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Side-by-side financial comparison of AVANOS MEDICAL, INC. (AVNS) and Fresenius Medical Care AG (FMS), based on the latest 10-Q / 10-K filings. Click either name above to swap in a different company.

Fresenius Medical Care AG is the larger business by last-quarter revenue ($5.5B vs $180.9M, roughly 30.3× AVANOS MEDICAL, INC.). Fresenius Medical Care AG runs the higher net margin — -0.7% vs 7.9%, a 8.6% gap on every dollar of revenue. On growth, AVANOS MEDICAL, INC. posted the faster year-over-year revenue change (0.7% vs -0.3%).

Avanos Medical, Inc. is a medical technology company making clinical medical devices. The company consists of two franchises – Pain Management and Chronic Care – that address reducing the use of opioids while helping patients recover faster and preventing infection.

Fresenius Medical Care AG & Co. KGaA is a German healthcare company which provides kidney dialysis services through a network of 4,171 outpatient dialysis centers, serving 345,425 patients. The company primarily treats end-stage renal disease (ESRD), which requires patients to undergo dialysis 3 times per week for the rest of their lives.

AVNS vs FMS — Head-to-Head

Bigger by revenue
FMS
FMS
30.3× larger
FMS
$5.5B
$180.9M
AVNS
Growing faster (revenue YoY)
AVNS
AVNS
+1.0% gap
AVNS
0.7%
-0.3%
FMS
Higher net margin
FMS
FMS
8.6% more per $
FMS
7.9%
-0.7%
AVNS

Income Statement — Q4 2025 vs Q4 2025

Metric
AVNS
AVNS
FMS
FMS
Revenue
$180.9M
$5.5B
Net Profit
$-1.3M
$434.2M
Gross Margin
47.5%
27.4%
Operating Margin
1.4%
11.7%
Net Margin
-0.7%
7.9%
Revenue YoY
0.7%
-0.3%
Net Profit YoY
99.7%
240.4%
EPS (diluted)
$-0.02

Green = leading value per metric. Periods may differ when fiscal calendars don't align — see 8-quarter trend below.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history — bar widths are scaled to the larger of the two companies so you can eyeball the size gap and growth trajectory without doing math. Quarters aligned by calendar period (report date) so offset fiscal years line up.

Revenue
AVNS
AVNS
FMS
FMS
Q4 25
$180.9M
$5.5B
Q3 25
$177.8M
Q2 25
$175.0M
Q1 25
$167.5M
Q4 24
$179.6M
$5.5B
Q3 24
$170.4M
Q2 24
$171.7M
Q1 24
$166.1M
Net Profit
AVNS
AVNS
FMS
FMS
Q4 25
$-1.3M
$434.2M
Q3 25
$-1.4M
Q2 25
$-76.8M
Q1 25
$6.6M
Q4 24
$-397.3M
$127.6M
Q3 24
$4.3M
Q2 24
$1.8M
Q1 24
$-900.0K
Gross Margin
AVNS
AVNS
FMS
FMS
Q4 25
47.5%
27.4%
Q3 25
48.4%
Q2 25
52.6%
Q1 25
53.6%
Q4 24
54.6%
25.0%
Q3 24
54.5%
Q2 24
55.7%
Q1 24
57.1%
Operating Margin
AVNS
AVNS
FMS
FMS
Q4 25
1.4%
11.7%
Q3 25
0.1%
Q2 25
-42.6%
Q1 25
6.1%
Q4 24
-233.0%
5.1%
Q3 24
7.0%
Q2 24
3.7%
Q1 24
2.4%
Net Margin
AVNS
AVNS
FMS
FMS
Q4 25
-0.7%
7.9%
Q3 25
-0.8%
Q2 25
-43.9%
Q1 25
3.9%
Q4 24
-221.2%
2.3%
Q3 24
2.5%
Q2 24
1.0%
Q1 24
-0.5%
EPS (diluted)
AVNS
AVNS
FMS
FMS
Q4 25
$-0.02
Q3 25
$-0.03
Q2 25
$-1.66
Q1 25
$0.14
Q4 24
$-8.64
Q3 24
$0.09
Q2 24
$0.04
Q1 24
$-0.02

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest filing — the kind of financial-strength check premium terminals charge for.

Metric
AVNS
AVNS
FMS
FMS
Cash + ST InvestmentsLiquidity on hand
$89.8M
$1.7B
Total DebtLower is stronger
$90.3M
Stockholders' EquityBook value
$778.2M
$15.4B
Total Assets
$1.1B
$33.5B
Debt / EquityLower = less leverage
0.12×

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Cash + ST Investments
AVNS
AVNS
FMS
FMS
Q4 25
$89.8M
$1.7B
Q3 25
$70.5M
Q2 25
$90.3M
Q1 25
$97.0M
Q4 24
$107.7M
$1.3B
Q3 24
$89.0M
Q2 24
$92.2M
Q1 24
$75.8M
Total Debt
AVNS
AVNS
FMS
FMS
Q4 25
$90.3M
Q3 25
$93.4M
Q2 25
$95.7M
Q1 25
$98.0M
Q4 24
$125.3M
Q3 24
$152.6M
Q2 24
$164.9M
Q1 24
$167.2M
Stockholders' Equity
AVNS
AVNS
FMS
FMS
Q4 25
$778.2M
$15.4B
Q3 25
$778.0M
Q2 25
$776.3M
Q1 25
$839.4M
Q4 24
$828.5M
$17.0B
Q3 24
$1.2B
Q2 24
$1.2B
Q1 24
$1.2B
Total Assets
AVNS
AVNS
FMS
FMS
Q4 25
$1.1B
$33.5B
Q3 25
$1.1B
Q2 25
$1.0B
Q1 25
$1.1B
Q4 24
$1.2B
$36.3B
Q3 24
$1.7B
Q2 24
$1.7B
Q1 24
$1.7B
Debt / Equity
AVNS
AVNS
FMS
FMS
Q4 25
0.12×
Q3 25
0.12×
Q2 25
0.12×
Q1 25
0.12×
Q4 24
0.15×
Q3 24
0.12×
Q2 24
0.13×
Q1 24
0.14×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Net income can be massaged; cash flow is harder to fake.

Metric
AVNS
AVNS
FMS
FMS
Operating Cash FlowLast quarter
$28.2M
$2.9B
Free Cash FlowOCF − Capex
$21.3M
FCF MarginFCF / Revenue
11.8%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
3.8%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
6.67×
TTM Free Cash FlowTrailing 4 quarters
$43.1M

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Operating Cash Flow
AVNS
AVNS
FMS
FMS
Q4 25
$28.2M
$2.9B
Q3 25
$14.0M
Q2 25
$6.8M
Q1 25
$25.7M
Q4 24
$57.9M
$2.6B
Q3 24
$23.0M
Q2 24
$27.8M
Q1 24
$-8.0M
Free Cash Flow
AVNS
AVNS
FMS
FMS
Q4 25
$21.3M
Q3 25
$7.0M
Q2 25
$-4.2M
Q1 25
$19.0M
Q4 24
$53.1M
Q3 24
$20.0M
Q2 24
$21.9M
Q1 24
$-12.1M
FCF Margin
AVNS
AVNS
FMS
FMS
Q4 25
11.8%
Q3 25
3.9%
Q2 25
-2.4%
Q1 25
11.3%
Q4 24
29.6%
Q3 24
11.7%
Q2 24
12.8%
Q1 24
-7.3%
Capex Intensity
AVNS
AVNS
FMS
FMS
Q4 25
3.8%
Q3 25
3.9%
Q2 25
6.3%
Q1 25
4.0%
Q4 24
2.7%
Q3 24
1.8%
Q2 24
3.4%
Q1 24
2.5%
Cash Conversion
AVNS
AVNS
FMS
FMS
Q4 25
6.67×
Q3 25
Q2 25
Q1 25
3.89×
Q4 24
20.20×
Q3 24
5.35×
Q2 24
15.44×
Q1 24

Financial Flow Comparison

Sankey diagram of revenue → gross profit → operating profit → net profit for each company. Charts shown full-width and stacked so both segment hierarchies are readable side-by-side on desktop and mobile.

Revenue Breakdown by Segment

AVNS
AVNS

Enteral Feeding$83.0M46%
Radiofrequency Ablation$36.9M20%
Neonate Solutions$32.1M18%
Surgical Pain And Recovery$24.7M14%
Corporate Other$4.2M2%

FMS
FMS

Segment breakdown not available.

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