Aveanna Healthcare Shares Dip Despite Q4 Earnings Beat as 2026 Outlook Disappoints

Aveanna Healthcare Holdings Inc. (NASDAQ:AVAH) reported fourth-quarter results that came in above analyst expectations, but its shares slipped about 2.3% after the company issued fiscal 2026 guidance that slightly missed Wall Street forecasts.

The home healthcare provider posted adjusted earnings per share of $0.17 for the quarter, topping the consensus estimate of $0.13 by $0.04. Revenue totaled $662.5 million, exceeding the expected $630.6 million and marking a 27.4% increase from $519.9 million in the same period a year earlier. The growth was supported by expansion across all three of the company’s operating divisions, with the Private Duty Services (PDS) segment contributing $118.5 million of the overall increase.

Aveanna reaffirmed its fiscal 2026 revenue outlook of $2.54 billion to $2.56 billion. However, the midpoint of $2.55 billion falls slightly below the analyst consensus estimate of $2.56 billion. The company also reiterated its adjusted EBITDA forecast for fiscal 2026 at between $318 million and $322 million.

For the fourth quarter, adjusted EBITDA reached $85.0 million, representing 12.8% of revenue and a 54.0% increase compared with $55.2 million in the prior-year quarter. Net income rose to $178.8 million from $29.2 million recorded in the fourth quarter of fiscal 2024.

“Fourth quarter results are headlined by revenue and adjusted EBITDA growth of 27.4% and 54.0%, respectively, when compared to the prior year period,” said Jeff Shaner, Chief Executive Officer. “With the integration of Thrive Skilled Pediatric Care completed, we are well-positioned for further acquisition activity, including the recently announced Family First Homecare transaction.”

The company also announced a deal to acquire Family First Homecare for $175.5 million, with the transaction expected to close during the second quarter of fiscal 2026. The acquisition has not been factored into the company’s fiscal 2026 guidance.

Aveanna Healthcare Holdings stock price


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