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Aveanna Healthcare acquires Family First for $175.5 million

Aveanna Healthcare Holdings said it completed its acquisition of Family First Holding for $175.5 million in cash, adding a pediatric home care operator with 27 locations across seven states: Florida, Illinois, Iowa, North Carolina, Pennsylvania, South Dakota and Texas.

The deal immediately lifted Aveanna’s full-year 2026 outlook. Revenue guidance moved up to $2.63 billion to $2.65 billion from $2.56 billion to $2.58 billion, an increase of $70 million at the midpoint. Adjusted EBITDA guidance rose to $338 million to $342 million from $328 million to $332 million, a $10 million increase at the midpoint.

Family First Homecare’s contribution is being reflected entirely in the updated guidance, according to the company. Aveanna said the acquisition was funded with cash on hand. The market has reacted to these announcements by moving the company's shares -1.72% to a price of $6.555. If you want to know more, read the company's complete 8-K report here.

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