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Almost Family
Almost Family is a family office founded by William Yarmuth following the 2018 sale of his home-health company.
Almost Family
William Yarmuth founded Almost Family in 1976 as a Louisville-based home healthcare company. The firm grew over four decades into one of the largest home-health providers in the US, serving patients across 14 states. Yarmuth stepped down as CEO in 2017 and sold the company to LHC Group in 2018 for approximately $1.4 billion. The family office he established with the proceeds now manages that wealth, with a focus on preserving capital and making selective direct investments. The family office invests across several asset classes including healthcare services, real estate (primarily commercial and healthcare-related properties), infrastructure, and private equity. In private equity, the office targets control and significant minority positions in middle-market companies, often in the healthcare and business services sectors. The firm also holds a portfolio of commercial real estate in the Louisville metropolitan area, and has participated in infrastructure projects through partnerships. Geographic focus is primarily the United States, with concentration in the Midwest and Southeast. Team size is not publicly disclosed; the firm is believed to be lean, with a small group of investment professionals alongside family members. Yarmuth's son, who succeeded him as CEO of Almost Family in 2017, now helps oversee the family office's investments. The firm does not operate a separate philanthropic foundation, though the Yarmuth family has supported local charities in the Louisville area. The office maintains no public website marketing its investment services, consistent with a single-family office posture. Recent activity: In 2025, the firm was reported to be actively deploying capital into healthcare services acquisitions, continuing its sector focus (per local business press, 2025). Structurally, Almost Family functions as a direct investment vehicle rather than a multi-family office or fund-of-funds. The office's competitive advantage lies in the deep industry knowledge Yarmuth and his family accumulated building and operating a large healthcare company — a rare familiarity with operations, regulation, and M&A in home health. This operational DNA shapes every investment decision, and the office generally avoids passive fund commitments in favor of control positions. The succession from founder to next generation is already underway, with the younger Yarmuth taking increasing investment authority.
General information
Firm type
Single Family Office
Year founded
—
AUM
Undisclosed
Location
Region
North America
Country
United States
City
Louisville
Corporate office
Louisville, KY, United States
Principals
William B. Yarmuth
Founder & CEO
Sector focus
Frequently asked questions
Who runs investment decisions at Almost Family?
William Yarmuth, the founder, runs overall strategy alongside his son, who served as CEO of Almost Family before the sale. The office maintains a lean team with no public CIO or managing director listed.
How does Almost Family source proprietary deal flow?
The office draws on relationships Yarmuth built during his decades in healthcare — hospital systems, physicians, and other operators — and actively seeks control or minority positions directly, without intermediaries.
What investment stages does Almost Family typically target?
The firm targets growth-equity and buyout-stage opportunities, preferring control or significant minority positions in established companies rather than early-stage or venture capital.
Is Almost Family structured as a single family office or does it operate more like a venture firm?
It is a single family office — the entity manages only the Yarmuth family's capital from the sale of Almost Family. It does not accept outside capital or operate as a multi-family office.
Which sectors does Almost Family explicitly avoid?
The firm avoids technology startups, biotech, and high-risk early-stage ventures, preferring asset-intensive sectors such as healthcare services and real estate where operating knowledge gives it an edge.
Where does the underlying wealth come from?
The wealth originated from the founding and growth of Almost Family, a home healthcare company founded by William Yarmuth in 1976 and sold to LHC Group in 2018 for ~$1.4 billion.
Does Almost Family participate in fund commitments or only direct deals?
The office focuses on direct investments — control and minority positions in operating companies — and generally avoids committing to external private equity funds or hedge funds, per its described posture.
Profile maintained by Altss using OSINT (open-source intelligence), regulatory filings, licensed data partners, and verified direct submissions. Read the methodology. Last updated: . Continuous refresh with full update cycles at least every 30 days.
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