Strong Top-Line and EBITDA Growth
Q1 revenue of $647.9M (approximately $648M) increased 15.9% YoY; Q1 adjusted EBITDA of $84.4M increased 25.2% YoY. Consolidated gross margin was $205.4M (31.7%). Management attributes growth to improved rates, volume, and operational efficiencies.
Private Duty Services (PDS) Momentum
PDS revenue ~ $536M, up 16.4% YoY, driven by ~12.1M hours (hours +10.7%). Revenue per hour was $44.43 (+5.7% YoY). PDS gross margin was $149.2M (27.9%) with a spread per hour of $12.38. Preferred-payer volume accounted for ~60% of PDS MCO volumes (up from 57% at end-2025).
Home Health & Hospice Growth and Episodic Mix
Home health & hospice revenue ~$66.6M, up 17.4% YoY. Total admissions ~11,000 (+13.4% organic YoY) and 14.9k episodes (+23.1% YoY). Episodic payer mix ~80% (above 75% target). Medicare revenue per episode ~$3.17k (+0.5% YoY). Home health gross margin 53.7%.
Medical Solutions Stabilizing and Growing
Medical Solutions revenue $45.7M (+7.4% YoY); ~93k unique patients (+4.5% YoY); revenue per UPS ~$491 (+2.9% YoY). Gross margin ~44.7%. Management expects mid-single-digit growth near-term and acceleration toward double digits by year-end as preferred-payer strategy and modernization complete.
Preferred-Payer Strategy Driving Capacity and Hiring
Signed multiple preferred-payer agreements across businesses in Q1 (4 in PDS; 4 in home health; 2 in Medical Solutions). Targets: PDS +8 agreements (38 total), home health 50+ preferred payers in 2026, Medical Solutions growth to 25 by 2026. Preferred-payer traction enabled wage investment and improved caregiver hiring/retention.
Raised Full-Year 2026 Guidance and Strong Liquidity
Updated FY 2026 guidance: revenue $2.56B–$2.58B and adjusted EBITDA $328M–$332M (excludes Family First). Liquidity ~ $525M (cash ~$189M, $110M securitization availability, $226M revolver undrawn).
Improved Cash Collections and Operational Automation
RCM and AI/automation initiatives drove stronger collections and reduced DSO; Q1 included recovery of ~$6M previously reserved AR. Management highlights RCM automation as a durable improvement driver for cash flow and margin.
M&A and Community Impact
Announced acquisition of Family First Home Care (Florida) expected to close late Q2; transaction valued ~7.5x post-synergy EBITDA with revenue ~ $120M (synergies target realized within ~6 months). Aveanna Cares: employees completed >9,000 volunteer hours vs. 7,500 goal across ~200 events.