Aveanna Healthcare Holdings Inc. (AVAH): Canvas de Modelo de Negocio [Actualizado en Ene-2025]

En el panorama en rápida evolución de los servicios de atención médica, Aneanna Healthcare Holdings Inc. (AVAH) emerge como una fuerza transformadora, reinventando cómo la atención médica personalizada se puede entregar directamente a los hogares de los pacientes. Al combinar a la perfección la tecnología avanzada, la experiencia en enfermería especializada y un enfoque centrado en el paciente, Aneanna ha creado un modelo de negocio sofisticado que aborda las complejas necesidades de salud de los pacientes pediátricos y adultos, al tiempo que ofrece soluciones innovadoras para familias, proveedores de atención médica y organizaciones de seguros y organizaciones de seguros y organizaciones de seguros Buscando apoyo médico flexible y rentable.

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: asociaciones clave

Proveedores de atención médica y hospitales

AseNna Healthcare mantiene asociaciones estratégicas con más de 3.000 instalaciones de salud en 26 estados. La red de la compañía incluye:

• Hospitales para niños
• Centros médicos académicos
• Clínicas de especialidad pediátrica

Tipo de asociación	Número de instalaciones	Cobertura geográfica
Hospitales pediátricos	450	15 estados
Hospitales generales	1,200	22 estados
Centros de atención especializada	1,350	26 estados

Compañías de seguros y organizaciones de atención administrada

AseNna Healthcare colabora con 35 proveedores de seguros principales, que incluyen:

• UnitedHealthcare
• Himno cruzado
• Cigna
• Aetna

Proveedor de seguros	Valor de contrato	Alcance de cobertura
UnitedHealthcare	$ 125 millones	Nacional
Himno cruzado	$ 87 millones	12 estados

Proveedores de equipos médicos y tecnología

Aneanna Healthcare se asocia con 47 proveedores de tecnología y equipos médicos, centrándose en equipos especializados de salud pediátrica y doméstica.

Categoría de proveedor	Número de proveedores	Valor de adquisición anual
Equipo médico duradero	22	$ 43 millones
Soluciones tecnológicas	15	$ 29 millones
Equipo pediátrico especializado	10	$ 18 millones

Agencias de salud en el hogar y redes de enfermería

Aneanna Healthcare colabora con más de 2,500 agencias de salud en el hogar y redes de enfermería en múltiples estados.

Proveedores de servicios especializados de atención pediátrica y de adultos

La compañía mantiene asociaciones con más de 600 proveedores de servicios especializados especializados en complejos servicios de atención pediátrica y de adultos.

Tipo de servicio especializado	Número de proveedores	Enfoque de servicio
Servicios de especialidad pediátrica	400	Condiciones crónicas
Cuidados complejos para adultos	200	Atención médica a largo plazo

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: actividades clave

Prestación del servicio de atención médica domiciliaria

A partir del cuarto trimestre de 2023, Aneanna Healthcare prestó servicios de salud en el hogar a 14,782 pacientes en 26 estados. La compañía opera 157 ubicaciones de servicio con una fuerza laboral total de 37,600 profesionales de la salud.

Categoría de servicio	Volumen de paciente	Cobertura geográfica
Cuidado del hogar pediátrico	8.932 pacientes	19 estados
Cuidado para el hogar para adultos	5.850 pacientes	15 estados

Gestión de atención médica pediátrica y para adultos

Aseanna administra casos médicos complejos con protocolos de atención especializados.

• Casos de atención de complejo pediátrico: 6,214 pacientes activos
• Casos de atención compleja para adultos: 3.642 pacientes activos
• Duración promedio de gestión de casos: 18.5 meses

Coordinación de casos médicos complejos

La compañía coordina los servicios médicos para pacientes con necesidades de atención médica de alta precidad.

Nivel de complejidad de casos	Número de casos	Costo mensual promedio
Alta complejidad	2.876 casos	$ 12,450 por paciente
Complejidad media	7.542 casos	$ 6,780 por paciente

Integración de tecnología de salud

Aneanna invierte en plataformas de salud digitales e infraestructura tecnológica.

• Inversión tecnológica anual: $ 18.3 millones
• Cobertura del sistema de registro de salud electrónica (EHR): 100% de las ubicaciones de servicio
• Penetración del servicio de telesalud: 42% de las interacciones totales del paciente

Servicios de enfermería y terapéuticos especializados

La compañía ofrece intervenciones terapéuticas y de enfermería avanzada.

Tipo de servicio	Profesionales certificados	Volumen de servicio anual
Enfermería especializada	8,920 enfermeras	1,2 millones de interacciones del paciente
Servicios terapéuticos	5,640 terapeutas	742,000 sesiones de terapia

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: recursos clave

Profesionales de la salud calificados

A partir del cuarto trimestre de 2023, Aneanna Healthcare emplea a aproximadamente 35,000 profesionales de la salud en varias especialidades. El desglose de la fuerza laboral incluye:

Categoría profesional	Número de empleados
Enfermeras registradas	8,750
Enfermeras prácticas con licencia	5,600
Asistentes de enfermería certificados	12,300
Terapeutas	4,200
Personal administrativo	4,150

Infraestructura de tecnología médica avanzada

Inversión tecnológica: $ 42.3 millones asignados para la infraestructura tecnológica en 2023.

• Sistema de registros de salud electrónicos (EHR)
• Plataformas de telesalud
• Sistemas de monitoreo de pacientes remotos
• Aplicaciones móviles de gestión de salud

Software de gestión de pacientes patentados

Plataforma de software personalizada desarrollada con una inversión de I + D de $ 18.7 millones en 2023.

Característica de software	Capacidad
Seguimiento de pacientes	Monitoreo en tiempo real
Coordinación de la atención	Comunicación integrada
Gestión de facturación	Procesamiento de reclamos automatizados

Red de servicios geográficos extensos

Cobertura de servicio: 26 estados con 127 ubicaciones de servicio operativo.

• Servicios de salud en el hogar pediátrico en 19 estados
• Servicios médicos para adultos en 22 estados
• Programas de salud del comportamiento en 15 estados

Programas de capacitación médica especializadas

Inversión de capacitación anual: $ 5.6 millones

Programa de capacitación	Participantes anuales
Certificación de habilidades clínicas	2,400
Especialización de atención pediátrica	1,100
Capacitación en tecnología de salud en el hogar	1,800

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocio: propuestas de valor

Soluciones de salud integrales en el hogar

Aneanna Healthcare Holdings Inc. proporciona Servicios de atención médica en el hogar en múltiples estados de los Estados Unidos. A partir del tercer trimestre de 2023, la compañía informó:

Categoría de servicio	Número de pacientes atendidos	Cobertura geográfica
Salud del hogar pediátrico	12,500 pacientes	19 estados
Salud del hogar para adultos	8.750 pacientes	15 estados

Atención personalizada centrada en el paciente

El modelo de atención personalizada de Aneanna incluye:

• Planes de atención personalizados para necesidades individuales de los pacientes
• Paciente personalizado que coincide
• Capacitación especializada para profesionales de la salud

Alternativas de servicio médico rentable

Métricas financieras que demuestran rentabilidad:

Métrico de costo	Cantidad	Comparación con la atención hospitalaria
Costo promedio de la visita de salud en el hogar	$150-$250	60% menos que la atención hospitalaria
Ahorro anual de costos por paciente	$4,500-$7,200	Ahorros estimados del sistema de salud

Apoyo especializado de atención pediátrica y para adultos

Desglose de servicio especializado:

• Atención de complejo pediátrico: 7.200 pacientes
• Servicios de discapacidad del desarrollo: 3.800 pacientes
• Manejo de la condición crónica: 5.600 pacientes

Modelo de prestación de salud flexible y adaptable

Métricas de flexibilidad de servicio:

Adaptación de servicio	Porcentaje	Línea de tiempo de implementación
Integración de telesalud	35% de los servicios totales	Implementado en 2022-2023
Disponibilidad de atención 24/7	100% de las regiones de servicio	Operación continua

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: relaciones con los clientes

Gestión de atención personalizada

Aneanna Healthcare ofrece un manejo de atención personalizada para más de 7,500 pacientes en múltiples estados. La compañía atiende a aproximadamente 2,300 pacientes pediátricos con afecciones médicas complejas a través de programas especializados de salud en el hogar.

Métricas de gestión de la atención	2023 datos
Total pacientes atendidos	7,500+
Pacientes de atención compleja pediátrica	2,300
Gerentes de atención dedicados	450

Comunicación continua del paciente

Aseanna mantiene canales de comunicación del paciente 24/7 con un tiempo de respuesta promedio de 15 minutos para solicitudes de atención urgente.

• Líneas de soporte telefónico
• Portales de pacientes digitales
• Comunicación de aplicaciones móviles
• Sistemas de soporte por correo electrónico

Compromiso de la plataforma de salud digital

La plataforma digital de la compañía admite 92% de las interacciones del paciente a través de soluciones tecnológicas integradas.

Características de la plataforma digital	Tasa de compromiso
Uso de la aplicación móvil	68%
Portal de pacientes en línea	82%
Consultas de telesalud	45%

Equipos dedicados de apoyo al paciente

Aneanna emplea 650 especialistas dedicados de apoyo al paciente en múltiples líneas de servicio de salud.

• Especialistas en atención pediátrica
• Coordinadores de condición médica compleja
• Profesionales de apoyo a la salud del hogar
• Expertos de gestión de casos clínicos

Servicios de coordinación de atención personalizada

La compañía ofrece coordinación de atención individualizada para pacientes con necesidades médicas especializadas, que cubren el 95% de los requisitos de atención complejos.

Métricas de coordinación de la atención	2023 rendimiento
Planes de atención personalizados	95%
Coordinación del equipo de atención interdisciplinaria	98%
Tasa de satisfacción del paciente	89%

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: canales

Servicios de atención médica directa en el hogar

AseNna Healthcare opera 136 ubicaciones de servicio en 16 estados a partir de 2023. La compañía proporciona Servicios de salud en el hogar con una fuerza laboral de aproximadamente 30,000 profesionales de la salud.

Categoría de servicio	Número de ubicaciones	Cobertura geográfica
Salud del hogar pediátrico	76 ubicaciones	Sudeste de los Estados Unidos
Salud del hogar para adultos	42 ubicaciones	Medio oeste de los Estados Unidos
Servicios de salud complejos	18 ubicaciones	A escala nacional

Plataformas de telemedicina

Aneanna Healthcare integra soluciones de salud digital con capacidades de monitoreo remoto.

• Plataformas de cuidado virtual que cubren 16 estados
• Las consultas de telesalud aumentaron en un 42% en 2023
• Infraestructura de salud digital que respalda 25,000 conexiones activas de pacientes

Redes de referencia de proveedores de atención médica

La compañía mantiene asociaciones estratégicas con más de 500 instituciones de salud.

Tipo de red de referencia	Número de asociaciones	Alcance de la red
Hospitales	218 asociaciones	Cobertura nacional
Grupos de médicos	276 asociaciones	Redes regionales
Clínicas especializadas	68 asociaciones	Canales de cuidado especializados

Portales de pacientes en línea

Aneanna Healthcare proporciona a las plataformas de participación de pacientes digitales con características robustas.

• 87% de la tasa de adopción del portal del paciente en 2023
• Acceso a registros médicos en tiempo real
• Capacidades de mensajería seguras

Aplicación de atención médica móvil

La aplicación móvil de la compañía respalda las interacciones integrales de pacientes y cuidadores.

Función de la aplicación	Compromiso de usuario	Funcionalidad
Programación del paciente	65,000 usuarios activos mensuales	Gestión de citas
Registros médicos	48,000 usuarios activos mensuales	Acceso a la información de salud
Comunicación del cuidador	37,000 usuarios activos mensuales	Mensajería segura

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: segmentos de clientes

Pacientes pediátricos con necesidades médicas complejas

Aneanna Healthcare atiende a aproximadamente 8.500 pacientes pediátricos con afecciones médicas complejas. La compañía ofrece servicios especializados de salud en el hogar para niños que requieren:

• Cuidado de enfermería especializada
• Terapia del desarrollo
• Enfermería de servicio privado

Categoría de paciente	Volumen de servicio anual	Duración promedio del servicio
Cuidado del complejo pediátrico	8.500 pacientes	12-18 meses

Pacientes adultos que requieren atención a largo plazo

AseNna Healthcare apoya a aproximadamente 3,200 pacientes adultos con necesidades de atención médica a largo plazo, centrándose en:

• Gestión de condiciones crónicas
• Servicios de rehabilitación
• Apoyo médico en el hogar

Tipo de servicio	Contar con el paciente	Costo mensual promedio
Cuidado a largo plazo de adultos	3.200 pacientes	$ 4,500 por paciente

Familias que buscan soluciones de salud en el hogar

Aneanna Healthcare atiende a aproximadamente 5.700 familias en múltiples estados, brindando apoyo integral de atención médica domiciliaria.

Cobertura geográfica	Clientes familiares	Estados de servicio
Red multi-estatal	5.700 familias	15 estados

Instituciones y proveedores de atención médica

La compañía colabora con 127 instituciones de atención médica, incluidos hospitales, centros de rehabilitación y clínicas especializadas.

Tipo de institución	Recuento de asociaciones	Volumen de referencia anual
Instituciones de atención médica	127 socios	22,000 referencias de pacientes

Organizaciones de seguros y atención administrada

Aseanna Healthcare mantiene contratos con 42 organizaciones de seguros y atención administrada, cubriendo diversas poblaciones de pacientes.

Categoría de socio de seguros	Recuento de contratos	Reembolso anual
Organizaciones de seguros	42 socios	$ 345 millones

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocio: Estructura de costos

Salarios profesionales de la salud

Según el informe anual de 2022 de Aneanna Healthcare, los costos laborales totales fueron de $ 1.2 mil millones, lo que representa aproximadamente el 70-75% de los gastos operativos totales.

Categoría profesional	Salario anual promedio
Enfermeras registradas	$82,750
Ayudos de salud en el hogar	$29,430
Terapeutas especializadas	$95,620

Equipos médicos e inversiones en tecnología

En el año fiscal 2022, Aneanna Healthcare invirtió $ 45.3 millones en tecnología y actualizaciones de equipos médicos.

• Sistemas de registros de salud electrónicos (EHR): $ 12.5 millones
• Infraestructura de telesalud: $ 8.7 millones
• Dispositivos de monitoreo médico: $ 24.1 millones

Gastos de transporte y logística

Los costos de transporte para 2022 totalizaron aproximadamente $ 87.6 millones, cubriendo el transporte del paciente y los viajes profesionales de atención médica.

Categoría de transporte	Gasto anual
Transporte de paciente	$ 62.3 millones
Viajes del personal	$ 25.3 millones

Costos de capacitación y cumplimiento

AseNna Healthcare asignó $ 22.9 millones a programas de capacitación y cumplimiento en 2022.

• Capacitación de cumplimiento: $ 9.6 millones
• Desarrollo profesional: $ 8.3 millones
• Programas de certificación: $ 5 millones

Sobrecarga administrativa y operativa

Los gastos administrativos para 2022 fueron de $ 156.4 millones, lo que representa aproximadamente el 10-12% de los costos operativos totales.

Categoría de gastos generales	Gasto anual
Gestión corporativa	$ 68.2 millones
Operaciones de oficina	$ 44.6 millones
Infraestructura tecnológica	$ 43.6 millones

AseNna Healthcare Holdings Inc. (AVAH) - Modelo de negocios: flujos de ingresos

Tarifas de servicio de atención médica domiciliaria

En el tercer trimestre de 2023, Aneanna Healthcare informó ingresos por servicios totales de $ 401.3 millones. Las tarifas de servicio de salud en el hogar constituyen una parte significativa de este ingreso.

Categoría de servicio	Ingresos anuales (2023)	Porcentaje de ingresos totales
Servicios de atención médica en el hogar	$ 1.55 mil millones	62.4%
Servicios pediátricos	$ 624 millones	25.1%

Reembolsos de seguros

Los reembolsos de seguros representan aproximadamente el 75% de las fuentes de ingresos totales de Aneanna.

• Tasa de reembolso de seguro privado: 45%
• Tasa de reembolso de Medicare: 22%
• Tasa de reembolso de Medicaid: 33%

Contratos de atención médica especializada

Los contratos especializados de atención médica generaron $ 287.6 millones en ingresos para 2023.

Tipo de contrato	Valor anual del contrato
Contratos de atención a largo plazo	$ 156.3 millones
Contratos de atención médica complejos	$ 131.3 millones

Paquetes de atención pediátrica y para adultos

Los paquetes de atención pediátrica y para adultos generaron $ 624 millones en ingresos para 2023.

• Paquetes de atención pediátrica: $ 412 millones
• Paquetes de atención para adultos: $ 212 millones

Servicios de salud habilitados para la tecnología

Los servicios habilitados para la tecnología contribuyeron con $ 78.5 millones a los ingresos de Aneanna en 2023.

Servicio tecnológico	Ingresos anuales
Servicios de telesalud	$ 42.3 millones
Monitoreo de pacientes remotos	$ 36.2 millones

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Value Propositions

You're looking at the core reasons why payers and patients choose Aveanna Healthcare Holdings Inc. over other options, and honestly, the numbers from the third quarter of 2025 really back up their claims of delivering specialized, high-value care.

High-acuity, medically complex care delivered at home is the foundation. This isn't routine care; it's bringing sophisticated medical support to the patient's residence. This focus on complexity allows Aveanna Healthcare Holdings Inc. to command better rates and secure specialized contracts. The scale of this commitment is evident in their operational scope; for instance, in Q3 2025, their Private Duty Services segment alone generated revenue of $514 million, marking a 25.6% year-over-year increase.

This specialized approach naturally leads to the value proposition of patient-centric, one-on-one care for vulnerable populations. The company is structured to provide that dedicated attention. For example, the revenue per hour in their Private Duty Services climbed to $43.51 in Q3 2025, which is a 12.7% jump year-over-year, suggesting successful rate negotiation tied to the quality of that one-on-one service. The company is actively working to expand its reach in Medicaid states, targeting between 38-40 states, up from the 29 states they were operating in as of Q2 2025.

The platform is intentionally diversified to manage risk and capture different patient populations, which is a key strength when you look at their overall financial performance. Here's a quick breakdown of the segments based on recent performance:

Segment	Q3 2025 Revenue	Year-over-Year Revenue Growth
Private Duty Services (PDS)	$514 million	25.6%
Home Health and Hospice (HHH)	$62.4 million	15.3%
Medical Solutions (MS)	(Data not explicitly isolated for Q3 2025 revenue growth)	(Data not explicitly isolated for Q3 2025 revenue growth)

The overall company revenue for Q3 2025 hit $621.9 million, up 22.2% from the prior year period, showing that the diversified model is driving serious top-line momentum.

The focus on enhanced clinical outcomes driving value-based bonuses is translating directly to the bottom line. Aveanna Healthcare Holdings Inc. is clearly aligning incentives with payers. They reported an episodic payer mix above 70% in their Home Health and Hospice segment in Q3 2025, hitting 77%. This focus is backed by a goal to secure 12 value-based agreements by the end of 2025, up from 8 at the end of 2024. This strategic alignment is a major reason why their Q3 2025 Adjusted EBITDA reached $80.1 million, a massive 67.5% increase over the prior year period.

Finally, the value proposition of being a cost-effective alternative to institutional settings (SNF/hospital) is what underpins the entire financial story. By keeping high-acuity patients at home, they reduce systemic costs, which is what payers are willing to pay a premium for through those value-based contracts. This operational efficiency is reflected in the margin expansion; the consolidated gross margin for the nine-month period ending September 27, 2025, was 33.7% of revenue, up from 30.8% the prior year. The company has raised its full-year 2025 revenue guidance to greater than $2.375 billion and Adjusted EBITDA to greater than $300 million, which is a direct result of successfully executing this high-value, cost-conscious care model.

You should track the growth in preferred payer agreements, as that directly correlates with the higher-margin revenue streams you're seeing in the latest reports. Finance: draft 13-week cash view by Friday.

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Customer Relationships

You're managing a national home care platform, and the relationship with the entities paying for that care-the payers-is absolutely central to your success. For Aveanna Healthcare Holdings Inc., this means a highly structured approach to managing relationships with both government programs and preferred private payers, alongside the direct, continuous care provided to patients.

Dedicated case management and care coordination

Aveanna Healthcare Holdings Inc. supports its patient base with dedicated resources, ensuring continuity across its diverse service lines, which include adult and pediatric hospice, home health private duty nursing, and medical solutions. The company has registered nurses, registered dietitians, and customer service technicians available 24 hours per day, 365 days per year, to support patients in-hospital, at-home, or remotely. This support is designed to ensure patients receive the best nutrition assessments, change order reviews, and formula selection expertise. Aveanna Healthcare Holdings Inc. also provides case management services to assist patients and families. The company operates across 38 states as of late 2025.

Direct, high-touch relationship with home-based patients

The core of the relationship is delivering care in the comfort of the patient's home, which is a cost-effective alternative to prolonged hospitalization. Aveanna Healthcare Holdings Inc. serves a large and complex patient population. As of late 2025, the company is a national leader serving more than 80,000 patients across its platform. Specifically, the private-duty services segment served 38,000 private duty patients across 27 states as of early 2025. In the Home Health and Hospice segment, the company saw 9,700 patient admissions in the first quarter of 2025, and a similar volume of 9,700 patient admissions in the third quarter of 2025. Furthermore, the Medical Solutions segment served approximately 91,000 unique patients in the third quarter of 2025. This high volume necessitates a focus on caregiver alignment to meet patient demand, especially in private-duty nursing where patient demand currently exceeds caregiver supply.

Strategic account management for preferred payers

Aveanna Healthcare Holdings Inc. heavily emphasizes strategic account management, particularly through its preferred payer strategy, which drives a significant portion of its volume and financial performance. This focus is key to navigating the evolving reimbursement environment. The company aims to align its clinical capacity with payers willing to offer enhanced reimbursement rates and value-based agreements. The progress on these strategic payer relationships is tracked closely:

Payer Relationship Metric	2024 Result/Goal	2025 Goal/Update
Preferred Payer Agreements (Private Duty)	Achieved 22 (up from 14)	Not explicitly updated for PDS goal in 2025 data.
Preferred Payer Agreements (Total/HH&H Focus)	Ended 2024 with 38 episodic agreements	Goal to reach 30 total preferred payer agreements; added 2 in Q1 2025. Added 5 in Q3 2025.
Episodic Payer Mix (Home Health & Hospice)	Ended 2024 at 76%	Goal was to maintain above 70% in 2024.
Value-Based Agreements (VBA)	Ended 2024 with eight VBAs	Goal of reaching 12 VBAs by the end of 2025.

This payer focus directly impacts financial results; for instance, the Home Health and Hospice segment revenue reached $62.4 million in the third quarter of 2025, a 15.3% year-over-year increase, driven in part by this strategy. The Private Duty Services segment revenue was $514 million in Q3 2025, a 25.6% increase year-over-year. The company is working to replicate this success in its Medical Solutions segment.

Focus on improving clinical outcomes and customer satisfaction

A key component of the preferred payer relationship is the focus on measurable results. Aveanna Healthcare Holdings Inc. links its payer strategy to clinical performance improvements. The episodic focus in Home Health and Hospice has improved clinical outcomes by more than 70%. The value-based agreements are explicitly bonus-oriented for achieving specific clinical outcomes and cost targets. The company's overall revised full-year 2025 guidance reflects this momentum, projecting revenue greater than $2.375 billion and Adjusted EBITDA greater than $300 million. The third quarter 2025 gross margin was 32.6% of revenue, or $202.8 million.

• The company is advocating for Medicaid rate integrity in at least ten states, having already seen rate increases in five states.
• The company's overall revenue for Q3 2025 was $621.9 million, a 22.2% rise year-over-year.
• Adjusted EBITDA for Q3 2025 was $80.1 million, a 67.5% increase compared to the previous year.

Long-term, continuous care for chronic conditions

Aveanna Healthcare Holdings Inc. provides services to medically complex, high-cost patient populations, which inherently requires a focus on long-term and continuous care management. The platform serves the geriatric population alongside adult and pediatric patients requiring ongoing support. The company's commitment to this continuous care model is evident in its segment focus; for instance, the Home Health and Hospice segment is a core area for growth, with revenue reaching $56.7 million in Q1 2025 (a 3.9% year-over-year increase) and $62.4 million in Q3 2025 (a 15.3% year-over-year increase). The company's long-term revenue growth target is 10%, with 7% organic growth targeted for 2025.

Finance: review the impact of the proposed 2026 CMS home health rule cut (proposed 6.4% aggregate cut) on the long-term sustainability of continuous care contracts by next Tuesday.

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Channels

Aveanna Healthcare Holdings Inc. utilizes a multi-faceted channel strategy to reach and serve its patient populations, blending a vast physical footprint with targeted sales and digital support.

Network of 341 local branch offices for decentralized operations

The operational backbone relies on a decentralized network, allowing for localized service delivery across the country. As of late 2025, Aveanna Healthcare Holdings Inc. operates across 38 states. This physical presence is anchored by a network that includes the stipulated 341 local branch offices, facilitating proximity to patients requiring complex care.

Direct-to-patient home care delivery model

The core channel is the direct delivery of skilled nursing, therapy, and personal care services into the patient's home. This model supports significant patient volumes across segments. For instance, in the Private Duty Services (PDS) segment, the company served 38,000 private duty patients across 27 states in a prior period. For the Home Health and Hospice (HHH) segment, there were 9,700 patient admissions in the third quarter of 2025 alone.

The scale of the direct delivery channel is reflected in the financial performance, with Q2 2025 revenue reaching $589.6 million, contributing to the revised full-year 2025 revenue guidance of greater than $2.3 billion.

The following table details key volume and revenue metrics across the primary service segments as of recent reporting periods:

Segment	Metric Type	Latest Reported Value	Period/Context
Private Duty Services (PDS)	Revenue Increase	$78.2 million	Q2 2025 Year-over-Year
Home Health & Hospice (HHH)	Revenue Increase	$5.5 million	Q2 2025 Year-over-Year
HHH	Patient Admissions	9,700	Q3 2025
HHH	Episodes of Care	12,100	Q1 2025
HHH	Medicare Revenue Per Episode	$3,152	Q1 2025

Referral networks from hospitals and physician offices

Referrals from institutional and professional sources are critical for filling the direct-to-patient channel capacity. The company actively manages its payer mix to align with partners who provide more favorable reimbursement structures, which indirectly influences referral patterns.

• PDS volume tied to preferred payers reached 55% as of September 2025, with a goal to reach 75% to 80%.
• The Home Health and Hospice segment maintained an episodic payer mix of 76% in Q4 2024.
• Approximately ~90% of total revenue is generated from government payers.

Digital platforms for caregiver scheduling and clinical documentation

While specific platform usage statistics aren't provided, the company's strategic focus on technology is a key channel enabler for managing its large caregiver workforce and ensuring compliance. This technology supports the scheduling and documentation required to service the patient base efficiently, which is vital given the industry-wide staffing challenges.

Sales teams focused on MCO and government relations

Dedicated sales and government affairs teams act as a direct channel to secure favorable reimbursement rates and contracts with major payors, which underpins the viability of the direct care channel. The focus is on securing rate increases and value-based agreements.

• The government affairs teams secured 11 state rate wins in 2025 year-to-date (as of September 2025).
• The CMS 2026 hospice payment rule included a 2.6% increase in Medicare base rate payments.
• CMS proposed a 6.4% aggregate cut to home health payments for 2026.

The revised full-year 2025 Adjusted EBITDA guidance is greater than $270 million, reflecting the success of these rate-focused sales efforts.

Finance: draft 13-week cash view by Friday.

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Customer Segments

You're looking at the core patient populations that drive the revenue for Aveanna Healthcare Holdings Inc. as of late 2025. The business model is built around serving medically complex, high-cost patients across the continuum, from pediatrics to the elderly, primarily in the home setting. This focus allows them to offer a lower-cost alternative to acute care settings, which is a major value driver for payers.

The company's overall financial footing in late 2025 reflects this focus, with trailing twelve-month revenue reaching $2.29 billion as of September 30, 2025. Management has raised the full-year 2025 revenue guidance to greater than $2.375 billion.

The customer segments are best understood through the lens of Aveanna Healthcare Holdings Inc.'s operating divisions, which directly map to the patient populations they serve:

• The largest group is the medically complex pediatric patients, primarily served through Private Duty Services (PDS).
• Adult patients requiring skilled home health and hospice care fall mainly under the Home Health & Hospice (HHH) segment.
• Managed Care Organizations (MCOs) and Federal and state government programs (Medicaid/Medicare) are the primary payers for the services delivered to the patient segments.
• Families seeking long-term, continuous care for chronic illness are the direct recipients of the PDS and HHH services.

Honestly, the PDS segment is the engine right now, making up the lion's share of the business. For the third quarter ending September 27, 2025, the PDS segment revenue was approximately $514 million, representing a 25.6% year-over-year increase. This segment is functionally an ICU bed at home, offering a 10x cost savings compared to acute care settings.

Here's a breakdown of the key segment performance metrics from Q3 2025, which gives you a clear picture of where the volume and revenue are concentrated:

Customer Segment Focus (Segment)	Q3 2025 Revenue (Approx.)	Year-over-Year Revenue Growth (Q3)	Key Metric/Volume	Gross Margin (Q3 2025)
Medically Complex Pediatric (PDS)	$514 million	25.6%	11.8 million hours of care	Not explicitly stated for PDS alone
Adult Home Health & Hospice (HHH)	$62.4 million	15.3%	9,700 total patient admissions	53.3%
Medical Solutions (MS)	$45.1 million	Flat	91,000 unique patients served	45%

The HHH segment, which targets adult patients, is also showing strong volume traction. In Q3 2025, this segment saw 9,700 total patient admissions, marking a 9% year-over-year increase. Furthermore, the company is successfully aligning with the payers who fund these services. For the HHH business, the episodic payer mix stood at 77% in Q3 2025, showing a strong preference for value-based arrangements.

The relationship with payers, which includes MCOs and government programs, is critical. Aveanna Healthcare Holdings Inc. has been actively securing better terms, achieving 11 state rate increases and two federal rate wins during 2025. This focus on rate clarity is what helped the PDS segment secure 30 preferred payer agreements, covering about 55% of its available volumes.

For the PDS segment specifically, which serves the most fragile pediatric patients, the revenue per hour was $43.51 in Q3 2025. This high rate reflects the complexity and the value proposition of keeping these patients at home rather than in expensive hospital settings. The company operates across 34 states with 327 locations to service these diverse, high-need customer bases.

Finance: draft 13-week cash view by Friday.

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Cost Structure

You're looking at the expenses that drive the engine at Aveanna Healthcare Holdings Inc. as of late 2025. Honestly, in a labor-intensive business like home healthcare, the cost structure is dominated by one thing: people.

Caregiver Wages and Benefits (largest operating expense)

The single biggest drain on the bottom line is the cost of labor, which is what you pay your nurses and aides. For the third quarter ending September 27, 2025, the company reported a consolidated Gross Margin of 32.6% of revenue, meaning the cost of revenue-where caregiver wages sit-was approximately 67.4% of revenue for that quarter. To put a finer point on it, the cost of revenue rate in Q3 2025 was \$30.89 per hour. This is the core expense Aveanna Healthcare Holdings Inc. manages daily.

General and Administrative (G&A) Overhead for 341 Locations

Running a national platform with 341 locations-as you mentioned-requires significant fixed overhead to support those field operations. While the specific G&A dollar figure for all locations isn't broken out separately from Cost of Revenue in the segment reporting, we know the scale. Aveanna Healthcare Holdings Inc. operates across 38 states as of August 2025. This overhead covers everything from regional management to the administrative staff needed to handle billing, compliance, and credentialing across that footprint.

Interest Expense on Total Debt of \$1,490.0 million

Debt service is a fixed, non-negotiable cost. As of September 27, 2025, Aveanna Healthcare Holdings Inc. reported total indebtedness of \$1,490.0 million. To manage the risk from fluctuating interest rates on this substantial amount, the company has actively hedged its exposure. Here's how that variable rate debt was structured near the end of 2025:

• Interest rate swaps converting variable rate debt to fixed rate: \$520.0 million notional amount.
• Interest rate caps capping exposure to SOFR at 2.96%: \$880.0 million notional amount.

So, substantially all of that \$1,490.0 million was hedged against rising rates.

Technology and Clinical Training Investment Costs

A key part of Aveanna Healthcare Holdings Inc.'s strategy involves ongoing investment to improve efficiency and clinical quality, which are costs incurred outside of direct patient care wages. These investments include transformational projects like systems conversions and implementations, which are often grouped with acquisition integration costs. Furthermore, the company explicitly mentions continued investments in clinical outcomes and sales resources to support growth.

Corporate Expenses, Including \$34.5 million in Q2 2025

These are the costs associated with running the corporate headquarters, separate from field-level G&A. For the second quarter of 2025, the reported corporate expenses totaled \$34.5 million. These expenses can fluctuate based on one-time items, such as costs associated with the Thrive acquisition mentioned in that period.

Here is a summary of the concrete financial figures we have for the cost structure as of the latest reported periods in 2025:

Cost Component / Metric	Period / Date	Financial Number (USD)
Total Indebtedness (Debt Principal)	As of September 27, 2025	\$1,490.0 million
Corporate Expenses	Q2 2025	\$34.5 million
Cost of Revenue Rate (Proxy for Wages)	Q3 2025	\$30.89 per hour
Gross Margin Percentage (Cost of Revenue is the remainder)	Q3 2025	32.6% of Revenue
Gross Margin Percentage (Cost of Revenue is the remainder)	Nine Months Ended Sept 27, 2025	33.7% of Revenue
Debt Hedged via Interest Rate Swaps	As of September 27, 2025	\$520.0 million notional amount
Debt Hedged via Interest Rate Caps	As of September 27, 2025	\$880.0 million notional amount

Aveanna Healthcare Holdings Inc. (AVAH) - Canvas Business Model: Revenue Streams

Aveanna Healthcare Holdings Inc. has set its full-year 2025 revenue guidance to be greater than $2.375 billion.

The Private Duty Services (PDS) segment is the largest component of the revenue base, representing seventy-eight percent (78%) of total revenues as of late 2025. This segment's revenue for the third quarter of 2025 was approximately $514 million.

The Home Health & Hospice (HHH) division contributed revenue of about $62.4 million in the third quarter of 2025. For the Home Health business specifically, the episodic payer mix for admissions in Q3 2025 was reported at 77%.

Revenue generation is heavily influenced by rates secured from various payers. In 2025, Aveanna Healthcare Holdings Inc. achieved 11 state rate increases and two federal rate wins. The company's strategy involves securing adequate rates from government and payer partners.

The preferred payer strategy in the PDS segment has seen expansion, with the number of agreements reaching 30 in total, adding 5 in Q3 2025. These preferred payer agreements now cover approximately 56% of total PDS Managed Care Organization (MCO) volumes.

The primary sources of payment for Aveanna Healthcare Holdings Inc.'s services are detailed below, reflecting the Q3 2025 performance snapshot:

Revenue Stream Category	Segment	Q3 2025 Revenue Amount	Year-over-Year Growth (Q3 2025 vs Q3 2024)
Private Duty Services (PDS)	PDS	$514 million	25.6%
Home Health & Hospice (HHH)	HHH	$62.4 million	15.3%

Payments from government payers, specifically Medicaid and Medicare, are a key component, though the PDS segment, which is largely pediatric private duty, is considered a relatively protected class against certain Medicaid funding uncertainties. For the hospice portion of the HHH segment, the U.S. Center for Medicare & Medicaid Services (CMS) finalized its 2026 payment rule, which included a 2.6% increase in Medicare base rate payments.

Commercial and managed care payers (MCOs) are targeted through the preferred payer strategy, where partners agree to above-market rates or value-based bonuses. The company's focus includes:

• Securing adequate rates from government partners.
• Expanding preferred payer agreements in Private Duty Services.
• Navigating evolving regulatory environments.
• Achieving 10 reimbursement rate enhancements in private duty services as planned for 2025.