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Aveanna Healthcare Holdings (AVAH)
NASDAQ:AVAH
US Market

Aveanna Healthcare Holdings (AVAH) AI Stock Analysis

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AVAH

Aveanna Healthcare Holdings

(NASDAQ:AVAH)

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Neutral 58 (OpenAI - 4o)
Rating:58Neutral
Price Target:
$9.50
▲(7.22% Upside)
Aveanna Healthcare Holdings shows strong earnings growth and strategic initiatives, which are significant positives. However, high leverage and low profitability weigh down the financial performance. The technical indicators suggest a positive trend, but valuation metrics indicate moderate attractiveness. Overall, the stock presents a mixed outlook with potential for improvement if financial stability is enhanced.
Positive Factors
Revenue Growth
Strong revenue growth indicates robust demand for services and effective market expansion strategies, supporting long-term business sustainability.
Strategic Initiatives
Expansion of preferred payer agreements enhances revenue stability and strengthens competitive positioning in the healthcare market.
Cash Flow Improvement
Improved cash flow and liquidity provide financial flexibility for growth investments and debt management, enhancing long-term stability.
Negative Factors
High Leverage
High leverage increases financial risk and limits flexibility, potentially impacting the company's ability to invest in growth opportunities.
Low Profitability
Low profitability limits reinvestment capacity and shareholder returns, posing challenges to achieving sustainable financial health.
Regulatory Uncertainty
Regulatory uncertainties, particularly in Medicaid funding, pose risks to revenue stability and require strategic adaptation to mitigate impacts.

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 generates revenue primarily through the provision of home healthcare services billed to various payers, including private insurance, Medicaid, and Medicare. The company's revenue model is based on service contracts and reimbursement rates determined by these payers, which cover skilled nursing, therapy, and personal care services. Key revenue streams include hourly billing for nursing and therapy services, episodic payments for specific care episodes, and capitated payments for certain patient populations. Additionally, Aveanna's partnerships with healthcare providers and managed care organizations enhance their service offerings and can lead to increased patient referrals, further driving revenue growth. The company's focus on expanding its footprint in underserved markets and enhancing its service capabilities are also significant factors contributing to its earnings.

Aveanna Healthcare Holdings Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 12, 2026
Earnings Call Sentiment Positive
The earnings call highlighted strong financial performance, particularly in revenue and EBITDA growth, and successful strategic initiatives such as preferred payer agreements and integration of Thrive Skilled Pediatrics. While there are ongoing challenges in the labor market and uncertainties in Medicaid funding, the positive aspects of the business significantly outweigh the negatives.
Q3-2025 Updates
Positive Updates
Significant Revenue Growth
Revenue for the third quarter was approximately $622 million, representing a 22.2% increase over the prior year period.
Strong EBITDA Performance
Third quarter adjusted EBITDA was $80.1 million, representing a 67.5% increase over the prior year period, driven by improved rate and volume environment and cost savings initiatives.
Preferred Payer Strategy Success
Preferred payer agreements increased from 22 to 30, with preferred payer volumes accounting for approximately 56% of total PDS MCO volumes.
Home Health and Hospice Growth
Home Health and Hospice revenue grew by 15.3% compared to the prior year quarter, with a gross margin of 53.3%.
Thrive Skilled Pediatrics Integration
Integration of Thrive Skilled Pediatrics is on target to be completed by the end of the year, contributing positively to 2025 results.
Improved Cash Flow and Liquidity
Cash generated by operating activities was $76.1 million, and free cash flow was $86.2 million with liquidity of approximately $479 million.
Negative Updates
Labor Market Challenges
The labor environment continues to be a primary challenge, although there are improvements in caregiver hiring and retention trends.
Regulatory and Medicaid Funding Uncertainty
General headwinds with state Medicaid directors and a cautious environment due to potential cuts and funding uncertainties.
Muted Volume Growth in Medical Solutions
Volume growth is expected to be muted for the remainder of the year, despite improvements in clinical outcomes and financial performance.
Company Guidance
During Aveanna's third quarter 2025 earnings call, the company reported a revenue of approximately $622 million, marking a 22.2% increase over the prior year period. Adjusted EBITDA was $80.1 million, representing a 67.5% increase from the previous year, driven by improved rate and volume environments and ongoing cost savings initiatives. The company has successfully expanded its preferred payer agreements in private duty services from 22 to 30, accounting for 56% of total PDS MCO volumes. Additionally, Aveanna has seen a 14.2% growth in episodic volume in home health, with the episodic mix at 77%. The company anticipates 2025 revenue to exceed $2.375 billion, with adjusted EBITDA expected to surpass $300 million, despite ongoing regulatory challenges.

Aveanna Healthcare Holdings Financial Statement Overview

Summary
Aveanna Healthcare Holdings faces challenges with high leverage and low profitability, impacting its financial stability. While there is some revenue and cash flow growth, the company needs to improve its operational efficiency and reduce debt levels to enhance financial health and shareholder value.
Income Statement
Aveanna Healthcare Holdings shows a moderate revenue growth rate of 5.19% TTM, indicating some positive momentum. However, the net profit margin is low at 3.29% TTM, and historical net income has been negative, reflecting challenges in profitability. The gross profit margin is stable at 33.45% TTM, but the EBIT and EBITDA margins are relatively low, suggesting limited operational efficiency.
Balance Sheet
The company has a very high debt-to-equity ratio of 135.67 TTM, indicating significant leverage and potential financial risk. The return on equity is negative, reflecting poor returns for shareholders. The equity ratio is low, suggesting limited financial stability and a reliance on debt financing.
Cash Flow
Cash flow metrics show some improvement, with a free cash flow growth rate of 5.09% TTM. The operating cash flow to net income ratio is low at 0.22, indicating limited cash generation relative to net income. However, the free cash flow to net income ratio is strong at 0.92, suggesting better cash conversion efficiency.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue2.29B2.02B1.90B1.79B1.68B1.50B
Gross Profit766.30M635.54M595.43M553.23M542.40M454.51M
EBITDA265.13M187.38M39.17M-525.06M-17.95M61.47M
Net Income75.46M-10.93M-134.52M-662.03M-117.04M-57.05M
Balance Sheet
Total Assets1.81B1.66B1.61B1.71B2.33B1.84B
Cash, Cash Equivalents and Short-Term Investments145.87M84.29M43.94M19.22M30.49M137.34M
Total Debt1.35B1.50B1.50B1.36B1.30B1.23B
Total Liabilities1.80B1.79B1.74B1.72B1.70B1.58B
Stockholders Equity9.91M-122.09M-127.44M-4.17M637.95M267.17M
Cash Flow
Free Cash Flow82.52M26.32M16.56M-60.41M-27.30M101.38M
Operating Cash Flow89.54M32.64M22.67M-48.40M-11.35M116.62M
Investing Cash Flow-21.88M-6.32M-8.79M-25.29M-681.83M-193.54M
Financing Cash Flow-261.00K14.03M10.85M62.42M586.33M210.94M

Aveanna Healthcare Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price8.86
Price Trends
50DMA
8.90
Negative
100DMA
8.71
Positive
200DMA
6.84
Positive
Market Momentum
MACD
-0.12
Negative
RSI
53.50
Neutral
STOCH
76.70
Neutral
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 8.86 is above the 20-day moving average (MA) of 8.71, below the 50-day MA of 8.90, and above the 200-day MA of 6.84, indicating a neutral trend. The MACD of -0.12 indicates Negative momentum. The RSI at 53.50 is Neutral, neither overbought nor oversold. The STOCH value of 76.70 is Neutral, 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
74
Outperform
$2.08B24.048.58%18.77%6.88%
74
Outperform
$2.00B20.029.94%1.80%23.74%-18.99%
73
Outperform
$1.01B38.4710.87%29.89%10.33%
69
Neutral
$1.89B17.475.57%1.69%-22.96%-59.35%
61
Neutral
$2.66B-8.52-214.33%3.93%-42.22%
58
Neutral
$1.85B24.6115.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AVAH
Aveanna Healthcare Holdings
8.86
4.35
96.45%
ADUS
Addus Homecare
112.33
-13.01
-10.38%
BKD
Brookdale Senior Living
11.20
6.31
129.04%
NHC
National Healthcare
128.69
33.54
35.25%
SEM
Select Medical
15.26
-2.70
-15.03%
PNTG
Pennant Group
29.10
3.28
12.70%

Aveanna Healthcare Holdings Corporate Events

Executive/Board ChangesRegulatory Filings and Compliance
Aveanna Healthcare Updates Stockholders Agreement and Board
Neutral
Nov 14, 2025

On November 13, 2025, Aveanna Healthcare Holdings Inc. amended its Stockholders Agreement, restricting certain executives from transferring common stock without pre-approval, while allowing other stockholders to transfer shares freely. Additionally, Christopher Gordon resigned as a Class II director, and Sam Weil, a Principal at Bain Capital, was appointed to fill the vacancy, bringing his expertise in healthcare investments to the board.

The most recent analyst rating on (AVAH) stock is a Hold with a $10.00 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Aveanna Healthcare Highlights Strong Financial Performance
Positive
Nov 7, 2025

On November 7, 2025, Aveanna Healthcare Holdings released a financial presentation to investors, highlighting its revenue of over $2.375 billion and an adjusted EBITDA exceeding $300 million. The presentation underscores Aveanna’s strategic use of its website for disseminating critical company information and emphasizes its strong market positioning with a diverse payor mix and no single payor contributing more than a specified percentage of revenue.

The most recent analyst rating on (AVAH) stock is a Buy with a $9.00 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Aveanna Healthcare Reports Strong Q3 2025 Financial Results
Positive
Nov 6, 2025

Aveanna Healthcare Holdings announced its third-quarter financial results for 2025, showing a significant improvement with a 22.2% increase in revenue to $621.9 million and a net income of $14.1 million compared to a net loss in the previous year. The company also revised its full-year 2025 revenue and Adjusted EBITDA guidance upwards, reflecting sustained business momentum and successful strategic transformations, including the integration of Thrive Skilled Pediatric Care.

The most recent analyst rating on (AVAH) stock is a Buy with a $12.50 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Private Placements and Financing
Aveanna Healthcare Completes Secondary Stock Offering
Neutral
Oct 23, 2025

On October 21, 2025, Aveanna Healthcare Holdings Inc. entered into an underwriting agreement for a secondary offering of 10,000,000 shares of common stock by certain selling stockholders affiliated with J.H. Whitney Equity Partners VII, LLC. The offering, which closed on October 23, 2025, was priced at $9.00 per share, with an option for underwriters to purchase an additional 1,500,000 shares. The company did not issue or sell any shares itself and did not receive any proceeds from this transaction.

The most recent analyst rating on (AVAH) stock is a Hold with a $10.00 price target. To see the full list of analyst forecasts on Aveanna Healthcare Holdings stock, see the AVAH Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Aveanna Healthcare Highlights Transparency in Investor Presentation
Neutral
Sep 29, 2025

On September 29, 2025, Aveanna Healthcare Holdings Inc. released a financial presentation to investors, highlighting the company’s use of its website to disseminate important information. The presentation, which is available on their website, underscores Aveanna’s commitment to transparency and timely communication with stakeholders, potentially impacting investor relations and market perception.

The most recent analyst rating on (AVAH) stock is a Hold with a $10.00 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: Dec 09, 2025