MDLN vs RMTI vs ACU Stock Comparison

Medline, Rockwell Medical and Acme United Prices as of Nov 5, 2026 Peers: Industry group
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MDLN Medline Inc.
$39.76 +11.8% 1M
Market cap
$34.73B
P/E
60.2x
Revenue (TTM)
$30.68B
Div. yield
–
Medical Supplies Healthcare
1 win
RMTI Rockwell Medical, Inc.
$7.60 -1.3% 1M +630.8% 1Y
Market cap
$30.70M
P/E
–
Revenue (TTM)
$69.39M
Div. yield
–
Medical Supplies Healthcare
1 win
ACU Acme United Corp
$69.02 +9.4% 1M +81.4% 1Y
Market cap
$261.44M
P/E
26.6x
Revenue (TTM)
$211.60M
Div. yield
–
Medical Supplies Healthcare
9 wins

Head to Head

11 decided of 12

Acme United leads on 9 of the 12 questions below (Acme United 9, Medline 1, Rockwell Medical 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionMDLNRMTIACULeader
Larger companyMarket capitalisation $34.73B $30.70M $261.44M MDLN
Cheaper on earningsLower P/E, profitable companies only 60.2x -6.0x 26.6x ACU
Cheaper on forward earningsLower price / next fiscal year consensus EPS 27.6x — 25.2x ACU
Faster revenue growthRevenue growth, trailing twelve months — -21.1% +9.0% ACU
More profitableNet margin, trailing twelve months 1.9% -7.3% 4.6% ACU
Better return on capitalReturn on invested capital 4.3% — 7.3% ACU
Less leveragedLower net debt / EBITDA 3.2x 7.8x 1.1x ACU
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months — +630.8% +81.4% RMTI
Better 5-year returnAnnualised price return, 5 years — +5.4%/yr +14.0%/yr ACU
Less volatileAnnualised volatility, 1 year 47.8% 402.1% 30.9% ACU
Higher overall scoreMean of the five percentile scores vs peers 52/100 56/100 71/100 ACU

Percentile Scorecard

MDLNRMTIACU

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

AxisMDLNRMTIACU
Valuation 79 #49 of 229 90 #25 of 229 95 #13 of 229
Growth – 24 #168 of 221 57 #96 of 221
Profitability 73 #58 of 210 56 #93 of 210 81 #41 of 210
Financial Health 43 #137 of 240 55 #109 of 240 57 #104 of 240
Shareholder Returns 14 #126 of 147 – 65 #52 of 147
Overall 52 56 71
  • MDLN ranked among 247 companies in Medical Devices and Diagnostics
  • RMTI ranked among 247 companies in Medical Devices and Diagnostics
  • ACU ranked among 247 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodMDLNRMTIACUSPY
1 month +11.8%-1.3%+9.4% -5.9%
3 months +15.2%+6.1%+23.2% -4.6%
6 months -5.0%+874.4%+65.0% +0.2%
Year to date -5.3%+815.7%+71.2% +7.5%
1 year —+630.8%+81.4% +8.2%
3 years —+293.8%+107.6% +68.3%
3 years, per year —+58.0%+27.6% +19.0%
5 years —+30.4%+92.8% +56.5%
5 years, per year —+5.4%+14.0% +9.4%
10 years —-87.8%+222.5% +251.5%
10 years, per year —-19.0%+12.4% +13.4%

Risk

MeasureMDLNRMTIACUSPY
Volatility, 1Y 47.8%402.1%30.9% 13.6%
Downside volatility, 1Y 48.1%353.1%24.8% 14.2%
Beta vs S&P 500, 1Y 0.691.630.28 1.00
Return / volatility, 1Y —1.572.64 0.60
Max drawdown, 5Y -36.7%-91.1%-41.7% -25.4%
From 52-week high -20.5%-14.1%-2.7% -5.9%
52-week high $49.99$8.85$70.92 $779.14
52-week low $31.64$0.55$35.50 $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.

MultipleMDLNRMTIACU
P/E now vs peer median 60.4xmedian 26.9x -5.9xmedian 26.9x 26.9xmedian 26.9x
P/S now vs peer median 1.7xmedian 2.9x 0.4xmedian 2.9x 1.3xmedian 2.9x
EV/EBITDA now vs peer median 21.7xmedian 17.5x -7.1xmedian 17.5x 11.8xmedian 17.5x
P/FCF now vs peer median 27.6xmedian 26.4x 20.1xmedian 26.4x 17.1xmedian 26.4x
P/B now vs peer median 2.7xmedian 2.3x 0.9xmedian 2.3x 2.2xmedian 2.3x
PEG now vs peer median —median 0.88 -0.14median 0.88 0.90median 0.88

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 monthsMDLNRMTIACU
Revenue $30.68B $69.39M $211.60M
Gross profit $7.90B $12.29M $84.82M
Operating income $1.74B -$4.52M $14.48M
Net income $889.00M -$5.08M $9.82M
Free cash flow $1.90B $1.50M $15.48M
R&D – $40.00K –
EPS (diluted) $0.44 $-1.28 $2.37
Cash & equivalents $2.32B $10.52M $5.04M
Total debt $12.58B $9.00M $32.33M
Shares (diluted) 1.32B 3.96M 4.14M
Enterprise value $24.27B -$66.69M $243.46M

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
MetricMDLNRMTIACU
P/E 60.4x -5.9x 26.9x
P/FCF 27.6x 20.1x 17.1x
P/Operating cash flow 22.0x 10.6x 10.1x
P/S 1.7x 0.4x 1.3x
P/B 2.7x 0.9x 2.2x
P/Tangible book 8.7x 1.2x 3.0x
EV/EBITDA 21.7x -7.1x 11.8x
EV/EBIT 35.2x -3.2x 20.2x
EV/Revenue 2.0x 0.2x 1.4x
EV/FCF 32.3x 9.6x 18.9x
EV/Operating cash flow 25.7x 5.0x 11.2x
PEG (3Y EPS CAGR) – -0.14 0.90

Growth

14 metrics
MetricMDLNRMTIACU
Revenue growth (1Y) – -21.1% 9.0%
Revenue CAGR (3Y) – -2.9% 3.1%
Gross profit growth (1Y) – -20.3% 11.0%
Gross profit CAGR (3Y) – 22.1% 8.5%
Operating income growth (1Y) – -250.1% 3.3%
Operating income CAGR (3Y) – 23.4% 20.1%
Net income growth (1Y) – -142.2% -5.1%
Net income CAGR (3Y) – 24.1% 36.0%
EPS growth (1Y) – -109.9% -5.9%
EPS CAGR (3Y) – 41.1% 29.7%
Operating cash flow growth (1Y) – -18.3% 43.2%
Operating cash flow CAGR (3Y) – 34.2% 12.0%
Free cash flow growth (1Y) – -44.2% 26.7%
Free cash flow CAGR (3Y) – 30.2% 1.5%

Profitability

14 metrics
MetricMDLNRMTIACU
Gross margin 25.7% 17.7% 40.1%
EBITDA margin 9.2% -2.9% 11.7%
Operating margin 5.7% -6.5% 6.8%
Pretax margin 3.6% -7.9% 5.9%
Net margin 1.9% -7.3% 4.6%
FCF margin 6.2% 2.2% 7.3%
Operating cash flow margin 7.8% 4.1% 12.3%
Return on equity 4.6% -15.5% 8.2%
Return on assets 2.2% -9.6% 5.0%
Return on invested capital 4.3% – 7.3%
Return on capital employed 4.8% -9.9% 8.9%
Asset turnover 0.8x 1.2x 1.1x
Cash conversion (OCF / net income) 2.7x -0.6x 2.7x
Stock comp / revenue 0.4% 2.7% 0.9%

Financial Health

11 metrics
MetricMDLNRMTIACU
Debt / assets 31.3% 15.9% 16.1%
Debt / equity 0.6x 0.3x 0.3x
Net debt / EBITDA 3.2x 7.8x 1.1x
Debt / FCF 6.6x 6.0x 2.1x
Liabilities / assets 51.7% 37.9% 39.5%
Equity / assets 48.3% 62.1% 60.5%
Interest coverage – -4.0x –
Current ratio 4.0x 3.3x 3.2x
Quick ratio 2.4x 3.0x 1.3x
Cash ratio 1.2x 2.2x 0.1x
Altman Z-score 2.71 -7.71 4.50

Shareholder Returns

7 metrics
MetricMDLNRMTIACU
Dividend yield – – 0.9%
Net buyback yield -13.5% – -0.2%
Shareholder yield -13.5% – 0.7%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

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.

ConsensusMDLNRMTIACU
Forward P/E 27.6xFY2026 – 25.2xFY2026
EPS, next fiscal year $1.44FY2026 $-0.97FY2026 $2.74FY2026
EPS growth, next FY +0.7%FY2026 – +10.0%FY2026
EPS growth, the year after +13.9% – +20.4%
Revenue, next fiscal year $32.52BFY2026 $77.07MFY2026 $217.94MFY2026
Revenue growth, next FY +14.4%FY2026 +11.3%FY2026 +10.9%FY2026
Revenue growth, the year after +8.0% +7.5% +0.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDLNRMTIACU
Held by institutions 57.1% 8.6% 73.5%
Institutions holding 409 33 84
Change in shares held, QoQ +17.9% -14.2% +1.3%
Institutions buying 322 13 47
Institutions selling 69 9 21
Buyers to sellers 4.67 1.44 2.24

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.

MDLNRMTIACU
MDLN 1.00 0.12 0.26
RMTI 0.12 1.00 0.02
ACU 0.26 0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MDLN, RMTI and ACU?

Medline (MDLN) is the largest by market capitalisation: Medline (MDLN) $34.73B, Rockwell Medical (RMTI) $30.70M, Acme United (ACU) $261.44M.

Which stock is cheaper, MDLN, RMTI and ACU?

Acme United (ACU) trades on the lowest price-to-earnings ratio (Medline (MDLN) 60.2x, Rockwell Medical (RMTI) -6.0x, Acme United (ACU) 26.6x). On next year's consensus earnings, Acme United (ACU) is cheapest (Medline (MDLN) 27.6x, Acme United (ACU) 25.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Acme United (ACU) grew revenue fastest over the trailing twelve months: Rockwell Medical (RMTI) -21.1%, Acme United (ACU) +9.0%.

Which company is more profitable?

Acme United (ACU) has the highest net margin (Medline (MDLN) 1.9%, Rockwell Medical (RMTI) -7.3%, Acme United (ACU) 4.6%). On return on invested capital, Acme United (ACU) leads (Medline (MDLN) 4.3%, Acme United (ACU) 7.3%).

Which stock has performed better?

Over the past year Rockwell Medical (RMTI) returned the most: Rockwell Medical (RMTI) +630.8%, Acme United (ACU) +81.4%. Over five years, Acme United (ACU) compounded fastest (Rockwell Medical (RMTI) +5.4%/yr, Acme United (ACU) +14.0%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Acme United (ACU) has been the steadiest (Medline (MDLN) 47.8%, Rockwell Medical (RMTI) 402.1%, Acme United (ACU) 30.9%). Volatility measures how widely the price swings, not the risk of the business.

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

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 9. 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.