Exhibit 99.4

Guggenheim Securities, LLC 330 Madison Avenue New York, New York 10017 GuggenheimPartners.com

February 2, 2018

The Board of Directors

Almost Family, Inc.

9510 Ormsby Station Road, Suite 300

Louisville, KY 40223

Re: Consent for Fairness Opinion Disclosure

Members of the Board:

Guggenheim Securities, LLC (“Guggenheim Securities”) hereby consents to (i) the inclusion of our opinion letter dated November 15, 2017 (the “Opinion”) to the Board of Directors of Almost Family, Inc. (“Almost Family”) as Annex D to the joint proxy statement / prospectus that is being filed today with the Securities and Exchange Commission in connection with the proposed merger involving Almost Family and LHC Group, Inc. (“LHC Group”), which joint proxy statement / prospectus forms a part of the Registration Statement on Form S-4 of LHC Group (the “Registration Statement”) that is being filed today with the Securities and Exchange Commission, (ii) the references therein to Guggenheim Securities and (iii) the inclusion therein of (a) the summaries of and excerpts from the Opinion, (b) the description of certain financial analyses underlying the Opinion and (c) certain terms of our engagement by Almost Family.

By giving such consent, Guggenheim Securities does not thereby admit that we are experts with respect to any part of such Registration Statement within the meaning of the term “expert” as used in, or that we come within the category of persons whose consent is required under, the Securities Act of 1933 or the Securities Exchange Act of 1934, each as amended, or the rules and regulations of the Securities and Exchange Commission promulgated thereunder.

Very truly yours,
GUGGENHEIM SECURITIES, LLC
By:	/s/ Barry Blake
	Barry Blake Senior Managing Director