Exhibit 32.2

                CERTIFICATIONS OF CHIEF FINANCIAL OFFICER
                       PURSUANT TO 18 U.S.C. SECTION 1350
        (AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF
                                      2002)


     I, C. Steven Guenthner, Chief Financial Officer of Almost Family, Inc. (the
"Company"),  certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002,
18 U.S.C. Section 1350, that:

     (1)  The  Quarterly  Report on Form 10-Q of the Company  for the  quarterly
          period  ended June 30, 2004 (the  "Report")  fully  complies  with the
          requirements  of Section 13(a) of the Securities  Exchange Act of 1934
          (15 U.S.C. 78m); and

     (2)  The  information  contained  in the  Report  fairly  presents,  in all
          material respects,  the financial  condition and results of operations
          of the Company.



   Date: August 16, 2004                       By  /s/ C. Steven Guenthner
        ----------------------                     ------------------------
                                                   C. Steven Guenthner
                                                   Senior Vice President &
                                                    Chief Financial Officer




   A signed copy of this original statement required by Section 906 has been
   provided to the Company and will be retained by the Company and furnished to
   the Securities and Exchange Commission or its staff on request.