X0306 4 2014-05-07 0 0000799231 ALMOST FAMILY INC AFAM 0001557543 NORTH TIDE CAPITAL, LLC 500 BOYLSTON STREET SUITE 310 BOSTON MA 02116 0 0 1 0 Common Stock 2014-05-07 4 P 0 23100 20.62 A 1023100 I See Footnotes Common Stock 2014-05-08 4 P 0 17000 21.28 A 1040100 I See Footnotes Common Stock 2014-05-09 4 P 0 13000 22.15 A 1053100 I See Footnotes Shares reported herein represent: as of May 7, 2014, (i) 920,790 shares held by North Tide Capital Master, LP and (ii) 102,310 shares held by a managed account client; as of May 8, 2014, (i) 936,090 shares held by North Tide Capital Master, LP and (ii) 104,010 shares held by a managed account client; and as of May 9, 2014, (i) 947,790 shares held by North Tide Capital Master, LP and (ii) 105,310 shares 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 2014-05-09 /s/ NORTH TIDE CAPITAL MASTER, LP - Conan Laughlin, Manager 2014-05-09 /s/ CONAN LAUGHLIN 2014-05-09