Aveanna Healthcare Holdings Inc. has agreed to purchase Family First Holding, LLC, a pediatric home‑care provider with 27 locations in Florida, Illinois, Iowa, Pennsylvania, South Dakota, Texas, and North Carolina, for a cash consideration of $175.5 million. The deal will be funded with cash on hand and borrowing under Aveanna’s existing short‑term credit facility, and is expected to close in the second fiscal quarter of 2026.
The acquisition expands Aveanna’s specialized pediatric care model into new geographic markets and adds a complementary caregiver network that aligns with the company’s preferred‑payer strategy. By integrating Family First’s established operations, Aveanna will broaden its service footprint, increase its market share in high‑cost, medically complex patient populations, and reinforce its value‑based contracting relationships with payers.
Aveanna’s recent financial performance provides context for the transaction. In Q4 2024 the company reported net income of $29.2 million, a turnaround from a net loss per diluted share of $(0.13) in Q4 2023. Management has raised its FY2025 revenue guidance to $2.425 billion–$2.445 billion and issued initial FY2026 revenue guidance of $2.54 billion–$2.56 billion, signaling confidence in continued growth. The acquisition is positioned to support these guidance levels by adding new revenue streams and cost‑efficient operations.
CEO Jeff Shaner emphasized that Family First’s culture and clinical focus closely match Aveanna’s own, reinforcing the company’s mission to deliver high‑quality, cost‑effective care to medically fragile children. Shaner noted that the integration will strengthen Aveanna’s preferred‑payer partnerships and accelerate the company’s expansion of pediatric services, while also creating synergies in caregiver recruitment and training.
The transaction is slated to close in the second fiscal quarter of 2026, subject to customary closing conditions. Upon completion, Aveanna will have a more diversified geographic presence and a larger caregiver network, positioning the company to capture additional market share in the growing pediatric home‑care segment and to enhance its preferred‑payer strategy across the United States.
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