However, the Company cannot predict whether any of the proposals will be adopted, and if adopted, no assurance can be given that the implementation of such reforms will not have a material impact on the operations of the Company. b) Maryland Concentration For the year ended March 31, 2000 approximately 29% of the Company's revenues and 50% of segment contribution were generated from Maryland operations where approximately 92% of that revenue is derived from Maryland Medicaid reimbursement programs. Although the Company is not aware of any significant initiatives currently underway that would have a material adverse impact on the Maryland reimbursement program or the Company, the Company could be materially impacted by unfavorable changes in the future should they occur. c) Other Reimbursement Changes The Company derives substantial portions of its revenues from third-party payors, including government reimbursement programs such as Medicaid, and non-government sources such as commercial insurance companies, HMOs, PPOs and contract services. These payors have undertaken cost-containment measures designed to limit payments to health care providers. There can be no assurance that payments under these programs will be sufficient to cover the costs allocable to patients eligible for reimbursement. The Company cannot predict whether and what additional proposals or cost containment measures will be adopted or, if adopted, what effect, if any, such proposals might have on the operations of the Company. d) Competition The Company competes with numerous well-established competitors which have substantially greater financial resources than the Company. Competitors are increasingly focusing attention on providing alternative site health care services, specifically on adult day health services. Such increasing competition may adversely affect revenues and profitability of Company operations. e) Insurance The Company believes its present insurance coverage is adequate. However, there can be no assurance that such insurance will be available, or, if available, that such insurance will be either adequate to cover the Company's liabilities or available at affordable rates. In addition, increasing insurance costs, and the increasing unwillingness of insurance companies to insure against certain types of losses, raise some questions as to whether the Company will be able to obtain or continue its present insurance coverage. The inability to obtain adequate insurance coverage at affordable rates, or a loss of existing coverage, could have a material effect on the Company. f) Private Payment Sources The Company's future operating results may be dependent in part upon its ability to attract customers able to pay for the Company's charges from their own and their families' financial resources. Circumstances which adversely affect the ability or desire of seniors to pay for the Company's services could have an adverse effect on the Company. In the event that the Company encounters difficulty in attracting seniors with adequate resources to pay for the Company's services, the Company would be adversely affected. g) Acquisitions The Company seeks to establish and increase market share through acquisitions in existing and new markets. The Company evaluates potential acquisition candidates that would complement or expand its current services. In attempting to make acquisitions, the Company competes with other providers, some of which have greater financial resources than the Company. Management currently believes that acquisition candidates meeting the criteria of its acquisition strategy will continue to be identified in the future and certain of these candidates will be acquired by the Company. However, there can be no assurance that suitable acquisitions will continue to be identified or that acquisitions can be consummated on acceptable terms. See separate cautionary statement regarding financing. h) Inclement Weather The Company provides its services to individuals in home and community settings. Due to the Company's geographic concentrations, severe weather such as snow and hurricanes may hinder the Company's ability to provide its services and can impact the Company's operating results. i) Financing The Company's ability to pursue its strategic plan is dependent upon its ability to obtain financing on satisfactory terms and conditions. If the Company is unable to obtain satisfactory financing it would have an adverse impact on the Company's liquidity and its ability to execute its development plans. j) ADC Development During fiscal 2001, the Company plans to develop 3-6 new adult day health centers after which the Company plans to continue development efforts at a similar or accelerated pace. The Company's ability to achieve its development plans will depend upon a variety of factors, many of which are beyond the Company's control. There can be no assurance that the Company will not suffer delays in its development program, which could slow the Company's growth. The successful development of additional operations will involve a number of risks including the possibility that the Company may be unable to locate suitable sites at acceptable prices or may be unable to obtain, or may experience delays in obtaining, necessary zoning, land use, building, occupancy, licensing and other required governmental permits and authorizations or in actual construction. The implementation of the Company's development strategy is also dependent upon the Company's profitability, the financial performance of its adult day care operations, the availability of financing and the other Cautionary Statements listed above. k) Disposition of Visiting Nurse Operations The Company operates Medicare certified home health agencies, under a plan of disposition. The ultimate outcome of that plan of disposition is highly dependant upon the rate of reimbursement HCFA establishes for the new Prospective Payment System (PPS) as described elsewhere herein. 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 disposition values of its visiting nurse operations. ITEM 2. PROPERTIES The Company's executive offices are located in Louisville, Kentucky in approximately 21,000 square feet of space leased from an unaffiliated party. The Company has 47 real estate leases ranging from approximately 200 to 24,000 square feet of space in their respective locations. The Company believes that its facilities are adequate to meet its current needs, and that additional or substitute facilities will be available if needed. ITEM 3. 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 certain home health operations 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 that the ultimate outcome of the suit will 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 recorded in September 1999. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS Not applicable. PART II ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's common stock is traded on the NASDAQ SmallCap System. The stock is traded under the symbol "AFAM" (formerly CTND). Set forth below are the high and low sale prices for the common stock for the periods indicated reported by NASDAQ: Closing Common Stock Prices Quarter Ended: High Low -------------- ---- --- June 30, 1998 $7.94 $5.50 September 30, 1998 $5.50 $1.75 December 31, 1998 $3.75 $2.25 March 31, 1999 $4.13 $1.78 June 30, 1999 $3.00 $1.50 September 30, 1999 $2.81 $1.50 December 31, 1999 $3.00 $1.50 March 31, 2000 $3.44 $1.75 On June 22, 2000, the last reported sale price for the Common Stock reported by NASDAQ was $2.375 and there were approximately 625 holders of record of the Company's Common Stock. No cash dividends have been paid by the Company. ITEM 6. SELECTED FINANCIAL DATA The following table sets forth selected financial information derived from the consolidated financial statements of the Company for the periods and at the dates indicated. The information is qualified in its entirety by and should be read in conjunction with the consolidated financial statements and related notes included elsewhere in this and prior year Form 10-Ks. Consolidated Selected Financial Information (Dollar amounts in 000's Year Ended March 31, except per share data) -------------------------- ------------------------------------------------- 2000 1999 1998 1997 1996 --------- --------- -------------------- --------- Results of Operations Net revenues $44,724 $39,619 $30,384 $24,702 $21,266 Net Income (loss) Continuing 175 (546) (1,633) (1,967) (2,142) Operations Net Income (loss) Discontinued (4,918) (5,682) 3,045 3,727 3,718 Operations Net Income (loss) $(4,743) $(6,228) $ 1,412 $ 1,759 $ 1,575 Per share: Basic: Number of shares 3,124 3,120 3,120 3,119 3,119 Net Income (loss) Continuing $ 0.06 $ (0.18) $ (0.52) $ (0.63) $ (0.69) Operations Net Income (loss) Discontinued (1.58) (1.82) 0.98 1.19 1.19 Operations Net Income (loss) $ (1.52) $ (2.00) $ 0.45 $ 0.56 $ .50 Diluted: Number of shares 3,124 3,120 3,162 3,142 3,149 Net Income (loss) Continuing $ 0.06 $ (0.18) $(0.52) $(0.63) $(0.68) Operations Net Income (loss) Discontinued (1.58) (1.82) 0.96 1.19 1.18 Operations Net Income (loss) $ (1.52) $ (2.00) $ 0.45 $ 0.56 $ .50 Balance sheet Data as March 31, of: -------------------------------------------------- 2000 1999 1998 1997 1996 --------- --------- --------- -------------------- Working capital $ 2,879 $12,592 $13,950 $17,471 $13,844 Total assets 18,151 36,354 40,793 33,450 33,217 Long term liabilities 1,689 15,825 14,016 9,961 6,805 Total liabilities 6,998 20,499 18,710 12,787 14,313 Stockholders' equity 11,153 15,855 22,083 20,663 18,904 ITEM 7. 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. Year Ended March 31, 2000 Compared with Year Ended March 31, 1999 ----------------------------------------------------------------- 2000 1999 Change ---- ---- ------ Amount %Rev. Amount %Rev. Amount % ------ ----- ------ ----- --------- -------- Net Revenues $ 44,723,677 100.0% $ 39,619,347 100.0% $ 5,104,330 12.9% Cost of Sales and Services 37,330,896 83.5% 33,651,115 85.0% 3,679,781 10.9% Center Contribution 7,392,781 16.5% 5,968,232 15.0% 1,424,549 23.9% Selling, General & Administrative 4,417,438 9.9% 4,586,673 11.6% (169,235) -3.7% Depreciation and Amortization 940,390 2.1% 916,876 2.3% 23,514 2.56% Provision for uncollectible accounts 906,614 2.0% 460,356 1.2% 446,258 96.9% Goodwill Write-down -- -% 113,196 0.3% (113,196) NM Interest, Net 317,550 0.7% 527,435 1.3% (209,885) -39.8% -------- -------- --------- Income from continuing operations before non-recurring items, taxes, and accounting change $ 810,789 1.8% $ (636,304) -1.6% $ 1,447,093 NM =========== ============ =========== NM=Not Meaningful - ------------------------------------------------------------------------------ Net Revenues Net revenues increased 13% to $44.7 million from $39.6 million in the prior year. Growth came primarily from volumes, which grew to 636,394 days of care in 2000 from 544,283 in 1999. Average revenue per day of care increased 11.5% due to mix changes and price increases. Increased volumes were derived primarily from increased occupancy in the adult day care centers which grew to 73% of capacity in 2000 from 70% of capacity in 1999. Average capacity increased to 1,588 in 2000 from 1,496 in 1999. As of April 1, 2000 total system capacity was 1,621 guests per day. Cost of Sales and Services Cost of sales and services as a percent of revenues declined to 84% in 2000 from 85% in 1999 primarily as a result of increased volumes of business and increased occupancy rates for in-facility care. Selling, General and Administrative The decrease of $169,235 is due primarily to reduced administrative costs due to the Company's strategic repositioning and down-sizing activities. SG&A as a percent of revenues dropped to 9.9% in 2000 from 11.6% in 1999. Depreciation and Amortization Depreciation and amortization increased by 3% or $23,514 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 aged 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 the sale of the product operations. Year Ended March 31, 1999 Compared with Year Ended March 31, 1998 ----------------------------------------------------------------- 1999 1998 Change ---- ---- ------ Amount %Rev. Amount %Rev. Amount % ------ ----- ------ ----- ----------- ------ Net Revenues $ 39,619,347 100.0% $ 30,383,571 100.0% $ 9,235,776 30.4% Cost of Sales and Services 33,651,115 85.0% 27,262,355 89.7% 6,388,760 23.4% Center Contribution 5,968,232 15.0% 3,121,216 10.3% 2,847,016 91.2% Selling, General & Administrative 4,586,673 11.6% 4,317,545 14.2% 269,128 6.2% Depreciation and Amortization 916,876 2.3% 933,118 3.1% (16,242) -1.7% Provision for uncollectible accounts 460,356 1.2% 311,478 1.0% 148,878 47.8% Goodwill Write-down 113,196 0.3% -- -- 113,196 NM Interest, Net 527,435 1.3% 338,566 1.1% 188,869 55.8% ------- ------------ ------- Income from continuing operations before non-recurring items, taxes, and accounting change $ (636,304) -1.6% $ (2,779,491) -9.2% $ 2,343,187 NM ============ ============= ============ NM=Not Meaningful - ------------------------------------------------------------------------------- Net Revenues Net revenues increased 30% to $39.6 million from $30.4 million in the prior year. Growth came primarily from volumes, which grew to 544,283 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 70% of capacity in 1999 from 60% of capacity in 1998. Cost of Sales and Services Cost of sales and services as a percent of revenues declined to 85% in 1999 from 90% in 1998 primarily as a result of increased volumes of business and increased occupancy rates for in-facility care. Selling, General and Administrative The increase of $269,128 is primarily due to growth in the size of the operations. SG&A as a percent of revenues dropped to 11.6% in 1999 from 14.2% 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 increase in interest, net was primarily a result of higher average outstanding debt levels . Income Taxes - Years Ended March 31, 2000 and 1999 As of March 31, 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. The effective income tax rate was approximately 42% of income before income taxes for 2000 as compared to an effective income tax rate of approximately 41.25% of loss before taxes for 1999 and 1998. The benefit in 1999 and 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 1999 and 1998 losses. Loss on Disposal of Certain Operations The accompanying income statement for fiscal 2000 includes a one-time charge of $416,808 ($241,749 after tax or $0.08) per share related to the closure of the Company's Birmingham AL adult day care center. The charge consists of future lease obligations and unamortized leasehold improvements. 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 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 provides for losses on fulfilling center obligations and close down costs 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 in the notes to the accompanying financial statements. Revenues from discontinued operations were approximately $46,742,000, $57,542,000 and $64,799,000 for the years ended March 31, 2000, 1999 and 1998 respectively. For periods prior to the sale, 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 approximately $613,000, $1,034,000 and $655,000 for the years ended March 31, 2000, 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 were used to repay obligations outstanding under the Company's bank line of credit. As of March 31, 2000 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, together with disposition of the visiting nurse operations, are expected to reduce the Company's bank borrowings to approximately $651,000. Accordingly, as of March 31, 2000, approximately $2.5 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 were (in thousands): Net Change in Cash and Cash Equivalents 2000 1999 1998 - --------------------------------------- ---- ---- ---- Continuing Operations Provided by (used in) Operating activities $ 2,592 $ 558 $ (449) Investing activities (810) (525) (2,391) Financing activities (14,901) 1,512 4,326 ---------- -------- -------- $(13,119) $ 1,545 $ 1,486 Discontinued operations $ 13,510 $(1,327) $(1,677) -------- -------- -------- Net Change in Cash and Cash $ 391 $ 218 $ (191) 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 accounts receivable resulted from volume increases. Days sales outstanding declined to 53 from 59 at March 31, 2000. The increase in accounts payable and accrued liabilities resulted from additional volume and increased tax liabilities. Net cash used in investing activities resulted principally from amounts invested in adult day health services expansion activities, and improvements in information systems and, 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 resulting from proceeds from the sale of the product operations, and reduced mortgage obligations related to the building sold. 1999 Net cash used by operating activities resulted principally from current period loss, net of changes in accounts receivable, accounts payable and accrued expenses. The decrease in accounts receivable resulted from volume decreases. 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 cash used in financing activities resulted primarily from reduced borrowings under the Company's credit facility. 1998 Net cash used by operating activities resulted principally from current period losses, 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, the acquisition of certain operations and improvements in information systems. Net cash provided by financing activities resulted primarily from an increase in the Company's credit facility. 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 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, and the notes to the accompanying financial statements and Management's Discussion and Analysis of Financial Condition and Results of Operations all included in this Form 10K for additional information. Impact of Inflation Management does not believe that inflation has had a material effect on income during the past several years. ITEM 7a. 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 March 31, 2000, a hypothetical 100 basis point increase in short-term interest rates would result in a reduction of approximately $6,500 in annual pre-tax earnings from continuing operations. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP) CONSOLIDATED STATEMENTS OF OPERATIONS Year Ended March 31, ------------------------------------------- 2000 1999 1998 Net revenues $ 44,723,677 $ 39,619,347 $ 30,383,571 Cost of sales and services 37,330,896 33,651,115 27,262,355 Selling, general and administrative expenses 4,417,438 4,586,673 4,317,545 Depreciation and amortization expense 940,390 916,876 933,118 Provision for uncollectible accounts 906,614 460,356 311,478 Goodwill write-down - 113,196 - Loss on disposal of certain operations 416,808 -- - ---------- ------------ -------------- Income (loss) from continuing operations before other 711,531 (108,869) (2,440,925) Income (expense) and income taxes Other income (expense): Loss on building sale (91,701) - - Interest expense (317,550) (527,435) (338,566) ------------ -------------- ------------ Income (loss) from continuing operations before income taxes 302,280 (636,304) (2,779,491) Provision (benefit) for income taxes 126,958 (262,475) (1,146,540) ----------- -------------- -------------- Net income (loss) from Continuing Operations 175,322 (373,829) (1,632,951) ------------ ------------- ----------- Discontinued operations Income (loss) from operations, net of applicable income taxes of $59,000, $(1,802,000) and $2,138,000 81,724 (5,681,864) 3,044,762 Loss on disposal, net of applicable income taxes of $491,000 (5,000,000) - - ------------ -------------- -------------- (4,918,276) (5,681,864) 3,044,762 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, net of accounting for pre-opening costs, net of applicable income taxes of $122,000 - (171,974) - ------------ -------------- -------------- Net income (loss) $ (4,742,954) $ (6,227,667) $ 1,411,811 ============ ============== ============== Per share amounts-Basic and Diluted Average shares outstanding 3,124,016 3,120,413 3,120,413 Net Income (loss) from Continuing Operations $ 0.06 $ (0.12) $ (0.52) Discontinued operations Income (loss) from operations, net of 0.02 (1.82) 0.98 applicable income taxes Loss on disposal, net of applicable income (1.60) - - taxes ------------ -------------- ------------ (1.58) (1.82) 0.98 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, - (0.06) - net of applicable income taxes ------------ -------------- ------------- Net income (loss) $ (1.52) $ (2.00) $ 0.45 ============ ============== ================ The accompanying notes to consolidated financial statements are an integral part of these financial statements. ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP) CONSOLIDATED BALANCE SHEETS ASSETS March 31, 2000 March 31, 1999 CURRENT ASSETS: Cash and cash equivalents 1,427,537 1,036,951 Accounts receivable - net 6,459,004 6,430,368 Prepaid expenses and other current assets 184,580 85,571 Deferred tax assets 116,835 - Net assets of discontinued operations - 9,713,773 ----------- ----------- TOTAL CURRENT ASSETS 8,187,956 17,266,663 ----------- ----------- PROPERTY AND EQUIPMENT - net 3,079,636 3,434,518 COST IN EXCESS OF NET ASSETS ACQUIRED - net 2,537,740 2,517,543 DEFERRED TAX ASSETS 3,429,093 4,137,000 OTHER ASSETS 916,482 284,595 LONG TERM ASSETS OF DISCONTINUED OPERATIONS, NET - 8,714,073 ------------ ----------- $18,150,907 $36,354,392 ============ =========== LIABILITIES AND STOCKHOLDERS' EQUITY ------------------------------------ CURRENT LIABILITIES: Accounts payable and accrued liabilities $ 5,309,359 $ 4,001,426 Other current liabilities - 673,000 -------------- ------------ 5,309,359 4,674,426 --------------- ------------ LONG-TERM LIABILITIES: Revolving Credit Facility 651,221 15,593,007 Other liabilities 1,037,296 231,733 --------------- ------------ TOTAL LONG-TERM LIABILITIES 1,688,517 15,824,740 --------------- ------------ 6,997,876 20,499,166 COMMITMENTS AND CONTINGENCIES STOCKHOLDERS' EQUITY: Common stock, par value $0.10; authorized 315,119 313,044 10,000,000 shares; 3,151,186 issued and outstanding Treasury stock, at cost, 10,000 shares (95,975) (95,975) Additional paid-in capital 25,384,270 25,345,586 Accumulated deficit (14,450,383) (9,707,429) -------------- ----------- TOTAL STOCKHOLDERS' EQUITY 11,153,031 15,855,226 --------------- ------------ $ 18,150,907 $36,354,392 ============== ============ The accompanying notes to consolidated financial statements are an integral part of these balance sheets. ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTHCORP) CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY Years ended March 31, 2000, 1999 and 1998 Common Stock Treasury Stock Additional Total ---------------------------------- Paid-in Accumulated Stockholders' Shares Amount Shares Amount Capital Deficit Equity ------- --------- ------ -------- --------- ----------- ----------- Balance, March 31, 1997 3,129,436 $312,944 10,000 $(95,975) $25,337,876 $ (4,891,573) $20,663,272 Options Exercised 1,000 100 - - 7,710 - 7,810 Net Income - - - - - 1,411,811 1,411,811 ------- --------- ------ -------- --------- ----------- ----------- Balance, March 31, 1998 3,130,436 313,044 10,000 (95,975) 25,345,586 (3,479,762) 22,082,893 Net Loss - - - - - (6,227,667) (6,227,667) --------- --------- ------ -------- ---------- ---------- ----------- Balance, March 31, 1999 3,130,436 313,044 10,000 (95,975) 25,345,586 (9,707,429) 15,855,226 Options Exercised 20,750 2,075 - - 38,684 - 40,759 Net Loss - - - - - (4,742,954) (4,742,954) --------- --------- ------ -------- ----------- ----------- ----------- Balance, March 31, 2000 3,151,186 $315,119 10,000 $(95,975) $25,384,270 $(14,450,383) $11,153,031 ========== ========= ====== ========= =========== =========== =========== For the periods presented, there are no elements of other comprehensive income as defined by the Financial Accounting Standards, No. 130 Reporting Comprehensive Income. The accompanying notes to consolidated financial statements are an integral part of these statements. ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTHCORP) CONSOLIDATED STATEMENTS OF CASH FLOWS Year Ended March 31, --------------------------------- 2000 1999 1998 ----------- ----------- --------- Cash flows from operating activities: Net income (loss) $ 175,322 $ (545,803) $(1,632,951) Adjustments to reconcile net income to net cash provided by (used in) Operating activities: Depreciation and amortization 940,390 916,876 933,118 Provision for uncollectible accounts 906,614 460,356 311,478 Goodwill write-down - 113,196 - Loss on disposal of certain operations 508,509 - Cumulative effect of change in accounting - 171,974 - principle Deferred income taxes (81,928) (307,710) (653,790) Other - ----------- ----------- --------- 2,448,907 808,889 (1,042,145) Change in certain net assets, net of the effects of acquisitions and dispositions: (Increase) decrease in: Accounts receivable (935,250) 78,384 (849,213) Prepaid expenses and other current assets (99,009) 70,974 (196,349) Other assets (631,887) (4,217) 33,284 Increase (decrease) in: Accounts payable and accrued expenses 1,279,261 (692,135) 2,022,589 Other Liabilities 530,563 295,928 (417,545) ----------- ----------- --------- Net cash provided by (used in) operating 2,592,585 557,823 (449,379) activities ----------- ----------- --------- Cash flows from investing activities: Capital expenditures (809,551) (524,533) (1,269,943) Proceeds from sale of assets 119,009 - - Acquisitions, net of cash acquired (120,000) - (1,120,479) ----------- --------- --------- Net cash (used in) provided by investing (810,542) (524,533) (2,390,422) activities ----------- --------- ---------- Cash flows from financing activities: Proceeds from stock option exercises 40,759 - - Net revolving credit facility borrowings (14,941,786) 1,512,361 4,326,006 ----------- ----------- --------- Net cash provided by (used in) financing (14,901,027) 1,512,361 4,326,006 activities ----------- ---------- --------- Net Cash Provided by (used in) Discontinued Operations 13,509,570 (1,327,255) (1,676,765) ----------- ----------- --------- Net (decrease) increase in cash and cash equivalents 390,586 218,396 (190,560) Cash and cash equivalents at beginning of year 1,036,951 818,555 1,009,115 --------- ----------- ---------- Cash and cash equivalents at end of year $ 1,427,537 $1,036,951 $ 818,555 =========== =========== ========== Cash Paid for: Interest $ 989,000 $1,541,000 $1,049,000 Taxes $ 232,000 $ 175,000 $ 197,000 The accompanying notes to consolidated financial statements are an integral part of these statements. ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP.) NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 39 NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES BASIS OF CONSOLIDATION AND DESCRIPTION OF BUSINESS The consolidated financial statements include the accounts of Almost Family, Inc. and its wholly-owned subsidiaries ("the Company"). Almost Family, Inc. and subsidiaries (collectively "Almost Family" or the "Company") provide alternatives for seniors and other adults with special needs and their families who wish to avoid nursing home placement as long as possible and remain independent, through its network of adult day care centers and ancillary services. Refer also to Note 11 for a discussion of discontinued operations. The Company has operations in Alabama, Connecticut, Florida, Indiana, Kentucky, Maryland, Massachusetts, and Ohio. All material intercompany transactions and accounts have been eliminated in consolidation. CASH AND CASH EQUIVALENTS The Company considers all highly liquid debt instruments purchased with an original maturity of three months or less to be cash equivalents. Uninsured deposits at March 31, 2000, and 1999 were approximately $1.3 million and $939,000, respectively. PROPERTY AND EQUIPMENT Property and equipment are stated at cost. Depreciation is computed using the straight-line method over the estimated useful lives. The estimated useful lives of depreciable assets are as follows: Estimated Useful Life ----------- Buildings and improvements 30 Leasehold improvements 3-10 Medical equipment 2-10 Office and other equipment 3-10 Transportation equipment 3-5 Included in property and equipment is rental equipment which may be sold. Upon sale, the cost net of related accumulated depreciation is charged to costs of sales and services. COST IN EXCESS OF NET ASSETS ACQUIRED The costs in excess of fair value of net assets acquired are stated at cost and amortized on a straight-line basis over their estimated useful lives which generally range from 20 (approximately $1.2 million, net) to 40 years (approximately $1.3 million, net). Subsequent to its acquisitions, the Company evaluates whether events and circumstances have occurred that indicate the remaining estimated useful life of goodwill may warrant revision or that the remaining balance of goodwill may not be recoverable. When factors indicate that goodwill should be evaluated for possible impairment, the Company utilizes appropriate methods (such as discounted cash flows over the remaining life of the goodwill) in measuring whether or not the goodwill is recoverable. 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. CAPITALIZATION POLICIES Maintenance, repairs and minor replacements are charged to expense as incurred. Major renovations and replacements are capitalized to appropriate property and equipment accounts. Upon sale or retirement of property, the cost and related accumulated depreciation are eliminated from the accounts and the related gain or loss is recognized in income. Construction costs incurred to ready a project for its intended use are capitalized for major development projects and are amortized over the lives of the related assets. PREOPENING COSTS 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. The Company had previously deferred such costs and amortized them over a period of 24 months, which was permissible previous to the issuance of SOP 98-5. Accordingly, the accompanying statement of operations for the year ended March 31, 1999 includes a non-recurring, net of tax, expense of approximately $171,000 for the cumulative effect of this change in accounting principle. NET REVENUES The Company is paid for its services primarily by federal and state third-party reimbursement programs, commercial insurance companies, and patients. Revenues are recorded at established rates in the period during which the services are rendered. Appropriate allowances to give recognition to third party payment arrangements are recorded when the services are rendered. Approximately 9.8%, 8.4%, and 5.2%, of net revenues for the fiscal years ended March 31, 2000, 1999, and 1998, respectively, were derived under federal and state third-party cost-based reimbursement programs. These revenues are based on cost reimbursement principles and are subject to examination and retroactive adjustment by agencies administering the programs. Management continuously evaluates the outcome of these reimbursement examinations and provides allowances for losses based upon the best available information. In the opinion of management, adjustments, if any, would not be material to the financial position or the results of operations of the Company. The ability of payors to meet their obligations depends upon their financial stability, future legislation and regulatory actions. The Company does not believe there are any significant credit risks associated with receivables from federal and state third-party reimbursement programs. The allowance for doubtful accounts principally consists of management's estimate of amounts that may prove uncollectible from non-governmental payors. The allowance for uncollectible accounts was approximately $862,000 and $599,000 at March 31, 2000, and 1999 respectively. NET INCOME (LOSS) PER SHARE Net income per share is presented as a unit of basic shares outstanding and diluted shares outstanding. Diluted shares outstanding is computed based on the weighted average number of common shares and common equivalent shares outstanding. Common equivalent shares result from dilutive stock options and warrants. The following table is a reconciliation of basic to diluted shares used in the earnings per share calculation: For the Fiscal Years Ended March 31, -------------------------------------- 2000 1999 1998 ------------- ----------- ------------ Basic weighted average outstanding shares 3,124,016 3,120,436 3,120,436 Add-common equivalent shares representing shares issuable upon exercise of dilutive options - - 41,270 and warrants ------------- ----------- ------------ Diluted weighted average number of 3,124,016 3,120,436 3,161,706 shares at year end ============= =========== ============ Due to the net losses incurred in fiscal 2000 and 1999, common equivalent shares are excluded due to their anti-dilutive effect. 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. Refer also to the notes "NET REVENUES" and "HEALTHCARE REFORM LEGISLATION, REGULATIONS AND MARKET CONDITIONS". FAIR VALUE OF FINANCIAL INSTRUMENTS The Company's financial instruments consist of cash, accounts receivable and payable and debt instruments. The book values of cash and accounts receivable and payable are considered representative of their respective fair values. The fair value of the Company's debt instruments approximate their carrying values as substantially all of such debt has rates which fluctuate with changes in market rates. FINANCIAL STATEMENT RECLASSIFICATIONS Certain amounts have been reclassified in the 1999 and 1998 financial statements in order to conform them to the 2000 presentation. Such reclassifications had no effect on previously reported net income NOTE 2 - HEALTHCARE REFORM LEGISLATION, REGULATIONS AND MARKET CONDITIONS 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. 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, and the notes to the accompanying financial statements and Management's Discussion and Analysis of Financial Condition and Results of Operations all included in this Form 10K for additional information. NOTE 3 - ACCOUNTS PAYABLE AND ACCRUED EXPENSES Accounts payable and accrued expenses at March 31, 2000 and 1999 consisted of the following: 2000 1999 ------------ ---------- Trade payables $1,581,748 $1,121,882 Wages and employee 2,214,073 1,323,754 benefits Accrued taxes 1,158,878 731,628 Other 354,660 824,162 ------------ ---------- $5,309,359 $4,001,426 ============ ========== NOTE 4 - PROPERTY AND EQUIPMENT Property and equipment, including equipment under capital leases, consist of the following: March 31, March 31, 2000 1999 --------------- -------------- Buildings and improvements $820,299 $911,999 Leasehold improvements 3,527,844 3,208,384 Medical equipment 520,057 506,658 Computer equipment 2,752,998 2,621,194 Office and other equipment 1,523,815 1,376,562 Transportation equipment 1,252,996 1,287,507 ------------ -------------- 10,398,009 9,912,304 Less accumulated depreciation (7,318,373) (6,477,786) --------------- -------------- $3,079,636 $3,434,518 =============== ============== Depreciation expense was approximately $840,000, $825,000 and $841,000 for the fiscal years ended March 31, 2000, 1999, and 1998, respectively. NOTE 5 - 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 were used to repay obligations outstanding under the Company's bank line of credit. As of March 31, 2000 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, together with disposition of the visiting nurse operations, are expected to reduce the Company's bank borrowings to approximately $651,000. Accordingly, as of March 31, 2000, approximately $2.5 million of debt has been classified with net assets from the discontinued operations in the accompanying balance sheet. See Note 11. NOTE 6 - INCOME TAXES The Company recognizes deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial statements or tax returns. Under this method, deferred tax assets and liabilities are determined based on the difference between the Company's book and tax bases of assets and liabilities and tax carryforwards using enacted tax rates in effect for the year in which the differences are expected to reverse. The principal tax carryforwards and temporary differences were as follows: March 31, 2000 March 31, 1999 ---------------- ------------------ Deferred tax assets Nondeductible reserves and allowances $ 1,759,000 $ 669,000 Intangibles 2,440,000 2,455,000 Net operating loss 997,000 1,198,000 carryforwards Accelerated depreciation 143,000 792,000 AMT Credit - 58,000 Other 9,000 ---------------- ------------------ 5,339,000 5,181,000 Valuation allowance (997,000) (451,000) ---------------- ------------------ $ 4,342,000 $ 4,730,000 ================ ================== Deferred tax liabilities Accounts receivable 344,000 $1,173,000 Other 452,072 93,000 ---------------- ------------------ 796,072 $1,266,000 ================ ================== Net deferred tax assets $ 3,545,928 $ 3,464,000 ================ ================== Provision (benefit) for income taxes consists of the following: March 31, ----------------------------------------------------- 2000 1999 1998 ----------------- ----------------- --------------- Federal - Current $ 383,000 $ 41,000 $ 267,000 State and local - Current 536,000 345,000 150,000 Deferred (242,000) (2,573,000) 574,000 ----------------- ----------------- --------------- $ 677,000 $ (2,187,000) $ 991,000 ================= ================= =============== Shown in the accompanying income statements as: Continuing Operations $ 127,000 $ (263,000) $ (1,147,000) Discontinued Operations From Operations 59,000 (1,802,000) 2,138,000 From Loss on disposal 491,000 - - Accounting Change - (122,000) - ----------------- ----------------- --------------- $677,000 $ (2,187,000) $ 991,000 ================= ================= =============== A reconciliation of the statutory to the effective rate of the Company (for continuing operations only) is as follows: March 31, ------------------------------------------------ 2000 1999 1998 -------------- -------------- --------------- Tax provision (benefit) using statutory rate $ 102,775 $(216,343) $ (945,027) Goodwill 33,546 73,062 60,604 Valuation Allowance (131,216) - - State and local taxes, net of Federal benefit 108,155 (41,487) (181,223) Other, net 13,698 (77,707) (80,894) --------------- -------------- --------------- Tax provision (benefit) Continuing Operations $ 126,958 $(262,475) $(1,146,540) =============== ============== =============== 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 in individual tax locales and expectations for the future. The Company's ability to generate the expected amounts of taxable income from future operations to realize its recorded net tax assets is dependent upon general economic conditions, competitive pressures on revenues and margins and legislation and regulation at all levels of government. There can be no assurances that the Company will meet its expectations of future taxable income. However, 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 as of March 31, 2000. During fiscal 2000, based on changes in facts and circumstances, favorable changes occurred in the Company's expectations with regard to the generation of future taxable income in certain tax jurisdictions. Accordingly, the state and local tax provision for fiscal 2000 includes a reduction of previously recorded valuation allowances of approximately $131,000. As of March 31, 2000, the Company has fully utilized its Federal net operating loss carryforward. NOTE 7 - Shareholders Equity Employee Stock Option Plans 1. The Company has a Nonqualified Stock Option Plan which provides for the granting of options to key employees, officers, and directors, to purchase up to 220,000 shares of the Company's common stock. The Board of Directors determined the amount and terms of the options which cannot exceed ten years. The period of time for granting options under this plan has expired. 2. The Company has a Supplemental Nonqualified Stock Option Plan which provides options to purchase up to 40,000 shares of the Company's common stock to key employees and non-employee consultants. The Board of Directors determined the amount and terms of the options, which cannot exceed ten years. The period of time for granting options under this plan has expired. 3. The Company has a 1991 Long-term Incentive Nonqualified Stock Option Plan which provides options to purchase up to 500,000 shares of the Company's common stock to key employees, officers, and directors. The Board of Directors will determine the amount and terms of the options, which cannot exceed ten years. 4. The Company has a 1993 Stock Option Plan for Non-employee Directors which provides options to purchase up to 120,000 shares of the Company's common stock to directors who are not employees. Each newly elected director or any director who does not possess options to purchase 10,000 shares of the Company's common stock will automatically be granted options to purchase 10,000 shares of common stock at an exercise price based on the market price as of the date of grant. Changes in qualified options, non-qualified options, and supplemental non-qualified options and warrants outstanding are summarized as follows: Warrants Options ---------------------- ----------------------- Wtd. Avg Wtd. Avg Shares Ex. Price Shares Ex. Price --------- ----------- --------- ----------- March 31, 1997 226,600 $12.03 538,800 $7.87 Granted - 46,500 $8.11 Exercised - 1,000 $7.81 Terminated - 151,300 $8.57 --------- --------- March 31, 1998 266,600 $12.03 433,000 $7.65 Granted - 271,800 $2.37 Exercised - - $ - Terminated - 96,800 $6.69 --------- --------- March 31, 1999 266,600 $12.03 608,000 $2.57 Granted - 14,000 $2.33 Exercised - 20,750 $1.96 Terminated - 15,350 $6.09 --------- --------- March 31, 2000 266,600 $12.03 585,900 $2.49 ========= ========= At March 31, 2000 and 1999, all outstanding warrants were exercisable. The following table details exercisable options and related information: 2000 1999 ------------ ------------ Excercisable at end of year 323,450 136,850 Weighted Average Exercise Price $2.53 $2.83 Weighted Average of Fair Value of options Granted during $0.71 $0.83 the year The Company applies APB Opinion 25 and related interpretations in accounting for its stock option plans. In 1995, Statement of Financial Accounting Standards No. 123 "Accounting for Stock Based Compensation" (SFAS 123) was issued and, if fully adopted, changes the method of recognition of costs on plans similar to the Company's. The Company adopted the disclosure-only provisions of SFAS 123. Accordingly, no compensation cost has been recognized for the Company's stock option plans. Had compensation cost for the stock option plans been determined based upon the fair value at the grant date for the awards in 2000, 1999 and 1998 consistent with the provisions of SFAS 123, the effect on net income and earnings per share would have been reduced to the following pro forma amounts: 2000 1999 1998 --------------- -------------- ------------- Net Income: As Reported $(4,742,954) $(6,227,667) $ 1,411,811 Pro Forma $(4,853,780) $(6,394,105) $ 1,274,061 Basic EPS: As Reported $ (1.52) $ (2.00) $ 0.45 Pro Forma $ (1.55) $ (2.05) $ 0.41 Diluted EPS: As Reported $ (1.52) $ (2.00) $ 0.45 Pro Forma $ (1.55) $ (2.05) $ 0.40 Because the SFAS 123 method of accounting has not been applied to options awarded prior to April 1, 1995, the resulting pro forma compensation cost may not be representative of that to be expected in future years. The following table summarizes information about stock options outstanding at March 31, 2000: Options Outstanding Options Exercisable --------------------------------------------------- ------------------------ Outstanding Wtd. Avg. Exercisable Range of As of Remaining Wt. Avg. As of Wt. Avg. Ex. Price March 31, Contractual Ex. Price March 31, Ex. Price 2000 Life 2000 ------------ ------------- ------------- --------- -------------- -------- $2.00-2.50 212,500 8.9 $ 2.19 105,000 $ 2.19 $ 2.50-3.00 372,400 4.0 2.63 217,450 $ 2.63 Over $3.00 1,000 .2 $ 16.55 1,000 $16.55 ------------- -------------- $ 2.19-16.55 585,900 5.8 $ 2.49 323,450 $ 2.53 ============= ============== The fair value of each option award is estimated on the date of grant using the Black-Scholes option pricing model with the following weighted-average assumptions used for awards in 2000 and 1999 respectively: risk-free interest rates of 6.05% and 4.8%, expected volatility of approximately 50% and 106%, expected lives of 9.76 and 6.96 years and no expected dividend yields. Shareholders Rights Plan On February 1, 1999 the Company implemented a shareholder protection rights plan. One right was distributed as a dividend on each share of common stock of the Company held of record as of the close of business on February 16, 1999. The rights will be exercisable only if a person or group acquires beneficial ownership of 20% or more of the Company's common stock or announces a tender of exchange offer upon consummation of which, such person or group would beneficially own 20% or more of the common stock of the Company. If the rights are triggered, then each right not owned by the acquiring person or group entitles its holder to purchase shares of Company common stock at the right's current exercise price, having a value of twice the right's exercise price. The Company may redeem the rights at any time until the close of business on the tenth business day following an announcement by the Company that an acquiring person or group has become the beneficial owner of 20% or more of the Company's common stock. NOTE 8 - COMMITMENTS AND CONTINGENCIES (a) Operating Leases The Company leases certain real estate, office space, vehicles and equipment under noncancellable operating leases expiring at various dates through 2008. Rent expense amounted to approximately $3.3 million, $3.3 million, and $3.2 million for 2000, 1999, and 1998, respectively. At March 31, 2000 the minimum rental payments under these leases are as follows: 2001 $3,386,700 2002 2,398,633 2003 1,581,229 2004 808,465 2005 263,442 (b) Employment Contracts The Company has an employment contract with an officer. In connection with this contract, the Company is contractually obligated to pay an annual base salary of $190,000 for one year with automatic one year renewals. In addition, the agreement contains contingent obligations associated with performance bonuses and severance. (c) Medical Malpractice Claims The Company has insurance coverage with respect to medical malpractice risks. The malpractice insurance coverage provides coverage up to $1,000,000 per occurrence, and has no deductible for which the Company would be responsible. It is the Company's policy to record losses from asserted and unasserted claims identified by the Company and unreported claims based on estimates that incorporate the Company's past experience, as well as other considerations including the nature of each claim or incident and relevant trend factors. Based on these factors and the Company's insurance coverage, no accrual for potential losses attributable to asserted and unasserted claims has been recorded in the accompanying financial statements. (d) Legal Proceedings The Company is currently, and from time to time, 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. (Franklin), 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 certain home health operations 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 both Aetna parties 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 that the ultimate outcome of the suit will 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 recorded in September 1999. NOTE 9 - ACQUISITIONS During fiscal 2000, the Company acquired one adult day care center for $120,000, all of which has been accounted for as cost in excess of net assets acquired (goodwill). This cost is being amortized on a straight line basis over its estimated useful life (ten years) (see also Note 1). The impact of the above acquisition was not significant for any of the periods presented and, accordingly, proforma amounts are not presented illustrating the effects of such acquisitions. NOTE 10 - QUARTERLY FINANCIAL DATA (UNAUDITED) Summarized quarterly financial data for years ended March 31, 2000 and 1999 are as follows (in thousands except per share data): 2000 1999 ---------------------------------------------------------- ----------------------------------------------- First Second Third Fourth First Second Third Fourth ---------------------------------------------------------- ----------------------------------------------- Net Revenues $10,335 $11,105 $11,885 $11,399 $ 9,388 $ 9,925 $10,282 $10,024 Gross Profit 1,717 2,025 2,049 1,602 1,101 1,527 1,744 1,596 Net Income (Loss)- Continuing Operations 3 199 234 (261) (662) (61) 143 34 Operations Net Income (Loss) 59 (4,775) 234 (261) (5,748) (156) 1,063 (1,381) Continuing Operations Net Income (Loss) Per Share Basic 0.00 0.06 0.08 (0.08) (0.21) (0.02) 0.05 0.01 Diluted 0.00 0.06 0.08 (0.08) (0.21) (0.02) 0.05 0.01 Net Income (Loss) Per Share Basic 0.02 (1.53) 0.08 (0.08) (1.84) (0.05) 0.34 (0.44) Diluted 0.02 (1.53) 0.08 (0.08) (1.84) (0.05) 0.34 (0.44) NOTE 11 - 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 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 provides for losses on fulfilling center obligations and close down costs 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 (PPS) for home care may have a material impact on the disposal value of the visiting nurse operations. Revenues from discontinued operations were approximately $46,742,000, $57,542,000 and $64,799,000 for the years ended March 31, 2000, 1999 and 1998 respectively. For periods prior to the sale, 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 $612,700, $1,034,481 and $655,036 for the years ended March 31, 2000, 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. Discontinued Operations - Statements of Operations 2000 1999 1998 ------------ ------------ ------------ Revenues $ 46,742,259 $ 57,542,296 $ 64,799,029 Operating Expenses 49,703,381 56,200,374 58,961,419 Goodwill/Restructing Charge - 7,702,902 - Interest Expense 612,700 1,034,481 655,036 ------------ ------------ ------------ Pre-tax Income (loss) (3,573,822) (7,395,461) 5,182,574 Income Taxes (1,501,005) (1,924,156) 2,137,812 ------------ ------------ ------------ Net Income before Accounting Change (2,072,817) (5,471,305) 3,044,762 Accounting Change -- (210,541) -- ------------ ------------ Net Income (loss) (2,072,817) (5,681,846) 3,044,762 Incurred after Measurement date (2,154,541) -- -- ------------ ------------ ------------ Shown in accompanying Statements of Operations $ 81,724 $ (5,681,846) 3,044,762 ============ ============= ============ Discontinued Operations - Balance Sheets 2000 1999 ---- ---- Accounts Receivable $ 8,308,894 $14,033,046 Other Current Assets 1,152,631 1,287,948 Long-term Assets - 9,514,425 Current Liabilities 6,428,495 5,547,222 Revolving Credit Facility 2,506,403 - Long-Term Liabilities 526,627 860,351 ----------- ----------- Net Assets Held for Sale $ - $18,427,846 =========== =========== 53 Report of Independent Public Accountants To the Stockholders of Almost Family, Inc. (formerly Caretenders Health Corp): We have audited the accompanying consolidated balance sheets of Almost Family, Inc. (a Delaware corporation) and subsidiaries as of March 31, 2000 and 1999 and the related consolidated statements of operations, stockholders' equity, and cash flows for each of the three years in the period ended March 31, 2000. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Almost Family, Inc. and subsidiaries as of March 31, 2000 and 1999, and the results of their operations and their cash flows for each of the three years in the period ended March 31, 2000 in conformity with accounting principles generally accepted in the United States. ARTHUR ANDERSEN LLP Louisville, Kentucky May 31, 2000 ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The following table sets forth certain information with respect to the Company's directors and executive officers. Name Age Position with the Company - ------------------------------------------------------------------------------- William B. Yarmuth (1) 47 Chairman of the Board President and Chief Executive Officer C. Steven Guenthner (2) 39 Senior Vice President and Chief Financial Officer Mary A. Yarmuth (3) 54 Senior Vice President-Service Development Todd Lyles (4) 38 Senior Vice President Steven B. Bing (5) 53 Director Patrick B. McGinnis (6) 52 Director Donald G. McClinton (7) 66 Director Tyree G. Wilburn (8) 47 Director Jonathan Goldberg (9) 48 Director Wayne T. Smith (10) 54 Director Executive officers of the Company are elected by the Board of Directors for one year and serve at the pleasure of the Board of Directors with the exception of William B. Yarmuth who has an employment agreement with the Company. See Item 11 - -- William B. Yarmuth Employment Agreement. Mary A. Yarmuth is married to William B. Yarmuth. There are no other family relationships between any director or executive officer. Each Director is elected to hold office until the next annual meeting of stockholders and until a successor is elected and qualified. (1) William B. Yarmuth has been a director of the Company since 1991, when the Company acquired National, where Mr. Yarmuth was Chairman, President and Chief Executive Officer. After the acquisition, Mr. Yarmuth became the President and Chief Operating Officer of the Company. Mr. Yarmuth became Chairman and CEO in 1992. He was Chairman of the Board, President and Chief Executive Officer of National from 1981 to 1991. (2) C. Steven Guenthner has been Senior Vice President and Chief Financial Officer of the Company since 1992. From 1983 through 1992 Mr. Guenthner was employed as a C.P.A. with Arthur Andersen LLP. Prior to joining the Company he served as a Senior Manager in the firm's Accounting and Audit division specializing in mergers and acquisitions, public companies and the healthcare industry. (3) Mary A. Yarmuth has served as Senior Vice President of the Company since 1991, currently as Senior Vice President of Service Development. From 1985 to 1991 Ms. Yarmuth served as President of the Company's Nursing Division. Ms. Yarmuth joined National in 1981. (4) P. Todd Lyles joined the Company as Senior Vice President Planning and Development in October 1997. Prior to joining the Company Mr. Lyles was Vice President Development for the Kentucky Division of Columbia/HCA, a position he had held since 1993. Mr. Lyles experience also includes 8 years with Humana Inc. in various financial and hospital management positions. (5) Steven B. Bing was elected a Director in January 1992. Mr. Bing is a principal and chief operating officer of Prosperitas Investment Partner, L.P., a private investment company located in Louisville, Kentucky. From 1989 to March 1992, Mr. Bing was President of ICH Corporation, an insurance holding company. From 1984 to 1989, he served as Senior Vice President of ICH Corporation. He is also a director of the Fund for the Arts, other civic entities, and various closely-held business entities. (6) Patrick B. McGinnis was elected a director in October 1994. Mr. McGinnis is the co-founder of Healthcare Recoveries, Inc. and serves as the company's chairman and CEO. Healthcare Recoveries, Inc. is a provider of subrogation and other claims recovery services to the healthcare industry. From 1979 to 1988, Mr. McGinnis was Vice President-Finance and Planning for Humana, Inc. (7) Donald G. McClinton was elected a director in October 1994. From 1986 to 1994, Mr. McClinton was co-chairman of Interlock Industries, Inc., a privately held company engaged in metal fabrication, corrugated container manufacturing, aluminum processing and transportation. Presently, Mr. Clinton is President and part owner of Skylight Thoroughbred Training Center, Inc., a thoroughbred training center. He is also a director of Jewish Hospital Systems, Inc., and Mid-America Bancorp. (8) Tyree G. Wilburn was elected a director in January 1996. Mr. Wilburn is a private investor. From 1992 to 1996, Mr. Wilburn was Chief Development Officer of Community Health Systems, Inc. and, most recently, Executive Vice President and Chief Financial and Development Officer. From 1974 to 1992 Mr. Wilburn was with Humana Inc. where he held senior and executive positions in mergers and acquisitions, finance, planning, hospital operations, audit and investor relations. He is also a director of several private companies. (9) Jonathan Goldberg was elected a director in February 1997. Mr. Goldberg is the managing partner of the law firm of Goldberg and Simpson and has served in that capacity for the last ten years. (10) Wayne T. Smith was elected a director in March 1997. Mr. Smith is President and Chief Executive Officer of Community Health Systems, Inc. Mr. Smith was President, Chief Operating Officer and a member of the Board of Directors of Humana, Inc. from 1993 to 1996 and served with Humana from 1973 to 1993 in various capacities, including numerous vice president and divisional president positions. COMPLIANCE WITH SECTION 16 (a) OF THE SECURITIES EXCHANGE ACT OF 1934 Section 16 (a) of the Securities Exchange Act of 1934 requires the Company's directors and executive officers, and persons who own more than ten percent of a registered class of the Company's equity securities, to file with the Securities and Exchange Commission initial reports of stock ownership and reports of changes in stock ownership and to provide the company with copies of all such forms they file. Based solely on its review of such copies or written representations from reporting persons, the Company believes that all reports were filed on a timely basis. ITEM 11. EXECUTIVE COMPENSATION The following table sets forth information concerning compensation paid by the Company for services rendered in all capacities during the last three fiscal periods to the Chief Executive Officer and the most highly compensated executive officers during fiscal year 2000. - ------------------------------------------------------------------------------- Summary Compensation Table Long-Term Compensation -------------- Securities Underlying Options/ Name and Principal Year Salary Bonus (No. of Position Shares) - ------------------------- ------------ ------------------------ William B. Yarmuth 2000 $190,000 $ 50,000(2) 0 Chairman of the Board, 1999 190,000 $0 100,000 President and Chief 1998 190,000 75,596 0 Executive Officer Mary A. Yarmuth 2000 132,121 0 0 Senior Vice President - 1999 130,050 0 20,000 Service Development 1998 129,854 36,904 0 C. Steven Guenthner 2000 132,121 25,000 (2) 0 Senior Vice President, 1999 130,050 0 20,000 Secretary/Treasurer and 1998 129,854 36,904 0 Chief Financial Officer Patrick T. Lyles 2000 121,911 25,000 (2) 0 Senior Vice President 1999 120,000(1) 0 15,000 1998 43,386 12,330 20,000 - ------------------------------------------------------------------------------- (1) Mr. Lyles was employed by the Company on October 6, 1997 (2) Bonuses for these individuals were awarded by the Board for the successful sale of the product operations in November 1999. Option Grants in Fiscal 2000 No options granted during Fiscal 2000 to any executive officer. Compensation of Directors Directors who are not also employees of the Company are entitled to compensation at a rate of $1,250 for each Board of Directors meeting attended and $250 for each committee meeting attended that is scheduled independently. In addition, non-employee directors are eligible to receive stock options under the Almost Family, Inc. 1993 Stock Option Plan for Non-Employee Directors (the "Directors' Plan") adopted by the Board on February 17, 1993, and subsequently approved by stockholders. Pursuant to the terms of the Directors' Plan, Mr. Goldberg was granted options to purchase 2,000 shares of the Company's Common Stock at $2.88 per share and Mr. Smith was granted options to purchase 2,000 shares of the Company's Common Stock at $3,00 per share. The Directors' options vest 25%, the day following six months after the date of grant, and 25% on each of the first, second, and third anniversary dates of the grant. William Yarmuth Employment Agreement On January 1, 1996, the Company entered into a new employment agreement with William B. Yarmuth, its Chairman of the Board, President and Chief Executive Officer. The initial term of the agreement was three years with subsequent automatic one-year renewals, the second of which is now in effect. This agreement replaced Mr. Yarmuth's previous agreement which was not scheduled to expire until 1998. Under the terms of the current agreement, Mr. Yarmuth earns an annual base salary of $190,000 and is eligible for a performance based cash incentive of 35% of annual base salary. The agreement includes a covenant not to compete for a period of two years and potential termination payments of two times annual salary. - ------------------------------------------------------------------------------- Aggregate Option Exercises in Last Fiscal Year and Year-End Option Values Set forth below is information with respect to unexercised stock options held by the executive officers named in the Summary Compensation Table at March 31, 2000. - ------------------------------------------------------------------------------------------------------ Shares Value of Unexercised Acquired Number of Unexercised In-the-Money Options On Value Options at Fiscal Yearend at Fiscal Yearend (1) Name Exercise Realized Exercisable Unexercisable Exercisable Unexercisable - --------------- -------- ------- ----------- ------------- ----------- ------------- William B. Yarmuth 0 0 116,500 113,500 45,313 45,313 Mary A.Yarmuth 19,500 6,459 29,500 29,500 9,906 9,906 C. Steven Guenthner 0 0 27,500 27,500 9,531 9,531 Patrick T. Lyles 0 0 17,500 17,500 6,563 6,563 (1)These amounts represent the market value less the exercise price. The market value of the common stock was $2.81 based on the closing price per share at March 31, 2000, on the NASDAQ SmallCap System. - ------------------------------------------------------------------------------------------------------ ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT Based on information filed with the Securities and Exchange Commission and the Company's stock records, the following table sets forth the beneficial ownership of the Common Stock as of March 31, 2000, by (I) beneficial owners of more than five percent of the Common Stock, (ii) each director and nominee for director, (iii) current named executive officers and (iv) all directors and officers of the Company as a group. Shares of Capital Stock Beneficially Owned (1)(2) - ------------------------------------------------------------------------------- Name and Address Amount and Nature Percentage Directors and Executive Officers of Beneficial Ownership of Class - -------------------------------- ----------------------- ----------- William B. Yarmuth 397,883 (3) 12.04% 100 Mallard Creek Road, Suite 400 Louisville, KY 40207 Mary A. Yarmuth 397,883 (4) 12.04% C. Steven Guenthner 55,341 (5) 1.74% Steven B. Bing 12,340 (6) * Patrick B. McGinnis 21,129 (7) * Donald G. McClinton 27,049 (8) * Tyree Wilburn 21,000 (9) * Jonathan Goldberg 18,957 (10) * Wayne Smith 112,873 (11) 3.57% Patrick T. Lyles 23,546(12) * Directors and Officers as a Group (10 Persons) 690,118(13) 20.09% Additional Five Percent Beneficial Owners HEALTHSOUTH Rehabilitation Corporation 1,015,101(14) 31.21% Two Perimeter Park South Birmingham, AL 35243 Heartland Advisors, Inc. 308,900 9.80% 790 North Milwaukee Street Milwaukee, WI 53202 Yarmuth Family Limited Partnership 157,723 (15) 5.01% 100 Mallard Creek Road, Suite 400 Louisville, KY 40207 - ------------------------------------------------------------------------------- o Represents less than 1% of the class. (1) Based upon information furnished to the Company by the named persons, and information contained in filings with the Securities and Exchange Commission (the "Commission"). Under the rules of the Commission, a person is deemed to beneficially own shares over which the person has or shares voting or investment power or has the right to acquire beneficial ownership within 60 days. Unless otherwise indicated, the named person has the sole voting and investment power with respect to the number of shares of Common Stock set forth opposite such person's name. (2) Assumes inclusion of the shares of common stock issuable upon exercise of outstanding redeemable warrants; assumes conversion of series A Convertible Preferred Stock into Common Stock. (3) Includes 8,886 shares as to which Mr. Yarmuth shares voting and investment powers as a family trust and options for 125,000 shares vested and exercisable, and 29,500 exercisable options owned by Mrs. Yarmuth in addition to 32,427 shares owned directly by Mrs. Yarmuth. (4) Includes the same ownership components as stated for Mr. Yarmuth. (5) Includes 27,500 shares subject to currently exercisable options. (6) Includes 12,000 shares subject to currently exercisable options. (7) Includes 11,500 shares subject to currently exercisable options and 3,629 phantom shares within the Non-employee Directors Deferred Compensation Plan. (8) Includes 11,500 shares subject to currently exercisable options and 5,549 phantom shares within the Non-employee Deferred Compensation Plan. (9) Includes 11,000 shares subject to currently exercisable options. (10) Includes 10,000 shares subject to currently exercisable options and 4,957 phantom shares within the Non-employee Directors Deferred Compensation Plan. (11) Includes 10,000 shares subject to currently exercisable options and 4,748 phantom shares within the Non-employee Directors Deferred Compensation Plan. (12) Includes 17,500 shares subject to currently exercisable options. (13) Includes currently exercisable options held by all directors and officers as a group to purchase 265,500 shares of Common Stock and 18,833 shares held by Non-employee Directors within the Non-employee Directors Deferred Compensation Plan. (14) Includes currently exercisable warrants for the purchase of 200,000 shares of Common Stock. In addition, HEALTHSOUTH owns warrants for an additional 66,600 Series A Convertible Preferred Shares. (15) Robert N. Yarmuth is the general partner and is the brother of William B. Yarmuth. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS None PART IV Item 14. Exhibits and Financial Statement Schedules and Reports on Form 8-K. Page Number (a)(1) Index to Consolidated Financial Statements Consolidated Statements of Operations for the three years ended March 31, 2000, 1999, and 1998 Consolidated Balance Sheets - March 31, 2000 and 1999 Consolidated Statements of Stockholders' Equity for the three years ended March 31, 2000, 1999, and 1998 Consolidated Statements of Cash Flows for the three years ended March 31, 2000, 1999, and 1998 Notes to Consolidated Financial Statements Report of Independent Public Accountants (a)(2) Index to Financial Statement Schedule Report of Independent Public Accountants Schedule II - Valuation and Qualifying Accounts All other Schedules have been omitted because they are either not required, not applicable or, the information has otherwise been supplied in the financial statements or notes thereto. (a)(3) Exhibits (* denotes filed herein) Exhibit Number Description of Exhibit 3.1 Certificate of Incorporation, as amended 3.2 Amended and Restated By-laws 4.1 Other Debt Instruments -- copies of other debt instruments for which the total debt is less than 10% of assets will be furnished to the Commission upon request. 10.1 Nonqualified Stock Option Plan, as amended (Incorporated by reference to the Registrant's Registration Statement on Form S-8 Reg. No. 33-20815) 10.2 Supplemental Nonqualified Stock Option Plan (Incorporated by reference to Exhibit 19.4 to the Registrant's Report on Form 10-Q for the Quarter Ended November 30, 1987 Commission File No. 15342) 10.3 Incentive Stock Option Plan, as amended (Incorporated by reference to the Registrant's Registration Statement on Form S-8 Reg. No. 33-20815) 10.4 Amendment to the Senior Service Corporation 1987 Nonqualified Stock Option Plan (Incorporated by reference to Exhibit 19.3 to the Registrant's Report on Form 10-Q for the quarter ended November 30, 1989) 10.5 1991 Long-Term Incentive Plan 10.6 Warrant Agreement, dated June 29, 1991, between the Company and HEALTHSOUTH Rehabilitation Corporation (incorporated by reference to Exhibit 10.88 to the Registrant's Form S-1 Reg. 33-46565 dated April 23, 1993) 10.7 Employment Agreement, dated January 1. 1996, between the Company and William B. Yarmuth 10.8 Asset Sale Agreements between the Company and Columbia/HCA Healthcare Corporation 10.9 Management Services Agreement between the Company and Columbia/HCA Healthcare Corporation 10.10 Asset Purchase Agreement between the Company and Home Care Solutions, Inc. 10.11 Asset Purchase Agreement between the Company and Metro Home Care, Inc. 10.12 Asset Purchase Agreement between the Company and Visiting Nurse Association of Palm Beach County, Inc. 22* List of Subsidiaries of Almost Family, Inc. 24.1* Consent of Arthur Andersen LLP 27* Financial Data Schedule (b) Reports on Form 8-K Form 8K was filed by the Company on November 27, 1999 related to the Company's plan of disposition for its home health operations. Form 8K was filed by the Company on January 31, 2000 regarding the Company's name change. (c) Exhibits Described in Item 14(a)(3) of this report (d) Financial Statement Schedules Described in Item 14(a)(2) of this report SIGNATURES Pursuant to the requirements of Section 13 or 15(d) 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. ALMOST FAMILY, INC. June 28, 2000 S/ William B. Yarmuth June 28, 2000 - ---------------------------------------------------------- William B. Yarmuth Chairman, President and Chief Executive Officer S/ C. Steven Guenthner June 28, 2000 - ---------------------------------------------------------- C. Steven Guenthner Senior Vice President and Chief Financial Officer (Principal Financial and Accounting Officer) Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below the following persons in the capacities and on the dates indicated: S/ William B. Yarmuth June 28, 2000 - ----------------------------------------------------------- William B. Yarmuth Date Director S/ Patrick B. McGinnis June 28, 2000 - ---------------------------------------------------------- Patrick B. McGinnis Date Director S/ Donald G. McClinton June 28, 2000 - ---------------------------------------------------------- Donald G. McClinton Date Director S/ Steven B. Bing June 28, 2000 - ---------------------------------------------------------- Steven B. Bing Date Director S/ Tyree Wilburn June 28, 2000 - ---------------------------------------------------------- Tyree Wilburn Date Director S/ Jonathan Goldberg June 28, 2000 - ---------------------------------------------------------- Jonathan Goldberg Date Director S/ Wayne T. Smith June 28, 2000 - ---------------------------------------------------------- Wayne T. Smith Date Director Report of Independent Public Accountants To the Stockholders of Almost Family, Inc.: Our audits were made for the purpose of forming an opinion on the basic financial statements taken as a whole. The schedule listed in the index to Financial Statement Schedule is presented for purposes of complying with the Securities and Exchange Commissions rules and is not part of the basic financial statements. This schedule has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, fairly states in all material respects the financial data required to be set forth therein in relation to the basic financial statements taken as a whole. ARTHUR ANDERSEN LLP Louisville, Kentucky May 31, 2000 S-1 ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP) VALUATION AND QUALIFYING ACCOUNTS SCHEDULE II Col. A Col. B Col. C Col. D Col. E ------ ------ ------ ------ ------ Additions ---------------------- (1) Balance at Charged Charged Beginning to Costs to (2) Balance at Description of and Other Deductions End of Period Expenses Accounts Period ---------------------------------------------- ------------------------------ Year ended March 31, 2000: Allowance for bad debts $598,656 $940,390 $676,890 $862,156 ======== ======== ======== ======== Year ended March 31, 1999: Allowance for bad debts $1,054,988 $916,876 $1,373,208 $598,656 ========== ======== ========== ======== Year ended March 31, 1998: Allowance for bad debts $600,838 $933,118 $478,968 $1,054,988 ======== ======== ======== ========== (1) Charged to bad debt expense. (2) Write-off of accounts. ALMOST FAMILY, INC. AND SUBSIDIARIES (FORMERLY CARETENDERS HEALTH CORP) COMPUTATION OF EARNINGS PER SHARE EXHIBIT 11 BASIC 2000 1999 1998 ---- ---- ---- Net income (loss) from Continuing Operations $ 175,322 (373,829) (1,632,951) Discontinued operations Income (loss) from operations, net of applicable income taxes 81,724 (5,681,864) 3,044,762 Loss on disposal, net of applicable income tax provision (5,000,000) - - ----------- ------------ ----------- (4,918,276) (5,681,864) 3,044,762 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, net of tax - (171,974) - Net income (loss) (4,742,954) (6,227,667) 1,411,811 Weighted average outstanding shares during the period 3,124,016 3,120,413 3,120,413 Net income (loss) from Continuing Operations per common share 0.06 (0.12) (0.52) Discontinued operations Income (loss) from operations, net of applicable income taxes per common share 0.03 (1.82) 0.98 Loss on disposal, net of applicable income tax provision per common share (1.60) 0.00 0.00 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, net of tax per common share 0.00 (0.06) 0.00 Net income (loss) per common share (1.52) (2.00) 0.45 DILUTED Net income (loss) from Continuing Operations 175,322 (373,829) (1,632,951) Discontinued operations Income (loss) from operations, net of applicable income taxes 81,724 (5,681,864) 3,044,762 Loss on disposal, net of applicable income tax provision (5,000,000) - - ----------- ---------- --------- (4,918,276) (5,681,864) 3,044,762 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, net oftax - (171,974) Net income (loss) (4,742,954) (6,227,667) 1,411,811 Weighted average outstanding shares during the period 3,124,016 3,120,413 3,120,413 Add-common equivalent share representing shares issuable upon exercise of dilutive options and warrants - - 41,270 Diluted weighted average number of shares at year-end 3,124,016 3,120,413 3,161,683 Net income (loss) from Continuing Operations per common share 0.06 (0.12) (0.52) Discontinued operations Income (loss) from operations, net of applicable income taxes per common share 0.03 (1.82) 0.98 Loss on disposal, net of applicable income tax provision per common share (1.60) 0.00 0.00 Cumulative effect on prior years of a change in method of accounting for pre-opening costs, net of tax per common share 0.00 (0.06) 0.00 Net income (loss) per common share (1.52) (2.00) 0.45 ALMOST FAMILY, INC. (FORMERLY CARETENDERS HEALTH CORP) LIST OF SUBSIDIARIES AS OF MARCH 31, 2000 EXHIBIT 22 Subsidiaries of Almost Family, Inc. Adult Day Care of America, Inc. Adult Day Care of Louisville,Inc. Adult Day Care of Maryland, Inc. HouseCalls, Inc. Adult Day Clubs of America Joint Venture, Ltd. SEI Publishing Corporation National Health Industries, Inc. HHJC Holdings, Inc. Pro-Care Home Health of Broward, Inc. Subsidiaries of National Health Industries, Inc. Freelife Medical Equipment, Inc. Caretenders Homecare, Inc. Caretenders Infusion of Birmingham, Inc. Caretenders of Birmingham, Inc. Caretenders of Boston, Inc. Caretenders of Cincinnati, Inc. Caretenders of Columbus, Inc. Caretenders of Elizabethtown, Inc. Caretenders of Indiana, Inc. Caretenders of Indianapolis, Inc. Caretenders of Lincoln Trail, Inc. Caretenders of Louisville, Inc. Caretenders of New Jersey, Inc. Caretenders of Northern Kentucky, Inc. Caretenders of Richmond, Inc. Caretenders of the Bluegrass, Inc. Caretenders Visiting Services of Richmond, Inc. House Calls of America, Inc. Caretenders Infusion Corp. Metro Home Care, Inc. National Orthopedic & Rehabilitation Services, Inc. Physician Affiliates, Inc. Special Healthcare Services, Inc. Reliable Home Healthcare, Inc. Caretenders Visiting Services of Cincinnati, Inc. Caretenders of Cleveland, Inc. Caretenders Visiting Services of Columbus, Inc. Caretenders of Fort Lauderdale, Inc. Caretenders of Evansville, Inc. Caretenders of West Palm Beach, Inc. Caretenders Visiting Services of Indianapolis, Inc. Caretenders of Charlotte, Inc. Caretenders Visiting Services of Southwest FL, Inc. Caretenders of Southwest Florida, Inc. Caretenders Visiting Services of Southeast FL, Inc. Subsidiary of HHJC Holdings, Inc. Home Health of Jefferson County, Inc. Caretenders of Marshall County, Inc. Exhibit 24.1 CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS As independent public accountants, we hereby consent to the incorporation of our reports included in this Form 10-K, into the Company's previously filed Registration Statement File No. 33-33601 relating to the Company's Incentive Stock Option Plan, Registration Statement File No. 33-81122 related to the 1987 Nonqualified Stock Option Plan, Registration Statement No. 33-881100 related to the 1993 Non-Employee Directors Stock Option Plan, Registration Statement No. 33-81124 related to the 1991 Long-Term Incentive Plan, and Registration Statement File No. 333-43631 related to the Non-Employee Directors Deferred Compensation Plan. ARTHUR ANDERSEN LLP Louisville, Kentucky June 28, 2000