Aveanna Healthcare Holdings Inc. has entered into an agreement to acquire Family First Holding, LLC, expanding Aveanna’s specialized care model across an enhanced geographic footprint.

Family First Homecare is a pediatric private duty nursing provider with 27 locations in seven states (Florida, Illinois, Iowa, Pennsylvania, South Dakota, Texas and North Carolina). Family First Homecare was founded in 2012 and received a strategic minority investment from Trivest Partners, a leading growth investment firm, in 2021. The company is headquartered in Winter Park, Florida.

Aveanna Healthcare, a portfolio company of Bain Capital and J.H. Whitney Capital Partners, is the largest pediatric home health care company in the United States. It was formed with the merger of Epic Health Services and PSA Healthcare in March 2017. Aveanna went public through a $100 million IPO in April 2021.

According to Aveanna’s most recent 8-K filing, the deal has a cash purchase price of $175.5 million, subject to customary adjustments for working capital and other items. Aveanna plans to fund the deal with cash on hand and existing short-term credit borrowing. Closing is expected in Q2:26, subject to customary conditions. 

Edge Healthcare Partners served as financial advisor to Aveanna, and Bass, Berry & Sims provided legal counsel. Baird and J.P. Morgan Securities, LLC served as financial advisors to Family First Homecare, while Greenberg Traurig, LLP served as Family First Homecare’s legal advisor.

According to data captured in the LevinPro HC database, this marks the 30th Home Health & Hospice (HH&H) transaction announced in 2026. There were 111 HH&H deals announced during full year (FY) 2025, 98 announced during FY 2024 and 100 announced during FY 2023.