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Side-by-side financial comparison of AVANOS MEDICAL, INC. (AVNS) and Natural Grocers by Vitamin Cottage, Inc. (NGVC). Click either name above to swap in a different company.

Natural Grocers by Vitamin Cottage, Inc. is the larger business by last-quarter revenue ($335.6M vs $180.9M, roughly 1.9× AVANOS MEDICAL, INC.). Natural Grocers by Vitamin Cottage, Inc. runs the higher net margin — 3.4% vs -0.7%, a 4.1% gap on every dollar of revenue. On growth, Natural Grocers by Vitamin Cottage, Inc. posted the faster year-over-year revenue change (1.6% vs 0.7%). AVANOS MEDICAL, INC. produced more free cash flow last quarter ($21.3M vs $11.6M). Over the past eight quarters, Natural Grocers by Vitamin Cottage, Inc.'s revenue compounded faster (4.4% 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.

Natural Grocers by Vitamin Cottage, Inc. is a U.S.-based specialty retail chain that offers certified organic groceries, dietary supplements, natural personal care items, and eco-friendly household products. It serves health-conscious consumers across multiple U.S. states, following strict quality standards that exclude artificial preservatives, colors, flavors and harmful additives.

AVNS vs NGVC — Head-to-Head

Bigger by revenue
NGVC
NGVC
1.9× larger
NGVC
$335.6M
$180.9M
AVNS
Growing faster (revenue YoY)
NGVC
NGVC
+0.9% gap
NGVC
1.6%
0.7%
AVNS
Higher net margin
NGVC
NGVC
4.1% more per $
NGVC
3.4%
-0.7%
AVNS
More free cash flow
AVNS
AVNS
$9.7M more FCF
AVNS
$21.3M
$11.6M
NGVC
Faster 2-yr revenue CAGR
NGVC
NGVC
Annualised
NGVC
4.4%
4.4%
AVNS

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
AVNS
AVNS
NGVC
NGVC
Revenue
$180.9M
$335.6M
Net Profit
$-1.3M
$11.3M
Gross Margin
47.5%
29.5%
Operating Margin
1.4%
4.4%
Net Margin
-0.7%
3.4%
Revenue YoY
0.7%
1.6%
Net Profit YoY
99.7%
14.0%
EPS (diluted)
$-0.02
$0.49

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
NGVC
NGVC
Q4 25
$180.9M
$335.6M
Q3 25
$177.8M
$336.1M
Q2 25
$175.0M
$328.7M
Q1 25
$167.5M
$335.8M
Q4 24
$179.6M
$330.2M
Q3 24
$170.4M
$322.7M
Q2 24
$171.7M
$309.1M
Q1 24
$166.1M
$308.1M
Net Profit
AVNS
AVNS
NGVC
NGVC
Q4 25
$-1.3M
$11.3M
Q3 25
$-1.4M
$11.8M
Q2 25
$-76.8M
$11.6M
Q1 25
$6.6M
$13.1M
Q4 24
$-397.3M
$9.9M
Q3 24
$4.3M
$9.0M
Q2 24
$1.8M
$9.2M
Q1 24
$-900.0K
$8.0M
Gross Margin
AVNS
AVNS
NGVC
NGVC
Q4 25
47.5%
29.5%
Q3 25
48.4%
29.5%
Q2 25
52.6%
29.9%
Q1 25
53.6%
30.3%
Q4 24
54.6%
29.9%
Q3 24
54.5%
29.6%
Q2 24
55.7%
29.2%
Q1 24
57.1%
29.3%
Operating Margin
AVNS
AVNS
NGVC
NGVC
Q4 25
1.4%
4.4%
Q3 25
0.1%
4.6%
Q2 25
-42.6%
4.7%
Q1 25
6.1%
5.2%
Q4 24
-233.0%
4.0%
Q3 24
7.0%
3.7%
Q2 24
3.7%
4.2%
Q1 24
2.4%
3.7%
Net Margin
AVNS
AVNS
NGVC
NGVC
Q4 25
-0.7%
3.4%
Q3 25
-0.8%
3.5%
Q2 25
-43.9%
3.5%
Q1 25
3.9%
3.9%
Q4 24
-221.2%
3.0%
Q3 24
2.5%
2.8%
Q2 24
1.0%
3.0%
Q1 24
-0.5%
2.6%
EPS (diluted)
AVNS
AVNS
NGVC
NGVC
Q4 25
$-0.02
$0.49
Q3 25
$-0.03
$0.51
Q2 25
$-1.66
$0.50
Q1 25
$0.14
$0.56
Q4 24
$-8.64
$0.43
Q3 24
$0.09
$0.38
Q2 24
$0.04
$0.40
Q1 24
$-0.02
$0.35

Balance Sheet & Financial Strength

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

Metric
AVNS
AVNS
NGVC
NGVC
Cash + ST InvestmentsLiquidity on hand
$89.8M
$23.2M
Total DebtLower is stronger
$90.3M
Stockholders' EquityBook value
$778.2M
$220.0M
Total Assets
$1.1B
$668.6M
Debt / EquityLower = less leverage
0.12×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVNS
AVNS
NGVC
NGVC
Q4 25
$89.8M
$23.2M
Q3 25
$70.5M
$17.1M
Q2 25
$90.3M
$13.2M
Q1 25
$97.0M
$21.2M
Q4 24
$107.7M
$6.3M
Q3 24
$89.0M
$8.9M
Q2 24
$92.2M
$13.9M
Q1 24
$75.8M
$11.0M
Total Debt
AVNS
AVNS
NGVC
NGVC
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
NGVC
NGVC
Q4 25
$778.2M
$220.0M
Q3 25
$778.0M
$212.4M
Q2 25
$776.3M
$202.5M
Q1 25
$839.4M
$193.0M
Q4 24
$828.5M
$181.9M
Q3 24
$1.2B
$174.3M
Q2 24
$1.2B
$167.8M
Q1 24
$1.2B
$160.0M
Total Assets
AVNS
AVNS
NGVC
NGVC
Q4 25
$1.1B
$668.6M
Q3 25
$1.1B
$670.5M
Q2 25
$1.0B
$659.0M
Q1 25
$1.1B
$664.6M
Q4 24
$1.2B
$648.9M
Q3 24
$1.7B
$655.5M
Q2 24
$1.7B
$654.4M
Q1 24
$1.7B
$656.6M
Debt / Equity
AVNS
AVNS
NGVC
NGVC
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. Cash flow is harder to manipulate than net income.

Metric
AVNS
AVNS
NGVC
NGVC
Operating Cash FlowLast quarter
$28.2M
$21.1M
Free Cash FlowOCF − Capex
$21.3M
$11.6M
FCF MarginFCF / Revenue
11.8%
3.4%
Capex IntensityCapex / Revenue
3.8%
2.9%
Cash ConversionOCF / Net Profit
1.86×
TTM Free Cash FlowTrailing 4 quarters
$43.1M
$42.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVNS
AVNS
NGVC
NGVC
Q4 25
$28.2M
$21.1M
Q3 25
$14.0M
$15.6M
Q2 25
$6.8M
$2.9M
Q1 25
$25.7M
$34.1M
Q4 24
$57.9M
$2.7M
Q3 24
$23.0M
$24.5M
Q2 24
$27.8M
$12.4M
Q1 24
$-8.0M
$20.2M
Free Cash Flow
AVNS
AVNS
NGVC
NGVC
Q4 25
$21.3M
$11.6M
Q3 25
$7.0M
$7.5M
Q2 25
$-4.2M
$-4.2M
Q1 25
$19.0M
$27.6M
Q4 24
$53.1M
$-6.9M
Q3 24
$20.0M
$18.0M
Q2 24
$21.9M
$3.6M
Q1 24
$-12.1M
$9.8M
FCF Margin
AVNS
AVNS
NGVC
NGVC
Q4 25
11.8%
3.4%
Q3 25
3.9%
2.2%
Q2 25
-2.4%
-1.3%
Q1 25
11.3%
8.2%
Q4 24
29.6%
-2.1%
Q3 24
11.7%
5.6%
Q2 24
12.8%
1.2%
Q1 24
-7.3%
3.2%
Capex Intensity
AVNS
AVNS
NGVC
NGVC
Q4 25
3.8%
2.9%
Q3 25
3.9%
2.4%
Q2 25
6.3%
2.2%
Q1 25
4.0%
1.9%
Q4 24
2.7%
2.9%
Q3 24
1.8%
2.0%
Q2 24
3.4%
2.9%
Q1 24
2.5%
3.4%
Cash Conversion
AVNS
AVNS
NGVC
NGVC
Q4 25
1.86×
Q3 25
1.32×
Q2 25
0.25×
Q1 25
3.89×
2.60×
Q4 24
0.27×
Q3 24
5.35×
2.72×
Q2 24
15.44×
1.35×
Q1 24
2.54×

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%

NGVC
NGVC

Grocery$243.8M73%
Dietary Supplements$60.7M18%
Manufactured Product Other$31.0M9%

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