ACU vs WST vs MDLN Stock Comparison

Acme United, West Pharmaceutical Services and Medline Prices as of Oct 26, 2026 Peers: Industry group
ACU Acme United Corp
$63.33 +0.9% 1M +60.9% 1Y
Market cap
$242.80M
P/E
24.6x
Revenue (TTM)
$211.60M
Div. yield
1.01%
Medical Supplies Healthcare
7 wins
MDLN Medline Inc.
$33.69 -2.9% 1M
Market cap
$44.29B
P/E
34.5x
Revenue (TTM)
$28.57B
Div. yield
–
Medical Supplies Healthcare
1 win

Head to Head

12 decided of 12

Acme United leads on 7 of the 12 questions below (Acme United 7, West Pharmaceutical Services 4, Medline 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionACUWSTMDLNLeader
Larger companyMarket capitalisation $242.80M $27.80B $44.29B MDLN
Cheaper on earningsLower P/E, profitable companies only 24.6x 49.5x 34.5x ACU
Cheaper on forward earningsLower price / next fiscal year consensus EPS 23.0x 41.3x 23.4x ACU
Faster revenue growthRevenue growth, trailing twelve months +9.0% +12.4% — WST
More profitableNet margin, trailing twelve months 4.6% 17.0% 2.9% WST
Better return on capitalReturn on invested capital 7.3% 16.9% 5.4% WST
Less leveragedLower net debt / EBITDA 1.1x -0.3x 3.2x WST
Higher dividend yieldTrailing dividend yield 1.01% 0.22% — ACU
Better 1-year returnPrice return, last 12 months +60.9% +32.8% — ACU
Better 5-year returnAnnualised price return, 5 years +11.7%/yr -1.3%/yr — ACU
Less volatileAnnualised volatility, 1 year 30.5% 31.3% 44.5% ACU
Higher overall scoreMean of the five percentile scores vs peers 71/100 67/100 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 95 #12 of 228 47 #122 of 228 82 #42 of 228
Growth 59 #91 of 221 40 #134 of 221 –
Profitability 80 #42 of 208 92 #18 of 208 72 #59 of 208
Financial Health 56 #106 of 239 77 #55 of 239 41 #142 of 239
Shareholder Returns 63 #52 of 137 81 #27 of 137 72 #39 of 137
Overall 71 67 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 +0.9%+6.6%-2.9% -0.8%
3 months +11.6%+19.2%-15.1% +3.5%
6 months +50.8%+30.7%-25.5% +7.0%
Year to date +57.1%+43.5%-19.8% +12.2%
1 year +60.9%+32.8%— +13.0%
3 years +108.3%+23.1%— +86.3%
3 years, per year +27.7%+7.2%— +23.1%
5 years +74.0%-6.3%— +68.6%
5 years, per year +11.7%-1.3%— +11.0%
10 years +205.2%+459.6%— +258.0%
10 years, per year +11.8%+18.8%— +13.6%

Risk

MeasureACUWSTMDLNSPY
Volatility, 1Y 30.5%31.3%44.5% 12.7%
Downside volatility, 1Y 24.2%30.8%48.6% 12.7%
Beta vs S&P 500, 1Y 0.220.620.62 1.00
Return / volatility, 1Y 1.991.05— 1.02
Max drawdown, 5Y -43.5%-59.6%-36.7% -25.4%
From 52-week high -0.8%0.0%-32.6% -1.8%
52-week high $63.85$394.93$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 24.6xmedian 30.6x 49.5xmedian 30.6x 34.5xmedian 30.6x
P/S now vs peer median 1.1xmedian 3.0x 8.4xmedian 3.0x 1.6xmedian 3.0x
EV/EBITDA now vs peer median 10.9xmedian 17.5x 32.0xmedian 17.5x 17.5xmedian 17.5x
P/FCF now vs peer median 15.7xmedian 23.3x 63.6xmedian 23.3x 27.8xmedian 23.3x
P/B now vs peer median 2.0xmedian 2.4x 9.3xmedian 2.4x 2.3xmedian 2.4x
PEG now vs peer median 0.83median 0.87 10.27median 0.87 —median 0.87

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 $3.33B $28.57B
Gross profit $84.82M $1.22B $7.79B
Operating income $14.48M $680.40M $2.03B
Net income $9.82M $564.90M $1.03B
Free cash flow $15.48M $436.90M $1.59B
R&D – $74.40M –
EPS (diluted) $2.37 $7.92 $0.97
Cash & equivalents $5.04M $435.80M $2.33B
Total debt $32.33M $202.90M $12.58B
Shares (diluted) 4.14M 71.30M 861.00M
Enterprise value $224.82M $25.43B $44.75B

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 24.6x 49.5x 34.5x
P/FCF 15.7x 63.6x 27.8x
P/Operating cash flow 9.3x 42.0x 22.1x
P/S 1.1x 8.4x 1.6x
P/B 2.0x 9.3x 2.3x
P/Tangible book 2.8x 9.3x 8.0x
EV/EBITDA 10.9x 32.0x 17.5x
EV/EBIT 18.6x 40.5x 26.7x
EV/Revenue 1.3x 8.3x 1.9x
EV/FCF 17.4x 63.1x 34.1x
EV/Operating cash flow 10.3x 41.6x 27.0x
PEG (3Y EPS CAGR) 0.83 10.27 –

Growth

14 metrics
MetricACUWSTMDLN
Revenue growth (1Y) 9.0% 12.4% –
Revenue CAGR (3Y) 3.1% 5.1% –
Gross profit growth (1Y) 11.0% 17.2% –
Gross profit CAGR (3Y) 8.5% 3.8% –
Operating income growth (1Y) 3.3% 17.0% –
Operating income CAGR (3Y) 20.1% 1.3% –
Net income growth (1Y) -5.1% 15.8% –
Net income CAGR (3Y) 36.0% 2.9% –
EPS growth (1Y) -5.9% 17.8% –
EPS CAGR (3Y) 29.7% 4.8% –
Operating cash flow growth (1Y) 43.2% -2.1% –
Operating cash flow CAGR (3Y) 12.0% -2.2% –
Free cash flow growth (1Y) 26.7% 27.0% –
Free cash flow CAGR (3Y) 1.5% 3.3% –

Profitability

14 metrics
MetricACUWSTMDLN
Gross margin 40.1% 36.8% 27.3%
EBITDA margin 11.7% 25.9% 10.8%
Operating margin 6.8% 20.5% 7.1%
Pretax margin 5.9% 20.8% 4.3%
Net margin 4.6% 17.0% 2.9%
FCF margin 7.3% 13.1% 5.6%
Operating cash flow margin 12.3% 19.9% 7.0%
Return on equity 8.2% 18.4% 5.4%
Return on assets 5.0% 13.4% 2.6%
Return on invested capital 7.3% 16.9% 5.4%
Return on capital employed 8.9% 19.7% 5.6%
Asset turnover 1.1x 0.8x 0.7x
Cash conversion (OCF / net income) 2.7x 1.2x 2.0x
Stock comp / revenue 0.9% 1.0% 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 0.5x 7.9x
Liabilities / assets 39.5% 26.6% 51.5%
Equity / assets 60.5% 73.4% 48.5%
Interest coverage – 151.2x –
Current ratio 3.2x 2.8x 4.3x
Quick ratio 1.3x 1.8x 2.3x
Cash ratio 0.1x 0.7x 1.0x
Altman Z-score 4.34 18.66 2.49

Shareholder Returns

7 metrics
MetricACUWSTMDLN
Dividend yield 1.0% 0.2% –
Net buyback yield -0.2% 1.5% 0.0%
Shareholder yield 0.8% 1.8% 0.0%
Payout ratio (earnings) – 11.0% –
Payout ratio (FCF) – 14.3% –
Dividend growth (1Y) – 3.8% –
Dividend CAGR (3Y) – 3.8% –

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 23.0xFY2026 41.3xFY2026 23.4xFY2026
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% +10.8% +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 84 833 407
Change in shares held, QoQ +1.3% -0.9% +17.9%
Institutions buying 47 448 322
Institutions selling 21 261 68
Buyers to sellers 2.24 1.72 4.74

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 0.12 0.27
WST 0.12 1.00 0.09
MDLN 0.27 0.09 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) $242.80M, West Pharmaceutical Services (WST) $27.80B, Medline (MDLN) $44.29B.

Which stock is cheaper, ACU, WST and MDLN?

Acme United (ACU) trades on the lowest price-to-earnings ratio (Acme United (ACU) 24.6x, West Pharmaceutical Services (WST) 49.5x, Medline (MDLN) 34.5x). On next year's consensus earnings, Acme United (ACU) is cheapest (Acme United (ACU) 23.0x, West Pharmaceutical Services (WST) 41.3x, Medline (MDLN) 23.4x). 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) +12.4%.

Which company is more profitable?

West Pharmaceutical Services (WST) has the highest net margin (Acme United (ACU) 4.6%, West Pharmaceutical Services (WST) 17.0%, Medline (MDLN) 2.9%). On return on invested capital, West Pharmaceutical Services (WST) leads (Acme United (ACU) 7.3%, West Pharmaceutical Services (WST) 16.9%, Medline (MDLN) 5.4%).

Which stock has performed better?

Over the past year Acme United (ACU) returned the most: Acme United (ACU) +60.9%, West Pharmaceutical Services (WST) +32.8%. Over five years, Acme United (ACU) compounded fastest (Acme United (ACU) +11.7%/yr, West Pharmaceutical Services (WST) -1.3%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Acme United (ACU) has the highest dividend yield: Acme United (ACU) 1.01%, West Pharmaceutical Services (WST) 0.22%. 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) 30.5%, West Pharmaceutical Services (WST) 31.3%, Medline (MDLN) 44.5%). 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 7. 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.