Aveanna Healthcare Holdings Inc. (AVAH): Business Model Canvas [Jan-2025 Mis à jour]

Dans le paysage rapide des services de santé en évolution, Aveanna Healthcare Holdings Inc. (AVAH) apparaît comme une force transformatrice, réinventant la façon dont les soins médicaux personnalisés peuvent être dispensés directement au domicile des patients. En mélangeant de manière transparente les technologies de pointe, une expertise en soins infirmiers spécialisés et une approche centrée sur le patient, Aveanna a conçu un modèle commercial sophistiqué qui répond aux besoins complexes des soins de santé des patients pédiatriques et adultes, tout en offrant simultanément des solutions innovantes pour les familles, les fournisseurs de soins de santé et les organisations d'assurance Recherche de soutien médical flexible et rentable.

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle commercial: partenariats clés

Fournisseurs de soins de santé et hôpitaux

Aveanna Healthcare maintient des partenariats stratégiques avec plus de 3 000 établissements de santé dans 26 États. Le réseau de l'entreprise comprend:

• Hôpitaux pour enfants
• Centres médicaux académiques
• Cliniques spécialisées pédiatriques

Type de partenariat	Nombre d'installations	Couverture géographique
Hôpitaux pédiatriques	450	15 États
Hôpitaux généraux	1,200	22 États
Centres de soins spécialisés	1,350	26 États

Compagnies d'assurance et organisations de soins gérés

Aveanna Healthcare collabore avec 35 principaux assureurs, notamment:

• UnitedHealthcare
• Anthem Blue Cross
• Cigna
• Aetna

Assureur	Valeur du contrat	Portée de la couverture
UnitedHealthcare	125 millions de dollars	National
Anthem Blue Cross	87 millions de dollars	12 États

Fournisseurs d'équipement et de technologie médicaux

Aveanna Healthcare s'associe à 47 fournisseurs de technologies médicales et d'équipements, en se concentrant sur des équipements spécialisés en pédiatrie et en santé à domicile.

Catégorie des fournisseurs	Nombre de fournisseurs	Valeur d'achat annuelle
Équipement médical durable	22	43 millions de dollars
Solutions technologiques	15	29 millions de dollars
Équipement pédiatrique spécialisé	10	18 millions de dollars

Agences de santé à domicile et réseaux de soins infirmiers

Aveanna Healthcare collabore avec plus de 2 500 agences de santé à domicile et des réseaux de soins infirmiers dans plusieurs États.

Fournisseurs de services spécialisés pédiatriques et adultes

La société maintient des partenariats avec plus de 600 fournisseurs de services spécialisés spécialisés dans des services de soins pédiatriques et adultes complexes.

Type de service spécialisé	Nombre de prestataires	Focus du service
Services spécialisés pédiatriques	400	Affections chroniques
Soins complexes adultes	200	Soins de santé à long terme

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: Activités clés

Prestation de services de santé à domicile

Au quatrième trimestre 2023, Aveanna Healthcare a fourni des services de santé à domicile à 14 782 patients dans 26 États. L'entreprise exploite 157 emplacements de services avec une main-d'œuvre totale de 37 600 professionnels de la santé.

Catégorie de service	Volume de patient	Couverture géographique
Coins à domicile pédiatriques	8 932 patients	19 États
Soins à domicile pour adultes	5 850 patients	15 États

Gestion des soins médicaux pédiatriques et adultes

Aveanna gère des cas médicaux complexes avec des protocoles de soins spécialisés.

• Cas de soins complexes pédiatriques: 6 214 patients actifs
• Cas de soins complexes adultes: 3 642 patients actifs
• Durée moyenne de gestion des cas: 18,5 mois

Coordination des cas médicaux complexes

La société coordonne les services médicaux pour les patients ayant des besoins de santé à haute acuité.

Niveau de complexité du cas	Nombre de cas	Coût mensuel moyen
Grande complexité	2 876 cas	12 450 $ par patient
Complexité moyenne	7 542 cas	6 780 $ par patient

Intégration de la technologie des soins de santé

Aveanna investit dans des plateformes de santé numériques et des infrastructures technologiques.

• Investissement technologique annuel: 18,3 millions de dollars
• Couverture système du dossier de santé électronique (DSE): 100% des emplacements de service
• Pénétration du service de télésanté: 42% des interactions totales des patients

Services infirmiers et thérapeutiques spécialisés

L'entreprise fournit des infirmières avancées et des interventions thérapeutiques.

Type de service	Professionnels certifiés	Volume de services annuel
Soins infirmiers spécialisés	8 920 infirmières	1,2 million d'interactions de patients
Services thérapeutiques	5 640 thérapeutes	742 000 séances de thérapie

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: Ressources clés

Professionnels de la santé qualifiés

Depuis le quatrième trimestre 2023, Aveanna Healthcare emploie environ 35 000 professionnels de la santé dans diverses spécialités. La répartition des effectifs comprend:

Catégorie professionnelle	Nombre d'employés
Infirmières autorisées	8,750
Infirmières pratiques agréées	5,600
Assistants infirmiers certifiés	12,300
Thérapeutes	4,200
Personnel administratif	4,150

Infrastructure de technologie médicale avancée

Investissement technologique: 42,3 millions de dollars alloués à l'infrastructure technologique en 2023.

• Système de dossiers de santé électronique (DSE)
• Plateformes de télésanté
• Systèmes de surveillance des patients à distance
• Applications de gestion des soins de santé mobiles

Logiciel de gestion des patients propriétaires

La plate-forme logicielle personnalisée s'est développée avec des investissements de R&D de 18,7 millions de dollars en 2023.

Caractéristique logicielle	Capacité
Suivi des patients	Surveillance en temps réel
Coordination des soins	Communication intégrée
Gestion de facturation	Traitement des réclamations automatisées

Réseau de services géographiques étendus

Couverture de service: 26 États avec 127 emplacements de services opérationnels.

• Services de santé à domicile pédiatriques dans 19 États
• Services médicaux pour adultes dans 22 États
• Programmes de santé comportementale dans 15 États

Programmes de formation médicale spécialisés

Investissement de formation annuelle: 5,6 millions de dollars

Programme de formation	Participants annuels
Certification des compétences cliniques	2,400
Spécialisation des soins pédiatriques	1,100
Formation en technologie de santé à domicile	1,800

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: propositions de valeur

Solutions complètes de soins de santé à domicile

Aveanna Healthcare Holdings Inc. fournit services de santé à domicile dans plusieurs États des États-Unis. Au troisième rang 2023, la société a rapporté:

Catégorie de service	Nombre de patients servis	Couverture géographique
Santé à la maison pédiatrique	12 500 patients	19 États
Santé à domicile pour adultes	8 750 patients	15 États

Soins personnalisés centrés sur le patient

Le modèle de soins personnalisés d'Aveanna comprend:

• Plans de soins personnalisés pour les besoins individuels des patients
• Correspondance en tête-à-tête des patients
• Formation spécialisée pour les professionnels de la santé

Alternatives de service médical rentables

Les mesures financières démontrant la rentabilité:

Métrique coût	Montant	Comparaison avec les soins hospitaliers
Coût de visite de santé à domicile moyenne	$150-$250	60% de moins que les soins hospitaliers
Économies annuelles par patient	$4,500-$7,200	Économies estimées du système de santé

Soutien spécialisé en pédiatrie et en soins aux adultes

Répartition spécialisée du service:

• Soins complexes pédiatriques: 7 200 patients
• Services d'invalidité du développement: 3 800 patients
• Gestion des conditions chroniques: 5 600 patients

Modèle de prestation de soins de santé flexible et adaptable

Mesures de flexibilité du service:

Adaptation de service	Pourcentage	Chronologie de la mise en œuvre
Intégration de la télésanté	35% du total des services	Mis en œuvre en 2022-2023
Disponibilité des soins 24/7	100% des régions de service	Opération continue

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: relations clients

Gestion des soins personnalisés

Aveanna Healthcare fournit une gestion des soins personnalisés pour plus de 7 500 patients dans plusieurs États. La société dessert environ 2 300 patients pédiatriques souffrant de conditions médicales complexes grâce à des programmes de soins de santé à domicile spécialisés.

Métriques de gestion des soins	2023 données
Les patients totaux ont servi	7,500+
Patients de soins complexes pédiatriques	2,300
Gestionnaires de soins dévoués	450

Communication continue du patient

Aveanna maintient 24/7 des canaux de communication des patients avec un temps de réponse moyen de 15 minutes pour les demandes de soins urgents.

• Lignes d'assistance téléphonique
• Portails de patients numériques
• Communication d'application mobile
• Systèmes d'assistance par e-mail

Engagement de la plate-forme de santé numérique

La plate-forme numérique de l'entreprise prend en charge 92% des interactions du patient à travers des solutions technologiques intégrées.

Caractéristiques de la plate-forme numérique	Taux d'engagement
Utilisation des applications mobiles	68%
Portail de patients en ligne	82%
Consultations de télésanté	45%

Équipes de soutien aux patients dévoués

Aveanna emploie 650 spécialistes de soutien aux patients dévoués sur plusieurs lignes de services de santé.

• Spécialistes des soins pédiatriques
• Coordinateurs complexes de l'état médical
• Professionnels du soutien à la santé à domicile
• Experts en gestion de cas cliniques

Services de coordination des soins personnalisés

L'entreprise fournit une coordination des soins individualisée aux patients ayant des besoins médicaux spécialisés, couvrant 95% des exigences de soins complexes.

Métriques de coordination des soins	Performance de 2023
Plans de soins personnalisés	95%
Coordination de l'équipe de soins interdisciplinaires	98%
Taux de satisfaction des patients	89%

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: canaux

Services de soins de santé directs directs

Aveanna Healthcare exploite 136 emplacements de services dans 16 États à partir de 2023. La société fournit services de santé à domicile avec une main-d'œuvre d'environ 30 000 professionnels de la santé.

Catégorie de service	Nombre d'emplacements	Couverture géographique
Santé à la maison pédiatrique	76 emplacements	Sud-est des États-Unis
Santé à domicile pour adultes	42 emplacements	Midwest des États-Unis
Services de santé complexes	18 emplacements	À l'échelle nationale

Plateformes de télémédecine

Aveanna Healthcare intègre des solutions de santé numériques aux capacités de surveillance à distance.

• Plates-formes de soins virtuels couvrant 16 États
• Les consultations en télésanté ont augmenté de 42% en 2023
• Infrastructure de santé numérique soutenant 25 000 connexions actives pour les patients

Réseaux de référence du fournisseur de soins de santé

La société maintient des partenariats stratégiques avec plus de 500 établissements de santé.

Type de réseau de référence	Nombre de partenariats	Réalisation du réseau
Hôpitaux	218 partenariats	Couverture nationale
Groupes de médecins	276 partenariats	Réseaux régionaux
Cliniques spécialisées	68 partenariats	Canaux de soins spécialisés

Portails de patients en ligne

Aveanna Healthcare fournit des plateformes de fiançailles numériques avec des fonctionnalités robustes.

• Taux d'adoption du portail des patients de 87% en 2023
• Accès aux enregistrements médicaux en temps réel
• Capacités de messagerie sécurisées

Application de soins de santé mobile

L'application mobile de l'entreprise prend en charge les interactions complètes des patients et des soignants.

Fonctionnalité d'application	Engagement des utilisateurs	Fonctionnalité
Planification des patients	65 000 utilisateurs actifs mensuels	Gestion de la nomination
Dossiers médicaux	48 000 utilisateurs actifs mensuels	Accès aux informations sur la santé
Communication des soignants	37 000 utilisateurs actifs mensuels	Messagerie sécurisée

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: segments de clientèle

Patients pédiatriques ayant des besoins médicaux complexes

Aveanna Healthcare dessert environ 8 500 patients pédiatriques souffrant de conditions médicales complexes. L'entreprise fournit des services de santé à domicile spécialisés aux enfants qui ont besoin:

• Soins infirmiers qualifiés
• Thérapie du développement
• Soins infirmiers en service privé

Catégorie de patients	Volume de services annuel	Durée moyenne du service
Soins complexes pédiatriques	8 500 patients	12-18 mois

Patients adultes nécessitant des soins de longue durée

Aveanna Healthcare soutient environ 3 200 patients adultes ayant des besoins de santé à long terme, en se concentrant sur:

• Gestion des conditions chroniques
• Services de réadaptation
• Soutien médical à domicile

Type de service	Dénombrement des patients	Coût mensuel moyen
Soins de longue durée adultes	3 200 patients	4 500 $ par patient

Familles à la recherche de solutions de soins de santé à domicile

Aveanna Healthcare dessert environ 5 700 familles dans plusieurs États, fournissant un soutien complet à domicile.

Couverture géographique	Clients de la famille	États de service
Réseau multi-États	5 700 familles	15 États

Institutions et fournisseurs de soins de santé

L'entreprise collabore avec 127 institutions de soins de santé, y compris les hôpitaux, les centres de réadaptation et les cliniques spécialisées.

Type d'institution	Coup de partenariat	Volume de référence annuel
Institutions de soins de santé	127 partenaires	22 000 références de patients

Organisations d'assurance et de soins gérés

Aveanna Healthcare maintient des contrats avec 42 Organisations d'assurance et de soins gérés, couvrant diverses populations de patients.

Catégorie de partenaire d'assurance	Compte de contrat	Remboursement annuel
Organisations d'assurance	42 partenaires	345 millions de dollars

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: Structure des coûts

Salaires professionnels de la santé

Selon le rapport annuel en 2022 d'Aveanna Healthcare, les coûts totaux de main-d'œuvre étaient de 1,2 milliard de dollars, ce qui représente environ 70 à 75% des dépenses opérationnelles totales.

Catégorie professionnelle	Salaire annuel moyen
Infirmières autorisées	$82,750
Aides de santé à domicile	$29,430
Thérapeutes spécialisés	$95,620

Équipements médicaux et investissements technologiques

Au cours de l'exercice 2022, Aveanna Healthcare a investi 45,3 millions de dollars dans les améliorations technologiques et d'équipements médicaux.

• Systèmes de dossiers de santé électronique (DSE): 12,5 millions de dollars
• Infrastructure de télésanté: 8,7 millions de dollars
• Dispositifs de surveillance médicale: 24,1 millions de dollars

Frais de transport et de logistique

Les coûts de transport pour 2022 ont totalisé environ 87,6 millions de dollars, couvrant le transport des patients et les voyages professionnels de la santé.

Catégorie de transport	Dépenses annuelles
Transport de patients	62,3 millions de dollars
Voyage du personnel	25,3 millions de dollars

Frais de formation et de conformité

Aveanna Healthcare a alloué 22,9 millions de dollars aux programmes de formation et de conformité en 2022.

• Formation en conformité: 9,6 millions de dollars
• Développement professionnel: 8,3 millions de dollars
• Programmes de certification: 5 millions de dollars

Surfaçon administratives et opérationnelles

Les dépenses administratives pour 2022 étaient de 156,4 millions de dollars, ce qui représente environ 10 à 12% du total des coûts opérationnels.

Catégorie aérienne	Dépenses annuelles
Gestion de l'entreprise	68,2 millions de dollars
Opérations de bureau	44,6 millions de dollars
Infrastructure technologique	43,6 millions de dollars

Aveanna Healthcare Holdings Inc. (AVAH) - Modèle d'entreprise: Strots de revenus

Frais de service de santé à domicile

Au troisième trimestre 2023, Aveanna Healthcare a déclaré un chiffre d'affaires total de 401,3 millions de dollars. Les frais de service de santé à domicile constituent une partie importante de ces revenus.

Catégorie de service	Revenus annuels (2023)	Pourcentage du total des revenus
Services de santé à domicile	1,55 milliard de dollars	62.4%
Services pédiatriques	624 millions de dollars	25.1%

Remboursements d'assurance

Les remboursements d'assurance représentent environ 75% du total des sources de revenus d'Aveanna.

• Taux de remboursement d'assurance privée: 45%
• Taux de remboursement de l'assurance-maladie: 22%
• Taux de remboursement de Medicaid: 33%

Contrats de soins médicaux spécialisés

Les contrats de soins médicaux spécialisés ont généré 287,6 millions de dollars de revenus pour 2023.

Type de contrat	Valeur du contrat annuel
Contrats de soins de longue durée	156,3 millions de dollars
Contrats de soins médicaux complexes	131,3 millions de dollars

Packages de soins pédiatriques et adultes

Les packages de soins pédiatriques et adultes ont généré 624 millions de dollars de revenus pour 2023.

• Packages de soins pédiatriques: 412 millions de dollars
• Packages de soins pour adultes: 212 millions de dollars

Services de santé comparés à la technologie

Les services technologiques ont contribué 78,5 millions de dollars aux revenus d'Aveanna en 2023.

Service technologique	Revenus annuels
Services de télésanté	42,3 millions de dollars
Surveillance à distance des patients	36,2 millions de dollars

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.