Aveanna Healthcare Holdings, Inc.
For the period ended Jun 28, 2025. Filed Aug 7, 2025.
View on SEC.govAbout this filing
A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.
Jun 28, 2025 · Filed Aug 7, 2025
What changed in Management’s Discussion and Analysis?
Read the current filingPrevious report: 10-Q
Period ended 2025-03-29; filed 2025-05-08.
0000950170-25-066342
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsCurrent report: 10-Q
Period ended 2025-06-28; filed 2025-08-07.
0000950170-25-104528
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of OperationsThe baseline is this issuer’s latest earlier reporting period of the same form that was filed before the current report. A previous 10-Q is a different quarter, not a year-over-year comparison. Amendments are excluded.
Compared 172 previous paragraphs and 255 current paragraphs.
111 unchanged; 41 reworded; 82 added; 18 removed; 2 previous and 21 current paragraphs rearranged.
Tables are not compared: 12 previous and 18 current tables excluded. Dates, whitespace, punctuation and numbering changes are ignored; changes to financial figures remain significant.
A changed paragraph is not evidence that risk increased or decreased. An unchanged paragraph does not establish that risk stayed the same.
Added paragraphs (82)
Current report
Recent Developments
Current report
Acquisition-related Activities
Current report
On June 2, 2025, we acquired Thrive Skilled Pediatric Care, LLC ("Thrive"), which provides home care operating 23 locations across seven states Arizona, Georgia, Kansas, New Mexico, North Carolina, Virginia, and Texas. The Thrive acquisition expands our patient care delivery into two new states and provides added local market density in our existing geographic footprint. We report the results of Thrive from the date of acquisition in our PDS segment.
Current report
Regulatory Developments
Current report
On June 30, 2025, the Centers for Medicare & Medicaid Services (“CMS”) issued its calendar year 2026 proposed rule for the home health prospective payment system. CMS estimates the proposed rule would reduce home health payments by 6.4% in CY 2026 relative to 2025. This update includes a 3.2% market basket update, reduced by a 0.8% cut for productivity. The rule also includes several reductions that CMS proposes as necessary to achieve budget neutral implementation of the Patient-driven Groupings Model (“PDGM”), which are a 4.1% permanent reduction to the standard payment rate to prevent future overpayments, as well as a temporary but indefinite 5.0% reduction to recoup past overpayments. CMS also proposes a 0.5% reduction related to high-cost outlier payments. The proposed rule is subject to comment through August 29, 2025. The ultimate impact of any final rule would likely negatively affect reimbursement rates in our HHH segment.
Current report
On July 4, 2025, H.R. 1, also known as the One Big Beautiful Bill Act ("OBBBA") was enacted into law. The Congressional Budget Office projects OBBBA will result in a reduction to federal Medicaid spending by an estimated $1.15 trillion over the next 10 years. The OBBBA changes to Medicaid include provisions expected to reduce the population of Medicaid recipients through more stringent eligibility requirements, reductions in provider taxes, work (community engagement) requirements, limits on state-directed payments, and other changes. Most of the provisions have implementation dates of December 31, 2026, or later. While there were no specific changes to the Medicaid waiver programs that a majority of our patient population qualifies for services under, and no provisions that we believe directly impact the reimbursement rates of the services we provide, the resulting reductions to state Medicaid budgets may indirectly impact future rate expansion for certain Medicaid-funded services.
Current report
the previously discussed $50.4 million increase in Field contribution; offset by
Current report
a $4.3 million increase in corporate expenses, and
Current report
$3.4 million of acquisition-related costs associated with the Thrive acquisition completed during the second quarter of 2025.
Current report
Net Income
Current report
the previously discussed $42.9 million increase in operating income;
Current report
a $27.0 million increase in tax expense; and
Current report
Revenue was $589.6 million for the three-month period ended June 28, 2025, as compared to $505.0 million for the three-month period ended June 29, 2024, an increase of $84.6 million, or 16.8%. This increase resulted from the following segment activity:
Current report
a $78.2 million, or 19.2%, increase in PDS revenue;
Current report
a $1.0 million, or 2.2%, increase in MS revenue.
Current report
Our PDS segment revenue growth of $78.2 million, or 19.2%, for thethree-month period ended June 28, 2025 was attributable to a 6.9% increase in volume and a 12.3% increase in revenue rate. The 6.9% increase in volume was primarily attributable to growth in demand for non-clinical services. Additionally, the PDS segment revenue benefited from volume attributed to the Thrive acquisition which was completed on June 2, 2025.
Current report
Cost of revenue, excluding depreciation and amortization, was $378.8 million for the three-month period ended June 28, 2025, as compared to $346.7 million for the three-month period ended June 29, 2024, an increase of $32.1 million, or 9.2%. This increase resulted from the following segment activity:
Current report
a $31.1 million, or 10.5%, increase in PDS cost of revenue;
Current report
a $1.8 million, or 7.2%, increase in HHH cost of revenue; and
Current report
a $0.9 million, or 3.5%, decreasein MS cost of revenue.
Current report
The 7.2% increase in HHH cost of revenue for thethree-month period ended June 28, 2025 was driven primarily by higher home health total episodes.
Current report
The 3.5% decrease in MS cost of revenue for thethree-month period ended June 28, 2025 was driven primarily by the previously described 3.2% decline in MS volumes.
Current report
a 13.2% increase in MS spread rate from $191.45 to $217.60 driven by the 5.4% increase in MS revenue rate, and the 0.3% decrease in MS cost of revenue rate; and
Current report
Branch and regional administrative expenses were $90.1 million, or 15.3% of revenue, for thethree-month period ended June 28, 2025, as compared to $88.0 million, or 17.4% of revenue, for thethree-month period ended June 29, 2024, an increase of $2.1 million, or 2.4%.
Current report
a 4.5% increase in gross margin percentage for the three-month period ended June 28, 2025, as compared to the three-month period ended June 29, 2024; and
Current report
a 1.9% decrease in branch and regional administrative expenses as a percentage of revenue for the three-month period ended June 28, 2025, as compared to the three-month period ended June 29, 2024.
Current report
Corporate expenses were $34.5 million, or 5.9% of revenue, forthe three-month period ended June 28, 2025, as compared to $30.2 million, or 6.0% of revenue, forthe three-month period ended June 29, 2024. The $4.3 million, or 14.2%, increase in corporate expenses resulted primarily from severance and additional compensation and benefits costs necessary to support the integration of the Thrive acquisition and increased professional services expenses related to legal matters.
Current report
Acquisition-related costs
Current report
Acquisition related costs were $3.4 million for the three-month period ended June 28, 2025, associated with the acquisition of Thrive.
Current report
Other operating expense was $0.2 million for thethree-month period ended June 28, 2025, as compared to other operating expense of $0.1 million for thethree-month period ended June 29, 2024, a decrease in other operating expense of $0.1 million. The $0.1 million decrease primarily resulted from the value associated with certain licenses impaired in the comparative periods.
Current report
On July 4, 2025, the OBBBA was signed into law in the U.S., which contains a broad range of tax reform provisions affecting businesses. We are evaluating the full effects of the legislation on our estimated annual effective tax rate and cash tax position. As the legislation was signed into law after the close of our second quarter, the impacts are not included in our operating results for the three-month period ended June 28, 2025.
Current report
Six-Month Period Ended June 28, 2025 Compared to the Six-Month Period Ended June 29, 2024
Current report
NM = A percentage calculation that is not meaningful due to a percentage change greater than 1000%.
Current report
Represents home health episodic admissions.
Current report
Represents episodic admissions and recertifications.
Current report
Summary Operating Results
Current report
Operating Income
Current report
Operating income was $131.8 million for the six-month period ended June 28, 2025, as compared to operating income of $60.0 million for the six-month period ended June 29, 2024, an increase of $71.8 million, or 119.8%.
Current report
Operating income for the six-month period of 2025 was positively impacted by an increase of $84.7 million, or 66.0%, in Field contribution as compared to the six-month period of 2024. The $84.7 million increase in Field contribution resulted from a $153.2 million, or 15.4%, increase in consolidated revenue and a 5.6% increase in our Field contribution margin to 18.5% for the six-month period of 2025 from 12.9% for the six-month period of 2024. The primary driver of our higher Field contribution margin year over year was an increase in gross margin percentage of 3.8% compared to the first six months of 2024 and a 1.9% decrease in branch and regional administrative expenses as a percentage of revenue to 15.8% for the six-month period of 2025 from 17.7% for the six-month period of 2024.
Current report
The overall $71.8 million increase in operating income compared to the first six months of 2024 primarily consists of:
Showing the first 40 of 82 passages. Open the source sections for the rest.
Removed paragraphs (18)
Previous report
Represents the change in margin percentage year over year.
Previous report
the previously discussed $34.2 million increase in Field contribution; and
Previous report
a $2.2 million decrease in other operating expense, offset by
Previous report
a $7.7 million increase in corporate expenses.
Previous report
Net Income (Loss)
Previous report
the previously discussed $28.9 million increase in operating income;
Previous report
a $7.7 million decrease in tax expense; offset by
Previous report
Revenue was $559.2 million for the three-month period ended March 29, 2025, as compared to $490.7 million for the three-month period ended March 30, 2024, an increase of $68.6 million, or 14.0%. This increase resulted from the following segment activity:
Previous report
a $65.0 million, or 16.5%, increase in PDS revenue;
Previous report
a $1.5 million, or 3.6%, increase in MS revenue.
Previous report
Cost of revenue, excluding depreciation and amortization, was $375.7 million for the three-month period ended March 29, 2025, as compared to $344.8 million for the three-month period ended March 30, 2024, an increase of $30.9 million, or 9.0%. This increase resulted from the following segment activity:
Previous report
a $30.4 million, or 10.3%, increase in PDS cost of revenue;
Previous report
a $0.4 million, or 1.4%, increase in HHH cost of revenue; and
Previous report
a $0.1 million, or 0.3%, increasein MS cost of revenue.
Previous report
The 1.4% increase in HHH cost of revenue for thethree-month period ended March 29, 2025 was driven primarily by higher caregiver labor costs.
Previous report
Branch and regional administrative expenses were $91.4 million, or 16.3% of revenue, for thethree-month period ended March 29, 2025, as compared to $87.9 million, or 17.9% of revenue, for thethree-month period ended March 30, 2024, an increase of $3.5 million, or 4.0%.
Previous report
a 3.1% increase in gross margin percentage for the three-month period ended March 29, 2025, as compared to the three-month period ended March 30, 2024; and
Previous report
a 1.6% decrease in branch and regional administrative expenses as a percentage of revenue for the three-month period ended March 29, 2025, as compared to the three-month period ended March 30, 2024.
Reworded paragraphs (41)
Previous wording
Our fiscal year ends on the Saturday that is closest to December 31 of a given year, resulting in either a 52-week or 53-week fiscal year. “Fiscal year 2025” refers to the 53-week fiscal year ending on January 3, 2026. “Fiscal year 2024” refers to the 52-week fiscal year ended on December 28, 2024. The “three-month period ended March 29, 2025”, or “first quarter of 2025” refers to the 13-week fiscal quarter ended on March 29, 2025. The “three-month period ended March 30, 2024” or “first quarter of 2024” refers to the 13-week fiscal quarter ended on March 30, 2024.
Current wording
Our fiscal year ends on the Saturday that is closest to December 31 of a given year, resulting in either a 52-week or 53-week fiscal year. “Fiscal year 2025” refers to the 53-week fiscal year ending on January 3, 2026. “Fiscal year 2024” refers to the 52-week fiscal year ended on December 28, 2024. The “three-month period ended June 28, 2025”, or “second quarter of 2025” refers to the 13-week fiscal quarter ended on June 28, 2025. The “three-month period ended June 29, 2024” or “second quarter of 2024” refers to the 13-week fiscal quarter ended on June 29, 2024. The "six-month period ended June 28, 2025", or "first six months of 2025", refers to the period from December 29, 2024 through June 28, 2025. The "six-month period ended June 29, 2024", or "first six months of 2024", refers to the period from December 31, 2023 through June 29, 2024.
Previous wording
Operating income was $51.8 million, or 9.3% of revenue, for the three-month period ended March 29, 2025, as compared to operating income of $22.9 million for the three-month period ended March 30, 2024, an increase of $28.9 million.
Current wording
Operating income was $80.0 million, or 13.6% of revenue, for the three-month period ended June 28, 2025, as compared to operating income of $37.1 million, or 7.4% of revenue, for the three-month period ended June 29, 2024, an increase of $42.9 million.
Previous wording
Operating income for the first quarter of 2025 was positively impacted by an increase of $34.2 million, or 59.1%, in Field contribution, as compared to the first quarter of 2024. The $34.2 million increase in Field contribution resulted from a $68.6 million, or 14.0%, increase in consolidated revenue and a 4.7% increase in our Field contribution margin to 16.5% for the first quarter of 2025 from 11.8% for the first quarter of 2024. The primary driver of our higher Field contribution margin over the comparable quarter was an increase in gross margin percentage of 3.1%, along with a 1.6% decrease in branch and regional administrative expenses as a percentage of revenue to 16.3% for the first quarter of 2025 from 17.9% for the first quarter of 2024.
Current wording
Operating income for the second quarter of 2025 was positively impacted by an increase of $50.4 million, or 71.7%, in Field contribution, as compared to the second quarter of 2024. The $50.4 million increase in Field contribution resulted from a $84.6 million, or 16.8%, increase in consolidated revenue and a 6.6% increase in our Field contribution margin to 20.5% for the second quarter of 2025 from 13.9% for the second quarter of 2024. The primary driver of our higher Field contribution margin over the comparable quarter was an increase in gross margin percentage of 4.5%, along with a 2.1% decrease in branch and regional administrative expenses as a percentage of revenue to 15.3% for the second quarter of 2025 from 17.4% for the second quarter of 2024.
Previous wording
The following items primarily contributed to the $28.9 million increase in operating income over the comparable first quarter period:
Current wording
The following items primarily contributed to the $42.9 million increase in operating income over the comparable second quarter period:
Previous wording
Net income for the three-month period ended March 29, 2025 was $5.2 million, as compared to net loss of $11.2 million for the three-month period ended March 30, 2024. The $16.4 million increase in net income was primarily driven by the following:
Current wording
Net income for the three-month period ended June 28, 2025 was $27.0 million, as compared to net income of $13.9 million for the three-month period ended June 29, 2024. The $13.1 million increase in net income was primarily driven by the following:
Previous wording
an aggregate $23.6 million decrease in valuation gains on interest rate derivatives and net settlements received from interest rate derivative counterparties over the comparable periods.
Current wording
an aggregate $6.4 million decrease in valuation gains on interest rate derivatives and net settlements received from interest rate derivative counterparties compared to the second quarter of 2024.
Previous wording
a $2.1 million, or 3.9%, increase in HHH revenue; and
Current wording
a $5.5 million, or 10.0%, increase in HHH revenue; and
Previous wording
The 10.4% increase in PDS revenue rate for thethree-month period ended March 29, 2025, as compared to thethree-month period ended March 30, 2024, resulted primarily from reimbursement rate increases issued by various state Medicaid programs and Managed Medicaid payers, including payments received in the current period related to certain rate increases applied retroactively and improved collections on fully reserved aged receivables.
Current wording
The 12.3% increase in PDS revenue rate for thethree-month period ended June 28, 2025, as compared to thethree-month period ended June 29, 2024, resulted primarily from the following: (i) reimbursement rate increases issued by various state Medicaid programs and Managed Medicaid payers, including payments received in the current period related to certain rate increases applied retroactively for services provided since January 1, 2025, for which there is currently no associated wage pass-through reflected in segment cost of revenue, excluding depreciation and amortization; (ii) increases in value-based payments from certain payors; and (iii) improved collections on fully reserved aged receivables.
Previous wording
Our HHH segment revenue increase of $2.1 million, or 3.9%, for thethree-month period ended March 29, 2025, as compared to thethree-month period ended March 30, 2024, resulted primarily from an increase in home health revenue per completed episode due to improvements in home health episodic mix.
Current wording
Our HHH segment revenue increase of $5.5 million, or 10.0%, for thethree-month period ended June 28, 2025, as compared to thethree-month period ended June 29, 2024, resulted primarily from a 6.9% increase in total episodes and an increase in home health revenue per completed episode due to improvements in patient mixcompared to the second quarter of 2024.
Previous wording
The$1.5 million, or 3.6%, increase in MS segment revenue for thethree-month period ended March 29, 2025, as compared to thethree-month period ended March 30, 2024, was attributable to a 6.9% increase in revenue rate, partially offset by a decline in volume of 3.3% over the comparable period.
Current wording
The$1.0 million, or 2.2%, increase in MS segment revenue for thethree-month period ended June 28, 2025, as compared to thethree-month period ended June 29, 2024, was attributable to a 5.4% increase in revenue rate, partially offset by a decline in volume of 3.2%compared to the second quarter of 2024.
Previous wording
The 10.3% increase in PDS cost of revenue for thethree-month period ended March 29, 2025 resulted from the previously described 6.1% increase in PDS volume combined with a 4.2% increase in PDS cost of revenue rate. The 4.2% increase in cost of revenue rate primarily resulted from higher caregiver labor costs, including the pass-through of reimbursement rate increases.
Current wording
The 10.5% increase in PDS cost of revenue for thethree-month period ended June 28, 2025 resulted from the previously described 6.9% increase in PDS volume combined with a 3.6% increase in PDS cost of revenue rate. The 3.6% increase in cost of revenue rate primarily resulted from higher caregiver labor costs, including the pass-through of reimbursement rate increases net of $6.2 million lower general and professional liability reserve associated with the release of certain accrued legal settlements.
Previous wording
Gross margin was $183.6 million, or 32.8% of revenue, for the three-month period ended March 29, 2025, as compared to $145.9 million, or 29.7% of revenue, for the three-month period ended March 30, 2024. Gross margin increased $37.7 million, or 25.9%, from the comparable prior year quarter. The 3.1% increase in gross margin percentage for the three-month period ended March 29, 2025 resulted from the combined changes in our revenue rates and cost of revenue rates in each of our segments, which we refer to as the change in our spread rate, as follows:
Current wording
Gross margin was $210.8 million, or 35.8% of revenue, for the three-month period ended June 28, 2025, as compared to $158.3 million, or 31.3% of revenue, for the three-month period ended June 29, 2024. Gross margin increased $52.5 million, or 33.2%, from the comparable prior year quarter. The 4.5% increase in gross margin percentage for the three-month period ended June 28, 2025 resulted from the combined changes in our revenue rates and cost of revenue rates in each of our segments, which we refer to as the change in our spread rate, as follows:
Previous wording
a 28.4% increase in PDS spread rate from $9.75 to $12.37 driven by the 10.4% increase in PDS revenue rate, net of the 4.2% increase in PDS cost of revenue rate;
Current wording
a 35.6% increase in PDS spread rate from $10.73 to $14.29 driven by the 12.3% increase in PDS revenue rate, net of the 3.6% increase in PDS cost of revenue rate;
Previous wording
a 1.1% increase in gross margin percentage in our HHH segment.
Current wording
a 1.2% increase in gross margin percentage in our HHH segment.
Previous wording
The 4.0% increase in branch and regional administrative expenses for thethree-month period ended March 29, 2025, as compared to thethree-month period ended March 30, 2024, was primarily due to an increase in incentive compensation expense during the current three-month period due to improved forecasted performance compared to annual targets and the acceleration of certain non-cash share-based compensation awards during the quarter. The overall 1.6% decrease in branch and regional administrative expenses as a percentage of revenue for the three-month period ended March 29, 2025, as compared to the three-month period ended March 30, 2024, resulted from leveraging our branch and administrative expense structure as a result of our restructuring efforts.
Current wording
The 2.4% increase in branch and regional administrative expenses for thethree-month period ended June 28, 2025, as compared to thethree-month period ended June 29, 2024, was primarily due to an increase in incentive compensation expense during the current three-month period due to improved forecasted performance compared to annual targets and the additional branch operations associated with the Thrive acquisition. The overall 2.1% decrease in branch and regional administrative expenses as a percentage of revenue for the three-month period ended June 28, 2025, as compared to the three-month period ended June 29, 2024, resulted from leveraging our branch and administrative expense structure as a result of our restructuring efforts.
Previous wording
Field contribution was $92.2 million, or 16.5% of revenue, for the three-month period ended March 29, 2025, as compared to $57.9 million, or 11.8% of revenue, for the three-month period ended March 30, 2024. Field contribution increased $34.2 million, or 59.1%, for the three-month period ended March 29, 2025, as compared to the three-month period ended March 30, 2024. The 4.7% increase in Field contribution margin for the three-month period ended March 29, 2025 resulted from the following:
Current wording
Field contribution was $120.7 million, or 20.5% of revenue, for the three-month period ended June 28, 2025, as compared to $70.3 million, or 13.9% of revenue, for the three-month period ended June 29, 2024. Field contribution increased $50.4 million, or 71.7%, for the three-month period ended June 28, 2025, as compared to the three-month period ended June 29, 2024. The 6.6% increase in Field contribution margin for the three-month period ended June 28, 2025 resulted from the following:
Previous wording
Depreciation and amortization was $2.6 million for the three-month period ended March 29, 2025, as compared to $2.9 million for the three-month period ended March 30, 2024, a decrease of $0.3 million, or 10.9%. The $0.3 million decrease primarily resulted from improved capital asset management.
Current wording
Depreciation and amortization was $2.6 million for the three-month period ended June 28, 2025, as compared to $2.8 million for the three-month period ended June 29, 2024, a decrease of $0.2 million, or 7.6%. The $0.2 million decrease primarily resulted from improved capital asset management.
Previous wording
Interest expense, net of interest income was $36.2 million for the three-month period ended March 29, 2025, as compared to $39.5 million for the three-month period ended March 30, 2024, a decrease of $3.3 million, or 8.5%. The decrease was primarily driven by a lower principal balance on the 2021 Extended Term Loan (as described in Note 4 to our Quarterly Financial Statements)and decreases in the U.S. federal funds rate. See further analysis under Liquidity and Capital Resources below.
Current wording
Interest expense, net of interest income was $35.9 million for the three-month period ended June 28, 2025, as compared to $39.5 million for the three-month period ended June 29, 2024, a decrease of $3.6 million, or 9.2%. The decrease was primarily driven by a lower principal balance on the 2021 Extended Term Loan (as described in Note 5 to our Quarterly Financial Statements)and decreases in the U.S. federal funds rate. See further analysis under Liquidity and Capital Resources below.
Previous wording
Other expense was $5.5 million forthe three-month period ended March 29, 2025, as compared to other income of $18.2 million forthe three-month period ended March 30, 2024, a decrease to other income of $23.6 million. We realized a $19.9 million increase in non-cash valuation losses associated with interest rate derivatives resulting from changes in market expectations of future interest rates as of the comparable quarter-end valuation date, as well as a $3.6 million decrease in net settlements with interest rate derivative counterparties as interest rates decreased compared to the prior year fiscal quarter due to lower market interest rates. Details of other (expense) income included the following:
Current wording
Other expense was $0.0 million forthe three-month period ended June 28, 2025, as compared to other income of $6.4 million forthe three-month period ended June 29, 2024, a decrease to other income of $6.4 million. We realized a $2.8 million increase in non-cash valuation losses associated with interest rate derivatives resulting from changes in market expectations of future interest rates as of the comparable quarter-end valuation date, as well as a $3.5 million decrease in net settlements with interest rate derivative counterparties as interest rates decreased compared to the prior year fiscal quarter due to lower market interest rates. Details of other (expense) income included the following:
Previous wording
We record income tax expense during interim periods based on our estimate of the annual effective income tax rate, adjusted each quarter for discrete items. We analyze various factors to determine the estimated annual effective income tax rate, including projections of our annual earnings, the impact of state and local income taxes, our ability to use tax credits and net operating loss carryforwards, and available tax planning alternatives. We incurred income tax expense of $5.0 million for thethree-month period ended March 29, 2025, as compared to income tax expense of $12.7 million for thethree-month period ended March 30, 2024. This decrease in tax expense was primarily driven by differences in our projections of annual earnings at the end of each comparable three-month period, as well as changes in federal and state valuation allowances, and changes to federal and state current tax expense due to certain non-deductible expenses, most notably interest expense.
Current wording
We record income tax expense during interim periods based on our estimate of the annual effective income tax rate, adjusted each quarter for discrete items. We analyze various factors to determine the estimated annual effective income tax rate, including projections of our annual earnings, the impact of state and local income taxes, our ability to use tax credits and net operating loss carryforwards, and available tax planning alternatives. We incurred income tax expense of $17.1 million for thethree-month period ended June 28, 2025, as compared to income tax benefit of $9.9 million for thethree-month period ended June 29, 2024. This increase in tax expense was primarily driven by differences in our projections of annual earnings at the end of each comparable three-month period, as well as changes in federal and state valuation allowances, and changes to federal and state current tax expense due to certain non-deductible expenses, most notably interest expense.
Previous wording
Our PDS segment revenue growth of $65.0 million, or 16.5%, for thethree-month period ended March 29, 2025 was attributable to a 6.1% increase in volume and a 10.4% increase in revenue rate. The 6.1% increase in volume was primarily attributable to growth in demand for non-clinical services.
Current wording
Our PDS segment revenue growth of $143.2 million, or 17.8%, for the six-month period ended June 28, 2025 was attributable to a 6.5% increase in volume and a 11.3% increase in revenue rate. The 6.5% increase in volume was primarily attributable to growth in demand for non-clinical services.
Previous wording
The 0.3% increase in MS cost of revenue for thethree-month period ended March 29, 2025 was driven by the 3.6% increase in cost of revenue rate, offset by the previously described 3.3% decline in MS volumes.
Current wording
The 1.6% decrease in MS cost of revenue for the six-month period ended June 28, 2025 was driven by the previously described 3.2% decline in MS volumes offset by a 1.6% increase in cost of revenue rate.
Previous wording
a 11.6% increase in MS spread rate from $182.01 to $203.74 driven by the 6.9% increase in MS revenue rate, net of the 3.6% increase in MS cost of revenue rate; and
Current wording
a 12.4% increase in MS spread rate from $186.78 to $210.75 driven by the 6.1% increase in MS revenue rate, net of the 1.6% increase in MS cost of revenue rate; and
Previous wording
Corporate expenses were $37.5 million, or 6.7% of revenue, forthe three-month period ended March 29, 2025, as compared to $29.8 million, or 6.1% of revenue, forthe three-month period ended March 30, 2024. The $7.7 million, or 25.7%, increase in corporate expenses resulted primarily from higher compensation and benefits costs and non-cash share-based compensation.
Current wording
Corporate expenses were $72.0 million, or 6.3% of revenue, forthesix-month period ended June 28, 2025, as compared to $60.1 million, or 6.0% of revenue, forthesix-month period ended June 29, 2024. The $11.9 million, or 19.9%, increase in corporate expenses resulted primarily from higher compensation and benefits and higher non-cash share-based compensation costs, primarily due to the acceleration of the SMRP in the first quarter of 2025.
Previous wording
Other operating expense was $0.2 million for thethree-month period ended March 29, 2025, as compared to other operating expense of $2.3 million for thethree-month period ended March 30, 2024, a decrease in other operating expense of $2.2 million. The $2.2 million decrease primarily resulted from a certain facility lease asset impairment recorded in the first fiscal quarter of 2024.
Current wording
Other operating expense was $0.3 million for the six-month period ended June 28, 2025, as compared to other operating expense of $2.4 million for the six-month period ended June 29, 2024, a decrease in other operating expense of $2.1 million. The $2.1 million decrease primarily resulted from impairment of a certain facility lease asset recorded in the prior year six-month period.
Previous wording
a $3.3 million decrease in interest expense, net; and
Current wording
Interest Expense, net of Interest Income
Previous wording
EBITDA and Adjusted EBITDA are non-GAAP financial measures and are not intended to replace financial performance measures determined in accordance with U.S. GAAP, such as net income or loss. Rather, we present EBITDA and Adjusted EBITDA as supplemental measures of our performance. We define EBITDA as net income or loss before interest expense, net; income tax expense; and depreciation and amortization. We define Adjusted EBITDA as EBITDA, adjusted for the impact of certain other items that are either non-recurring, infrequent, non-cash, unusual, or items deemed by management to not be indicative of the performance of our core operations, including impairments of goodwill, intangible assets, and other long-lived assets; non-cash, share-based compensation, and associated employer payroll taxes; loss on extinguishment of debt; fees related to debt modifications; the effect of interest rate derivatives; acquisition-related and integration costs; legal costs and settlements associated with acquisition matters; restructuring costs; other legal matters; other system transition costs, professional fees; and other costs including gains and losses on acquisitions and dispositions of certain businesses. As non-GAAP financial measures, our computations of EBITDA and Adjusted EBITDA may vary from similarly termed non-GAAP financial measures used by other companies, making comparisons with other companies on the basis of this measure impracticable.
Current wording
EBITDA and Adjusted EBITDA are non-GAAP financial measures and are not intended to replace financial performance measures determined in accordance with U.S. GAAP, such as net income or loss. Rather, we present EBITDA and Adjusted EBITDA as supplemental measures of our performance. We define EBITDA as net income or loss before interest expense, net; income tax expense or benefit; and depreciation and amortization. We define Adjusted EBITDA as EBITDA, adjusted for the impact of certain other items that are either non-recurring, infrequent, non-cash, unusual, or items deemed by management to not be indicative of the performance of our core operations, including impairments of goodwill, intangible assets, and other long-lived assets; non-cash, share-based compensation, and associated employer payroll taxes; loss on extinguishment of debt; fees related to debt modifications; the effect of interest rate derivatives; acquisition-related and integration costs; legal costs and settlements associated with acquisition matters; restructuring costs; other legal matters; other system transition costs, professional fees; and other costs including gains and losses on acquisitions and dispositions of certain businesses. As non-GAAP financial measures, our computations of EBITDA and Adjusted EBITDA may vary from similarly termed non-GAAP financial measures used by other companies, making comparisons with other companies on the basis of this measure impracticable.
Previous wording
The following table reconciles net income (loss) to EBITDA and Adjusted EBITDA for the periods indicated:
Current wording
The following table reconciles net income to EBITDA and Adjusted EBITDA for the periods indicated:
Previous wording
Represents (i) costs associated with our Integration Management Office, which focuses on our integration efforts and transformational projects such as systems conversions and implementations, material cost reduction and restructuring projects, among other things, of $0.2 million for the three-month period ended March 29, 2025, and $0.3 million for the three-month period ended March 30, 2024; and (ii) transitionary costs incurred to integrate acquired companies into our field and corporate operations of $0.0 million for the three-month period ended March 29, 2025 and $0.0 million for the three-month period ended March 30, 2024. Transitionary costs incurred to integrate acquired companies include IT consulting costs and related integration support costs; salary, severance and retention costs associated with duplicative acquired company personnel until such personnel are exited from the Company; accounting, legal and consulting costs; expenses and impairments related to the closure and consolidation of overlapping markets of acquired companies, including lease termination and relocation costs; costs associated with terminating legacy acquired company contracts and systems; and one-time costs associated with rebranding our acquired companies and locations to the Aveanna brand.
Current wording
Represents (i) costs associated with our Integration Management Office, which focuses on our integration efforts and transformational projects such as systems conversions and implementations, material cost reduction and restructuring projects, among other things, of $0.5 million and $0.7 million for the three and six-month periods ended June 28, 2025, respectively, and $0.3 million and $0.6 million for the three and six-month periods ended June 29, 2024, respectively; and (ii) transitionary costs incurred to integrate acquired companies into our field and corporate operations of $1.8 million for both the three and six-month periods ended June 28, 2025, and $0.1 million for both the three and six-month periods ended June 29, 2024, respectively. Transitionary costs incurred to integrate acquired companies include IT consulting costs and related integration support costs; salary, severance and retention costs associated with duplicative acquired company personnel until such personnel are exited from the Company; accounting, legal and consulting costs; expenses and impairments related to the closure and consolidation of overlapping markets of acquired companies, including lease termination and relocation costs; costs associated with terminating legacy acquired company contracts and systems; and one-time costs associated with rebranding our acquired companies and locations to the Aveanna brand.
Previous wording
Represents legal and forensic costs, as well as settlements associated with resolving legal matters arising during or as a result of our acquisition-related activities. This primarily includes costs of $0.9 million for the three-month period ended March 29, 2025 and $0.4 million for the three-month period ended March 30, 2024, to comply with the U.S. Department of Justice, Antitrust Division’s grand jury subpoena related to nurse wages and hiring activities in certain of our markets, in connection with a terminated transaction.
Current wording
Represents legal and forensic costs, as well as settlements associated with resolving legal matters arising during or as a result of our acquisition-related activities. This primarily includes (i) costs of $0.4 million and $1.3 million for the three and six-month periods ended June 28, 2025, respectively, and $0.2 million and $0.6 million for the three and six-month periods ended June 29, 2024, respectively, to comply with the U.S. Department of Justice, Antitrust Division’s grand jury subpoena related to nurse wages and hiring activities in certain of our markets, in connection with a terminated transaction.
Previous wording
Represents activity related to accrued legal settlements and the related costs and expenses associated with certain judgments and arbitration awards rendered against the Company where certain insurance coverage is in dispute.
Current wording
Represents activity related to accrued legal settlements and the related costs and expenses associated with certain judgments and arbitration awards rendered against the Company where certain insurance coverage is in dispute. The Company released a legal reserve related to a certain accrued legal settlement during the three and six-month periods ended June 28, 2025.
Previous wording
Represents other costs or (income) that are either non-cash or non-core to the Company’s ongoing operations of $(0.2) million for the three-month period ended March 29, 2025, and $(0.8) million for the three-month period ended March 30, 2024.
Current wording
Represents: (i) other costs or (income) that are either non-cash or non-core to the Company’s ongoing operations of $0.1 million and $(0.1) million for the three and six-month periods ended June 28, 2025, respectively, and $0.1 million and $(0.7) million for the three and six-month periods ended June 29, 2024, respectively.
Previous wording
Field contribution and Field contribution margin have limitations as analytical tools and should not be considered in isolation or as substitutes or alternatives to gross margin, gross margin percentage, net income or loss, revenue, operating income or loss, cash flows from operating activities, total indebtedness or any other financial measures calculated in accordance with U.S. GAAP.
Current wording
Field contribution and Field contribution margin have limitations as analytical tools and should not be considered in isolation or as substitutes or alternatives to gross margin, gross margin percentage, net income or loss, revenue, operating income or loss, cash flows from operating activities, total indebtedness, gross margin, or gross margin percentage or any other financial measures calculated in accordance with U.S. GAAP.
Previous wording
In September 2023, in response to a $7.9 million arbitration award rendered against us in connection with a civil litigation matter, we promptly obtained a $9.1 million appellate bond with the trial court. The $9.1 million appellate bond was collateralized with letters of credit. While we intend to avail ourselves of all appellate options, the resolution of this matter could reduce the cash available to us for general working capital purposes.
Current wording
In September 2023, in response to a $7.9 million arbitration award rendered against us in connection with a civil litigation matter, we promptly obtained a $9.1 million appellate bond with the trial court. The $9.1 million appellate bond was collateralized with letters of credit. During the second fiscal quarter, a settlement agreement between all parties was reached. On June 9, 2025, the court entered an agreed final judgment in the matter and ordered release of the bond. The letters of credit securing the bond were released on June 16, 2025.
Previous wording
At March 29, 2025 we had $71.5 million in cash on hand, $56.2 million available to us under our Securitization Facility and approximately $138.0 million of borrowing capacity under the Revolving Credit Facility. Available borrowing capacity under the Revolving Credit Facility is subject to a maintenance leverage covenant that becomes effective if more than 30% of the total commitment is utilized, subject to a $15.0 million carve-out for letters of credit. We believe that our operating cash flows, available cash on hand, and availability under our Securitization Facility and Revolving Credit Facility will be sufficient to meet our cash requirements for at least the next twelve months. Our future capital requirements will depend on many factors that are difficult to predict, including the size, timing and structure of any future acquisitions, future capital investments and future results of operations. We cannot assure you that cash provided by operating activities or cash and cash equivalents on hand will be sufficient to meet our future needs. If we are unable to generate sufficient cash flows from operations in the future, we may have to obtain additional financing. If we obtain additional capital by issuing equity, the interests of our existing stockholders will be diluted. If we incur additional indebtedness, that indebtedness may contain significant financial and other covenants that may significantly restrict our operations. We cannot assure you that we could obtain refinancing or additional financing on favorable terms or at all.
Current wording
At June 28, 2025 we had $100.7 million in cash on hand, $106.3 million available to us under our Securitization Facility and approximately $147.0 million of borrowing capacity under the Revolving Credit Facility. Available borrowing capacity under the Revolving Credit Facility is subject to a maintenance leverage covenant that becomes effective if more than 30% of the total commitment is utilized, subject to a $15.0 million carve-out for letters of credit. We believe that our operating cash flows, available cash on hand, and availability under our Securitization Facility and Revolving Credit Facility will be sufficient to meet our cash requirements for at least the next twelve months. Our future capital requirements will depend on many factors that are difficult to predict, including the size, timing and structure of any future acquisitions, future capital investments and future results of operations. We cannot assure you that cash provided by operating activities or cash and cash equivalents on hand will be sufficient to meet our future needs. If we are unable to generate sufficient cash flows from operations in the future, we may have to obtain additional financing. If we obtain additional capital by issuing equity, the interests of our existing stockholders will be diluted. If we incur additional indebtedness, that indebtedness may contain significant financial and other covenants that may significantly restrict our operations. We cannot assure you that we could obtain refinancing or additional financing on favorable terms or at all.
Previous wording
The following table sets forth a summary of our cash flows from operating, investing, and financing activities for the three-month periods presented:
Current wording
The following table sets forth a summary of our cash flows from operating, investing, and financing activities for the six-month periods presented:
Previous wording
The primary sources or uses of our operating cash flow are operating income or operating losses, as well as any other significant non-cash items such as depreciation, amortization and share-based compensation, and cash paid for interest. The timing of collections of accounts receivable and the payment of accounts payable, other accrued liabilities and accrued payroll can also impact and cause fluctuations in our operating cash flow. Cash used in operating activities decreased by $3.3 million for the three-month period ended March 29, 2025 compared to the three-month period ended March 30, 2024, primarily due to:
Current wording
The primary sources or uses of our operating cash flow are operating income or operating losses, as well as any other significant non-cash items such as depreciation, amortization and share-based compensation, and cash paid for interest. The timing of collections of accounts receivable and the payment of accounts payable, other accrued liabilities and accrued payroll can also impact and cause fluctuations in our operating cash flow. Cash provided by operating activities increased by $53.1 million for the six-month period ended June 28, 2025 compared to the six-month period ended June 29, 2024, primarily due to:
Previous wording
the provision of cash associated with operating assets and liabilities over the comparable period, including the timing of collections of accounts receivable, as well as payroll and incentive settlements.
Current wording
the provision of cash associated with operating assets and liabilities during the first six months of 2025, including the timing of collections of accounts receivable, as well as payroll and incentive settlements.
Previous wording
Net cash used in investing activities was $2.3 million for the three-month period ended March 29, 2025, as compared to $1.3 million for the three-month period ended March 30, 2024. The primary driver of the $1.0 million decrease in cash used in the current period was the prior year purchase of certificates of need of $2.7 million.
Current wording
Net cash used in investing activities was $18.3 million for the six-month period ended June 28, 2025, as compared to $2.6 million for the six-month period ended June 29, 2024. The primary driver of the $15.8 million increase in cash used in the current period was the purchase of Thrive.
Previous wording
Net cash used in financing activities increased by $13.8 million, from $11.9 million net cash provided by financing activities for the three-month period ended March 30, 2024 to $1.8 million used for the three-month period ended March 29, 2025. The $13.8 million increase was primarily attributable to borrowings under the Securitization Facility during the prior year period. There were no borrowings under our Securitization Facility during the three-month period ended March 29, 2025.
Current wording
Net cash (used in) provided by financing activities increased by $24.6 million, from $16.5 million net cash provided by financing activities for the six-month period ended June 29, 2024 to $8.2 million net cash used in financing activities for the six-month period ended June 28, 2025. The $24.6 million increase in net cash used was primarily attributable to payments for shares withheld to cover employee taxes on vesting of restricted stock during the current year period and borrowings under the Securitization Facility during the prior year period. There were no borrowings made under our Securitization Facility during the six-month period ended June 28, 2025.
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Rearranged current paragraphs (21)
Current report — wording carried from elsewhere
The following table summarizes the revenues generated by each of our segments for the six-month periods ended June 28, 2025 and June 29, 2024, respectively:
Current report — wording carried from elsewhere
a $3.6 million decrease in interest expense, net; offset by
Current report — wording carried from elsewhere
The following table summarizes our consolidated results of operations, including Field contribution, which is a non-GAAP measure (see “Non-GAAP Financial Measures” below), for the six-month periods indicated:
Current report — wording carried from elsewhere
The following table summarizes our consolidated key performance measures, including Field contribution and Field contribution margin, which are non-GAAP measures (see “Non-GAAP Financial Measures” below), for the six-month periods indicated:
Current report — wording carried from elsewhere
The following tables summarize our key performance measures by segment for the six-month periods indicated:
Current report — wording carried from elsewhere
Represents the period over period change in revenue rate, plus the change in revenue rate attributable to the change in volume.
Current report — wording carried from elsewhere
Represents the period over period change in cost of patient services rate, plus the change in cost of patient services rate attributable to the change in volume.
Current report — wording carried from elsewhere
Represents the period over period change in spread rate, plus the change in spread rate attributable to the change in volume.
Current report — wording carried from elsewhere
Represents home health episodic and other admissions.
Current report — wording carried from elsewhere
Represents the ratio of home health episodic admissions to home health total admissions.
Current report — wording carried from elsewhere
Represents Medicare revenue per completed episode.
Current report — wording carried from elsewhere
The following discussion of our results of operations should be read in conjunction with the foregoing tables summarizing our consolidated results of operations and key performance measures, as well as our audited consolidated financial statements contained in our Annual Report on Form 10-K for the fiscal year ended December 28, 2024.
Current report — wording carried from elsewhere
Cost of Revenue, Excluding Depreciation and Amortization
Current report — wording carried from elsewhere
The 10.4% increase in PDS cost of revenue for the six-month period ended June 28, 2025 resulted from the previously described 6.5% increase in PDS volume combined with a 3.9% increase in PDS cost of revenue rate. The 3.9% increase in cost of revenue rate primarily resulted from higher caregiver labor costs, including the pass-through of reimbursement rate increases net of $6.2 million lower general and professional liability expense associated with certain accrued legal settlements.
Current report — wording carried from elsewhere
Gross Margin and Gross Margin Percentage
Current report — wording carried from elsewhere
Gross margin was $394.4 million, or 34.3% of revenue, for the six-month period ended June 28, 2025, as compared to $304.1 million, or 30.5% of revenue, for the six-month period ended June 29, 2024. Gross margin increased $90.2 million, or 29.7%, from the comparable prior year quarter. The 3.8% increase in gross margin percentage for the six-month period ended June 28, 2025 resulted from the combined changes in our revenue rates and cost of revenue rates in each of our segments, which we refer to as the change in our spread rate, as follows:
Current report — wording carried from elsewhere
The 3.2% increase in branch and regional administrative expenses for the six-month period ended June 28, 2025, as compared to the six-month period ended June 29, 2024, was primarily due to an increase in incentive compensation expense during the six-month period due to improved forecasted performance compared to annual targets and acceleration of certain non-cash share-based compensation awards during the first six months of 2025. The overall 1.9% decrease in branch and regional administrative expenses as a percentage of revenue for the six-month period ended June 28, 2025, as compared to the six-month period ended June 29, 2024 resulted from leveraging our branch and regional administrative expense structure as a result of our restructuring efforts.
Current report — wording carried from elsewhere
Field contribution and Field contribution margin are non-GAAP financial measures. See “Non-GAAP Financial Measures” below.
Current report — wording carried from elsewhere
Corporate expenses as a percentage of revenue for the six-month periods ended June 28, 2025 and June 29, 2024 were as follows:
Current report — wording carried from elsewhere
Other expense was $5.5 million forthesix-month period ended June 28, 2025, as compared to other income of $24.5 million forthesix-month period ended June 29, 2024. We realized a $22.7 million decrease in non-cash valuation gains on interest rate derivatives resulting from changes in market expectations of future interest rates as of the comparable valuation dates, and a $7.2 million decline in net settlements with interest rate derivative counterparties as interest rates decreased compared to the prior year period due to lower market interest rates. Details of other expense (income) included the following:
Current report — wording carried from elsewhere
We record income tax expense during interim periods based on our estimate of the annual effective income tax rate, adjusted each quarter for discrete items. We analyze various factors to determine the estimated annual effective income tax rate, including projections of our annual earnings, the impact of state and local income taxes, our ability to use tax credits and net operating loss carryforwards, and available tax planning alternatives. We incurred income tax expense of $22.1 million for the six-month period ended June 28, 2025, as compared to income tax expense of $2.7 million for the six-month period ended June 29, 2024. This increase in tax expense was primarily driven by differences in our projections of annual earnings at the end of each comparable six-month period, as well as the changes to federal and state current tax expense and the changes in federal and state valuation allowances due to certain non-deductible expenses, most notably interest expense.
Rearranged previous paragraphs (2)
Previous report — wording carried elsewhere
Field Contribution and Field Contribution Margin
Previous report — wording carried elsewhere
Field Contribution and Field Contribution Margin