tiprankstipranks
Trending News
More News >
Aveanna Healthcare Holdings (AVAH)
NASDAQ:AVAH
US Market
Advertisement

Aveanna Healthcare Holdings (AVAH) AI Stock Analysis

Compare
109 Followers

Top Page

AVAH

Aveanna Healthcare Holdings

(NASDAQ:AVAH)

Rating:47Neutral
Price Target:
$6.50
▼(-8.19% Downside)
Aveanna Healthcare Holdings' overall stock score is primarily impacted by its financial instability due to negative equity and high leverage. While there is positive momentum in technical analysis and earnings call sentiment, the high P/E ratio and lack of dividend yield suggest caution. Corporate events provide some positive reinforcement, but financial risks remain significant.
Positive Factors
Financial Performance
AVAH reported $45.6m of EBITDA on $505m of revenue, which beat consensus estimates by 22.8% and 2.3%, respectively.
Growth Outlook
Aveanna Healthcare is experiencing above-average volume growth in its core PDS segment, enhancing its long-term growth outlook.
Operational Momentum
Improved state reimbursement and Preferred Payer strategy are driving operational momentum for Aveanna Healthcare Holdings.
Negative Factors
Debt Management
Net leverage is ~1.5x lower than it was just one year ago.
Profitability Challenges
2Q24 marks the first quarter since 2Q22 that EBITDA exceeded interest expense.

Aveanna Healthcare Holdings (AVAH) vs. SPDR S&P 500 ETF (SPY)

Aveanna Healthcare Holdings Business Overview & Revenue Model

Company DescriptionAveanna Healthcare Holdings Inc., a diversified home care platform company, provides private duty nursing (PDN), adult home health and hospice, home-based pediatric therapy, and enteral nutrition services in the United States. Its patient- centered care delivery platform allows patients to remain in their homes and minimizes the overutilization of high-cost care settings, such as hospitals. The company operates through three segments: Private Duty Services (PDS), Home Health & Hospice (HHH), and Medical Solutions (MS). The PDS segment offers PDN services, which include in-home skilled nursing services to medically fragile children; nursing services in school settings in which its caregivers accompany patients to school; services to patients in its pediatric day healthcare centers; and employer of record support and personal care services, as well as in-clinic and home-based pediatric therapy services, such as physical, occupational, and speech services. The HHH segment provides home health services, including in-home skilled nursing services; physical, occupational, and speech therapy services; and medical social and aide services, as well as hospice services for patients and their families when a life-limiting illness no longer responds to cure-oriented treatments. The MS segment offers enteral nutrition supplies and other products to adults and children delivered on a periodic or as-needed basis. The company was incorporated in 2016 and is headquartered in Atlanta, Georgia.
How the Company Makes MoneyAveanna Healthcare Holdings generates revenue through a diversified model that includes several key streams. The primary source of income comes from providing home health services, which involve skilled nursing and therapy services delivered in a patient's home. Additionally, the company earns from its private duty services, which include non-medical personal care and support for daily living activities, as well as medically intensive care for patients with chronic conditions. Hospice care also contributes to their revenue, offering end-of-life care and support. Aveanna collaborates with various healthcare payers including Medicare, Medicaid, and private insurers, which reimburse the company for services rendered based on specific agreements and care plans. These partnerships and reimbursements are crucial to the company's financial performance.

Aveanna Healthcare Holdings Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: 82.01%|
Next Earnings Date:Nov 06, 2025
Earnings Call Sentiment Positive
The earnings call highlighted strong revenue and EBITDA growth driven by strategic transformations, preferred payer agreements, and successful integration of acquisitions. However, challenges remain in the labor market, regulatory headwinds in home health, and potential Medicaid funding concerns. Despite these challenges, the overall sentiment is positive due to significant achievements and growth outlook.
Q2-2025 Updates
Positive Updates
Revenue and EBITDA Growth
Revenue for the second quarter was approximately $590 million, representing a 16.8% increase over the prior year period. Adjusted EBITDA was $88.3 million, representing a 93.6% increase over the prior year period, primarily due to improved rate environment and cost savings initiatives.
Strategic Transformation Success
Aveanna executed its strategic transformation strategy focusing on obtaining adequate rates from payer and government partners, evidenced by a 10 rate enhancements year-to-date in the private duty services segment.
Preferred Payer Agreements
Aveanna increased the number of preferred payer agreements in private duty services to 25 and maintained episodic payer mix above 70% in home health, with a total episodic volume growth of 6.9%.
Thrive Skilled Pediatrics Integration
The integration of Thrive Skilled Pediatrics is on target, expanding PDS offerings in 5 existing states and adding 2 new states, Kansas and New Mexico.
Improved Liquidity and Cash Flow
At the end of the second quarter, liquidity was approximately $354 million with positive free cash flow of $36.9 million year-to-date.
Negative Updates
Challenging Labor Environment
The labor environment remains a primary challenge, although improvements in caregiver hiring and retention trends are noted.
Regulatory Headwinds in Home Health
Proposed cuts totaling 6.4% to the Medicare home health benefit present regulatory headwinds, although not overly material to Aveanna's 2026 results.
Medicaid Funding Concerns
General headwinds with state Medicaid directors and governors are expected as they plan for less overall Medicaid funding in the future.
Company Guidance
During the Aveanna Healthcare Holdings Second Quarter 2025 Earnings Conference Call, the company reported several key financial metrics and strategic initiatives. Revenue for the second quarter reached approximately $590 million, marking a 16.8% increase over the prior year period. Adjusted EBITDA rose to $88.3 million, reflecting a significant 93.6% increase, attributed to an improved rate environment and cost savings initiatives. The company highlighted a favorable revenue and EBITDA impact of around $9 million due to timing-related items, including value-based payments. Aveanna also noted year-over-year growth in its private duty services, home health and hospice, and Medical Solutions segments, with increases of 19.2%, 10.0%, and 2.2%, respectively. The company is focusing on strategic initiatives, such as enhancing partnerships with government and preferred payers, identifying cost efficiencies, and modernizing its Medical Solutions business, all of which align with its enhanced outlook for 2025, projecting revenue over $2.3 billion and adjusted EBITDA over $270 million. Additionally, Aveanna is actively pursuing legislative agenda items to improve reimbursement rates in at least 10 states and aims to expand its private duty services preferred payer agreements from 22 to 30 by the end of 2025.

Aveanna Healthcare Holdings Financial Statement Overview

Summary
Aveanna Healthcare Holdings shows moderate revenue growth and improving cash flow metrics, but the financial health is undermined by negative equity and high leverage. The company's stability is at risk due to significant debt and negative equity.
Income Statement
45
Neutral
The income statement shows moderate revenue growth over recent years, with a notable increase from $1.89 billion in 2023 to $2.09 billion TTM (Trailing-Twelve-Months). Gross profit margins are stable, rising slightly from 31.4% in 2024 to 32% in TTM. However, the net profit margin is low at 0.73% TTM due to significant interest and operating expenses, though it has improved from negative in previous years. EBIT and EBITDA margins are relatively weak at 8.16% and 5.68% TTM, respectively, indicating room for operational efficiency improvements.
Balance Sheet
30
Negative
The balance sheet is concerning, showing negative stockholders' equity of -$98.7 million TTM, indicating financial instability. The debt-to-equity ratio is not calculable due to negative equity, but the high total debt of $1.32 billion suggests leverage risks. Return on Equity (ROE) is also unmeasurable due to negative equity, but the consistent negative equity ratio highlights the potential risk of insolvency.
Cash Flow
40
Negative
Cash flow analysis reveals improvements in free cash flow, which increased from $16.56 million in 2023 to $28.62 million TTM, reflecting a positive trend. The operating cash flow to net income ratio is robust at 2.35 TTM, indicating good cash conversion despite low net income. The free cash flow to net income ratio is high at 1.87, suggesting efficient cash generation relative to profit levels. However, fluctuations in operating cash flows in previous years indicate potential volatility.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue2.09B2.02B1.90B1.79B1.68B1.50B
Gross Profit670.41M635.54M595.43M553.23M542.40M454.51M
EBITDA194.34M187.38M44.35M-517.28M-9.26M22.13M
Net Income5.44M-10.93M-134.52M-662.03M-117.04M-57.05M
Balance Sheet
Total Assets1.66B1.66B1.61B1.71B2.33B1.84B
Cash, Cash Equivalents and Short-Term Investments71.49M84.29M43.94M19.22M30.49M137.34M
Total Debt1.32B1.33B1.50B1.36B1.30B1.23B
Total Liabilities1.76B1.79B1.74B1.72B1.70B1.58B
Stockholders Equity-98.67M-122.09M-127.44M-4.17M637.95M267.17M
Cash Flow
Free Cash Flow28.62M26.32M16.56M-60.41M-27.30M101.38M
Operating Cash Flow35.98M32.64M22.67M-48.40M-11.35M116.62M
Investing Cash Flow-7.36M-6.32M-8.79M-25.29M-681.83M-193.54M
Financing Cash Flow269.00K14.03M10.85M62.42M586.33M210.94M

Aveanna Healthcare Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price7.08
Price Trends
50DMA
4.80
Positive
100DMA
4.96
Positive
200DMA
4.93
Positive
Market Momentum
MACD
0.72
Negative
RSI
80.24
Negative
STOCH
87.84
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AVAH, the sentiment is Positive. The current price of 7.08 is above the 20-day moving average (MA) of 4.93, above the 50-day MA of 4.80, and above the 200-day MA of 4.93, indicating a bullish trend. The MACD of 0.72 indicates Negative momentum. The RSI at 80.24 is Negative, neither overbought nor oversold. The STOCH value of 87.84 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for AVAH.

Aveanna Healthcare Holdings Risk Analysis

Aveanna Healthcare Holdings disclosed 56 risk factors in its most recent earnings report. Aveanna Healthcare Holdings reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Aveanna Healthcare Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
71
Outperform
$1.31B37.617.02%2.08%16.24%116.58%
71
Outperform
$853.68M31.5911.44%30.58%24.86%
65
Neutral
$1.09B106.152.28%5.17%-65.33%
51
Neutral
$7.46B-0.16-46.00%2.25%22.82%-2.28%
48
Neutral
$715.51M18.62-40.13%-14.33%-398.68%
47
Neutral
$1.50B94.1542.49%11.53%
44
Neutral
$1.74B-108.91%3.99%-14.74%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AVAH
Aveanna Healthcare Holdings
7.08
1.87
35.89%
AMN
AMN Healthcare Services
18.92
-32.16
-62.96%
BKD
Brookdale Senior Living
7.31
0.50
7.34%
HCSG
Healthcare Services
15.02
4.28
39.85%
USPH
US Physical Therapy
85.78
3.61
4.39%
PNTG
Pennant Group
25.26
-6.48
-20.42%

Aveanna Healthcare Holdings Corporate Events

Business Operations and StrategyFinancial Disclosures
Aveanna Healthcare Highlights Strong Financial Performance
Positive
Aug 8, 2025

On August 8, 2025, Aveanna Healthcare Holdings Inc. released a financial presentation to investors, highlighting key operating statistics and financial metrics. The presentation reported over $2.3 billion in revenue, a gross margin of 34.3%, and an adjusted EBITDA exceeding $270 million. The company operates 366 locations with 29,000 caregivers, delivering 43.9 million homecare hours annually. This announcement underscores Aveanna’s robust operational scale and financial performance, reinforcing its position as a major player in the home healthcare sector.

The most recent analyst rating on (AVAH) stock is a Hold with a $6.50 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

M&A TransactionsBusiness Operations and StrategyFinancial Disclosures
Aveanna Healthcare Reports Strong Q2 2025 Financial Growth
Positive
Aug 7, 2025

Aveanna Healthcare Holdings announced its second-quarter financial results for 2025, showing significant growth in revenue and adjusted EBITDA compared to the previous year. The company reported a 16.8% increase in revenue to $589.6 million and a 93.6% increase in adjusted EBITDA to $88.4 million. The acquisition of Thrive Skilled Pediatric Care has expanded Aveanna’s pediatric services, contributing to its strategic transformation and market expansion. The company has raised its full-year 2025 revenue guidance to over $2.3 billion and adjusted EBITDA to over $270 million, reflecting strong operational performance and growth momentum.

The most recent analyst rating on (AVAH) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Private Placements and FinancingBusiness Operations and Strategy
Aveanna Healthcare Expands Receivables Financing Agreement
Positive
Jun 27, 2025

On June 25, 2025, Aveanna Healthcare Holdings Inc.’s subsidiaries, Aveanna Healthcare LLC and Aveanna SPV I, LLC, entered into a seventh amendment to their Receivables Financing Agreement with a bank. This amendment increased the facility limit to $275 million and extended the termination date by three years, impacting the company’s financial flexibility and operational strategy.

The most recent analyst rating on (AVAH) stock is a Hold with a $6.00 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 12, 2025