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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and MERIT MEDICAL SYSTEMS INC (MMSI). Click either name above to swap in a different company.

MERIT MEDICAL SYSTEMS INC is the larger business by last-quarter revenue ($393.9M vs $312.7M, roughly 1.3× Enact Holdings, Inc.). On growth, MERIT MEDICAL SYSTEMS INC posted the faster year-over-year revenue change (10.9% vs 3.6%). Over the past eight quarters, MERIT MEDICAL SYSTEMS INC's revenue compounded faster (8.0% CAGR vs 3.6%).

Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.

Merit Medical Systems Inc. is a global medical device firm that designs, manufactures, and markets a broad portfolio of interventional and diagnostic products used across cardiology, radiology, oncology, endoscopy, and critical care segments. It primarily serves hospitals, clinics, and healthcare providers worldwide, focusing on minimally invasive solutions that enhance patient outcomes and streamline clinical workflows.

ACT vs MMSI — Head-to-Head

Bigger by revenue
MMSI
MMSI
1.3× larger
MMSI
$393.9M
$312.7M
ACT
Growing faster (revenue YoY)
MMSI
MMSI
+7.3% gap
MMSI
10.9%
3.6%
ACT
Faster 2-yr revenue CAGR
MMSI
MMSI
Annualised
MMSI
8.0%
3.6%
ACT

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
ACT
ACT
MMSI
MMSI
Revenue
$312.7M
$393.9M
Net Profit
$38.0M
Gross Margin
49.6%
Operating Margin
71.3%
13.8%
Net Margin
9.6%
Revenue YoY
3.6%
10.9%
Net Profit YoY
36.0%
EPS (diluted)
$1.23
$0.63

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACT
ACT
MMSI
MMSI
Q1 26
$393.9M
Q4 25
$312.7M
$393.9M
Q3 25
$311.5M
$384.2M
Q2 25
$304.9M
$382.5M
Q1 25
$306.8M
$355.4M
Q4 24
$301.8M
$355.2M
Q3 24
$309.6M
$339.8M
Q2 24
$298.8M
$338.0M
Net Profit
ACT
ACT
MMSI
MMSI
Q1 26
$38.0M
Q4 25
$38.0M
Q3 25
$27.8M
Q2 25
$32.6M
Q1 25
$30.1M
Q4 24
$27.9M
Q3 24
$28.4M
Q2 24
$35.7M
Gross Margin
ACT
ACT
MMSI
MMSI
Q1 26
49.6%
Q4 25
49.6%
Q3 25
48.5%
Q2 25
48.2%
Q1 25
48.4%
Q4 24
48.7%
Q3 24
46.4%
Q2 24
47.7%
Operating Margin
ACT
ACT
MMSI
MMSI
Q1 26
13.8%
Q4 25
71.3%
13.8%
Q3 25
67.4%
11.1%
Q2 25
70.4%
12.3%
Q1 25
68.9%
11.5%
Q4 24
68.9%
10.3%
Q3 24
74.1%
11.0%
Q2 24
78.6%
13.6%
Net Margin
ACT
ACT
MMSI
MMSI
Q1 26
9.6%
Q4 25
9.6%
Q3 25
7.2%
Q2 25
8.5%
Q1 25
8.5%
Q4 24
7.9%
Q3 24
8.4%
Q2 24
10.6%
EPS (diluted)
ACT
ACT
MMSI
MMSI
Q1 26
$0.63
Q4 25
$1.23
$0.64
Q3 25
$1.10
$0.46
Q2 25
$1.11
$0.54
Q1 25
$1.08
$0.49
Q4 24
$1.05
$0.46
Q3 24
$1.15
$0.48
Q2 24
$1.16
$0.61

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACT
ACT
MMSI
MMSI
Cash + ST InvestmentsLiquidity on hand
$582.5M
$446.4M
Total DebtLower is stronger
$744.5M
$734.0M
Stockholders' EquityBook value
$5.4B
$1.6B
Total Assets
$6.9B
$2.7B
Debt / EquityLower = less leverage
0.14×
0.46×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACT
ACT
MMSI
MMSI
Q1 26
$446.4M
Q4 25
$582.5M
$446.4M
Q3 25
$545.6M
$392.5M
Q2 25
$616.0M
$341.8M
Q1 25
$639.0M
$395.5M
Q4 24
$602.8M
$376.7M
Q3 24
$674.9M
$523.1M
Q2 24
$711.3M
$636.7M
Total Debt
ACT
ACT
MMSI
MMSI
Q1 26
$734.0M
Q4 25
$744.5M
$734.0M
Q3 25
$744.1M
$732.9M
Q2 25
$743.8M
$731.8M
Q1 25
$743.4M
$730.7M
Q4 24
$743.0M
$729.6M
Q3 24
$742.7M
$750.5M
Q2 24
$742.4M
$801.3M
Stockholders' Equity
ACT
ACT
MMSI
MMSI
Q1 26
$1.6B
Q4 25
$5.4B
$1.6B
Q3 25
$5.3B
$1.5B
Q2 25
$5.2B
$1.5B
Q1 25
$5.1B
$1.4B
Q4 24
$5.0B
$1.4B
Q3 24
$5.0B
$1.3B
Q2 24
$4.8B
$1.3B
Total Assets
ACT
ACT
MMSI
MMSI
Q1 26
$2.7B
Q4 25
$6.9B
$2.7B
Q3 25
$6.9B
$2.6B
Q2 25
$6.8B
$2.6B
Q1 25
$6.7B
$2.5B
Q4 24
$6.5B
$2.4B
Q3 24
$6.6B
$2.4B
Q2 24
$6.3B
$2.4B
Debt / Equity
ACT
ACT
MMSI
MMSI
Q1 26
0.46×
Q4 25
0.14×
0.46×
Q3 25
0.14×
0.48×
Q2 25
0.14×
0.49×
Q1 25
0.15×
0.51×
Q4 24
0.15×
0.53×
Q3 24
0.15×
0.57×
Q2 24
0.15×
0.62×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACT
ACT
MMSI
MMSI
Operating Cash FlowLast quarter
$724.5M
Free Cash FlowOCF − Capex
$74.0M
FCF MarginFCF / Revenue
18.8%
Capex IntensityCapex / Revenue
20.7%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$270.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACT
ACT
MMSI
MMSI
Q1 26
Q4 25
$724.5M
$98.5M
Q3 25
$192.0M
$75.0M
Q2 25
$119.5M
$83.3M
Q1 25
$226.7M
$40.6M
Q4 24
$686.3M
$68.7M
Q3 24
$188.1M
$47.3M
Q2 24
$144.7M
$68.5M
Free Cash Flow
ACT
ACT
MMSI
MMSI
Q1 26
$74.0M
Q4 25
$74.0M
Q3 25
$52.5M
Q2 25
$69.6M
Q1 25
$19.5M
Q4 24
$65.3M
Q3 24
$38.0M
Q2 24
$57.9M
FCF Margin
ACT
ACT
MMSI
MMSI
Q1 26
18.8%
Q4 25
18.8%
Q3 25
13.7%
Q2 25
18.2%
Q1 25
5.5%
Q4 24
18.4%
Q3 24
11.2%
Q2 24
17.1%
Capex Intensity
ACT
ACT
MMSI
MMSI
Q1 26
20.7%
Q4 25
6.2%
Q3 25
5.8%
Q2 25
3.6%
Q1 25
5.9%
Q4 24
1.0%
Q3 24
2.8%
Q2 24
3.1%
Cash Conversion
ACT
ACT
MMSI
MMSI
Q1 26
Q4 25
2.59×
Q3 25
2.70×
Q2 25
2.56×
Q1 25
1.35×
Q4 24
2.46×
Q3 24
1.66×
Q2 24
1.92×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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