UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549
                                   FORM 10-Q/A
                                (Amendment No. 1)


[ X ]   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
        EXCHANGE ACT OF 1934

                  For the quarterly period ended June 30, 2005

                                       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 001-09848

                             ALMOST FAMILY, INC.
             (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 August 12, 2005 2,332,027

The purpose of this Amendment No. 1 is to reflect in the financial statements
for the covered period, the restatements announced by the Company on November
14, 2005.








                      ALMOST FAMILY, INC. AND SUBSIDIARIES

                                    FORM 10-Q

                                      INDEX






                                                                                                                  
PART I.  FINANCIAL INFORMATION........................................................................................3

     Item 1.  Financial Statements....................................................................................3

        Condensed Consolidated Balance Sheets as of June 30, 2005 and December 31, 2004...............................3

        Condensed Consolidated Statements of Income for the Three Months Ending June 30, 2005 and June 30, 2004.......4

        Condensed Consolidated Statements of Income for the Six Months Ending June 30, 2005 and June 30, 2004.........5

        Condensed Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2005 and June 30, 2004......6

        Notes to Condensed Consolidated Financial Statements..........................................................7

     Item 2.  Managements's Discussion and Analysis of Financial Condition and Results of Operations.................17

     Item 3.  Quantitative and Qualitative Disclosures about Market Risk.............................................31

     Item 4.  Controls and Procedures................................................................................32

PART II.  OTHER INFORMATION..........................................................................................33

     Item 1.   Legal Proceedings.....................................................................................33

     Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds............................................33

     Item 3.  Defaults Upon Senior Securities........................................................................33

     Item 4.  Submission of Matters to a Vote of Security Holders....................................................33

     Item 5.  Other Information......................................................................................34

     Item 6.  Exhibits...............................................................................................35










                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                  (AS RESTATED)



                                                                            June 30,            December 31,
                                  ASSETS                                    2005 (1)              2004 (1)
                                  ------
                                                                        -------------------   -------------------
                                                                              (UNAUDITED)
                                                                                         
   CURRENT ASSETS:
      Cash and cash equivalents                                         $        358,144      $        423,031
      Accounts receivable - net                                               12,442,728            12,362,682
      Prepaid expenses and other current assets                                1,163,542               654,650
      Deferred tax assets                                                      1,452,690             1,352,000
      Net assets of discontinued operations                                            -               122,503
                                                                        -------------------   -------------------
         TOTAL CURRENT ASSETS                                                  15,417,104            14,914,866
                                                                        -------------------   -------------------

   CASH HELD IN ESCROW (Note 8)                                                1,154,241            1,154,241

   PROPERTY AND EQUIPMENT - NET                                                4,420,493             5,106,628

   GOODWILL                                                                    9,420,314             6,449,310

   OTHER ASSETS                                                                  179,496               171,045
                                                                         -------------------   -------------------
                                                                        $      30,591,648     $     27,796,090
                                                                         ===================   ===================



                   LIABILITIES AND STOCKHOLDERS' EQUITY
   CURRENT LIABILITIES:
      Accounts payable                                                   $     2,310,907      $      3,260,747
     Accrued other liabilities                                                 6,114,797             4,823,157
      Current portion - capital leases and term debt                             600,910               577,785
      Net Liabilities of discontinued operations                                  95,910                     -
                                                                         ------------------   --------------------
         TOTAL CURRENT LIABILITIES                                             9,122,524             8,661,689
                                                                         ------------------   --------------------

   LONG-TERM LIABILITIES:
      Revolving Credit Facility                                                4,560,085              3,769,575
      Capital leases                                                           1,068,332              1,312,750
      Seller Notes                                                               700,000                      -
      Deferred tax liabilities                                                   191,357                225,690
      Other liabilities                                                        1,685,113              1,679,676
                                                                         ------------------   --------------------
          TOTAL LONG-TERM LIABILITIES                                          8,204,887              6,987,691
                                                                         ------------------   --------------------
          TOTAL LIABILITIES                                                   17,327,411             15,649,380
                                                                          ------------------   --------------------

   COMMITMENTS AND CONTINGENCIES (Note 8)

   STOCKHOLDERS' EQUITY:
      Common stock, par value $0.10; authorized 10,000,000 shares;
      3,430,394 and 3,414,874 issued                                             343,039                341,490
      Treasury stock, at cost, 1,096,783 and 1,096,783 shares                 (7,772,048)            (7,772,048)
      Additional paid-in capital                                              26,658,041             26,548,634
      Accumulated deficit                                                     (5,964,795)            (6,971,366)
                                                                         ------------------   --------------------
          TOTAL STOCKHOLDERS' EQUITY                                           13,264,237             12,146,710
                                                                         ------------------   --------------------
                                                                          $     30,591,648     $      27,796,090
                                                                         ==================   ====================


(1) Where appropriate, amounts for these periods have been restated as discussed
in Note 8 to the financial statements.


      See accompanying Notes to Condensed Consolidated Financial Statements






                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                   CONDENSED CONSOLIDATED STATEMENTS OF INCOME

                                   (UNAUDITED)



                                                                               Three months ended
                                                                      ------------------- --- ------------------
                                                                        June 30, 2005           June 30, 2004
                                                                      -------------------     ------------------
                                                                                       

    Net revenues                                                     $      24,772,281       $     21,702,353
    Cost of services                                                        20,694,752             18,197,924
    General and administrative expenses                                      1,901,173              1,696,307
    Depreciation and amortization expense                                      589,155                608,935
    Provision for uncollectible accounts                                       404,391                365,333
                                                                     --------------------    -------------------
    Income from continuing operations before other
    income (expense) and income taxes                                        1,182,810                833,854

    Other income (expense)
       Interest expense                                                        (97,106)              (123,116)
       Facility gains                                                           (8,317)                (2,566)
                                                                     --------------------    -------------------
    Income from continuing operations before income taxes                    1,077,387                708,172

    Provision for income taxes                                                 408,630                283,269
                                                                     --------------------    -------------------
       Income from continuing operations                              $        668,757       $        424,903

    Income (loss) from discontinued operations, net of tax                     (46,119)               (30,218)
                                                                     --------------------    -------------------
       Net income                                                     $        622,638       $        394,685
                                                                     ====================    ===================

    Per share amounts-Basic:
    Average shares outstanding                                               2,331,243              2,299,000
    Income from continuing operations                                  $          0.29       $           0.18
    Income (loss) from discontinued operations                                   (0.02)                 (0.01)
                                                                     --------------------    -------------------
       Net income                                                      $          0.27       $           0.17
                                                                     ====================    ===================

    Per share amounts-Diluted:
     Average shares outstanding                                             2,627,375               2,552,978
    Income from continuing operations                                $           0.25        $           0.17
    Income (loss) from discontinued operations                                  (0.02)                  (0.01)
                                                                     --------------------    -------------------
     Net income                                                      $           0.23        $           0.16
                                                                     ====================    ===================









     See accompanying Notes to Condensed Consolidated Financial Statements.





                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                   CONDENSED CONSOLIDATED STATEMENTS OF INCOME

                                   (UNAUDITED)



                                                                                Six months ended
                                                                       ------------------ --- ------------------
                                                                         June 30, 2005          June 30, 2004
                                                                       ------------------     ------------------
                                                                                       

    Net revenues                                                     $      48,291,414       $     43,170,769
    Cost of services                                                        40,472,772             36,235,363
    General and administrative expenses                                      3,880,783              3,247,378
    Depreciation and amortization expense                                    1,193,646              1,213,088
    Provision for uncollectible accounts                                       769,089                939,824
                                                                     --------------------    -------------------
    Income from continuing operations before other
      income (expense) and income taxes                                      1,975,124              1,535,116

    Other income (expense)
      Interest expense                                                        (188,313)              (267,959)
      Facility gains                                                            (8,317)                 3,854
                                                                     --------------------    -------------------
    Income from continuing operations before income taxes                    1,778,494              1,271,011

    Provision for income taxes                                                 689,072                508,405
                                                                     --------------------    -------------------
      Income from continuing operations                              $       1,089,422       $        762,606

    Income (loss) from discontinued operations, net of tax                     (82,849)               (66,559)
                                                                     --------------------    -------------------
         Net income                                                  $       1,006,573       $        696,047
                                                                     ====================    ===================

    Per share amounts-Basic:
    Average shares outstanding                                               2,323,992              2,297,763
    Income from continuing operations                                $            0.47       $           0.33
    Income (loss) from discontinued operations                                   (0.04)                 (0.03)
                                                                     --------------------    -------------------
         Net income                                                  $            0.43       $           0.30
                                                                     ====================    ===================

    Per share amounts-Diluted:
    Average shares outstanding                                               2,622,501               2,553,915
    Income from continuing operations                                $            0.42        $           0.30
    Income (loss) from discontinued operations                                   (0.03)                  (0.03)
                                                                     --------------------    -------------------
         Net income                                                  $            0.39        $           0.27
                                                                     ====================    ===================










     See accompanying Notes to Condensed Consolidated Financial Statements.





                      ALMOST FAMILY, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

                                   (UNAUDITED)



                                                                               Six months ended
                                                                      -----------------------------------------
                                                                          June 30, 2005      June 30, 2004
                                                                      -------------------  --------------------
                                                                                    

   Cash flows from operating activities:
   Net income                                                         $     1,006,573      $        696,047
      Less loss from discontinued operations                                  (82,849)              (66,559)
                                                                      -------------------  --------------------
   Income from continuing operations                                        1,089,422               762,606
   Adjustments to reconcile income from continuing operations to
      net cash provided by (used in)operating activities:
      Depreciation and amortization                                         1,193,646             1,213,088
      Provision for uncollectible accounts                                    769,089               939,824
      Loss on sale of assets                                                    8,317                (3,854)
      Deferred income taxes                                                  (135,023)              (83,172)
                                                                      -------------------  --------------------
                                                                      $     2,925,451      $      2,828,492
      Change in certain net assets, net of the effects of acquisitions:
      (Increase) decrease in:
         Accounts receivable                                                 (835,397)           (1,399,940)
         Prepaid expenses and other current assets                           (537,278)              123,215
         Other assets                                                          (8,451)                 (304)
      Increase (decrease) in:
         Accounts payable and accrued expenses                                405,599               653,337
         Other liabilities                                                      5,438                22,090
                                                                      -------------------  --------------------
         Net cash provided by operating activities                    $     1,955,362      $      2,226,890
                                                                      -------------------  --------------------

     Cash flows from investing activities:
      Capital expenditures                                                   (487,442)             (355,724)
      Cash received from sale of assets                                             -                 3,854
      Acquisitions, net of cash acquired                                   (2,271,004)                    -
                                                                      -------------------  --------------------
         Net cash used in investing activities                        $    (2,758,446)     $       (351,870)
                                                                      -------------------  --------------------

   Cash flows from financing activities:
      Net revolving credit facility borrowings (repayments)                   790,509            (1,459,798)
      Proceeds from stock option exercises                                     47,156                21,250
      Principal payments on capital leases and notes payable                 (221,293)             (120,119)
                                                                      -------------------  --------------------
         Net cash provided by/(used in) financing activities          $       616,372      $     (1,558,667)
                                                                      -------------------  --------------------
         Net cash provided by (used in) continuing operations         $      (186,712)     $         316,353
                                                                      -------------------  --------------------
   Cash Flows From Discontinued Operations:
         Operating activities                                                 (34,227)              (704,374)
         Investing activities                                                 156,052                    731
         Financing activities                                                       -                      -
                                                                      -------------------  --------------------
   Net cash provided by/(used in) discontinued operations                     121,825              (703,643)
                                                                      -------------------  --------------------
   Net decrease in cash and cash equivalents                                  (65,486)             (387,290)

   Cash and cash equivalents at beginning of period                           423,031               895,743
                                                                      -------------------  --------------------
   Cash and cash equivalents at end of period                         $       358,144      $        508,453
                                                                      ===================  ====================







     See accompanying Notes to Condensed Consolidated Financial Statements.





                      ALMOST FAMILY, INC. AND SUBSIDIARIES
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

1.       Basis of Presentation

The accompanying condensed consolidated financial statements for the three and
six months ended June 30, 2005 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, 2004 for further information. In the opinion of management of the
Company, the accompanying unaudited condensed consolidated financial statements
reflect all adjustments (consisting of normal recurring adjustments) necessary
to present fairly the financial position at June 30, 2005 and the results of
operations and cash flows for the six months ended June 30, 2005 and 2004.

 The results of operations for the three and six months ended June 30, 2005 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 June 2004 consolidated financial
 statements and related notes in order to conform to the 2005 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) the determination of cost-reimbursed revenues, 2) medical coding,
 particularly with respect to Medicare, 3) patient eligibility, particularly
 related to Medicaid, 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 CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Approximately 43.6% of revenues in the quarter ended June 30, 2005 were derived
from state Medicaid and other government programs. The Medicaid programs in each
of the states in which the Company operates are taking actions or evaluating
taking actions to control the rate of growth of 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 because Medicaid is
consuming a greater percentage of state budgets. This issue is exacerbated when
revenues slow in a slowing economy. It is possible 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 93% 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 paraprofessional staff such as home health
aides) are generally of a custodial rather than skilled nature. PC revenues are
generated on an hourly basis. Approximately 64% 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 adult day care 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 facilities. ADC
revenues are usually generated on a per day of care basis. Approximately 86% 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, Indiana and
Alabama (in order of revenue significance).




                                          Three months ended June 30,               Six months ended June 30,
                                     -------------------------------------   -----------------------------------
                                            2005                 2004                 2005                 2004
                                     -------------------    ----------------     ----------------    -----------------
                                                                                           

Net Revenues

Home Health Care
   Visiting nurses                    $      10,317,868      $    8,108,047       $   19,973,387      $   16,449,457
   Personal care                              9,005,375           8,288,627           17,761,807          16,390,519
                                     -------------------    ----------------     ----------------    -----------------
                                             19,323,243          16,396,674           37,735,194          32,839,976
Adult day care                                5,449,038           5,305,679           10,556,220          10,330,793
                                     -------------------    ----------------     ----------------    -----------------
                                      $      24,772,281      $   21,702,353       $   48,291,414      $   43,170,769
                                     ===================    ================     ================    =================
Operating Income

Home Health Care
   Visiting nurses                    $       1,468,753      $    1,305,639       $    3,091,779      $    2,813,815
   Personal care                                941,215             689,023            1,637,358           1,395,693
                                     -------------------    ----------------     ----------------    -----------------
                                              2,409,968           1,994,662            4,729,137           4,209,508
Adult day care                                  355,328             357,947              603,949             217,126
                                     -------------------    ----------------     ----------------    -----------------
                                              2,765,296           2,352,609            5,333,086           4,426,634
Unallocated corporate expenses                1,582,486           1,518,755           3,3357,962          2,891,518
                                     -------------------    ----------------     ----------------    -----------------
   Operating income                   $       1,182,810      $      833,854       $    1,975,124      $    1,535,116
                                     ===================    ================     ================    =================


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 $69,000 and $46,000 were
capitalized in the three months ended June 30, 2005 and 2004, respectively and
$72,000 and $88,000 were capitalized in the six months ended June 30, 2005 and
2004, 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 CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

5.       Revolving Credit Facility

The Company has a $22.5 million credit facility with JP Morgan Chase Bank, NA
(successor by merger to Bank One, NA), as amended August 11, 2005, with an
expiration date of June 30, 2008. 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
5.17% and 3.77% for the quarters ended June 30, 2005 and 2004, respectively. The
weighted average interest rates were 5.00% and 3.86% for the six months ended
June 30, 2005 and 2004, respectively. The interest rate in effect at June 30,
2005 was 5.25%. 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 June 30, 2005, the formula permitted approximately
$19.9 million to be used, of which approximately $4.6 million was outstanding.
Additionally, an irrevocable letter of credit, totaling $4.2 million, was
outstanding in connection with the Company's self-insurance programs. Thus, a
total of $8.8 million was either outstanding or committed as of June 30, 2005
while an additional $11.1 million was available for use. The Company's revolving
credit facility is subject to various financial covenants. As of June 30, 2005,
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 $10.5 million.

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 June 30,                 Six months ended June 30,
                                        -----------------------------------------    ---------------------------------------
                                              2005                  2004                   2005                  2004
                                        ------------------    -------------------    ------------------    -------------------
                                                                        

Net income as reported                  $        622,638      $         394,685      $     1,006,573       $         696,047
Pro forma stock-based comp-
  ensation expense, net of tax                     1,188                    444                4,753                     887
                                        ------------------    -------------------    ------------------    -------------------
Pro forma net income                    $        621,450      $         394,241      $     1,001,820       $         695,160
                                        ==================    ===================    ==================    ===================

Earnings per common share:
  Basic - as reported                   $           0.27      $            0.17      $          0.43       $            0.30
  Basic - pro forma                     $           0.27      $            0.17      $          0.43       $            0.30
  Diluted - as reported                 $           0.24      $            0.15      $          0.38       $            0.27
  Diluted - proforma                    $           0.24      $            0.15      $          0.38       $            0.27







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 June 30,                        Six months ended June 30,
                                       -----------------------------------------    ---------------------------------------
                                              2005                  2004                   2005                  2004
                                       -------------------    ------------------    -------------------   -------------------
                                                                                                

Shares used to compute basic
  earnings per  common share -
  weighted average shares
  outstanding                                 2,331,243              2,299,000             2,323,992             2,297,763
Dilutive effect of stock options                296,132                253,978               298,509               256,152
                                       -------------------    ------------------    -------------------   -------------------
Shares used to compute diluted
  earnings per common share                   2,627,375              2,552,978             2,622,501             2,553,915
                                       ===================    ==================    ===================   ===================


8.       Commitments and Contingencies

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 our 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/A 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
         circumstances  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.

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.

The restatement for 2004 impacted the fourth quarter only. Thus these
restatements impact the balance sheets included herein but have no impact on
results of operations or cash flows for any period presented herein.


Insurance Programs

The Company bears significant insurance risk under our 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
June 30, 2005 that may result in the assertion of additional claims. The Company
carries insurance coverage for this exposure; however, its deductible per claim
increased from $25,000 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 monthly 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.

Total premiums, excluding the Company's exposure to claims and deductibles, for
all its non-health insurance programs increased to approximately $3.5 million
for the contract year ending March 31, 2005 as compared to approximately $2.8
million for the contract year ended March 31, 2004. On March 31, 2005, the
Company completed its renewal for the contract year ending March 31, 2006 with
total estimated premiums of $2.8 million with no changes in coverage or
deductibles. In late July 2005, as a part of its activities to divest of the ADC
operating segment, the Company modified its insurance programs to provide
separate policies for the ADC and home health operations. In conjunction with
those modifications, the Company's deductible per claim for malpractice and
general patient liability claims increased from $250,000 to $500,000.






                      ALMOST FAMILY, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED 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 (AS RESTATED)
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 (which
consists of $984,970 in damages and $169,271 of estimated post-judgment
interest) in an escrow account with the Tennessee Courts in lieu of a
supersedeas appeal bond until the appeal court issues a decision.

As described in "Amendment of Previous Financial Reports Related to Contingent
Liability Matters" above, the Company has recorded a litigation loss provision
of $1,154,241 in the year ended December 31, 2003. The cash will remain in
escrow until the matter reaches its ultimate resolution.

Despite the recording of a litigation loss provision, 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. The
appeals court heard oral arguments in the case in February 2005 but has given no
indication of when it will issue a ruling. Both the amount of the judgment and
the estimated post-judgment interest are subject to change depending upon the
outcome of the appeal process. 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.

Kentucky Transportation Litigation (AS RESTATED)
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
its bankruptcy status to a Chapter 11 voluntary reorganization. On March 3,
2003, the Broker reconverted its case to a Chapter 7 liquidation proceeding.

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 (since the group did not have a direct contract with the


Commonwealth) 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. On September 24, 2004 the
appeals court affirmed the lower court's decision. In its decision, the Court
indicated that the Company could pursue its claim at the Kentucky Board of
Claims; such a claim would be limited to $200,000 in damages.

On June 26, 2004 a lawsuit was filed on behalf of the bankruptcy estate against
the Commonwealth of Kentucky. The case alleges that the state misrepresented
material facts about the contract that it signed with the Broker. The suit
alleges that the Commonwealth intentionally under-funded the contract with the
bankrupt Broker. Unlike the group of affected providers in the Franklin Circuit
Court proceeding discussed above, the Broker did have a direct contract with the
Commonwealth.

As of December 31, 2004 and December 31, 2003, the Broker owed the Company
approximately $535,000, which amount is included in accounts receivable on the
accompanying balance sheets.

As described in "Amendment of Previous Financial Reports Related to Contingent
Liability Matters" above, the Company has recorded a provision for uncollectible
accounts of $535,000 in the year ended December 31, 2002. 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. This matter relates to the
Company's adult day care segment which was sold on September 30, 2005.

The Company's loan agreement executed with its lender in March 2004 provides
that the provision for a loss of either or both of the above litigation cases
will be excluded from financial results for purposes of calculating borrowing
availability or financial covenant compliance.

9.       Acquisitions

Consistent with its stated business plan, on April 1, 2005 the Company acquired
all the assets and business operations of a Medicare-certified visiting nurse
agency located in Bradenton, Florida.. The total purchase price of $3.2 million
was paid $2.5 million in cash at closing with the $700,000 balance in the form
of a note payable bearing interest at 6% due in its entirety two years after
closing. The Company funded the cash portion of the purchase price with
available borrowings on its revolving credit facility. The acquired operations
generated net revenues of approximately $3.5 million in the year ended December
31, 2004. In the quarter ended June 30, 2005, the acquired operations generated
net revenues of approximately $1.0 million and operating income of approximately
$111,000.

The following table summarizes the estimated fair values of the assets acquired
and liabilities assumed at the date of acquisition. The Company has not yet
finalized the valuation of intangible assets, thus, the allocation of the
purchase price is subject to refinement.






At April 1, 2005 (rounded to nearest thousands):

         Accounts receivable                   $              500
         Property, plant & equipment                          105
         Goodwill                                           2,808
                                               ------------------

           Assets acquired                                  3,414
         Liabilities assumed                                 (61)
                                               ------------------
         Net assets acquired                   $            3,353
                                               ------------------

The unaudited pro-forma results of operations of the Company as if this
acquisition had been made at the beginning of 2004 are as follows:

                                          Six months ended June 30,
                                      2005                        2004
                                --------------------------------------
 Revenues                       $    49,295           $    45,055
 Income from Continuing
   Operations                         1,199                   942

 Earnings Per Share
   Basic                        $      0.52           $      0.41
 Diluted                        $      0.46           $      0.37

10.      Subsequent Event - Sale of ADC Segment

On August 3, 2005, the Company entered into a definitive agreement to divest its
adult day care (ADC) segment. Because the Company had not committed to that
divestiture until after the end of the second quarter, ADC operations are
included in continuing operations in the June 2005 quarter. ADC operations will
be reported as discontinued operations for all subsequent periods. The Company
expects to report an after-tax gain on the sale of between $5.0 million and $6.0
million ($1.90 to $2.28 per diluted share) when the transaction closes.

The purchase price consists of $13.6 million cash plus assumption of
approximately $1.4 million of debt. In return, Active Services will acquire
substantially all the assets and assume certain working capital liabilities
related to Almost Family's 19 medical adult day care centers which generate
approximately $21.0 million in annual revenues. The transaction, which is
subject to certain conditions including regulatory approvals and third-party
consents, is expected to close by October 1, 2005.








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, 2004.

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, 2004 for a detailed discussion of our
critical accounting policies.

Planned Disposition of ADC Segment
On August 3, 2005, we entered into a definitive agreement to divest our adult
day care (ADC) segment. Because we had not committed to that divestiture until
after the end of the quarter, ADC operations are included in continuing
operations in the June 2005 quarter. ADC operations will be reported as
discontinued operations for all subsequent periods. We expect to report an
after-tax gain on the sale of between $5.0 million and $6.0 million ($1.90 to
$2.28 per diluted share) when the transaction closes.

The purchase price consists of $13.6 million cash plus assumption of
approximately $1.4 million of debt. In return, Active Services will acquire
substantially all the assets and assume certain working capital liabilities
related to Almost Family's 19 medical adult day care centers which generate
approximately $21.0 million in annual revenues. The transaction, which is
subject to certain conditions including regulatory approvals and third-party
consents, is expected to close by October 1, 2005.

If the ADC divestiture had qualified for discontinued operations accounting
treatment at June 30, 2005, we would have reported growth in net income from
continuing operations of 68% to $660,484 ($0.25 per diluted share) for the June
2005 quarter from $392,710 ($0.15 per diluted share) in the June 2004 quarter.
We would have reported continuing operations revenue growth of 17.8% to $19.3
million in the June 2005 quarter, up from $16.4 million in the June 2004
quarter. These results exclude the effect the use of the net proceeds of the
sale of the ADC operations would have had on interest expense (income) net of
income tax effect.


If the ADC divestiture had qualified for discontinued operations accounting
treatment at June 30, 2005, we would have reported growth in net income from
continuing operations of 25% to $1,218,043 ($0.46 per diluted share) for the six
months ended June 2005 from $973,873 ($0.38 per diluted share) in the six months
ended June 2004. We would have reported continuing operations revenues growth of
15% to $37.7 million in the six months ended June 2005, up from $32.8 million in
the six months ended June 2004.

Operating Segments

We operate 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 we
have organized the business by services provided to customers and the criteria
in SFAS 131, "Disclosures about Segments of an Enterprise and Related
Information."

The 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 93% of the VN segment revenues are
generated from the Medicare program while the balance is generated from Medicaid
and private insurance programs.

The PC segment services are also provided in patients' homes. These services
(generally provided by paraprofessional staff such as home health aides) are
generally of a custodial rather than skilled nature. PC revenues are generated
on an hourly basis. Approximately 64% 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 ADC segment provides adult day care 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 facilities. ADC revenues are usually
generated on a per day of care basis. Approximately 86% 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. We have service locations in Florida,
Kentucky, Ohio, Maryland, Connecticut, Massachusetts, Indiana and Alabama (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 our 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 June 30, 2005 Compared with three months ended June 30, 2004

                  Consolidated                         2005                          2004                        Change
                  ------------
                                         ----------------- --------- ------------------ ----------- ---------------- ----------
                                             Amount         % Rev           Amount      % Rev          Amount            %
                                         ----------------- --------- ------------------ ----------- ---------------- ----------
                                                                                     

  Net revenues:
    Home Health Care         VN          $      10,317,868     41.7%  $      8,108,047        37.4%  $    2,209,821       27.3%
                             PC                  9,005,375     36.4%         8,288,627        38.2%         716,748        8.6%
                                            ---------------          ------------------             ----------------
                                                19,323,243     78.0%        16,396,674        75.6%       2,926,569       17.8%
    Adult Day Care                               5,449,038     22.0%         5,305,679        24.4%         143,359        2.7%
                                            ---------------          ------------------             ------------------
                                          $     24,772,281    100.0%  $     21,702,353       100.0%  $    3,069,928       14.1%
                                            ===============          ==================             ================
  Operating income
    Home Health Care         VN            $     1,468,753     14.2%  $      1,305,639        16.1%  $      163,114       12.5%
                             PC                    941,215     10.5%           689,023         8.3%         252,192       36.6%
                                            ---------------          ------------------             ----------------
                                                 2,409,968     12.5%         1,994,662        12.2%         415,306       20.8%
  Adult Day Care                                   355,328      6.5%           357,947         6.7%          (2,619)      -0.7%
                                            ---------------          -----------------              ------------------
                                                 2,765,296     11.2%         2,352,609        10.9%         412,687       17.5%
  Unallocated corporate expenses                 1,582,486      6.4%         1,518,755         7.0%          63,731        4.2%
                                            ---------------            ------------------           -----------------
  Income before interest expense
    and income taxes                             1,182,810      4.8%           833,854         3.8%         348,956       41.8%
  Facility gains (losses)                           (8,317)     0.0%            (2,566)        0.0%          (5,751)     224.1%
  Interest expense                                  97,106      0.4%           123,116         0.6%         (26,010)     -21.1%
  Income taxes                                     408,630      1.6%           283,269         1.3%         125,361       44.3%
                                            ---------------            ------------------             ----------------
  Net income                                       668,757      2.7%  $        424,903         2.0%  $      243,854       57.4%
                                            ===============            ==================             ================


Our net revenues increased approximately $3.1 million or 14.1% with 27.3% growth
in VN, and 8.6% growth in PC and 2.7% growth in ADC. VN revenue growth was
driven by admissions growth and the acquisition of Bradenton, FL-based "Florida
Home Health". As discussed below, VN operating income included operating losses
of about $143,000 from new start-up agencies. PC operating income increased
approximately $250,000 due to increased volumes and lower administrative
expenses. Unallocated corporate expenses increased approximately $63,000 due to
increased incentive provisions partially offset by a decrease in professional
fees related to a 2004 union defense in one of our personal care locations.

The effective income tax rate was approximately 37.93% and 40% of income before
income taxes in 2005 and 2004, respectively.






Visiting Nurse (VN) Segment-Three Months



                                                         Three months ended June 30,
                                        -------------------------- ---------------------------- ------------------------
                                                  2005                        2004                      Change
                                        --------------- ---------- ----------------- ---------- -------------- ---------
                                          Amount         % Rev          Amount         % Rev      Amount          %
                                        --------------- ---------- ----------------- ---------- -------------- ---------
                                                                                               

  Net revenues                          $   10,317,868      100.0% $     8,108,047      100.0%  $  2,209,821       27.3%
  Cost of services                           8,197,343      79.4%        6,210,512       76.6%     1,986,831      32.0%
  General & administrative                     363,908       3.5%          255,768        3.2%       108,140      42.3%
  Depreciation & amortization                  190,644       1.8%          214,562        2.6%       (23,918)    -11.1%
  Uncollectible accounts                        97,220       0.9%          121,566        1.5%       (24,346)    -20.0%
                                        ---------------            -----------------            --------------
  Operating income                      $    1,468,753      14.2%  $     1,305,639       16.1%  $    163,114      12.5%
                                        ===============            =================            ==============

  Admissions                                     3,466                       2,921                       545      18.7%
  Patient months of care                         7,938                       6,765                     1,173      17.3%
  Revenue per patient month             $        1,300            $          1,199              $        101       8.5%
  Cost of services per patient month    $        1,033            $            918              $        115      12.5%
  Billable visits                               68,099                      64,560                     3,539       5.5%


VN operating income for the quarter was approximately $1.5 million versus $1.3
million last year. New VN operations started in late 2004 and early 2005
generated approximately $635,000 in revenue and operating losses of $143,000 in
the quarter ended June 30, 2005. The acquisition of Bradenton, FL-based "Florida
Home Health" added approximately $1.0 million in revenues and about $277,000 in
operating income. Excluding these start-up and acquisition operations, operating
income grew about 5.2%. Admissions grew about 18.7% over the prior year while
patient months increased 17.3%, reflecting a reduction in the average length of
stay. Revenue per patient month increased 8.5% primarily due to higher Medicare
rates between periods and the decreased length of stay. Operating costs per
patient month increased about 12.5% primarily as a result of increased
administrative expenses, an increase in wage rates and employee benefits and the
effect of startup operations. General and administrative expenses increased due
to increased wages and employee benefits. Excluding startups, 2005 operating
income as a percent of revenue was 16.6%.

Depreciation and amortization declined between periods due to a slower rate of
spending on information systems. The provision for uncollectible accounts
decreased due to the collection of certain aged accounts for which reserves had
previously been provided.





Personal Care (PC) Segment-Three Months



                                                                     Three months ended June 30,
                                      --------------------------- --------------------------- -------------------------
                                                 2005                        2004                      Change
                                       ---------------- ---------- ---------------- ---------- --------------- ---------
                                          Amount        % Rev         Amount         % Rev        Amount         %
z                                      ---------------- ---------- ---------------- ---------- --------------- ---------
                                                                                               

  Net revenues                        $     9,005,375     100.0%  $     8,288,627     100.0%  $     716,748       8.6%
  Cost of services                          7,681,681      85.3%        7,198,112      86.8%        483,569       6.7%
  General & administrative                    116,788       1.3%           96,019       1.2%         20,769      21.6%
  Depreciation & amortization                  86,326       1.0%           91,121       1.1%         (4,795)     -5.3%
  Uncollectible accounts                      179,365       2.0%          214,352       2.6%        (34,987)    -16.3%
                                      ----------------            ----------------            ---------------
  Operating income                    $       941,215       10.5% $       689,023        8.3% $     252,192      36.6%
                                      ================            ================            ===============

  Admissions                                      629                         616                        13       2.1%
  Patient months of care                        9,953                       9,171                       782       8.5%
  Patient days of care                        123,570                     115,041                     8,529       7.4%
  Billable hours                              480,722                     463,404                    17,318       3.7%
  Revenue per billable hour           $         18.73             $         17.89             $        0.84       4.7%


PC operating income for the quarter was about $941,000 versus $689,000 in the
corresponding period of last year. Revenue increased over 8.6% due to volume
increases. Cost of services increased due to the increase in volumes.
Additionally, workers compensation expenses in our Ohio markets increased about
$103,000 due to increased premium rates. General and administrative expenses in
total and as a percentage of revenues increased due to additional management
staff, travel and related expenses.

Depreciation and amortization decreased due to lower spending for fixed asset
purchases. The provision for uncollectible accounts decreased due to the
collection of certain aged accounts for which reserves had previously been
provided.





Adult Day Care (ADC) Segment-Three Months



                                                                     Three months ended June 30,
                                      ---------------------------- ---------------------------- -------------------------
                                                 2005                         2004                       Change
                                      ---------------- ----------- ---------------- ----------- --------------- ---------
                                          Amount        % Rev          Amount         % Rev         Amount         %
                                      ---------------- ----------- ---------------- ----------- -------------------------
                                                                                                  

  Net revenues                        $     5,449,038       100.0% $     5,305,679      100.0%  $      143,359      2.7%
  Cost of services                          4,405,279       80.8%        4,435,849       83.6%         (30,570)    -0.7%
  General & administrative                    293,997        5.4%          210,893        4.0%          83,104     39.4%
  Depreciation & amortization                 266,629        4.9%          271,574        5.1%          (4,945)    -1.8%
  Uncollectible accounts                      127,805        2.3%           29,416        0.6%          98,389    334.5%
                                      ----------------             ----------------             ---------------
  Operating income                    $       355,328         6.5% $       357,947        6.7%  $       (2,619)    -0.7%
                                      ================             ================             ===============

  Admissions                                      286                          298                         (12)    -4.0%
  Patients months of care                       4,862                        4,923                         (61)    -1.2%
  Patient days of care                         76,651                       76,427                         224      0.3%

  Revenue per patient day             $         71.09              $         69.42              $         1.67      2.4%

  ADC in-center averages:
  Weekday attendance                            1,055                        1,053                           2      0.1%
    Center capacity                             1,324                        1,402                         (78)    -5.6%
    Center occupancy rate                       79.7%                        75.1%                         4.6%     6.1%


ADC patient days of care increased from the prior year due to increased
attendance in the centers. Revenue per day increased about 2.4% primarily due to
a rate increase in Maryland.

Cost of services decreased between periods due to improved staffing controls,
reductions in the size of the vehicle fleet, and efforts to consolidate centers
and reduce facility operating expenses in light of limited reimbursement rate
increases.

General and administrative expenses increased by about $83,000 as a result of an
increase in salaries, incentives and travel. The provision for uncollectible
accounts increased due to an increase in aged accounts, particularly in
Kentucky.








             Six months ended June 30, 2005 Compared with six months ended June 30, 2004

               Consolidated                        2005                          2004                        Change
               ------------
                                     ---------------- ---------- ------------------ ---------- ---------------- ----------
                                         Amount        % Rev            Amount      % Rev         Amount            %
                                     ---------------- ---------- ------------------ ---------- ---------------- ----------
                                                                                                        

Net revenues:
   Home Health Care        VN        $   19,973,387       41.4%  $      16,449,457      38.1%  $    3,523,930       21.4%
                           PC            17,761,807       36.8%         16,390,519      38.0%       1,371,288        8.4%
                                      ----------------            ----------------             --------------
                                         37,735,194       78.1%         32,839,976      76.1%       4,895,218       14.9%
   Adult Day Care                        10,556,220       21.9%         10,330,793      23.9%         225,427        2.2%
                                      ----------------            ----------------             --------------            -----------
                                     $   48,291,414      100.0%  $      43,170,769     100.0%  $    5,120,645       11.9%
                                      ================            ================             ==============
Operating income
   Home Health Care        VN        $    3,091,779       15.5% $       2,813,815      17.1%  $      277,964        9.9%
                           PC             1,637,358        9.2%         1,395,693       8.5%         241,665       17.3%
                                       ----------------          -----------------            ---------------
                                          4,729,137       12.5%          4,209,508      12.8%         519,629       12.3%
   Adult Day Care                           603,949        5.7%            217,126       2.1%         386,823      178.2%
                                       ----------------           ----------------            ----------------
                                          5,333,086       11.0%          4,426,634      10.3%         906,452       20.5%
 Unallocated corporate expenses           3,357,962        7.0%          2,891,518       6.7%         466,444       16.1%
                                       ----------------           -----------------           ----------------
Income before interest expense
   and income taxes                      1,975,124         4.1%          1,535,116       3.6%         440,008       28.7%
Facility gains (losses)                     (8,317)        0.0%              3,854       0.0%         (12,171)    -315.8%
Interest expense                           188,313         0.4%            267,959       0.6%         (79,646)     -29.7%
Income taxes                               689,072         1.4%            508,405       1.2%         180,667       35.5%
                                       ----------------           ------------------            ----------------
Net income                            $   1,089,422         2.3%  $         762,607       1.8%  $      326,815       42.9%
                                       ================           ==================            ================


Our net revenues increased approximately $5.1 million or 11.9% with 21.4% growth
in VN, and 8.4% growth in PC and 2.2% growth in ADC. VN revenue growth was
driven by admissions growth and the acquisition of Bradenton, FL-based "Florida
Home Health". As discussed below, VN operating income included operating losses
of about $227,000 from new start-up agencies and operating income of about
$277,000 from the Florida Home Health acquisition. PC revenue and operating
income increased due to increased volumes. ADC operating income improved
significantly due to operating cost reductions in light of limited reimbursement
increases from state Medicaid programs. Unallocated corporate expenses increased
due to increased incentive provisions partially offset by a decrease in
professional fees related to a 2004 union defense in one of our personal care
locations, and due to higher travel expenditures in 2005.

The effective income tax rate was approximately 38.64% and 40% of income before
income taxes in 2005 and 2004, respectively.






Visiting Nurse (VN) Segment-Six Months



                                                  Six months ended June 30,
                                        --------------------------- ---------------------------- ------------------------
                                                   2005                        2004                      Change
                                        --------------------------- ---------------------------- ------------------------
                                          Amount          % Rev          Amount         % Rev      Amount          %
                                        ---------------- ---------- ----------------- ---------- -------------- ---------
                                                                                                

  Net revenues                          $     19,973,387     100.0% $    16,449,457      100.0%  $  3,523,930      21.4%
  Cost of services                           15,690,435      78.6%       12,412,929       75.5%     3,277,506      26.4%
  General & administrative                      650,993       3.3%          527,948        3.2%       123,045      23.3%
  Depreciation & amortization                   368,437       1.8%          440,024        2.7%       (71,587)    -16.3%
  Uncollectible accounts                        171,743       0.9%          254,741        1.5%       (82,998)    -32.6%
                                        ----------------            -----------------            --------------
  Operating income                      $     3,091,779      15.5%  $     2,813,815       17.1%  $    277,964       9.9%
                                        ================            =================            ==============

  Admissions                                      6,817                       5,893                        924      15.7%
  Patient months of care                         15,374                      13,426                      1,948      14.5%
  Revenue per patient month             $         1,299             $         1,225              $          74       6.0%
  Cost of services per patient month    $         1,021             $           925              $          96      10.4%
  Billable visits                               133,298                     128,469                      4,829       3.8%



VN operating income for the six months was approximately $3.1 million versus
$2.8 million last year. New VN operations started in late 2004 and early 2005
generated approximately $914,000 in revenue and operating losses of $369,000 in
the six months ended June 30, 2005. The acquisition of Bradenton, FL-based
"Florida Home Health" added approximately $1 million in revenues and about
$277,000 in operating income. Excluding these start-up and acquisition
operations, operating income grew 10.5%. Admissions grew about 15.7% over the
prior year while patient months increased 14.5%, reflecting a reduction in the
average length of stay. Revenue per patient month increased 6.0% primarily due
to higher Medicare rates between periods. Operating costs per patient month
increased about 10.4% due to about 2% increase from startup operations and the
remaining increase from higher administrative expenses, wage rates and employee
benefits. General and administrative expenses increased due to corporate
incentives and the addition of corporate level management staff. Excluding
startups, 2005 operating income as a percent of revenue was 18.2%

Depreciation and amortization declined between periods due to a slower rate of
spending on information systems. The provision for uncollectible accounts
decreased due to the collection of certain aged accounts for which reserves had
previously been provided.





Personal Care (PC) Segment-Six Months



                                                                  Six months ended June 30,
                                      --------------------------- --------------------------- -------------------------
                                                 2005                        2004                      Change
                                      --------------------------- --------------------------- -------------------------
                                          Amount        % Rev         Amount         % Rev        Amount         %
                                      ---------------- ---------- ---------------- ---------- --------------- ---------
                                                                                               

  Net revenues                        $    17,761,807     100.0%  $    16,390,519     100.0%  $   1,371,288       8.4%
  Cost of services                         15,347,821      86.4%       14,216,133      86.7%      1,131,688       8.0%
  General & administrative                    225,928       1.3%          182,573       1.1%         43,355      23.7%
  Depreciation & amortization                 185,281       1.0%          174,683       1.1%         10,598       6.1%
  Uncollectible accounts                      365,419       2.1%          421,437       2.6%        (56,018)    -13.3%
                                      ----------------            ----------------            ---------------
  Operating income                    $     1,637,358       9.2%  $     1,395,693       8.5%  $     241,665      17.3%
                                      ================            ================            ===============

  Admissions                                    1,378                       1,319                        59       4.5%
  Patient months of care                       19,832                      18,138                     1,694       9.3%
  Patient days of care                        242,843                     227,633                    15,210       6.7%
  Billable hours                              985,089                     911,557                    73,532       8.1%
  Revenue per billable hour           $         18.03             $         17.98             $        0.05       0.3%


PC operating income for the six months was about $1.6 million versus $1.4
million in the corresponding period of last year. Revenue and cost of services
increased approximately 8% primarily due to volume increases. Additionally,
workers compensation expenses in our Ohio markets increased about $166,000 due
to increased premium rates. Revenue per billable hour increased 0.3% from prior
year primarily due to changes in mix. General and administrative expenses in
total and as a percentage of revenues increased due to additional management
staff, travel and related expenses.

Depreciation and amortization increased due to investments in information
systems. The provision for uncollectible accounts decreased due to the
collection of certain aged accounts for which reserves had previously been
provided.





Adult Day Care (ADC) Segment-Six Months



                                                                  Six months ended June 30,
                                      ---------------------------- ---------------------------- -------------------------
                                                 2005                         2004                       Change
                                      ---------------- ----------- ---------------- ----------- --------------- ---------
                                          Amount        % Rev          Amount         % Rev         Amount         %
                                      ---------------- ----------- ---------------- ----------- -------------------------
                                                                                                 

  Net revenues                        $    10,556,220      100.0% $     10,330,793      100.0%  $      225,427      2.2%
  Cost of services                          8,640,046       81.8%        8,894,726       86.1%        (254,680)    -2.9%
  General & administrative                    531,690        5.0%          420,267        4.1%         111,423     26.5%
  Depreciation & amortization                 548,607        5.2%          535,028        5.2%          13,579      2.5%
  Uncollectible accounts                      231,928        2.2%          263,646        2.6%         (31,718)   -12.0%
                                      ----------------             ----------------             ---------------
  Operating income                    $       603,949        5.7% $        217,126        2.1%  $      386,823    178.2%
                                      ================             ================             ===============

  Admissions                                      513                          565                         (52)    -9.2%
  Patients months of care                       9,597                        9,726                        (129)    -1.3%
  Patient days of care                        148,865                      148,227                         638      0.4%

  Revenue per patient day             $         70.91              $         69.70               $        1.22      1.7%

  ADC in-center averages:
    Weekday attendance                          1,033                        1,023                          10      1.0%
    Center capacity                             1,324                        1,395                         (71)    -5.1%
    Center occupancy rate                       78.0%                        73.4%                         4.7%     6.4%


ADC patient days of care increased from the prior year due to increased
attendance in the centers. Revenue per day increased about 1.7% primarily due to
a rate increase in Maryland. Operating income increased due to a higher
occupancy percentage and lower operating costs.

Cost of services decreased between periods due to improved staffing controls,
reductions in the size of the vehicle fleet, and efforts to consolidate centers
and reduce facility operating expenses in light of limited reimbursement rate
increases.

General and administrative expenses increased by about $111,000 as a result of
an increase in salaries, incentives and travel. The provision for uncollectible
accounts decreased due to the collection of certain aged accounts, particularly
in Maryland, for which reserves had previously been provided.

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 our 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 June 30, 2005 that
may result in the assertion of additional claims. We carry insurance coverage
for this exposure; however, its deductible per claim increased from $25,000 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 monthly basis. As facts change, it may become
necessary to make adjustments that could be material to our results of
operations and financial condition.


Total premiums, excluding our exposure to claims and deductibles, for all our
non-health insurance programs increased to approximately $3.5 million for the
contract year ending March 31, 2005 as compared to approximately $2.8 million
for the contract year ended March 31, 2004. On March 31, 2005, we completed our
renewal for the contract year ending March 31, 2006 with total estimated
premiums of $2.8 million with no changes in coverage or deductibles. In late
July 2005, as a part of its activities to divest of the ADC operating segment,
the Company modified its insurance programs to provide separate policies for the
ADC and home health operations. In conjunction with those modifications, the
Company's deductible per claim for malpractice and general patient liability
claims increased from $250,000 to $500,000.

Liquidity and Capital Resources

Revolving Credit Facility

We have a $22.5 million credit facility with JP Morgan Chase Bank, NA (successor
by merger to Bank One, NA), as amended on August 11, 2005, with an expiration
date of June 30, 2008. 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 5.17% and 3.77% for
the quarter ended June 30, 2005 and 2004, respectively. The weighted average
interest rates were 5.00% and 3.86% for the six months ended June 30, 2005 and
2004, respectively. The interest rate in effect at June 30, 2005 was 5.25%. We
pay a commitment fee of 0.25% per annum on the unused facility balance.
Borrowings are available equal to the greater of: a) four times 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 June 30, 2005,
the formula permitted approximately $19.9 million to be used, of which
approximately $4.6 million was outstanding. Additionally, an irrevocable letter
of credit, totaling $4.2 million, was outstanding in connection with our
self-insurance programs. Thus, a total of $8.8 million was either outstanding or
committed as of June 30, 2005, while an additional $11.1 million was available
for use. Our revolving credit facility is subject to various financial
covenants. As of June 30, 2005, we were in compliance with the covenants. Under
the most restrictive of our covenants, we are required to maintain minimum net
worth of at least $10.5 million.

Cash Flows
Key elements to the Consolidated Statements of Cash Flows for the six months
ending June 30, 2005 and 2004 were:



      Net Change in Cash and Cash Equivalents                                2005                     2004
      ---------------------------------------                        ---------------------     --------------------
                                                                                         

        Provided by (used in):
          Operating activities                                       $        1,955,362        $        2,226,890
          Investing activities                                               (2,758,446)                 (351,870)
          Financing activities                                                  616,372                (1,558,667)
          Discontinued operations activities                                    121,825                  (703,642)
                                                                     ---------------------     --------------------
        Net (decrease) increase in cash and cash equivalents         $          (64,887)       $         (387,289)
                                                                     =====================     ====================


2005
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 49 at June
30, 2005, and 53 at December 31, 2004. The increase in combined accounts payable
and accrued liabilities resulted primarily from an increase in insurance
liabilities, accrued payroll and employee benefits. Net cash used in investing
activities resulted principally from the acquisition of a small home health
agency in Gainesville, Florida and the acquisition of the Bradenton, FL-based
"Florida Home Health" agency. Net cash used in financing activities resulted
primarily from borrowings on our credit facility for the VN acquisitions and
payment of capital lease and debt obligations.


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 64 at June
30, 2004, and 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.

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 its 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 (which consists of $984,970
in damages and $169,271 of estimated post-judgment interest) in an escrow
account with the Tennessee Courts in lieu of a supersedeas appeal bond until the
appeal court issues a decision.

As described in Note 8. "Amendment of Previous Financial Reports Related to
Contingent Liability Matters" in the notes to the financial statements, we have
recorded a litigation loss provision of $1,154,241 on a restated basis in the
year ended December 31, 2003. The cash will remain in escrow until the matter
reaches its ultimate resolution.

Despite the recording of a litigation loss provision, based on the advice of
legal counsel, we believe we have strong grounds for appealing the trial court's
decision and we intend to vigorously pursue the appeal. We can give no assurance
that we will be successful in our appeal. The appeals court heard oral arguments
in the case in February 2005 but has given no indication of when it will issue a
ruling. Both the amount of the judgment and the estimated post-judgment interest
are subject to change depending upon the outcome of the appeal process. In the
event we prevail on appeal in the Franklin litigation (and no further appeal is
available), we would record a gain in the period in which we prevail.

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 its bankruptcy status to a Chapter 11 voluntary reorganization. On
March 3, 2003, the Broker reconverted its case to a Chapter 7 liquidation
proceeding.

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 (since the group did not have a direct contract with the
Commonwealth) 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. On September 24, 2004 the
appeals court affirmed the lower court's decision. In its decision, the Court
indicated that we could pursue its claim at the Kentucky Board of Claims; such a
claim would be limited to $200,000 in damages.

On June 26, 2004 a lawsuit was filed on behalf of the bankruptcy estate against
the Commonwealth of Kentucky. The case alleges that the state misrepresented
material facts about the contract that it signed with the Broker. The suit
alleges that the Commonwealth intentionally under-funded the contract with the
bankrupt Broker. Unlike the group of affected providers in the Franklin Circuit
Court proceeding discussed above, the Broker did have a direct contract with the
Commonwealth.

As of December 31, 2004 and December 31, 2003, the Broker owed us approximately
$535,000.

As described in Note 8. "Amendment of Previous Financial Reports Related to
Contingent Liability Matters" in the notes to the financial statements, we have
recorded a provision for uncollectible accounts of $535,000 on a restated basis
in the year ended December 31, 2002. In the event we are able to collect a
portion of the Kentucky receivable we would record a gain in the period in which
payment is received.

Our loan agreement executed with our lender in March 2004 provides that the
provision for loss of either or both of the above litigation cases will be
excluded from financial results for purposes of calculating borrowing
availability or financial covenant compliance.

Medicaid Dependence
Approximately 43.6% of our revenues in the quarter ended June 30, 2005 were
derived from state Medicaid and other government programs. 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 because Medicaid is
consuming a greater percentage of state budgets. This issue is exacerbated when
revenues slow in a slowing economy. It is possible 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.

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 "Cautionary Statements - Forward Outlook and Risks" 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 were required to be implemented by April 2005. We believe we
are in substantial compliance with the security regulations with no material
impact on our results of operations or financial position.

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 June 30, 2005, a hypothetical 100 basis point increase in short-term interest
rates would result in a reduction of approximately $46,000 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 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. The appeals court heard oral arguments in the case in
February 2005 but has given no indication of when it will issue a ruling.


         Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds

                  None

         Item 3.  Defaults Upon Senior Securities

                  None

         Item 4.  Submission of Matters to a Vote of Security Holders

         (a) The annual meeting of stockholders of Almost Family, Inc. was held
on May 16, 2005.

         (c) Certain matters voted upon at the meeting and the votes cast with
respect to such matters are as follows:






         Proposals and Vote Tabulations




                                                      Votes Cast
          Management Proposals            For         Against      Abstain        Broker Non-votes
- -----------------------------------------------------------------------------------------------------------

                                                                          

Approval of the appointment of
independent auditors for 2005           2,190,913       7,210         424               0

         Election of Directors

              Director                          Votes Received                      Votes Withheld
- ------------------------------------- ----------------------------------- -----------------------------------

William B. Yarmuth                                2,195,195                             3,352
Steven B. Bing                                    2,195,295                             3,252
Donald G. McClinton                               2,192,115                             6,432
Tyree G. Wilburn                                  2,195,315                             3,232
Jonathan D. Goldberg                              2,195,315                             3,232
Wayne T. Smith                                    2,176,332                             22,215
W. Earl Reed, III                                 2,192,315                             6,232
Henry M. Altman, Jr.                              2,195,275                             3,272



         Item 5.  Other Information

                  On August 11, 2005, the Company entered into an amendment to
                  its credit facility with JP Morgan Chase Bank N.A., formerly
                  Bank One Kentucky NA, as described under Item 2 of Part I of
                  this Form 10-Q. A copy of the amendment is filed as Exhibit
                  10.1 to this Form 10-Q.







         Item 6. Exhibits

                  2.1
                  Asset Purchase Agreement dated as of August 3, 2005, by and
                  among (i) Almost Family, Inc., (ii) Caretenders of Cincinnati,
                  Inc., (iii) Adult Day Care of Maryland, Inc., (iv) Caretenders
                  of Columbus, Inc., (v) Caretenders of New Jersey, Inc., (vi)
                  Caretenders of Southwest Florida, Inc., (vii) Caretenders of
                  West Palm Beach, Inc. (viii) Adult Day Care of Louisville,
                  Inc. (ix) Active Day FL, Inc., (x) Active Day Oh, Inc., (xi)
                  Active Day of MD, Inc., (xii) Active Day KY, Inc., (xiii)
                  Active Day Fleet, Inc., and (xiv) Active Service Corporation
                  (schedules have been omitted but will be furnished
                  supplementally to the SEC upon request) (exhibit previously
                  filed with the Form 10-Q submitted on August 15, 2005).

                  10.1
                  Fourth Amendment to Loan Documents dated as of August 11,
                  2005, by and between (i) Almost Family, Inc., (ii) each of the
                  subsidiaries of AFI that is party to the Agreement, and (iii)
                  JP Morgan Chase Bank, N.A. (successor by merger to Bank One
                  N.A.) (exhibit previously filed with the Form 10-Q
                  submitted on August 15, 2005).

                  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.











SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this the report to be signed on its behalf by the
undersigned thereunto duly authorized.


Date:    November 14, 2005

                                      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