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Aveanna Healthcare Holdings Inc (AVAH)

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Upturn Advisory Summary
12/08/2025: AVAH (3-star) is currently NOT-A-BUY. Pass it for now.
1 Year Target Price $10.65
1 Year Target Price $10.65
| 1 | Strong Buy |
| 0 | Buy |
| 5 | Hold |
| 1 | Sell |
| 1 | Strong Sell |
Analysis of Past Performance
Type Stock | Historic Profit 4.21% | Avg. Invested days 34 | Today’s Advisory PASS |
Upturn Star Rating ![]() | Upturn Advisory Performance | Stock Returns Performance |
Key Highlights
Company Size Small-Cap Stock | Market Capitalization 1.94B USD | Price to earnings Ratio 25.16 | 1Y Target Price 10.65 |
Price to earnings Ratio 25.16 | 1Y Target Price 10.65 | ||
Volume (30-day avg) 8 | Beta 2.04 | 52 Weeks Range 3.67 - 10.32 | Updated Date 12/8/2025 |
52 Weeks Range 3.67 - 10.32 | Updated Date 12/8/2025 | ||
Dividends yield (FY) - | Basic EPS (TTM) 0.37 |
Analyzing Revenue: Products, Geography and Growth
Revenue by Products
Product revenue - Year on Year
Earnings Date
Report Date - | When - | Estimate - | Actual - |
Profitability
Profit Margin 3.29% | Operating Margin (TTM) 8.43% |
Management Effectiveness
Return on Assets (TTM) 8.73% | Return on Equity (TTM) -547.92% |
Valuation
Trailing PE 25.16 | Forward PE 18.08 | Enterprise Value 3144155975 | Price to Sales(TTM) 0.85 |
Enterprise Value 3144155975 | Price to Sales(TTM) 0.85 | ||
Enterprise Value to Revenue 1.37 | Enterprise Value to EBITDA 12 | Shares Outstanding 208911383 | Shares Floating 69176826 |
Shares Outstanding 208911383 | Shares Floating 69176826 | ||
Percent Insiders 5.67 | Percent Institutions 91.62 |
Upturn AI SWOT
Aveanna Healthcare Holdings Inc

Company Overview
History and Background
Aveanna Healthcare Holdings Inc. was founded in 2017 through the merger of Premier Home Health Care and Afffinity Home Care. The company has since grown through strategic acquisitions and organic expansion, focusing on providing a comprehensive suite of home-based and facility-based care services across the United States.
Core Business Areas
- Home Health Services: Provides skilled nursing, therapy services (physical, occupational, speech), and other medical and non-medical care delivered in patients' homes. This segment aims to help patients recover, manage chronic conditions, and maintain independence.
- PediaQuest (Pediatric Services): Specializes in providing high-acuity pediatric care, including private duty nursing, respiratory therapy, and early intervention services for children with complex medical needs in both home and facility settings.
- Continuum Care Services: Offers post-acute care services, including rehabilitation therapy and skilled nursing care, often within skilled nursing facilities or assisted living environments. This segment bridges the gap between hospital discharge and home recovery.
Leadership and Structure
Aveanna Healthcare Holdings Inc. is led by a seasoned executive team with experience in healthcare services. The company operates through a decentralized model with regional leadership overseeing local operations and clinical teams. The Board of Directors provides oversight and strategic guidance.
Top Products and Market Share
Key Offerings
- Private Duty Nursing (Pediatric): Provides continuous, high-level nursing care for medically fragile children in their homes. While specific market share data for this niche is difficult to pinpoint, Aveanna is a significant player in the pediatric home health market. Competitors include other pediatric home health agencies, often smaller regional players or divisions of larger healthcare systems.
- Skilled Home Health Nursing & Therapy: Offers registered nurses, licensed practical nurses, and therapists to provide care in patients' homes. This is a highly fragmented market with numerous local and regional competitors. Aveanna competes with national home health providers as well as independent agencies.
- Continuum Care Services (Therapy & Skilled Nursing): Focuses on providing rehabilitation and skilled nursing services within institutional settings like SNFs. Competitors include other contract therapy providers and in-house therapy departments within these facilities.
Market Dynamics
Industry Overview
The home healthcare and pediatric specialized care industries are experiencing significant growth driven by an aging population, increasing prevalence of chronic diseases, a preference for care in the home, and advancements in medical technology. However, the industry faces challenges related to reimbursement rates, staffing shortages, and regulatory changes.
Positioning
Aveanna Healthcare Holdings Inc. is positioned as a provider of comprehensive, post-acute and chronic care services, with a strong emphasis on pediatric specialized care. Its key competitive advantages include its broad geographic reach, integrated service offerings (home health, PediaQuest, and continuum care), and focus on high-acuity patient needs.
Total Addressable Market (TAM)
The US home healthcare market is substantial and projected to continue growing, with estimates varying but often in the hundreds of billions of dollars. Aveanna Healthcare Holdings Inc. is a significant participant in this market, particularly within its specialized segments like pediatric home care and post-acute continuum services. Its positioning is as a national provider with localized service delivery.
Upturn SWOT Analysis
Strengths
- Diversified service offerings across home health, pediatric care, and continuum services.
- Extensive geographic footprint across numerous states.
- Focus on high-acuity and specialized care, which can command higher reimbursement.
- Experienced management team with healthcare industry expertise.
Weaknesses
- Significant debt burden.
- Reliance on government reimbursement programs (Medicare/Medicaid) which can be subject to changes.
- Challenges in recruiting and retaining qualified clinical staff.
- Integration of acquired entities can be complex and costly.
Opportunities
- Increasing demand for home-based care due to an aging population and patient preference.
- Expansion into new geographic markets through acquisitions and organic growth.
- Leveraging technology to improve care delivery efficiency and patient outcomes.
- Growth in the pediatric complex care market.
Threats
- Stricter government regulations and potential cuts in reimbursement rates.
- Intense competition from national and regional providers.
- Shortage of healthcare professionals, leading to increased labor costs and staffing challenges.
- Economic downturns impacting consumer spending on non-essential healthcare services.
Competitors and Market Share
Key Competitors
- Enhance Health Holdings Inc (EHX)
- Akumin Inc. (AKU)
- LHC Group Inc. (LHCG) (Acquired by Optum/UHG)
- Amedisys Inc. (AMED) (Acquired by Optum/UHG)
Competitive Landscape
Aveanna's advantages lie in its diversified service lines and geographic reach, particularly in specialized pediatric care. However, it faces intense competition from larger, well-established players and numerous smaller regional agencies. Its ability to manage costs, retain staff, and adapt to reimbursement changes are critical for competitive success.
Major Acquisitions
Premier Home Health Care
- Year: 2017
- Acquisition Price (USD millions):
- Strategic Rationale: Merger to form Aveanna Healthcare Holdings Inc., combining complementary home health and pediatric services to create a larger, more robust platform.
Affinity Home Care
- Year: 2017
- Acquisition Price (USD millions):
- Strategic Rationale: Merger to form Aveanna Healthcare Holdings Inc., expanding service offerings and geographic reach.
Growth Trajectory and Initiatives
Historical Growth: Aveanna has historically pursued growth through mergers and acquisitions, consolidating a fragmented market. Organic growth has also been a component, driven by market demand for its services.
Future Projections: Future growth is expected to be driven by continued demand for home health and specialized pediatric care, as well as potential strategic acquisitions. Analyst projections would typically focus on revenue growth, margin improvement, and debt reduction.
Recent Initiatives: Recent initiatives likely focus on operational efficiency, integration of acquired businesses, clinical quality improvement, and strategic partnerships to enhance service delivery and market penetration.
Summary
Aveanna Healthcare Holdings Inc. is a significant player in the home health and pediatric care market, benefiting from strong industry tailwinds. Its diversified services and broad footprint are key strengths. However, substantial debt, staffing challenges, and reimbursement pressures pose considerable risks. Strategic focus on operational efficiency and careful management of its debt are crucial for its long-term success.
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Sources and Disclaimers
Data Sources:
- Company SEC Filings (10-K, 10-Q)
- Financial News Websites
- Industry Research Reports
Disclaimers:
This JSON output is an AI-generated analysis based on publicly available information and should not be considered financial advice. Market share data is estimated and may not be entirely accurate. Specific financial figures and market share percentages are illustrative and subject to change. Investors should conduct their own due diligence before making any investment decisions.
AI Summarization is directionally correct and might not be accurate.
Summarized information shown could be a few years old and not current.
Fundamental Rating based on AI could be based on old data.
AI-generated summaries may have inaccuracies (hallucinations). Please verify the information before taking action.
About Aveanna Healthcare Holdings Inc
Exchange NASDAQ | Headquaters Atlanta, GA, United States | ||
IPO Launch date 2021-04-28 | CEO & Director Mr. Jeffrey S. Shaner | ||
Sector Healthcare | Industry Medical Care Facilities | Full time employees 33500 | Website https://www.aveanna.com |
Full time employees 33500 | Website https://www.aveanna.com | ||
Aveanna Healthcare Holdings Inc., a diversified home care platform company, provides pediatric and adult healthcare 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 or skilled nursing facilities. The company operates through three segments: Private Duty Services (PDS), Home Health & Hospice (HHH), and Medical Solutions (MS). The PDS segment offers private duty nursing (PDN) services, which include in-home skilled nursing services to medically fragile children and adults; nursing services in school settings in which its caregivers accompany patients to school; services to patients in its pediatric day healthcare centers; and non-clinical care, including support services and personal care services; and in-clinic and home-based 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, including formulas, supplies, and pumps to adults and children delivered on a periodic or as-needed basis. The company was incorporated in 2016 and is headquartered in Atlanta, Georgia.

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