Orthopedic, Prosthetic & Surgical Appliances & SuppliesIFRS · EUR

Avanos Medical, Inc

Avanos Medical, Inc. is a U.S.-based medical technology company focused on products that support enteral nutrition and pain management/recovery. Its portfolio is centered on helping patients move from hospital to home and from surgery to recovery, with brands such as MIC-KEY and Corpak in specialty nutrition. The company develops, manufactures, and markets its products globally and sells primarily to healthcare providers through distributors and group purchasing organizations. Avanos has been reshaping its portfolio through divestitures, asset sales, restructuring, and targeted acquisitions to concentrate on its two core operating segments.

Revenue701m EUR
+1.9 %y/y
Operating profit (EBIT)-61.6m EUR
+84.5 %y/y
EBIT margin-8.8%
+48.8 ppy/y
Net income-72.9m EUR
+81.4 %y/y
Free cash flow74.7m EUR
−25.8 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

-500-2500250500750m EUR2020: 715 m EUR2020: EBIT -46 m EUR20202021: 587 m EUR2021: EBIT -39 m EUR20212022: 684 m EUR2022: EBIT 36 m EUR20222023: 673 m EUR2023: EBIT 4.2 m EUR20232024: 688 m EUR2024: EBIT -396 m EUR20242025: 701 m EUR2025: EBIT -62 m EUR2025701-62
RevenueOperating profit (EBIT)

Business

Share of revenue
Specialty Nutrition Systems57 %

Enteral nutrition products used to provide feeding access and support patients from hospital to home.

Pain Management and Recovery34 %

Products and devices used to reduce pain and support recovery after surgery or procedures.

Legacy / Divested and Transitioning Products9 %

Products and asset lines being exited or transitioned as part of portfolio rationalization.

Products

Reported · share of revenue
44.9%19.8%16.9%14.1%FY2025100 %
  • Enteral Feeding44.9 %
  • Radiofrequency Ablation19.8 %
  • Neonate Solutions16.9 %
  • Surgical Pain and Recovery14.1 %
  • Corporate Other4.3 %

Source: 10-K FY2025, revenue the company reports per product line (SEC XBRL). Shares are of the lines shown and add up to 100 %.

Customers

Avanos sells mainly to hospitals, ambulatory care centers, and other sites of care that need enteral feeding and pain-management devices. Physicians, nurses, hospital administrators, and professional societies influence product selection because the company’s products are used in clinical workflows and procedure settings. A meaningful portion of sales also flows through third-party wholesale distributors and group purchasing organizations, which matter because they negotiate pricing and purchasing access for provider networks. Outside North America, the company relies more heavily on distributors or wholesalers, reflecting local market structure and reimbursement practices. End customers ultimately include patients who need nutrition support or post-surgical pain solutions, but purchasing decisions are made by healthcare institutions and their procurement channels.

Hospitals and health systems

Buy enteral feeding and pain-management products for inpatient and procedural use because they need clinically reliable devices and standardized supply access.

Ambulatory care centers and other sites of care

Purchase pain and recovery products and some nutrition solutions for outpatient procedures and post-acute care workflows.

Group purchasing organizations

Contract for access, pricing, and volume discounts on behalf of member providers, shaping Avanos pricing and distribution reach.

Wholesale and strategic distribution partners

Buy and resell products in North America and international markets where distributor-led channels are more efficient.

Clinicians and care teams

Influence product adoption by selecting devices that fit clinical protocols, ease of use, and patient outcomes.

Strategy

Avanos is executing a multi-year transformation focused on concentrating the business around Specialty Nutrition Systems and Pain Management and Recovery. Management has been rationalizing the portfolio through divestitures and asset sales, including the Respiratory Health divestiture, the sale of HA assets, and the exit from the Game Ready rental business. The company is also pursuing cost management, manufacturing and distribution footprint optimization, and business process efficiencies to improve operating profitability. At the same time, it is using acquisitions selectively, such as Nexus and Diros, to add capabilities that fit its strategic and financial criteria.

Portfolio rationalizationShort term

Focusing on higher-value core categories should improve mix, simplify operations, and reduce management distraction from non-core businesses.

Cost and footprint optimizationMedium term

Restructuring manufacturing, distribution, and overhead is intended to lift profitability after portfolio changes.

Core-category growthMedium term

SNS and PM&R are the company’s main growth and investment areas, supporting recurring clinical demand and brand relevance.

Selective M&AMedium term

Acquisitions can add technology or market access if they fit strategic and financial criteria.

Geography

Avanos is headquartered in Alpharetta, Georgia and manufactures in the United States, Mexico, and Canada. Its distribution network spans North America, Europe, Australia, and Japan, which supports global commercialization of its medical device portfolio. North America is the largest revenue region, while Europe, the Middle East and Africa and Asia Pacific/Latin America provide additional international exposure. The company also relies on distributors more heavily outside North America, making regional channel structure and reimbursement conditions important to growth and margin performance. Portfolio changes and manufacturing footprint optimization are part of its transformation plan, so geography matters both for supply chain efficiency and for where the company can sell directly versus through partners.

Risks

Avanos operates in a highly competitive medical device market where price, clinical alternatives, innovation, and reputation all affect share. Its products are exposed to product liability claims, recalls, safety alerts, and regulatory actions because they are used in invasive or procedure-related settings. Reimbursement pressure from government programs and private insurers can reduce customer willingness to pay and can force pricing concessions, especially in cost-sensitive healthcare systems. The company also faces execution risk from its ongoing transformation, including divestitures, restructuring, and manufacturing footprint changes, which can disrupt supply or distract management. In addition, tariffs, foreign exchange, distributor concentration, and international channel dependence can affect margins and demand across regions.

Sorted by severity
LowMediumHighLowMediumHighImpact →Likelihood →Competitive pressure in medical devices1Product liability and recall exposure2Reimbursement and payor pressure3Tariffs and cross-border cost inflation4Transformation and restructuring execution5
Impact is the risk’s severity and likelihood how probable it is over the next few years, both assessed from the company’s reports. Numbers match the list.
  1. Competitive pressure in medical devicesImpact: HighLikelihood: Medium

    The company competes against larger firms and niche specialists on price, innovation, and clinical preference, which can erode share or margins.

    Exposure: SNS and PM&R product lines

  2. Product liability and recall exposureImpact: HighLikelihood: Medium

    Devices used in patient care can trigger claims, recalls, or regulatory action if defects, misuse, or adverse events occur.

    Exposure: Enteral feeding and pain-management products

  3. Reimbursement and payor pressureImpact: MediumLikelihood: High

    Hospitals and providers may reduce purchases or demand discounts if reimbursement is constrained.

    Exposure: Hospital and ambulatory care sales

  4. Tariffs and cross-border cost inflationImpact: MediumLikelihood: High

    Manufacturing and distribution across multiple countries expose the company to trade policy and input-cost changes.

    ExposureNorth AmericaEuropeAsia Pacific supply chain
  5. Transformation and restructuring executionImpact: MediumLikelihood: Medium

    Portfolio exits and footprint changes can create operational disruption, one-time costs, and supply-chain complexity.

    Exposure: Global operations and manufacturing network

Accounting

Judgemental items
GPO fees and net sales deductions

Fees paid under group purchasing agreements are recorded as reductions of net sales, so contract mix affects reported revenue.

Impact: Revenue and margin presentation

Goodwill and intangible impairment

Management performed an interim goodwill impairment test in 2025 after market capitalization fell, which can lead to non-cash charges.

Impact: Earnings, equity, and segment comparability

Restructuring and transformation costs

The multi-year transformation plan generates charges across cost of products sold, R&D, SG&A, and other expense lines.

Impact: Operating profit and trend comparability

Divestiture and discontinued operations accounting

Sales of businesses and assets can create gains/losses and separate discontinued-operations presentation.

Impact: Reported revenue base and operating income

Contingent liabilities and product liability reserves

Medical device litigation and recall exposure require estimates that can change materially with new claims or regulatory events.

Impact: Expense recognition and balance sheet reserves

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026

Avanos Medical, Inc – Orthopedic, Prosthetic & Surgical Applia | Financial Analysis – Clarifo