Aveanna Healthcare Surges with 17% Revenue Growth in Q2 2025, Raises Full-Year Outlook – Navigating Growth & Advocacy in Home Healthcare
August 7, 2025 – Aveanna Healthcare (Nasdaq: AVAH) delivered a robust second quarter performance, showcasing notable revenue growth and a strengthened position in the evolving home healthcare landscape. The company’s earnings call on thursday revealed a 17% revenue increase, fueled by strong performance in both private-duty services (PDS) and home health, alongside a confident outlook for the remainder of 2025. This success is underpinned by strategic acquisitions and a commitment to operational excellence, even as the industry faces potential headwinds from proposed Medicare cuts.
Key Takeaways from Q2 2025:
revenue Growth: Total revenue reached $589.6 million, a ample jump from $505 million in the same quarter last year.
PDS & Home Health Lead the Way: Private-duty services revenue climbed $78.2 million, while home health saw a $5.5 million increase, demonstrating the core strength of Aveanna’s service offerings.
EBITDA Soars: Adjusted EBITDA reached $88.4 million,representing a remarkable 94% year-over-year increase.
Strategic Acquisition of Thrive Skilled Pediatric Care: The April acquisition of Thrive, a provider with 23 locations across seven states, expands Aveanna’s pediatric reach and capabilities.
Raised Guidance: Based on strong performance, Aveanna has increased its full-year 2025 revenue guidance to over $2.3 billion and adjusted EBITDA to over $270 million (previously $2.15 billion and over $207 million, respectively).
Advocacy Against Proposed Medicare Cuts: Aveanna is actively opposing proposed 6.4% cuts to Medicare home health reimbursement rates, joining forces with industry groups like the National Alliance for Care at Home.
A Strategic Transformation Yielding results
“Our second quarter results reflect the continued positive momentum in all three operating divisions as we navigate the third year of our strategic transformation,” stated Jeff Shaner, CEO of Aveanna Healthcare, during the earnings call. This transformation appears to be paying off,with the Thrive acquisition being a key component.
Thrive Skilled Pediatric Care, operating across Arizona, Georgia, kansas, New Mexico, North Carolina, Virginia, and Texas, specializes in skilled private-duty nursing, pediatric therapy, and related services. The acquisition not only expands Aveanna’s footprint in existing markets but also introduces the company to Kansas and New Mexico, bolstering its PDS offerings. Shaner anticipates the acquisition will contribute positively to 2025 results and become a valuable asset within the Aveanna portfolio.
Understanding Aveanna’s Scope:
Aveanna Healthcare is a leading provider of pediatric and adult healthcare services,operating 327 locations across 34 states. Its comprehensive service range includes:
Nursing: Skilled nursing care in various settings.
Rehabilitation & Therapy: Physical, occupational, and speech therapy. School-Based Services: Occupational nursing and therapy within school environments.
Day Treatment Centers: Specialized care for medically fragile children and adults.
* Home Health & Hospice: Comprehensive care delivered in the comfort of the patient’s home.
Financial Performance: A Deep Dive
The impressive financial results demonstrate Aveanna’s ability to capitalize on growing demand for in-home care. Matt Buckhalter, Chief Financial Officer, highlighted the company’s focus on “operational excellence, disciplined execution and delivering strong clinical outcomes” as key drivers of the 16.8% revenue growth and 93.6% adjusted EBITDA increase.
The raised full-year guidance underscores the company’s confidence in its continued trajectory. This positive outlook is notably noteworthy given the challenges facing the broader home healthcare industry.
Navigating the Proposed Medicare Cuts: A Critical industry Issue
While Aveanna is experiencing significant growth, the company, along with many others in the home healthcare sector, is actively fighting proposed changes to Medicare reimbursement rates for 2026. The proposed rule, which would cut reimbursement by 6.4%, is a major concern.
Shaner expressed his disappointment with the proposed cuts, emphasizing that they would directly impact access to care for seniors, particularly in rural communities. ”Ensuring adequate access to care for seniors is paramount, especially in America’s rural communities, where there is a dire need for
