Aveanna Healthcare(NASDAQ:AVAH) 
Aveanna Healthcare Holdings Inc., a diversified home care platform company, provides private duty nursing (PDN), adult home health and hospice, home-based pediatric therapy, and enteral nutrition services in the United States. Its patient- centered care delivery platform allows patients to remain in...
Website: https://www.aveanna.com/
Founded: 2017
Full Time Employees: 42,000
Sector: Healthcare
Industry: Medical Care Facilities
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At a glance:
Bull Thesis:
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Moat:
Income Statements:
Quarterly
Annual
| Unit: USD | 2026-04-04 | 2026-01-03 | 2025-09-27 | 2025-06-28 | 2025-03-29 | 2024-12-28 | 2024-09-28 | 2024-06-29 | 2024-03-30 | 2023-12-30 | 2023-09-30 | 2023-07-01 | 2023-04-01 | 2022-12-31 | 2022-10-01 | 2022-07-02 | 2022-04-02 | 2022-01-01 | 2021-10-02 | 2021-07-03 | 2021-04-03 |
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revenue | 647,915,000 | 621,942,000 | 589,553,000 | 559,224,000 | 509,023,000 | 504,958,000 | 490,653,000 | 478,010,000 | 471,945,000 | 466,413,000 | 443,009,000 | 442,955,000 | 450,534,000 | 411,276,000 | 436,112,000 | 417,160,000 | |||||
yoy | 15.86% | 22.18% | 16.75% | 13.98% | 6.49% | 7.00% | 5.20% | 7.90% | 6.54% | 3.52% | 7.72% | 1.57% | 8.00% | ||||||||
qoq | 5.49% | 5.42% | 0.81% | 2.92% | 1.29% | 1.19% | 0.01% | -1.68% | -5.69% | 4.54% | |||||||||||
cost of revenue, excluding depreciation and amortization | 442,487,000 | 419,118,000 | 378,753,000 | 375,666,000 | 349,324,000 | 346,691,000 | 344,799,000 | 330,746,000 | 316,690,000 | 321,948,000 | 308,426,000 | 297,912,000 | 305,708,000 | 271,534,000 | 289,523,000 | 285,477,000 | |||||
branch and regional administrative expenses | 95,792,000 | 95,399,000 | 90,069,000 | 91,387,000 | 88,184,000 | 87,972,000 | 87,914,000 | 91,004,000 | 91,255,000 | 91,708,000 | 89,542,000 | 88,998,000 | 88,743,000 | 76,370,000 | 77,720,000 | 69,372,000 | |||||
corporate expenses | 34,156,000 | 52,000,000 | 34,529,000 | 37,505,000 | 31,894,000 | 30,245,000 | 29,842,000 | 27,446,000 | 26,354,000 | 30,935,000 | 33,215,000 | 36,202,000 | 36,567,000 | 37,873,000 | 32,401,000 | 27,399,000 | |||||
depreciation and amortization | 3,044,000 | 2,599,000 | 2,617,000 | 2,594,000 | 2,587,000 | 2,833,000 | 2,912,000 | 2,962,000 | 3,491,000 | 4,041,000 | 4,917,000 | 6,038,000 | 5,819,000 | 5,145,000 | 5,170,000 | 4,848,000 | |||||
acquisition-related costs | 3,110,000 | -1,175,000 | 3,400,000 | 106,000 | 150,000 | 428,000 | -32,000 | 70,000 | -22,000 | 91,000 | 2,007,000 | 1,004,000 | 1,768,000 | ||||||||
other operating expense | 418,000 | 151,000 | 165,000 | 2,860,000 | 91,000 | 2,320,000 | -3,360,000 | -3,305,000 | 72,000 | 2,122,000 | 1,000 | ||||||||||
operating income | 69,326,000 | 53,583,000 | 80,034,000 | 51,801,000 | 34,024,000 | 37,126,000 | 22,866,000 | -76,352,000 | 37,492,000 | 17,639,000 | 4,787,000 | -456,381,000 | 13,776,000 | 18,347,000 | 30,294,000 | 28,296,000 | |||||
yoy | 33.83% | 57.49% | 115.57% | 126.54% | -144.56% | -0.98% | 29.63% | -1694.99% | -108.22% | 28.04% | -73.91% | -1606.51% | -51.31% | ||||||||
qoq | -33.05% | 54.50% | -8.36% | 62.36% | -303.65% | 112.55% | -101.05% | -3412.87% | -39.44% | 7.06% | |||||||||||
operating margin % | 10.70% | NaN% | 8.62% | 13.58% | 9.26% | NaN% | 6.68% | 7.35% | 4.66% | NaN% | -15.97% | 7.94% | 3.78% | NaN% | 1.08% | -103.03% | 3.06% | NaN% | 4.46% | 6.95% | 6.78% |
interest income | 1,658,000 | 826,000 | 129,000 | 132,000 | 100,000 | 95,000 | 102,000 | 50,000 | 113,000 | 75,000 | 164,000 | 143,000 | 62,000 | 44,000 | 61,000 | 77,000 | |||||
interest expense | -29,158,000 | -35,127,000 | -36,003,000 | -36,335,000 | -39,245,000 | -39,613,000 | -39,647,000 | -39,599,000 | -37,985,000 | -35,958,000 | -28,462,000 | -22,919,000 | -22,364,000 | -12,106,000 | -19,262,000 | -22,425,000 | |||||
other income | 3,149,000 | -3,000 | -22,000 | -5,450,000 | -22,211,000 | 6,371,000 | 18,169,000 | 14,143,000 | 25,169,000 | -12,188,000 | 45,140,000 | 4,926,000 | 36,457,000 | -511,000 | -736,000 | 159,000 | |||||
income before income taxes | 44,975,000 | 13,417,000 | 44,138,000 | 10,148,000 | -27,332,000 | 3,979,000 | 1,490,000 | -101,758,000 | 24,789,000 | -30,432,000 | 21,629,000 | -474,231,000 | 27,931,000 | 990,000 | 1,439,000 | 6,107,000 | |||||
income tax expense | -3,322,000 | -4,955,000 | -15,511,000 | -12,662,000 | -1,566,000 | -2,597,000 | -179,000 | -309,000 | |||||||||||||
net income | 41,653,000 | 14,064,000 | 27,025,000 | 5,193,000 | -42,843,000 | 13,906,000 | -11,172,000 | -102,389,000 | 25,599,000 | -31,998,000 | 24,298,000 | -473,887,000 | 25,334,000 | 2,090,000 | 1,260,000 | 5,798,000 | |||||
yoy | 702.10% | -132.83% | 94.34% | -146.48% | -58.16% | -45.68% | -65.09% | -521.39% | -105.40% | -226.30% | 1062.58% | -37710.08% | 336.94% | ||||||||
qoq | -47.96% | 420.41% | -408.09% | -224.47% | -499.97% | -180.00% | -105.13% | -1970.56% | 65.87% | -78.27% | |||||||||||
net income margin % | 6.43% | NaN% | 2.26% | 4.58% | 0.93% | NaN% | -8.42% | 2.75% | -2.28% | NaN% | -21.42% | 5.42% | -6.86% | NaN% | 5.48% | -106.98% | 5.62% | NaN% | 0.51% | 0.29% | 1.39% |
net income per share | 0.19 | 0.07 | 0.13 | 0.03 | -0.22 | 0.07 | -0.06 | -0.54 | 0.14 | -0.17 | 0.13 | -2.56 | 0.14 | 0.01 | 0.01 | 0.04 | |||||
weighted-average shares of common stock outstanding, basic | 214,595 | 203,526 | 208,948 | 200,968 | 194,671 | 192,600 | 189,139 | 189,071 | 189,054 | 186,113 | 184,953 | 184,927 | 184,554 | 171,149 | 142,122,934 | ||||||
weighted-average shares of common stock outstanding, diluted | 222,099 | 214,979 | 222,234 | 210,442 | 206,238 | 196,869 | 189,139 | 189,739 | 189,054 | 186,166 | 184,953 | 185,427 | 188,246 | 177,683 | 146,266,014 | ||||||
loss on debt extinguishment | -5,862,000 | -4,784,000 | -8,918,000 | ||||||||||||||||||
income tax benefit | 647,000 | -17,113,000 | 9,927,000 | -631,000 | 810,000 | 2,669,000 | 344,000 | 1,100,000 | |||||||||||||
goodwill impairment | 105,136,000 | 470,207,000 | |||||||||||||||||||
weighted-average shares of common stock outstanding, basic and diluted | 192,893 | 193,361 | 192,241 | 189,956 | 185,553 | 170,625 | |||||||||||||||
other operating income | -170,000 | ||||||||||||||||||||
other operating expenses | |||||||||||||||||||||
income per share: | |||||||||||||||||||||
gain on debt extinguishment |
Balance Sheets:
Quarterly
Annual
| Unit: USD | 2026-04-04 | 2026-01-03 | 2025-09-27 | 2025-06-28 | 2025-03-29 | 2024-12-28 | 2024-09-28 | 2024-06-29 | 2024-03-30 | 2023-12-30 | 2023-09-30 | 2023-07-01 | 2023-04-01 | 2022-10-01 | 2022-07-02 | 2022-04-02 | 2022-01-01 | 2021-10-02 | 2021-07-03 | 2021-04-03 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
assets | ||||||||||||||||||||
current assets: | ||||||||||||||||||||
cash and cash equivalents | 189,274,000 | 193,260,000 | 145,866,000 | 100,738,000 | 71,494,000 | 84,288,000 | 78,462,000 | 47,661,000 | 42,607,000 | 43,942,000 | 48,294,000 | 28,012,000 | 34,433,000 | 63,681,000 | 17,463,000 | 17,439,000 | 30,490,000 | 121,708,000 | 106,549,000 | 67,105,000 |
patient accounts receivable | 332,685,000 | 313,358,000 | 312,826,000 | 316,276,000 | 294,834,000 | 265,193,000 | 265,449,000 | 272,962,000 | 257,544,000 | 236,558,000 | 235,668,000 | 237,432,000 | 241,832,000 | 219,246,000 | 246,026,000 | 240,895,000 | 218,917,000 | 189,033,000 | 202,847,000 | 195,720,000 |
receivables under insured programs | 2,915,000 | 2,758,000 | 4,659,000 | 4,361,000 | 10,507,000 | 12,465,000 | 12,828,000 | 11,991,000 | 11,024,000 | 9,250,000 | 10,724,000 | 6,588,000 | 4,802,000 | 6,789,000 | 6,605,000 | 6,900,000 | 6,373,000 | 8,264,000 | 9,107,000 | 8,388,000 |
prepaid expenses | 23,797,000 | 20,940,000 | 14,486,000 | 18,323,000 | 19,910,000 | 17,477,000 | 12,202,000 | 16,801,000 | 16,030,000 | 15,684,000 | 12,352,000 | 16,245,000 | 16,589,000 | 12,604,000 | 19,634,000 | 15,330,000 | 14,233,000 | 13,038,000 | 16,020,000 | 12,609,000 |
other current assets | 26,631,000 | 29,916,000 | 24,761,000 | 10,217,000 | 10,877,000 | 13,247,000 | 12,425,000 | 14,589,000 | 8,831,000 | 9,452,000 | 11,207,000 | 13,005,000 | 10,840,000 | 9,764,000 | 3,389,000 | 5,649,000 | 9,202,000 | 10,692,000 | 11,520,000 | 9,394,000 |
total current assets | 575,302,000 | 560,232,000 | 502,598,000 | 449,915,000 | 407,622,000 | 392,670,000 | 381,366,000 | 364,004,000 | 336,036,000 | 314,886,000 | 318,245,000 | 301,282,000 | 308,496,000 | 312,084,000 | 293,117,000 | 286,213,000 | 279,215,000 | 342,735,000 | 346,043,000 | 293,216,000 |
property and equipment | 17,859,000 | 16,653,000 | 17,396,000 | 17,884,000 | 18,914,000 | 17,373,000 | 18,038,000 | 19,233,000 | 19,424,000 | 20,548,000 | 22,000,000 | 19,840,000 | 21,451,000 | 24,919,000 | 27,490,000 | 29,491,000 | 31,374,000 | 31,599,000 | 31,807,000 | 32,168,000 |
operating lease right of use assets | 35,997,000 | 39,034,000 | 37,852,000 | 38,643,000 | 38,589,000 | 41,278,000 | 42,548,000 | 45,757,000 | 47,686,000 | 49,499,000 | 51,789,000 | 51,857,000 | 51,679,000 | 53,789,000 | 49,899,000 | 51,289,000 | 51,992,000 | 46,817,000 | 47,090,000 | 45,231,000 |
goodwill | 1,121,042,000 | 1,121,042,000 | 1,116,373,000 | 1,118,730,000 | 1,054,552,000 | 1,054,552,000 | 1,054,552,000 | 1,054,552,000 | 1,054,552,000 | 1,054,552,000 | 1,054,552,000 | 1,159,688,000 | 1,159,688,000 | 1,368,333,000 | 1,367,143,000 | 1,837,437,000 | 1,835,580,000 | 1,419,591,000 | 1,419,373,000 | 1,317,340,000 |
intangible assets | 91,929,000 | 92,559,000 | 93,866,000 | 94,448,000 | 89,221,000 | 89,566,000 | 89,746,000 | 92,859,000 | 93,364,000 | 94,010,000 | 95,188,000 | 96,774,000 | 97,531,000 | 97,779,000 | 100,355,000 | 102,196,000 | 102,851,000 | 77,612,000 | 77,537,000 | 72,266,000 |
deferred income taxes | 137,140,000 | 137,140,000 | 6,501,000 | 6,501,000 | 6,506,000 | 5,894,000 | 5,386,000 | 5,470,000 | 5,473,000 | 4,859,000 | 4,419,000 | 4,436,000 | 4,438,000 | 2,753,000 | 2,957,000 | 4,460,000 | 3,046,000 | 2,931,000 | 2,931,000 | 2,931,000 |
other long-term assets | 12,348,000 | 16,913,000 | 20,264,000 | 30,252,000 | 33,366,000 | 45,530,000 | 32,204,000 | 64,061,000 | 66,899,000 | 58,175,000 | 89,743,000 | 84,500,000 | 67,559,000 | 92,495,000 | 47,600,000 | 41,788,000 | 7,829,000 | 8,946,000 | 7,797,000 | 9,426,000 |
total assets | 2,022,048,000 | 2,012,379,000 | 1,810,457,000 | 1,770,971,000 | 1,660,740,000 | 1,663,394,000 | 1,644,166,000 | 1,664,465,000 | 1,642,952,000 | 1,612,985,000 | 1,654,703,000 | 1,741,402,000 | 1,730,895,000 | 1,973,369,000 | 1,908,982,000 | 2,376,029,000 | 2,334,371,000 | 1,955,654,000 | 1,959,814,000 | 1,797,762,000 |
liabilities, deferred restricted stock units, and stockholders’ equity | ||||||||||||||||||||
current liabilities: | ||||||||||||||||||||
accounts payable and other accrued liabilities | 34,357,000 | 31,967,000 | 27,088,000 | 46,592,000 | 30,489,000 | 36,435,000 | 41,925,000 | 39,117,000 | 43,175,000 | 30,130,000 | 36,527,000 | 38,435,000 | 42,581,000 | 48,960,000 | 53,370,000 | 57,309,000 | 52,624,000 | 46,883,000 | 42,573,000 | 41,906,000 |
accrued payroll and employee benefits | 77,361,000 | 108,085,000 | 109,490,000 | 92,105,000 | 85,920,000 | 87,672,000 | 84,983,000 | 72,624,000 | 68,953,000 | 67,160,000 | 75,588,000 | 60,183,000 | 62,152,000 | 49,996,000 | 45,224,000 | 53,019,000 | 54,565,000 | 55,211,000 | 53,601,000 | 49,239,000 |
current portion of insurance reserves - insured programs | 2,915,000 | 2,758,000 | 4,659,000 | 4,361,000 | 10,507,000 | 12,465,000 | 12,828,000 | 11,991,000 | 11,024,000 | 9,250,000 | 10,724,000 | 6,588,000 | 4,802,000 | 6,789,000 | 6,605,000 | 6,900,000 | 6,373,000 | 8,264,000 | 9,107,000 | 8,388,000 |
current portion of insurance reserves | 18,152,000 | 17,154,000 | 17,852,000 | 16,729,000 | 18,892,000 | 18,444,000 | 20,567,000 | 20,607,000 | 20,258,000 | 20,918,000 | 18,939,000 | 23,298,000 | 28,275,000 | 17,326,000 | 16,984,000 | 14,532,000 | 13,466,000 | 14,105,000 | 14,482,000 | 13,186,000 |
securitization obligations | 165,000,000 | 165,000,000 | 165,000,000 | 168,750,000 | 168,750,000 | 168,750,000 | 170,000,000 | 170,000,000 | 165,000,000 | 155,000,000 | 155,000,000 | 160,000,000 | 155,000,000 | 140,000,000 | 150,000,000 | 140,000,000 | 120,000,000 | |||
current portion of long-term obligations | 13,250,000 | 13,250,000 | 13,250,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 9,200,000 | 8,600,000 | 8,600,000 | 8,600,000 | 8,600,000 | 8,060,000 | 9,910,000 |
current portion of operating lease liabilities | 15,451,000 | 16,012,000 | 15,908,000 | 16,083,000 | 15,279,000 | 15,498,000 | 15,290,000 | 14,630,000 | 15,440,000 | 14,881,000 | 13,972,000 | 14,197,000 | 16,110,000 | 12,496,000 | 10,858,000 | 13,685,000 | 13,534,000 | 12,166,000 | 12,147,000 | 11,312,000 |
other current liabilities | 63,947,000 | 70,230,000 | 56,440,000 | 60,412,000 | 49,271,000 | 53,703,000 | 51,243,000 | 50,977,000 | 48,880,000 | 48,219,000 | 44,350,000 | 43,714,000 | 57,626,000 | 41,391,000 | 44,001,000 | 48,222,000 | 50,146,000 | 44,173,000 | 48,724,000 | 44,430,000 |
total current liabilities | 390,433,000 | 424,456,000 | 409,687,000 | 414,232,000 | 388,308,000 | 402,167,000 | 406,036,000 | 389,146,000 | 381,930,000 | 354,758,000 | 364,300,000 | 355,615,000 | 375,746,000 | 351,681,000 | 361,165,000 | 367,790,000 | 344,831,000 | 219,573,000 | 220,293,000 | 207,485,000 |
revolving credit facility | 15,000,000 | |||||||||||||||||||
long-term obligations, less current portion | 1,283,977,000 | 1,286,652,000 | 1,289,309,000 | 1,269,492,000 | 1,270,559,000 | 1,271,656,000 | 1,275,084,000 | 1,273,942,000 | 1,275,127,000 | 1,276,341,000 | 1,277,582,000 | 1,278,746,000 | 1,279,864,000 | 1,282,603,000 | 1,224,383,000 | 1,225,428,000 | 1,226,517,000 | 829,674,000 | 833,562,000 | 1,163,059,000 |
long-term insurance reserves - insured programs | 30,431,000 | 28,806,000 | 22,108,000 | 21,099,000 | 18,476,000 | 22,425,000 | 25,712,000 | 23,999,000 | 24,991,000 | 21,315,000 | 23,186,000 | 27,461,000 | 24,491,000 | 23,970,000 | 23,378,000 | 27,615,000 | 25,530,000 | 25,423,000 | 27,236,000 | 25,184,000 |
long-term insurance reserves | 51,806,000 | 49,061,000 | 45,548,000 | 42,386,000 | 45,931,000 | 44,506,000 | 47,583,000 | 47,966,000 | 46,629,000 | 40,290,000 | 44,291,000 | 36,687,000 | 36,686,000 | 37,146,000 | 36,408,000 | 37,892,000 | 35,122,000 | 31,296,000 | 33,192,000 | 32,910,000 |
operating lease liabilities, less current portion | 24,619,000 | 27,413,000 | 26,590,000 | 27,723,000 | 28,829,000 | 31,718,000 | 33,497,000 | 36,917,000 | 39,137,000 | 39,818,000 | 42,603,000 | 42,840,000 | 43,087,000 | 44,518,000 | 42,393,000 | 43,651,000 | 44,682,000 | 40,099,000 | 40,180,000 | 39,260,000 |
other long-term liabilities | 800,000 | 800,000 | 800,000 | 800,000 | 7,118,000 | 5,849,000 | 4,532,000 | 3,803,000 | 3,039,000 | 1,900,000 | 219,000 | 314,000 | 616,000 | 1,026,000 | 1,093,000 | 16,692,000 | 23,893,000 | 25,980,000 | 28,076,000 | |
total liabilities | 1,781,266,000 | 1,817,188,000 | 1,800,543,000 | 1,782,233,000 | 1,759,409,000 | 1,785,484,000 | 1,799,147,000 | 1,781,972,000 | 1,777,090,000 | 1,740,420,000 | 1,758,281,000 | 1,746,004,000 | 1,764,626,000 | 1,743,287,000 | 1,706,710,000 | 1,707,929,000 | 1,696,420,000 | 1,199,087,000 | 1,209,599,000 | 1,524,083,000 |
commitments and contingencies | ||||||||||||||||||||
deferred restricted stock units | 730,000 | 730,000 | 730,000 | 730,000 | 1,461,000 | 1,461,000 | 1,461,000 | 1,461,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 | 2,135,000 |
stockholders’ equity: | ||||||||||||||||||||
preferred stock, 0.01 par value as of april 4, 2026 and january 3, 2026 | ||||||||||||||||||||
5,000,000 shares authorized; none issued or outstanding | ||||||||||||||||||||
common stock, 0.01 par value... | ||||||||||||||||||||
217,510,046 and 210,996,359 issued and outstanding, respectively | 2,175,000 | |||||||||||||||||||
additional paid-in capital | 1,353,353,000 | 1,349,480,000 | 1,342,976,000 | 1,335,870,000 | 1,274,889,000 | 1,256,680,000 | 1,252,970,000 | 1,247,608,000 | 1,244,210,000 | 1,239,757,000 | 1,237,878,000 | 1,234,468,000 | 1,230,954,000 | 1,225,019,000 | 1,221,507,000 | 1,213,460,000 | 1,208,645,000 | 1,201,075,000 | 1,196,813,000 | 721,959,000 |
accumulated deficit | -1,115,476,000 | -1,157,129,000 | -1,335,881,000 | -1,349,945,000 | -1,376,970,000 | -1,382,163,000 | -1,411,343,000 | -1,368,500,000 | -1,382,406,000 | -1,371,234,000 | -1,345,498,000 | -1,243,109,000 | -1,268,708,000 | -998,931,000 | -1,023,229,000 | -549,342,000 | -574,676,000 | -448,484,000 | -450,574,000 | -451,834,000 |
total stockholders’ equity | 240,052,000 | 194,461,000 | 9,184,000 | 227,947,000 | 200,137,000 | 665,965,000 | 635,816,000 | 754,432,000 | 748,080,000 | 271,544,000 | ||||||||||
total liabilities, deferred restricted stock units, and stockholders’ equity | 2,022,048,000 | 2,012,379,000 | 1,810,457,000 | 1,973,369,000 | 1,908,982,000 | 2,376,029,000 | 2,334,371,000 | 1,955,654,000 | 1,959,814,000 | 1,797,762,000 | ||||||||||
stockholders’ equity | ||||||||||||||||||||
preferred stock, 0.01 par value as of january 3, 2026 and december 28, 2024 | ||||||||||||||||||||
210,996,359 and 193,225,177 issued and outstanding, respectively | 2,110,000 | |||||||||||||||||||
liabilities, deferred restricted stock units, and stockholders’ deficit | ||||||||||||||||||||
stockholders’ deficit: | ||||||||||||||||||||
preferred stock, 0.01 par value as of september 27, 2025 and december 28, 2024 | ||||||||||||||||||||
208,911,373 and 193,225,177 issued and outstanding, respectively | 2,089,000 | |||||||||||||||||||
preferred stock, 0.01 par value as of june 28, 2025 and december 28, 2024 | ||||||||||||||||||||
208,259,393 and 193,225,177 issued and outstanding, respectively | 2,083,000 | |||||||||||||||||||
total stockholders’ deficit | -11,992,000 | -100,130,000 | -123,551,000 | -156,442,000 | -118,968,000 | -136,273,000 | -129,570,000 | -105,713,000 | -6,737,000 | -35,866,000 | ||||||||||
total liabilities, deferred restricted stock units, and stockholders’ deficit | 1,770,971,000 | 1,660,740,000 | 1,663,394,000 | 1,644,166,000 | 1,664,465,000 | 1,642,952,000 | 1,612,985,000 | 1,654,703,000 | 1,741,402,000 | 1,730,895,000 | ||||||||||
preferred stock, 0.01 par value as of march 29, 2025 and december 28, 2024 | ||||||||||||||||||||
195,093,866 and 193,225,177 issued and outstanding, respectively | 1,951,000 | |||||||||||||||||||
preferred stock, 0.01 par value as of december 28, 2024 and december 30, 2023 | ||||||||||||||||||||
193,225,177 and 190,733,153 issued and outstanding, respectively | 1,932,000 | 1,931,000 | ||||||||||||||||||
preferred stock, 0.01 par value as of september 28, 2024 and december 30, 2023 | ||||||||||||||||||||
preferred stock, 0.01 par value as of june 29, 2024 and december 30, 2023 | ||||||||||||||||||||
192,483,903 and 190,733,153 issued and outstanding, respectively | 1,924,000 | |||||||||||||||||||
preferred stock, 0.01 par value as of march 30, 2024 and december 30, 2023 | ||||||||||||||||||||
192,378,711 and 190,733,153 issued and outstanding, respectively | 1,923,000 | |||||||||||||||||||
preferred stock, 0.01 par value as of december 30, 2023 and december 31, 2022 | ||||||||||||||||||||
190,733,153 and 188,859,165 issued and outstanding, respectively | 1,907,000 | 1,907,000 | ||||||||||||||||||
preferred stock, 0.01 par value as of september 30, 2023 and december 31, 2022 | ||||||||||||||||||||
preferred stock, 0.01 par value as of july 1, 2023 and december 31, 2022 | ||||||||||||||||||||
190,425,098 and 188,859,165 issued and outstanding, respectively | 1,904,000 | |||||||||||||||||||
preferred stock, 0.01 par value as of april 1, 2023 and december 31, 2022 | ||||||||||||||||||||
188,859,165 and 188,859,165 issued and outstanding, respectively | 1,888,000 | |||||||||||||||||||
current portion of deferred payroll taxes | 25,523,000 | 25,523,000 | 25,523,000 | 25,523,000 | 25,699,000 | 25,699,000 | 24,824,000 | |||||||||||||
preferred stock, 0.01 par value as of october 1, 2022 and no par value as of january 1, 2022, | ||||||||||||||||||||
185,918,240 and 184,732,268 issued and outstanding, respectively | 1,859,000 | 1,859,000 | ||||||||||||||||||
preferred stock, 0.01 par value as of july 2, 2022 and no par value as of january 2, 2021, | ||||||||||||||||||||
preferred stock, 0.01 par value as of april 2, 2022 and no par value as of january 2, 2021, | ||||||||||||||||||||
184,732,268 and 184,732,268 issued and outstanding, respectively | 1,847,000 | |||||||||||||||||||
government stimulus liabilities | ||||||||||||||||||||
deferred payroll taxes, less current portion | 25,699,000 | 25,699,000 | 24,824,000 | |||||||||||||||||
preferred stock, 0.01 par value as of january 1, 2022 and no par value as of january 2, 2021, | ||||||||||||||||||||
184,732,268 and 141,928,184 issued and outstanding, respectively | 1,847,000 | |||||||||||||||||||
accrued interest | 1,801,000 | 1,386,000 | 2,476,000 | |||||||||||||||||
notes payable | 2,671,000 | 4,514,000 | 1,814,000 | |||||||||||||||||
preferred stock, 0.01 par value as of october 2, 2021 and no par value as of january 2, 2021, | ||||||||||||||||||||
184,164,184 and 141,928,184 issued and outstanding, respectively | 1,841,000 | 1,841,000 | ||||||||||||||||||
preferred stock, 0.01 par value as of july 3, 2021 and no par value as of january 2, 2021, | ||||||||||||||||||||
preferred stock, no par value, 5,000,000 shares authorized; none issued or outstanding | ||||||||||||||||||||
141,928,184 issued and outstanding, respectively | 1,419,000 |
Cashflow Statements:
Quarterly
Annual
| Unit: USD | 2026-04-04 | 2025-09-27 | 2025-06-28 | 2025-03-29 | 2024-09-28 | 2024-06-29 | 2024-03-30 | 2023-09-30 | 2023-07-01 | 2023-04-01 | 2022-10-01 | 2022-07-02 | 2022-04-02 | 2021-10-02 | 2021-07-03 | 2021-04-03 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
cash flows from operating activities: | ||||||||||||||||
net income | 41,653,000 | 46,282,000 | 32,218,000 | 5,193,000 | 2,734,000 | -31,998,000 | -424,255,000 | -448,553,000 | 25,334,000 | 9,148,000 | 7,058,000 | 5,798,000 | ||||
adjustments to reconcile net income to net cash from operating activities: | ||||||||||||||||
depreciation and amortization | 3,044,000 | 7,810,000 | 5,211,000 | 2,594,000 | 8,332,000 | 5,745,000 | 2,912,000 | 10,494,000 | 7,532,000 | 4,041,000 | 16,774,000 | 11,857,000 | 5,819,000 | 15,163,000 | 10,018,000 | 4,848,000 |
amortization of deferred debt issuance costs | 965,000 | 4,843,000 | 3,350,000 | 1,646,000 | 3,797,000 | 2,484,000 | 1,223,000 | 3,983,000 | 2,719,000 | 1,421,000 | 5,221,000 | 3,526,000 | 1,740,000 | 7,234,000 | 5,838,000 | 2,140,000 |
reduction in carrying amount of operating lease right of use assets | 4,607,000 | 13,231,000 | 8,704,000 | 4,352,000 | ||||||||||||
non-cash share-based compensation | 4,147,000 | 21,115,000 | 16,155,000 | 10,996,000 | 12,483,000 | 7,581,000 | 4,081,000 | 10,143,000 | 5,027,000 | 2,442,000 | 14,108,000 | 10,596,000 | 4,815,000 | |||
loss on disposal or impairment of licenses, property and equipment, and software | -24,000 | 721,000 | 319,000 | 166,000 | 3,212,000 | 308,000 | 229,000 | 2,086,000 | 381,000 | 68,000 | ||||||
fair value adjustments on interest rate derivatives | 647,000 | 23,734,000 | 17,580,000 | 11,602,000 | 26,869,000 | -5,130,000 | -8,276,000 | -2,584,000 | 1,738,000 | 18,537,000 | -89,634,000 | -44,789,000 | -38,256,000 | -6,246,000 | ||
deferred income taxes | 607,000 | 607,000 | 612,000 | 527,000 | 611,000 | 614,000 | 575,000 | 592,000 | 594,000 | -293,000 | -89,000 | 1,414,000 | 839,000 | 866,000 | 694,000 | |
changes in operating assets and liabilities, net of impact of acquisitions: | ||||||||||||||||
patient accounts receivable | -19,327,000 | -25,016,000 | -31,033,000 | -29,641,000 | -28,891,000 | -36,404,000 | -20,986,000 | -14,431,000 | -16,195,000 | -20,595,000 | -921,000 | -27,701,000 | -22,552,000 | -3,376,000 | -17,190,000 | -22,852,000 |
prepaid expenses | -2,857,000 | 5,554,000 | 1,490,000 | -2,433,000 | 5,631,000 | 1,032,000 | -346,000 | 5,247,000 | 1,354,000 | -1,500,000 | 6,825,000 | -61,000 | -1,253,000 | 2,715,000 | -111,000 | -1,684,000 |
other current and long-term assets | 4,726,000 | -15,324,000 | -3,813,000 | -646,000 | -15,678,000 | -14,578,000 | -4,308,000 | -12,657,000 | -10,720,000 | -4,441,000 | -1,878,000 | 5,854,000 | 3,554,000 | 39,000 | -99,000 | 1,957,000 |
accounts payable and other accrued liabilities | 2,545,000 | -11,243,000 | 8,191,000 | -5,972,000 | 11,919,000 | 8,362,000 | 13,065,000 | -7,861,000 | -5,790,000 | -1,763,000 | -2,395,000 | 1,232,000 | 5,199,000 | -15,851,000 | -20,954,000 | -15,841,000 |
accrued payroll and employee benefits | -30,724,000 | 17,496,000 | 111,000 | -1,752,000 | 17,823,000 | 5,464,000 | 1,793,000 | 31,752,000 | 16,347,000 | 18,316,000 | -4,569,000 | -9,341,000 | -1,546,000 | -3,164,000 | -5,678,000 | -7,595,000 |
insurance reserves | 3,743,000 | -644,000 | -4,929,000 | 1,873,000 | 6,942,000 | 7,365,000 | 5,679,000 | 229,000 | -3,016,000 | 1,960,000 | 5,884,000 | 4,804,000 | 3,836,000 | 2,752,000 | 5,025,000 | 3,466,000 |
operating lease liabilities | -4,925,000 | -14,523,000 | -9,479,000 | -4,771,000 | -14,589,000 | -10,277,000 | -4,542,000 | -11,991,000 | -7,281,000 | -1,005,000 | -15,845,000 | -11,348,000 | -4,370,000 | -11,783,000 | -9,945,000 | -4,126,000 |
other current and long-term liabilities | -3,871,000 | -4,368,000 | -1,745,000 | -2,451,000 | 5,335,000 | 3,673,000 | 1,829,000 | 6,944,000 | 2,514,000 | 17,182,000 | -1,932,000 | -3,660,000 | 2,879,000 | -9,719,000 | -6,729,000 | -1,232,000 |
net cash from operating activities | 4,349,000 | 76,137,000 | 42,937,000 | -8,632,000 | 19,231,000 | -10,163,000 | -11,972,000 | 25,677,000 | -3,023,000 | 7,495,000 | -8,166,000 | -29,357,000 | -9,476,000 | 22,188,000 | -13,621,000 | -32,911,000 |
capital expenditures | -4,557,000 | -5,496,000 | -3,477,000 | -2,348,000 | -4,790,000 | -2,577,000 | -1,308,000 | -4,548,000 | -3,421,000 | -2,122,000 | -8,800,000 | -5,985,000 | -3,984,000 | -7,060,000 | -3,983,000 | -145,000 |
free cash flows | -208,000 | 70,641,000 | 39,460,000 | -10,980,000 | 14,441,000 | -12,740,000 | -13,280,000 | 21,129,000 | -6,444,000 | 5,373,000 | -16,966,000 | -35,342,000 | -13,460,000 | 15,128,000 | -17,604,000 | -33,056,000 |
cash flows from investing activities: | ||||||||||||||||
purchases of property and equipment, and software | -4,557,000 | -5,496,000 | -3,477,000 | -2,348,000 | -4,790,000 | -2,577,000 | -1,308,000 | -4,548,000 | -3,421,000 | -2,122,000 | ||||||
net cash from investing activities | -4,557,000 | -20,349,000 | -18,330,000 | -2,348,000 | -4,790,000 | -2,577,000 | -1,308,000 | -7,226,000 | -6,099,000 | -4,800,000 | -22,092,000 | -18,456,000 | -16,643,000 | -113,508,000 | -108,583,000 | -3,165,000 |
cash flows from financing activities: | ||||||||||||||||
payments for shares withheld to cover employee taxes on vesting of restricted stock | -478,000 | -6,292,000 | -6,292,000 | -1,677,000 | ||||||||||||
proceeds from exercise of options | 269,000 | |||||||||||||||
proceeds from employee stock purchase plan | 3,943,000 | 1,791,000 | 1,791,000 | 3,088,000 | 1,349,000 | 1,349,000 | 945,000 | 945,000 | 2,278,000 | 2,278,000 | ||||||
principal payments on term loans | -3,312,000 | -1,305,550,000 | -4,600,000 | -2,300,000 | -4,600,000 | -4,600,000 | -2,300,000 | -6,900,000 | -4,600,000 | -2,300,000 | -6,600,000 | -4,300,000 | -2,150,000 | |||
principal payments on notes payable | -2,406,000 | -5,854,000 | -4,086,000 | -2,763,000 | -4,604,000 | -3,561,000 | -1,383,000 | -7,293,000 | -5,125,000 | -3,192,000 | -7,564,000 | -4,070,000 | -2,551,000 | |||
settlements with interest rate swap counterparties | 2,149,000 | 9,170,000 | 6,144,000 | 3,135,000 | 11,681,000 | 8,669,000 | 4,344,000 | 10,442,000 | 7,075,000 | 3,219,000 | ||||||
net cash from financing activities | -3,778,000 | 5,790,000 | -8,157,000 | -1,814,000 | 20,079,000 | 16,459,000 | 11,945,000 | 10,626,000 | 17,917,000 | 12,521,000 | 63,449,000 | 34,786,000 | 13,068,000 | 75,683,000 | 91,408,000 | -34,164,000 |
net change in cash and cash equivalents | -3,986,000 | 61,578,000 | 16,450,000 | -12,794,000 | 34,520,000 | 3,719,000 | -1,335,000 | 29,077,000 | 8,795,000 | 15,216,000 | ||||||
cash and cash equivalents at beginning of period | 193,260,000 | 84,288,000 | 84,288,000 | 84,288,000 | 43,942,000 | 43,942,000 | 43,942,000 | 19,217,000 | 19,217,000 | 19,217,000 | 30,490,000 | 30,490,000 | 30,490,000 | 137,345,000 | 137,345,000 | 137,345,000 |
cash and cash equivalents at end of period | 189,274,000 | 145,866,000 | 100,738,000 | 71,494,000 | 78,462,000 | 47,661,000 | 42,607,000 | 48,294,000 | 28,012,000 | 34,433,000 | 63,681,000 | 17,463,000 | 17,439,000 | 121,708,000 | 106,549,000 | 67,105,000 |
loss on debt extinguishment | 5,862,000 | 13,702,000 | 8,918,000 | |||||||||||||
acquisitions of businesses, net of cash acquired | -14,853,000 | -14,853,000 | -2,027,000 | -1,206,000 | -1,394,000 | -103,202,000 | -102,505,000 | -500,000 | ||||||||
proceeds from securitization obligation | 25,000,000 | 25,000,000 | 20,000,000 | 45,000,000 | 45,000,000 | 35,000,000 | 40,000,000 | 40,000,000 | 30,000,000 | |||||||
repayment of securitization obligation | -3,750,000 | -10,000,000 | -10,000,000 | -10,000,000 | -30,000,000 | -25,000,000 | -20,000,000 | -20,000,000 | -10,000,000 | -10,000,000 | ||||||
proceeds from issuance of term loans, net of debt issuance costs | 1,317,743,000 | 59,700,000 | 925,261,000 | 65,261,000 | ||||||||||||
principal payments on financing lease obligations | -198,000 | -131,000 | -65,000 | -521,000 | -378,000 | -206,000 | ||||||||||
payment of debt issuance costs | -3,620,000 | -1,114,000 | -288,000 | -267,000 | -1,047,000 | -218,000 | -13,107,000 | -1,831,000 | -196,000 | |||||||
changes in operating assets and liabilities: | ||||||||||||||||
net loss | -40,109,000 | -11,172,000 | -108,788,000 | -6,399,000 | ||||||||||||
adjustments to reconcile net loss to net cash from operating activities: | ||||||||||||||||
amortization and impairment of operating lease right of use assets | 15,628,000 | 10,867,000 | 6,233,000 | 12,490,000 | 8,174,000 | 4,236,000 | 12,722,000 | 8,402,000 | 4,193,000 | 11,081,000 | 9,253,000 | 3,550,000 | ||||
goodwill impairment | 105,136,000 | 470,207,000 | 470,207,000 | |||||||||||||
non-cash gain on acquisition | -5,090,000 | |||||||||||||||
purchase of certificates of need | -2,678,000 | -2,678,000 | -2,678,000 | |||||||||||||
proceeds from revolving credit facility | 20,000,000 | 20,000,000 | 20,000,000 | 15,000,000 | 15,000,000 | |||||||||||
repayments on revolving credit facility | -20,000,000 | -20,000,000 | -20,000,000 | -15,000,000 | ||||||||||||
amortization of operating lease right of use assets | ||||||||||||||||
deferred payroll taxes | ||||||||||||||||
proceeds from sale of businesses | 460,000 | 460,000 | 460,000 | |||||||||||||
payment for interest rate cap | -11,725,000 | -11,725,000 | -11,725,000 | |||||||||||||
proceeds from sale of interest rate cap | ||||||||||||||||
proceeds from issuance of common stock | 477,688,000 | 477,688,000 | ||||||||||||||
proceeds from government stimulus funds | ||||||||||||||||
repayment of government stimulus funds | ||||||||||||||||
principal payments of financing lease obligations | -581,000 | -363,000 | -181,000 | -503,000 | -332,000 | -203,000 | ||||||||||
payment of offering costs | -5,473,000 | -5,375,000 | ||||||||||||||
settlements with derivative counterparties | -3,566,000 | -3,759,000 | -2,050,000 | -2,096,000 | ||||||||||||
payment of acquisition-related contingent consideration | ||||||||||||||||
net decrease in cash and cash equivalents | -13,027,000 | -13,051,000 | ||||||||||||||
loss on disposal of licenses, property and equipment | 1,985,000 | -123,000 | -112,000 | 109,000 | 94,000 | -4,000 | ||||||||||
gain on sale of businesses | -170,000 | -170,000 | -170,000 | |||||||||||||
purchases of property and equipment | -8,800,000 | -5,985,000 | -3,984,000 | -10,306,000 | -6,078,000 | -2,665,000 | ||||||||||
net increase in cash and cash equivalents | 33,191,000 | -15,637,000 | -30,796,000 | -70,240,000 | ||||||||||||
loss on disposal of business | ||||||||||||||||
contingent consideration | ||||||||||||||||
disposal of business | ||||||||||||||||
proceeds from issuance of bond obligations | ||||||||||||||||
redemption of bond obligations | ||||||||||||||||
non-cash compensation | 10,142,000 | 5,880,000 | 712,000 | |||||||||||||
accrued interest | -597,000 | -1,012,000 | 78,000 | |||||||||||||
principal payments on term loans and notes payable | -1,276,643,000 | -414,559,000 | -3,535,000 | |||||||||||||
payment of government stimulus funds | -29,444,000 | -29,444,000 | -29,444,000 | |||||||||||||
supplemental disclosures of cash flow information: | ||||||||||||||||
cash paid for interest | 47,156,000 | 36,861,000 | 20,207,000 | |||||||||||||
acquisition of property and equipment on accrual | 3,246,000 | 2,095,000 | 2,520,000 | |||||||||||||
offering costs included in accounts payable and other accrued liabilities | 135,000 | 98,000 | ||||||||||||||
cash paid for income taxes, net of refunds received | 3,915,000 | 3,778,000 | -202,000 | |||||||||||||
fair value adjustment on interest rate derivatives | -4,853,000 | -2,820,000 | ||||||||||||||
gain on debt extinguishment | ||||||||||||||||
payment of deferred offering costs | -786,000 | |||||||||||||||
deferred offering costs included in accounts payable and other accrued liabilities | 1,874,000 |