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Side-by-side financial comparison of ACME UNITED CORP (ACU) and Xtant Medical Holdings, Inc. (XTNT). Click either name above to swap in a different company.

ACME UNITED CORP is the larger business by last-quarter revenue ($52.3M vs $32.4M, roughly 1.6× Xtant Medical Holdings, Inc.). ACME UNITED CORP runs the higher net margin — 1.9% vs 0.2%, a 1.7% gap on every dollar of revenue. On growth, ACME UNITED CORP posted the faster year-over-year revenue change (13.8% vs 2.7%). Over the past eight quarters, Xtant Medical Holdings, Inc.'s revenue compounded faster (7.7% CAGR vs -2.9%).

Acme United Corporation is a supplier of cutting, measuring and safety products for the school, home, office, hardware and industrial markets. The company was organized as a partnership in 1867 and incorporated in 1873 under the laws of the State of Connecticut. It is publicly traded on the NYSE American with symbol ACU.

Xtant Medical Holdings, Inc. is a global medical technology company that develops, manufactures and markets orthobiologic products, neurosurgery devices, and regenerative medicine solutions for orthopedic and neurological care providers. It serves patients and medical institutions across North America, Europe and the Asia-Pacific, with core segments covering spinal surgery supplies and bone regeneration products.

ACU vs XTNT — Head-to-Head

Bigger by revenue
ACU
ACU
1.6× larger
ACU
$52.3M
$32.4M
XTNT
Growing faster (revenue YoY)
ACU
ACU
+11.1% gap
ACU
13.8%
2.7%
XTNT
Higher net margin
ACU
ACU
1.7% more per $
ACU
1.9%
0.2%
XTNT
Faster 2-yr revenue CAGR
XTNT
XTNT
Annualised
XTNT
7.7%
-2.9%
ACU

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ACU
ACU
XTNT
XTNT
Revenue
$52.3M
$32.4M
Net Profit
$985.0K
$57.0K
Gross Margin
39.7%
54.9%
Operating Margin
3.3%
-2.9%
Net Margin
1.9%
0.2%
Revenue YoY
13.8%
2.7%
Net Profit YoY
-40.4%
101.8%
EPS (diluted)
$0.24
$0.00

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
ACU
ACU
XTNT
XTNT
Q1 26
$52.3M
Q4 25
$47.5M
$32.4M
Q3 25
$49.1M
$33.3M
Q2 25
$54.0M
$35.4M
Q1 25
$46.0M
$32.9M
Q4 24
$45.9M
$31.5M
Q3 24
$48.2M
$27.9M
Q2 24
$55.4M
$29.9M
Net Profit
ACU
ACU
XTNT
XTNT
Q1 26
$985.0K
Q4 25
$1.9M
$57.0K
Q3 25
$1.9M
$1.3M
Q2 25
$4.8M
$3.5M
Q1 25
$1.7M
$58.0K
Q4 24
$1.7M
$-3.2M
Q3 24
$2.2M
$-5.0M
Q2 24
$4.5M
$-3.9M
Gross Margin
ACU
ACU
XTNT
XTNT
Q1 26
39.7%
Q4 25
38.2%
54.9%
Q3 25
39.1%
66.1%
Q2 25
41.0%
68.6%
Q1 25
39.0%
61.5%
Q4 24
38.7%
50.9%
Q3 24
38.5%
58.4%
Q2 24
40.8%
62.1%
Operating Margin
ACU
ACU
XTNT
XTNT
Q1 26
3.3%
Q4 25
6.1%
-2.9%
Q3 25
6.1%
7.6%
Q2 25
11.8%
13.1%
Q1 25
5.3%
3.2%
Q4 24
5.0%
-6.0%
Q3 24
6.1%
-13.5%
Q2 24
11.5%
-9.8%
Net Margin
ACU
ACU
XTNT
XTNT
Q1 26
1.9%
Q4 25
3.9%
0.2%
Q3 25
3.9%
3.9%
Q2 25
8.8%
10.0%
Q1 25
3.6%
0.2%
Q4 24
3.7%
-10.0%
Q3 24
4.6%
-18.0%
Q2 24
8.0%
-12.9%
EPS (diluted)
ACU
ACU
XTNT
XTNT
Q1 26
$0.24
Q4 25
$0.46
$0.00
Q3 25
$0.46
$0.01
Q2 25
$1.16
$0.02
Q1 25
$0.41
$0.00
Q4 24
$0.43
$-0.02
Q3 24
$0.54
$-0.04
Q2 24
$1.09
$-0.03

Balance Sheet & Financial Strength

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

Metric
ACU
ACU
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$4.2M
$17.1M
Total DebtLower is stronger
$33.0M
$11.0M
Stockholders' EquityBook value
$116.7M
$51.0M
Total Assets
$195.2M
$94.1M
Debt / EquityLower = less leverage
0.28×
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACU
ACU
XTNT
XTNT
Q1 26
$4.2M
Q4 25
$3.6M
$17.1M
Q3 25
$5.1M
$10.4M
Q2 25
$3.6M
$6.9M
Q1 25
$3.4M
$5.0M
Q4 24
$6.4M
$6.2M
Q3 24
$5.7M
$6.6M
Q2 24
$3.8M
$5.4M
Total Debt
ACU
ACU
XTNT
XTNT
Q1 26
$33.0M
Q4 25
$11.0M
Q3 25
$17.4M
Q2 25
$22.3M
Q1 25
$22.2M
Q4 24
$22.0M
Q3 24
$19.1M
Q2 24
$21.8M
Stockholders' Equity
ACU
ACU
XTNT
XTNT
Q1 26
$116.7M
Q4 25
$117.6M
$51.0M
Q3 25
$115.8M
$50.4M
Q2 25
$113.7M
$48.5M
Q1 25
$108.3M
$43.9M
Q4 24
$107.0M
$43.0M
Q3 24
$106.3M
$45.7M
Q2 24
$104.0M
$45.0M
Total Assets
ACU
ACU
XTNT
XTNT
Q1 26
$195.2M
Q4 25
$171.0M
$94.1M
Q3 25
$173.0M
$106.3M
Q2 25
$170.9M
$103.5M
Q1 25
$163.0M
$95.8M
Q4 24
$162.2M
$93.8M
Q3 24
$165.5M
$98.9M
Q2 24
$173.5M
$95.6M
Debt / Equity
ACU
ACU
XTNT
XTNT
Q1 26
0.28×
Q4 25
0.22×
Q3 25
0.35×
Q2 25
0.46×
Q1 25
0.51×
Q4 24
0.51×
Q3 24
0.42×
Q2 24
0.48×

Cash Flow & Capital Efficiency

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

Metric
ACU
ACU
XTNT
XTNT
Operating Cash FlowLast quarter
$5.4M
Free Cash FlowOCF − Capex
$5.0M
FCF MarginFCF / Revenue
15.4%
Capex IntensityCapex / Revenue
1.2%
Cash ConversionOCF / Net Profit
94.39×
TTM Free Cash FlowTrailing 4 quarters
$10.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACU
ACU
XTNT
XTNT
Q1 26
Q4 25
$8.2M
$5.4M
Q3 25
$7.1M
$4.6M
Q2 25
$6.3M
$1.3M
Q1 25
$-3.3M
$1.3M
Q4 24
$6.4M
$665.0K
Q3 24
$8.9M
$-1.7M
Q2 24
$6.9M
$-5.1M
Free Cash Flow
ACU
ACU
XTNT
XTNT
Q1 26
Q4 25
$7.3M
$5.0M
Q3 25
$301.0K
$4.2M
Q2 25
$4.7M
$910.0K
Q1 25
$-4.7M
$87.0K
Q4 24
$4.7M
$-7.0K
Q3 24
$7.5M
$-3.8M
Q2 24
$4.4M
$-5.7M
FCF Margin
ACU
ACU
XTNT
XTNT
Q1 26
Q4 25
15.3%
15.4%
Q3 25
0.6%
12.6%
Q2 25
8.7%
2.6%
Q1 25
-10.2%
0.3%
Q4 24
10.2%
-0.0%
Q3 24
15.6%
-13.7%
Q2 24
8.0%
-18.9%
Capex Intensity
ACU
ACU
XTNT
XTNT
Q1 26
Q4 25
1.9%
1.2%
Q3 25
13.8%
1.3%
Q2 25
3.0%
1.0%
Q1 25
2.9%
3.6%
Q4 24
3.7%
2.1%
Q3 24
2.8%
7.5%
Q2 24
4.5%
1.9%
Cash Conversion
ACU
ACU
XTNT
XTNT
Q1 26
Q4 25
4.34×
94.39×
Q3 25
3.72×
3.53×
Q2 25
1.33×
0.36×
Q1 25
-2.02×
22.03×
Q4 24
3.73×
Q3 24
3.99×
Q2 24
1.55×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ACU
ACU

Segment breakdown not available.

XTNT
XTNT

Orthobiologics$18.3M57%
Spinal Implant$9.4M29%
License Revenue$4.6M14%

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