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Side-by-side financial comparison of AVANOS MEDICAL, INC. (AVNS) and H2O AMERICA (HTO). Click either name above to swap in a different company.

H2O AMERICA is the larger business by last-quarter revenue ($199.4M vs $180.9M, roughly 1.1× AVANOS MEDICAL, INC.). H2O AMERICA runs the higher net margin — 8.1% vs -0.7%, a 8.9% gap on every dollar of revenue. On growth, H2O AMERICA posted the faster year-over-year revenue change (1.5% vs 0.7%). Over the past eight quarters, H2O AMERICA's revenue compounded faster (15.3% CAGR vs 4.4%).

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.

H2O Wireless is a United States-based prepaid cell phone service, that utilizes the AT&T network. It is a brand of the mobile virtual network operator (MVNO) Locus Telecommunications, a subsidiary of Telrite Holdings, Inc., since 2019. Locus was formerly a subsidiary of KDDI America corporation, starting in 2010. H2O Wireless is primarily advertised as a non-restrictive phone service for customers to bring or buy unlocked smartphones, although AT&T contract/locked phones may be accepted as well.

AVNS vs HTO — Head-to-Head

Bigger by revenue
HTO
HTO
1.1× larger
HTO
$199.4M
$180.9M
AVNS
Growing faster (revenue YoY)
HTO
HTO
+0.8% gap
HTO
1.5%
0.7%
AVNS
Higher net margin
HTO
HTO
8.9% more per $
HTO
8.1%
-0.7%
AVNS
Faster 2-yr revenue CAGR
HTO
HTO
Annualised
HTO
15.3%
4.4%
AVNS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AVNS
AVNS
HTO
HTO
Revenue
$180.9M
$199.4M
Net Profit
$-1.3M
$16.2M
Gross Margin
47.5%
Operating Margin
1.4%
16.6%
Net Margin
-0.7%
8.1%
Revenue YoY
0.7%
1.5%
Net Profit YoY
99.7%
-29.2%
EPS (diluted)
$-0.02
$0.45

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
AVNS
AVNS
HTO
HTO
Q4 25
$180.9M
$199.4M
Q3 25
$177.8M
$243.5M
Q2 25
$175.0M
$197.8M
Q1 25
$167.5M
$164.9M
Q4 24
$179.6M
$196.5M
Q3 24
$170.4M
$216.7M
Q2 24
$171.7M
$173.1M
Q1 24
$166.1M
$150.0M
Net Profit
AVNS
AVNS
HTO
HTO
Q4 25
$-1.3M
$16.2M
Q3 25
$-1.4M
$45.1M
Q2 25
$-76.8M
$24.7M
Q1 25
$6.6M
$16.6M
Q4 24
$-397.3M
$22.9M
Q3 24
$4.3M
$38.7M
Q2 24
$1.8M
$20.7M
Q1 24
$-900.0K
$11.7M
Gross Margin
AVNS
AVNS
HTO
HTO
Q4 25
47.5%
Q3 25
48.4%
Q2 25
52.6%
Q1 25
53.6%
Q4 24
54.6%
Q3 24
54.5%
Q2 24
55.7%
Q1 24
57.1%
Operating Margin
AVNS
AVNS
HTO
HTO
Q4 25
1.4%
16.6%
Q3 25
0.1%
26.5%
Q2 25
-42.6%
22.2%
Q1 25
6.1%
21.8%
Q4 24
-233.0%
22.2%
Q3 24
7.0%
26.9%
Q2 24
3.7%
23.4%
Q1 24
2.4%
18.6%
Net Margin
AVNS
AVNS
HTO
HTO
Q4 25
-0.7%
8.1%
Q3 25
-0.8%
18.5%
Q2 25
-43.9%
12.5%
Q1 25
3.9%
10.0%
Q4 24
-221.2%
11.7%
Q3 24
2.5%
17.8%
Q2 24
1.0%
12.0%
Q1 24
-0.5%
7.8%
EPS (diluted)
AVNS
AVNS
HTO
HTO
Q4 25
$-0.02
$0.45
Q3 25
$-0.03
$1.27
Q2 25
$-1.66
$0.71
Q1 25
$0.14
$0.49
Q4 24
$-8.64
$0.70
Q3 24
$0.09
$1.17
Q2 24
$0.04
$0.64
Q1 24
$-0.02
$0.36

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
AVNS
AVNS
HTO
HTO
Cash + ST InvestmentsLiquidity on hand
$89.8M
$20.7M
Total DebtLower is stronger
$90.3M
$1.9B
Stockholders' EquityBook value
$778.2M
$1.5B
Total Assets
$1.1B
$5.1B
Debt / EquityLower = less leverage
0.12×
1.23×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVNS
AVNS
HTO
HTO
Q4 25
$89.8M
$20.7M
Q3 25
$70.5M
$11.3M
Q2 25
$90.3M
$19.8M
Q1 25
$97.0M
$23.7M
Q4 24
$107.7M
$11.1M
Q3 24
$89.0M
$4.0M
Q2 24
$92.2M
$22.8M
Q1 24
$75.8M
$4.5M
Total Debt
AVNS
AVNS
HTO
HTO
Q4 25
$90.3M
$1.9B
Q3 25
$93.4M
Q2 25
$95.7M
Q1 25
$98.0M
Q4 24
$125.3M
$1.7B
Q3 24
$152.6M
Q2 24
$164.9M
Q1 24
$167.2M
Stockholders' Equity
AVNS
AVNS
HTO
HTO
Q4 25
$778.2M
$1.5B
Q3 25
$778.0M
$1.5B
Q2 25
$776.3M
$1.5B
Q1 25
$839.4M
$1.4B
Q4 24
$828.5M
$1.4B
Q3 24
$1.2B
$1.3B
Q2 24
$1.2B
$1.3B
Q1 24
$1.2B
$1.2B
Total Assets
AVNS
AVNS
HTO
HTO
Q4 25
$1.1B
$5.1B
Q3 25
$1.1B
$5.0B
Q2 25
$1.0B
$4.8B
Q1 25
$1.1B
$4.7B
Q4 24
$1.2B
$4.7B
Q3 24
$1.7B
$4.6B
Q2 24
$1.7B
$4.4B
Q1 24
$1.7B
$4.4B
Debt / Equity
AVNS
AVNS
HTO
HTO
Q4 25
0.12×
1.23×
Q3 25
0.12×
Q2 25
0.12×
Q1 25
0.12×
Q4 24
0.15×
1.26×
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. Cash flow is harder to manipulate than net income.

Metric
AVNS
AVNS
HTO
HTO
Operating Cash FlowLast quarter
$28.2M
$63.5M
Free Cash FlowOCF − Capex
$21.3M
FCF MarginFCF / Revenue
11.8%
Capex IntensityCapex / Revenue
3.8%
Cash ConversionOCF / Net Profit
3.92×
TTM Free Cash FlowTrailing 4 quarters
$43.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVNS
AVNS
HTO
HTO
Q4 25
$28.2M
$63.5M
Q3 25
$14.0M
$77.3M
Q2 25
$6.8M
$60.8M
Q1 25
$25.7M
$43.2M
Q4 24
$57.9M
$41.5M
Q3 24
$23.0M
$53.5M
Q2 24
$27.8M
$49.3M
Q1 24
$-8.0M
$51.2M
Free Cash Flow
AVNS
AVNS
HTO
HTO
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
HTO
HTO
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
HTO
HTO
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
HTO
HTO
Q4 25
3.92×
Q3 25
1.71×
Q2 25
2.47×
Q1 25
3.89×
2.61×
Q4 24
1.81×
Q3 24
5.35×
1.39×
Q2 24
15.44×
2.38×
Q1 24
4.38×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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%

HTO
HTO

Water Utility Services$191.0M96%
Other$8.4M4%

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