Exhibit 99.1
FOR IMMEDIATE RELEASE                                            August 16, 2004

                 Almost Family Announces Second Quarter Results

Louisville, KY - Almost Family, Inc. (NASDAQ:AFAM) today announced its operating
results for the three and six months  ended June 30,  2004.  Basic  earnings per
share for the  quarter  were $0.17 in 2004 versus  $0.21 in the same  quarter of
2003.  Basic  earnings  per share for the six months ended June 30 were $0.30 in
2004  versus  $0.32 in the same period of 2003.  In the quarter  ended June 30,
2004 as compared to the same  quarter of the  previous  year,  the  Company's VN
revenue  increased over 10%, while overall Home Health Care revenue grew 7%.
Adult Day Care revenue  declined 9.5% primarily as a result of store closings in
late 2003.  Earnings  for the  quarter and  six-months  ended June 30, 2004 were
unfavorably  impacted by $0.03 per share due to the costs of a successful  union
defense in one of the Company's personal care locations.

The  Company  will be  filing  its Form 10-Q with the  Securities  and  Exchange
Commission today. Please refer to that filing for additional information.

William B. Yarmuth,  Chairman and CEO commented on the Company's results for the
quarter:  "Our  Visiting  Nurse  segment has again turned in strong  admissions,
revenue and  operating  income  growth.  Focusing  our  attention  on the growth
prospects  of this segment  continues  to pay off. Our two new Florida  Medicare
agencies  are on track with our  expectations.  We will  continue our efforts to
drive admissions growth and to acquire and start up new VN agencies. The Company
has plans to open 4-6 new VN agency locations over the next three quarters."

The  Company  also noted  that  operating  results in it Adult Day Care  segment
improved dramatically from the March 2004 quarter, although reported performance
is still down from the same quarter last year.  Net income for the quarter ended
June 30, 2004 included  losses of $62,000 or $0.03 per share from adult day care
centers no longer in  operation as of July 1, 2004.  The Company  added that the
Maryland  Medicaid  program  implemented a 2.7% rate increase  effective July 1,
2004 after granting no rate increase in 2003. 



Results of operations for the three months ended June 30, 2004 and 2003 are set
forth in the table below:



       Consolidated                                2004                        2003                       Change
       ------------
                                         -------------------------- --------------------------- ----------------------------
                                             Amount       % Rev           Amount     % Rev         Amount           %
                                         --------------- ---------- ---------------- ---------- -------------- -------------
                                                                                                 

Net Revenues
Home Health Care              VN         $8,108,047          36.4%  $     7,336,681      33.6%  $    771,366          10.5%

                              PC          8,288,627          37.2%        7,987,994      36.6%       300,633           3.8%
                                         ---------------            ----------------            --------------
                                          16,396,674         73.6%      15,324,675       70.2%     1,071,999           7.0%
Adult Day Care                             5,894,183         26.4%       6,511,888       29.8%      (617,705)         -9.5%
                                         ---------------            ----------------            --------------
                                         $22,290,857        100.0%  $   21,836,563      100.0%  $     454,294          2.1%
                                         ===============            ================            ==============

Operating Income
Home Health Care              VN         $ 1,305,639         16.1%  $    1,151,774       15.7%  $     153,865          13.4%
                              PC             768,089          9.3%         952,146       11.9%      (184,057)         -19.3%
                                         ---------------            ----------------            --------------
                                           2,073,728         12.6%       2,103,920       13.7%       (30,192)          -1.4%

Adult Day Care                               366,644          6.2%         439,748        6.8%       (73,104)         -16.6%
                                         ---------------            ----------------            --------------
                                           2,440,372         10.9%       2,543,668       11.6%      (103,296)          -4.1%

Unallocated corporate expenses             1,656,882          7.4%       1,544,775       7.1%         112,107           7.3%
                                         ---------------            ----------------            --------------
Income before interest and taxes             783,490          3.5%         998,893         4.6%      (215,403)        -21.6%

Facility gains (losses)                       (2,566)         0.0%         (14,314)       -0.1%        11,748         -82.1%

Interest expense                             123,116          0.6%         168,481        0.8%        (45,365)        -26.9%

Income taxes                                 263,123          1.2%         326,439        1.5%        (63,316)        -19.4%
                                         ---------------            ----------------            --------------
  Net income                             $   394,685          1.8%  $      489,659        2.2%  $     (94,974)        -19.4%
                                         ===============            ================            ==============

Earnings per share:
Basic                                    $       0.17               $         0.21               $      (0.04)         -19.0%
Diluted                                  $       0.15               $         0.20               $      (0.05)         -25.0%

Weighted average shares outstanding
Basic                                       2,299,000                    2,296,527                      2,473            0.1%
Diluted                                     2,552,978                    2,489,466                     64,415            2.6%









Results of operations for the six months ended June 30, 2004 and 2003 are set
forth in the table below:



       Consolidated                                2004                        2003                       Change
       ------------
                                         -------------------------- --------------------------- ----------------------------
                                             Amount       % Rev           Amount     % Rev         Amount           %
                                         --------------- ---------- ---------------- ---------- -------------- -------------
                                                                                              

Net Revenues
Home Health Care              VN         $  16,449,457       37.2%  $   14,942,550       34.5%  $  1,506,907          10.1%
                              PC            16,390,519       37.0%      15,982,036       36.9%       408,483           2.6%
                                         ---------------            ----------------            --------------
                                            32,839,976       74.2%      30,924,586       71.3%     1,915,390           7.2%
Adult Day Care                              11,435,625       25.8%      12,429,622       28.7%      (993,997)         -8.0%
                                         ---------------            ----------------            --------------
                                         $  44,275,601      100.0%  $   43,354,208      100.0%  $    921,393           2.1%
                                         ===============            ================            ==============

Operating Income
Home Health Care              VN         $   2,813,815       17.1%  $    2,421,508       16.2%  $    392,307          16.2%
                              PC             1,546,294        9.4%       1,977,009       12.4%      (430,715)        -21.8%
                                         ---------------            ----------------            --------------
                                             4,360,109       13.3%       4,398,517       14.2%       (38,408)         -0.9%
Adult Day Care                                 232,455        2.0%         311,904        2.5%       (79,449)        -25.5%
                                         ---------------            ----------------            --------------
                                             4,592,564       10.4%       4,710,421       10.9%      (117,857)         -2.5%
Unallocated corporate expenses               3,168,380        7.2%       3,143,521        7.3%        24,859           0.8%
                                         ---------------            ----------------            --------------
Income before interest and taxes             1,424,184        3.2%       1,566,900        4.6%      (142,716)         -9.1%
Facility gains (losses)                          3,854        0.0%         (11,709)       0.0%        15,563        -132.9%
Interest expense                               267,959        0.6%         341,644        0.8%       (73,685)        -21.6%
Income taxes                                   464,032        1.0%         485,419        1.1%       (21,387)         -4.4%
                                         ---------------            ----------------            --------------
  Net income                             $    696,047         1.6%  $      728,128        1.7%  $    (32,081)         -4.4%
                                         ===============            ================            ==============

Earnings per share:
Basic                                    $       0.30               $         0.32              $      (0.02)          -6.3%
Diluted                                  $       0.27               $         0.29              $      (0.02)          -6.9%

Weighted average shares outstanding
Basic                                       2,297,763                    2,292,996                     4,767            0.2%
Diluted                                     2,553,915                    2,484,763                    69,188            2.8%









The Company's 2003 Form 10-K includes a description of its business plan which
calls for an increase in emphasis on the Visiting Nurse segment. In the
information above "VN" refers to the Company's Visiting Nurse segment, "PC"
refers to the Company's in-home Personal Care segment and "ADC" refers to the
Company's facility-based Adult Day Care Segment.

Almost Family, Inc. TM and subsidiaries (collectively "Almost Family") is a
leading regional provider of home health nursing services and adult day health
services. The Company has service locations in Florida, Kentucky, Ohio,
Maryland, Connecticut, Massachusetts, Alabama and Indiana (in order of revenue
significance).

Contact: William Yarmuth or Steve Guenthner (502) 891-1000.

All statements, other than statements of historical facts, included in this news
release, including the objectives and expectations of management for future
operating results, expectations for improved earnings from the ADC segment, the
Company's ability to generate same store sales growth, the Company's ability to
acquire visiting nurse agencies at prices it is willing to pay, the Company's
ability to attract investment of additional capital, and the Company's
expectations with regard to market conditions, are forward-looking statements.
These forward-looking statements are based on the Company's current
expectations. Although the Company believes that the expectations expressed or
implied in such forward-looking statements are reasonable, there can be no
assurance that such expectations will prove to be correct.

Because forward-looking statements involve risks and uncertainties, the
Company's actual results could differ materially. The potential risks and
uncertainties which could cause actual results to differ materially could
include: the impact of further changes in healthcare reimbursement systems,
including the ultimate outcome of potential changes to Medicaid reimbursement
due to state budget shortfalls; the ability of the Company to maintain its level
of operating performance and achieve its cost control objectives; government
regulation; health care reform; pricing pressures from Medicare, Medicaid and
other third-party payers; changes in laws and interpretations of laws relating
to the healthcare industry, and the Company's self-insurance risks. For a more
complete discussion regarding these and other factors which could affect the
Company's financial performance, refer to the Company's Securities and Exchange
Commission filing on Form 10-K for the year ended December 31, 2003, in
particular information under the headings "Business" and "Management's
Discussion and Analysis of Financial Condition and Results of Operations." The
Company disclaims any intent or obligation to update its forward-looking
statements.