MDLN vs WST vs ACU Stock Comparison

Medline, West Pharmaceutical Services 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
$34.67B
P/E
60.1x
Revenue (TTM)
$30.68B
Div. yield
–
Medical Supplies Healthcare
1 win
ACU Acme United Corp
$69.02 +9.4% 1M +81.4% 1Y
Market cap
$258.46M
P/E
26.3x
Revenue (TTM)
$211.60M
Div. yield
–
Medical Supplies Healthcare
6 wins

Head to Head

11 decided of 12

Acme United leads on 6 of the 12 questions below (Acme United 6, 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.

QuestionMDLNWSTACULeader
Larger companyMarket capitalisation $34.67B $28.21B $258.46M MDLN
Cheaper on earningsLower P/E, profitable companies only 60.1x 44.2x 26.3x ACU
Cheaper on forward earningsLower price / next fiscal year consensus EPS 27.6x 38.9x 25.2x ACU
Faster revenue growthRevenue growth, trailing twelve months — +12.6% +9.0% WST
More profitableNet margin, trailing twelve months 1.9% 18.8% 4.6% WST
Better return on capitalReturn on invested capital 4.3% 19.3% 7.3% WST
Less leveragedLower net debt / EBITDA 3.2x -0.3x 1.1x WST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months — +38.3% +81.4% ACU
Better 5-year returnAnnualised price return, 5 years — -0.6%/yr +14.0%/yr ACU
Less volatileAnnualised volatility, 1 year 47.8% 31.4% 30.9% ACU
Higher overall scoreMean of the five percentile scores vs peers 52/100 69/100 71/100 ACU

Percentile Scorecard

MDLNWSTACU

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

AxisMDLNWSTACU
Valuation 79 #49 of 229 50 #116 of 229 95 #13 of 229
Growth – 47 #117 of 221 57 #96 of 221
Profitability 73 #58 of 210 93 #15 of 210 81 #41 of 210
Financial Health 43 #137 of 240 80 #48 of 240 57 #104 of 240
Shareholder Returns 14 #126 of 147 75 #37 of 147 65 #52 of 147
Overall 52 69 71
  • MDLN ranked among 247 companies in Medical Devices and Diagnostics
  • WST 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

PeriodMDLNWSTACUSPY
1 month +11.8%+5.3%+9.4% -5.9%
3 months +15.2%+12.6%+23.2% -4.6%
6 months -5.0%+21.8%+65.0% +0.2%
Year to date -5.3%+42.5%+71.2% +7.5%
1 year —+38.3%+81.4% +8.2%
3 years —+17.8%+107.6% +68.3%
3 years, per year —+5.6%+27.6% +19.0%
5 years —-2.9%+92.8% +56.5%
5 years, per year —-0.6%+14.0% +9.4%
10 years —+420.2%+222.5% +251.5%
10 years, per year —+17.9%+12.4% +13.4%

Risk

MeasureMDLNWSTACUSPY
Volatility, 1Y 47.8%31.4%30.9% 13.6%
Downside volatility, 1Y 48.1%31.2%24.8% 14.2%
Beta vs S&P 500, 1Y 0.690.660.28 1.00
Return / volatility, 1Y —1.222.64 0.60
Max drawdown, 5Y -36.7%-59.6%-41.7% -25.4%
From 52-week high -20.5%-5.7%-2.7% -5.9%
52-week high $49.99$415.75$70.92 $779.14
52-week low $31.64$230.95$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.

MultipleMDLNWSTACU
P/E now vs peer median 60.4xmedian 26.9x 43.2xmedian 26.9x 26.9xmedian 26.9x
P/S now vs peer median 1.7xmedian 2.9x 8.1xmedian 2.9x 1.3xmedian 2.9x
EV/EBITDA now vs peer median 21.7xmedian 17.5x 28.1xmedian 17.5x 11.8xmedian 17.5x
P/FCF now vs peer median 27.6xmedian 26.4x 60.4xmedian 26.4x 17.1xmedian 26.4x
P/B now vs peer median 2.7xmedian 2.3x 9.2xmedian 2.3x 2.2xmedian 2.3x
PEG now vs peer median —median 0.88 6.45median 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 monthsMDLNWSTACU
Revenue $30.68B $3.40B $211.60M
Gross profit $7.90B $1.28B $84.82M
Operating income $1.74B $780.20M $14.48M
Net income $889.00M $638.90M $9.82M
Free cash flow $1.90B $453.40M $15.48M
R&D – $75.60M –
EPS (diluted) $0.44 $9.02 $2.37
Cash & equivalents $2.32B $464.10M $5.04M
Total debt $12.58B $202.90M $32.33M
Shares (diluted) 1.32B 70.80M 4.14M
Enterprise value $24.21B $26.00B $240.48M

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
MetricMDLNWSTACU
P/E 60.4x 43.2x 26.9x
P/FCF 27.6x 60.4x 17.1x
P/Operating cash flow 22.0x 41.8x 10.1x
P/S 1.7x 8.1x 1.3x
P/B 2.7x 9.2x 2.2x
P/Tangible book 8.7x 9.2x 3.0x
EV/EBITDA 21.7x 28.1x 11.8x
EV/EBIT 35.2x 34.8x 20.2x
EV/Revenue 2.0x 8.0x 1.4x
EV/FCF 32.3x 59.8x 18.9x
EV/Operating cash flow 25.7x 41.4x 11.2x
PEG (3Y EPS CAGR) – 6.45 0.90

Growth

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

Profitability

14 metrics
MetricMDLNWSTACU
Gross margin 25.7% 37.6% 40.1%
EBITDA margin 9.2% 28.4% 11.7%
Operating margin 5.7% 23.0% 6.8%
Pretax margin 3.6% 23.2% 5.9%
Net margin 1.9% 18.8% 4.6%
FCF margin 6.2% 13.3% 7.3%
Operating cash flow margin 7.8% 19.3% 12.3%
Return on equity 4.6% 20.9% 8.2%
Return on assets 2.2% 15.3% 5.0%
Return on invested capital 4.3% 19.3% 7.3%
Return on capital employed 4.8% 22.8% 8.9%
Asset turnover 0.8x 0.8x 1.1x
Cash conversion (OCF / net income) 2.7x 1.0x 2.7x
Stock comp / revenue 0.4% 0.8% 0.9%

Financial Health

11 metrics
MetricMDLNWSTACU
Debt / assets 31.3% 5.0% 16.1%
Debt / equity 0.6x 0.1x 0.3x
Net debt / EBITDA 3.2x -0.3x 1.1x
Debt / FCF 6.6x 0.4x 2.1x
Liabilities / assets 51.7% 26.9% 39.5%
Equity / assets 48.3% 73.1% 60.5%
Interest coverage – 96.3x –
Current ratio 4.0x 2.8x 3.2x
Quick ratio 2.4x 1.9x 1.3x
Cash ratio 1.2x 0.7x 0.1x
Altman Z-score 2.71 18.51 4.50

Shareholder Returns

7 metrics
MetricMDLNWSTACU
Dividend yield – 0.2% 0.9%
Net buyback yield -13.5% 2.4% -0.2%
Shareholder yield -13.5% 2.6% 0.7%
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.

ConsensusMDLNWSTACU
Forward P/E 27.6xFY2026 38.9xFY2026 25.2xFY2026
EPS, next fiscal year $1.44FY2026 $10.07FY2026 $2.74FY2026
EPS growth, next FY +0.7%FY2026 +38.1%FY2026 +10.0%FY2026
EPS growth, the year after +13.9% +8.4% +20.4%
Revenue, next fiscal year $32.52BFY2026 $3.28BFY2026 $217.94MFY2026
Revenue growth, next FY +14.4%FY2026 +6.9%FY2026 +10.9%FY2026
Revenue growth, the year after +8.0% +16.7% +0.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDLNWSTACU
Held by institutions 57.1% 99.5% 73.5%
Institutions holding 409 836 84
Change in shares held, QoQ +17.9% -0.9% +1.3%
Institutions buying 322 450 47
Institutions selling 69 261 21
Buyers to sellers 4.67 1.72 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.

MDLNWSTACU
MDLN 1.00 0.08 0.26
WST 0.08 1.00 0.13
ACU 0.26 0.13 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MDLN, WST and ACU?

Medline (MDLN) is the largest by market capitalisation: Medline (MDLN) $34.67B, West Pharmaceutical Services (WST) $28.21B, Acme United (ACU) $258.46M.

Which stock is cheaper, MDLN, WST and ACU?

Acme United (ACU) trades on the lowest price-to-earnings ratio (Medline (MDLN) 60.1x, West Pharmaceutical Services (WST) 44.2x, Acme United (ACU) 26.3x). On next year's consensus earnings, Acme United (ACU) is cheapest (Medline (MDLN) 27.6x, West Pharmaceutical Services (WST) 38.9x, 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?

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

Which company is more profitable?

West Pharmaceutical Services (WST) has the highest net margin (Medline (MDLN) 1.9%, West Pharmaceutical Services (WST) 18.8%, Acme United (ACU) 4.6%). On return on invested capital, West Pharmaceutical Services (WST) leads (Medline (MDLN) 4.3%, West Pharmaceutical Services (WST) 19.3%, Acme United (ACU) 7.3%).

Which stock has performed better?

Over the past year Acme United (ACU) returned the most: West Pharmaceutical Services (WST) +38.3%, Acme United (ACU) +81.4%. Over five years, Acme United (ACU) compounded fastest (West Pharmaceutical Services (WST) -0.6%/yr, Acme United (ACU) +14.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

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

Which stock is riskier?

By one-year price volatility, Acme United (ACU) has been the steadiest (Medline (MDLN) 47.8%, West Pharmaceutical Services (WST) 31.4%, Acme United (ACU) 30.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, MDLN, WST 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 6. 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.