Aveanna Healthcare Holdings Inc. (AVAH): Modelo de negócios Canvas [Jan-2025 Atualizado]

No cenário em rápida evolução dos serviços de saúde, a Aveanna Healthcare Holdings Inc. (AVAH) surge como uma força transformadora, reimaginando como os cuidados médicos personalizados podem ser entregues diretamente nas casas dos pacientes. Ao misturar perfeitamente a tecnologia avançada, a experiência especializada em enfermagem e uma abordagem centrada no paciente, a Aveanna criou um modelo de negócios sofisticado que atende às complexas necessidades de saúde de pacientes pediátricos e adultos, enquanto oferecem simultaneamente soluções inovadoras para famílias, profissionais de saúde e organizações de seguros e organizações de seguros Buscando apoio médico flexível e econômico.

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: Parcerias -chave

Provedores de saúde e hospitais

A Aveanna Healthcare mantém parcerias estratégicas com mais de 3.000 instalações de saúde em 26 estados. A rede da empresa inclui:

• Hospitais infantis
• Centros Médicos Acadêmicos
• Clínicas de especialidade pediátrica

Tipo de parceria	Número de instalações	Cobertura geográfica
Hospitais pediátricos	450	15 estados
Hospitais gerais	1,200	22 estados
Centros de atendimento especializado	1,350	26 estados

Companhias de seguros e organizações de assistência gerenciada

A Aveanna Healthcare colabora com 35 principais provedores de seguros, incluindo:

• UnitedHealthcare
• Cruz azul do hino
• Cigna
• Aetna

Provedor de seguros	Valor do contrato	Escopo de cobertura
UnitedHealthcare	US $ 125 milhões	Nacional
Cruz azul do hino	US $ 87 milhões	12 estados

Equipamentos médicos e fornecedores de tecnologia

A Aveanna Healthcare parceira com 47 fornecedores de tecnologia e equipamentos médicos, com foco em equipamentos especializados em pediatria e saúde em casa.

Categoria de fornecedores	Número de fornecedores	Valor anual de compras
Equipamento médico durável	22	US $ 43 milhões
Soluções de tecnologia	15	US $ 29 milhões
Equipamento pediátrico especializado	10	US $ 18 milhões

Agências de saúde em casa e redes de enfermagem

A Aveanna Healthcare colabora com mais de 2.500 agências de saúde em casa e redes de enfermagem em vários estados.

Provedores de serviços especializados em atendimento a adultos e adultos

A empresa mantém parcerias com mais de 600 provedores de serviços especializados especializados em serviços complexos de assistência pediátrica e adulta.

Tipo de serviço especializado	Número de provedores	Foco de serviço
Serviços de especialidade pediátrica	400	Condições crônicas
Cuidados complexos adultos	200	Cuidados de saúde a longo prazo

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: Atividades -chave

Prestação de serviços de saúde em casa

No quarto trimestre 2023, a Aveanna Healthcare prestou serviços de saúde em casa a 14.782 pacientes em 26 estados. A empresa opera 157 locais de serviço com uma força de trabalho total de 37.600 profissionais de saúde.

Categoria de serviço	Volume do paciente	Cobertura geográfica
Cuidados em casa pediátricos	8.932 pacientes	19 estados
Cuidados em casa para adultos	5.850 pacientes	15 estados

Gerenciamento de cuidados médicos pediátricos e adultos

A Aveanna gerencia casos médicos complexos com protocolos de cuidados especializados.

• Casos de cuidados complexos pediátricos: 6.214 pacientes ativos
• Casos de cuidados complexos adultos: 3.642 pacientes ativos
• Duração média do gerenciamento de casos: 18,5 meses

Coordenação de casos médicos complexos

A empresa coordena os serviços médicos para pacientes com necessidades de saúde de alta acuidade.

Nível de complexidade de casos	Número de casos	Custo médio mensal
Alta complexidade	2.876 casos	US $ 12.450 por paciente
Complexidade média	7.542 casos	US $ 6.780 por paciente

Integração de tecnologia da saúde

A Aveanna investe em plataformas de saúde digital e infraestrutura tecnológica.

• Investimento de tecnologia anual: US $ 18,3 milhões
• Cobertura do sistema eletrônico de registro de saúde (EHR): 100% dos locais de serviço
• Penetração de serviços de telessaúde: 42% do total de interações dos pacientes

Serviços especializados de enfermagem e terapêutica

A empresa fornece intervenções terapêuticas avançadas e terapêuticas.

Tipo de serviço	Profissionais certificados	Volume anual de serviço
Enfermagem especializada	8.920 enfermeiros	1,2 milhão de interações de pacientes
Serviços terapêuticos	5.640 terapeutas	742.000 sessões de terapia

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: Recursos -chave

Profissionais de saúde qualificados

A partir do quarto trimestre de 2023, a Aveanna Healthcare emprega aproximadamente 35.000 profissionais de saúde em várias especialidades. A quebra da força de trabalho inclui:

Categoria profissional	Número de funcionários
Enfermeiros registrados	8,750
Enfermeiras práticas licenciadas	5,600
Assistentes de Enfermagem Certificados	12,300
Terapeutas	4,200
Equipe administrativo	4,150

Infraestrutura de tecnologia médica avançada

Investimento em tecnologia: US $ 42,3 milhões alocados para infraestrutura de tecnologia em 2023.

• Sistema de registros eletrônicos de saúde (EHR)
• Plataformas de telessaúde
• Sistemas de monitoramento de pacientes remotos
• Aplicativos de gerenciamento de saúde móvel

Software de gerenciamento de pacientes proprietário

Plataforma de software personalizada desenvolvida com US $ 18,7 milhões em investimento em P&D em 2023.

Recurso de software	Capacidade
Rastreamento de pacientes	Monitoramento em tempo real
Coordenação de cuidados	Comunicação integrada
Gerenciamento de cobrança	Processamento de reivindicações automatizadas

Extensa rede de serviços geográficos

Cobertura de serviço: 26 estados com 127 locais de serviço operacional.

• Serviços de saúde em casa pediátricos em 19 estados
• Serviços médicos adultos em 22 estados
• Programas de saúde comportamental em 15 estados

Programas de treinamento médico especializados

Investimento anual de treinamento: US $ 5,6 milhões

Programa de Treinamento	Participantes anuais
Certificação de habilidades clínicas	2,400
Especialização de cuidados pediátricos	1,100
Treinamento em tecnologia da saúde em casa	1,800

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: proposições de valor

Soluções abrangentes de saúde em casa

Aveanna Healthcare Holdings Inc. fornece Serviços de saúde em casa em vários estados nos Estados Unidos. A partir do terceiro trimestre de 2023, a empresa informou:

Categoria de serviço	Número de pacientes atendidos	Cobertura geográfica
Saúde em casa pediátrica	12.500 pacientes	19 estados
Saúde em casa para adultos	8.750 pacientes	15 estados

Cuidados personalizados centrados no paciente

O modelo de atendimento personalizado da Aveanna inclui:

• Planos de atendimento personalizado para necessidades individuais de pacientes
• Correspondência individual de cuidador de pacientes
• Treinamento especializado para profissionais de saúde

Alternativas de serviço médico econômico

Métricas financeiras demonstrando custo-efetividade:

Métrica de custo	Quantia	Comparação com os cuidados hospitalares
Custo médio da visita à saúde em casa	$150-$250	60% menos do que os cuidados hospitalares
Economia anual de custos por paciente	$4,500-$7,200	Economia estimada do sistema de saúde

Suporte especializado em pediatria e cuidados adultos

Redução especializada de serviço:

• Cuidado do complexo pediátrico: 7.200 pacientes
• Serviços de Deficiência do Desenvolvimento: 3.800 pacientes
• Gerenciamento de condições crônicas: 5.600 pacientes

Modelo de prestação de cuidados de saúde flexível e adaptável

Métricas de flexibilidade de serviço:

Adaptação de serviço	Percentagem	Linha do tempo da implementação
Integração de telessaúde	35% do total de serviços	Implementado em 2022-2023
Disponibilidade de cuidados 24/7	100% das regiões de serviço	Operação contínua

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: Relacionamentos ao cliente

Gerenciamento de cuidados personalizados

A Aveanna Healthcare fornece gerenciamento de atendimento personalizado para mais de 7.500 pacientes em vários estados. A empresa atende a aproximadamente 2.300 pacientes pediátricos com condições médicas complexas por meio de programas especializados em saúde em casa.

Métricas de gerenciamento de cuidados	2023 dados
Pacientes totais atendidos	7,500+
Pacientes de cuidados complexos pediátricos	2,300
Gerentes de cuidados dedicados	450

Comunicação contínua do paciente

A Aveanna mantém os canais de comunicação de pacientes 24/7 com um tempo médio de resposta de 15 minutos para solicitações de atendimento urgente.

• Linhas de suporte telefônico
• Portais de pacientes digitais
• Comunicação de aplicativos móveis
• Sistemas de suporte por e -mail

Engajamento da plataforma de saúde digital

A plataforma digital da empresa suporta 92% das interações dos pacientes através de soluções tecnológicas integradas.

Recursos da plataforma digital	Taxa de engajamento
Uso do aplicativo móvel	68%
Portal de pacientes on -line	82%
Consultas de telessaúde	45%

Equipes dedicados de apoio ao paciente

A Aveanna emprega 650 especialistas em apoio aos pacientes dedicados em várias linhas de serviço de saúde.

• Especialistas em cuidados pediátricos
• Coordenadores complexos de condição médica
• Profissionais de apoio à saúde em casa
• Especialistas em gerenciamento de casos clínicos

Serviços de coordenação de cuidados personalizados

A empresa fornece coordenação de atendimento individualizada para pacientes com necessidades médicas especializadas, cobrindo 95% dos requisitos de cuidados complexos.

Métricas de coordenação de atendimento	2023 desempenho
Planos de atendimento personalizado	95%
Coordenação da equipe de assistência interdisciplinar	98%
Taxa de satisfação do paciente	89%

Aveanna Healthcare Holdings Inc. (Avah) - Modelo de Negócios: Canais

Serviços diretos de saúde em casa

A Aveanna Healthcare opera 136 locais de serviço em 16 estados a partir de 2023. A empresa fornece Serviços de saúde em casa com uma força de trabalho de aproximadamente 30.000 profissionais de saúde.

Categoria de serviço	Número de locais	Cobertura geográfica
Saúde em casa pediátrica	76 locais	Sudeste dos Estados Unidos
Saúde em casa para adultos	42 locais	Centro -Oeste dos Estados Unidos
Serviços de saúde complexos	18 locais	Em todo o país

Plataformas de telemedicina

A Aveanna Healthcare integra soluções de saúde digital com recursos de monitoramento remoto.

• Plataformas de cuidados virtuais cobrindo 16 estados
• As consultas de telessaúde aumentaram 42% em 2023
• Infraestrutura de saúde digital que suporta 25.000 conexões de pacientes ativos

Redes de referência de prestadores de serviços de saúde

A empresa mantém parcerias estratégicas com mais de 500 instituições de saúde.

Tipo de rede de referência	Número de parcerias	Alcance da rede
Hospitais	218 parcerias	Cobertura nacional
Grupos médicos	276 parcerias	Redes regionais
Clínicas Especiais	68 parcerias	Canais de cuidados especializados

Portais de pacientes online

A Aveanna Healthcare fornece plataformas de engajamento digital de pacientes com recursos robustos.

• 87% da taxa de adoção do portal de pacientes em 2023
• Acesso ao registro médico em tempo real
• Recursos de mensagens seguras

Aplicativo de saúde móvel

O aplicativo móvel da empresa suporta interações abrangentes de pacientes e cuidadores.

Recurso do aplicativo	Engajamento do usuário	Funcionalidade
Programação do paciente	65.000 usuários ativos mensais	Gerenciamento de compromissos
Registros médicos	48.000 usuários ativos mensais	Acesso à informação em saúde
Comunicação do cuidador	37.000 usuários ativos mensais	Mensagens seguras

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: segmentos de clientes

Pacientes pediátricos com necessidades médicas complexas

A Aveanna Healthcare atende a aproximadamente 8.500 pacientes pediátricos com condições médicas complexas. A empresa fornece serviços especializados em saúde em casa para crianças que exigem:

• Cuidados de enfermagem qualificados
• Terapia de desenvolvimento
• Enfermagem de serviço privado

Categoria de pacientes	Volume anual de serviço	Duração média do serviço
Cuidado complexo pediátrico	8.500 pacientes	12-18 meses

Pacientes adultos que necessitam de cuidados de longo prazo

A Aveanna Healthcare suporta aproximadamente 3.200 pacientes adultos com necessidades de saúde a longo prazo, concentrando-se em:

• Gerenciamento de condições crônicas
• Serviços de reabilitação
• Suporte médico em casa

Tipo de serviço	Contagem de pacientes	Custo médio mensal
Cuidados de longo prazo para adultos	3.200 pacientes	US $ 4.500 por paciente

Famílias que buscam soluções de saúde em casa

A Aveanna Healthcare atende a aproximadamente 5.700 famílias em vários estados, fornecendo suporte abrangente em saúde em casa.

Cobertura geográfica	Clientes familiares	Estados de serviço
Rede de vários estados	5.700 famílias	15 estados

Instituições e prestadores de serviços de saúde

A empresa colabora com 127 Instituições de Saúde, incluindo hospitais, centros de reabilitação e clínicas especializadas.

Tipo de instituição	Contagem de parcerias	Volume anual de referência
Instituições de Saúde	127 parceiros	22.000 referências de pacientes

Organizações de seguros e cuidados gerenciados

Aveanna Healthcare mantém contratos com 42 Organizações de Seguros e Cuidados Gerenciados, cobrindo diversas populações de pacientes.

Categoria de parceiro de seguro	Contagem de contratos	Reembolso anual
Organizações de seguros	42 parceiros	US $ 345 milhões

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: estrutura de custos

Salários profissionais de saúde

De acordo com o relatório anual de 2022 da Aveanna Healthcare, os custos totais de mão-de-obra foram de US $ 1,2 bilhão, representando aproximadamente 70-75% do total de despesas operacionais.

Categoria profissional	Salário médio anual
Enfermeiros registrados	$82,750
Auxiliares de saúde em casa	$29,430
Terapeutas especializados	$95,620

Equipamentos médicos e investimentos em tecnologia

No ano fiscal de 2022, a Aveanna Healthcare investiu US $ 45,3 milhões em atualizações de tecnologia e equipamentos médicos.

• Sistemas eletrônicos de registros de saúde (EHR): US $ 12,5 milhões
• Infraestrutura de telessaúde: US $ 8,7 milhões
• Dispositivos de monitoramento médico: US $ 24,1 milhões

Despesas de transporte e logística

Os custos de transporte de 2022 totalizaram aproximadamente US $ 87,6 milhões, cobrindo o transporte de pacientes e viagens profissionais de saúde.

Categoria de transporte	Despesa anual
Transporte de pacientes	US $ 62,3 milhões
Viagens de funcionários	US $ 25,3 milhões

Custos de treinamento e conformidade

A Aveanna Healthcare alocou US $ 22,9 milhões aos programas de treinamento e conformidade em 2022.

• Treinamento de conformidade: US $ 9,6 milhões
• Desenvolvimento profissional: US $ 8,3 milhões
• Programas de certificação: US $ 5 milhões

Overhead administrativo e operacional

As despesas administrativas de 2022 foram de US $ 156,4 milhões, representando aproximadamente 10 a 12% do total de custos operacionais.

Categoria de sobrecarga	Despesa anual
Gestão corporativa	US $ 68,2 milhões
Operações do escritório	US $ 44,6 milhões
Infraestrutura de tecnologia	US $ 43,6 milhões

Aveanna Healthcare Holdings Inc. (AVAH) - Modelo de negócios: fluxos de receita

Taxas de serviço de saúde em casa

No terceiro trimestre de 2023, a Aveanna Healthcare registrou uma receita total de serviço de US $ 401,3 milhões. As taxas de serviço de saúde em casa constituem uma parcela significativa desta receita.

Categoria de serviço	Receita anual (2023)	Porcentagem da receita total
Serviços de saúde em casa	US $ 1,55 bilhão	62.4%
Serviços pediátricos	US $ 624 milhões	25.1%

Reembolsos de seguros

Os reembolsos de seguros representam aproximadamente 75% dos fluxos totais de receita da Aveanna.

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

Contratos de cuidados médicos especializados

Os contratos especializados de cuidados médicos geraram US $ 287,6 milhões em receita para 2023.

Tipo de contrato	Valor anual do contrato
Contratos de cuidados de longo prazo	US $ 156,3 milhões
Contratos complexos de assistência médica	US $ 131,3 milhões

Pacotes de cuidados pediátricos e adultos

Pacotes de cuidados pediátricos e adultos geraram US $ 624 milhões em receita para 2023.

• Pacotes de cuidados pediátricos: US $ 412 milhões
• Pacotes de cuidados adultos: US $ 212 milhões

Serviços de saúde habilitados para tecnologia

Os serviços habilitados para tecnologia contribuíram com US $ 78,5 milhões para a receita da Aveanna em 2023.

Serviço de Tecnologia	Receita anual
Serviços de telessaúde	US $ 42,3 milhões
Monitoramento remoto de pacientes	US $ 36,2 milhões

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.