Aveanna Lifts 2026 Outlook After Strong First Quarter

Overview

• Aveanna, which reported Thursday, posted Q1 revenue of $647.9 million, net income of $41.7 million, and Adjusted EBITDA of $84.4 million, topping Wall Street estimates.
• The company raised its 2026 guidance to $2.56–$2.58 billion in revenue and $328–$332 million in Adjusted EBITDA, citing stronger execution across business lines.
• Management said the pending Family First Homecare acquisition remains under regulatory review, is excluded from guidance, and will draw on cash and securitization borrowings that reduce liquidity at closing.
• As of April 4, Aveanna reported $189.3 million in cash, about $1.48 billion of total debt, an undrawn revolver with roughly $225.5 million of capacity, $110 million of additional securitization capacity, and interest-rate hedges via swaps and caps.
• Leaders pointed to preferred-payer contracts, Medicaid rate integrity work, AI and automation in operations, and steadier caregiver hiring and retention as the key drivers that support margins and help fund higher nurse pay.