Aveanna Healthcare Holdings announced it has entered into an agreement to acquire Family First Homecare for approximately $175.5 million, expanding the company’s specialized pediatric home healthcare footprint across multiple U.S. states.
The Atlanta-based home care platform said the acquisition will strengthen its ability to provide care to medically complex, high-cost patient populations while expanding its geographic presence in specialized pediatric services. Family First Homecare operates 27 locations across seven states including Florida, Illinois, Iowa, Pennsylvania, South Dakota, Texas, and North Carolina.
Founded in 2012, Family First Homecare focuses primarily on skilled Private Duty Nursing services for medically fragile children. The company received a strategic minority investment from Trivest Partners in 2021.
Aveanna said the transaction will broaden its specialized care model and enhance its reach in pediatric home healthcare markets, supporting its strategy to deliver home-based care as an alternative to prolonged hospitalization.
The company plans to fund the acquisition through a combination of cash on hand and borrowings from its existing short-term credit facility. The deal is expected to close in the second fiscal quarter of 2026, subject to customary closing conditions.
Edge Healthcare Partners served as financial advisor to Aveanna, while Bass, Berry & Sims provided legal counsel. Financial advisors to Family First Homecare included Baird and J.P. Morgan Securities, with legal counsel provided by Greenberg Traurig.
KEY QUOTES:
“I am excited to welcome the entire Family First Homecare team to Aveanna. Like Aveanna, the Family First Homecare team is committed to delivering high-quality and patient-centered clinical care that produces exceptional outcomes for patients and families. Family First Homecare is a tremendous cultural fit for us and reinforces our strategic mission to deliver high quality care while bringing unprecedented value and clinical innovation to our payors and stakeholders.”
Jeff Shaner, Chief Executive Officer of Aveanna Healthcare
“The announcement today marks a milestone in Family First Homecare’s commitment to providing exceptional skilled in-home care to medically fragile children. The integration with Aveanna represents an exciting opportunity for our patients who depend on the critical care we deliver each day. We believe Aveanna is an ideal partner for Family First Homecare given our shared vision for delivering the exceptional care to patients and innovative and cost-effective solutions to its payors. We are confident that this transaction will deliver compelling benefits for patients and families going forward.”
Carson Barnes, Chief Executive Officer of Family First Homecare
