UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 8-K

                                 CURRENT REPORT

     Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

       Date of Report (Date of earliest event reported): November 7, 2005

                               ALMOST FAMILY, INC.
             (Exact name of registrant as specified in its charter)

    Delaware                            1-09848                  06-1153720
(State or other jurisdiction       (Commission File No.)       (IRS Employer
 of incorporation)                                          Identification No.)

    9510 Ormsby Station Road, Suite 300
         Louisville, Kentucky                                      40223
(Address of principal executive offices)                        (Zip Code)

                                 (502) 891-1000
              (Registrant's telephone number, including area code)


                                       N/A

         (Former name or former address, if changed since last report.)


Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions:
[ ] Written communications pursuant to Rule 425 under the Securities Act
    (17 CFR 230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
    240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange
    Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange
    Act (17 CFR 240.13e-4(c))








         ITEM 2.02. RESULTS OF OPERATIONS AND FINANCIAL CONDITION

         On November 14, 2005, Almost Family, Inc. (the "Company") issued a
press release announcing its financial results for the quarter ended September
30, 2005. Attached to this Current Report on Form 8-K as Exhibit 99.1 is a copy
of such press release.

         The information in this Item 2.02 of this Current Report on Form 8-K
and the Exhibit attached hereto shall not be deemed to be "filed" for the
purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or
otherwise subject to the liabilities of that section. Such information will not
be incorporated by reference into any registration statement filed by the
Company under the Securities Act of 1933, as amended, unless specifically
identified therein as being incorporated by reference.

         ITEM 4.02.  NON-RELIANCE ON PREVIOUSLY FILED FINANCIAL STATEMENTS OR A
RELATED AUDIT REPORT OR COMPLETED INTERIM REVIEW

         Upon the recommendation of its Audit Committee, the Board of Directors
of the Company determined on November 7, 2005, that the Company should restate
its previously issued financial statements for the fiscal year ended December
31, 2004, and the quarters ended March 31, 2005, and June 30, 2005. The Board of
Directors, following consultation with management, concluded that the Company's
financial statements for the fiscal year ended December 31, 2004, and the
quarters ended March 31, 2005, and June 30, 2005, should no longer be relied
upon. The Company has restated the previously issued financial statements for
the fiscal year ended December 31, 2004, through the filing on November 14, 2005
of an amended Form 10-K, and will amend its financial statements for the
quarters ended March 31, 2005, and June 30, 2005, through the filing of an
amended Form 10-Q for each of those quarters.






Amendment of Previous Financial Reports Related to Contingent Liability Matters

The Company's previous Form 10-K filings for the years ended December 31, 2004
and 2003 disclosed the following three items, all of which, from an accounting
perspective, are characterized as contingent liabilities in accordance with
Statement of Financial Accounting Standards No. 5 "Accounting for Contingent
Liabilities" (SFAS No. 5):
o        in April 2003 the Chancery Court of Williamson County, Tennessee,
         issued a ruling in favor of Franklin Associates L.P. ("Franklin"),
         awarding damages against the Company in the amount of $984,970;
o        a Kentucky transportation broker which owes the Company approximately
         $535,000 for services provided by the Company's adult day care segment
         (sold in September 2005) entered into bankruptcy proceedings in the
         fourth quarter of 2002; and
o        the expiration of applicable statutes of limitations on tax returns
         related to the Company's 2000 fiscal year, in which it sold its product
         operations and adopted discontinued operations accounting treatment for
         its visiting nurse segment (later reversed), resulted in the recording
         in discontinued operations in the Company's 2003 financial statements
         of a one-time reduction in estimated tax liabilities of approximately
         $854,000.

The Company received a letter from the U.S. Securities and Exchange Commission
following the SEC staff's routine review of the Company's form 10-K for the year
ended December 31, 2004, which letter commented on, among other items, the
accounting treatment of these contingent liability matters. In addition, at the
same time, management entered into discussions with Ernst & Young LLP, the
Company's independent auditors for the financial statements for each of the
three years ended December 31, 2004, relating to the accounting treatment for
these litigation matters. Management believed there was a reasonable basis for
its original accounting (which was agreed to by Ernst & Young). Following
detailed discussions with the auditors and the SEC staff, and with the
concurrence of the auditors, the Company has amended the financial statements
for the following non-cash items in order to account for these items as set
forth below. Note that the lawsuit in question is still being aggressively
appealed and the receivable in question is still being pursued for collection:
o        With respect to the Franklin litigation, provision of approximately
         $1,154,000 (for which there is no related income tax benefit) has been
         made as of April 2003 ($984,000 for award of damages) and as of
         September 2003 ($170,000 for estimated post-judgment interest). As
         previously disclosed, the Company did not record a loss in the period
         in which it suffered the trial court loss on the grounds, among others,
         that the Company's litigation counsel advised the Company that its
         prospects on appeal were strong. The Company's accounting for this case
         now follows the principle that any loss at a trial court level creates
         a de-facto satisfaction of the "probable of loss" criteria of SFAS No.
         5.
o        With respect to the Kentucky  transportation  receivable,  provision
         of  approximately  $535,000 has been made as of November 2002 of an
         additional allowance for uncollectible accounts for the Kentucky
         transportation  receivable,  and the provision of approximately
         $106,000 previously  recorded in 2004 has been reversed.  Thus the net
         income effect of this matter is $266,000 after  related  income tax
         benefit.  As  previously  disclosed,  the Company did not record a loss
         in the period in which the broker  filed for  bankruptcy  on the basis
         of  management's  view  that,  considering  all  facts  and  circum-
         stances  of the receivable,  including  other avenues for recovery,  it
         was not "probable" that the Company had incurred a loss. The Company's
         accounting  for this  matter  now  follows  the  principle  that
         bankruptcy  of a  contractual  obligor  creates  a  de-facto
         satisfaction  of the  "probable  of loss"  criteria  of SFAS No. 5
         without  regard  to other  avenues  of  collection  of the receivable.
o        The  one-time  reduction  in  estimated  tax  liabilities  has been
         removed  from fiscal  2003 and treated as a reduction  in estimated tax
         liabilities  that should have been recorded  instead in fiscal 2000.
         In effect the Company has determined  that it should have reversed an
         excessive  reserve for tax  liabilities  in 2000,  rather than in 2003.
         The excessive  reserve for tax liabilities  arose  principally from


         differences in the estimated income tax provision  recorded in fiscal
         2000 and prior and the actual tax  liabilities  resulting from the
         ultimate  filing and settlement of the tax returns for those periods.
         The restatement  has the effect of  increasing  beginning  retained
         earnings at January 1, 2002 in the amended  December 31, 2004
         Form 10-K/A.  In making this  restatement,  the Company  concluded that
         its general  concern about the adequacy of its reserve for tax
         liabilities  in 2000  (resulting  from complex tax issues  arising from
         the  dispositions  in 2000) was  inadequately specific and measurable
         to justify the maintenance of the reserve.

All related disclosures have been revised to give effect to the new accounting
treatment for these matters. These changes have no effect on previously reported
cash flows. In the event the Company is able to collect a portion of the
Kentucky receivable it would record a gain in the period in which payment is
received. In the event the Company prevails on appeal in the Franklin litigation
(and no further appeal is available), the Company would record a gain in the
period in which the Company prevails. For a more detailed discussion of these
contingencies, refer to the Form 10-K/A filed today.

The following table summarizes changes in reported net income and earnings per
share for each of the three years in the period ended December 31, 2004 as a
result of these changes:




(In thousands except for per share amounts)
                                                          2004                  2003               2002
                                                          -----------------     ---------------    ------------------
                                                                                         

Summary of changes:
  Franklin litigation                                     $             -       $     (1,154)       $            -
  Kentucky transportation litigation                                  106                 (1)                 (534)
  Related income tax effect                                           (40)                 -                   203
  Reduction in income tax liabilities                                   -               (854)                    -
                                                          -----------------     ---------------    ------------------
       Total                                              $            66        $    (2,009)       $         (331)
  Net income as previously reported                                 1,191              2,120                 1,345
                                                          -----------------     ---------------    ------------------
  Net income as restated                                  $         1,257        $       111        $        1,014
                                                          =================     ===============    ==================

Change in Earnings Per Share:
  Basic                                                   $          0.03       $      (0.88)       $        (0.14)
  Diluted                                                 $          0.03       $      (0.79)       $        (0.12)

Retained earnings as previously reported                  $        13,567       $      12,264       $       10,104
  Cumulative effect of restatement                                 (1,420)             (1,486)                 523
                                                          -----------------     ---------------    ------------------
 Retained earnings as restated                            $        12,147       $      10,778       $       10,627
                                                           =================     ===============    ==================

Change in previously reported cash flows                  $             -       $           -       $             -



The Company's loan agreement provides that the provision of a loss for the above
litigation cases will be excluded from financial results for purposes of
calculating borrowing availability or financial covenant compliance.

         Management and the Company's Audit Committee discussed with Ernst &
Young LLP, the Company's independent registered public accounting firm, the
matters disclosed above in this Item 4.02(a) of this Current Report on Form 8-K.

         ITEM 9.01.  FINANCIAL STATEMENTS AND EXHIBITS

         (C) EXHIBITS

                  99.1 Press Release dated November 14, 2005.








SIGNATURE

         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.


                                                 ALMOST FAMILY, INC.

Date:  November 14, 2005             By      /s/ C. Steven Guenthner
                                                 ------------------------------
                                                 C. Steven Guenthner
                                                 Senior Vice President and
                                                 Chief Financial Officer







INDEX TO EXHIBITS

Exhibit No.
- --------------

99.1   Press release issued by the Company on November 14, 2005.