Almost family was founded in 1976. They provide home healthcare services in 26 states. They have a joint venture with Community Health Systems, Inc. They provide speciality programmes such as Cardiocare, Orthopedics, Optimum Balance, B.R.E.A.T.H.E, Urology, Frail Elderly Care Management, and Telehealth Monitoring. Almost family is separated into 3 segments: Visiting nurse, Personal care and the Healthcare innovation division. Almost Family services are mostly run by federal and state government programmes and private pay.