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Aveanna Healthcare Holdings (AVAH)
NASDAQ:AVAH
US Market
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Aveanna Healthcare Holdings (AVAH) AI Stock Analysis

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AVAH

Aveanna Healthcare Holdings

(NASDAQ:AVAH)

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Neutral 54 (OpenAI - 4o)
Rating:54Neutral
Price Target:
$9.50
▲(8.57% Upside)
Aveanna Healthcare Holdings' overall score is primarily influenced by its strong earnings call performance, indicating robust revenue and EBITDA growth. However, financial performance is constrained by high leverage and negative equity, and valuation concerns arise from a high P/E ratio. Technical indicators show a positive trend, but valuation remains a significant risk.
Positive Factors
Revenue Growth
Strong revenue growth indicates Aveanna's expanding market presence and effective service delivery, enhancing its competitive position in the healthcare market.
EBITDA Performance
Significant EBITDA growth reflects improved operational efficiency and cost management, contributing to long-term profitability and financial health.
Strategic Initiatives
Expanding preferred payer agreements enhances revenue stability and strengthens partnerships, supporting sustainable growth in the healthcare services sector.
Negative Factors
High Leverage
High leverage and negative equity pose significant financial risks, potentially limiting Aveanna's ability to invest in growth and manage economic downturns.
Labor Market Challenges
Ongoing labor market challenges could impact service delivery and operational efficiency, affecting Aveanna's ability to scale and maintain quality care.
Regulatory Uncertainty
Regulatory and Medicaid funding uncertainties could affect reimbursement rates and financial planning, posing risks to Aveanna's revenue streams and profitability.

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 shows moderate revenue growth and improved cash flow generation. However, significant financial challenges exist due to high leverage and negative equity, impacting overall financial stability. Operational inefficiencies and low profitability margins further constrain financial performance.
Income Statement
45
Neutral
Aveanna Healthcare Holdings shows moderate revenue growth with a TTM growth rate of 4.04%. Gross profit margin is stable at 33.2%, indicating efficient cost management. However, the net profit margin is low at 0.85%, suggesting challenges in translating revenue into profit. EBIT and EBITDA margins have improved but remain modest, reflecting operational inefficiencies.
Balance Sheet
30
Negative
The company has a concerning debt-to-equity ratio of -124.35, indicating high leverage and negative equity. This poses a significant financial risk. Return on equity is negative, reflecting poor profitability relative to shareholder investment. The equity ratio is also negative, highlighting financial instability.
Cash Flow
55
Neutral
Free cash flow has grown significantly by 174.37% in the TTM, indicating improved cash generation. The operating cash flow to net income ratio is 0.21, suggesting moderate cash conversion efficiency. However, the high leverage and negative equity remain concerns for long-term cash flow sustainability.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2020Dec 2019
Income Statement
Total Revenue1.66B2.02B1.90B1.79B1.50B1.38B
Gross Profit551.44M635.54M595.43M553.23M454.51M419.25M
EBITDA159.80M187.38M44.35M-517.28M22.13M44.28M
Net Income-10.63M-10.93M-134.52M-662.03M-57.05M-76.52M
Balance Sheet
Total Assets1.77B1.66B1.61B1.71B1.84B1.58B
Cash, Cash Equivalents and Short-Term Investments100.74M84.29M43.94M19.22M137.34M3.33M
Total Debt1.49B1.50B1.50B1.50B1.23B1.08B
Total Liabilities1.78B1.79B1.74B1.72B1.58B1.31B
Stockholders Equity-11.26M-122.09M-127.44M-4.17M267.17M270.94M
Cash Flow
Free Cash Flow66.64M26.32M16.56M-60.41M101.38M-25.35M
Operating Cash Flow72.33M32.64M22.67M-48.40M116.62M-8.71M
Investing Cash Flow-20.54M-6.32M-8.79M-25.29M-193.54M-17.82M
Financing Cash Flow-4.54M14.03M10.85M62.42M210.94M21.86M

Aveanna Healthcare Holdings Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price8.75
Price Trends
50DMA
8.86
Negative
100DMA
7.03
Positive
200DMA
5.98
Positive
Market Momentum
MACD
0.06
Positive
RSI
44.27
Neutral
STOCH
35.82
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AVAH, the sentiment is Neutral. The current price of 8.75 is below the 20-day moving average (MA) of 9.47, below the 50-day MA of 8.86, and above the 200-day MA of 5.98, indicating a neutral trend. The MACD of 0.06 indicates Positive momentum. The RSI at 44.27 is Neutral, neither overbought nor oversold. The STOCH value of 35.82 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral 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
79
Outperform
$2.22B24.448.58%18.77%6.88%
73
Outperform
$1.94B18.6310.65%1.97%25.19%13.44%
69
Neutral
$873.73M32.3310.87%29.89%10.33%
67
Neutral
$1.66B15.355.57%1.79%-22.96%-59.35%
60
Neutral
$2.20B-108.91%3.99%-14.74%
54
Neutral
$1.92B114.7615.48%
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
8.75
2.92
50.09%
ADUS
Addus Homecare
113.08
-14.50
-11.37%
BKD
Brookdale Senior Living
9.43
3.93
71.45%
NHC
National Healthcare
127.17
-4.16
-3.17%
SEM
Select Medical
13.33
-7.49
-35.98%
PNTG
Pennant Group
25.54
-7.88
-23.58%

Aveanna Healthcare Holdings Corporate Events

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.

Business Operations and StrategyPrivate Placements and Financing
Aveanna Healthcare Refinances Credit Facility for Growth
Positive
Sep 18, 2025

On September 17, 2025, Aveanna Healthcare Holdings successfully refinanced its first lien credit facility, increasing its revolving credit facility to $250 million and extending the maturity dates of its loans. This refinancing allowed Aveanna to repay its existing second lien term loans, thereby terminating the second lien term loan facility. The move strengthens Aveanna’s balance sheet, enhances liquidity, and reflects strong operational performance and confidence from financial partners, supporting the company’s strategic growth and expansion.

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.

Aveanna Healthcare’s Earnings Call Highlights Growth and Optimism
Aug 13, 2025

Aveanna Healthcare Holdings Inc. recently held its earnings call, revealing a positive sentiment driven by strong revenue and EBITDA growth. The company has achieved significant milestones through strategic transformations, preferred payer agreements, and successful integration of acquisitions. However, challenges persist in the labor market, regulatory headwinds in home health, and potential Medicaid funding concerns. Despite these hurdles, the overall outlook remains optimistic due to the company’s achievements and growth prospects.

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.

Aveanna Healthcare Reports Strong Q2 Growth and Raises 2025 Outlook
Aug 8, 2025

Aveanna Healthcare Holdings Inc. is a leading home care platform providing services to medically complex, high-cost patient populations across the United States. The company operates in the healthcare sector, focusing on delivering care in the comfort of patients’ homes, which offers a cost-effective alternative to prolonged hospitalization.

Business Operations and StrategyFinancial DisclosuresM&A Transactions
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.

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: Nov 07, 2025