Almost Family Reports Third Quarter 20...(ons 28131 21767...),Health

Billable Visits 732,654 431,626 301,028 69.7%

Medicare Statistics:

Revenue $107,769,437 $64,274,490 $43,494,947 67.7%

Percentage of total

revenues 91.9% 92.6%

Billable Visits 654,539 392,074 262,465 66.9%

Admissions 25,698 19,536 6,162 31.5%

Episodes 37,397 24,166 13,231 54.7%

Revenue per episode $2,832 $2,613 $219 8.4%

Visits per episode 18.7 17.5 1.1 6.5%

ALMOST FAMILY, INC. AND SUBSIDIARIES

PERSONAL CARE SEGMENT OPERATING METRICS

Nine months ended September 30,

2008 2007 Change

Amount Amount Amount %

Average number of locations 23 23 - -

Admissions 2,801 2,775 26 0.9%

Patient Days of Care 416,670 392,315 24,355 6.2%

Billable Hours 1,645,112 1,523,883 121,229 8.0%

Revenue per billable hours $17.70 $17.63 $0.07 0.4%

Non-GAAP Financial Measure

The information provided in the tables in this release includes certain non-GAAP financial measures as defined under Securities and Exchange Commission (SEC) rules. In accordance with SEC rules, the Company has provided, in the supplemental information and the footnotes to the tables, a reconciliation of those measures to the most directly comparable GAAP measures.

EBITDA:

EBITDA is defined as income before depreciation and amortization, net interest expense and income t
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