Aveanna Healthcare Holdings, Inc.
Business
Aveanna Healthcare Holdings, Inc. operates a diversified home care platform delivering in-home clinical and non-clinical care to medically complex patients across the lifespan. It offers private duty nursing and pediatric therapy, adult home health and hospice, enteral nutrition and respiratory supplies, durable medical equipment, respite and personal care, and caregiver education and support. The company manages three business segments—Private Duty Services (PDS), Home Health & Hospice (HHH), and Medical Solutions (MS). Aveanna distributes services nationally across multiple U.S. states via branch operations, hospital and referral partnerships, payer contracts (Medicaid, Medicare, MCOs, commercial insurers) and direct home delivery and logistics.
Summary from filing dated 2025-03-13
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 2,433 | 2,025 | 1,895 | 1,788 | 1,679 | |
| Cost of revenue, excluding depreciation and amortization | 1,623 | 1,389 | 1,300 | 1,234 | 1,136 | |
| Branch and regional administrative expenses | 374 | 353 | 361 | 357 | 297 | |
| Corporate expenses | 163 | 125 | 113 | 138 | 130 | |
| Depreciation and amortization | 11 | 11 | 14 | 21 | 21 | |
| Acquisition-related costs | 4 | 1 | 466,000 | 99,000 | 13 | |
| Other operating expense | 2 | 5 | −6 | 4 | −337,000 | |
| Operating income | 256 | 140 | 8 | −642 | −36 | |
| Interest income | 3 | 498,000 | 327,000 | 679,000 | 253,000 | |
| Interest expense | −140 | −157 | −153 | −108 | −69 | |
| Loss on debt extinguishment | −6 | 0 | — | — | −14 | |
| Other (expense) income | −6 | 21 | 6 | 86 | 5 | |
| Income before income taxes | 107 | 5 | −139 | −664 | −114 | |
| Income tax benefit (expense) | 118 | −16 | 4 | 2 | −3 | |
| Net income (loss) | 225 | −11 | −135 | −662 | −117 | |
| Net income (loss) per share, basic | 1.11 | −0.06 | −0.71 | −3.57 | −0.69 | |
| Weighted average shares of common stock outstanding, basic | 204 | 193 | 190 | 186 | 170,625 | |
| Net income (loss) per share, diluted | 1.05 | −0.06 | −0.71 | −3.57 | −0.69 | |
| Weighted average shares of common stock outstanding, diluted | 215 | 193 | 190 | 186 | 170,625 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 193 | 84 | 44 | 19 | 30 | |
| Patient accounts receivable | 313 | 265 | 237 | 221 | 219 | |
| Receivables under insured programs | 3 | 12 | 9 | 4 | 6 | |
| Prepaid expenses | 21 | 17 | 16 | 15 | 14 | |
| Other current assets | 30 | 13 | 9 | 10 | 9 | |
| Total current assets | 560 | 393 | 315 | 270 | 279 | |
| Property and equipment, net | 17 | 17 | 21 | 23 | 31 | |
| Operating lease right of use assets | 39 | 41 | 49 | 55 | 52 | |
| Goodwill | 1,121 | 1,055 | 1,055 | 1,160 | 1,836 | |
| Intangible assets, net | 93 | 90 | 94 | 96 | 103 | |
| Receivables under insured programs | 29 | 22 | 21 | 23 | 26 | |
| Deferred income taxes | 137 | — | — | — | — | |
| Other long-term assets | 17 | 46 | 58 | 86 | 8 | |
| Total assets | 2,012 | 1,663 | 1,613 | 1,712 | 2,334 | |
| Accounts payable and other accrued liabilities | 32 | 36 | 30 | 45 | 53 | |
| Accrued payroll and employee benefits | 108 | 88 | 67 | 44 | 55 | |
| Current portion of insurance reserves - insured programs | 3 | 12 | 9 | 4 | 6 | |
| Current portion of insurance reserves | 17 | 18 | 21 | 28 | 13 | |
| Securitization obligations | 165 | 169 | 155 | 140 | 120 | |
| Current portion of long-term obligations | 13 | 9 | 9 | 9 | 9 | |
| Current portion of operating lease liabilities | 16 | 15 | 15 | 13 | 14 | |
| Other current liabilities | 70 | 54 | 48 | 44 | 50 | |
| Total current liabilities | 424 | 402 | 355 | 326 | 345 | |
| Long-term obligations, less current portion | 1,287 | 1,272 | 1,276 | 1,281 | 1,227 | |
| Long-term insurance reserves - insured programs | 29 | 22 | 21 | 23 | 26 | |
| Long-term insurance reserves | 49 | 45 | 40 | 35 | 35 | |
| Operating lease liabilities, less current portion | 27 | 32 | 40 | 46 | 45 | |
| Deferred income taxes | — | 6 | 5 | 4 | 3 | |
| Other long-term liabilities | 800,000 | 7 | 3 | 359,000 | 17 | |
| Total liabilities | 1,817 | 1,785 | 1,740 | 1,716 | 1,696 | |
| Commitments and contingencies (Note 14) | — | — | — | — | — | |
| Deferred restricted stock units | 730,000 | 1 | 2 | 2 | 2 | |
| Preferred stock, $0.01 par value as of January 3, 2026 and December 28, 2024 5,000,000 shares authorized; none issued or outstanding | — | — | — | — | — | |
| Common stock, $0.01 par value, 1,000,000,000 shares authorized; 210,996,359 and 193,225,177 issued and outstanding, respectively | 2 | 2 | 2 | 2 | 2 | |
| Additional paid-in capital | 1,349 | 1,257 | 1,240 | 1,229 | 1,209 | |
| Accumulated deficit | −1,157 | −1,382 | −1,371 | −1,237 | −575 | |
| Total stockholders' equity (deficit) | 194 | −124 | −130 | −6 | 636 | |
| Total liabilities, deferred restricted stock units, and stockholders' equity (deficit) | 2,012 | 1,663 | 1,613 | 1,712 | 2,334 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net income (loss) | 225 | −11 | −135 | −662 | −117 | |
| Amortization of deferred debt issuance costs | 6 | 5 | 5 | 8 | 9 | |
| Reduction in carrying amount of operating lease right of use assets | 18 | 20 | 16 | 18 | 15 | |
| Non-cash share-based compensation | 25 | 17 | 13 | 16 | 14 | |
| Loss on disposal or impairment of licenses, property and equipment, and software | 2 | 3 | 3 | 4 | 110,000 | |
| Fair value adjustments on interest rate derivatives | 30 | 15 | 28 | −85 | −14 | |
| Deferred income taxes | −143 | 1 | 1 | −115,000 | 1 | |
| Patient accounts receivable | −30 | −29 | −15 | −3 | −9 | |
| Prepaid expenses | 6 | 6 | 7 | 9 | 7 | |
| Other current and long-term assets | −27 | −21 | −17 | −2 | −4 | |
| Accounts payable and other accrued liabilities | −6 | 6 | −14 | −4 | −12 | |
| Accrued payroll and employee benefits | 16 | 21 | 23 | −11 | −14 | |
| Insurance reserves | 2 | 2 | −2 | 18 | 2 | |
| Operating lease liabilities | −19 | −20 | −15 | −20 | −16 | |
| Other current and long-term liabilities | 6 | 4 | 9 | −5 | −9 | |
| Net cash provided by operating activities | 126 | 33 | 23 | −48 | −11 | |
| Acquisitions of businesses, net of cash acquired | −15 | 0 | — | −2 | −667 | |
| Purchases of property and equipment, and software | −7 | −6 | −6 | −12 | −16 | |
| Net cash used in investing activities | −22 | −6 | −9 | −25 | −682 | |
| Payments for shares withheld to cover employee taxes on vesting of restricted stock | −6 | 0 | — | — | — | |
| Proceeds from exercise of options | 212,000 | 0 | — | — | 970,000 | |
| Proceeds from employee stock purchase plan | 6 | 3 | 945,000 | 4 | 2 | |
| Proceeds from securitization obligation | 0 | 25 | 50 | 40 | 150 | |
| Repayment of securitization obligation | −4 | −11 | −35 | −20 | −30 | |
| Proceeds from issuance of term loans, net of debt issuance costs | 1,318 | 0 | — | 60 | 1,325 | |
| Principal payments on term loans | −1,309 | −9 | −9 | −9 | −1,274 | |
| Principal payments on notes payable | −9 | −7 | −10 | −10 | −8 | |
| Principal payments on financing lease obligations | 0 | −267,000 | −665,000 | −799,000 | −795,000 | |
| Payment of debt issuance costs | −4 | −2 | −1 | −218,000 | −15 | |
| Settlements with interest rate swap counterparties | 13 | 15 | 16 | −2 | — | |
| Net cash provided by financing activities | 5 | 14 | 11 | 62 | 586 | |
| Net change in cash and cash equivalents | 109 | 40 | 25 | −11 | −107 | |
| Cash paid for interest | 143 | 153 | 138 | 103 | 59 | |
| U.S. Federal | 24 | — | — | — | — | |
| California | 3 | — | — | — | — | |
| Other State and Local | 3 | — | — | — | — | |
| Foreign | 0 | — | — | — | — | |
| Total Cash paid for income taxes, net of refunds received | 31 | 6 | 1 | 2 | 5 | |
| Financed insurance premiums | 9 | 8 | — | — | — |