Almost Family (NASDAQ: AFAM) is in the home health nursing service business and offers senior citizens in nine states an alternative to spending their days in nursing homes. As the aging Baby Boomer generation looks to keep a level of independence without sacrificing their level of care, Almost Family is a perfect fit.

Almost Family has been buying up local providers to grow its share of the highly fragmented market and increase its margins. Clearly, this strategy is working, as the company's earnings rose 55% to 68 cents per share, compared with 44 cents per share in the first quarter of 2008. What's more, AFAM's revenue increased by a whopping 77% to $69.2 million from $39 million. Analysts on average were expecting earnings of 60 cents per share on revenue of 63 million, so Almost Family posted a 13.3% earnings surprise and a 9.8% sales surprise.

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