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This stock no longer trades (delisted April 12, 2018)

Delisted / no longer publicly traded (per market data provider) Everything below is based on the last available data — treat it as historical, not a live read.

Stock

Almost Family

AFAM
42
Medical - Care Facilities · Healthcare
Price
$56.00
+1.05 (+1.88%)
Exchange
NASDAQ
Winston Score
42
Historical score — this stock no longer trades, so the score is frozen at the last available data.
Data as of Oct 18, 2026 · filings through Dec 31, 2017

§How the score breaks down

Quality
Mixed
9/30
Growth
Mixed
7/20
Cash Flow
Strong
7/10
Stability
Strong
8/10
Valuation
Weak
2/10
Ownership
Not counted
n/a
Dividends
Good
3/5

36 of 85 counted points = Winston Score 42. Pillars marked n/a do not apply to this company and are left out of the total.

Share count rising — dilution

+46.8% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 9.4M (2013) → 13.8M (2017)

§Winston Score History

The full picture

Almost Family was a U.S.-based provider of home health nursing services. The company sent nurses, therapists, and aides to patients' homes to help them recover from surgery, manage chronic illnesses, or receive ongoing care. It operated primarily in the eastern and southern United States and was one of the larger home health providers in the country before merging with LHC Group in 2017.

Almost Family earned revenue mainly through Medicare and Medicaid reimbursements, along with payments from private insurers. Its visiting nurse segment and personal care segment served elderly and disabled patients who needed skilled or non-skilled assistance at home. The company's scale across multiple states gave it operational advantages in managing regulatory requirements. Because it relied heavily on government reimbursement programs, changes to Medicare payment rates represented a significant ongoing risk to profitability. Almost Family is no longer an independent public company following its combination with LHC Group.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+30.8% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+82.9% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Cash Position

Cash flow positive

$11M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Revenue accelerating

Almost Family grew revenue 31% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
47.5%
Healthy — 47.5% gross margin
Profit after running costs
Operating Margin
1.5%
Thin — 1.5% operating margin
Return on the money invested
ROCE
4.7%
Weak — 4.7% return on capital

ROIC between 0% and 5%. They earn a few cents back per dollar invested in the business.

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Growth

Sales growth
Sales YoY
+27.8%
Fast-growing sales (+27.8% YoY)
Profit growth
EPS YoY
-13.2%
Earnings shrinking (-13.2% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

How steady the profit is
EPS Consistency
2/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Profit that turns into cash
Cash Conversion
150%
Turns 150% of profit into real cash
Spare cash per sale
FCF Margin
3.1%
Thin free cash flow (3.1%)

FCF margin between 0% and 10%. Some cash from sales, but not a lot.

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Stability

What it owes vs what it owns
Debt / Equity
0.24
Conservative — low debt load (0.24)
Covers its interest
Interest Cover
4.09x
Adequate interest coverage (4.1x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
37.1x
Pricey — P/E 37.1

P/E over 35. The market is pricing in heavy, sustained growth.

Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Dividend
Dividend Yield
14.29%
Healthy income — 14.29% yield

Yield above 6% — often a flag the market is pricing in a cut.

Dividend record
Dividend Growth
N/A
no trend
Data not available

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