UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 10-Q [ X ] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2004 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from ___________to_______ Commission file number 1-9848 ALMOST FAMILY, INC. TM (Exact name of registrant as specified in its charter) Delaware 061-153720 (State or other jurisdiction (IRS Employer of incorporation or organization) Identification No.) 9510 Ormsby Station Road, Suite 300 40223 (Address of principal executive offices) (Zip Code) (502) 891-1000 (Registrant's telephone number, including area code) Not Applicable (Former name, former address and former fiscal year, if changed since last report) Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes __X__ No ____. Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes ____ No_X_. Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Class of Common Stock $.10 par value Shares outstanding at May 6, 2004 2,296,527 ALMOST FAMILY, INC. AND SUBSIDIARIES FORM 10-Q INDEX Part I. Financial Information........................................................................................3 Item 1. Financial Statements....................................................................................3 Consolidated Balance Sheets as of March 31, 2004 and December 31, 2003..................................3 Consolidated Statements of Income as of March 31, 2004 and March 31, 2003...............................4 Consolidated Statements of Cash Flows for the Three Months ended March 31, 2004 and 2003................5 Notes to Interim Consolidated Financial Statements......................................................6 Item 2. Managements's Discussion and Analysis of Financial Condition and Results of Operations.................13 Item 3. Quantitative and Qualitative Disclosures about Market Risk.............................................23 Item 4. Controls and Procedures................................................................................24 Part II. Other Information..........................................................................................25 Item 1. Legal Proceedings.....................................................................................25 Item 2. . Changes in Securities.................................................................................25 Item 3. . Defaults Upon Senior Securities.......................................................................25 Item 4. . Submission of Matters to a Vote of Security Holder....................................................25 Item 5. . Other Information.....................................................................................26 Item 6. . Exhibits..............................................................................................26 ALMOST FAMILY, INC. AND SUBSIDIARIES INTERIM CONSOLIDATED BALANCE SHEETS ASSETS March 31, 2004 December 31, 2003 ------------------- ------------------- (UNAUDITED) CURRENT ASSETS: Cash and cash equivalents $ 877,426 $ 897,443 Accounts receivable - net 15,180,826 15,334,659 Prepaid expenses and other current assets 719,212 740,228 Deferred tax assets 943,013 863,611 ------------------- ------------------- TOTAL CURRENT ASSETS 17,720,477 17,835,941 CASH HELD IN ESCROW (Note 8) 1,154,241 1,154,241 PROPERTY AND EQUIPMENT - NET 7,040,808 7,519,506 GOODWILL 6,335,783 6,335,783 OTHER ASSETS 178,829 195,589 ------------------- ------------------- $ 32,430,138 $ 33,041,060 =================== =================== LIABILITIES AND STOCKHOLDERS' EQUITY CURRENT LIABILITIES: Accounts payable $ 1,877,969 $ 2,376,045 Accrued other liabilities 6,472,880 5,481,130 Current portion - capital leases and term debt 225,578 225,578 ------------------ -------------------- 8,576,427 8,082,753 ------------------ -------------------- LONG-TERM LIABILITIES: Revolving Credit Facility 9,540,786 10,891,423 Capital leases 1,022,593 1,085,178 Acquisition notes payable 300,000 300,000 Deferred tax liabilities 57,558 61,328 Other liabilities 367,065 356,032 ------------------ -------------------- TOTAL LONG-TERM LIABILITIES 11,288,002 12,693,961 ------------------ -------------------- TOTAL LIABILITIES 19,864,429 20,776,714 ------------------ -------------------- COMMITMENTS AND CONTINGENCIES (Note 8) STOCKHOLDERS' EQUITY: Common stock, par value $0.10; authorized 10,000,000 shares; 3,394,874 and 3,394,874 issued 339,490 339,490 Treasury stock, at cost, 1,096,783 and 1,096,783 shares (7,772,048) (7,772,048) Additional paid-in capital 26,439,304 26,439,304 Accumulated deficit (6,441,037) (6,742,400) ------------------ ----------------- TOTAL STOCKHOLDERS' EQUITY 12,565,709 12,264,346 ------------------ -------------------- $ 32,430,138 $ 33,041,060 ================== ==================== See accompanying notes to interim consolidated financial statements ALMOST FAMILY, INC. AND SUBSIDIARIES INTERIM CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED) Three Months Ended ------------------ --- ------------------ March 31, 2004 March 31, 2003 ------------------ ------------------ Net revenues $ 21,984,744 $ 21,517,645 Cost of services 18,573,473 18,031,633 General and administrative expenses 1,551,069 1,905,668 Depreciation and amortization expense 625,283 626,085 Provision for uncollectible accounts 594,224 380,182 -------------------- ------------------- Income before interest expense and income taxes 640,695 574,077 Other income (expense) Interest expense (144,843) (179,233) Facility gains (losses) 6,420 2,605 -------------------- ------------------- Income before income taxes 502,272 397,449 Income tax expense 200,909 158,980 -------------------- ------------------- Net income $ 301,363 $ 238,469 ==================== =================== Net income per common share: Basic $ 0.13 $ 0.10 Diluted $ 0.12 $ 0.10 Weighted average shares outstanding: Basic 2,296,527 2,289,465 Diluted 2,556,781 2,476,900 See accompanying notes to interim consolidated financial statements. ALMOST FAMILY, INC. AND SUBSIDIARIES INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) Three Months Ended ----------------------------------------------- March 31, 2004 March 31, 2003 ------------------------ --------------------- Cash flows from operating activities: Net income $ 301,363 $ 238,469 Adjustments to reconcile net income to net cash provided by operating activities Depreciation and amortization 625,283 626,085 Deferred income taxes (83,172) 146,255 Gain on sale of asset (6,420) (2,605) Provision for uncollectible accounts 594,224 380,182 ------------------------ --------------------- 1,431,278 1,388,386 Change in certain net assets: (Increase) decrease in: Accounts receivable (440,391) 1,453,443 Prepaid expenses and other current assets 21,016 (42,409) Other assets 16,760 762,180 Increase (decrease) in: Accounts payable and accrued liabilities 493,674 742,163 Other liabilities 11,032 (812,218) ------------------------ --------------------- Net cash provided by operating activities 1,533,369 3,491,545 ------------------------ --------------------- Cash flows from investing activities: Capital expenditures (146,585) (455,404) Cash received from sale of asset 6,420 2,605 ------------------------ --------------------- Net cash used in investing activities (140,165) (452,799) ------------------------ --------------------- Cash flows from financing activities: Net revolving credit facility (payments) borrowings (1,350,636) (2,896,772) Repurchase of common shares - (65,896) Proceeds from stock option exercises - 76,150 Principal payments on debt and capital leases (62,585) (78,016) ------------------------ --------------------- Net cash used in financing activities (1,413,221) (2,964,534) ------------------------ --------------------- Net (decrease) increase in cash and cash equivalents (20,017) 74,212 Cash and cash equivalents at beginning of period 897,443 973,534 ------------------------ --------------------- Cash and cash equivalents at end of period $ 877,426 $ 1,047,746 ======================== ===================== See accompanying notes to interim consolidated financial statements. ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS 1. Basis of Presentation The accompanying interim consolidated financial statements for the three months ended March 31, 2004 have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been omitted pursuant to such rules and regulations. Accordingly, the reader of this Form 10-Q is referred to our Form 10-K for the year ended December 31, 2003 for further information. In the opinion of management of the Company, the accompanying unaudited interim consolidated financial statements reflect all adjustments (consisting of normal recurring adjustments) necessary to present fairly the financial position at March 31, 2004 and the results of operations and cash flows for the three months ended March 31, 2004 and 2003. The results of operations for the three months ended March 31, 2004 are not necessarily indicative of the operating results for the year. Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States 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 reporting period. Actual results could differ from those estimates. Financial Statement Reclassifications Certain amounts have been reclassified in the March 2003 consolidated financial statements and related notes in order to conform to the 2004 presentation. Such reclassifications had no effect on previously reported net income. 2. 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. Laws and regulations governing the Medicare and Medicaid programs are extremely complex and subject to interpretation. It is common for issues to arise related to: 1) medical coding, particularly with respect to Medicare, 2) patient eligibility, particularly related to Medicaid, 3) the determination of cost-reimbursed revenues, and 4) other reasons unrelated to credit risk, all of which may result in adjustments to recorded revenue amounts. Management continuously evaluates the potential for revenue adjustments and when appropriate provides allowances for losses based upon the best available information. There is at least a reasonable possibility that recorded estimates could change by material amounts in the near term. ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS Approximately 51% of the Company's revenues were derived from state Medicaid and other government programs, virtually all of which are currently facing significant budget issues. The Medicaid programs in each of the states in which the Company operates are taking actions or evaluating taking actions to reduce Medicaid expenditures. Among these actions are the following: o Redefining eligibility standards for Medicaid coverage o Redefining coverage criteria for home and community based care services o Slowing payments to providers by increasing the minimum time in which payments are made o Limiting reimbursement rate increases o Changing regulations under which providers must operate The actions being taken and/or being considered are in response to declines in state tax revenues due to the condition of the US economy. The Company believes that these financial issues are cyclical in nature rather than indicative of the long-term prospect for Medicaid funding of health care services. It is possible however, that the actions taken by the state Medicaid programs in the future could have a significant unfavorable impact on the Company's results of operations, financial condition and liquidity. 3. Segment Data The Company operates in two service line groups: Home Health Care and Adult Day Care (ADC). The Home Health Care group consists of two reportable segments, Visiting Nurse (VN) and Personal Care (PC) while the ADC service line is also a separate reportable segment. Reportable segments have been identified based upon how management has organized the business by services provided to customers and the criteria in SFAS 131, "Disclosures about Segments of an Enterprise and Related Information." The Company's VN segment provides skilled medical services in patients' homes largely to enable recipients to reduce or avoid periods of hospitalization and/or nursing home care. VN Medicare revenues are generated on a per episode basis rather than a fee per visit or day of care. Approximately 90% of the VN segment revenues are generated from the Medicare program while the balance is generated from Medicaid and private insurance programs. The Company's PC segment services are also provided in patients' homes. These services (generally provided by para-professional staff such as home health aides) are generally of a custodial rather than skilled nature. PC revenues are generated on an hourly basis. Approximately 65% of the PC segment revenues are generated from Medicaid and other government programs while the balance is generated from insurance programs and private pay patients. The Company's ADC segment provides professional, high quality adult day health services to disabled or frail adults who require some care or supervision, but who do not require intensive medical attention and/or wish not to live in a nursing home or other inpatient institution. These services are provided in the Company's physical facilities. ADC revenues are usually generated on a per day of care basis. Approximately 85% of the ADC segment revenues are generated from Medicaid and other government programs while the balance is generated from insurance programs and private pay patients. Certain general and administrative expenses incurred at the corporate level have not been allocated to the segments. The Company has service locations in Florida, Kentucky, Ohio, Maryland, Connecticut, Massachusetts, Alabama and Indiana (in order of revenue significance). ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS The presentation of the Company's operations in three segments differs from its previous reporting of two segments due to a reorganization of the way in which the Company manages its business and in the way in which information is reported, both of which resulted from refinements in the Company's business plan adopted in the quarter ended March 31, 2004. Segment data for previous periods have been restated to conform to the new reporting structure. Three Months Ended March 31, ---------------- --- --------------- 2004 2003 ---------------- --------------- Net Revenues Home Health Care Visiting nurses $ 8,341,410 $ 7,605,869 Personal care 8,101,892 7,994,042 ---------------- --------------- 16,443,302 15,599,911 Adult day care 5,541,442 5,917,734 ---------------- --------------- $ 21,984,744 $ 21,517,645 ================ =============== Operating Income Home Health Care Visiting nurses $ 1,508,177 $ 1,269,732 Personal care 778,204 1,024,863 ---------------- --------------- 2,286,381 2,294,595 Adult day care (134,189) (127,844) ---------------- --------------- 2,152,192 2,166,751 Unallocated corporate expenses 1,511,497 1,592,674 ---------------- --------------- Operating income $ 640,695 $ 574,077 ================ =============== 4. Capitalized Software Development Costs Consistent with AICPA Statement of Position 98-1, the Company capitalizes the cost of internally generated computer software developed for the Company's own use. Software development costs of approximately $41,000 and $297,000 were capitalized in the three months ended March 31, 2004 and 2003, respectively. Capitalized software development costs are amortized over a three-year period following the initial implementation of the software. ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS 5. Revolving Credit Facility In March 2004, the Company renewed it's $22.5 million credit facility with Bank One Kentucky NA with a new expiration date of June 30, 2006. The credit facility bears interest at the bank's prime rate plus a margin (ranging from -0.75% to - -0.25%, currently -0.5%) dependent upon total leverage and is secured by substantially all assets and the stock of the Company's subsidiaries. The weighted average interest rates were 4.0% and 4.25% for the quarters ended March 31, 2004 and 2003, respectively. The interest rate in effect at March 31, 2004 was 4.0%. The Company pays a commitment fee of 0.25% per annum on the unused facility balance. 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, acquisitions, development and growth of the business and other corporate purposes. As of March 31, 2004 the formula permitted approximately $17.2 million to be used, of which approximately $9.5 million was outstanding. Additionally, an irrevocable letter of credit, totaling $3.6 million, was outstanding in connection with the Company's self-insurance programs. Thus, a total of $13.1 million was either outstanding or committed as of March 31, 2004 while an additional $4.1 million was available for use. The Company's revolving credit facility is subject to various financial covenants. As of March 31, 2004, the Company was in compliance with the covenants. Under the most restrictive of the Company's covenants, the Company is required to maintain minimum net worth of at least $10,500,000. 6. Stock-Based Compensation Stock options are granted under various stock compensation programs to employees and independent directors. The Company accounts for stock option grants in accordance with Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees." For purposes of pro forma disclosures, the estimated fair value of the options is amortized to expense over the options' vesting period. Pro forma information is as follows. Three Months Ended March 31, 2004 March 31, 2003 ---------------------- ------------------ Net income as reported $ 301,363 $ 238,469 Pro forma stock-based compensation expense, net of tax 444 10,699 ---------------------- ------------------ Pro forma net income $ 300,919 $ 227,770 ====================== ================== Earnings per common share: Basic - as reported $ 0.13 $ 0.10 Basic - pro forma $ 0.13 $ 0.10 Diluted - as reported $ 0.12 $ 0.10 Diluted - proforma $ 0.12 $ 0.09 7. Earnings Per Common Share There were no adjustments required to be made to net income for purposes of computing basic and diluted earnings per common share. A reconciliation of the weighted average shares outstanding used in the calculation of basic and diluted earnings per common share is as follows: ......... Three Months Ended March 31, 2004 March 31, 2003 ---------------- -------------- Shares used to compute basic earnings per common share - weighted average shares outstanding 2,296,527 2,289,465 Dilutive effect of stock options 260,254 187,435 ------------------ ----------------- Shares used to compute diluted earnings per common share 2,556,781 2,476,900 ================== ================= 8. Commitments and Contingencies Insurance Programs The Company bears significant insurance risk under its large-deductible automobile and workers' compensation insurance programs and its self-insured employee health program. Under its automobile insurance program, the Company bears risk up to $100,000 per incident. Under the workers' compensation insurance program, the Company bears risk up to $250,000 per incident. The Company purchases stop-loss insurance for the employee health plan that places a specific limit, generally $150,000, on its exposure for any individual covered life. Malpractice and general patient liability claims for incidents which may give rise to litigation have been asserted against the Company by various claimants. The claims are in various stages of processing and some may ultimately be brought to trial. The Company is aware of incidents that have occurred through March 31, 2004 that may result in the assertion of additional claims. The Company carries insurance coverage for this exposure; however, its deductible per claim increased from $5,000 to $25,000 effective July 1, 2001 and to $250,000 effective April 1, 2003. The Company records estimated liabilities for its insurance programs based on information provided by the third-party plan administrators, historical claims experience, the life cycle of claims, expected costs of claims incurred but not paid, and expected costs to settle unpaid claims. The Company monitors its estimated insurance-related liabilities on a quarterly basis. As facts change, it may become necessary to make adjustments that could be material to the Company's results of operations and financial condition. The Company believes that its present insurance coverage is adequate. The Company continues to contemplate alternatives including potentially accepting additional self-insurance risk in lieu of higher premium costs. Total premiums, excluding the Company's exposure to claims and deductibles, for all its non-health insurance programs increased to approximately $2.8 million for the contract year ending March 31, 2005 as compared to approximately $2.5 million for the contract year ended March 31, 2004. ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS 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. Franklin Litigation 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 1994 suit alleged that 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 April 2000, Franklin re-filed its lawsuit. The second trial took place in February 2003. In April 2003 the court issued a ruling in favor of the plaintiffs awarding damages of $984,970. The Company believes the Court erred both in its finding of liability and in its determination of the amount of damages. The Company is seeking appellate review of the lower court decision. As a part of the appeal, the Company was required to post cash of $1,154,241 in an escrow account with the Tennessee Courts in lieu of a supersedeas appeal bond until the appeal court issues a decision. This cash is reflected as "Cash held in escrow" in the accompanying balance sheet and will remain in escrow until the matter reaches its ultimate resolution. Based on the advice of legal counsel, the Company believes that the damage award by the lower court does not create a "probable" loss as set forth in Statement of Financial Accounting Standards No. 5, "Accounting for Contingencies." Accordingly, no provision for the damages award has been recorded in the accompanying financial statements. Should the facts and circumstances change in the future to the extent that such a loss appears probable, the Company would record a provision at that time. Based on the advice of legal counsel, the Company believes it has strong grounds for appealing the trial court's decision and it intends to vigorously pursue its appeal. The Company can give no assurance that it will be successful in its appeal. Kentucky Transportation Litigation Prior to July 1, 2002, the Commonwealth of Kentucky managed its Medicaid transportation program internally. Effective July 1, 2002 the Commonwealth contracted with an independent broker (the Broker) for the management of the program in the Louisville KY area. The Broker then contracted with the Company, among others, for the provision of transportation services to Medicaid beneficiaries. The Company's services pursuant to the contract were limited to transportation of Medicaid beneficiaries who also attended the Company's in-center adult day care programs. The Broker almost immediately began to encounter significant financial difficulties and paid the Company for only a small portion of the amounts due for services rendered. On October 22, 2002, three of the Broker's other contracted providers filed a motion with the US Bankruptcy Court to liquidate the Broker under Chapter 7 of the Federal Bankruptcy Code. On November 25, 2002, the Broker voluntarily chose to convert their bankruptcy status to a Chapter 11 voluntary reorganization. ALMOST FAMILY, INC. AND SUBSIDIARIES NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS In May 2003, along with a group of other affected providers, the Company filed suit against the Commonwealth in Franklin Circuit Court seeking payment directly from the Commonwealth. The Commonwealth objected to the lawsuit on the basis of sovereign immunity and filed a motion to dismiss the lawsuit. In July 2003, a hearing on the motion to dismiss was held and at the judge's request written briefs were filed before the judge would make a decision. In August 2003, the motion to dismiss was granted and after discussion with legal counsel, an appeal of this decision was made to the Kentucky Court of Appeals. As of December 31, 2003 and December 31, 2002, the Broker owed the Company approximately $535,000, which amount is included in accounts receivable, net on the accompanying balance sheets. Although the Company currently believes it will be successful in ultimately collecting the amounts currently due us under this arrangement, there can be no assurance that such amounts will in fact be collected. Should it become evident in the future that a material amount will not be collectible, the Company will, at that time, record an additional provision for uncollectible accounts. The Company's loan agreement executed with its lender in March 2004 provides that the loss of either or both of the above litigation cases will be excluded from the Company's financial results for purposes of calculating borrowing availability or financial covenant compliance. ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The Company Almost Family, Inc. TM and subsidiaries (collectively "Almost Family") is a leading regional provider of home health nursing services and adult day health services. In this report, the terms "Company", "we", "us" or "our" mean Almost Family, Inc. and all subsidiaries included in our consolidated financial statements. Cautionary Statements - Forward Outlook and Risks Some of the matters discussed in this filing include forward-looking statements. Statements that are predictive in nature, that depend upon or refer to future events or conditions or that include words such as "expects," "anticipates," "intends," "plans," "believes," "estimates," "thinks," and similar expressions are forward-looking statements. We caution investors that any forward-looking statements made by us 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, those set forth in the section on Cautionary Statements - Forward Outlook and Risks in Part I, and the Notes to the Consolidated Financial Statements and Management's Discussion and Analysis of Financial Condition and Results of Operations, in our Form 10-K for the year ended December 31, 2003. Although we believe that these statements are based upon reasonable assumptions, we can give no assurance that the anticipated results will be achieved. Given these uncertainties, prospective investors are cautioned not to place undue reliance on these forward-looking statements. These forward-looking statements are made as of the date of this filing. We assume no obligation to update or revise them or provide reasons why actual results may differ. Critical Accounting Policies Refer to the "Critical Accounting Policies" section of Management's Discussion and Analysis of Financial Condition and Results of Operations included in our Form 10-K for the year ended December 31, 2003 for a detailed discussion of our critical accounting policies. Operating Segments We operate in two service line groups: Home Health Care and Adult Day Care (ADC). Our Home Health Care group consists of two reportable segments, Visiting Nurse (VN) and Personal Care (PC) while the ADC service line is also a separate reportable segment. Reportable segments have been identified based upon how management has organized the business by services provided to customers and the criteria in SFAS 131, "Disclosures about Segments of an Enterprise and Related Information." Our VN segment provides skilled medical services in patients' homes largely to enable recipients to reduce or avoid periods of hospitalization and/or nursing home care. VN Medicare revenues are generated on a per episode basis rather than a fee per visit or day of care. Approximately 90% of the VN segment revenues are generated from the Medicare program while the balance is generated from Medicaid and private insurance programs. Our PC segment services are also provided in our patients' homes. These services (generally provided by para-professional staff such as home health aides) are generally of a custodial rather than skilled nature. PC revenues are generated on an hourly basis. Approximately 65% of the PC segment revenues are generated from Medicaid and other government programs while the balance is generated from insurance programs and private pay patients. Our ADC segment provides professional, high quality adult day health services to disabled or frail adults who require some care or supervision, but who do not require intensive medical attention and/or wish not to live in a nursing home or other inpatient institution. These services are provided in the Company's physical facilities. ADC revenues are usually generated on a per day of care basis. Approximately 85% of the ADC segment revenues are generated from Medicaid and other government programs while the balance is generated from insurance programs and private pay patients. Certain general and administrative expenses incurred at the corporate level have not been allocated to the segments. The Company has service locations in Florida, Kentucky, Ohio, Maryland, Connecticut, Massachusetts, Alabama and Indiana (in order of revenue significance). Seasonality Our VN segment normally experiences seasonality in its operating results. Specifically, the VN Segment typically generates lower operating income in the quarter ended September than in the other quarters due to the seasonality of senior population in the Company's south Florida markets. Our PC segment generally does not experience significant seasonality in its operating results. In our ADC segment, the quarters ended December and March typically generate lower operating income than the quarters ended June and September as the holiday season and winter weather tend to temporarily lower ADC in-center attendance. RESULTS OF OPERATIONS Three Months Ended March 31, 2004 Compared with Three Months Ended March 31, 2003 Consolidated 2004 2003 Change ------------ ---------------- ---------- ------------------ ----------- -------------- ----------- Amount % Rev Amount % Rev Amount % ---------------- ---------- ------------------ ----------- -------------- ----------- ---------------- ---------- ------------------ ----------- -------------- ----------- Net revenues: Home Health Care VN $ 8,341,410 37.9% $ 7,605,869 35.3% $ 735,541 9.7% PC 8,101,892 36.9% 7,994,042 37.2% 107,850 1.3% ---------------- ------------------ -------------- 16,443,302 74.8% 15,599,911 72.5% 843,391 5.4% Adult Day Care 5,541,442 25.2% 5,917,734 27.5% (376,292) -6.4% ---------------- ------------------ -------------- $ 21,984,744 100.0% $ 21,517,645 100.0% $ 467,099 2.2% ================ ================== ============== Operating income Home Health Care VN $ 1,508,177 18.1% $ 1,269,732 16.7% $ 238,445 18.8% PC 778,204 9.6% 1,024,863 12.8% (246,659) -24.1% ---------------- ------------------ -------------- 2,286,381 13.9% 2,294,595 14.7% (8,214) -0.4% Adult Day Care (134,189) -2.4% (127,844) -2.2% (6,345) 5.0% ---------------- ------------------ -------------- 2,152,192 9.8% 2,166,751 10.1% (14,559) -0.7% Unallocated corporate expenses 1,511,497 6.9% 1,592,674 7.4% (81,177) -5.1% ---------------- ------------------ -------------- Income before interest expense and income taxes 640,695 2.9% 574,077 2.7% 66,618 11.6% Facility gains (losses) 6,420 0.0% 2,605 0.0% 3,815 146.4% Interest expense 144,843 0.7% 179,233 0.8% (34,390) -19.2% Income taxes 200,909 0.9% 158,980 0.7% 41,929 26.4% --------------- ------------------ -------------- Net income $ 301,363 1.4% $ 238,469 1.1% $ 62,894 26.4% ================ ================== ============== Our VN operations revenues and operating income grew significantly during the quarter offsetting lower performance in the ADC segment. Our net revenues increased approximately $467,000 or 2.2% with nearly 10% growth in VN, and 1% growth in PC offsetting a 6% decline in ADC. ADC centers closed in late 2003 accounted for all of the ADC revenue decline. On a same store basis, ADC days sold increased about 2% over the prior year. Operating income in PC in the quarter ended March 31, 2004 was lower than in the same quarter of the prior year primarily due to an unusually low provision for uncollectible accounts in the prior year. Unallocated corporate expenses were about $81,000 lower than the same quarter last year due to down-sizing actions we took over the course of 2003. Nearly all of the decrease was in labor costs. Unallocated corporate expenses as a percent of consolidated revenues declined from 7.4% last year to 6.9% this year. The effective income tax rate was approximately 40% of income before income taxes for 2004 and 2003. Visiting Nurse (VN) Segment-Three Months Three Months Ended March 31, ------------------------ -------------------------- -------------------------- 2004 2003 Change ------------------------ -------------------------- -------------------------- Amount % Rev Amount % Rev Amount % ------------- ---------- ---------------- --------- ---------------- --------- Net revenues $ 8,341,410 100.0% $ 7,605,869 100.0% $ 735,541 9.7% Cost of services 6,202,418 74.4% 5,611,992 73.8% 590,426 10.5% General & administrative 490,946 5.9% 520,279 6.8% (29,333) -5.6% Depreciation & amortization 6,694 0.1% 31,952 0.4% (25,258) -79.0% Uncollectible accounts 133,175 1.6% 171,914 2.3% (38,739) -22.5% ------------- ---------------- ---------------- Operating income $ 1,508,177 18.1% $ 1,269,732 16.7% $ 238,445 18.8% ============= ================ ================ Admissions 2,724 2,478 246 9.9% Patient months of care 6,661 6,238 423 6.8% Revenue per patient month $ 1,252 $ 1,219 $ 33 2.7% Cost of services per patient month $ 931 $ 900 $ 31 3.5% Billable visits 63,909 60,158 3,751 6.2% VN contribution for the quarter was $1.5 million versus $1.3 million last year. Admissions grew about 10% over the prior year while patient months increased 7% reflecting a reduction in the average length of stay. Visits grew at a slightly slower rate reflecting lower utilization. Revenue per patient month increased about 3% primarily due to higher Medicare pricing between periods. Operating costs per patient month also increased about 3% as increased staffing and insurance costs were partially offset by increased volumes. In March 2004, the Company received Medicare certification for a new start-up agency in Melbourne FL. In April 2004, the Company received Medicare certification for a new start-up agency in Bradenton FL. These new agencies had no material impact on operating results in the quarter ended March 31, 2004. Personal Care (PC) Segment-Three Months Three Months Ended March 31 , --------------------------- --------------------------- ------------------------- 2004 2003 Change ---------------- ---------- ---------------- ---------- --------------- --------- Amount % Rev Amount % Rev Amount % ---------------- ---------- ---------------- ---------- --------------- --------- Net revenues $ 8,101,892 100.0% $ 7,994,042 100.0% $ 107,850 1.3% Cost of services 7,018,021 86.6% 6,896,809 86.3% 121,212 1.8% General & administrative 86,856 1.1% 29,189 0.4% 57,667 197.6% Depreciation & amortization 11,726 0.1% 11,324 0.1% 402 3.5% Uncollectible accounts 207,085 2.6% 31,857 0.4% 175,228 550.0% ---------------- ---------------- --------------- Operating income $ 778,204 9.6% $ 1,024,863 12.8% $ (246,659) -24.1% ================ ================ =============== Admissions 703 645 58 9.0% Patient months of care 8,967 9,268 (301) -3.2% Patient days of care 112,592 108,654 3,938 3.6% Billable hours 448,153 441,680 6,473 1.5% Revenue per billable hour $ 18.08 $ 18.10 $ (0.02) -0.1% PC contribution for the quarter was about $778,000 versus $1.0 million last year. Billable hours increased by about 1.5% over the prior year. Revenue per billable hour was approximately the same. General administrative expenses in total and as a percentage of revenues increased due to our management reorganization which added staff to the PC management team. The provision for uncollectible accounts in the quarter ending March 31, 2003 was abnormally low due to changes made in the reserve calculations last year conforming those calculations to those used for the other segments. Adult Day Care (ADC) Segment-Three Months Three Months Ended March 31 , --------------------------- --------------------------- ------------------------- 2004 2003 Change --------------------------- --------------------------- ------------------------- Amount % Rev Amount % Rev Amount % ---------------- ---------- ---------------- ---------- --------------- --------- Net revenues $ 5,541,442 100.0% $ 5,917,734 100.0% $ (376,292) -6.4% Cost of services 4,994,910 90.1% 5,106,459 86.3% (111,549) -2.2% General & administrative 212,596 3.8% 537,867 9.1% (325,271) -60.5% Depreciation & amortization 214,161 3.9% 224,841 3.8% (10,680) -4.8% Uncollectible accounts 253,964 4.6% 176,411 3.0% 77,553 44.0% ---------------- ---------------- --------------- Operating income $ (134,189) -2.4% $ (127,844) -2.2% $ (6,345) 5.0% ================ ================ =============== Admissions 308 269 39 14.5% Patients months of care 5,526 5,980 (454) -7.6% Patient days of care 80,256 83,946 (3,690) -4.4% Revenue per patient day $ 69.05 $ 70.49 $ (1.44) -2.0% ADC in-center averages: Weekday attendance 1,116 1,192 (76) -6.4% Center capacity 1,549 1,691 (142) -8.4% Center occupancy rate 72.1% 70.5% 1.6% 2.3% ADC days sold were down 4.4% from the prior year due to the closure of certain centers during 2003. The closure of centers located in Frankfort, Kentucky, Evansville, Indiana and Lanham, Maryland reduced days sold by 5,516 or 6.5%. On a same-store basis, days sold increased 1,826 or about 2%. Revenue per day declined about 2% due to lower Kentucky Medicaid transportation rates. As a result, on a same store basis revenues remained flat. ADC same-store operating costs showed mixed results. Labor costs were flat despite the increased volume resulting in a 2% decline in labor per day sold. Non-labor costs increased most significantly in insurance ($127,000) with less significant increases in facility costs and fleet maintenance costs. The provision for uncollectible accounts increased due to deterioration of KY Medicaid accounts, especially related to transportation revenues. General and administrative expenses declined by over $300,000 as a result of down-sizing actions we took over the course of 2003. Insurance Programs We bear significant insurance risk under our large-deductible automobile and workers' compensation insurance programs and our self-insured employee health program. Under our automobile insurance program, we bear risk up to $100,000 per incident. Under the workers' compensation insurance program, we bear risk up to $250,000 per incident. We purchase stop-loss insurance for the employee health plan that places a specific limit, generally $150,000, on its exposure for any individual covered life. Malpractice and general patient liability claims for incidents which may give rise to litigation have been asserted against us by various claimants. The claims are in various stages of processing and some may ultimately be brought to trial. We are aware of incidents that have occurred through March 31, 2004 that may result in the assertion of additional claims. We carry insurance coverage for this exposure; however, our deductible per claim increased from $5,000 to $25,000 effective July 1, 2001 and to $250,000 effective April 1, 2003. We record estimated liabilities for our insurance programs based on information provided by the third-party plan administrators, historical claims experience, the life cycle of claims, expected costs of claims incurred but not paid, and expected costs to settle unpaid claims. We monitor our estimated insurance-related liabilities on a quarterly basis. As facts change, it may become necessary to make adjustments that could be material to the our results of operations and financial condition. We believe that our present insurance coverage is adequate. We continue to contemplate alternatives including potentially accepting additional self-insurance risk in lieu of higher premium costs. Total premiums, excluding our exposure to claims and deductibles, for all our non-health insurance programs increased to approximately $2.8 million for the contract year ending March 31, 2005 as compared to approximately $2.5 million for the contract year ended March 31, 2004. Liquidity and Capital Resources Revolving Credit Facility In March 2004 we renewed it's $22.5 million credit facility with Bank One Kentucky NA with a new expiration date of June 30, 2006. The credit facility bears interest at the bank's prime rate plus a margin (ranging from -0.75% to - -0.25%, currently -0.5%) dependent upon total leverage and is secured by substantially all assets and the stock of our subsidiaries. The weighted average interest rates were 4.0% and 4.25% for the quarters ended March 31, 2004 and 2003, respectively. The interest rate in effect at March 31, 2004 was 4.0%. We pay a commitment fee of 0.25% per annum on the unused facility balance. Borrowings are available equal to the greater of: a) a multiple of earnings before interest, taxes, depreciation 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, acquisitions, development and growth of the business and other corporate purposes. As of March 31, 2004 the formula permitted approximately $17.2 million to be used, of which approximately $9.5 million was outstanding. Additionally, an irrevocable letter of credit, totaling $3.6 million, was outstanding in connection with our self-insurance programs. Thus, a total of $13.1 million was either outstanding or committed as of March 31, 2004 while an additional $4.1 million was available for use. Our revolving credit facility is subject to various financial covenants. As of March 31, 2004, we are in compliance with the covenants. Under the most restrictive of our covenants, we are required to maintain minimum net worth of at least $10,500,000. Cash Flows Key elements to the Consolidated Statements of Cash Flows for the three months ending March 31, 2004 and 2003 were: Net Change in Cash and Cash Equivalents 2004 2003 --------------------------------------- ---------------- --------------- Provided by (used in): Operating activities 1,533,369 3,491,546 Investing activities (140,165) (452,799) Financing activities (1,413,221) (2,964,535) ---------------- --------------- Net (decrease) increase in cash and cash equivalents (20,017) 74,212 ================ =============== 2004 Net cash provided by operating activities resulted principally from current period income, net of changes in accounts receivable, accounts payable and accrued expenses. Accounts receivable days revenues outstanding were 63 at March 31, 2004, down from 64 at December 31, 2003. The increase in combined accounts payable and accrued liabilities resulted primarily from an increase in tax liabilities and employee benefits. Net cash used in investing activities resulted principally from improvements in our information systems. Net cash used in financing activities resulted primarily from repayments on our credit facility and payment of capital lease and debt obligations. 2003 Net cash provided by operating activities resulted principally from current period income, net of changes in accounts receivable, accounts payable and accrued expenses. Accounts receivable days revenues outstanding were 70 at March 31, 2003, down from 80 at December 31, 2002 due primarily to the collection of Medicare cost report settlements. Net cash used in investing activities resulted principally from improvements in information systems and replacement capital expenditures in the Company's operations. Net cash used by financing activities resulted primarily from net repayments on the Company's revolving credit facility, the redemption of common shares and payments of capital lease obligations and term debt. Other Litigation. Franklin Litigation 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 our 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 our acquisition of certain home health operations in February 1991. The 1994 suit alleged that we failed to use our best efforts to register the shares held by the plaintiffs as required by the merger agreement. We 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 April 2000, Franklin re-filed its lawsuit. The second trial took place in February 2003. In April 2003 the court issued a ruling in favor of the plaintiffs awarding damages of $984,970. We believe the Court erred both in its finding of liability and in its determination of the amount of damages. We are seeking appellate review of the lower court decision. As a part of the appeal, we were required to post cash of $1,154,241 in an escrow account with the Tennessee Courts in lieu of a supersedeas appeal bond until the appeal court issues a decision. This cash is reflected as "Cash held in escrow" in the accompanying balance sheet and will remain in escrow until the matter reaches its ultimate resolution. Based on the advice of our legal counsel, we believe that the damage award by the lower court does not create a "probable" loss as set forth in Statement of Financial Accounting Standards No. 5, "Accounting for Contingencies." Accordingly, no provision for the damages award has been recorded in the accompanying financial statements. Should the facts and circumstances change in the future to the extent that such a loss appears probable, we would record a provision at that time. Based on the advice of our legal counsel, we believe we have strong grounds for appealing the trial court's decision and we intend to vigorously pursue our appeal. We can give no assurance that we will be successful in our appeal. Kentucky Transportation Litigation Prior to July 1, 2002, the Commonwealth of Kentucky managed its Medicaid transportation program internally. Effective July 1, 2002 the Commonwealth contracted with an independent broker (the Broker) for the management of the program in the Louisville KY area. The Broker then contracted with us, among others, for the provision of transportation services to Medicaid beneficiaries. Our services pursuant to the contract were limited to transportation of Medicaid beneficiaries who also attended our in-center adult day care programs. The Broker almost immediately began to encounter significant financial difficulties and paid us for only a small portion of the amounts due for services rendered. On October 22, 2002, three of the Broker's other contracted providers filed a motion with the US Bankruptcy Court to liquidate the Broker under Chapter 7 of the Federal Bankruptcy Code. On November 25, 2002, the Broker voluntarily chose to convert their bankruptcy status to a Chapter 11, voluntary reorganization. In May 2003, along with a group of other affected providers, we filed suit against the Commonwealth in Franklin Circuit Court seeking payment directly from the Commonwealth. The Commonwealth objected to the lawsuit on the basis of sovereign immunity and filed a motion to dismiss the lawsuit. In July 2003, a hearing on the motion to dismiss was held and at the judge's request written briefs were filed before the judge would make a decision. In August 2003, the motion to dismiss was granted and after discussion with legal counsel, an appeal of this decision was made to the Kentucky Court of Appeals. As of March 31, 2004 and December 31, 2003, the Broker owed us approximately $535,000, which amount is included in accounts receivable, net on the accompanying balance sheets. Although we currently believe we will be successful in ultimately collecting the amounts currently due us under this arrangement, there can be no assurance that such amounts will in fact be collected. Should it become evident in the future that a material amount will not be collectible, we will, at that time, record an additional provision for uncollectible accounts. Our loan agreement executed with our lender in March 2004 provides that the loss of either or both of the above litigation cases will be excluded from our financial results for purposes of calculating borrowing availability or financial covenant compliance. Medicaid Dependence Approximately 51% of our revenues are from state Medicaid and other government programs, virtually all of which are currently facing significant budget issues. The Medicaid programs in each of the states in which we operate are taking actions or evaluating taking actions to reduce Medicaid expenditures. Among these actions are the following: o Redefining eligibility standards for Medicaid coverage o Redefining coverage criteria for home and community based care services o Slowing payments to providers by increasing the minimum time in which payments are made o Limiting reimbursement rate increases o Changing regulations under which providers must operate The actions being taken and/or being considered are in response to declines in state tax revenues due to the condition of the US economy. We believe that these financial issues are cyclical in nature rather than indicative of the long-term prospect for Medicaid funding of health care services. It is possible however, that the actions taken by the state Medicaid programs in the future could have a significant unfavorable impact on our results of operations, financial condition and liquidity. 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. 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 our reimbursement. There can be no assurance that future legislation or regulatory changes will not have a material adverse effect on our operations. Federal and State legislative proposals continue to be introduced that would impose more limitations on payments to providers of health care services such as us. Many states have enacted, or are considering enacting, measures that are designed to reduce their Medicaid expenditures. We cannot predict what additional government regulations may be enacted in the future affecting our business or how existing or future laws and regulations might be interpreted, or whether we will be able to comply with such laws and regulations in our 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 Consolidated Financial Statements" and elsewhere in this "Management's Discussion and Analysis of Financial Condition and Results of Operations" for additional information. The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the Federal government on August 12, 1996, and requires organizations to adhere to certain standards to protect data integrity, confidentiality and availability. HIPAA also mandates, among other things, that the Department of Health and Human Services adopt standards for the exchange of electronic health information in an effort to encourage overall administrative simplification and enhance the effectiveness and efficiency of the health care industry. We implemented changes in our operations to comply with the privacy aspects of HIPAA and we believe we are in compliance. The cost of complying with privacy standards is not expected to have a material effect on our results of operations or financial position. We are in the process of implementing changes in our operations to comply with the electronic transaction and code sets aspects of HIPAA and we anticipate that we will be able to fully and timely comply with those requirements. Independent of HIPAA requirements, we have been developing new information systems with improved functionality to facilitate improved billing and collection activities, reduced administrative costs and improved decision support information. We have incorporated the HIPAA mandated electronic transaction and code sets into the design of this new software. Regulations with regard to the security components of HIPAA, have only recently been published. Those regulations are required to be implemented by April 2005. We cannot at this time estimate the cost of compliance with the security regulations. Impact of Inflation Management does not believe that inflation has had a material effect on income during the past several years. ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK Derivative Instruments The Company does not use derivative instruments. Market Risk of Financial Instruments Our primary market risk exposure with regard to financial instruments is to changes in interest rates. At March 31, 2004, a hypothetical 100 basis point increase in short-term interest rates would result in a reduction of approximately $95,000 in annual pre-tax earnings. ITEM 4. CONTROLS AND PROCEDURES. As of the end of the period covered by this report, the Company carried out an evaluation, under the supervision and with the participation of the Company's management, including the Company's Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company's disclosure controls and procedures. Based on the foregoing, the Company's Chief Executive Officer and Chief Financial Officer concluded that the Company's disclosure controls and procedures were effective, in all material respects, to ensure that information required to be disclosed in the reports the Company files and submits under the Exchange Act is recorded, processed, summarized and reported as and when required. The Company also conducted an evaluation of internal control over financial reporting to determine whether any changes occurred during the quarter covered by this report that have materially affected, or are reasonably likely to materially affect, the Company's internal control over financial reporting. Based on this evaluation, there has been no such change during the quarter covered by this report. Commission File No. 1-9848 PART II - OTHER INFORMATION Item 1. Legal Proceedings In April 2000, Franklin Capital Associates L.P. (Franklin) filed suit in Chancery Court of Williamson County, Tennessee, seeking damages in connection with registration rights they received in the Company's acquisition of certain home health operations in February 1991. Following a bench trial, in April 2003 the court issued a ruling in favor of the plaintiffs awarding damages of $984,970. The Company believes the Court erred both in its finding of liability and in its determination of the amount of damages. We are seeking appellate review of the lower court decision. As a part of the appeal, the Company was required to post cash of $1,154,241 in an escrow account with the Tennessee Courts in lieu of a supersedeas appeal bond until the appeal court issues a decision. This cash is reflected as "Cash held in escrow" in the accompanying balance sheet and will remain in escrow until the matter reaches its ultimate resolution. Based on the advice of legal counsel, the Company's management believes that the damage award by the lower court does not create a "probable" loss as set forth in Statement of Financial Accounting Standards No. 5, "Accounting for Contingencies." Accordingly, no provision for the damages award has been recorded in the accompanying financial statements. Should the facts and circumstances change in the future to the extent that such a loss appears probable, the Company would record a provision at that time. Based on the advice of legal counsel, the Company's management believes it has strong grounds for appealing the trial court's decision and intends to vigorously pursue its appeal. The Company can give no assurance that it will be successful in its appeal. Item 2. Changes in Securities None Item 3. Defaults Upon Senior Securities None Item 4. Submission of Matters to a Vote of Security Holders None Item 5. Other Information None Item 6. (a) Exhibits 31.1 Certifications of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 31.2 Certifications of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. 32.1 Certifications of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. 32.2 Certifications of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (b) Reports on Form 8-K The Company filed a Form 8-K dated March 26, 2004, Item 12, to report the issuance of a press release announcing its operating results for the twelve months ended December 31, 2003. SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. Date: May 14, 2004 ALMOST FAMILY, INC. BY /s/ William B. Yarmuth -------------------------- William B. Yarmuth, Chairman of the Board, President and Chief Executive Officer BY /s/ C. Steven Guenthner -------------------------- C. Steven Guenthner, Senior Vice President and Chief Financial Officer