SEC EDGAR · 10-Q

10-Q – 2026-08-05 – mdln-20260627.htm

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Omsättning

2. | Unregistered Sales of Equity Securities and Use of Proceeds | 56
• Quality problems and product liability claims have in the past led, and could in the future lead, to recalls or safety alerts, reputational harm, warning letters and other regulatory actions by the U.S. Food and Drug Administration (“FDA”), adverse verdicts, or costly settlements, and could have a material adverse effect on our business, results of operations, and financial condition. | • Our failure to establish and maintain Prime Vendor relationships may cause our revenue to decline. | • If we experience increased pressure to maintain or decrease the price of our goods and services and we are unable to reduce our expenses, there may be a material adverse effect on our business, results of operations, and financial condition.
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025 | Net sales $ 7,685 $ 6,886 $ 15,037 $ 13,530
NOTE 7 - TAX RECEIVABLE AGREEMENT | In connection with the IPO, the Company entered into a TRA with certain pre-IPO owners that provides for the payment by Medline Inc. to such pre-IPO owners of 90 % of certain tax benefits, if any, that Medline Inc. actually realizes, or is deemed to realize (calculated using certain assumptions), as a result of (i) Medline Inc.’s allocable share of existing tax basis in Medline Holdings’ assets acquired in the IPO, (ii) increases in Medline Inc.’s allocable share of existing tax basis and tax ba
Sales or exchanges of Common Units by their holders to Medline are expected to result in increases in the tax basis of the assets of Medline Holdings. The existing tax basis, increases in existing tax basis, and the tax basis adjustments generated over time may increase (for tax purpose) depreciation and amortization deductions available to Medline Inc. and, therefore, may reduce the amount of tax that Medline Inc. would otherwise be required to pay in the future. Actual tax benefits realized by | 21
During the three and six months ended June 27, 2026, the Company recognized approximately $ 332 million as a reduction of Cost of goods sold related to tariff refunds received or accepted, approximately $ 89 million as a reduction of Net sales related to accrued customer repayments associated with tariff refunds, and approximately $ 14 million of interest income in Interest expense, net. These amounts were recorded entirely within the Medline Brand segment.
• The Supply Chain Solutions segment procures and distributes a variety of third-party products from national brands and also provides tailored logistics and supply chain optimization services to domestic and international consumers. Supply Chain Solutions is not managed based upon product categories as its focus is on signing new prime vendor relationships and servicing customers by leveraging strong third-party supplier relationships and through its fulfillment and distribution capabilities. A | The organizational structure also includes Corporate & Other which consists of expenses related to centralized corporate functions, such as finance, information technology, legal, human resources, and internal audit.The Company’s chief operating decision maker (“CODM”) is the Company’s Chief Executive Officer. For the Medline Brand and Supply Chain Solutions segments, the CODM uses segment adjusted earnings before interest, taxes, depreciation and amortization (“Segment Adjusted EBITDA”) to eval
The Company’s CODM does not regularly review any asset information by business segment as this information is not utilized to make decisions and allocate resources. As such, the Company does not report asset information by business segment. The Company has not identified any segment expenses that are considered significant and segment expenses are not regularly provided to the CODM. However, the CODM is regularly provided with consolidated expense information for decision making. Other segment i | 37

EBITDA

During 2021, the Company borrowed $ 7,270 million under a senior secured term loan facility (the “Dollar Term Loans”), in addition to € 435 million under a separate euro-denominated senior secured term loan facility (the “Euro Term Loans”), both established under a credit agreement (the “Credit Agreement”). The Credit Agreement permits the Company, at any time, subject to customary conditions, to request incremental term loans or incremental revolving credit commitments in an aggregate principal
• The Supply Chain Solutions segment procures and distributes a variety of third-party products from national brands and also provides tailored logistics and supply chain optimization services to domestic and international consumers. Supply Chain Solutions is not managed based upon product categories as its focus is on signing new prime vendor relationships and servicing customers by leveraging strong third-party supplier relationships and through its fulfillment and distribution capabilities. A | The organizational structure also includes Corporate & Other which consists of expenses related to centralized corporate functions, such as finance, information technology, legal, human resources, and internal audit.The Company’s chief operating decision maker (“CODM”) is the Company’s Chief Executive Officer. For the Medline Brand and Supply Chain Solutions segments, the CODM uses segment adjusted earnings before interest, taxes, depreciation and amortization (“Segment Adjusted EBITDA”) to eval
The Company’s CODM does not regularly review any asset information by business segment as this information is not utilized to make decisions and allocate resources. As such, the Company does not report asset information by business segment. The Company has not identified any segment expenses that are considered significant and segment expenses are not regularly provided to the CODM. However, the CODM is regularly provided with consolidated expense information for decision making. Other segment i | 37
Segment Adjusted EBITDA: | Medline Brand $ 1,067 $ 890 $ 1,832 $ 1,720
Supply Chain Solutions 204 201 391 383 | Total segment adjusted EBITDA 1,271 1,091 2,223 2,103 | Corporate & Other ( 211 ) ( 156 ) ( 387 ) ( 300 )
• We generated net sales of $7.7 billion, net income of $0.1 billion, and Adjusted EBITDA of $1.1 billion, representing a net income margin of 1.8% and an Adjusted EBITDA Margin of 13.8%. | • During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $3.5 billion and $1.1 billion, respectively, which represented 46.1% of total net sales and 83.9% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $4.1 billion and $0.2 billion, respectively, which represented 53.9% of total net sales and 16.1% of Segment Adjusted EBITDA, respectively.
• We generated net sales of $7.7 billion, net income of $0.1 billion, and Adjusted EBITDA of $1.1 billion, representing a net income margin of 1.8% and an Adjusted EBITDA Margin of 13.8%. | • During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $3.5 billion and $1.1 billion, respectively, which represented 46.1% of total net sales and 83.9% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $4.1 billion and $0.2 billion, respectively, which represented 53.9% of total net sales and 16.1% of Segment Adjusted EBITDA, respectively. | For the six months ended June 27, 2026, our financial results were as follows:
• We generated net sales of $15.0 billion, net income of $0.4 billion, and Adjusted EBITDA of $1.8 billion, representing a net income margin of 2.5% and an Adjusted EBITDA Margin of 12.2%. | • During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $7.0 billion and $1.8 billion, respectively, which represented 46.6% of total net sales and 82.4% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $8.0 billion and $0.4 billion, respectively, which represented 53.4% of total net sales and 17.6% of Segment Adjusted EBITDA, respectively.

Rörelseresultat

Total operating expense 1,820 1,263 3,239 2,516 | Operating income 395 642 817 1,213
Total operating expense 1,820 1,263 557 44.1% 3,239 2,516 723 28.7% | Operating income 395 642 (247) (38.5)% 817 1,213 (396) (32.6)% | Other expense

Periodens resultat

Provision for income taxes 96 26 148 42 | Net income 139 333 378 655
Net income attributable to noncontrolling interests 79 — 189 — | Net income attributable to Medline Inc. $ 60 $ 333 $ 189 $ 655
Balance, January 1, 2026 812 $ — 502 $ — $ 10,717 $ ( 7 ) $ 27 $ 8,549 $ 19,286 | Net income — — — — — 129 — 110 239 | Other comprehensive loss — — — — — — ( 9 ) ( 5 ) ( 14 )
Balance, March 28, 2026 846 $ — 468 $ — $ 11,132 $ 122 $ 18 $ 8,077 $ 19,349 | Net income — — — — — 60 — 79 139 | Other comprehensive loss — — — — — — ( 24 ) ( 13 ) ( 37 )
Balance, January 1, 2025 128 $ 237 106 $ 129 $ 366 16,723 $ 15,976 721 $ 123 23 $ 48 $ 11 $ 16,158 | Net income — 2 — 1 3 — 318 — — — 1 — 319 | Other comprehensive loss — — — — — — — — — — — ( 4 ) ( 4 )
Balance, March 29, 2025 128 $ 239 104 $ 129 $ 368 16,723 $ 16,294 764 $ 140 23 $ 49 $ 7 $ 16,490 | Net income — 2 — 2 4 — 314 — 14 — 1 — 329 | Other comprehensive income — — — — — — — — — — — 55 55
Cash flows from operating activities | Net income $ 378 $ 655 | Adjustments to reconcile net income to net cash provided by operating activities:
Net income $ 378 $ 655 | Adjustments to reconcile net income to net cash provided by operating activities: | Depreciation and amortization 510 497

Resultat per aktie

Earnings per share attributable to Medline Inc.
NOTE 14 - EARNINGS PER SHARE
All net income prior to the IPO was entirely allocable to partners of Medline Holdings. As a result of the Reorganization and IPO, the Company’s capital structure before and after IPO are not comparable, and the presentation of earnings per share for the periods prior to the IPO is not meaningful and not presented herein.
The Company computes earnings per share of Class A common stock using the two-class method required for participating securities. Shares of Class B common stock are not considered participating securities because they have no right to receive dividends, no right to receive distribution on liquidation or winding up of Medline Inc. and no earnings or losses are allocable to such class. Therefore, basic and diluted earnings per share of Class B common stock has not been presented. | Basic earnings per share attributable to the Company’s stockholders is computed by dividing net income attributable to the Company by the weighted-average number of Class A common stock outstanding during the period. Diluted earnings per share attributable to the Company gives effect to all potential shares of Class A common stock, including conversion of Class B common stock, conversion of Medline Holdings Incentive Units, options, RSAs, RSUs, PSUs, and ESPP to the extent these are dilutive.
The following table sets forth the calculation of basic and diluted earnings per share of Class A common stock:
June 27, 2026 June 27, 2026 | Basic earnings per share: | Numerator
Reallocation of net income attributed to vested incentive units ( 1 ) 8 | Numerator for earnings per share $ 59 $ 197 | Denominator
Weighted-average number of Class A common stock outstanding 856,671,262 838,299,245 | Basic earnings per share $ 0.07 $ 0.23

Kassaflöde

• Uncertain global and domestic macro-economic and political conditions, including as a result of global geopolitical conflicts and tensions, such as the ongoing conflicts in Ukraine and the Middle East, could materially adversely affect our business, results of operations, and financial condition. | • Our substantial indebtedness could adversely affect our financial condition, our ability to operate our business or react to changes in the economy or our industry, prevent us from fulfilling our obligations under our debts, and divert our cash flow from operations for debt payments. | • The credit agreement that governs the Senior Secured Credit Facilities (as defined herein) (the “Credit Agreement”) and the indentures that govern the Senior Notes (as defined herein) will each impose significant operating and financial restrictions on our subsidiaries, which may prevent us from capitalizing on business opportunities.
(in millions) June 27, 2026 June 28, 2025 | Supplemental disclosure of cash flow information: | Cash payments for interest on borrowings $ 324 $ 472
The Company uses interest rate swaps and interest rate caps to manage its interest rate risk. The valuation of these instruments is determined by using widely accepted valuation techniques, including discounted cash flow analysis on the expected cash flows of each derivative. This analysis reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves and implied volatility. | 24
The Company recorded payments related to acquisition-related contingent consideration that required fair value measurement every reporting period. The fair value of the contingent payments was reported as the present value of the expected amount to settle the obligation using discounted cash flow techniques which included significant assumptions. The significant unobservable inputs used in the determination of the fair value of the contingent consideration are classified as Level 3, which is unc
The Company invests a portion of its excess cash in time deposits. The deposits with original maturities of longer than 90 days are not considered a cash equivalent and are reported at fair value within Short-term investments in the unaudited Condensed Consolidated Balance Sheets. As of June 27, 2026 the aggregate fair value of these deposits was $ 350 million. As of December 31, 2025, the Company held time deposits, none of which had original maturities exceeding 90 days. The fair value of thes
The Company is exposed to certain risks arising from both its business operations and economic conditions. The Company principally manages its exposures to a wide variety of business and operational risks through management of its core business activities. The Company manages economic risks, including interest rate, liquidity, credit risk and foreign currency exchange risk primarily by managing the amount, sources, and duration of its assets and liabilities and the use of derivative financial in | Cash Flow Hedges of Interest Rate Risk
The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps and caps as part of its interest rate risk management strategy. The Company designates certain of its interest rate derivatives as hedging instruments in cash flow hedges. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts fr
Maturity date | Designated cash flow hedges: | Interest rate swaps USD

Likvida medel

Current assets | Cash and cash equivalents $ 2,327 $ 1,939 | Trade accounts receivable, net of allowance for credit losses of $ 148 and $ 152 as of June 27, 2026 and December 31, 2025, respectively
Net cash used in financing activities ( 172 ) ( 337 ) | Effect of exchange rate changes on cash and cash equivalents and restricted cash ( 11 ) 27 | Net change in cash and cash equivalents and restricted cash 387 334
Effect of exchange rate changes on cash and cash equivalents and restricted cash ( 11 ) 27 | Net change in cash and cash equivalents and restricted cash 387 334 | Cash, cash equivalents and restricted cash, beginning of year 1,942 250
(in millions) June 27, 2026 (Unaudited) December 31, 2025 | Cash and cash equivalents $ 2,327 $ 1,939 | Restricted cash included in other current assets 2 3
Our primary sources of liquidity are our cash and cash equivalents, our cash flows from operations, and our revolving credit facility. As of June 27, 2026, we had cash and cash equivalents of $2,327 million and available liquidity under our Revolving Credit Facility of $946 million.
We believe that our cash and cash equivalents on hand, cash flows from operations, and borrowing availability under our Revolving Credit Facility will fund our ongoing working capital, investing and financing requirements sufficiently for at least the next year and the foreseeable future thereafter. Our ability to generate sufficient cash flows from operations is, however, subject to many risks and uncertainties, including future economic trends and conditions, demand for our products and servic
Net cash and cash equivalents and restricted cash provided by (used in): | Operating activities $ 1,127 $ 879
Effect of exchange rate changes (11) 27 | Net change in cash and cash equivalents and restricted cash $ 387 $ 334

Nettoskuld

Net income $ 378 $ 655 | Adjustments to reconcile net income to net cash provided by operating activities: | Depreciation and amortization 510 497
Other liabilities ( 43 ) ( 21 ) | Net cash provided by operating activities 1,127 879 | Cash flows from investing activities
Net cash used in investing activities ( 557 ) ( 235 ) | Cash flows from financing activities
Distributions to noncontrolling interests ( 123 ) — | Net cash used in financing activities ( 172 ) ( 337 ) | Effect of exchange rate changes on cash and cash equivalents and restricted cash ( 11 ) 27
The Company reclassified certain prior period amounts in the unaudited Condensed Consolidated Statements of Cash Flows to conform to the current year’s presentation. Specifically, one immaterial line item was combined with another line item, and a line item previously included within another caption is now presented separately. The reclassifications had no impact on the Company’s net cash provided by operating activities or net cash used in investing and financing activities.
Net cash and cash equivalents and restricted cash provided by (used in): | Operating activities $ 1,127 $ 879
Net cash provided by operating activities was $1,127 million and $879 million for the six months ended June 27, 2026 and June 28, 2025, respectively.
Net cash provided by operating activities for the six months ended June 27, 2026 wa s prima rily driven by net income excluding non-cash items, partially offset by changes in working capital. Changes in working capital resulted in net cash used of $324 million, which is primarily driven by an increase in other assets of $279 million related to the IEEPA tariff refund receivable, and an increase in trade accounts receivable of $148 million due to sales growth, partially offset by an increase in a

Eget kapital

Condensed Consolidated Statements of Stockholders' Equity, Mezzanine Equity and Partners’ Capital | 9
Total assets $ 39,350 $ 38,484 | LIABILITIES AND STOCKHOLDERS' EQUITY | Current liabilities
Stockholders’ equity
Accumulated other comprehensive (loss) income ( 6 ) 27 | Total Medline Inc. stockholders’ equity | 11,572 10,737
Noncontrolling interests 7,505 8,549 | Total stockholders’ equity 19,077 19,286 | Total liabilities and stockholders’ equity $ 39,350 $ 38,484
Total stockholders’ equity 19,077 19,286 | Total liabilities and stockholders’ equity $ 39,350 $ 38,484
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY, MEZZANINE EQUITY AND PARTNERS' CAPITAL (Unaudited)
Six Months Ended June 27, 2026 | Class A Common Stock Class B Common Stock Additional Paid-In Capital Retained Earnings (Accumulated Deficit) Accumulated Other Comprehensive Income (Loss) Noncontrolling Interests Total Stockholders’ Equity | (in millions) Shares Amount Shares Amount

Antal aktier

On December 16, 2025, the SEC declared effective the Company’s Registration Statement on Form S-1 filed in connection with IPO. The Company’s Class A common stock started trading on The Nasdaq Global Select Market on December 17, 2025. On December 18, 2025, the Company completed the IPO of its Class A common stock in which the Company issued and sold 248,439,654 shares of Class A common stock (including shares issued pursuant to the exercise in full of the underwriters’ option to purchase additi
(in millions, except number of shares and per share amounts) Three Months Ended Six Months Ended | June 27, 2026 June 27, 2026
In connection with the Reorganization and the IPO, we also entered int o a tax receivable agreement (“TRA”) with ce rtain pre-IPO owners. See “—Liquidity and Capital Resources—Tax Receivable Agreement” for additional information. Further, in connection with the Reorganization and the IPO, we also entered into an exchange agreement with the Continuing Unitholders so that they may (subject to the terms of the exchange agreement) exchange their Common Units (including Common Units issued upon conve | 43
Name Title Date of Adoption or Termination Duration of Trading Arrangement Number of Shares to be Sold Pursuant to the Trading Arrangement* | William J. Abrams Executive Vice President, Supply Chain Solutions Adopted on May 26, 2026
* Represents the maximum number of shares that may be sold pursuant to the trading arrangement. The actual number of shares sold will depend upon the satisfaction of certain conditions as set forth in the written plan.

Antal anställda

On June 11, 2026, a fire destroyed the Company's distribution center in Tracy, California. All employees were safely evacuated. The Company has estimated incurred losses of $ 336 million, which consist of $ 204 million related to inventory losses, $ 116 million related to fixed asset losses, and $ 16 million other expenses, for the three and six months ended June 27, 2026. These losses were recorded in Other operating expenses on the unaudited Condensed Consolidated Statements of Comprehensive I
Medline Holdings had two classes of incentive units, Class B units and Class B CUPIs (“Holdings Incentive Units”) that were granted to certain employees and vested upon satisfaction of one or multiple market, performance, and/or service conditions of each award. In accordance with ASC 718, “Compensation - Stock Compensation” (“ASC 718”), all incentive units officially granted represent ownership interests and are classified as equity.
During the three and six months ended June 27, 2026, RSUs and Performance Stock Units (“PSUs”) were granted to certain employees and board of directors. The grant date fair value of RSUs and PSUs is based on the fair market value of the Company’s underlying common stock at the grant date. The RSUs vest over one to five years contingent upon employment on the vesting date. The PSUs generally vest over four years contingent upon achievement of certain performance conditions and employment on the v
Prior to Reorganization and IPO | In March 2025 and March 2024, Medline Holdings authorized Class B units to be granted to certain employees upon fulfillment of certain performance conditions. With each grant, the number of Class B units to be issued and the grant date fair value of the award are dependent on the performance targets achieved and Medline Holdings’ equity value, and will be determined on the official grant date. The Class B units were subject to a five-year service vesting period, with 20 % of units vesting on eac
• The Supply Chain Solutions segment procures and distributes a variety of third-party products from national brands and also provides tailored logistics and supply chain optimization services to domestic and international consumers. Supply Chain Solutions is not managed based upon product categories as its focus is on signing new prime vendor relationships and servicing customers by leveraging strong third-party supplier relationships and through its fulfillment and distribution capabilities. A | The organizational structure also includes Corporate & Other which consists of expenses related to centralized corporate functions, such as finance, information technology, legal, human resources, and internal audit.The Company’s chief operating decision maker (“CODM”) is the Company’s Chief Executive Officer. For the Medline Brand and Supply Chain Solutions segments, the CODM uses segment adjusted earnings before interest, taxes, depreciation and amortization (“Segment Adjusted EBITDA”) to eval
On June 11, 2026, a fire destroyed our distribution center in Tracy, California. All employees were safely evacuated. We have estimated incurred losses of $336 million, which consist of $204 million related to inventory losses, $116 million related to fixed asset losses, and $16 million other expenses, for the three and six months ended June 27, 2026. These losses were recorded in Other operating expenses. As of June 27, 2026, discussions with our insurers are ongoing, and, as such, no insurance

Organisk tillväxt

Net sales for the three months ended June 27, 2026 increased $799 million, or 11.6%, to $7,685 million, compared to $6,886 million for the respective period in 2025, primarily driven by organic growth with foreign currency exchange rates having an immaterial impact on n et sales. Organic net sales growth was substantially all related to increased volumes with pricing having an immaterial impact.
Net sales for the six months ended June 27, 2026 increased $1,507 million, or 11.1%, to $15,037 million, compared to $13,530 million for the respective period in 2025, primarily driven by organic growth with foreign curren cy exchange rates having an immaterial impact on net sales. Organic net sales growth was substantially all related to increased volumes with pricing having an immaterial impact.

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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
___________________________
FORM 10-Q
___________________________
(Mark One)

☒
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended June 27, 2026
OR

☐
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ___________ to ___________
Commission file number 001-43022
_________________________
Medline Inc.
(Exact name of registrant as specified in its charter)
_________________________

Delaware 33-1845288

(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)

3 Lakes Drive
Northfield , Illinois
60093
(Address of principal executive offices)
(Zip Code)

(847) 949 5500
Registrant’s telephone number, including area code

N/A
Former name, former address and former fiscal year, if changed since last report

Securities registered pursuant to Section 12(b) of the Act:

Title of each class Trading Symbol(s) Name of each exchange on which registered
Class A common stock, par value $0.0001 per share
MDLN Nasdaq Global Select Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Yes ☒ No ☐               
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer ☐
Accelerated filer ☐

Non-accelerated filer ☒
Smaller reporting company ☐

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ☐ No ☒
As of August 3, 2026, there were 877,351,218 shares of the registrant’s Class A common stock and 437,356,274 shares of the registrant’s Class B common stock outstanding.

TABLE OF CONTENTS

Item
Page

Cautionary Note Regarding Forward-Looking Statements
2

Website and Social Media Disclosure
3

Certain Definitions
4

PART I—FINANCIAL INFORMATION

1.
Financial Statements (Unaudited)
6

Condensed Consolidated Balance Sheets
7

Condensed Consolidated Statements of Comprehensive Income
8

Condensed Consolidated Statements of Stockholders' Equity, Mezzanine Equity and Partners’ Capital
9

Condensed Consolidated Statements of Cash Flows
11

Notes to Condensed Consolidated Financial Statements
13

2.
Management's Discussion and Analysis of Financial Condition and Results of Operations
40

3.
Quantitative and Qualitative Disclosures About Market Risk
55

4.
Controls and Procedures
55

PART II—OTHER INFORMATION

1.
Legal Proceedings
56

1A.
Risk Factors
56

2.
Unregistered Sales of Equity Securities and Use of Proceeds
56

3.
Defaults Upon Senior Securities
56

4.
Mine Safety Disclosures
56

5.
Other Information
56

6.
Exhibits
57

Signatures
58

1

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q (this “Quarterly Report”) contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933, as amended (the “Securities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements include all statements that are not historical facts. Words such as “anticipate,” “assume,” “believe” “contemplate,” “continue,” “could,” “estimate,” “expect,” “foreseeable,” “intend,” “may,” “plan,” “potentially,” “predict,” “project,” “seek,” “should,” “will,” or “would,” or similar words or phrases that convey uncertainty of future events or outcomes, are intended to identify forward-looking statements in this Quarterly Report. These forward-looking statements relate to matters such as our industry, business strategy, costs, and costs savings, impacts of accounting standards and guidance, goals and expectations, market position, future operations, margins, profitability, capital expenditures, liquidity and capital resources, legal matters, trends, and other financial and operating information. The forward-looking statements are based on management’s current expectations and are subject to various risks, uncertainty, and changes in circumstances, many of which are beyond our control, that could cause actual results to differ materially. Although we believe that the assumptions underlying the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance, or achievements. Factors that may cause actual results to differ from expected results include, but are not limited to, the following:

• Our global operations are subject to inherent risks that could materially adversely affect our business, results of operations, and financial condition.
• We may be unable to derive fully the anticipated benefits from our existing or future acquisitions, joint ventures, investments, dispositions, or other strategic transactions.
• Consolidation in the healthcare industry could have an adverse effect on our business, results of operations, and financial condition.
• We operate in a highly competitive industry, with accelerating pricing pressure and changes in technology.
• Changes to the U.S. and global healthcare environments may not be favorable to us.
• Increases in shipping costs or service issues with our third-party shippers could harm our business.
• Significant challenges or delays in our sourcing of new products and technologies could have an adverse impact on our long-term success.
• We have concentration in and dependence on certain healthcare provider customers and Group Purchasing Organizations (“GPOs”), and the loss, termination, non-renewal, or material modification of a significant customer or GPO relationship could have a material adverse effect on our business, results of operations, and financial condition.
• Our business and operations depend on the proper functioning of our critical facilities and distribution networks and has been and could in the future be negatively impacted by events outside our control, such as the Tracy facility fire.
• Quality problems and product liability claims have in the past led, and could in the future lead, to recalls or safety alerts, reputational harm, warning letters and other regulatory actions by the U.S. Food and Drug Administration (“FDA”), adverse verdicts, or costly settlements, and could have a material adverse effect on our business, results of operations, and financial condition.
• Our failure to establish and maintain Prime Vendor relationships may cause our revenue to decline.
• If we experience increased pressure to maintain or decrease the price of our goods and services and we are unable to reduce our expenses, there may be a material adverse effect on our business, results of operations, and financial condition.
• Any failure by or loss of a third-party manufacturer or supplier or other manufacturing or supply-related impacts could result in delays and increased costs, which may adversely affect our business.
• We rely on the proper function, security, and availability of our information technology systems and data, as well as those of third parties throughout our global supply chain, to operate our business.
• We are subject to extensive and complex laws and governmental regulations and any adverse regulatory action may materially adversely affect our business, results of operations, and financial condition both inside and outside the United States.
2

• We are subject to complex and rapidly evolving data privacy, security, and data protection laws and regulations and the costs to comply with such laws and regulations or any ineffective compliance efforts with such laws and regulations may adversely impact our business.
• Our use or our third-party service providers’ or business partners’ use of artificial intelligence, automated decision-making and machine learning technologies and the evolving regulatory framework in this area may subject us to risks or heightened costs that could adversely affect business, results of operation and financial condition.
• Our failure to comply with laws and regulations relating to reimbursement of healthcare goods and services may subject us to penalties and adversely impact our reputation, business, results of operations, financial condition, and cash flows.
• Uncertain global and domestic macro-economic and political conditions, including as a result of global geopolitical conflicts and tensions, such as the ongoing conflicts in Ukraine and the Middle East, could materially adversely affect our business, results of operations, and financial condition.
• Our substantial indebtedness could adversely affect our financial condition, our ability to operate our business or react to changes in the economy or our industry, prevent us from fulfilling our obligations under our debts, and divert our cash flow from operations for debt payments.
• The credit agreement that governs the Senior Secured Credit Facilities (as defined herein) (the “Credit Agreement”) and the indentures that govern the Senior Notes (as defined herein) will each impose significant operating and financial restrictions on our subsidiaries, which may prevent us from capitalizing on business opportunities.
• Medline Inc. is a holding company and its only material assets are its equity interests held directly or indirectly through wholly owned subsidiaries in Medline Holdings, LP (“Medline Holdings”), and it is accordingly dependent upon distributions from Medline Holdings to pay taxes, make payments under the tax receivable agreement, and pay any dividends.
• The Designating Stockholders hold a significant percentage of our stock, and their interests may conflict with ours or yours in the future.
• Our amended and restated certificate of incorporation does not limit the ability of our Sponsors, the Mills family, and certain other pre-IPO investors to compete with us, and they may have investments in businesses whose interests conflict with ours.

For more information regarding these and other risks and uncertainties that we face, see Part I, “Item 1A—Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2025 (the “2025 Form 10-K”). The forward-looking statements included in this Quarterly Report speak only as of the date of this Quarterly Report or as of the date they are made, as applicable. Except as otherwise required by law, we disclaim any intent or obligation to update any “forward-looking statement” made in this Quarterly Report to reflect changed assumptions, the occurrence of unanticipated events, or changes to future operating results over time.

WEBSITE AND SOCIAL MEDIA DISCLOSURE

We file electronically with the U.S. Securities and Exchange Commission (the “SEC”) our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, proxy statements and other forms or reports as required. Our filings with the SEC are available to the public at the SEC’s website at www.sec.gov. We also use our investor relations website at ir.medline.com, press releases, public conference calls and webcasts, and social media as routine channels of distribution to communicate important, and often material, information about Medline to investors and the public, including information about our financial performance and results, analyst and investor presentations, investor days, products, solutions, sustainability initiatives, and corporate governance practices. We encourage you to follow these channels, in addition to our SEC filings, for timely information about the Company. Our SEC filings, including Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act, are available free of charge on our investor relations website as soon as reasonably practicable after they are filed with or furnished to the SEC. The information on our websites is not part of this Quarterly Report and is not incorporated by reference into this report or any other filing we make with the SEC.

3

CERTAIN DEFINITIONS

As used in this Quarterly Report, unless otherwise noted or the context requires otherwise, the following terms have the following meanings:

• “2029 Notes” refers to (i) the $ 4,500 million aggregate principal amount of senior secured notes issued in 2021, which bear interest at a fixed rate of 3.875 % and mature on April 1, 2029, (ii) the $ 2,500 million aggregate principal amount of senior unsecured notes issued in 2021, which bear interest at a fixed rate of 5.250 % and mature on October 1, 2029, and (iii) the senior secured notes issued in 2024 with an original aggregate principal amount of $ 1,500 million, which bear interest at a fixed rate of 6.250 % and mature on April 1, 2029, of which $1,000 million aggregate principal amount remained outstanding as of June 27, 2026.
• “2031 Notes” refers to the $ 1,250 million aggregate principal amount of senior secured notes issued in 2026, which bear interest at a fixed rate of 5.000 % and mature on June 15, 2031.
• “2033 Notes” refers to the $ 750 million aggregate principal amount of senior secured notes issued in 2026, which bear interest at a fixed rate of 5.250 % and mature on June 15, 2033.
• “Class A Units” refers to the interests in Medline Holdings called “Class A Units” that were outstanding prior to the Reclassification. In connection with the Reclassification, (i) Class A Units held by Common Unitholders were converted into Common Units and (ii) Class A Units held by Exchanging Class A Unitholders were directly or indirectly exchanged for shares of Class A common stock.
• “Class B Units” refers to the interests in Medline Holdings called “Class B Units” that were outstanding prior to the Reclassification, and does not include CUPI Units. In connection with the Reclassification, (i) Class B Units held by Incentive Unitholders were converted into Incentive Units and (ii) Class B Units held by Exchanging Class B Unitholders were directly or indirectly exchanged for shares of Class A common stock (in the case of vested Class B Units) and/or restricted shares of Class A common stock (in the case of unvested Class B Units).
• “Common Units” refers to the new class of units of Medline Holdings created by the Reclassification and does not include Incentive Units.
• “Common Unitholders” refers to certain pre-IPO holders of Class A Units and/or CUPI Units who hold Common Units following the Reclassification.
• “CUPI Units” refers to the interests in Medline Holdings that were designated as “Catch-Up Class B Units” and outstanding prior to the Reclassification. In connection with the Reclassification, (i) CUPI Units held by Common Unitholders were converted into Common Units and (ii) CUPI Units held by Exchanging CUPI Unitholders were directly or indirectly exchanged for shares of Class A common stock.
• “Designating Stockholder” refers to each of our Principal Stockholders with whom we entered into separate director nomination agreements.
• “Exchanging Class A Unitholder” refers to pre-IPO holders of Class A Units whose Class A Units were directly or indirectly exchanged for shares of Class A common stock following the Reclassification.
• “Exchanging Class B Unitholder” refers to pre-IPO holders of Class B Units whose Class B Units were directly or indirectly exchanged for shares of Class A common stock (in the case of vested Class B Units) and/or restricted shares of Class A common stock (in the case of unvested Class B Units) following the Reclassification.
• “Exchanging CUPI Unitholder” refers to pre-IPO holders of CUPI Units whose CUPI Units were directly or indirectly exchanged for shares of Class A common stock following the Reclassification.
• “Exchanging Unitholders” refers collectively to Exchanging Class A Unitholders, Exchanging CUPI Unitholders, and Exchanging Class B Unitholders.
• “Incentive Units” refers to the new class of units of Medline Holdings created by the reclassification of the Class B Units in the Reclassification. The Incentive Units are “profit interests” having economic characteristics similar to stock appreciation rights and having the right to share in any equity value of Medline Holdings above specified participation thresholds. Vested Incentive Units may be converted to Common Units and be subsequently exchanged for shares of Class A common stock.
• “Incentive Unitholders” refers to certain pre-IPO holders of Class B Units who will hold Incentive Units following the Reclassification.
• “IPO” refers to our initial public offering of Class A common stock, which was completed on December 18, 2025.
4

• “Prime Vendor” refers to a relationship for which there is a multi-year distribution agreement between Medline and a customer, whereby the customer agrees to use Medline for the vast majority of its medical-surgical (“med-surg”) product needs. Our Prime Vendor model began in the acute care channel and, as these hospitals expanded into other sites of care, we have extended this model into the non-acute space to include those affiliated sites of care (“acute affiliated”). For purposes of the Prime Vendor data within this Quarterly Report, we are only including those customers that are acute and acute affiliated. Over time, we have also entered into Prime Vendor agreements with facilities that are non-acute and not affiliated with a hospital system (i.e., not acute affiliated). Data in this Quarterly Report does not include Prime Vendor relationships outside of acute and acute affiliated.
• “Principal Stockholders” refers collectively to investment funds associated with Blackstone Inc., The Carlyle Group Inc. and Hellman & Friedman LLC, and members of the Mills family.
• “Reclassification” refers to the reclassification of the partnership interests of Medline Holdings prior to the IPO.
• “Senior Notes” refers collectively to the 2029 Notes, the 2031 Notes, and the 2033 Notes.
• “Sponsors” refers collectively to Blackstone Inc., The Carlyle Group Inc., and Hellman & Friedman LLC.
• “Units” refers collectively to Common Units and Incentive Units.
5

PART I—FINANCIAL INFORMATION

Item 1 - Financial Statements
6

MEDLINE INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in millions, except per share amounts)
As of June 27, 2026 (Unaudited) As of December 31, 2025
ASSETS
Current assets
Cash and cash equivalents $ 2,327   $ 1,939  
Trade accounts receivable, net of allowance for credit losses of $ 148 and $ 152 as of June 27, 2026 and December 31, 2025, respectively
3,661   3,533  
Inventories 4,665   4,769  
Short-term investments 350   —  
Other current assets 739   438  
Total current assets 11,742   10,679  

Property, plant, and equipment, net 4,697   4,778  
Other non-current assets
Goodwill 8,072   8,079  
Intangible assets, net 13,538   13,893  
Deferred tax assets 866   583  
Other long-term assets 435   472  
Total other non-current assets 22,911   23,027  
Total assets $ 39,350   $ 38,484  
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
Current portion of long-term borrowings and other short-term borrowings $ 29   $ 77  
Accounts payable 1,043   961  
Accrued expenses and other current liabilities 1,638   1,452  

Total current liabilities 2,710   2,490  

Non-current liabilities
Long-term borrowings, less current portion 12,548   12,484  
Tax receivable agreement liability 4,392   3,542  
Other long-term liabilities 623   682  
Total non-current liabilities 17,563   16,708  
Total liabilities $ 20,273   $ 19,198  
Commitments and contingencies

Stockholders’ equity

Class A common stock, par value $ 0.0001 per share; 50,000 shares authorized; 877 and 812 shares issued and outstanding as of June 27, 2026 and December 31, 2025, respectively
—   —  
Class B common stock, par value $ 0.0001 per share; 50,000 shares authorized; 437 and 502 shares issued and outstanding as of June 27, 2026 and December 31, 2025, respectively
—   —  
Preferred stock, par value $ 0.0001 ; 5,000 shares authorized; no shares issued and outstanding
—   —  
Additional paid-in capital 11,396   10,717  
Retained earnings (accumulated deficit)
182   ( 7 )

Accumulated other comprehensive (loss) income ( 6 ) 27  
Total Medline Inc. stockholders’ equity
11,572   10,737  
Noncontrolling interests 7,505   8,549  
Total stockholders’ equity 19,077   19,286  
Total liabilities and stockholders’ equity $ 39,350   $ 38,484  

See notes to unaudited condensed consolidated financial statements.

7

MEDLINE INC.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited)

Three months ended
Six months ended
(in millions, except per share amounts)
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025
Net sales $ 7,685   $ 6,886   $ 15,037   $ 13,530  

Cost of goods sold 5,470   4,981   10,981   9,801  
Gross profit 2,215   1,905   4,056   3,729  

Operating expense
Selling, general and administrative expenses 1,295   1,073   2,523   2,143  
Amortization of intangible assets 177   176   353   351  
Other operating expenses 348   14   363   22  
Total operating expense 1,820   1,263   3,239   2,516  
Operating income 395   642   817   1,213  

Other expense
Interest expense, net ( 119 ) ( 223 ) ( 255 ) ( 433 )
Other loss, net ( 42 ) —   ( 41 ) —  
Foreign exchange gain (loss), net 1   ( 60 ) 5   ( 83 )
Total other expense ( 160 ) ( 283 ) ( 291 ) ( 516 )
Income before income taxes 235   359   526   697  

Provision for income taxes 96   26   148   42  
Net income 139   333   378   655  

Net income attributable to noncontrolling interests 79   —   189   —  
Net income attributable to Medline Inc. $ 60   $ 333   $ 189   $ 655  

Earnings per share attributable to Medline Inc.

Basic $ 0.07   N/A $ 0.23   N/A
Diluted $ 0.07   N/A $ 0.23   N/A

Weighted-average number of Class A common stock outstanding

Basic 857   N/A 838   N/A
Diluted 861   N/A 843   N/A

Other comprehensive (loss) income, net of tax

Net unrealized loss on derivative instruments ( 9 ) ( 20 ) ( 12 ) ( 50 )
Currency translation adjustment ( 28 ) 75   ( 39 ) 101  
Total other comprehensive (loss) income, net of tax ( 37 ) 55   ( 51 ) 51  
Total comprehensive income
102   388   327   706  

Comprehensive income attributable to noncontrolling interests 66   —   171   —  
Comprehensive income attributable to Medline Inc. $ 36   $ 388   $ 156   $ 706  

    

See notes to unaudited condensed consolidated financial statements.

8

MEDLINE INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY, MEZZANINE EQUITY AND PARTNERS' CAPITAL (Unaudited)

Six Months Ended June 27, 2026
Class A Common Stock Class B Common Stock Additional Paid-In Capital Retained Earnings (Accumulated Deficit) Accumulated Other Comprehensive Income (Loss) Noncontrolling Interests Total Stockholders’ Equity
(in millions) Shares Amount Shares Amount
Balance, January 1, 2026 812   $ —   502   $ —   $ 10,717   $ ( 7 ) $ 27   $ 8,549   $ 19,286  
Net income — —  —  —  —  129   —  110   239  
Other comprehensive loss — —  —  —  —  —  ( 9 ) ( 5 ) ( 14 )
Distributions to noncontrolling interests — —  —  —  —  —  —  ( 10 ) ( 10 )
Exchange of common units for Class A common stock 34 —  ( 34 ) —  581   1   ( 582 ) —  
Tax receivable agreement — —  —  —  ( 479 ) —  —  —  ( 479 )
Recognition of deferred tax assets from equity transactions — —  —  —  294   —  —  —  294  
Reclassification from liability-classified units — —  —  —  7   —  —  4   11  
Stock-based compensation — —  —  —  13   —  —  9   22  
Changes in noncontrolling interests — —  —  —  ( 1 ) —  ( 1 ) 2   —  
Balance, March 28, 2026 846 $ —   468   $ —   $ 11,132   $ 122   $ 18   $ 8,077   $ 19,349  
Net income —  —  —  —  —  60   —  79   139  
Other comprehensive loss —  —  —  —  —  —  ( 24 ) ( 13 ) ( 37 )
Distributions to noncontrolling interests —  —  —  —  —  —  —  ( 113 ) ( 113 )
Exchange of common units for Class A common stock 31   —  ( 31 ) —  532   —  2   ( 534 ) —  
Tax receivable agreement —  —  —  —  ( 383 ) —  —  —  ( 383 )
Recognition of deferred tax assets from equity transactions —  —  —  —  97   —  —  —  97  
Stock-based compensation —  —  —  —  18   —  —  11   29  
Exercise of employee stock options —  —  —  —  1   —  —  —  1  
Taxes withheld on issuance of stock-based awards —  —  —  —  ( 5 ) —  —  —  ( 5 )
Changes in noncontrolling interests — —  —  —  4   —  ( 2 ) ( 2 ) —  
Balance, June 27, 2026 877   $ —   437   $ —   $ 11,396   $ 182   $ ( 6 ) $ 7,505   $ 19,077  

See notes to unaudited condensed consolidated financial statements.

9

MEDLINE INC.

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY, MEZZANINE EQUITY AND PARTNERS' CAPITAL (Unaudited) (Continued)

Six Months Ended June 28, 2025
Mezzanine Equity Partners’ Capital
Class A Stock-based Compensation Total Mezzanine Equity Class A Class B Class B CUPI Accumulated Other Comprehensive Income Total Partners' Capital
(in millions) Units Amount Units Amount Units Amount Units Amount Units Amount
Balance, January 1, 2025 128 $ 237   106 $ 129   $ 366   16,723 $ 15,976   721 $ 123   23 $ 48   $ 11   $ 16,158  
Net income — 2 — 1 3 — 318 — — — 1 — 319
Other comprehensive loss — — — — — — — — — — — ( 4 ) ( 4 )
Reclassification from liability-classified units — — — — — — — 51 10 — — — 10  
Units repurchased — — ( 2 ) ( 1 ) ( 1 ) — — ( 14 ) ( 9 ) — — — ( 9 )
Stock-based compensation — — — — — — — 6 16 — — — 16
Balance, March 29, 2025 128 $ 239   104 $ 129   $ 368   16,723 $ 16,294   764 $ 140   23 $ 49   $ 7   $ 16,490  
Net income — 2 — 2 4 — 314 — 14 — 1 — 329
Other comprehensive income — — — — — — — — — — — 55 55
Units repurchased — — ( 1 ) ( 1 ) ( 1 ) — — ( 8 ) ( 5 ) — — — ( 5 )
Stock-based compensation — — — — — — — — 14 — — — 14
Distribution to partners — ( 2 ) — ( 2 ) ( 4 ) — ( 284 ) — ( 15 ) — — — ( 299 )
Balance, June 28, 2025 128 $ 239   103 $ 128   $ 367   16,723 $ 16,324   756 $ 148   23 $ 50   $ 62   $ 16,584  

See notes to unaudited condensed consolidated financial statements.

10

MEDLINE INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

Six months ended
(in millions) June 27, 2026 June 28, 2025
Cash flows from operating activities
Net income $ 378   $ 655  
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization 510   497  
Stock-based compensation expense 52   34  
Amortization of deferred financing costs 24   30  

Deferred taxes 101   ( 7 )
Credit losses 7   39  

Unrealized foreign exchange (gain) loss, net ( 17 ) 94  

Loss on extinguishment of debt 23   —  
Non-cash lease expense 35   35  
Fire at distribution center 320   —  
Other non-cash adjustments 18   4  
Changes in assets and liabilities, net of acquisitions:
Trade accounts receivable ( 148 ) ( 149 )
Inventories ( 116 ) ( 160 )

Other assets ( 297 ) ( 43 )
Accounts payable 89   45  
Accrued expenses and other current liabilities 191   ( 174 )
Other liabilities ( 43 ) ( 21 )
Net cash provided by operating activities 1,127   879  
Cash flows from investing activities
Purchases of property and equipment, net ( 207 ) ( 208 )

Acquisitions of businesses, net of cash acquired —   6  
Cash paid for asset acquisitions —   ( 33 )
Short-term investments
( 350 ) —  

Net cash used in investing activities ( 557 ) ( 235 )
Cash flows from financing activities

Proceeds from long-term borrowings 4,733   —  
Repayment for long-term borrowings ( 4,771 ) ( 19 )
Repayment under lines of credit —   ( 179 )
Proceeds from lines of credit —   179  
Payment for debt issuance cost ( 3 ) —  
Payment for offering costs ( 4 ) —  
Payment towards Class B unit repurchases —   ( 15 )
Exercise of employee stock options 1   —  
Settlement of taxes withheld on stock-based awards ( 5 ) —  
Distributions to partners —   ( 303 )
Distributions to noncontrolling interests ( 123 ) —  
Net cash used in financing activities ( 172 ) ( 337 )
Effect of exchange rate changes on cash and cash equivalents and restricted cash ( 11 ) 27  
Net change in cash and cash equivalents and restricted cash 387   334  
Cash, cash equivalents and restricted cash, beginning of year 1,942   250  
Cash, cash equivalents and restricted cash, end of period $ 2,329   $ 584  

See notes to unaudited condensed consolidated financial statements.

11

MEDLINE INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (Continued)

Six months ended
(in millions) June 27, 2026 June 28, 2025
Supplemental disclosure of cash flow information:
Cash payments for interest on borrowings $ 324   $ 472  
Cash received from interest rate hedging activities 17   38  
Cash payments for income taxes, net 55   26  

Non-cash purchases of property, plant and equipment 52   42  
Recognition of tax receivable agreement liability 862   —  
Recognition of deferred tax assets from equity transactions 391   —  

The following table provides reconciliation of cash, cash equivalents and restricted cash shown above to the amounts reported within the Condensed Consolidated Balance Sheets as of June 27, 2026 and December 31, 2025:

(in millions) June 27, 2026 (Unaudited) December 31, 2025
Cash and cash equivalents $ 2,327   $ 1,939  
Restricted cash included in other current assets 2   3  
Cash, cash equivalents and restricted cash $ 2,329   $ 1,942  

See notes to unaudited condensed consolidated financial statements.

12

MEDLINE INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

NOTE 1 - NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES

Nature of Business

Medline Inc., a Delaware corporation formed on November 6, 2024, is a holding company, and its material assets are its equity interests held directly or indirectly through wholly owned subsidiaries in Medline Holdings, LP (“Medline Holdings”), and its subsidiaries (together, the “Company” or “Medline”). The Company is a medical-surgical products and supply chain company, serving healthcare providers across the continuum of care. Its customers are primarily composed of hospitals, nursing homes and other health care providers located in the United States of America, Canada, Europe, Asia-Pacific (which includes Southeast Asia, Japan and Australia), Latin America (which includes Mexico), the Middle East and Africa.

Tracy, California Distribution Center

On June 11, 2026, a fire destroyed the Company's distribution center in Tracy, California. All employees were safely evacuated. The Company has estimated incurred losses of $ 336 million, which consist of $ 204 million related to inventory losses, $ 116 million related to fixed asset losses, and $ 16 million other expenses, for the three and six months ended June 27, 2026. These losses were recorded in Other operating expenses on the unaudited Condensed Consolidated Statements of Comprehensive Income. As of June 27, 2026, discussions with the Company’s insurers are ongoing, and, as such, no insurance recoveries have been recorded. Following the fire, the Company entered into lease agreements for two distribution centers in Northern California to help support service to healthcare providers and customers in Northern California following the fire. The Company may incur additional losses and costs in future periods associated with the fire and its related impacts. The Company expects to recognize insurance recoveries in future periods as the applicable recognition criteria are met. The timing and amount of any additional losses, costs, or insurance recoveries remain uncertain.

Secondary Offerings

On May 28, 2026, the Company completed an underwritten public offering of an aggregate of 72,554,594 shares of Class A common stock sold by a wholly owned subsidiary of Abu Dhabi Investment Authority and certain affiliates of the Company’s Sponsors (collectively, the “May 2026 Selling Stockholders”) at a public offering price of $ 37.00 per share, for aggregate gross proceeds of approximately $ 2.7 billion to the May 2026 Selling Stockholders (the “May 2026 Resale Offering”). This transaction resulted in the issuance of 29,505,565 shares of Class A common stock in connection with the exchange of Common Units by the May 2026 Selling Stockholders for the six months ended June 27, 2026. The exchange reduced the ownership of noncontrolling interest in Medline Holdings by approximately 2 % and will increase the net income attributable to the Company in a proportionate amount. The Company did not sell any shares in this May 2026 Resale Offering and did not receive any of the proceeds from the sale of the shares of Class A common stock in this May 2026 Resale Offering. The Company paid the offering expenses associated with the sale of the shares by the May 2026 Selling Stockholders, net of the underwriting discounts and commissions.

On March 10, 2026, the Company completed an underwritten public offering of an aggregate of 86,250,000 shares of Class A common stock (including 11,250,000 shares of Class A common stock issued pursuant to the exercise in full of the underwriters’ option to purchase additional shares) sold by a wholly owned subsidiary of Abu Dhabi Investment Authority and certain affiliates of the Company’s Sponsors (collectively, the “March 2026 Selling Stockholders”) at a public offering price of $ 41.00 per share, for aggregate gross proceeds of approximately $ 3.5 billion to the Selling Stockholders (the “March 2026 Resale Offering”). This transaction resulted in the issuance of 33,963,901 shares of Class A common stock in connection with the exchange of Common Units by the March 2026 Selling Stockholders for the six months ended June 27, 2026. The exchange reduced the ownership of noncontrolling interest in Medline Holdings by approximately 3 % and will increase the net income attributable to the Company in a proportionate amount. The Company did not sell any shares in this March 2026 Resale Offering and did not receive any of the proceeds from the sale of the shares of Class A common stock in this March 2026 Resale Offering. The Company paid the offering expenses associated with the sale of the shares by the March 2026 Selling Stockholders, net of the underwriting discounts and commissions.
13

MEDLINE INC.

NOTE 1 - NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES (Continued)

Initial Public Offering

On December 16, 2025, the SEC declared effective the Company’s Registration Statement on Form S-1 filed in connection with IPO. The Company’s Class A common stock started trading on The Nasdaq Global Select Market on December 17, 2025. On December 18, 2025, the Company completed the IPO of its Class A common stock in which the Company issued and sold 248,439,654 shares of Class A common stock (including shares issued pursuant to the exercise in full of the underwriters’ option to purchase additional shares) for cash consideration of $ 29.00 per share. The IPO generated net proceeds of approximately $ 7,048 million after deducting underwriting discounts and commissions of approximately $ 157 million, but before deducting offering expenses of approximately $ 40 million. The Company used the proceeds (net of underwriting discounts and commissions) from the issuance of 179,000,000 shares ( $ 5,078 million) in the IPO to purchase an equivalent number of newly issued Common Units from Medline Holdings, which Medline Holdings has in turn used $ 731 million of which to repay in full all outstanding Euro Term Loans (as defined herein) and $ 3,292 million of which to repay a portion of the outstanding Dollar Term Loans (as defined herein) which matures in 2028. The Company will use the remaining net proceeds for general corporate purposes and to bear all of the expenses of the IPO. The Company has used the proceeds (net of underwriting discounts and commissions) from the issuance of 37,034,482 shares ( $ 1,051 million) and the issuance of 32,405,172 shares ( $ 919 million) pursuant to the exercise in full by the underwriters of their option to purchase additional shares in the IPO to purchase or redeem an equivalent aggregate number of shares of Class A common stock and Common Units from certain pre-IPO owners.

Reorganization

On December 16, 2025, prior to the completion of the IPO, the Company executed several reorganization transactions (the “Reorganization”) and amended and restated Limited Partnership Agreement of Medline Holdings (the “LP Agreement”), resulting in the following:

• Medline Inc. became the general partner of Medline Holdings with 100 % of the voting power and control of Medline Holdings.
• All outstanding Class A Units and Class B CUPI Units of Medline Holdings were either (1) reclassified into Common Units, a new class of partnership interest of Medline Holdings, or (2) directly or indirectly exchanged for vested shares of Class A common stock and restricted stock units (“RSUs”) of Medline Inc. The holders of Common Units were also allocated shares of Class B common stock of Medline Inc. on a one -for-one basis with the number of their Common Units.
• All outstanding Class B units of Medline Holdings were either (1) reclassified into Incentive Units, a new class of partnership interest of Medline Holdings, or (2) directly or indirectly exchanged for vested shares of Class A common stock of Medline Inc., in the case of vested Class B units, and restricted stock awards (“RSAs”), RSUs, and options of Medline Inc., in the case of unvested Class B units.
• Holders of Incentive Units (“Incentive Unitholders”) have the right to exchange their vested Incentive Units for Common Units at the exchange rate defined by the amended LP Agreement.
• Recognition of noncontrolling interests due to the pre-IPO owners retaining an economic interest in Medline Holdings related to Common Units and Incentive Units.

After the Reorganization, Medline Inc.’s sole material asset is a controlling equity interest in Medline Holdings. As the general partner of Medline Holdings, Medline Inc. now operates and controls all of the business and affairs of Medline Holdings, and has the obligation to absorb losses and receive benefits from Medline Holdings and, through Medline Holdings and its subsidiaries, operate the business. The Reorganization has been accounted for as a reorganization of entities under common control. As a result, the consolidated financial statements of Medline Inc. recognized the assets and liabilities received in the Reorganization at their historical carrying amounts, as presented in the historical financial statements of Medline Holdings. Medline Inc. consolidates Medline Holdings on its consolidated financial statements and records a noncontrolling interest.
14

MEDLINE INC.

NOTE 1 - NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES (Continued)

Basis of Presentation and Consolidation

The unaudited condensed consolidated financial statements and accompanying notes are prepared in accordance with United States generally accepted accounting principles (“GAAP”) for interim financial information. Accordingly, certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted. These unaudited interim condensed consolidated financial statements should be read in conjunction with the Company's consolidated financial statements for the year ended December 31, 2025. The results of businesses acquired or disposed of are included in the unaudited condensed consolidated financial statements from the date of the acquisition or up to the date of disposal, respectively. All adjustments, in the opinion of management, necessary to a fair statement of the results for the interim and annual periods presented have been made.

The unaudited condensed consolidated financial statements include the financial statements of the Company, all entities that are wholly-owned by the Company and all entities in which the Company has a controlling financial interest. All intercompany transactions and balances have been eliminated. A noncontrolling interest in a consolidated subsidiary represents the portion of the equity (net assets) in a subsidiary not attributable, directly or indirectly, to the Company. Noncontrolling interests are presented as a separate component of equity in the unaudited Condensed Consolidated Balance Sheets and the presentation of net income (loss) is modified to present earnings and other comprehensive income (loss) attributed to controlling and noncontrolling interests.

The Company reclassified certain prior period amounts in the unaudited Condensed Consolidated Statements of Cash Flows to conform to the current year’s presentation. Specifically, one immaterial line item was combined with another line item, and a line item previously included within another caption is now presented separately. The reclassifications had no impact on the Company’s net cash provided by operating activities or net cash used in investing and financing activities.

Fiscal Periods

The Company’s fiscal year begins on January 1 and ends on December 31. The fiscal quarters are based on a four-four-five-week calendar with periods ending on the Saturday of the last week in the quarter, with the exception of December 31, which is always the fiscal year end date. The current period end date is June 27, 2026.

Use of Estimates

The preparation of the unaudited condensed consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the unaudited condensed consolidated financial statements, and the reported amounts of revenues and expenses during the reporting period. Such estimates include, but are not limited to, allowance for credit losses, inventory valuation reserves, fair value of financial instruments, impairment of long-lived assets and goodwill, tax receivable agreement (“TRA”), deferred tax valuations, depreciation and amortization, actuarial assumptions, and fair value allocations related to business combinations. Actual results could differ from those estimates.

Recently Adopted Accounting Standards

In July 2025, the FASB issued ASU 2025-05, Financial Instruments - Credit Losses (ASC 326): Measurement of Credit Losses for Accounts Receivable and Contract Assets. ASU 2025-05 introduces a practical expedient allowing entities to assume current economic conditions, as of the balance sheet date, remain unchanged when estimating expected credit losses for current trade receivables and contract assets. The standard is effective for fiscal years beginning after December 15, 2025 on a prospective basis, and including interim periods, with early adoption permitted. The Company adopted this standard on a prospective basis in the first quarter of 2026, and the adoption did not have a material impact on the consolidated financial statements.
15

MEDLINE INC.

NOTE 2 - INVENTORIES

Inventories consisted of the following as of:

(in millions)
June 27, 2026 December 31, 2025
Raw materials and work in process, net $ 795   $ 748  
Finished goods, net 3,870   4,021  
Inventories, net $ 4,665   $ 4,769  

If last-in, first-out inventories had been valued on a current cost or first-in, first-out basis, they would have been greater by $ 391 million and $ 359 million as of June 27, 2026 and December 31, 2025, respectively. The inventory reserve for obsolescence was $ 56 million and $ 44 million as of June 27, 2026 and December 31, 2025, respectively.

NOTE 3 - GOODWILL AND INTANGIBLE ASSETS
Changes in the carrying amount of Goodwill were as follows:

(in millions)
Medline Brand Supply Chain Solutions Total

Balance, December 31, 2025 $ 6,724 $ 1,355 $ 8,079
Currency translation adjustments ( 6 ) ( 1 ) ( 7 )
Balance, June 27, 2026 $ 6,718 $ 1,354 $ 8,072

Identifiable intangible assets consist of the following as of:

June 27, 2026 December 31, 2025
(in millions)
Weighted Average Remaining Useful Life Gross Carrying Amount Accumulated Amortization Net Carrying Amount Weighted Average Remaining Useful Life Gross Carrying Amount Accumulated Amortization Net Carrying Amount
Finite-lived intangible assets:
Customer relationships 14 $ 10,688   $ ( 2,652 ) $ 8,036   15 $ 10,692   $ ( 2,364 ) $ 8,328  
Trade names 4 25   ( 11 ) 14   5 25   ( 10 ) 15  
Developed technology 14 2,167   ( 509 ) 1,658   15 2,167   ( 447 ) 1,720  
Total finite-lived intangible assets $ 12,880   $ ( 3,172 ) $ 9,708   $ 12,884   $ ( 2,821 ) $ 10,063  
Indefinite-lived trade names 3,830   —  3,830   3,830   —  3,830  
Intangible assets, net $ 16,710   $ ( 3,172 ) $ 13,538   $ 16,714   $ ( 2,821 ) $ 13,893  

16

MEDLINE INC.

NOTE 3 - GOODWILL AND INTANGIBLE ASSETS (Continued)

Estimated amortization expense for the remainder of fiscal year 2026 and over the next four years and thereafter is as follows:

(in millions)
Total
2026 $ 352
2027 704
2028 704
2029 702
2030 701
Thereafter 6,545
$ 9,708

NOTE 4 - ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES

The elements of Accrued expenses and other current liabilities are as follows as of:

(in millions)
June 27, 2026 December 31, 2025
Payroll $ 389   $ 323  
Customer rebates and distributor chargebacks 449   406  
Interest payable, net 130   144  
Indirect tax payable 77   87  
Lease liability 63   66  

Income taxes payable 16   24  
Other 514   402  
Total accrued expenses and other current liabilities $ 1,638   $ 1,452  

NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS

The Company’s Current portion of long-term borrowings and other short-term borrowings consists of the following as of:

(in millions)
June 27, 2026 December 31, 2025
Current portion of long-term debt (1)
$ 28   $ 76  
Other short-term debt 1   1  
Total $ 29   $ 77  
(1) Consists of a portion of the secured Dollar Term Loans (as defined herein) bearing variable interest rate.
17

MEDLINE INC.

NOTE 5 – C REDIT AGREEMENTS AND BORROWINGS (Continued)

The long-term borrowings and the effective interest rates are summarized as follows as of:

June 27, 2026 December 31, 2025
Maturity dates
by fiscal year Amount
(in millions)
Average effective interest rate Amount
(in millions)
Average effective interest rate
Long-term borrowings
Unsecured debt
Fixed 2029 $ 2,500   5.61   % $ 2,500   5.61   %
Total unsecured debt 2,500   2,500  
Secured debt
Fixed 2029 - 2033 7,500   4.79   % 6,000   4.79   %

Variable 2026 - 2033 2,750   6.97   % 4,255   7.10   %
Total secured debt 10,250   10,255  
Total debt 12,750   12,755  
Less: amounts due within one year ( 28 ) ( 76 )
Total other (1)
( 174 ) ( 195 )
Total long-term borrowings $ 12,548   $ 12,484  

(1) Includes deferred financing costs and embedded derivative related to the Dollar Term Loans (as defined herein).

Long-Term Debt
Senior Secured and Unsecured Notes

The Company’s Senior Notes comprise the 2029 Notes, the 2031 Notes, and the 2033 Notes.

2029 Notes

During 2021, the Company issued senior secured notes with a principal amount of $ 4,500 million, at a fixed rate of 3.875 % and maturity date of April 1, 2029 and senior unsecured notes with a principal amount of $ 2,500 million at a fixed rate of 5.250 % with a maturity date of October 1, 2029.

During 2024, the Company issued senior secured notes with a principal amount of $ 1,500 million at a fixed rate of 6.250 % and a maturity date of April 1, 2029. On May 28, 2026, the Company redeemed $ 500 million of the 6.250 % senior secured notes due 2029.

2031 Notes and 2033 Notes

On May 28, 2026, the Company issued senior secured notes with a principal amount of $ 1,250 million, at a fixed rate of 5.000 % and a maturity date of June 15, 2031, and senior secured notes with a principal amount of $ 750 million, at a fixed rate of 5.250 % and a maturity date of June 15, 2033.

Interest on the Senior Notes is payable in cash on a semi-annual basis. Interest on the 2029 Notes is payable in arrears on April 1 and October 1 of each calendar year. Interest on the 2031 Notes and the 2033 Notes is payable in arrears on June 15 and December 15 of each calendar year, commencing on December 15, 2026.
18

MEDLINE INC.

NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)

Term Loan Facilities

During 2021, the Company borrowed $ 7,270 million under a senior secured term loan facility (the “Dollar Term Loans”), in addition to € 435 million under a separate euro-denominated senior secured term loan facility (the “Euro Term Loans”), both established under a credit agreement (the “Credit Agreement”). The Credit Agreement permits the Company, at any time, subject to customary conditions, to request incremental term loans or incremental revolving credit commitments in an aggregate principal amount of up to (a) the greater of (1) $ 2,375 million and (2) an amount equal to 100 % of the Company’s trailing consolidated EBITDA (as defined in the Credit Agreement) for the most recently ended period of four consecutive fiscal quarters for which financial statements are internally available, on a pro forma basis plus (b) certain additional amounts based on satisfaction of a certain consolidated first lien net leverage ratio and subject to certain other customary conditions.

During 2024, the Credit Agreement underwent three separate amendments. These amendments resulted in an increase of $ 520 million in the principal amount of the Dollar Term Loans, as well as an increase of € 185 million in the aggregate principal amount of the Euro Term Loans. In addition, pursuant to the amendments, the applicable interest rate margins were lowered, resulting in a variable interest rate of Secured Overnight Financing Rate (“SOFR”) plus a spread of 2.25 % for the Dollar Term Loans, and a variable interest rate of EURO Interbank offer Rate plus an applicable spread ranging from 2.25 % to 2.75 % based on certain of the Company’s debt ratios for the Euro Term Loans.

On July 31, 2025, the Credit Agreement was amended to reduce the margin spread and to extend the maturity of certain obligations. Pursuant to the amendment, all of the Dollar Term Loans are subject to a margin spread of SOFR plus 2.00 %. The principal amount of the Dollar Term Loans equal to $ 4,074 million will mature on October 21, 2028, which remained unchanged, while the principal amount of the Dollar Term Loans equal to $ 3,500 million will mature on October 23, 2030, extended from the original maturity date.

On December 18, 2025, the Company used a portion of the proceeds from the IPO to prepay a portion of the Dollar Term Loans with a maturity date of October 21, 2028 in the amount of $ 3,281 million and all of the outstanding principal of the Euro Term Loans, equivalent to $ 730 million. Per the terms of the Credit Agreement, the completion of the IPO also triggered a reduction in variable interest rate of 0.25 %, resulting in a variable interest rate of SOFR plus 1.75 % for the remaining Dollar Term Loans.

The Dollar Term Loans require quarterly amortization payments of 0.25 % of the amended principal due at each calendar quarter-end. There were $ 19 million amortization payments for the six months ended June 27, 2026 and June 28, 2025, respectively. There were no mandatory amortization payments for the Euro Term Loans.

On May 28, 2026, concurrently with the offering of the 2031 Notes and the 2033 Notes, the Company entered into Amendment No. 7 to the Credit Agreement to amend and extend its existing senior secured dollar-denominated term loan facility due 2030 (the “2030 Term Loan Facility”) with a new senior secured dollar-denominated term loan facility in an aggregate principal amount of $ 2,750 million (the “2033 Refinancing Term Loan Facility” and, together with the existing revolving credit facility, the “Senior Secured Credit Facilities”). The 2033 Refinancing Term Loan Facility bears a variable interest rate of SOFR plus a spread of 1.5 %.

The 2033 Term Loan Facility amortizes quarterly at 0.25 % of the outstanding principal balance, payable on the last business day of each calendar quarter beginning June 30, 2026. The remaining principal balance is due upon maturity.

The net proceeds from the offering of the 2031 Notes and the 2033 Notes, together with the borrowings under the 2033 Refinancing Term Loan Facility and cash on hand, were used to (i) repay in full all outstanding indebtedness under the Company’s existing senior secured dollar-denominated term loan facility due 2028 of $ 762 million, (ii) repay $ 724 million of the 2030 Term Loan Facility, (iii) redeem $ 500 million of the Issuers’ 6.250 % Senior Secured Notes due 2029 and (iv) pay the related fees and expenses with respect to (i) through (iii), the issuance of 2031 Notes and 2033 Notes and the amendment and extension of the 2030 Term Loan Facility.
19

MEDLINE INC.

NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)

For the refinancing transaction on May 28, 2026, the Company recognized debt extinguishment losses of $ 23 million for the six months ended June 27, 2026, related to the write-off of unamortized debt discounts and deferred financing costs associated with the debts repaid or refinanced. In addition, the Company incurred third party and lender fees of $ 22 million, which were expensed for the six months ended June 27, 2026. These costs were included in Other loss, net on the unaudited Condensed Consolidated Statements of Comprehensive Income.

The fair value of the Company’s long-term borrowings as of June 27, 2026 and December 31, 2025 was based on recent trades as reported by a third-party bond pricing service and summarized as follows. Due to the infrequency of trades, these inputs are considered to be Level 2 inputs.

(in millions)
June 27, 2026 December 31, 2025
Dollar Term Loans $ 2,736   $ 4,276  
3.875 % fixed rate note
4,376   4,399  
5.000 % fixed rate note
1,247   —  
5.250 % fixed rate note
3,234   2,516  
6.250 % fixed rate note
1,023   1,553  

The indentures contain certain affirmative and negative covenants, which require, among other provisions, delivery of the unaudited condensed consolidated financial statements to the relevant note holders. Compliance with the covenants does not significantly impact the Company’s operations. As of June 27, 2026, the Company was in compliance with all the covenants under the Credit Agreement.

Future aggregate principal amounts for the remainder of fiscal year 2026 and over the next four years and thereafter are as follows:

(in millions)
Debt Maturities
2026 $ 21  
2027 28  
2028 27  
2029 8,027  
2030 28  
Thereafter 4,619  
$ 12,750  

Revolving Credit Facilities

During 2021, certain lenders provided the Company with commitments under a $ 1,000 million senior secured revolving credit facility under the Credit Agreement (the “Revolving Credit Facility”).

The amendment to the Credit Agreement in 2024 extended the maturity date of the Revolving Credit Facility from October 21, 2026 to July 8, 2029 (subject to a springing maturity 91 days inside of the maturity date of all secured and unsecured notes and term loan facilities) and did not change the maximum borrowing capacity of $ 1,000 million or any other terms.

On March 28, 2025, the Company amended the Credit Agreement to permit letter of credit issuers to issue letters of credit in excess of their respective letter of credit commitments and to obligate the other lenders under the Company’s Revolving Credit Facility to participate in such letters of credit, subject to other customary limitations.
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MEDLINE INC.

NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)

As of June 27, 2026 and December 31, 2025, the Revolving Credit Facility had several financial institutions as lenders for a maximum borrowing capacity of $ 1,000 million. The Revolving Credit Facility accrues commitment fees in respect of unfunded commitments thereunder. Letters of credit issued under the Revolving Credit Facility reduce availability under the Revolving Credit Facility dollar-for-dollar. As of June 27, 2026 and December 31, 2025, availability under the Revolving Credit Facility was $ 946 million and $ 947 million, respectively, after taking into account outstanding letters of credit of $ 54 million and $ 53 million, respectively. The Company had no borrowings under the Revolving Credit Facility during the six months ended June 27, 2026. During the year ended December 31, 2025, the Company borrowed and repaid $ 179 million under the Revolving Credit Facility. As a result, there were no amounts outstanding as of June 27, 2026 or December 31, 2025.

Borrowings under the Revolving Credit Facility may be repaid and borrowed again, partially or wholly at any time, from time to time, as elected by the Company and interest is typically paid on a monthly or quarterly basis, depending on the interest period elected.

The Credit Agreement contains certain affirmative and negative covenants, which require, among other provisions, delivery of the unaudited condensed consolidated financial statements to the relevant debt holders. As of June 27, 2026, the Company was in compliance with all covenants.

NOTE 6 - INTEREST EXPENSE, NET

The following table summarizes the components of Interest expense, net:

Three months ended Six months ended
(in millions)
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025

Interest expense $ ( 168 ) $ ( 253 ) $ ( 333 ) $ ( 497 )
Interest income 49   30   78   64  
Interest expense, net $ ( 119 ) $ ( 223 ) $ ( 255 ) $ ( 433 )

NOTE 7 - TAX RECEIVABLE AGREEMENT
In connection with the IPO, the Company entered into a TRA with certain pre-IPO owners that provides for the payment by Medline Inc. to such pre-IPO owners of 90 % of certain tax benefits, if any, that Medline Inc. actually realizes, or is deemed to realize (calculated using certain assumptions), as a result of (i) Medline Inc.’s allocable share of existing tax basis in Medline Holdings’ assets acquired in the IPO, (ii) increases in Medline Inc.’s allocable share of existing tax basis and tax basis adjustments to the tangible and intangible assets of Medline Holdings as a result of sales or exchanges of Common Units (including Common Units issued upon conversion of vested Incentive Units) in connection with or after the IPO, (iii) Medline Inc.’s utilization of certain tax attributes (including any existing tax basis) of certain entities that are taxable as corporations for U.S. federal income tax purposes through which the pre-IPO owners held their interest in Medline Holdings prior to the IPO, which Medline Inc. acquired in connection with the IPO, and (iv) certain other tax benefits related to entering into the TRA, including tax benefits attributable to payments under the TRA.

Sales or exchanges of Common Units by their holders to Medline are expected to result in increases in the tax basis of the assets of Medline Holdings. The existing tax basis, increases in existing tax basis, and the tax basis adjustments generated over time may increase (for tax purpose) depreciation and amortization deductions available to Medline Inc. and, therefore, may reduce the amount of tax that Medline Inc. would otherwise be required to pay in the future. Actual tax benefits realized by Medline Inc. may differ from tax benefits calculated under the TRA as a result of the use of certain assumptions in the TRA, including the use of an assumed weighted-average state and local income tax rate of 6 % (as adjusted to take into account the U.S. federal tax benefit of such taxes) to calculate the tax benefits. This payment obligation is an obligation of Medline Inc. and not of Medline Holdings. Changes in the estimate of expected tax benefits Medline would realize and the amount payable under the TRA as a result of changes in tax rates will be reflected in the unaudited Condensed Consolidated Statements of Comprehensive Income.
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MEDLINE INC.

NOTE 7 - TAX RECEIVABLE AGREEMENT (Continued)

The balance of the TRA liability was $ 4,404 million and $ 3,542 million as of June 27, 2026 and December 31, 2025, respectively. As of June 27, 2026, $ 12 million was included in Accrued expenses and other current liabilities with the remainder in Tax receivable agreement liability on the unaudited Condensed Consolidated Balance Sheets. The Company’s TRA liability increased by $ 862 million due to the effects of the May 2026 Resale Offering, the March 2026 Resale Offering, and other exchanges of Incentive Units and Common Units during the six months ended June 27, 2026. The Company did not make any payment pursuant to the TRA or record a remeasurement adjustment during the six months ended June 27, 2026.

NOTE 8 - INCOME TAXES
The Company’s effective income tax rate was 40.92 % and 7.16 % for the three months ended June 27, 2026 and June 28, 2025, respectively, and 28.08 % and  6.02 % for the six months ended June 27, 2026 and June 28, 2025, respectively. The Company’s effective income tax rate can differ from the 21% U.S. federal statutory rate due to a number of factors, including the operating partnership, tax incentives, foreign rate differences, state income taxes, non-deductible expenses, and non-taxable income. The increase in the effective income tax rate as compared to prior year is primarily driven by the Reorganization in connection with the IPO, which resulted in a greater portion of income being subject to U.S. federal and state income taxes. Prior to the completion of the IPO, the Company executed the Reorganization, resulting in Medline Inc. becoming the sole general partner of Medline Holdings, with its sole material asset being a controlling equity interest in Medline Holdings. Following the IPO, Medline Inc. is required to pay U.S. federal and state income taxes as a corporation on its share of Medline Holdings’ taxable income.

For the three and six months ended June 27, 2026, the Company’s effective tax rate differed from the 21% U.S. federal statutory rate primarily due to its organizational structure and ownership composition, including non-controlling interests of Medline Holdings. The effective tax rate is higher due to the impact of the losses incurred as a result of the fire at our distribution center in Tracy, California for which no tax benefit is recorded at this time. The ultimate tax impact may differ as additional losses, costs, insurance recoveries, and other related matters are determined.

For the three and six months ended June 28, 2025, the Company’s effective tax rate differed from the 21% U.S. federal statutory rate primarily due to the operating partnership, tax incentives, foreign rate differences, state income taxes, non-deductible expenses, and non-taxable income.

In connection with the Reorganization and the IPO, the Company also entered into a TRA with certain pre-IPO owners. See Note 7 —Tax Receivable Agreement for additional information. During the six months ended June 27, 2026, the Company recorded additional TRA liability of $ 862 million and a deferred tax asset of $ 391 million (net of a $ 209 million valuation allowance), principally due to the effects of the May 2026 Resale Offering, the March 2026 Resale Offering, and other exchanges of Incentive Units and Common Units.

NOTE 9 - COMMITMENTS AND CONTINGENCIES

Legal Matters

The Company is subject to various legal actions that are ordinary course and incidental to the business, including contract disputes, employment, workers’ compensation, product liability, auto liability, regulatory and other matters. The Company maintains insurance coverage for employment, product liability, workers’ compensation and other litigation matters, subject to policy limits, applicable deductibles and insurer solvency. The Company establishes reserves from time to time based upon periodic assessment of the potential outcomes of pending matters.

Starting in January 2019, the Company was named as a defendant in mass tort litigation in Cook County, Illinois involving claims by approximately 380 plaintiffs who alleged personal injuries associated with the Company’s ethylene oxide activities in Lake County, Illinois. In October 2023, the Company agreed to settlement with all but five existing plaintiffs, which was finalized in March 2025.
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MEDLINE INC.

NOTE 9 - COMMITMENTS AND CONTINGENCIES (Continued)

The Company is actively pursuing litigation with its excess insurance carriers related to their obligations to reimburse the Company for substantially all unreimbursed settlement payments and fees incurred in connection with the lawsuits described above. The Company has not recorded a receivable for expected recoveries of the remaining settlement payments and fees from excess insurance carriers as of June 27, 2026.

In May 2023, the Company received a letter from the San Joaquin County District Attorney’s Office, in cooperation with certain other California District Attorneys, notifying the Company of an investigation into alleged violations with respect to the Company’s management and disposal of hazardous materials, hazardous waste, universal waste, and medical waste at its California facilities.

The Company has reached an agreed resolution in this matter, as set forth in a proposed stipulated judgment that was signed by the Company and the District Attorneys on May 29, 2026, and filed with the Superior Court of the State of California for the County of San Joaquin on June 2, 2026, along with a civil complaint setting forth the allegations addressed in the stipulated judgment. The Court approved the stipulated judgment on June 3, 2026. The resolution includes aggregate payments of $ 900,000 , consisting of a civil penalty of $ 750,000 and reimbursement of certain investigation- and enforcement-related costs of $ 150,000 . The settlement also includes certain injunctive relief, including requirements that the Company conduct waste audits at its California facilities and provide status updates for a specified number of years.

Based on current knowledge and the advice of legal counsel, management believes that the reserve as of June 27, 2026 for other pending matters considered probable of gain or loss contingencies is sufficient. In addition, management believes that other currently pending matters are not reasonably likely to result in a material loss, as payment of the amounts claimed is remote, the claims are insignificant, individually and in the aggregate, or the claims are expected to be adequately covered by insurance. The Company is of the opinion that, although the outcome of any such legal proceedings cannot be predicted with any certainty, the ultimate liability, if any, will not have a material adverse effect on the Company’s unaudited condensed consolidated financial statements.

Impacts of Tariff Refunds

In February 2026, the U.S. Supreme Court ruled that the International Emergency Economic Powers Act (“IEEPA”) does not authorize the President to impose tariffs. Following that decision, U.S. Customs and Border Protection (“CBP”) established an expedited administrative process through its Consolidated Administration and Processing of Entries (“CAPE”) portal to refund IEEPA duties that had already been paid.

As of June 27, 2026, CBP had accepted approximately $ 332 million in total refunds the Company has submitted, and actions to recover the remaining expected amounts are ongoing. The Company evaluates recoveries of IEEPA tariffs in accordance with applicable gain contingency guidance and recognizes such recoveries when they are received or realizable. As of June 27, 2026, of the accepted claims, the Company had received approximately $ 53 million in refunds. Accordingly, the Company recorded a receivable of approximately $ 279 million within Other current assets related to the remaining accepted refund claims as of June 27, 2026. As of the date of this Quarterly Report, the Company received refunds for the majority of the receivable balance. Interest associated with refunded IEEPA tariffs is recognized in the period in which it is received or realizable. The Company expects to remit a portion of the tariff refunds to customers. As of June 27, 2026, the Company recorded approximately $ 89 million within Accrued expenses and other current liabilities for the total amount estimated to be remitted to customers in connection with total tariff refund claims expected.

During the three and six months ended June 27, 2026, the Company recognized approximately $ 332 million as a reduction of Cost of goods sold related to tariff refunds received or accepted, approximately $ 89 million as a reduction of Net sales related to accrued customer repayments associated with tariff refunds, and approximately $ 14 million of interest income in Interest expense, net. These amounts were recorded entirely within the Medline Brand segment.

The ultimate amount and timing of the IEEPA tariff refunds not yet received are subject to eligibility requirements, regulatory review, administrative processing, and other limitations.

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MEDLINE INC.

NOTE 9 - COMMITMENTS AND CONTINGENCIES (Continued)

Tracy, California Distribution Center

On June 11, 2026, a fire destroyed the Company's distribution center in Tracy, California. As of June 27, 2026, discussions with the Company’s insurers are ongoing, and as such, no insurance recoveries have been recorded. The Company may incur additional losses and costs in future period associated with the fire and its related impacts. The Company expects to recognize insurance recoveries in future periods as the applicable recognition criteria are met. The timing and amount of any additional losses, costs, or insurance recoveries remain uncertain. See Note 1—Nature of Business and Significant Accounting Policies for additional information.

Unconditional purchase obligations

Unconditional purchase obligations are defined as agreements to purchase goods or services that are enforceable and legally binding (non-cancelable, or cancelable only in certain circumstances) and that specify all significant terms, including fixed or minimum quantities to be purchased, fixed, minimum, or variable price provisions, and the approximate timing of the transaction. In the normal course of business, the Company enters into arrangements with vendors that supply goods or services. These arrangements can include unconditional purchase obligations and commitments. Purchases made under the unconditional purchase obligations were $ 52 million, $ 44 million, $ 94 million and $ 93 million for the three and six months ended June 27, 2026, and June 28, 2025, respectively.

As of June 27, 2026, future obligations related to commitments for the remainder of fiscal year 2026 and over the next four years and thereafter are as follows:

(in millions)
Total
2026 $ 76  
2027 162  
2028 169  
2029 172  
2030 115  
Thereafter 59  
$ 753  

NOTE 10 - FAIR VALUE MEASUREMENTS

The following descriptions of the valuation methods and assumptions used by the Company to estimate the fair values of investments apply to all investments held directly by the Company:

Interest Rate Contracts

The Company uses interest rate swaps and interest rate caps to manage its interest rate risk. The valuation of these instruments is determined by using widely accepted valuation techniques, including discounted cash flow analysis on the expected cash flows of each derivative. This analysis reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves and implied volatility.
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MEDLINE INC.

NOTE 10 - FAIR VALUE MEASUREMENTS (Continued)

The Company incorporates credit valuation adjustments to appropriately reflect both the Company’s own nonperformance risk and the respective counterparty’s nonperformance risk in certain fair value measurements. Although the Company has determined that the majority of the inputs used to value the derivatives utilize Level 2 of the fair value hierarchy, the credit valuation adjustments associated with the derivatives utilize Level 3 inputs, such as estimates of current credit spreads to evaluate the likelihood of default by the Company and its counterparties. The Company has determined that the significance of the impact of the credit valuation adjustments made to the derivative contracts, which determination was based on the fair value of each individual contract, was not significant to the overall valuation. As a result, all of the derivatives held as of June 27, 2026 and December 31, 2025 were classified as Level 2 of the fair value hierarchy.

See Note 11—Derivatives and Hedging Activities Risk Management for additional information regarding interest rate contracts.

Acquisition-Related Contingent Consideration

The Company recorded payments related to acquisition-related contingent consideration that required fair value measurement every reporting period. The fair value of the contingent payments was reported as the present value of the expected amount to settle the obligation using discounted cash flow techniques which included significant assumptions. The significant unobservable inputs used in the determination of the fair value of the contingent consideration are classified as Level 3, which is unchanged from the classification as of December 31, 2025.

Short-Term Investments in Time Deposits

The Company invests a portion of its excess cash in time deposits. The deposits with original maturities of longer than 90 days are not considered a cash equivalent and are reported at fair value within Short-term investments in the unaudited Condensed Consolidated Balance Sheets. As of June 27, 2026 the aggregate fair value of these deposits was $ 350 million. As of December 31, 2025, the Company held time deposits, none of which had original maturities exceeding 90 days. The fair value of these deposits is determined by discounted cash flow techniques that reflect the contractual cash flows through maturity and observable market-based discount rate obtained from a third-party pricing service for matching credit quality and terms. As a result, these time deposits were classified as Level 2 of the fair value hierarchy.

Assets and liabilities measured at fair value on a recurring basis are summarized below:

June 27, 2026
Basis of fair value measurement
(in millions)
Quoted prices in active markets for identical assets (Level 1) Other observable inputs
  (Level 2) Significant unobservable inputs (Level 3) Carrying value
Financial assets
Short-term investments (time deposits) $ —   $ 350   $ —   $ 350  

Interest rate contracts (hedge) $ —   $ 23   $ —   $ 23  

Total assets at fair value $ —   $ 373   $ —   $ 373  
Financial liabilities

Contingent consideration liability $ —   $ —   $ ( 29 ) $ ( 29 )
Total liabilities at fair value $ —   $ —   $ ( 29 ) $ ( 29 )

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MEDLINE INC.

NOTE 10 - FAIR VALUE MEASUREMENTS (Continued)

December 31, 2025
Basis of fair value measurement
(in millions)
Quoted prices in active markets for identical assets (Level 1) Other observable inputs
  (Level 2) Significant unobservable inputs (Level 3) Carrying value
Financial assets

Interest rate contracts (hedge) $ —   $ 36   $ —   $ 36  
Total assets at fair value $ —   $ 36   $ —   $ 36  
Financial liabilities
Contingent consideration liability $ —   $ —   $ ( 29 ) $ ( 29 )
Total liabilities at fair value $ —   $ —   $ ( 29 ) $ ( 29 )

Equity investments without readily determinable fair values, unless measured using the equity method of accounting, are measured at cost, less impairments. When applicable, the Company also adjusts the carrying values of such equity investments for observable prices in orderly transactions for an identical or similar investment of the same issuer. These investments are included in Other long-term assets in the unaudited Condensed Consolidated Balance Sheets and are immaterial.

NOTE 11 - DERIVATIVES AND HEDGING ACTIVITIES RISK MANAGEMENT

Risk Management Objective of Using Derivatives

The Company is exposed to certain risks arising from both its business operations and economic conditions. The Company principally manages its exposures to a wide variety of business and operational risks through management of its core business activities. The Company manages economic risks, including interest rate, liquidity, credit risk and foreign currency exchange risk primarily by managing the amount, sources, and duration of its assets and liabilities and the use of derivative financial instruments. Specifically, the Company enters into derivative financial instruments to manage exposures that arise from business activities that result in the receipt or payment of future known and uncertain cash amounts, the value of which are determined by interest rates or foreign currency exchange rates. The Company’s derivative financial instruments are used to manage differences in the amount, timing, and duration of the Company’s known or expected cash receipts and its known or expected cash payments principally related to the Company’s borrowings and acquisitions.
Cash Flow Hedges of Interest Rate Risk

The Company’s objectives in using interest rate derivatives are to add stability to interest expense and to manage its exposure to interest rate movements. To accomplish these objectives, the Company primarily uses interest rate swaps and caps as part of its interest rate risk management strategy. The Company designates certain of its interest rate derivatives as hedging instruments in cash flow hedges. Interest rate swaps designated as cash flow hedges involve the receipt of variable amounts from a counterparty in exchange for the Company making fixed-rate payments over the life of the agreements without exchange of the underlying notional amount. Interest rate caps designated as cash flow hedges involve the receipt of variable amounts from a counterparty if interest rates rise above the strike rate on the contract in exchange for a premium. During the six months ended June 27, 2026 and June 28, 2025, such derivatives were used to hedge the variable cash flows associated with existing variable-rate debt.

Amounts reported in Accumulated other comprehensive (loss) income (“AOCI”) related to derivatives will be reclassified to Interest expense, net, as interest payments are made on the Company’s variable-rate debt. The Company estimates that $ 22 million will be reclassified as a decrease to interest expense within one year after June 27, 2026.

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MEDLINE INC.

NOTE 11 - DERIVATIVES AND HEDGING ACTIVITIES RISK MANAGEMENT (Continued)

The notional amounts of outstanding interest rate derivatives are summarized as follows:

June 27, 2026 December 31, 2025
Currency
Notional amount
(in millions)
Maturity date Notional amount
(in millions)
Maturity date
Designated cash flow hedges:
Interest rate swaps USD
1,000   Dec'2026 1,000   Dec'2026
Interest rate caps USD
1,500   Dec'2026 2,000   Dec'2026

Undesignated derivative instruments:
Interest rate cap USD
500   Dec'2026 —   — 

The Company entered into interest rate caps with notional value of $ 1,000 million in 2023, which took effect on December 31, 2025 and mature on December 31, 2026.

Based on contractual terms, the notional amounts of interest rate swaps and interest rate caps each decreased in increments of $ 500 million on December 31, 2025 and 2024 respectively.

Upon the financing activities in May 2026, the Company de-designated an interest rate cap contract with a notional value of $ 500 million and maturity date of December 31, 2026. See Note 5—Credit Agreements and Borrowings for additional information regarding financing activities in May 2026.

Gains and Losses on Hedging Instruments

The table below presents the effect of cash flow hedge accounting on AOCI for each reporting period:

Three months ended
Six months ended
(in millions)
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025
Gain (loss) recognized in AOCI Included in effectiveness testing Interest rate swaps $ 1   $ 3   $ 5   $ —  
Interest rate caps —   1   3   ( 2 )
Excluded from effectiveness testing Interest rate caps —   ( 1 ) —   ( 3 )
1   3   8   ( 5 )

Gain (loss) reclassified from AOCI into earnings Included in effectiveness testing Interest rate swaps 5   14   11   27  
Interest rate caps 6   11   11   22  
Excluded from effectiveness testing Interest rate caps ( 1 ) ( 2 ) ( 2 ) ( 4 )
10   23   20   45  
Total change in AOCI $ ( 9 ) $ ( 20 ) $ ( 12 ) $ ( 50 )

The gain (loss) reclassed from AOCI into earnings on designated derivatives is recorded to Interest expense, net in unaudited Condensed Consolidated Statements of Comprehensive Income. The gains and losses on the undesignated derivatives were immaterial for the three and six months ended June 27, 2026.

Cash flows from derivatives designated as hedges are classified in the same line item as the cash flows of the hedged transaction within operating activities. Cash flows from undesignated derivatives are classified within investing activities.
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MEDLINE INC.

NOTE 11 - DERIVATIVES AND HEDGING ACTIVITIES RISK MANAGEMENT (Continued)

Derivative Assets and Liabilities

The Company records both the designated and undesignated interest rate derivatives at fair value in the unaudited Condensed Consolidated Balance Sheets. The respective assets and liabilities are generally classified as short-term or long-term based on the maturity dates of the derivatives.

The table below summarizes the classification and fair value of the designated derivatives for each reporting period:

(in millions)

Designated cash flow hedges Location June 27, 2026 December 31, 2025
Interest rate swaps Other current assets $ 13   $ 21  

Interest rate caps Other current assets 10   15  

Total designated cash flow hedges $ 23   $ 36  

The fair value of the undesignated derivatives was immaterial and was recorded in other current assets as of June 27, 2026. There were no undesignated derivatives as of December 31, 2025.

NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL

On December 18, 2025, the Company completed its IPO and executed the Reorganization that impacted its capital structure. See Note 1—Nature of Business and Significant Accounting Policies for additional information regarding the IPO and Reorganization.

Equity Structure Prior to IPO and Reorganization

Partners’ Capital

Prior to the Reorganization and the IPO, Medline Holdings had three classes of authorized units: Class A Units, Class B CUPI Units, and Class B Units.

Voting rights

The holders of all three classes of units were limited partners and did not have voting rights (although certain limited partners had certain consent rights as set forth in the Medline Holdings GP, LLC’s Limited Liability Agreement (the “GP LLC Agreement”)). Medline Holdings GP, LLC was the general partner of Medline Holdings. Medline Holdings GP, LLC did not hold any units, and it was authorized to take any action and cause Medline Holdings to take any action, subject to the terms of LP Agreement and the GP LLC Agreement.

Distributions and liquidations

For both distributions (other than tax distributions) and liquidations, the Class A unit holders would receive 100 % of the distributions until the Class A unit holders had received cumulative distributions equal to $ 1.00 per Class A unit.

Second, except for Operating Distributions (as defined in the LP Agreement), 100 % of the remainder of the distributions following the distributions to the Class A Unit holders would be distributed to the holders of Class B CUPI Units until the holders of Class B CUPI Units received cumulative distributions equal to the catch-up amount for such units ($ 1.00 per Class B CUPI Unit).

Third, the remainder of the distributions would be distributed on a pro rata basis (based on the number of units held and subject to vesting and, with respect to Class B units, deemed unit prices) to the Class A Unit holders, the holders of Class B CUPI units, and the Class B Unit holders, subject to the LP Agreement. Net income and net loss of Medline Holdings was allocated in a manner similar to the foregoing distributions pursuant to the GP LLC Agreement.
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MEDLINE INC.

NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)

Other rights and privileges

The remaining rights and privileges of the holders of all three classes of units were identical.

Class A - Mezzanine Equity

Class A units held by members of management (the “Class A Mezzanine Units”) included a put right that permitted the holders to redeem 50 % of their Class A units under conditions outside of the control of the Company. For the periods that management determined it was probable that the Class A Mezzanine Units would become redeemable, the Company had elected to carry the shares at the maximum redemption value, or fair value, in Mezzanine equity on the unaudited Condensed Consolidated Balance Sheets. During the fourth quarter of 2024, management determined that the redemption was no longer probable, and, therefore, no changes in redemption value were recorded, prospectively. The redemption rights terminated upon the IPO, and Class A Mezzanine Units were reclassed to permanent equity.

Stock-Based Compensation - Mezzanine Equity

Class B CUPI Units and Class B Units also included a put right that permitted holders to redeem 20 % of matured Class B Units and 50 % of Class B CUPI Units under conditions outside of the control of the Company. During the periods when redemption was probable, redeemable units were carried at redemption value, or current intrinsic value, in Mezzanine equity on the unaudited Condensed Consolidated Balance Sheets. During the fourth quarter of 2024, management determined that the redemption was no longer probable and, therefore, no changes in redemption value were recorded, prospectively. The redemption rights terminated upon the IPO, and the redeemable units were reclassed to permanent equity.

Equity Structure After IPO and Reorganization

The Company’s amended and restated certificate of incorporation authorizes three classes of ownership interests: 50,000,000,000 shares of Class A common stock, par value $ 0.0001 per share, 50,000,000,000 shares of Class B common stock, par value $ 0.0001 per share, and 5,000,000,000 shares of Preferred stock, par value $ 0.0001 per share.

Class A Common Stock

Shares of Class A common stock have both voting and economic rights. Holders of Class A common stock are entitled to one vote for each share of Class A common stock held. Shares of Class A common stock are entitled to dividends and pro rata distribution of remaining available assets upon liquidation. Shares of Class A common stock do not have preemptive, subscription, redemption or conversion rights.

Class B Common Stock

Shares of Class B common stock have voting but no economic rights. Holders of Class B common stock are entitled to one vote for each share of Class B common stock held. Shares of Class B common stock do not have any right to receive dividends or distribution upon liquidation.

The shares of Class B common stock, together with the transfer of an identical number of Common Units, are convertible at the option of the holder into shares of Class A common stock on a one -for-one basis, subject to customary conversion rate adjustments for stock splits, stock dividends and reclassifications. Upon conversion, the shares of Class B common stock will be automatically canceled and no longer outstanding.

Preferred Stock

The Company is authorized to issue, without the approval of its stockholders, one or more series of preferred stock. The Board may determine, with respect to any series of preferred stock, the powers, including voting powers, preferences and relative, participating, optional or other special rights.
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NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)

Noncontrolling Interests

Noncontrolling interests represent Common Units and vested Incentive Units held by pre-IPO owners. These Common Units are not attributable to the controlling Class A common stock ownership of Medline Inc. The noncontrolling interests were accounted for as permanent equity on the unaudited Condensed Consolidated Balance Sheets. Net income is reduced by the portion of net income attributable to noncontrolling interests. The conversions into Class A common stock of Class B common stock and Common Units are considered equity transactions and will result in a change in ownership and reduce the amount recorded as Noncontrolling interests and increase Additional paid-in capital in the Company’s unaudited Condensed Consolidated Balance Sheets.

Accumulated other comprehensive income

The following tables present the changes in AOCI, net of tax:

Six Months Ended June 27, 2026
(in millions) Unrealized Gain (Loss) on Derivative Instruments Currency Translation Adjustments Retirement Plans Accumulated Other Comprehensive Income (Loss)
Balance, January 1, 2026 $ 22   $ 9   $ ( 4 ) $ 27  
Other comprehensive income (loss) before reclassifications 7   ( 11 ) —   ( 4 )
Amount reclassified to earnings ( 10 ) —   —   ( 10 )
Net other comprehensive loss ( 3 ) ( 11 ) —   ( 14 )
Less: Other comprehensive loss attributable to noncontrolling interests ( 1 ) ( 4 ) —   ( 5 )
Balance, March 28, 2026 $ 20   $ 2   $ ( 4 ) $ 18  
Other comprehensive income (loss) before reclassifications 1   ( 28 ) —   ( 27 )
Amount reclassified to earnings ( 10 ) —   —   ( 10 )
Net other comprehensive loss ( 9 ) ( 28 ) —   ( 37 )
Less: Other comprehensive loss attributable to noncontrolling interests ( 3 ) ( 10 ) —   ( 13 )
Balance, June 27, 2026 $ 14   $ ( 16 ) $ ( 4 ) $ ( 6 )

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MEDLINE INC.

NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)

Six Months Ended June 28, 2025
(in millions) Unrealized Gain (Loss) on Derivative Instruments Currency Translation Adjustments Retirement Plans Accumulated Other Comprehensive Income (Loss)
Balance, January 1, 2025 $ 124   $ ( 114 ) $ 1   $ 11  
Other comprehensive income (loss) before reclassifications ( 8 ) 26   —   18  
Amount reclassified to earnings ( 22 ) —   —   ( 22 )
Net other comprehensive income (loss) ( 30 ) 26   —   ( 4 )

Balance, March 29, 2025 $ 94   $ ( 88 ) $ 1   $ 7  
Other comprehensive income before reclassifications 3   75   —   78  
Amount reclassified to earnings ( 23 ) —   —   ( 23 )
Net other comprehensive income (loss) ( 20 ) 75   —   55  
Balance, June 28, 2025 $ 74   $ ( 13 ) $ 1   $ 62  

See Note 11—Derivatives and Hedging Activities Risk Management for additional information regarding hedging activity.

NOTE 13 - STOCK-BASED COMPENSATION
The Company records stock-based compensation expense as a component of Selling, general and administrative expenses and Cost of goods sold in the unaudited Condensed Consolidated Statements of Comprehensive Income. The following table presents the stock-based compensation expense for the three and six months ended June 27, 2026 and June 28, 2025:

(in millions) Three Months Ended Six Months Ended
Classification June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025

Equity-classified awards $ 29   $ 14   $ 51   $ 30  
Liability-classified awards —   1   1   4  
Total $ 29   $ 15   $ 52   $ 34  

Equity-classified awards
Prior to IPO and Reorganization

Medline Holdings had two classes of incentive units, Class B units and Class B CUPIs (“Holdings Incentive Units”) that were granted to certain employees and vested upon satisfaction of one or multiple market, performance, and/or service conditions of each award. In accordance with ASC 718, “Compensation - Stock Compensation” (“ASC 718”), all incentive units officially granted represent ownership interests and are classified as equity.

All of the Holdings Incentive Units included a put right that permitted the holders to redeem certain units under conditions outside of the control of the Company. The redemption rights terminated upon the IPO, and the redeemable units were reclassed to permanent equity. See Note 12—Stockholders’ Equity, Mezzanine Equity and Partners’ Capital for additional information regarding mezzanine equity.

The Class B CUPIs vested prior to 2025. The Class B units were subject to a five-year vesting period, with 20 % of units vesting on each of the five anniversaries of the grant date. Total fair value of Class B units vested was $ 6 million and $ 13 million during the three and six months ended June 28, 2025, respectively.
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MEDLINE INC.

NOTE 13 - STOCK-BASED COMPENSATION (Continued)

Post-IPO Awards

Reclassification of Holdings Incentive Units

In connection with the IPO and Reorganization, the Holdings Incentive Unit awards issued prior to the IPO were reclassified as follows:

Continuing Unitholders

The time-vesting and performance-vesting Class B units held by certain pre-IPO holders of Class B units (the “Continuing Unitholders”) were reclassified into vested Incentive Units, in the case of vested Class B units, and unvested Incentive Units, in the case of unvested Class B units, in Medline Holdings. These Incentive Units retain the vesting attributes of the Class B units reclassified, including original service period vesting start date. The Class B CUPIs were reclassified to vested Common Units in Medline Holdings. The fair value of Incentive Units was the same immediately prior to and after the reclassification.

Total fair value of Incentive Units vested was $ 7 million and $ 11 million for the three and six months ended June 27, 2026, respectively. As of June 27, 2026, there was $ 30 million of unrecognized compensation cost related to unvested Incentive Units, which is expected to be recognized on a graded or straight-line basis over a weighted-average period of 1.0 year. The following table summarizes the Incentive Units activity and related information for the six months ended June 27, 2026:

Incentive Units Wtd. Avg. Grant Date Fair Value
Unvested as of December 31, 2025 14,538,818   $ 5.86  
Granted —   —  
Vested ( 1,765,408 ) $ 6.23  
Forfeited —   —  
Unvested as of June 27, 2026 12,773,410   $ 5.81  

Exchanges

In June 2026, there were two exchanges by Continuing Unitholders: (i) 1,163,309 Incentive Units in Medline Holdings for 673,281 shares of Class B common stock and an equal number of Common Units in Medline Holdings; (ii) 1,893,419 shares of Class B common stock and an equal number of Common Units in Medline Holdings for 1,893,419 shares of Class A common stock. No proceeds were received from these exchanges by the Company.

Exchanging Unitholders

The Holdings Incentive Units and Class A units held by participants other than Continuing Unitholders (the “Exchanging Unitholders”) were exchanged for vested Class A common stock and RSUs, in the case of Class A units and Class B CUPIs, and vested Class A common stock, RSUs, RSAs, and options, in the case of Class B units, in the Company. The RSAs, RSUs, and options will vest according to the same vesting schedule as the corresponding Class B units, in respect of which they are being granted, except that no awards will vest until the later of the date that is 180 days following the IPO and the existing vesting date of the underlying Class B units. This modification resulted in the re-measurement of the awards in accordance with ASC 718. Total compensation cost for the modified awards equaled the grant date fair value of the pre-IPO awards, plus any incremental compensation cost measured at the modification date (i.e. the IPO date). The change in fair value of these awards prior to and after the reclassification was not material. The modification impacted 68 participants.
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MEDLINE INC.

NOTE 13 - STOCK-BASED COMPENSATION (Continued)

RSAs

Total fair value of RSAs vested was $ 11 million and $ 12 million for the three and six months ended June 27, 2026, respectively. As of June 27, 2026, there was $ 8 million of unrecognized compensation cost related to unvested RSAs, which is expected to be recognized on a graded or straight-line basis over a weighted-average period of 1.3 years. The following table summarizes the RSAs activity and related information for the six months ended June 27, 2026:

RSAs Wtd. Avg. Grant Date Fair Value
Unvested as of December 31, 2025 1,958,657   $ 29.00  
Granted —   —  
Vested ( 412,133 ) $ 29.00  
Forfeited ( 29,326 ) $ 29.00  
Unvested as of June 27, 2026 1,517,198   $ 29.00  

RSUs and Performance Stock Units

During the three and six months ended June 27, 2026, RSUs and Performance Stock Units (“PSUs”) were granted to certain employees and board of directors. The grant date fair value of RSUs and PSUs is based on the fair market value of the Company’s underlying common stock at the grant date. The RSUs vest over one to five years contingent upon employment on the vesting date. The PSUs generally vest over four years contingent upon achievement of certain performance conditions and employment on the vesting date. The RSU expense is recognized using a graded vesting method or straight-line method. The PSU expense is recognized using a graded vesting method. The probability of achieving the PSU performance conditions is assessed each reporting period for expense purposes.

Total fair value of RSUs vested was $ 15 million for both the three and six months ended June 27, 2026. As of June 27, 2026, there was $ 55 million of unrecognized compensation cost related to unvested RSUs, which is expected to be recognized over a weighted-average period of 1.8 years, and there was $ 44 million of unrecognized compensation cost related to unvested PSUs, which is expected to be recognized over a weighted-average period of 1.3 years. The following table summarizes the RSUs and PSUs activity and related information for the six months ended June 27, 2026:

RSUs Wtd. Avg. Grant Date Fair Value PSUs Wtd. Avg. Grant Date Fair Value
Unvested as of December 31, 2025 523,795   $ 29.00   —   —  
Granted 1,651,688   $ 43.98   1,206,267   $ 44.05  
Vested ( 439,903 ) $ 33.44   —   —  
Forfeited ( 36,253 ) $ 42.65   —   —  
Unvested as of June 27, 2026 1,699,327   $ 42.12   1,206,267   $ 44.05  

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MEDLINE INC.

NOTE 13 - STOCK-BASED COMPENSATION (Continued)

Options

Options issued entitle the holder to future purchases of Class A common stock and are exercisable up to the tenth anniversary of the grant date. The total intrinsic value of options exercised was no t material for both the three and six months ended June 27, 2026. As of June 27, 2026, there was $ 14 million of unrecognized compensation cost related to options, which is expected to be recognized on a graded or straight-line basis over a weighted-average period of 1.4 years. The following table summarizes option activity and related information for the six months ended June 27, 2026:

Options Wtd. Avg. Grant Date Fair Value Wtd. Avg. Exercise Price Average Remaining Contractual Term
(in years) Aggregate Intrinsic Value
(in millions)
Outstanding as of December 31, 2025 6,770,442   $ 11.97   $ 29.00  
Granted —   —   —  
Exercised ( 27,586 ) $ 12.40   $ 29.00  
Forfeited ( 156,452 ) $ 12.31   $ 29.00  
Outstanding as of June 27, 2026 6,586,404   $ 11.96   $ 29.00   9.5 $ 65  
Exercisable as of June 27, 2026 3,032,916   $ 11.79   $ 29.00   9.5 $ 30  
Expected to vest as of June 27, 2026 3,553,488   $ 12.10   $ 29.00   9.5 $ 35  

The aggregate intrinsic value in the table above represents the cumulative difference between the closing price of Class A common stock on June 27, 2026 and the option exercise prices.

Liability-classified awards

Liability-classified awards are presented in Other long-term liabilities on the unaudited Condensed Consolidated Balance Sheets. The Company reevaluates the fair value of liability-classified awards periodically until they are reclassified as equity when granted, with the fair value change recorded ratably in the current-period compensation expense. For the six months ended June 27, 2026 and June 28, 2025, the Company reclassified liabilities of $ 11 million and $ 10 million, respectively, to equity.

Prior to Reorganization and IPO
In March 2025 and March 2024, Medline Holdings authorized Class B units to be granted to certain employees upon fulfillment of certain performance conditions. With each grant, the number of Class B units to be issued and the grant date fair value of the award are dependent on the performance targets achieved and Medline Holdings’ equity value, and will be determined on the official grant date. The Class B units were subject to a five-year service vesting period, with 20 % of units vesting on each of the five anniversaries from the official grant date. The award was classified as a liability in accordance with ASC 718 until the official grant date, when it was reclassified as equity.

In March 2025, 50,659,004 of Class B Units were legally granted with a grant date fair value of $ 29 million.
IPO and Reorganization

At the time of IPO, the liability-classified awards authorized in the six months ended June 28, 2025 were not yet granted and classified as a liability (“2025 Awards”). Both the underlying equity instrument and the vesting condition were modified upon the IPO. In March 2026, the 2025 Awards were settled into 521,371 RSUs with grant date fair value of $ 23 million, and the respective liabilities was reclassified as equity. 25 % of the 2025 Awards have vested 180 days post-IPO while the remaining 75 % of the 2025 Awards will vest on each of the three anniversaries from the official grant date. As of June 27, 2026, the Company has no liability-classified awards.
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MEDLINE INC.

NOTE 14 - EARNINGS PER SHARE

All net income prior to the IPO was entirely allocable to partners of Medline Holdings. As a result of the Reorganization and IPO, the Company’s capital structure before and after IPO are not comparable, and the presentation of earnings per share for the periods prior to the IPO is not meaningful and not presented herein.

The Company computes earnings per share of Class A common stock using the two-class method required for participating securities. Shares of Class B common stock are not considered participating securities because they have no right to receive dividends, no right to receive distribution on liquidation or winding up of Medline Inc. and no earnings or losses are allocable to such class. Therefore, basic and diluted earnings per share of Class B common stock has not been presented.
Basic earnings per share attributable to the Company’s stockholders is computed by dividing net income attributable to the Company by the weighted-average number of Class A common stock outstanding during the period. Diluted earnings per share attributable to the Company gives effect to all potential shares of Class A common stock, including conversion of Class B common stock, conversion of Medline Holdings Incentive Units, options, RSAs, RSUs, PSUs, and ESPP to the extent these are dilutive.

The following table sets forth the calculation of basic and diluted earnings per share of Class A common stock:

(in millions, except number of shares and per share amounts) Three Months Ended Six Months Ended
June 27, 2026 June 27, 2026
Basic earnings per share:
Numerator
Net income $ 139   $ 378  
Less: Net income attributable to noncontrolling interests 79   189  
Net income attributable to Medline Inc. $ 60   $ 189  
Reallocation of net income attributed to vested incentive units ( 1 ) 8  
Numerator for earnings per share $ 59   $ 197  
Denominator
Weighted-average number of Class A common stock outstanding 856,671,262   838,299,245  
Basic earnings per share $ 0.07   $ 0.23  

Diluted earnings per share:
Numerator
Numerator for earnings per share (Basic) $ 59   $ 197  
Effect of dilutive stock compensation awards —   —  

Numerator for earnings per share (Diluted) $ 59   $ 197  
Denominator
Weighted-average number of Class A common stock outstanding (Basic) 856,671,262   838,299,245  
Weighted-average effect of dilutive securities:
Effect of dilutive stock compensation awards 4,219,457   4,580,411  

Weighted-average number of Class A common stock outstanding (Diluted) 860,890,719   842,879,656  
Diluted earnings per share $ 0.07   $ 0.23  

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MEDLINE INC.

NOTE 14 - EARNINGS PER SHARE (Continued)

The following table presents outstanding shares of potentially dilutive securities excluded from the calculation of diluted earnings per share because including them would have had an anti-dilutive effect, or issuance of such shares is contingent upon the satisfaction of certain conditions which were not satisfied at the end of the respective period:

Three Months Ended Six Months Ended
June 27, 2026 June 27, 2026
Class B common stock 437,356,274   437,356,274  
Incentive units 39,347,705   39,347,705  
PSUs 1,206,267   1,206,267  
RSUs 1,083,429   —  

Total anti-dilutive securities 478,993,675   477,910,246  

NOTE 15 - RELATED PARTY

Credit Agreements and Borrowings

The following table summarizes the Company’s long-term debts held by certain affiliates of the Company’s private equity sponsors. The terms of these debts are identical to all other debts issued. See Note 5—Credit Agreements and Borrowings for additional information on the long-term debt.

(in millions) June 27, 2026 December 31, 2025
Current portion of long-term borrowings and other short-term borrowing
$ —   $ 2  
Long-term borrowings, less current portion
45   158  

Tax Receivable Agreement

In connection with the Reorganization and the IPO, the Company has entered into a TRA with certain of its pre-IPO owners. Among these pre-IPO owners are individuals and entities classified as related parties of the Company; consequently, transactions pertaining to the TRA are regarded as related party transactions in relation to these individuals and entities. From time to time, the pre-IPO owners party to the TRA have, and may in the future, transfer and assign their rights under the TRA in accordance with its terms. Such transfers and assignments do not affect the Company’s underlying rights and obligations under the TRA. For the six months ended June 27, 2026, certain of the pre-IPO owners entered into an assignment and assumption agreement, pursuant to which such parties transferred and assigned their rights under the TRA to certain other pre-IPO owners for approximately $ 1.4 billion. See Note 7—Tax Receivable Agreement for additional information.

There have been no other significant transactions with related parties during the periods presented.
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MEDLINE INC.

NOTE 16 - SEGMENT INFORMATION

The Company discloses information regarding reportable segments based on the way management organizes the business for assessing performance and making operational decisions and allocating resources. The Company reports its financial results in two reportable segments: Medline Brand and Supply Chain Solutions, described further as follows:

• The Medline Brand segment procures and manufactures products from three product categories - Surgical Solutions, Front Line Care, and Laboratory & Diagnostics. This segment provides its products to domestic and international consumers.
• The Supply Chain Solutions segment procures and distributes a variety of third-party products from national brands and also provides tailored logistics and supply chain optimization services to domestic and international consumers. Supply Chain Solutions is not managed based upon product categories as its focus is on signing new prime vendor relationships and servicing customers by leveraging strong third-party supplier relationships and through its fulfillment and distribution capabilities. As a distributor of products from over 1,300 third -party suppliers, the Company sells products across a large number of product groups to the entire continuum of care and, as a result, it is impracticable to provide segment information at the product group level for Supply Chain Solutions.
The organizational structure also includes Corporate & Other which consists of expenses related to centralized corporate functions, such as finance, information technology, legal, human resources, and internal audit.The Company’s chief operating decision maker (“CODM”) is the Company’s Chief Executive Officer. For the Medline Brand and Supply Chain Solutions segments, the CODM uses segment adjusted earnings before interest, taxes, depreciation and amortization (“Segment Adjusted EBITDA”) to evaluate the business performance and allocate resources (including employees, financial, or capital resources) to each segment. Segment Adjusted EBITDA essentially represents segment net sales reduced by cost of goods sold and selling, general and administrative expenses and is considered a meaningful measure of the Company’s financial condition and results of operations across periods by removing the impact of items that management believes do not directly reflect the ongoing operating performance. The Segment Adjusted EBITDA is utilized during the budgeting and forecasting process to assess profitability and enable decision making regarding strategic initiatives, capital expenditures, and work force for both segments.

The Company’s CODM does not regularly review any asset information by business segment as this information is not utilized to make decisions and allocate resources. As such, the Company does not report asset information by business segment. The Company has not identified any segment expenses that are considered significant and segment expenses are not regularly provided to the CODM. However, the CODM is regularly provided with consolidated expense information for decision making. Other segment items are direct operating expenses and selling, general and administrative expenses, which are the difference between each operating segment’s revenue and Segment Adjusted EBITDA. All the segment data disclosed reflects the way the CODM internally receives information and monitors the segment performance and is consistently presented across all public communications.
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MEDLINE INC.

NOTE 16 - SEGMENT INFORMATION (Continued)

The following tables present financial information by segment:

Three months ended Six months ended
(in millions)
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025
Net sales to external customers:
Front Line Care $ 1,652   $ 1,592   $ 3,270   $ 3,118  
Surgical Solutions 1,640   1,509   3,194   2,956  
Laboratory and Diagnostics 248   221   541   512  
Medline Brand 3,540   3,322   7,005   6,586  
Supply Chain Solutions 4,145   3,564   8,032   6,944  
Consolidated net sales to external customers $ 7,685   $ 6,886   $ 15,037   $ 13,530  

Segment Adjusted EBITDA:
Medline Brand $ 1,067   $ 890   $ 1,832   $ 1,720  
Supply Chain Solutions 204   201   391   383  
Total segment adjusted EBITDA 1,271   1,091   2,223   2,103  
Corporate & Other ( 211 ) ( 156 ) ( 387 ) ( 300 )
Interest expense, net ( 119 ) ( 223 ) ( 255 ) ( 433 )
Depreciation and amortization ( 256 ) ( 250 ) ( 510 ) ( 497 )
Inventory-related adjustments ( 3 ) ( 15 ) ( 32 ) ( 36 )
Stock-based compensation expense ( 29 ) ( 15 ) ( 52 ) ( 37 )
Litigation gains, net —   13   —   47  
Transaction-related costs (1)
( 29 ) ( 11 ) ( 64 ) ( 23 )

Other non-core charges, net (2)
( 389 ) ( 75 ) ( 397 ) ( 127 )
Income before income taxes $ 235   $ 359   $ 526   $ 697  

(1) Represents acquisition and integration-related costs and IPO and subsequent offerings related costs.
(2) Represents loss on debt extinguishment and other refinancing costs and fees, realized and unrealized foreign currency and investment losses and costs, recoveries (credit) loss expense related to certain customer receivable, gains (losses) on disposal of assets and exits, and other items. The impact of the losses related to the fire at a distribution center in Tracy are also included in the 2026 periods.

The following tables present information by sales office and geographic area:

Three months ended Six months ended
(in millions)
June 27, 2026 June 28, 2025 June 27, 2026 June 28, 2025
Net sales to external customers:
Acute care (1)
$ 5,407   $ 4,716   $ 10,532   $ 9,288  
Non-Acute care (2)
1,745   1,683   3,477   3,305  
United States 7,152   6,399   14,009   12,593  
International 533   487   1,028   937  
Consolidated net sales to external customers $ 7,685   $ 6,886   $ 15,037   $ 13,530  

(1) Acute care represents hospital health systems.
(2) Non-Acute care represents other sites of care including outpatient, post acute, physician’s office, surgery centers, and all other.

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MEDLINE INC.

NOTE 16 - SEGMENT INFORMATION (Continued)

(in millions) June 27, 2026 December 31, 2025
Long-lived assets by geographical area (1) :

United States $ 4,277   $ 4,433  
International 815   777  
Consolidated long-lived assets, net $ 5,092   $ 5,210  

(1) Includes property, plant, and equipment, net, and operating lease right-of-use assets.

NOTE 17 - SUBSEQUENT EVENTS

During the third quarter of 2026, the Company submitted and CBP accepted additional IEEPA refund claims of approximately $ 70 million, of which approximately $ 11 million has been received. Accordingly, the Company recorded a receivable of approximately $ 59 million related to the remaining accepted refund claims in July 2026.

During the third quarter of 2026, the Company entered into lease agreements for a warehouse facility in Tracy, California to support distribution operations following the June 2026 fire at the Company’s prior Tracy distribution center. The lease agreements commenced in July 2026 and expire in March 2036 and April 2036, with an annual base rent of approximately $ 9 million in aggregate. As a result of these lease agreements, the Company recorded right-of-use assets and lease liabilities of approximately $ 68 million in July 2026.

The Company has evaluated its unaudited condensed consolidated financial statements for subsequent events through August 5, 2026, the date the unaudited condensed consolidated financial statements were available to be issued. Based upon this evaluation, the Company did not identify any other subsequent events that would require adjustment or disclosure in the financial statements.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

This Management’s Discussion and Analysis of Financial Condition and Results of Operations ("MD&A") is intended to help you understand the financial condition, results of operations, and present business of Medline and Medline Holdings (f/k/a, Mozart Holdings, LP, the predecessor of Medline). This MD&A should be read in conjunction with our consolidated financial statements and the accompanying notes in Part I, “Item 1—Financial Statements” of this Quarterly Report and in Part II, “Item 8—Financial Statements and Supplemental Data” of our 2025 Form 10-K, as well as the corresponding MD&A contained in our 2025 Form 10-K. Some of the information included in this MD&A or set forth elsewhere in this Quarterly Report, including information with respect to our plans and strategy for our business, include forward-looking statements that involve risks and uncertainties. Our future results and financial condition may differ materially from those we currently anticipate. You should review the “Cautionary Note Regarding Forward-Looking Statements” section in this Quarterly Report and Part I, “Item 1A—Risk Factors” of our 2025 Form 10-K for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis. For purposes of the MD&A, references to the “Company,” “Medline,” “we,” “us,” and “our” mean Medline Inc. and its consolidated subsidiaries.

Overview
Medline is the largest provider of med-surg products and supply chain solutions serving all points of care, based on total net sales of med-surg products. We deliver mission-critical products used daily across the full range of care settings, from hospitals and surgery centers to physician offices and post-acute facilities. We operate under two reportable segments, Medline Brand and Supply Chain Solutions. Both segments are supported by our Prime Vendor model, differentiated distribution network, and robust commercial platform. See Part I, “Item 1—Business” of our 2025 Form 10-K for a more detailed description of each of our segments, our Prime Vendor model, distribution network, and commercial platform.

For the three months ended June 27, 2026, our financial results were as follows:

• We generated net sales of $7.7 billion, net income of $0.1 billion, and Adjusted EBITDA of $1.1 billion, representing a net income margin of 1.8% and an Adjusted EBITDA Margin of 13.8%.
• During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $3.5 billion and $1.1 billion, respectively, which represented 46.1% of total net sales and 83.9% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $4.1 billion and $0.2 billion, respectively, which represented 53.9% of total net sales and 16.1% of Segment Adjusted EBITDA, respectively.
For the six months ended June 27, 2026, our financial results were as follows:

• We generated net sales of $15.0 billion, net income of $0.4 billion, and Adjusted EBITDA of $1.8 billion, representing a net income margin of 2.5% and an Adjusted EBITDA Margin of 12.2%.
• During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $7.0 billion and $1.8 billion, respectively, which represented 46.6% of total net sales and 82.4% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $8.0 billion and $0.4 billion, respectively, which represented 53.4% of total net sales and 17.6% of Segment Adjusted EBITDA, respectively.
For a reconciliation of Adjusted EBITDA and Adjusted EBITDA Margin to the most directly comparable GAAP financial measures, information about why we consider Adjusted EBITDA and Adjusted EBITDA Margin useful, and a discussion of the material risks and limitations of these measures, see “—Non-GAAP Financial Information” below.

Key Factors and Trends

During the three and six months ended June 27, 2026 our results and operations were impacted by various factors and trends, including those discussed below. For additional information regarding factors and trends that may impact our results and operations, see Part II, “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations” of our 2025 Form 10-K.
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Trade Relations, Impacts of Tariffs on our Business, and Geopolitical Risks

The current U.S. and international political environment, including existing and potential changes to U.S. policies related to global trade and tariffs, has resulted in uncertainty surrounding the future state of the global economy. We continue to actively monitor developments in the global tariff environment and evaluate their potential impact on our business, financial condition, customers, and suppliers, as well as actions available to reduce our related financial exposure. While the global tariff environment remains unpredictable, as a global company with strategically located and owned manufacturing and a broadly diversified sourcing footprint, we believe we are well-positioned to address potential supply chain challenges. We have multiple levers at our disposal, including strategically reallocating production to other parts of the world, leveraging our new and existing supplier base, optimizing procurement and sourcing of key inputs and raw materials, optimizing our manufacturing footprint, engaging with relevant industry and policy partners, and, where needed, enacting price increases in a thoughtful and strategic way. Nevertheless, we may not be able to establish alternative sources of supply or fully mitigate the financial impact of tariffs across all products we source or manufacture. For the three and six months ended June 27, 2026, the net impact to income before taxes from tariffs and tariff developments was approximately $110 million and $230 million, respectively, before giving effect to the tariff refund recoveries and related customer repayments discussed below. The actual full year impact may vary based on the tariff rate changes, duration, scope, and effectiveness of our mitigation efforts.

We have pursued, and may continue to pursue, tariff mitigation measures, including exclusions, refunds, preferential trade agreements, and other duty recovery mechanisms. In February 2026, the U.S. Supreme Court ruled that the International Emergency Economic Powers Act (“IEEPA”) does not authorize the President to impose tariffs. Following that decision, U.S. Customs and Border Protection (“CBP”) established an expedited administrative process through its Consolidated Administration and Processing of Entries (“CAPE”) portal to refund IEEPA duties that had already been paid.

We expect total IEEPA refund claims, across all eligible mechanisms, to be approximately $507 million, including amounts already submitted via CAPE. As of June 27, 2026, CBP had accepted approximately $332 million in total refunds we have submitted, and actions to recover the remaining expected amounts are ongoing. We evaluate recoveries of IEEPA tariffs in accordance with applicable gain contingency guidance and recognize such recoveries when they are received or realizable. As of June 27, 2026, of the accepted claims, we had received approximately $53 million in refunds. Accordingly, we recorded a receivable of approximately $279 million within Other current assets related to the remaining accepted refund claims as of June 27, 2026. As of the date of this Quarterly Report, we received refunds for the majority of the receivable balance. Interest associated with refunded IEEPA tariffs is recognized in the period in which it is received or realizable. We expect to remit a portion of the tariff refunds to customers. As of June 27, 2026, we recorded approximately $89 million within Accrued expenses and other current liabilities for the total amount estimated to be remitted to customers in connection with total tariff refund claims expected.

During the three and six months ended June 27, 2026, we recognized approximately $332 million as a reduction of Cost of goods sold related to tariff refunds received or accepted, approximately $89 million as a reduction of Net sales related to accrued customer repayments associated with tariff refunds, and approximately $14 million of interest income in Interest expense, net. These amounts were recorded entirely within the Medline Brand segment.

The ultimate amount and timing of the IEEPA tariff refunds not yet received are subject to eligibility requirements, regulatory review, administrative processing, and other limitations.

In addition, ongoing geopolitical conflicts, including in the Middle East, have resulted in, and could continue to result in, significant disruption of energy supplies and increases in global energy prices, which have heightened and could continue to heighten inflationary pressures, disrupt global supply chains, and adversely impact consumer spending patterns. We will continue to evaluate the evolving macroeconomic environment and seek to take actions to mitigate the impact, if any, on our business and financial condition.
41

Tracy, California Distribution Center

On June 11, 2026, a fire destroyed our distribution center in Tracy, California. All employees were safely evacuated. We have estimated incurred losses of $336 million, which consist of $204 million related to inventory losses, $116 million related to fixed asset losses, and $16 million other expenses, for the three and six months ended June 27, 2026. These losses were recorded in Other operating expenses. As of June 27, 2026, discussions with our insurers are ongoing, and, as such, no insurance recoveries have been recorded. Following the fire, we entered into lease agreements for two distribution centers in Northern California totaling more than 1.6 million square feet, including a facility in Tracy, California for near-term occupancy and a facility in Stockton, California expected to be available for use in January 2027. These facilities are expected to help support service to healthcare providers and customers in Northern California following the fire. We may incur additional losses and costs in future periods associated with the fire and its related impacts. We expect to recognize insurance recoveries in future periods as the applicable recognition criteria are met. The timing and amount of any additional losses, costs, or insurance recoveries remain uncertain. See Note 1—Nature of Business and Significant Accounting Policies to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report for additional information.

FDA Matters

As of June 27, 2026, we have received three warning letters from the FDA, which have not been resolved. These warning letters relate to compliance with the Quality Management System Regulation and the current Good Manufacturing Practice (cGMP) regulations and were sent following inspections of Medline’s Northfield, Illinois facility and our manufacturing facilities in Glens Falls, New York and Waukegan, Illinois. We are working with the FDA to resolve the observations in the warning letters and FDA Forms 483 the Company has received. We have committed to taking additional remediation actions and made investments in Medline’s Quality organization, which we expect to result in increased costs in the second half of fiscal year 2026. While we believe our remediation efforts appropriately address the FDA’s observations and strengthen our Quality practices, no assurances can be given regarding further action by the FDA or that the corrective actions we have proposed and taken will be adequate. Any failure to adequately address the observations made by the FDA may result in regulatory actions initiated by the FDA with limited or no further notice, which may include the adverse consequences described in Part I, “Item 1A—Risk Factors—Risks Related to Regulation and Legal Proceedings—We are subject to extensive and complex laws and governmental regulations and any adverse regulatory action may materially adversely affect our business, results of operations, and financial condition both inside and outside the United States.” of our 2025 Form 10-K. While we currently believe these warning letters are not reasonably likely to materially adversely affect our business, results of operations, or financial condition, the outcomes of such matters are inherently unpredictable and subject to significant uncertainties, and if any of our assumptions change or prove to have been incorrect or there are any further adverse developments, our business, results of operations, and/or financial condition could be materially adversely affected.

Secondary Offerings

On May 28, 2026, we completed an underwritten public offering of an aggregate of 72,554,594 shares of Class A common stock sold by a wholly owned subsidiary of Abu Dhabi Investment Authority and certain affiliates of our Sponsors (collectively, the “May 2026 Selling Stockholders”) at a public offering price of $37.00 per share, for aggregate gross proceeds of approximately $2.7 billion to the May 2026 Selling Stockholders (the “May 2026 Resale Offering”). This transaction resulted in the issuance of 29,505,565 shares of Class A common stock in connection with the exchange of Common Units by the May 2026 Selling Stockholders for the six months ended June 27, 2026. The exchange reduced the ownership of noncontrolling interest in Medline Holdings by approximately 2% and will increase the net income attributable to the Company in a proportionate amount. We did not sell any shares in this May 2026 Resale Offering and did not receive any of the proceeds from the sale of the shares of Class A common stock in this May 2026 Resale Offering. We paid the offering expenses associated with the sale of the shares by the May 2026 Selling Stockholders, net of the underwriting discounts and commissions.
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On March 10, 2026, we completed an underwritten public offering of an aggregate of 86,250,000 shares of Class A common stock (including 11,250,000 shares of Class A common stock issued pursuant to the exercise in full of the underwriters’ option to purchase additional shares) sold by a wholly owned subsidiary of Abu Dhabi Investment Authority and certain affiliates of our Sponsors (collectively, the “March 2026 Selling Stockholders”) at a public offering price of $41.00 per share, for aggregate gross proceeds of approximately $3.5 billion to the Selling Stockholders (the “March 2026 Resale Offering”). This transaction resulted in the issuance of 33,963,901 shares of Class A common stock in connection with the exchange of Common Units by the March 2026 Selling Stockholders for the six months ended June 27, 2026. The exchange reduced the ownership of noncontrolling interest in Medline Holdings by approximately 3% and will increase the net income attributable to the Company in a proportionate amount. We did not sell any shares in this March 2026 Resale Offering and did not receive any of the proceeds from the sale of the shares of Class A common stock in this March 2026 Resale Offering. We paid the offering expenses associated with the sale of the shares by the March 2026 Selling Stockholders, net of the underwriting discounts and commissions.

Public Company Costs

We incurred costs associated with public company reporting requirements during fiscal years 2026 and 2025, and we expect to continue to incur additional costs associated with operating as a public company. These costs include additional personnel, legal, consulting, regulatory, insurance, accounting, investor relations, and other expenses that we did not incur as a private company. The Sarbanes-Oxley Act, as well as rules adopted by the SEC and national securities exchanges, requires public companies to implement specified corporate governance practices that were previously inapplicable to us as a private company. These additional rules and regulations increase our legal, regulatory, financial, and insurance compliance costs and make some activities more time-consuming and costly.

IPO and Reorganization Transactions

On December 18, 2025, we completed our IPO, which generated net proceeds of approximately $7,048 million after deducting underwriting discounts and commissions of approximately $157 million, but before deducting offering expenses of approximately $40 million. Prior to the completion of the IPO, we executed the Reorganization, resulting in Medline Inc. becoming the sole general partner of Medline Holdings, with its sole material asset being a controlling equity interest in Medline Holdings. As the general partner of Medline Holdings, Medline Inc. now operates and controls all of the business and affairs of Medline Holdings, and has the obligation to absorb losses and receive benefits from Medline Holdings and, through Medline Holdings and its subsidiaries, operate the business. The Reorganization has been accounted for as a reorganization of entities under common control. As a result, the consolidated financial statements of Medline Inc. recognize the assets and liabilities received in the Reorganization at their historical carrying amounts, as presented in the historical financial statements of Medline Holdings. Medline Inc. consolidates Medline Holdings on its consolidated financial statements and records a noncontrolling interest, which pertains to partnership interests in Medline Holdings held by pre-IPO owners. See “Note 1—Nature of Business and Significant Accounting Policies—Reorganization” to our unaudited condensed consolidated financial statements, included under Part I, “Item 1—Financial Statements” of this Quarterly Report for additional information on the reorganization transactions.

Medline Inc. is a corporation for U.S. federal and state income tax purposes. Medline Holdings is treated as a flow-through entity for U.S. federal and state income tax purposes, and, as such, has generally not been subject to U.S. federal income tax at the entity level. Accordingly, unless otherwise specified, the historical results of operations and other financial information set forth in this Quarterly Report do not include any provision for U.S. federal income tax for Medline Holdings except with respect to subsidiary corporations that are subject to U.S. federal income tax. Following the IPO, Medline Inc. is required to pay U.S. federal and state income taxes as a corporation on its share of Medline Holdings’ taxable income.

In connection with the Reorganization and the IPO, we also entered int o a tax receivable agreement (“TRA”) with ce rtain pre-IPO owners. See “—Liquidity and Capital Resources—Tax Receivable Agreement” for additional information. Further, in connection with the Reorganization and the IPO, we also entered into an exchange agreement with the Continuing Unitholders so that they may (subject to the terms of the exchange agreement) exchange their Common Units (including Common Units issued upon conversion of vested Incentive Units) for shares of Class A common stock of Medline Inc. on a one-for-one basis, subject to customary conversion rate adjustments for stock splits, stock dividends and reclassifications, whereupon an equivalent number of shares of Class B common stock held by each such Continuing Unitholder will be automatically transferred to us and cancelled and retired upon any such exchange.
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The diagram below depicts our current organizational structure:

Note: Certain intermediate holding companies have been omitted from the structure chart.
(1) Each share of our Class A common stock and Class B common stock entitles its holder to one vote on all matters to be voted on by the stockholders generally .
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Consolidated Results of Operations

For the three and six months ended June 27, 2026 compared to the three and six months ended June 28, 2025

Three months ended Six months ended
June 27, 2026 June 28, 2025 2026 vs 2025 June 27, 2026 June 28, 2025 2026 vs 2025
$ Change % Change $ Change % Change
(in millions, except percentages)
Net sales $ 7,685 $ 6,886 $ 799  11.6% $ 15,037 $ 13,530 $ 1,507  11.1%
Cost of goods sold 5,470 4,981 489  9.8% 10,981 9,801 1,180  12.0%
Gross profit 2,215 1,905 310  16.3% 4,056 3,729 327  8.8%
Operating expense
Selling, general, and administrative expenses 1,295 1,073 222  20.7% 2,523 2,143 380  17.7%
Amortization of intangible assets 177 176 1  0.6% 353 351 2  0.6%
Other operating expenses 348 14 334  NM (1)
363 22 341  NM (1)

Total operating expense 1,820 1,263 557  44.1% 3,239 2,516 723  28.7%
Operating income 395 642 (247) (38.5)% 817 1,213 (396) (32.6)%
Other expense
Interest expense, net (119) (223) 104  (46.6)% (255) (433) 178  (41.1)%
Other loss, net (42) — (42) NM (1)
(41) — (41) NM (1)

Foreign exchange gain (loss), net
1 (60) 61  NM (1)
5 (83) 88  NM (1)

Total other expense (160) (283) 123  (43.5)% (291) (516) 225  (43.6)%
Income before income taxes 235 359 (124) (34.5)% 526 697 (171) (24.5)%
Provision for income taxes 96 26 70  NM (1)
148 42 106  NM (1)

Net income $ 139 $ 333 $ (194) (58.3)% $ 378 $ 655 $ (277) (42.3)%

(1) Not Meaningful

Results of Operations for the three months ended June 27, 2026 compared to the three months ended June 28, 2025

Net Sales

Net sales for the three months ended June 27, 2026 increased $799 million, or 11.6%, to $7,685 million, compared to $6,886 million for the respective period in 2025, primarily driven by organic growth with foreign currency exchange rates having an immaterial impact on n et sales. Organic net sales growth was substantially all related to increased volumes with pricing having an immaterial impact.

Net sales for the U.S. business for the three months ended June 27, 2026 increased $753 million, or 11.8%, to $7,152 million, compared to $6,399 million for the respective period in 2025, primarily due to volume growth in Prime Vendor net sales, which for the three months ended June 27, 2026 increased $808 million, or 18.3%, to $5,226 million, compared to $4,418 million for the respective period in 2025. The growth was partially offset by $89 million customer repayments associated with tariff refunds.

Net sales for the U.S. acute care business, which includes both Prime Vendor and non-Prime Vendor customers, increased $691 million, or 14.7%, to $5,407 million, compared to $4,716 million for the respective period in 2025, primarily driven by volume growth, partially offset by $48 million customer repayments associated with tariff refunds. Net sales for the U.S. non-acute care business increased $62 million, or 3.7%, to $1,745 million, compared to $1,683 million for the respective period in 2025, primarily driven by volume growth, partially offset by $41 million customer repayments associated with tariff refunds.

Net sales for the International business for the three months ended June 27, 2026 increased $46 million, or 9.4%, to $533 million, compared to $487 million for the respective period in 2025, primarily driven by volume growth.
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Cost of Goods Sold and Gross Profit

Cost of goods sold for the three months ended June 27, 2026 increased $489 million, or 9.8%, to $5,470 million, compared to $4,981 million for the respective period in 2025, primarily driven by the growth in net sales and higher import costs due to tariffs, partially offset by tariff refunds. Gross profit as a percentage of sales increased from 27.7% for the three months ended June 28, 2025 to 28.8% for the three months ended June 27, 2026, primarily driven by net tariff refunds, partially offset by higher import costs due to tariffs.

Selling, General, and Administrative Expenses

Selling, General, and Administrative (“SG&A”) expenses for the three months ended June 27, 2026 increased $222 million, or 20.7%, to $1,295 million, compared to $1,073 million for the respective period in 2025, primarily due to $156 million of higher compensation and benefit expenses related to investments in headcount, inclusive of $15 million of one-time employee bonuses related to the IPO, which are subject to an ongoing service requirement, and $24 million related to higher distribution expense, including outbound freight. The prior year also included $13 million related to the favorable settlement of an intellectual property dispute, partially offset by $8 million of credit loss expense related to certain customer receivables, neither of which recurred in 2026 .

Other Operating Expenses

Other Operating Expenses for the three months ended June 27, 2026 increased $334 million to $348 million, compared to $14 million for the respective period in 2025, primarily driven by the impact due to fire at the distribution center in Tracy, California.

Interest Expense, net

Interest expense, net for the three months ended June 27, 2026 decreased $104 million, or 46.6%, to $119 million, compared to $223 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and lower interest rates.

Other Loss, net

Other loss, net for the three months ended June 27, 2026 increased to $42 million, whereas no material Other loss, net was recorded in the respective period in 2025. The increase was primarily due to expense associated with the debt refinancing in May 2026.

Foreign Exchange Gain (Loss), net

Foreign exchange gain (loss), net for the three months ended June 27, 2026 increased $61 million to a gain of $1 million, compared to a loss of $60 million for the respective period in 2025, primarily due to unfavorable foreign exchange rate movement on certain settled borrowings denominated in the Euro in 2025.

Provision for Income Taxes

Provision for income taxes for the three months ended June 27, 2026 increased $70 million to $96 million, compared to $26 million for the respective period in 2025, primarily due to the additional income related to tariff refunds and tax changes associated with the Reorganization, which subjected a greater portion of earnings to corporate‑level U.S. federal and state income taxes.
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Results of Operations for the six months ended June 27, 2026 compared to the six months ended June 28, 2025

Net Sales

Net sales for the six months ended June 27, 2026 increased $1,507 million, or 11.1%, to $15,037 million, compared to $13,530 million for the respective period in 2025, primarily driven by organic growth with foreign curren cy exchange rates having an immaterial impact on net sales. Organic net sales growth was substantially all related to increased volumes with pricing having an immaterial impact.

Net sales for the U.S. business for the six months ended June 27, 2026 increased $1,416 million, or 11.2%, to $14,009 million, compared to $12,593 million for the respective period in 2025, primarily due to volume growth in Prime Vendor net sales, which for the six months ended June 27, 2026 increased $1,461 million, or 16.8%, to $10,139 million, compared to $8,678 million for the respective period in 2025. The growth was partially offset by $89 million customer repayments associated with tariff refunds.

Net sales for the U.S. acute care business, which includes both Prime Vendor and non-Prime Vendor customers, increased $1,244 million, or 13.4%, to $10,532 million, compared to $9,288 million for the respective period in 2025, primarily driven by volume growth, partially offset by $48 million customer repayments associated with tariff refunds. Net sales for the U.S. non-acute care business increased $172 million, or 5.2%, to $3,477 million, compared to $3,305 million for the respective period in 2025, primarily driven by volume growth, partially offset by $41 million customer repayments associated with tariff refunds.

Net sales for the International business for the six months ended June 27, 2026 increased $91 million, or 9.7%, to $1,028 million, compared to $937 million for the respective period in 2025, primarily driven by volume growth and favorable foreign currenc y exchange rates.

Cost of Goods Sold and Gross Profit

Cost of goods sold for the six months ended June 27, 2026 increased $1,180 million, or 12.0%, to $10,981 million, compared to $9,801 million for the respective period in 2025, primarily driven by the growth in net sales and higher import costs due to tariffs, partially offset by tariff refunds. Gross profit as a percentage of sales decreased from 27.6% for the six months ended June 28, 2025 to 27.0% for the six months ended June 27, 2026, primarily driven by higher import costs due to tariffs, partially offset by net tariff refunds.

Selling, General, and Administrative Expenses

SG&A expenses for the six months ended June 27, 2026 increased $380 million, or 17.7%, to $2,523 million, compared to $2,143 million for the respective period in 2025, primarily due to $248 million of higher compensation and benefit expenses related to investments in headcount, inclusive of $33 million of one-time employee bonuses related to the IPO, which are subject to an ongoing service requirement, and $51 m illion related to higher distribution expense, including outbound freight. T he prior year also included $43 million related to the favorable settlement of an intellectual property dispute, partially offset by $32 million of credit loss expense related to certain customer receivables, neither of which recurred in 2026.

Other Operating Expenses

Other Operating Expenses for the six months ended June 27, 2026 increased $341 million to $363 million, compared to $22 million for the respective period in 2025, primarily driven by the impact due to fire at the distribution center in Tracy, California.

Interest Expense, net

Interest expense, net for the six months ended June 27, 2026 decreased $178 million, or 41.1%, to $255 million, compared to $433 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and lower interest rates.
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Other Loss, net

Other loss, net for the six months ended June 27, 2026 increased to $41 million, whereas no material Other loss, net was recorded in the respective period in 2025. The increase was primarily due to expense associated with the debt refinancing in May 2026.

Foreign Exchange Gain (Loss), net

Foreign exchange gain (loss), net for the six months ended June 27, 2026 increased $88 million to a gain of $5 million, compared to a loss of $83 million for the respective period in 2025, primarily due to unfavorable foreign exchange rate movement on certain settled borrowings denominated in the Euro in 2025.

Provision for Income Taxes

Provision for income taxes for the six months ended June 27, 2026 increased $106 million to $148 million, compared to $42 million for the respective period in 2025, primarily due to tax changes associated with the Reorganization, which subjected a greater portion of earnings to corporate‑level U.S. federal and state income taxes, and the additional income related to tariff refunds.

Business Segment Results of Operations

The following table compares business segment net sales, Segment Adjusted EBITDA, and Segment Adjusted EBITDA margin for the three and six months ended June 27, 2026 and June 28, 2025:

Three months ended Six months ended
June 27, 2026 June 28, 2025 2026 vs 2025
June 27, 2026 June 28, 2025 2026 vs 2025

$ change % change $ change % change
(in millions, except percentages)
Medline Brand
Net sales $ 3,540  $ 3,322  $ 218  6.6% $ 7,005  $ 6,586  $ 419  6.4%
Segment Adjusted EBITDA 1,067  890  177  19.9% 1,832  1,720  112  6.5%
Segment Adjusted EBITDA margin (1)
30.1  % 26.8  % 26.2  % 26.1  %
Supply Chain Solutions
Net sales 4,145  3,564  581  16.3% 8,032  6,944  1,088  15.7%
Segment Adjusted EBITDA 204  201  3  1.5% 391  383  8  2.1%
Segment Adjusted EBITDA margin (1)
4.9  % 5.6  % 4.9  % 5.5  %

(1) We define Segment Adjusted EBITDA margin as the Segment Adjusted EBITDA divided by segment net sales.

See Note 16—Segment Information to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report for additional information on our segments.

Business Segment Results of Operations for the three months ended June 27, 2026 compared to the three months ended June 28, 2025

Medline Brand

Medline Brand segment net sales for the three months ended June 27, 2026 increased $218 million, or 6.6%, to $3,540 million, compared to $3,322 million for the respective period in 2025. The increase was primarily driven by volume growth in Prime Vendor sales of Medline Brand products for the three months ended June 27, 2026, which increased $231 million, or 15.7%, to $1,707 million, compared to $1,476 million for the respective period in 2025, partially offset by $89 million customer repayments associated with tariff refunds.
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Surgical Solutions net sales for the three months ended June 27, 2026 increased $131 million, or 8.7%, to $1,640 million, compared to $1,509 million for the respective period in 2025, primarily driven by volume growth in kitting and operating room products, partially offset by customer repayments associated with tariff refunds. Front Line Care net sales for the three months ended June 27, 2026 increased $60 million, or 3.8%, to $1,652 million, compared to $1,592 million for the respective period in 2025, primarily driven by volume growth, including exam gloves and personal care products, partially offset by customer repayments associated with tariff refunds. Laboratory and Diagnostics net sales for the three months ended June 27, 2026 increased $27 million, or 12.2%, to $248 million, compared to $221 million for the respective period in 2025, primarily driven by volume growth in laboratory products.