Aveanna Healthcare to Acquire Family First Homecare

ATLANTA—Aveanna Healthcare Holdings Inc., a homecare platform focused on providing care to medically complex, high-cost patient populations, announced that it has entered into an agreement to acquire Family First Holding, LLC.

Family First Homecare is a multi-state provider of pediatric homecare that primarily provides skilled private duty nursing services with 27 locations in seven states including Florida, Illinois, Iowa, Pennsylvania, South Dakota, Texas and North Carolina, where it is currently launching operations.

“I am excited to welcome the entire Family First Homecare team to Aveanna,” said Jeff Shaner, CEO of 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.”

Aveanna said it intends to fund the Family First Homecare acquisition with a combination of cash on hand and existing short-term credit facility borrowing. The transaction is expected to close in the second fiscal quarter of 2026, subject to customary closing conditions.

“The announcement today marks a milestone in Family First Homecare’s commitment to providing exceptional skilled in-home care to medically fragile children,” said Carson Barnes, CEO of Family First Homecare. “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 payers. We are confident that this transaction will deliver compelling benefits for patients and families going forward.”