What Family First Homecare does

Family First Homecare is a Tampa, Florida-based pediatric home healthcare provider founded in 2012 that delivers in-home skilled nursing care to medically complex and chronically ill children. Its core service offering comprises two programs: Pediatric Care (ongoing private duty nursing for children with tracheostomies, ventilators, feeding tubes, and other complex medical equipment) and a Critical Care Transition Program that coordinates high-acuity hospital-to-home discharges from NICU and PICU settings. Supporting the core clinical operations are the Preceptor Program (a structured, no-time-limit mentorship for newly graduated nurses, including SIM lab and patient-specific training) and participation in the international DAISY Award nurse recognition program. The company operates 27 office locations across seven U.S. states — Florida, Illinois, Iowa, North Carolina, Pennsylvania, South Dakota, and Texas — with 1,001–5,000 employees and 24/7 accessibility.

The underlying technology stack is service-delivery oriented rather than software platform-based. There is no proprietary technology platform, AI/ML capability, or public-facing API mentioned in the available sources, and operations are supported by a HIPAA-compliant privacy and compliance framework now inherited from parent company Aveanna Healthcare Holdings. The Preceptor Program is the principal operational differentiator and is associated with a 4.9% hospital readmission rate versus the 12.6% national average, an 83% staffing percentage, and a 250% increase in hires over 18 months.

Revenue is generated by delivering home healthcare services paid for primarily by insurance payers, including Medicaid managed care organizations (Aetna Better Health, AmeriHealth Caritas, Molina, Simply, Sunshine, United Healthcare), commercial insurance (Aetna, Blue Cross Blue Shield, Cigna), government plans (Tricare ECHO/EHHC, CHAMP VA), and private pay. The go-to-market is sales-led, driven by referral relationships with hospitals, NICUs, PICUs, pediatricians, and case managers, complemented by direct family inquiries and community engagement. Family First Homecare was acquired by Aveanna Healthcare Holdings in June 2026 for $175.5 million in cash and is expected to contribute approximately $70 million in revenue and roughly $10 million in Adjusted EBITDA for fiscal year 2026.

Name

Family First Homecare

Legal name

Family First Holding, LLC

Website

https://myfamilyfirsthc.com

Company type

Private

Founded year

2012

Operating status

Acquired

Headcount range

1,001–5,000 employees

Short description

Family First Homecare is a Tampa-based pediatric home healthcare provider operating 27 locations across seven U.S. states, delivering skilled in-home nursing care for medically complex children via hospital referrals and insurance reimbursement. Acquired by Aveanna Healthcare Holdings in June 2026.

Ownership category

akta.pro rank

Product category

Pediatric Home Healthcare

NAICS

Home Health Care Services (621610), Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Pediatric Skilled Home Nursing (Private Duty Nursing) (HSABACAL)

Keywords

• Pediatric home healthcare
• Private duty nursing
• Critical care transition
• Home health services
• Skilled pediatric nursing

Headquarters

HQ city

Tampa

HQ country

United States

HQ region

North America

Offices25 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Home Healthcare Services Revenue: Family First generates revenue through providing pediatric home healthcare services funded primarily by insurance payers including Medicaid managed care organizations and commercial insurance plans. Services include pediatric care and critical care transition programs.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels4 records

Core offering

Family First Homecare provides in-home skilled nursing care for medically complex and chronically ill children, including private duty nursing and a Critical Care Transition Program that moves high-acuity patients safely from hospital (NICU/PICU) to home. Services are delivered by employed nurses across 27 branch offices in seven U.S. states and funded through Medicaid managed care, commercial insurance, government plans, and private pay.

Product overview

Family First Homecare is a pediatric home healthcare provider that operates as a unified service offering centered on two core programs: Pediatric Care Services (ongoing in-home nursing care for children with complex medical needs) and the Critical Care Transitions Program (hospital-to-home transition support for high-acuity patients). The company supports these core services with training programs like the Preceptor Program for nurse development and participates in the DAISY Award program for nurse recognition. Founded in 2012, Family First Homecare was acquired by Aveanna Healthcare Holdings in June 2026 for $175.5 million and operates 27 locations across seven U.S. states (Florida, Illinois, Iowa, North Carolina, Pennsylvania, South Dakota, and Texas).

Differentiator

Problem solved

Functional benefit

Products and services

• Pediatric Care Services In-home skilled nursing program that provides one-on-one care for medically complex pediatric patients (tracheostomy, ventilator, feeding tube, and other device-dependent children) so they can live at home rather than in a hospital or institution.
• Critical Care Transitions Program Specialized program coordinating the safe discharge and home transition of high-acute pediatric patients from NICU/PICU settings, including pre-discharge education, respiratory and trach/vent nurse training, care coordination with hospital teams, and post-discharge follow-up to reduce hospital readmissions.

Quantifiable outcome

• 4.9% hospital readmission rate compared to 12.6% national average
• +3 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• DAISY FoundationminorStrategic or Co-development PartnerFamily First Homecare participates in the DAISY Award program, an international recognition program that celebrates nurses who go above and beyond in delivering exceptional patient care. The partnership provides formal nurse recognition to honor clinical excellence and compassion.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Aveanna Healthcare Holdings: Parent company and the largest direct competitor; Aveanna operates a national Private Duty Nursing segment with overlapping pediatric and adult home health services. Family First is now part of Aveanna, making it both parent and closest operating peer.
• BAYADA Home Health Care: Large national nonprofit home health provider with a dedicated Pediatric Private Duty Nursing practice serving medically complex children across multiple states. Direct overlap with Family First on pediatric PDN service line and Medicaid/commercial payer relationships.
• Maxim Healthcare Services: National home health staffing and private duty nursing operator with a strong pediatric division. Competes directly with Family First for skilled nursing talent and pediatric referrals in overlapping geographies.

Broad incumbents

• BrightSpring Health Services: Public diversified home and community-based services platform including home health, hospice, and pharmacy. Provides broad incumbent competition in the pediatric and adult home care space across many of Family First's operating states.
• Interim HealthCare: Franchised national home health and personal care provider with pediatric private duty services in select markets. Comparable business model (skilled nursing visits + PDN) and similar payer mix.
• LHC Group (Optum Home Health): One of the largest U.S. home health and hospice operators, now part of Optum. Operates Medicare-certified skilled home health agencies overlapping Family First's adult skilled nursing services and competes for nursing talent in shared geographies.
• Enhabit Inc. Public home health and hospice operator spun off from Encompass Health. Competes in skilled home health nursing and therapy services in overlapping states with similar Medicare/Medicaid payer exposure.
• Compassus: National home health, hospice, and palliative care provider. Overlaps with Family First on skilled home health nursing services and shares similar hospital referral relationships in shared geographies.

Emerging players

• The Pennant Group: Public holding company operating home health, hospice, and senior living agencies across the Western and Southern U.S. Growing pediatric and adult home health footprint that competes with Family First in several states.
• Centria Healthcare: Specialty pediatric home health provider focused on medically complex children and Applied Behavior Analysis services. Closest emerging direct competitor in pediatric private duty nursing, though with a heavier behavioral health mix.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/famfirsthc
• Facebookfacebook.com/famfirsthomecare
• Instagraminstagram.com/famfirsthomecare
• LinkedInlinkedin.com/company/family-first-homecare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Family First Homecare