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

Zimmer Biomet is the larger business by last-quarter revenue ($2.2B vs $180.9M, roughly 12.4× AVANOS MEDICAL, INC.). Zimmer Biomet runs the higher net margin — 6.2% vs -0.7%, a 6.9% gap on every dollar of revenue. On growth, Zimmer Biomet posted the faster year-over-year revenue change (10.9% vs 0.7%). Zimmer Biomet produced more free cash flow last quarter ($442.6M vs $21.3M). Over the past eight quarters, Zimmer Biomet's revenue compounded faster (9.0% 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.

Zimmer Biomet Holdings, Inc. is a publicly traded American medical device company. It was founded in 1927 to produce aluminum splints. The firm is headquartered in Warsaw, Indiana, where it is part of the medical devices business cluster.

AVNS vs ZBH — Head-to-Head

Bigger by revenue
ZBH
ZBH
12.4× larger
ZBH
$2.2B
$180.9M
AVNS
Growing faster (revenue YoY)
ZBH
ZBH
+10.2% gap
ZBH
10.9%
0.7%
AVNS
Higher net margin
ZBH
ZBH
6.9% more per $
ZBH
6.2%
-0.7%
AVNS
More free cash flow
ZBH
ZBH
$421.3M more FCF
ZBH
$442.6M
$21.3M
AVNS
Faster 2-yr revenue CAGR
ZBH
ZBH
Annualised
ZBH
9.0%
4.4%
AVNS

Income Statement — Q4 2025 vs Q4 2025

Metric
AVNS
AVNS
ZBH
ZBH
Revenue
$180.9M
$2.2B
Net Profit
$-1.3M
$139.4M
Gross Margin
47.5%
64.7%
Operating Margin
1.4%
6.9%
Net Margin
-0.7%
6.2%
Revenue YoY
0.7%
10.9%
Net Profit YoY
99.7%
-41.8%
EPS (diluted)
$-0.02
$0.71

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
ZBH
ZBH
Q4 25
$180.9M
$2.2B
Q3 25
$177.8M
$2.0B
Q2 25
$175.0M
$2.1B
Q1 25
$167.5M
$1.9B
Q4 24
$179.6M
$2.0B
Q3 24
$170.4M
$1.8B
Q2 24
$171.7M
$1.9B
Q1 24
$166.1M
$1.9B
Net Profit
AVNS
AVNS
ZBH
ZBH
Q4 25
$-1.3M
$139.4M
Q3 25
$-1.4M
$230.9M
Q2 25
$-76.8M
$152.8M
Q1 25
$6.6M
$182.0M
Q4 24
$-397.3M
$239.5M
Q3 24
$4.3M
$249.1M
Q2 24
$1.8M
$242.8M
Q1 24
$-900.0K
$172.4M
Gross Margin
AVNS
AVNS
ZBH
ZBH
Q4 25
47.5%
64.7%
Q3 25
48.4%
72.1%
Q2 25
52.6%
71.5%
Q1 25
53.6%
71.2%
Q4 24
54.6%
71.0%
Q3 24
54.5%
70.5%
Q2 24
55.7%
71.5%
Q1 24
57.1%
72.9%
Operating Margin
AVNS
AVNS
ZBH
ZBH
Q4 25
1.4%
6.9%
Q3 25
0.1%
17.6%
Q2 25
-42.6%
14.4%
Q1 25
6.1%
15.3%
Q4 24
-233.0%
19.2%
Q3 24
7.0%
15.3%
Q2 24
3.7%
18.1%
Q1 24
2.4%
14.1%
Net Margin
AVNS
AVNS
ZBH
ZBH
Q4 25
-0.7%
6.2%
Q3 25
-0.8%
11.5%
Q2 25
-43.9%
7.4%
Q1 25
3.9%
9.5%
Q4 24
-221.2%
11.8%
Q3 24
2.5%
13.7%
Q2 24
1.0%
12.5%
Q1 24
-0.5%
9.1%
EPS (diluted)
AVNS
AVNS
ZBH
ZBH
Q4 25
$-0.02
$0.71
Q3 25
$-0.03
$1.16
Q2 25
$-1.66
$0.77
Q1 25
$0.14
$0.91
Q4 24
$-8.64
$1.18
Q3 24
$0.09
$1.23
Q2 24
$0.04
$1.18
Q1 24
$-0.02
$0.84

Balance Sheet & Financial Strength

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

Metric
AVNS
AVNS
ZBH
ZBH
Cash + ST InvestmentsLiquidity on hand
$89.8M
$591.9M
Total DebtLower is stronger
$90.3M
Stockholders' EquityBook value
$778.2M
$12.7B
Total Assets
$1.1B
$23.1B
Debt / EquityLower = less leverage
0.12×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVNS
AVNS
ZBH
ZBH
Q4 25
$89.8M
$591.9M
Q3 25
$70.5M
$1.3B
Q2 25
$90.3M
$556.9M
Q1 25
$97.0M
$1.4B
Q4 24
$107.7M
$525.5M
Q3 24
$89.0M
$569.0M
Q2 24
$92.2M
$420.1M
Q1 24
$75.8M
$393.0M
Total Debt
AVNS
AVNS
ZBH
ZBH
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
ZBH
ZBH
Q4 25
$778.2M
$12.7B
Q3 25
$778.0M
$12.8B
Q2 25
$776.3M
$12.5B
Q1 25
$839.4M
$12.4B
Q4 24
$828.5M
$12.5B
Q3 24
$1.2B
$12.4B
Q2 24
$1.2B
$12.7B
Q1 24
$1.2B
$12.6B
Total Assets
AVNS
AVNS
ZBH
ZBH
Q4 25
$1.1B
$23.1B
Q3 25
$1.1B
$23.5B
Q2 25
$1.0B
$22.9B
Q1 25
$1.1B
$22.2B
Q4 24
$1.2B
$21.4B
Q3 24
$1.7B
$21.7B
Q2 24
$1.7B
$21.5B
Q1 24
$1.7B
$21.5B
Debt / Equity
AVNS
AVNS
ZBH
ZBH
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
ZBH
ZBH
Operating Cash FlowLast quarter
$28.2M
$517.4M
Free Cash FlowOCF − Capex
$21.3M
$442.6M
FCF MarginFCF / Revenue
11.8%
19.7%
Capex IntensityCapex / Revenue
3.8%
3.3%
Cash ConversionOCF / Net Profit
3.71×
TTM Free Cash FlowTrailing 4 quarters
$43.1M
$1.5B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVNS
AVNS
ZBH
ZBH
Q4 25
$28.2M
$517.4M
Q3 25
$14.0M
$418.7M
Q2 25
$6.8M
$378.2M
Q1 25
$25.7M
$382.8M
Q4 24
$57.9M
$506.3M
Q3 24
$23.0M
$395.7M
Q2 24
$27.8M
$369.4M
Q1 24
$-8.0M
$228.0M
Free Cash Flow
AVNS
AVNS
ZBH
ZBH
Q4 25
$21.3M
$442.6M
Q3 25
$7.0M
$363.7M
Q2 25
$-4.2M
$328.1M
Q1 25
$19.0M
$338.2M
Q4 24
$53.1M
$454.8M
Q3 24
$20.0M
$351.2M
Q2 24
$21.9M
$316.7M
Q1 24
$-12.1M
$172.9M
FCF Margin
AVNS
AVNS
ZBH
ZBH
Q4 25
11.8%
19.7%
Q3 25
3.9%
18.2%
Q2 25
-2.4%
15.8%
Q1 25
11.3%
17.7%
Q4 24
29.6%
22.5%
Q3 24
11.7%
19.3%
Q2 24
12.8%
16.3%
Q1 24
-7.3%
9.2%
Capex Intensity
AVNS
AVNS
ZBH
ZBH
Q4 25
3.8%
3.3%
Q3 25
3.9%
2.7%
Q2 25
6.3%
2.4%
Q1 25
4.0%
2.3%
Q4 24
2.7%
2.5%
Q3 24
1.8%
2.4%
Q2 24
3.4%
2.7%
Q1 24
2.5%
2.9%
Cash Conversion
AVNS
AVNS
ZBH
ZBH
Q4 25
3.71×
Q3 25
1.81×
Q2 25
2.48×
Q1 25
3.89×
2.10×
Q4 24
2.11×
Q3 24
5.35×
1.59×
Q2 24
15.44×
1.52×
Q1 24
1.32×

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%

ZBH
ZBH

Knees$911.0M41%
SET$587.6M26%
Hips$555.4M25%
Technology And Data Bone Cement And Surgical$189.8M8%

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