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                                                                    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, 2006 (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 14, 2006            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.