X0306 4 2014-04-30 0 0000799231 ALMOST FAMILY INC AFAM 0001557543 NORTH TIDE CAPITAL, LLC 500 BOYLSTON STREET SUITE 310 BOSTON MA 02116 0 0 1 0 0001594882 North Tide Capital Master, LP MA 0 0 1 0 0001594068 Laughlin Conan MA 0 0 1 0 Common Stock 2014-04-30 4 P 0 7000 21.2176 A 970200 I See Footnote Common Stock 2014-05-01 4 P 0 19000 21.2023 A 989200 I See Footnote Shares reported herein represent (i) 870,200 shares as of April 30, 2014, and 889,200 shares as of May 1, 2014 held by North Tide Capital Master, LP and (ii) 100,000 shares as of both such dates held by a managed account client. North Tide Capital, LLC ("North Tide") serves as investment manager for North Tide Capital Master, LP and the managed account client. Mr. Laughlin serves as manager of North Tide. Each of the Reporting Persons disclaims beneficial ownership of the shares reported herein except to the extent of its or his pecuniary interest therein, and the filing of this Form 4 shall not be construed as an admission that any of the Reporting Persons is the beneficial owner of any such shares for purposes of Section 16(a) of the Securities Exchange Act of 1934 or for any other purpose. /s/ NORTH TIDE CAPITAL, LLC - Conan Laughlin, Manager 2014-05-02 /s/ NORTH TIDE CAPITAL MASTER, LP - Conan Laughlin, Manager 2014-05-02 /s/ CONAN LAUGHLIN 2014-05-02