ACU vs WST vs MDLN Stock Comparison

Acme United, West Pharmaceutical Services and Medline Prices as of Nov 3, 2026 Peers: Industry group
1 more company in this comparison (BAX) Create a free account to keep reading and compare up to 10 companies.
ACU Acme United Corp
$69.57 +9.5% 1M +83.4% 1Y
Market cap
$273.21M
P/E
27.8x
Revenue (TTM)
$211.60M
Div. yield
–
Medical Supplies Healthcare
5 wins
MDLN Medline Inc.
$34.09 -4.3% 1M
Market cap
$34.33B
P/E
41.0x
Revenue (TTM)
$28.57B
Div. yield
–
Medical Supplies Healthcare
2 wins

Head to Head

11 decided of 12

Acme United leads on 5 of the 12 questions below (Acme United 5, West Pharmaceutical Services 4, Medline 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionACUWSTMDLNLeader
Larger companyMarket capitalisation $273.21M $28.71B $34.33B MDLN
Cheaper on earningsLower P/E, profitable companies only 27.8x 44.9x 41.0x ACU
Cheaper on forward earningsLower price / next fiscal year consensus EPS 25.3x 42.6x 23.7x MDLN
Faster revenue growthRevenue growth, trailing twelve months +9.0% +12.6% — WST
More profitableNet margin, trailing twelve months 4.6% 18.8% 2.9% WST
Better return on capitalReturn on invested capital 7.3% 19.3% 5.4% WST
Less leveragedLower net debt / EBITDA 1.1x -0.3x 3.2x WST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +83.4% +45.5% — ACU
Better 5-year returnAnnualised price return, 5 years +14.0%/yr -1.2%/yr — ACU
Less volatileAnnualised volatility, 1 year 30.7% 31.2% 44.4% ACU
Higher overall scoreMean of the five percentile scores vs peers 70/100 69/100 67/100 ACU

Percentile Scorecard

ACUWSTMDLN

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisACUWSTMDLN
Valuation 94 #14 of 229 49 #117 of 229 81 #45 of 229
Growth 58 #93 of 221 49 #113 of 221 –
Profitability 81 #40 of 209 93 #15 of 209 72 #59 of 209
Financial Health 57 #104 of 240 80 #49 of 240 42 #139 of 240
Shareholder Returns 60 #60 of 147 75 #37 of 147 73 #40 of 147
Overall 70 69 67
  • ACU ranked among 248 companies in Medical Devices and Diagnostics
  • WST ranked among 248 companies in Medical Devices and Diagnostics
  • MDLN ranked among 248 companies in Medical Devices and Diagnostics

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodACUWSTMDLNSPY
1 month +9.5%+11.6%-4.3% -2.0%
3 months +23.6%+16.7%-18.9% -2.2%
6 months +66.0%+31.4%-24.8% +4.2%
Year to date +72.6%+48.0%-18.8% +10.6%
1 year +83.4%+45.5%— +10.4%
3 years +110.2%+21.5%— +73.6%
3 years, per year +28.1%+6.7%— +20.2%
5 years +92.7%-6.0%— +61.6%
5 years, per year +14.0%-1.2%— +10.1%
10 years +218.4%+445.4%— +261.3%
10 years, per year +12.3%+18.5%— +13.7%

Risk

MeasureACUWSTMDLNSPY
Volatility, 1Y 30.7%31.2%44.4% 12.8%
Downside volatility, 1Y 24.5%30.6%48.3% 12.8%
Beta vs S&P 500, 1Y 0.230.600.57 1.00
Return / volatility, 1Y 2.711.46— 0.81
Max drawdown, 5Y -41.7%-59.6%-36.7% -25.4%
From 52-week high 0.0%-2.1%-31.8% -3.2%
52-week high $69.57$415.75$49.99 $779.14
52-week low $35.50$230.95$31.64 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleACUWSTMDLN
P/E now vs peer median 27.1xmedian 28.1x 44.9xmedian 28.1x 34.9xmedian 28.1x
P/S now vs peer median 1.3xmedian 2.9x 8.4xmedian 2.9x 1.6xmedian 2.9x
EV/EBITDA now vs peer median 11.9xmedian 18.0x 29.2xmedian 18.0x 17.7xmedian 18.0x
P/FCF now vs peer median 17.2xmedian 24.8x 62.7xmedian 24.8x 28.2xmedian 24.8x
P/B now vs peer median 2.2xmedian 2.3x 9.6xmedian 2.3x 2.3xmedian 2.3x
PEG now vs peer median 0.91median 0.95 6.70median 0.95 —median 0.95

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsACUWSTMDLN
Revenue $211.60M $3.40B $28.57B
Gross profit $84.82M $1.28B $7.79B
Operating income $14.48M $780.20M $2.03B
Net income $9.82M $638.90M $1.03B
Free cash flow $15.48M $453.40M $1.59B
R&D – $75.60M –
EPS (diluted) $2.37 $9.02 $0.97
Cash & equivalents $5.04M $464.10M $2.33B
Total debt $32.33M $202.90M $12.58B
Shares (diluted) 4.14M 70.80M 861.00M
Enterprise value $255.23M $26.49B $27.28B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricACUWSTMDLN
P/E 27.1x 44.9x 34.9x
P/FCF 17.2x 62.7x 28.2x
P/Operating cash flow 10.2x 43.4x 22.3x
P/S 1.3x 8.4x 1.6x
P/B 2.2x 9.6x 2.3x
P/Tangible book 3.0x 9.6x 8.1x
EV/EBITDA 11.9x 29.2x 17.7x
EV/EBIT 20.3x 36.1x 27.0x
EV/Revenue 1.4x 8.3x 1.9x
EV/FCF 19.0x 62.1x 34.4x
EV/Operating cash flow 11.3x 43.0x 27.3x
PEG (3Y EPS CAGR) 0.91 6.70 –

Growth

14 metrics
MetricACUWSTMDLN
Revenue growth (1Y) 9.0% 12.6% –
Revenue CAGR (3Y) 3.1% 5.1% –
Gross profit growth (1Y) 11.0% 18.9% –
Gross profit CAGR (3Y) 8.5% 4.7% –
Operating income growth (1Y) 3.3% 32.7% –
Operating income CAGR (3Y) 20.1% 6.6% –
Net income growth (1Y) -5.1% 29.9% –
Net income CAGR (3Y) 36.0% 4.5% –
EPS growth (1Y) -5.9% 33.2% –
EPS CAGR (3Y) 29.7% 6.7% –
Operating cash flow growth (1Y) 43.2% -5.7% –
Operating cash flow CAGR (3Y) 12.0% -5.2% –
Free cash flow growth (1Y) 26.7% 19.6% –
Free cash flow CAGR (3Y) 1.5% 2.6% –

Profitability

14 metrics
MetricACUWSTMDLN
Gross margin 40.1% 37.6% 27.3%
EBITDA margin 11.7% 28.4% 10.8%
Operating margin 6.8% 23.0% 7.1%
Pretax margin 5.9% 23.2% 4.3%
Net margin 4.6% 18.8% 2.9%
FCF margin 7.3% 13.3% 5.6%
Operating cash flow margin 12.3% 19.3% 7.0%
Return on equity 8.2% 20.9% 5.4%
Return on assets 5.0% 15.3% 2.6%
Return on invested capital 7.3% 19.3% 5.4%
Return on capital employed 8.9% 22.8% 5.6%
Asset turnover 1.1x 0.8x 0.7x
Cash conversion (OCF / net income) 2.7x 1.0x 2.0x
Stock comp / revenue 0.9% 0.8% 0.3%

Financial Health

11 metrics
MetricACUWSTMDLN
Debt / assets 16.1% 5.0% 32.0%
Debt / equity 0.3x 0.1x 0.7x
Net debt / EBITDA 1.1x -0.3x 3.2x
Debt / FCF 2.1x 0.4x 7.9x
Liabilities / assets 39.5% 26.9% 51.5%
Equity / assets 60.5% 73.1% 48.5%
Interest coverage – 96.3x –
Current ratio 3.2x 2.8x 4.3x
Quick ratio 1.3x 1.9x 2.3x
Cash ratio 0.1x 0.7x 1.0x
Altman Z-score 4.52 19.09 2.50

Shareholder Returns

7 metrics
MetricACUWSTMDLN
Dividend yield 0.9% 0.2% –
Net buyback yield -0.2% 2.3% 0.0%
Shareholder yield 0.7% 2.5% 0.0%
Payout ratio (earnings) – 9.8% –
Payout ratio (FCF) – 13.9% –
Dividend growth (1Y) – 3.5% –
Dividend CAGR (3Y) – 3.7% –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusACUWSTMDLN
Forward P/E 25.3xFY2026 42.6xFY2026 23.7xFY2026
EPS, next fiscal year $2.75FY2026 $9.56FY2026 $1.44FY2026
EPS growth, next FY +10.4%FY2026 +31.1%FY2026 +0.7%FY2026
EPS growth, the year after +4.0% +10.6% +13.9%
Revenue, next fiscal year $217.65MFY2026 $3.24BFY2026 $32.52BFY2026
Revenue growth, next FY +10.7%FY2026 +5.6%FY2026 +14.4%FY2026
Revenue growth, the year after +0.7% +16.8% +8.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersACUWSTMDLN
Held by institutions 73.5% 99.5% 57.1%
Institutions holding 84 836 409
Change in shares held, QoQ +1.3% -0.9% +17.9%
Institutions buying 47 451 322
Institutions selling 21 261 69
Buyers to sellers 2.24 1.73 4.67

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ACUWSTMDLN
ACU 1.00 0.13 0.26
WST 0.13 1.00 0.08
MDLN 0.26 0.08 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ACU, WST and MDLN?

Medline (MDLN) is the largest by market capitalisation: Acme United (ACU) $273.21M, West Pharmaceutical Services (WST) $28.71B, Medline (MDLN) $34.33B.

Which stock is cheaper, ACU, WST and MDLN?

Acme United (ACU) trades on the lowest price-to-earnings ratio (Acme United (ACU) 27.8x, West Pharmaceutical Services (WST) 44.9x, Medline (MDLN) 41.0x). On next year's consensus earnings, Medline (MDLN) is cheapest (Acme United (ACU) 25.3x, West Pharmaceutical Services (WST) 42.6x, Medline (MDLN) 23.7x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

West Pharmaceutical Services (WST) grew revenue fastest over the trailing twelve months: Acme United (ACU) +9.0%, West Pharmaceutical Services (WST) +12.6%.

Which company is more profitable?

West Pharmaceutical Services (WST) has the highest net margin (Acme United (ACU) 4.6%, West Pharmaceutical Services (WST) 18.8%, Medline (MDLN) 2.9%). On return on invested capital, West Pharmaceutical Services (WST) leads (Acme United (ACU) 7.3%, West Pharmaceutical Services (WST) 19.3%, Medline (MDLN) 5.4%).

Which stock has performed better?

Over the past year Acme United (ACU) returned the most: Acme United (ACU) +83.4%, West Pharmaceutical Services (WST) +45.5%. Over five years, Acme United (ACU) compounded fastest (Acme United (ACU) +14.0%/yr, West Pharmaceutical Services (WST) -1.2%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Acme United (ACU) 0.00%, West Pharmaceutical Services (WST) 0.00%, Medline (MDLN) 0.00%. Acme United (ACU) and Medline (MDLN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Acme United (ACU) has been the steadiest (Acme United (ACU) 30.7%, West Pharmaceutical Services (WST) 31.2%, Medline (MDLN) 44.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ACU, WST and MDLN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Acme United (ACU) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.