Avanos Medical, Inc. (NYSE: AVNS)

Sector: Healthcare Industry: Medical Devices CIK: 0001606498
Market Cap 686.09 Mn
P/B 0.88
P/E -1.46
P/S 0.98
ROIC (Qtr) -62.28
Div Yield % 0.00
Rev 1y % (Qtr) 4.34
Total Debt (Qtr) 133.70 Mn
Debt/Equity (Qtr) 0.17
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About

Avanos Medical, Inc., listed on the NASDAQ stock exchange under the ticker symbol AVNS, is a medical technology company that operates in the highly competitive medical device industry. The company is headquartered in Alpharetta, Georgia, and has a significant presence in the United States, Mexico, and other countries. Avanos Medical, Inc. generates revenue primarily through the sale of its medical devices to hospitals, ambulatory care centers, and other healthcare providers. The company's main business activities are centered around its two primary...

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Investment thesis

Bull case

  • Strong operating cash flow of 104.40M provides robust 0.78x coverage of total debt 133.70M, indicating excellent debt servicing capability and financial flexibility.
  • Healthy cash reserves of 70.50M provide 3.73x coverage of short-term debt 18.90M, demonstrating strong liquidity position and minimal refinancing risk.
  • Strong tangible asset base of 551.30M provides 4.12x coverage of total debt 133.70M, indicating robust asset backing and low credit risk.
  • Robust free cash flow of 78.90M exceeds capital expenditure of 25.50M by 3.09x, indicating strong organic growth funding capability.
  • Operating cash flow of 104.40M provides exceptional 12x coverage of interest expenses 8.70M, showing strong debt service capability.

Bear case

  • Operating cash flow of 104.40M barely covers its investment activities of (61.40M), with a coverage ratio of -1.70, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (61.40M) provide weak support for R&D spending of 22.90M, which is -2.68x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 70.50M provide limited coverage of acquisition spending of (28.30M), which is -2.49x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • Operating earnings of (479.50M) show weak coverage of depreciation charges of 40.10M, with a -11.96 ratio indicating high capital intensity and potential reinvestment needs.
  • Operating cash flow of 104.40M provides minimal -5.41x coverage of tax expenses of (19.30M), suggesting potential tax planning inefficiencies or unsustainable tax positions.

Product and Service Breakdown of Revenue (2024)

Geographical Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.69 2.13
EV to Cash from Ops. EV/CFO 7.02 2.75
EV to Debt EV to Debt 5.48 17.25
EV to EBIT EV/EBIT -1.53 2.89
EV to EBITDA EV/EBITDA -1.64 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 9.29 29.36
EV to Market Cap EV to Market Cap 1.07 25.09
EV to Revenue EV/Rev 1.05 32.80
Price to Book Value [P/B] P/B 0.88 4.73
Price to Earnings [P/E] P/E -1.46 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) -55.11 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -34.92 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -20.79 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -1,897.60 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -634.81 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) -1,561.89 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) -2,528.86 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) -3,097.06 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 115.57 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) -3.28 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.66 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 0.48 1.80
Current Ratio Curr Ratio (Qtr) 2.38 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 0.17 1.20
Interest Cover Ratio Int Coverage (Qtr) -55.11 196.93
Times Interest Earned Times Interest Earned (Qtr) -55.11 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -62.80 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) -68.51 -2,478.60
EBT Margin % EBT Margin % (Qtr) -69.75 -2,690.42
Gross Margin % Gross Margin % (Qtr) 52.30 30.80
Net Profit Margin % Net Margin % (Qtr) -67.00 -2,821.53