SEC Form 4

FORM 4		UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940	OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person* YARMUTH WILLIAM B (Last) (First) (Middle) 9510 ORMSBY STATION ROAD SUITE 300 (Street) LOUISVILLE KY 40223 (City) (State) (Zip)	2. Issuer Name and Ticker or Trading Symbol ALMOST FAMILY INC [ AFAM ]	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X 10% Owner X Officer (give title below) Other (specify below) CEO
	3. Date of Earliest Transaction (Month/Day/Year) 12/30/2006
	4. If Amendment, Date of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	12/27/2006		G	V	2,500	D	$0.00	250,380	D
Common Stock	12/30/2006		M		8,742	A	$2.1875	259,122(2)	D
Common Stock	12/30/2006		F		2,878	D	$43.82	256,244	D
Common Stock	01/03/2007		M		91,258	A	$2.1875	347,502	D
Common Stock	01/03/2007		F		43,268	D	$43.82	304,234	D
Common Stock	01/03/2007		M		100,000	A	$4.25	404,234	D
Common Stock	01/03/2007		F		47,863	D	$43.82	296,185(2)	D
Common Stock								2,962(1)	I	By self as CO-TTEE for Irrevocable Trust

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Options(3)	$2.1875	12/30/2006		M			8,742	03/05/2001	03/04/2009	Common Stock	8,742	(3)	66,258	D
Options(3)	$2.1875	01/03/2007		M			66,258	03/05/2001	03/04/2009	Common Stock	66,258	(3)	0	D
Options(3)	$2.1875	01/03/2007		M			25,000	03/05/2002	03/04/2009	Common Stock	25,000	(3)	0	D
Options(3)(4)	$4.25	01/03/2007		M			100,000	02/05/2001	02/04/2011	Common Stock	100,000	(3)(4)	0	D

Explanation of Responses:

1. 2,962 shares consist of 2 individual trusts FBO J.J. Yarmuth and Jacob J. Yarmuth.

2. Since the date of the reporting person's last ownership report, pursuant to a domestic relations order, the reporting person received sole direct ownership of 36,208 shares of common stock previously reported by him as indirectly owned through joint ownership with his then-spouse. Moreover, one-half of the net realized shares of common stock received upon the exercise of his employee stock options are being delivered to his ex-spouse pursuant to the domestic relations order. The 296,185 shares reported herein as owned directly by the reporting person reflect the delivery of the shares pursuant to the domestic relations order. The reporting person no longer reports as indirectly owned by him any shares held by his ex-spouse.

3. Granted pursuant to the 1991 Long Term Incentive Stock Option Plan.

4. These options were vested in four equal installments beginning on 2/5/01.

	C. Steven Guenthner, atty. in fact for: William B. Yarmuth	01/04/2007
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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