Medline Inc 10-Q for FY2026 Q3
Medline Inc. (MDLN)
10-Q
2026-11-04
For: 2026-09-26
View Original
Added on
November 04, 2026
About this 10-Q
Medline Inc filed this 10-Q on November 4, 2026, covering the quarter ended September 26, 2026 (FY2026 Q3).
Medline Inc. reported three-month net sales increased 10.4% to $7,856 million, while net income decreased 1.2% to $318 million. Gross profit as a percentage of sales fell to 24.5% from 26.4%. AI summary
Headline figures
Quarter ended September 26, 2026, as reported in this filing, compared with the same period a year earlier where the filing states it.
- Revenue
- $7.86B
- up 10.4% from $7.12B a year earlier
- Net income
- $318M
- Diluted EPS
- $0.22
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 September 26, 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
_________________________
(Exact name of registrant as specified in its charter)
_________________________
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) | |||||||
(Address of principal executive offices) | (Zip Code) | |||||||
(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 | ||||||
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.
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).
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 | ☐ | |||||||||||
☒ | 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 November 2, 2026, there were 878,657,055 shares of the registrant’s Class A common stock and 436,664,379 shares of the registrant’s Class B common stock outstanding.
TABLE OF CONTENTS
Item | Page | |||||||
1. | Financial Statements (Unaudited) | |||||||
2. | ||||||||
3. | ||||||||
4. | ||||||||
1. | ||||||||
1A. | ||||||||
2. | ||||||||
3. | ||||||||
4. | ||||||||
5. | ||||||||
6. | ||||||||
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.
•Quality problems and product liability claims have in the past led, and could in the future lead, to recalls or safety alerts, reputational harm, discontinuation of product or product lines, 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.
•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.
•Our failure to establish and maintain Prime Vendor relationships may cause our revenue to decline.
•We may not realize the expected benefits from planned cost savings and business improvement initiatives.
•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.
2
•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.
•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.
•Our insurance program may not cover claims brought against us, deny coverage of claims, or be inadequate to cover future losses.
•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”) and other filings that we make with the Securities and Exchange Commission (the “SEC”). 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.
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 September 26, 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. | ||
(in millions, except per share amounts) | As of September 26, 2026 (Unaudited) | As of December 31, 2025 | |||||||||
| ASSETS | |||||||||||
| Current assets | |||||||||||
| Cash and cash equivalents | $ | $ | |||||||||
| Short-term investments | |||||||||||
Trade accounts receivable, net of allowance for credit losses of $ | |||||||||||
| Inventories | |||||||||||
| Other current assets | |||||||||||
| Total current assets | |||||||||||
| Property, plant, and equipment, net | |||||||||||
| Other non-current assets | |||||||||||
| Goodwill | |||||||||||
| Intangible assets, net | |||||||||||
| Deferred tax assets | |||||||||||
| Other long-term assets | |||||||||||
| Total other non-current assets | |||||||||||
| Total assets | $ | $ | |||||||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||||||
| Current liabilities | |||||||||||
| Current portion of long-term borrowings and other short-term borrowings | $ | $ | |||||||||
| Accounts payable | |||||||||||
| Accrued expenses and other current liabilities | |||||||||||
| Total current liabilities | |||||||||||
| Non-current liabilities | |||||||||||
| Long-term borrowings, less current portion | |||||||||||
| Tax receivable agreement liability | |||||||||||
| Other long-term liabilities | |||||||||||
| Total non-current liabilities | |||||||||||
| Total liabilities | $ | $ | |||||||||
| Commitments and contingencies | |||||||||||
Stockholders’ equity | |||||||||||
Class A common stock, par value $ | |||||||||||
Class B common stock, par value $ | |||||||||||
Preferred stock, par value $ | |||||||||||
| Additional paid-in capital | |||||||||||
Retained earnings (accumulated deficit) | ( | ||||||||||
| Accumulated other comprehensive (loss) income | ( | ||||||||||
Total Medline Inc. stockholders’ equity | |||||||||||
| Noncontrolling interests | |||||||||||
| Total stockholders’ equity | |||||||||||
| Total liabilities and stockholders’ equity | $ | $ | |||||||||
See notes to unaudited condensed consolidated financial statements. | ||
7 | ||
| MEDLINE INC. | ||
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited)
Three months ended | Nine months ended | ||||||||||||||||||||||||||||
(in millions, except per share amounts) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||||||||
| Net sales | $ | $ | $ | $ | |||||||||||||||||||||||||
| Cost of goods sold | |||||||||||||||||||||||||||||
| Gross profit | |||||||||||||||||||||||||||||
| Operating expense | |||||||||||||||||||||||||||||
| Selling, general and administrative expenses | |||||||||||||||||||||||||||||
| Amortization of intangible assets | |||||||||||||||||||||||||||||
| Other operating (income) expenses, net | ( | ||||||||||||||||||||||||||||
| Total operating expense | |||||||||||||||||||||||||||||
| Operating income | |||||||||||||||||||||||||||||
| Other expense | |||||||||||||||||||||||||||||
| Interest expense, net | ( | ( | ( | ( | |||||||||||||||||||||||||
| Other loss, net | ( | ( | ( | ( | |||||||||||||||||||||||||
| Foreign exchange gain (loss), net | ( | ( | |||||||||||||||||||||||||||
| Total other expense | ( | ( | ( | ( | |||||||||||||||||||||||||
| Income before income taxes | |||||||||||||||||||||||||||||
| Provision for income taxes | |||||||||||||||||||||||||||||
| Net income | |||||||||||||||||||||||||||||
| Net income attributable to noncontrolling interests | |||||||||||||||||||||||||||||
| Net income attributable to Medline Inc. | $ | $ | $ | $ | |||||||||||||||||||||||||
Earnings per share attributable to Medline Inc. | |||||||||||||||||||||||||||||
| Basic | $ | N/A | $ | N/A | |||||||||||||||||||||||||
| Diluted | $ | N/A | $ | N/A | |||||||||||||||||||||||||
Weighted-average number of Class A common stock outstanding | |||||||||||||||||||||||||||||
| Basic | N/A | N/A | |||||||||||||||||||||||||||
| Diluted | N/A | N/A | |||||||||||||||||||||||||||
| Other comprehensive income (loss), net of tax | |||||||||||||||||||||||||||||
| Net unrealized loss on derivative instruments | ( | ( | ( | ( | |||||||||||||||||||||||||
| Currency translation adjustment | ( | ||||||||||||||||||||||||||||
| Total other comprehensive income (loss), net of tax | ( | ( | |||||||||||||||||||||||||||
Total comprehensive income | |||||||||||||||||||||||||||||
| Comprehensive income attributable to noncontrolling interests | |||||||||||||||||||||||||||||
| Comprehensive income attributable to Medline Inc. | $ | $ | $ | $ | |||||||||||||||||||||||||
See notes to unaudited condensed consolidated financial statements. | ||
8 | ||
| MEDLINE INC. | ||
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY, MEZZANINE EQUITY AND PARTNERS' CAPITAL (Unaudited)
| Three Months Ended September 26, 2026 | |||||||||||||||||||||||||||||
| Class A Common Stock | Class B Common Stock | Additional Paid-In Capital | Retained Earnings | Accumulated Other Comprehensive (Loss) Income | Noncontrolling Interests | Total Stockholders’ Equity | |||||||||||||||||||||||
| (in millions) | Shares | Amount | Shares | Amount | |||||||||||||||||||||||||
| Balance, June 27, 2026 | $ | $ | $ | $ | $ | ( | $ | $ | |||||||||||||||||||||
| Net income | — | — | — | — | — | — | |||||||||||||||||||||||
| Other comprehensive income | — | — | — | — | — | — | |||||||||||||||||||||||
| Distributions to noncontrolling interests | — | — | — | — | — | — | — | ( | ( | ||||||||||||||||||||
| Exchange of common units for Class A common stock | — | — | — | ( | |||||||||||||||||||||||||
| Tax receivable agreement | — | — | — | — | ( | — | — | — | ( | ||||||||||||||||||||
| Recognition of deferred tax assets from equity transactions | — | — | — | — | — | — | — | ||||||||||||||||||||||
| Stock-based compensation | — | — | — | — | — | — | |||||||||||||||||||||||
| Exercise of employee stock options | — | — | — | — | — | — | |||||||||||||||||||||||
| Issuance of shares under employee stock plans | — | — | — | — | — | — | — | ||||||||||||||||||||||
| Changes in noncontrolling interests | — | — | — | — | ( | — | — | ||||||||||||||||||||||
| Balance, September 26, 2026 | $ | $ | $ | $ | $ | ( | $ | $ | |||||||||||||||||||||
| Three Months Ended September 27, 2025 | |||||||||||||||||||||||||||||||||||||||||
| Mezzanine Equity | Partners’ Capital | ||||||||||||||||||||||||||||||||||||||||
| Class A | Stock-based Compensation | Total Mezzanine Equity | Class A | Class B | Class B CUPI | Accumulated Other Comprehensive Income (Loss) | Total Partners' Capital | ||||||||||||||||||||||||||||||||||
| (in millions) | Units | Amount | Units | Amount | Units | Amount | Units | Amount | Units | Amount | |||||||||||||||||||||||||||||||
| Balance, June 28, 2025 | $ | $ | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
| Net income | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||
| Other comprehensive loss | — | — | — | — | — | — | — | — | — | — | — | ( | ( | ||||||||||||||||||||||||||||
| Units repurchased | — | — | ( | ( | ( | — | — | ( | ( | — | — | — | ( | ||||||||||||||||||||||||||||
| Stock-based compensation | — | — | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||
| Distribution to partners | — | ( | — | ( | ( | — | ( | — | ( | — | — | — | ( | ||||||||||||||||||||||||||||
| Balance, September 27, 2025 | $ | $ | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
See notes to unaudited condensed consolidated financial statements. | ||
9 | ||
| MEDLINE INC. | ||
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY, MEZZANINE EQUITY AND PARTNERS' CAPITAL (Unaudited) (Continued)
| Nine Months Ended September 26, 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 | $ | $ | $ | $ | ( | $ | $ | $ | |||||||||||||||||||||
| Net income | — | — | — | — | — | — | |||||||||||||||||||||||
| Other comprehensive loss | — | — | — | — | — | — | ( | ( | ( | ||||||||||||||||||||
| Distributions to noncontrolling interests | — | — | — | — | — | — | — | ( | ( | ||||||||||||||||||||
| Exchange of common units for Class A common stock | — | ( | — | — | ( | ||||||||||||||||||||||||
| Tax receivable agreement | — | — | — | — | ( | — | — | — | ( | ||||||||||||||||||||
| Recognition of deferred tax assets from equity transactions | — | — | — | — | — | — | — | ||||||||||||||||||||||
| Reclassification from liability-classified units | — | — | — | — | — | — | |||||||||||||||||||||||
| Stock-based compensation | — | — | — | — | — | — | |||||||||||||||||||||||
| Exercise of employee stock options | — | — | — | — | — | — | |||||||||||||||||||||||
| Issuance of shares under employee stock plans | — | — | — | — | — | — | — | ||||||||||||||||||||||
| Taxes withheld on issuance of stock-based awards | — | — | — | — | ( | — | — | — | ( | ||||||||||||||||||||
| Changes in noncontrolling interests | — | — | — | — | — | ( | |||||||||||||||||||||||
| Balance, September 26, 2026 | $ | $ | $ | $ | $ | ( | $ | $ | |||||||||||||||||||||
| Nine Months Ended September 27, 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 | $ | $ | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
| Net income | — | — | — | — | — | — | |||||||||||||||||||||||||||||||||||
| Other comprehensive income | — | — | — | — | — | — | — | — | — | — | — | ||||||||||||||||||||||||||||||
| Reclassification from liability-classified units | — | — | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||
| Units repurchased | — | — | ( | ( | ( | — | — | ( | ( | — | — | — | ( | ||||||||||||||||||||||||||||
| Stock-based compensation | — | — | — | — | — | — | — | — | — | — | |||||||||||||||||||||||||||||||
| Distribution to partners | — | ( | — | ( | ( | — | ( | — | ( | — | — | — | ( | ||||||||||||||||||||||||||||
| Balance, September 27, 2025 | $ | $ | $ | $ | $ | $ | $ | $ | |||||||||||||||||||||||||||||||||
See notes to unaudited condensed consolidated financial statements. | ||
10 | ||
| MEDLINE INC. | ||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
| Nine months ended | |||||||||||||||||
| (in millions) | September 26, 2026 | September 27, 2025 | |||||||||||||||
| Cash flows from operating activities | |||||||||||||||||
| Net income | $ | $ | |||||||||||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||||||||
| Depreciation and amortization | |||||||||||||||||
| Stock-based compensation expense | |||||||||||||||||
| Amortization of deferred financing costs | |||||||||||||||||
| Deferred taxes | ( | ||||||||||||||||
| Credit losses | |||||||||||||||||
| Unrealized foreign exchange (gain) loss, net | ( | ||||||||||||||||
| Loss on extinguishment of debt | |||||||||||||||||
| Non-cash lease expense | |||||||||||||||||
| Loss related to distribution center fire, net | |||||||||||||||||
| Other non-cash adjustments | |||||||||||||||||
| Changes in assets and liabilities, net of acquisitions: | |||||||||||||||||
| Trade accounts receivable | ( | ( | |||||||||||||||
| Inventories | ( | ( | |||||||||||||||
| Other assets | ( | ( | |||||||||||||||
| Accounts payable | |||||||||||||||||
| Accrued expenses and other current liabilities | |||||||||||||||||
| Other liabilities | ( | ( | |||||||||||||||
| Net cash provided by operating activities | |||||||||||||||||
| Cash flows from investing activities | |||||||||||||||||
| Purchases of property and equipment, net | ( | ( | |||||||||||||||
| Proceeds from insurance recoveries | |||||||||||||||||
| Acquisitions of businesses, net of cash acquired | |||||||||||||||||
| Cash paid for asset acquisitions | ( | ( | |||||||||||||||
| Purchases of short-term investments | ( | ||||||||||||||||
| Net cash used in investing activities | ( | ( | |||||||||||||||
| Cash flows from financing activities | |||||||||||||||||
| Proceeds from long-term borrowings | |||||||||||||||||
| Repayment for long-term borrowings | ( | ( | |||||||||||||||
| Repayment under lines of credit | ( | ||||||||||||||||
| Proceeds from lines of credit | |||||||||||||||||
| Payment for debt issuance cost | ( | ||||||||||||||||
| Payment for offering costs | ( | ||||||||||||||||
| Payment towards Class B unit repurchases | ( | ||||||||||||||||
| Proceeds from issuance of common stock on stock-based awards | |||||||||||||||||
| Settlement of taxes withheld on stock-based awards | ( | ||||||||||||||||
| Distributions to partners | ( | ||||||||||||||||
| Distributions to noncontrolling interests | ( | ||||||||||||||||
| Net cash used in financing activities | ( | ( | |||||||||||||||
| Effect of exchange rate changes on cash and cash equivalents and restricted cash | ( | ||||||||||||||||
| Net change in cash and cash equivalents and restricted cash | |||||||||||||||||
| Cash, cash equivalents and restricted cash, beginning of year | |||||||||||||||||
| Cash, cash equivalents and restricted cash, end of period | $ | $ | |||||||||||||||
See notes to unaudited condensed consolidated financial statements. | ||
11 | ||
| MEDLINE INC. | ||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (Continued)
| Nine months ended | |||||||||||||||||
| (in millions) | September 26, 2026 | September 27, 2025 | |||||||||||||||
| Supplemental disclosure of cash flow information: | |||||||||||||||||
| Cash payments for interest on borrowings | $ | $ | |||||||||||||||
| Cash received from interest rate hedging activities | |||||||||||||||||
| Cash payments for income taxes, net | |||||||||||||||||
| Non-cash purchases of property, plant and equipment | |||||||||||||||||
| Recognition of tax receivable agreement liability | |||||||||||||||||
| Recognition of deferred tax assets from equity transactions | |||||||||||||||||
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 September 26, 2026 and December 31, 2025: | |||||||||||
| (in millions) | September 26, 2026 (Unaudited) | December 31, 2025 | |||||||||
| Cash and cash equivalents | $ | $ | |||||||||
| Restricted cash included in other current assets | |||||||||||
| Cash, cash equivalents and restricted cash | $ | $ | |||||||||
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. For the three and nine months ended September 26, 2026, the Company has estimated incurred losses of $80 million and $416 million respectively, which consist of $1 million and $205 million related to inventory losses, $8 million and $124 million related to fixed asset losses, and $71 million and $87 million related to other expenses. In the third quarter 2026, the Company has received and recognized $100 million of insurance recoveries related to the fire. The losses, net of the insurance recoveries, were recorded in Other operating expenses in the unaudited Condensed Consolidated Statements of Comprehensive Income. The Company is working closely with its insurance carriers as it finalizes and submits appliable claims. While the Company expects to recover these amounts, the ultimate amount and timing of additional recoveries is not guaranteed and will be determined as the claims process progresses. Following the fire, the Company entered into lease agreements for two distribution centers in Northern California to maintain support service to healthcare providers and customers in Northern California. The Company may incur additional losses and costs in future periods associated with the fire and its related impacts.
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. 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 March 2026 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. 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 the 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, pursuant to the amendment executed in July 2025, mature in 2033. 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 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
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) | September 26, 2026 | December 31, 2025 | |||||||||
| Raw materials and work in process, net | $ | $ | |||||||||
| Finished goods, net | |||||||||||
| Inventories, net | $ | $ | |||||||||
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 $513 million and $359 million as of September 26, 2026 and December 31, 2025, respectively. The inventory reserve for obsolescence was $60 million and $44 million as of September 26, 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 | $ | $ | $ | ||||||||||||||
| Currency translation adjustments | ( | ( | ( | ||||||||||||||
| Balance, September 26, 2026 | $ | $ | $ | ||||||||||||||
Identifiable intangible assets consist of the following as of:
| September 26, 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 | $ | $ | ( | $ | $ | $ | ( | $ | |||||||||||||||||||||||||||||||||||||||
| Trade names | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||
| Developed technology | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||
| Total finite-lived intangible assets | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||
| Indefinite-lived trade names | — | — | |||||||||||||||||||||||||||||||||||||||||||||
| Intangible assets | $ | $ | ( | $ | $ | $ | ( | $ | |||||||||||||||||||||||||||||||||||||||
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 | $ | ||||
| 2027 | |||||
| 2028 | |||||
| 2029 | |||||
| 2030 | |||||
| Thereafter | |||||
| $ | |||||
NOTE 4 - ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES
The elements of Accrued expenses and other current liabilities are as follows as of:
(in millions) | September 26, 2026 | December 31, 2025 | |||||||||
| Payroll | $ | $ | |||||||||
| Customer rebates and distributor chargebacks | |||||||||||
| Interest payable, net | |||||||||||
| Indirect tax payable | |||||||||||
| Lease liability | |||||||||||
| Other | |||||||||||
| Total | $ | $ | |||||||||
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) | September 26, 2026 | December 31, 2025 | |||||||||
Current portion of long-term debt (1) | $ | $ | |||||||||
| Other short-term debt | |||||||||||
| Total | $ | $ | |||||||||
17
| MEDLINE INC. | ||
NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)
The long-term borrowings and the effective interest rates are summarized as follows as of:
| September 26, 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 | $ | % | $ | % | ||||||||||||||||||||||||
| Total unsecured debt | |||||||||||||||||||||||||||||
| Secured debt | |||||||||||||||||||||||||||||
| Fixed | 2029 - 2033 | % | % | ||||||||||||||||||||||||||
| Variable | 2026 - 2033 | % | % | ||||||||||||||||||||||||||
| Total secured debt | |||||||||||||||||||||||||||||
| Total debt | |||||||||||||||||||||||||||||
| Less: amounts due within one year | ( | ( | |||||||||||||||||||||||||||
Other (1) | ( | ( | |||||||||||||||||||||||||||
| Total long-term borrowings | $ | $ | |||||||||||||||||||||||||||
(1) Includes deferred financing costs and embedded derivative related to the Dollar Term Loans (as defined herein).
Long-Term Borrowings
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.
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 %.
On October 22, 2026, the Company prepaid $750 million in aggregate principal amount of the 2033 Refinancing Term Loan Facility. See Note 17—Subsequent Events for additional information.
The dollar-denominated term loan facilities require quarterly amortization payments of 0.25 % of the original principal due at each calendar quarter-end. There were $26 million and $38 million amortization payments for the nine months ended September 26, 2026 and September 27, 2025, respectively. The remaining principal balance of dollar-denominated term loan facilities is due in 2033. There were no
19
| MEDLINE INC. | ||
NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)
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.
For the refinancing transaction on May 28, 2026, the Company recognized debt extinguishment losses of $23 million for the nine months ended September 26, 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 $1 million and $23 million, which were expensed for the three and nine months ended September 26, 2026, respectively. These costs were included in Other loss, net in the unaudited Condensed Consolidated Statements of Comprehensive Income.
The fair value of the Company’s long-term borrowings as of September 26, 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) | September 26, 2026 | December 31, 2025 | ||||||||||||
| Dollar Term Loans | $ | $ | ||||||||||||
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 September 26, 2026, the Company was in compliance with all applicable covenants.
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 | $ | ||||
| 2027 | |||||
| 2028 | |||||
| 2029 | |||||
| 2030 | |||||
| Thereafter | |||||
| $ | |||||
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”).
20
| MEDLINE INC. | ||
NOTE 5 – CREDIT AGREEMENTS AND BORROWINGS (Continued)
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
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.
As of September 26, 2026 and December 31, 2025, the Revolving Credit Facility had several financial institutions as lenders for a maximum borrowing capacity of $1,000 962 million and $947 million, respectively, after taking into account outstanding letters of credit of $38 million and $53 million, respectively. The Company had no 179 no
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 September 26, 2026, the Company was in compliance with all applicable covenants.
NOTE 6 - INTEREST EXPENSE, NET
The following table summarizes the components of Interest expense, net:
| Three months ended | Nine months ended | ||||||||||||||||||||||||||||
(in millions) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||||||||
| Interest expense | $ | ( | $ | ( | $ | ( | $ | ( | |||||||||||||||||||||
| Interest income | |||||||||||||||||||||||||||||
| Interest expense, net | $ | ( | $ | ( | $ | ( | $ | ( | |||||||||||||||||||||
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.
21
| MEDLINE INC. | ||
NOTE 7 - TAX RECEIVABLE AGREEMENT (Continued)
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 purposes) 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.
The balance of the TRA liability was $4,415 million and $3,542 million as of September 26, 2026 and December 31, 2025, respectively. As of September 26, 2026, $12 million was included in Accrued expenses and other current liabilities with the remainder in Tax receivable agreement liability in the unaudited Condensed Consolidated Balance Sheets. The Company’s TRA liability increased by $873 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 nine months ended September 26, 2026. The Company did not make any payment pursuant to the TRA or record a remeasurement adjustment during the nine months ended September 26, 2026.
NOTE 8 - INCOME TAXES
The Company’s effective income tax rate was 17.80 % and 6.86 % for the three months ended September 26, 2026 and September 27, 2025, respectively, and 23.73 % and 6.30 % for the nine months ended September 26, 2026 and September 27, 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 nine months ended September 26, 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 noncontrolling interests of Medline Holdings. The effective tax rate is higher for the nine months ended September 26, 2026 due to the impact of the net losses incurred as a result of the fire at the Company’s 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 nine months ended September 27, 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 nine months ended September 26, 2026, the Company recorded additional TRA liability of $873 million and additional deferred tax assets of $394 million (net of a $215 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.
22
| MEDLINE INC. | ||
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 a settlement with all but five existing plaintiffs, which was finalized in March 2025.
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 September 26, 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 , of which $525,000 was paid as of September 26, 2026. 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 September 26, 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.
23
| MEDLINE INC. | ||
NOTE 9 - COMMITMENTS AND CONTINGENCIES (Continued)
As of September 26, 2026, CBP had accepted approximately $402 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 September 26, 2026, of the accepted claims, the Company had received approximately $399 million in refunds. Accordingly, the Company recorded a receivable of approximately $3 million within Other current assets related to the remaining accepted refund claims as of September 26, 2026. 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 September 26, 2026, the Company recorded approximately $78 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 nine months ended September 26, 2026, the Company recognized approximately $70 million and $402 million, respectively, as a reduction of Cost of goods sold related to tariff refunds received or accepted and approximately $4 million and $18 million, respectively, of interest income in Interest expense, net. During the three and nine months ended September 26, 2026, the Company recognized an $11 million increase and $78 million reduction, respectively, in Net sales related to customer repayments associated with tariff refunds. The increase recognized during the three-month period reflected a reduction in estimated customer repayments. 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.
Tracy, California Distribution Center
On June 11, 2026, a fire destroyed the Company's distribution center in Tracy, California. As of September 26, 2026, the Company has received and recognized $100 million of insurance recoveries related to the fire. The Company may incur additional losses and costs in future periods associated with the fire and its related impacts. The Company is working closely with its insurance carriers as it finalizes and submits appliable claims. While the Company expects to recover these amounts, the ultimate amount and timing of additional recoveries is not guaranteed and will be determined as the claims process progresses. 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 $43 million, $58 million, $137 million and $151 million for the three and nine months ended September 26, 2026, and September 27, 2025, respectively.
24
| MEDLINE INC. | ||
NOTE 9 - COMMITMENTS AND CONTINGENCIES (Continued)
As of September 26, 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 | $ | ||||
| 2027 | |||||
| 2028 | |||||
| 2029 | |||||
| 2030 | |||||
| Thereafter | |||||
| $ | |||||
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.
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 September 26, 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.
25
| MEDLINE INC. | ||
NOTE 10 - FAIR VALUE MEASUREMENTS (Continued)
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 September 26, 2026 the aggregate fair value of these deposits was $1,287 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:
| September 26, 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) | $ | $ | $ | $ | |||||||||||||||||||
| Interest rate contracts (hedge) | |||||||||||||||||||||||
| Total assets at fair value | |||||||||||||||||||||||
| Financial liabilities | |||||||||||||||||||||||
| Contingent consideration liability | ( | ( | |||||||||||||||||||||
| Total liabilities at fair value | $ | $ | $ | ( | $ | ( | |||||||||||||||||
| 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) | $ | $ | $ | $ | |||||||||||||||||||
| Total assets at fair value | |||||||||||||||||||||||
| Financial liabilities | |||||||||||||||||||||||
| Contingent consideration liability | ( | ( | |||||||||||||||||||||
| Total liabilities at fair value | $ | $ | $ | ( | $ | ( | |||||||||||||||||
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.
26
| MEDLINE INC. | ||
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 is 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 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. Interest rate swaps 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 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 nine months ended September 26, 2026 and September 27, 2025, certain such interest rate 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 $13 million will be reclassified as a decrease to interest expense within one year after September 26, 2026.
The notional amounts of outstanding interest rate derivatives are summarized as follows:
| September 26, 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 | $ | December 2026 | $ | December 2026 | ||||||||||||||||||||||||
| Interest rate caps | USD | December 2026 | December 2026 | ||||||||||||||||||||||||||
| Undesignated derivative instruments: | |||||||||||||||||||||||||||||
| Interest rate cap | USD | December 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
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.
27
| MEDLINE INC. | ||
NOTE 11 - DERIVATIVES AND HEDGING ACTIVITIES RISK MANAGEMENT (Continued)
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 | Nine months ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
(in millions) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Gain (loss) recognized in AOCI | Included in effectiveness testing | Interest rate swaps | $ | $ | $ | $ | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Interest rate caps | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Excluded from effectiveness testing | Interest rate caps | ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ( | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Gain (loss) reclassified from AOCI into earnings | Included in effectiveness testing | Interest rate swaps | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Interest rate caps | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Excluded from effectiveness testing | Interest rate caps | ( | ( | ( | ( | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Total change in AOCI | $ | ( | $ | ( | $ | ( | $ | ( | ||||||||||||||||||||||||||||||||||||||||||||||||
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 nine months ended September 26, 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.
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 | September 26, 2026 | December 31, 2025 | |||||||||||||||||
| Interest rate swaps | Other current assets | $ | $ | |||||||||||||||||
| Interest rate caps | Other current assets | |||||||||||||||||||
| Total designated cash flow hedges | $ | $ | ||||||||||||||||||
The fair value of the undesignated derivatives was immaterial and was recorded in Other current assets as of September 26, 2026. There were no undesignated derivatives as of December 31, 2025.
28
| MEDLINE INC. | ||
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 Company 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 were allocated in a manner similar to the foregoing distributions pursuant to the GP LLC Agreement.
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 in 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.
29
| MEDLINE INC. | ||
NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)
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 in the unaudited Condensed Consolidated Balance Sheets. During the fourth quarter of 2024, management determined that the redemption was no longer probable and, therefore, no
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.
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 are accounted for as permanent equity in 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, reduce the amount recorded as Noncontrolling interests, and increase Additional paid-in capital in the Company’s unaudited Condensed Consolidated Balance Sheets.
30
| MEDLINE INC. | ||
NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)
Accumulated other comprehensive income
The following tables present the changes in AOCI, net of tax:
| Three Months Ended September 26, 2026 | |||||||||||||||||||||||
| (in millions) | Unrealized Gain (Loss) on Derivative Instruments | Currency Translation Adjustments | Retirement Plans | Accumulated Other Comprehensive (Loss) Income | |||||||||||||||||||
| Balance, June 27, 2026 | $ | $ | ( | $ | ( | $ | ( | ||||||||||||||||
| Other comprehensive income before reclassifications | |||||||||||||||||||||||
| Amount reclassified to earnings | ( | ( | |||||||||||||||||||||
| Net other comprehensive (loss) income | ( | ||||||||||||||||||||||
| Less: Other comprehensive (loss) income attributable to noncontrolling interests | ( | ||||||||||||||||||||||
| Balance, September 26, 2026 | $ | $ | ( | $ | ( | $ | ( | ||||||||||||||||
| Three Months Ended September 27, 2025 | |||||||||||||||||||||||
| (in millions) | Unrealized Gain (Loss) on Derivative Instruments | Currency Translation Adjustments | Retirement Plans | Accumulated Other Comprehensive Income (Loss) | |||||||||||||||||||
| Balance, June 28, 2025 | $ | $ | ( | $ | $ | ||||||||||||||||||
| Other comprehensive income before reclassifications | |||||||||||||||||||||||
| Amount reclassified to earnings | ( | ( | |||||||||||||||||||||
| Net other comprehensive (loss) income | ( | ( | |||||||||||||||||||||
| Balance, September 27, 2025 | $ | $ | ( | $ | $ | ||||||||||||||||||
| Nine Months Ended September 26, 2026 | ||||||||||||||||||||||||||
| (in millions) | Unrealized Gain (Loss) on Derivative Instruments | Currency Translation Adjustments | Retirement Plans | Accumulated Other Comprehensive Income (Loss) | ||||||||||||||||||||||
| Balance, January 1, 2026 | $ | $ | $ | ( | $ | |||||||||||||||||||||
| Other comprehensive income (loss) before reclassifications | ( | ( | ||||||||||||||||||||||||
| Amount reclassified to earnings | ( | ( | ||||||||||||||||||||||||
| Net other comprehensive loss | ( | ( | ( | |||||||||||||||||||||||
| Less: Other comprehensive loss attributable to noncontrolling interests | ( | ( | ( | |||||||||||||||||||||||
| Balance, September 26, 2026 | $ | $ | ( | $ | ( | $ | ( | |||||||||||||||||||
31
| MEDLINE INC. | ||
NOTE 12 - STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)
| Nine Months Ended September 27, 2025 | |||||||||||||||||||||||
| (in millions) | Unrealized Gain (Loss) on Derivative Instruments | Currency Translation Adjustments | Retirement Plans | Accumulated Other Comprehensive Income (Loss) | |||||||||||||||||||
| Balance, January 1, 2025 | $ | $ | ( | $ | $ | ||||||||||||||||||
| Other comprehensive (loss) income before reclassifications | ( | ||||||||||||||||||||||
| Amount reclassified to earnings | ( | ( | |||||||||||||||||||||
| Net other comprehensive (loss) income | ( | ||||||||||||||||||||||
| Balance, September 27, 2025 | $ | $ | ( | $ | $ | ||||||||||||||||||
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 nine months ended September 26, 2026 and September 27, 2025:
| (in millions) | Three Months Ended | Nine months ended | |||||||||||||||||||||
| Classification | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||
| Equity-classified awards | $ | $ | $ | $ | |||||||||||||||||||
| Liability-classified awards | |||||||||||||||||||||||
| Total | $ | $ | $ | $ | |||||||||||||||||||
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 were 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 anniversaries of the grant date. Total fair value of Class B units vested was $3 million and $16 million during the three and nine months ended September 27, 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 $5 million and $16 million for the three and nine months ended September 26, 2026, respectively. As of September 26, 2026, there was $17 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 1.2 years. The following table summarizes the Incentive Units activity and related information for the nine months ended September 26, 2026:
| Incentive Units | Wtd. Avg. Grant Date Fair Value | ||||||||||
| Unvested as of December 31, 2025 | $ | ||||||||||
| Granted | |||||||||||
| Vested | ( | ||||||||||
| Forfeited | ( | ||||||||||
| Unvested as of September 26, 2026 | $ | ||||||||||
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.
In August 2026, there were multiple exchanges by Continuing Unitholders and pre-IPO holders: (i) 643,673 Incentive Units in Medline Holdings for 348,162 shares of Class B common stock and an equal number of Common Units in Medline Holdings; (ii) an aggregate of 1,040,057 shares of Class B common stock and an equal number of Common Units in Medline Holdings for 1,040,057 shares of Class A common stock. No proceeds were received from these exchanges by the Company.
33
| MEDLINE INC. | ||
NOTE 13 - STOCK-BASED COMPENSATION (Continued)
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.
RSAs
Total fair value of RSAs vested for the three months ended September 26, 2026 was no t material and was $12 million for the nine months ended September 26, 2026. As of September 26, 2026, there was $7 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 1.2 years. The following table summarizes the RSAs activity and related information for the nine months ended September 26, 2026:
| RSAs | Wtd. Avg. Grant Date Fair Value | ||||||||||
| Unvested as of December 31, 2025 | $ | ||||||||||
| Granted | |||||||||||
| Vested | ( | ||||||||||
| Forfeited | ( | ||||||||||
| Unvested as of September 26, 2026 | $ | ||||||||||
RSUs and Performance Stock Units
During the three and nine months ended September 26, 2026, the Company granted RSUs to certain employees and members of the Board of Directors. Performance Stock Units (“PSUs”) were granted to certain employees during the nine months ended September 26, 2026. 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 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.
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| MEDLINE INC. | ||
NOTE 13 - STOCK-BASED COMPENSATION (Continued)
Total fair value of RSUs vested for the three months ended September 26, 2026 was no t material and was $15 million for the nine months ended September 26, 2026. As of September 26, 2026, there was $59 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 $36 million of unrecognized compensation cost related to unvested PSUs, which is expected to be recognized over a weighted-average period of 1.2 years. The following table summarizes the RSUs and PSUs activity and related information for the nine months ended September 26, 2026:
| RSUs | Wtd. Avg. Grant Date Fair Value | PSUs | Wtd. Avg. Grant Date Fair Value | ||||||||||||||||||||
| Unvested as of December 31, 2025 | $ | ||||||||||||||||||||||
| Granted | $ | ||||||||||||||||||||||
| Vested | ( | ||||||||||||||||||||||
| Forfeited | ( | ( | |||||||||||||||||||||
| Unvested as of September 26, 2026 | $ | $ | |||||||||||||||||||||
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 $2 12 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 nine months ended September 26, 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 | $ | $ | |||||||||||||||||||||||||||
| Granted | |||||||||||||||||||||||||||||
| Exercised | ( | ||||||||||||||||||||||||||||
| Forfeited | ( | ||||||||||||||||||||||||||||
| Outstanding as of September 26, 2026 | $ | $ | $ | ||||||||||||||||||||||||||
| Exercisable as of September 26, 2026 | $ | $ | $ | ||||||||||||||||||||||||||
| Expected to vest as of September 26, 2026 | $ | $ | $ | ||||||||||||||||||||||||||
The aggregate intrinsic value in the table above represents the cumulative difference between the closing price of Class A common stock on September 25, 2026 and the option exercise price.
Liability-classified awards
Liability-classified awards are presented in Other long-term liabilities in 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 nine months ended September 26, 2026 and September 27, 2025, the Company reclassified liabilities of $11 million and $10 million, respectively, to equity.
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| MEDLINE INC. | ||
NOTE 13 - STOCK-BASED COMPENSATION (Continued)
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 were dependent on the performance targets achieved and Medline Holdings’ equity value, and would 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 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 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 nine months ended September 27, 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 were 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 anniversaries from the official grant date. As of September 26, 2026, the Company has no liability-classified awards.
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 and 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 have 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.
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| MEDLINE INC. | ||
NOTE 14 - EARNINGS PER SHARE (Continued)
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 | Nine months ended | |||||||||
| September 26, 2026 | September 26, 2026 | ||||||||||
| Basic earnings per share: | |||||||||||
| Numerator | |||||||||||
| Net income | $ | $ | |||||||||
| Less: Net income attributable to noncontrolling interests | |||||||||||
| Net income attributable to Medline Inc. | |||||||||||
| Reallocation of net income attributed to vested incentive units | |||||||||||
| Numerator for earnings per share | |||||||||||
| Denominator | |||||||||||
| Weighted-average number of Class A common stock outstanding | |||||||||||
| Basic earnings per share | $ | $ | |||||||||
| Diluted earnings per share: | |||||||||||
| Numerator | |||||||||||
| Numerator for earnings per share (Basic) | $ | $ | |||||||||
| Effect of dilutive stock compensation awards | ( | ( | |||||||||
| Effect of conversion of Class B common stock to Class A common stock | |||||||||||
| Numerator for earnings per share (Diluted) | |||||||||||
| Denominator | |||||||||||
| Weighted-average number of Class A common stock outstanding (Basic) | |||||||||||
| Weighted-average effect of dilutive securities: | |||||||||||
| Effect of dilutive stock compensation awards | |||||||||||
| Effect of conversion of Class B common stock to Class A common stock | |||||||||||
| Weighted-average number of Class A common stock outstanding (Diluted) | |||||||||||
| Diluted earnings per share | $ | $ | |||||||||
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 | Nine months ended | ||||||||||
| September 26, 2026 | September 26, 2026 | ||||||||||
| PSUs | |||||||||||
| RSUs | |||||||||||
| Total anti-dilutive securities | |||||||||||
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| MEDLINE INC. | ||
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) | September 26, 2026 | December 31, 2025 | |||||||||
Current portion of long-term borrowings and other short-term borrowing | $ | $ | |||||||||
Long-term borrowings, less current portion | |||||||||||
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. See Note 7—Tax Receivable Agreement for additional information. 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 nine months ended September 26, 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.
There have been no other significant transactions with related parties during the periods presented.
NOTE 16 - SEGMENT INFORMATION
The Company discloses information regarding reportable segments based on the way management organizes the business for assessing performance, 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.
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| MEDLINE INC. | ||
NOTE 16 - SEGMENT INFORMATION (Continued)
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.
39
| MEDLINE INC. | ||
NOTE 16 - SEGMENT INFORMATION (Continued)
The following tables present financial information by segment:
| Three months ended | Nine months ended | ||||||||||||||||||||||
| (in millions) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||
| Net sales to external customers: | |||||||||||||||||||||||
| Front Line Care | $ | $ | $ | $ | |||||||||||||||||||
| Surgical Solutions | |||||||||||||||||||||||
| Laboratory and Diagnostics | |||||||||||||||||||||||
| Medline Brand | |||||||||||||||||||||||
| Supply Chain Solutions | |||||||||||||||||||||||
| Consolidated net sales to external customers | $ | $ | $ | $ | |||||||||||||||||||
| Segment Adjusted EBITDA: | |||||||||||||||||||||||
| Medline Brand | $ | $ | $ | $ | |||||||||||||||||||
| Supply Chain Solutions | |||||||||||||||||||||||
| Total segment adjusted EBITDA | |||||||||||||||||||||||
| Corporate & Other | ( | ( | ( | ( | |||||||||||||||||||
| Interest expense, net | ( | ( | ( | ( | |||||||||||||||||||
| Depreciation and amortization | ( | ( | ( | ( | |||||||||||||||||||
| Inventory-related adjustments | ( | ( | ( | ( | |||||||||||||||||||
| Stock-based compensation expense | ( | ( | ( | ( | |||||||||||||||||||
| Litigation gains, net | |||||||||||||||||||||||
Transaction-related costs (1) | ( | ( | ( | ( | |||||||||||||||||||
Other non-core charges, net (2) | ( | ( | ( | ( | |||||||||||||||||||
| Income before income taxes | $ | $ | $ | $ | |||||||||||||||||||
(1) Represents acquisition and integration-related costs and IPO and subsequent offerings related costs.
(2)Represents costs related to specified transformation and implementation projects, loss on debt extinguishment and other debt refinancing costs and fees related to specified financing transactions, and other items. The impact of a fire at the distribution center in Tracy, costs attributable to specified remediation activities undertaken in response to FDA observations and warning letters, and recall and discontinuation costs related to Medline Brand beds are included in the 2026 periods. Foreign exchange losses directly attributable to the remeasurement of euro-denominated term loans is included in the 2025 periods.
The following tables present information by sales office and geographic area:
| Three months ended | Nine months ended | ||||||||||||||||||||||||||||||||||
(in millions) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||||||||||||||
| Net sales to external customers: | |||||||||||||||||||||||||||||||||||
Acute care (1) | $ | $ | $ | $ | |||||||||||||||||||||||||||||||
Non-Acute care (2) | |||||||||||||||||||||||||||||||||||
| United States | |||||||||||||||||||||||||||||||||||
| International | |||||||||||||||||||||||||||||||||||
| Consolidated net sales to external customers | $ | $ | $ | $ | |||||||||||||||||||||||||||||||
(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.
40
| MEDLINE INC. | ||
NOTE 16 - SEGMENT INFORMATION (Continued)
| (in millions) | September 26, 2026 | December 31, 2025 | |||||||||
Long-lived assets by geographical area (1): | |||||||||||
| United States | $ | $ | |||||||||
| International | |||||||||||
| Consolidated long-lived assets, net | $ | $ | |||||||||
NOTE 17 - SUBSEQUENT EVENTS
Midlothian Lease
During the fourth quarter of 2025, the Company entered into a lease agreement for a warehouse facility in Midlothian, Texas to support distribution operations. The lease commenced in October 2026 upon gaining access, with an annual base rent of approximately $9 million. As a result of this lease, the Company recorded right-of-use assets and lease liabilities of approximately $81
Share Repurchase Program
In October 2026, the Company’s Board of Directors authorized a share repurchase program under which the Company may repurchase up to $1 billion of its outstanding Class A common stock and/or units of Medline Holdings (the “Share Repurchase Program”). Under the Share Repurchase Program, the Company is authorized to repurchase shares of Class A common stock and/or units of Medline Holdings through open market transactions (including pursuant to a plan intended to comply with the requirements of Rule 10b5-1 and/or Rule 10b-18 promulgated under the Exchange Act), block trades, tender offers, accelerated share repurchase programs, privately negotiated transactions or otherwise, or any combination of the foregoing in accordance with applicable securities laws and other restrictions. The Share Repurchase Program does not have an expiration date, does not obligate the Company to acquire any particular amount of Class A common stock and/or units of Medline Holdings, and may be suspended or terminated at any time at the Company's discretion.
Prepayment of Long-Term Borrowings
In October 2026, the Company’s Board of Directors approved the prepayment of $750 million in aggregate principal amount of the 2033 Refinancing Term Loan Facility using cash on hand. Accordingly, this prepayment, together with the payment of accrued interest, was made on October 22, 2026. In connection with the prepayment, the Company recognized a loss on extinguishment of debt of approximately $21 million in the fourth quarter of 2026.
Product Discontinuation and Recall
In October 2026, the Company communicated to customers a voluntary field action related to a discontinuation and market exit of Medline Brand beds, including homecare beds, bariatric beds, and long-term-care beds, and associated rails, mattresses, and accessories. These communications established the Company’s commitment to provide customers with repair, replacement or refund for applicable products. The Company currently estimates the related costs to be approximately $50 million to $200 million, which are expected to be incurred in the fourth quarter of 2026 and 2027 and to be excluded from Adjusted EBITDA. The estimated range reflects uncertainty regarding future customer participation, and actual costs and customer credits may differ materially.
The Company has evaluated its unaudited condensed consolidated financial statements for subsequent events through November 4, 2026. Based upon this evaluation, the Company did not identify any other subsequent events that would require adjustment or disclosure in the financial statements.
41
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 Supplementary Data” and 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 September 26, 2026, our financial results were as follows:
•We generated net sales of $7.9 billion, net income of $0.3 billion, and Adjusted EBITDA of $1.0 billion, representing a net income margin of 4.0% and an Adjusted EBITDA Margin of 12.2%.
•During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $3.6 billion and $1.0 billion, respectively, which represented 46.3% of total net sales and 83.7% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $4.2 billion and $0.2 billion, respectively, which represented 53.7% of total net sales and 16.3% of Segment Adjusted EBITDA, respectively.
For the nine months ended September 26, 2026, our financial results were as follows:
•We generated net sales of $22.9 billion, net income of $0.7 billion, and Adjusted EBITDA of $2.8 billion, representing a net income margin of 3.0% and an Adjusted EBITDA Margin of 12.2%.
•During that period, Medline Brand segment net sales and Segment Adjusted EBITDA were $10.6 billion and $2.8 billion, respectively, which represented 46.5% of total net sales and 82.8% of Segment Adjusted EBITDA, respectively. Supply Chain Solutions segment net sales and Segment Adjusted EBITDA were $12.2 billion and $0.6 billion, respectively, which represented 53.5% of total net sales and 17.2% 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 nine months ended September 26, 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 nine months ended September 26, 2026, the net impact to income before taxes from tariffs and tariff developments was approximately $47 million and $277 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 September 26, 2026, CBP had accepted approximately $402 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 September 26, 2026, of the accepted claims, we had received approximately $399 million in refunds. Accordingly, we recorded a receivable of approximately $3 million within Other current assets related to the remaining accepted refund claims as of September 26, 2026. 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 September 26, 2026, we recorded approximately $78 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 nine months ended September 26, 2026, we recognized approximately $70 million and $402 million as a reduction of Cost of goods sold related to tariff refunds received or accepted and approximately $4 million and $18 million of interest income in Interest expense, net, respectively. During the nine months ended September 26, 2026, we recognized approximately $78 million as a reduction of Net sales related to accrued customer repayments associated with tariff refunds. During the three months ended September 26, 2026, we recognized a $11 million increase to Net Sales, reflecting a reduction in estimated customer repayments associated with tariff refunds. 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.
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Tracy, California Distribution Center
On June 11, 2026, a fire destroyed our distribution center in Tracy, California. All employees were safely evacuated. For the three and nine months ended September 26, 2026, we have estimated incurred losses of $80 million and $416 million, which consist of $1 million and $205 million related to inventory losses, $8 million and $124 million related to fixed asset losses, and $71 million and $87 million related to other expenses, respectively. In the third quarter of 2026, we have received and recognized $100 million of insurance recoveries related to the fire. The losses, net of the insurance recoveries, were recorded in Other operating expenses. We are working closely with our insurance carriers as we finalize and submit appliable claims. While we expect to recover these amounts, the ultimate amount and timing of additional recoveries is not guaranteed and will be determined as the claims process progresses. 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 maintain 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. 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 and Quality Matters
As of September 26, 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 we have received. We have committed to taking additional remediation actions and have taken certain actions and made investments in Medline’s Quality organization, including changes to the organizational and operating model and corresponding workforce reductions during the period ended September 26, 2026, and expect increased costs for the remainder of fiscal year 2026.
Additionally, on September 16, 2026, we initiated a discontinuation and market exit of Medline Brand beds, including homecare beds, bariatric beds, and long-term care beds, and associated rails, mattresses, and accessories. On October 14, 2026, we communicated to customers a related voluntary field action advising customers that certain Medline Brand beds and associated products may be eligible for full or partial refund. On October 24, 2026, in consultation with the FDA, we issued an updated customer notification advising customers that certain Medline Brand beds and associated products may also be eligible for repair or replacement. Net sales of the affected products for the twelve months ended September 26, 2026, were approximately $50 million. In connection with the voluntary field action, we will provide customers with a replacement or credits for recalled products and facilitating repair for certain other impacted customers. For the three months ended September 26, 2026, we also recorded $13 million of inventory write-downs related to the market exit of the Medline Brand beds after initial communication to the FDA of plans to exit in September. We currently estimate the incremental related costs, including inventory write-downs, to be approximately $60 million to $210 million, which are expected to be incurred in the fourth quarter of 2026 and 2027 and to be excluded from Adjusted EBITDA. The estimated range reflects uncertainty regarding future customer participation, and actual costs and customer credits may differ materially.
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, including the receipt of additional warning letters, our business, results of operations, and/or financial condition could be materially adversely affected.
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Restructuring Plan
In October 2026, management approved a restructuring plan intended to further align its organizational structure and cost base with its long-term strategic and operational objectives. Implementation of these initiatives is expected to occur over multiple reporting periods and may result in additional restructuring and related charges. We expect to incur approximately $20 million to $30 million in restructuring costs to be accrued in the fourth quarter of 2026 and excluded from Adjusted EBITDA. We expect the restructuring actions to generate approximately $80 million to $90 million of annualized run-rate cost savings upon full implementation.
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. 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.
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 March 2026 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. 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 year 2025 and the first nine months of fiscal year 2026, 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.
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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 into a tax receivable agreement (“TRA”) with certain 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 nine months ended September 26, 2026 compared to the three and nine months ended September 27, 2025
| Three months ended | Nine months ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| September 26, 2026 | September 27, 2025 | 2026 vs 2025 | September 26, 2026 | September 27, 2025 | 2026 vs 2025 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| $ Change | % Change | $ Change | % Change | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| (in millions, except percentages) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net sales | $ | 7,856 | $ | 7,115 | $ | 741 | 10.4% | $ | 22,893 | $ | 20,645 | $ | 2,248 | 10.9% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Cost of goods sold | 5,931 | 5,240 | 691 | 13.2% | 16,912 | 15,041 | 1,871 | 12.4% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Gross profit | 1,925 | 1,875 | 50 | 2.7% | 5,981 | 5,604 | 377 | 6.7% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Operating expense | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Selling, general, and administrative expenses | 1,259 | 1,116 | 143 | 12.8% | 3,782 | 3,259 | 523 | 16.0% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Amortization of intangible assets | 176 | 177 | (1) | (0.6)% | 529 | 528 | 1 | 0.2% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other operating (income) expenses, net | (10) | 8 | (18) | NM⁽¹⁾ | 353 | 30 | 323 | NM⁽¹⁾ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total operating expense | 1,425 | 1,301 | 124 | 9.5% | 4,664 | 3,817 | 847 | 22.2% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Operating income | 500 | 574 | (74) | (12.9)% | 1,317 | 1,787 | (470) | (26.3)% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other expense | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Interest expense, net | (118) | (213) | 95 | (44.6)% | (373) | (646) | 273 | (42.3)% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other loss, net | (1) | (6) | 5 | (83.3)% | (42) | (6) | (36) | NM⁽¹⁾ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Foreign exchange gain (loss), net | 5 | (10) | 15 | NM⁽¹⁾ | 10 | (93) | 103 | NM⁽¹⁾ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total other expense | (114) | (229) | 115 | (50.2)% | (405) | (745) | 340 | (45.6)% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Income before income taxes | 386 | 345 | 41 | 11.9% | 912 | 1,042 | (130) | (12.5)% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Provision for income taxes | 68 | 23 | 45 | NM⁽¹⁾ | 216 | 65 | 151 | NM⁽¹⁾ | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Net income | $ | 318 | $ | 322 | $ | (4) | (1.2)% | $ | 696 | $ | 977 | $ | (281) | (28.8)% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
(1) Not Meaningful
Results of Operations for the three months ended September 26, 2026 compared to the three months ended September 27, 2025
Net Sales
Net sales for the three months ended September 26, 2026 increased $741 million, or 10.4%, to $7,856 million, compared to $7,115 million for the respective period in 2025, primarily driven by increased volumes in organic net sales. Foreign currency exchange rate impact was immaterial.
Net sales for the U.S. business for the three months ended September 26, 2026 increased $702 million, or 10.6%, to $7,338 million, compared to $6,636 million for the respective period in 2025, primarily due to volume growth in Prime Vendor net sales, which for the three months ended September 26, 2026 increased $844 million, or 19.0%, to $5,285 million, compared to $4,441 million for the respective period in 2025.
Net sales for the U.S. acute care business, which includes both Prime Vendor and non-Prime Vendor customers, increased $591 million, or 12.1%, to $5,471 million, compared to $4,880 million for the respective period in 2025, primarily driven by volume growth. Net sales for the U.S. non-acute care business increased $111 million, or 6.3%, to $1,867 million, compared to $1,756 million for the respective period in 2025, primarily driven by volume growth.
Net sales for the International business for the three months ended September 26, 2026 increased $39 million, or 8.1%, to $518 million, compared to $479 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 September 26, 2026 increased $691 million, or 13.2%, to $5,931 million, compared to $5,240 million for the respective period in 2025, primarily driven by the growth in net sales and increased inventory costs associated with inflation, partially offset by tariff refunds. Gross profit as a percentage of sales decreased from 26.4% for the three months ended September 27, 2025 to 24.5% for the three months ended September 26, 2026, primarily due to increased inventory costs associated with inflation and customer mix from Prime Vendors at lower margins within Supply Chain Solutions, partially offset by net tariff refunds.
Selling, General, and Administrative Expenses
Selling, General, and Administrative (“SG&A”) expenses for the three months ended September 26, 2026 increased $143 million, or 12.8%, to $1,259 million, compared to $1,116 million for the respective period in 2025, primarily due to $92 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 $31 million related to higher distribution expense, including outbound freight.
Other Operating (Income) Expenses, net
Other Operating (Income) Expenses, net improved by $18 million to an income of $10 million for the three months ended September 26, 2026, compared to an expense of $8 million for the respective period in 2025, primarily driven by insurance recoveries from the fire at the distribution center in Tracy, California, partially offset by the incremental fire-related costs.
Interest Expense, net
Interest expense, net for the three months ended September 26, 2026 decreased $95 million, or 44.6%, to $118 million, compared to $213 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and higher interest income.
Interest expense, net for the three months ended September 26, 2026 decreased $95 million, or 44.6%, to $118 million, compared to $213 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and higher interest income.
Provision for Income Taxes
Provision for income taxes for the three months ended September 26, 2026 increased $45 million to $68 million, compared to $23 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.
Results of Operations for the nine months ended September 26, 2026 compared to the nine months ended September 27, 2025
Net Sales
Net sales for the nine months ended September 26, 2026 increased $2,248 million, or 10.9%, to $22,893 million, compared to $20,645 million for the respective period in 2025, primarily driven by increased volumes in organic net sales. Foreign currency exchange rate impact was immaterial.
Net sales for the U.S. business for the nine months ended September 26, 2026 increased $2,118 million, or 11.0%, to $21,347 million, compared to $19,229 million for the respective period in 2025, primarily due to volume growth in Prime Vendor net sales, which for the nine months ended September 26, 2026 increased $2,305 million, or 17.6%, to $15,424 million, compared to $13,119 million for the respective period in 2025. The growth was partially offset by $78 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 $1,835 million, or 13.0%, to $16,003 million, compared to $14,168 million for the respective period in 2025, primarily driven by volume growth, partially offset by $44 million customer repayments associated with tariff refunds. Net sales for the U.S. non-acute care business increased $283 million, or 5.6%, to $5,344 million, compared to $5,061 million for the respective period in 2025, primarily driven by volume growth, partially offset by $34 million customer repayments associated with tariff refunds.
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Net sales for the International business for the nine months ended September 26, 2026 increased $130 million, or 9.2%, to $1,546 million, compared to $1,416 million for the respective period in 2025, primarily driven by volume growth and favorable foreign currency exchange rates.
Cost of Goods Sold and Gross Profit
Cost of goods sold for the nine months ended September 26, 2026 increased $1,871 million, or 12.4%, to $16,912 million, compared to $15,041 million for the respective period in 2025, primarily driven by the growth in net sales, higher import costs due to tariffs, and increased inventory costs associated with inflation, partially offset by tariff refunds. Gross profit as a percentage of sales decreased from 27.1% for the nine months ended September 27, 2025 to 26.1% for the nine months ended September 26, 2026, primarily driven by higher import costs due to tariffs, customer mix from Prime Vendors at lower margins within Supply Chain Solutions, a shift in segment mix toward Supply Chain Solutions, and increased inventory costs associated with inflation, partially offset by net tariff refunds.
Selling, General, and Administrative Expenses
SG&A expenses for the nine months ended September 26, 2026 increased $523 million, or 16.0%, to $3,782 million, compared to $3,259 million for the respective period in 2025, primarily due to $340 million of higher compensation and benefit expenses related to investments in headcount, inclusive of $48 million of one-time employee bonuses related to the IPO, which are subject to an ongoing service requirement, and $82 million related to higher distribution expense, including outbound freight. The 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, net
Other Operating Expenses, net for the nine months ended September 26, 2026 increased $323 million to $353 million, compared to $30 million for the respective period in 2025, primarily driven by the impact due to fire at the distribution center in Tracy, California, partially offset by the related insurance recoveries.
Interest Expense, net
Interest expense, net for the nine months ended September 26, 2026 decreased $273 million, or 42.3%, to $373 million, compared to $646 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and higher interest income.
Interest expense, net for the nine months ended September 26, 2026 decreased $273 million, or 42.3%, to $373 million, compared to $646 million for the respective period in 2025, primarily driven by 2025 repayment of term loan facilities with IPO proceeds and higher interest income.
Other Loss, net
Other loss, net for the nine months ended September 26, 2026 increased $36 million to $42 million compared to $6 million for 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 improved by $103 million to a gain of $10 million for the nine months ended September 26, 2026, compared to a loss of $93 million for the respective period in 2025, primarily due to unfavorable foreign exchange rate movement on certain settled borrowings denominated in Euro in 2025.
Provision for Income Taxes
Provision for income taxes for the nine months ended September 26, 2026 increased $151 million to $216 million, compared to $65 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.
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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 nine months ended September 26, 2026 and September 27, 2025:
| Three months ended | Nine months ended | ||||||||||||||||||||||||||||||||||||||||||||||
| September 26, 2026 | September 27, 2025 | 2026 vs 2025 | September 26, 2026 | September 27, 2025 | 2026 vs 2025 | ||||||||||||||||||||||||||||||||||||||||||
| $ change | % change | $ change | % change | ||||||||||||||||||||||||||||||||||||||||||||
| (in millions, except percentages) | |||||||||||||||||||||||||||||||||||||||||||||||
| Medline Brand | |||||||||||||||||||||||||||||||||||||||||||||||
| Net sales | $ | 3,637 | $ | 3,411 | $ | 226 | 6.6% | $ | 10,642 | $ | 9,997 | $ | 645 | 6.5% | |||||||||||||||||||||||||||||||||
| Segment Adjusted EBITDA | 943 | 821 | 122 | 14.9% | 2,775 | 2,541 | 234 | 9.2% | |||||||||||||||||||||||||||||||||||||||
Segment Adjusted EBITDA margin(1) | 25.9 | % | 24.1 | % | 26.1 | % | 25.4 | % | |||||||||||||||||||||||||||||||||||||||
| Supply Chain Solutions | |||||||||||||||||||||||||||||||||||||||||||||||
| Net sales | 4,219 | 3,704 | 515 | 13.9% | 12,251 | 10,648 | 1,603 | 15.1% | |||||||||||||||||||||||||||||||||||||||
| Segment Adjusted EBITDA | 184 | 205 | (21) | (10.2)% | 575 | 588 | (13) | (2.2)% | |||||||||||||||||||||||||||||||||||||||
Segment Adjusted EBITDA margin(1) | 4.4 | % | 5.5 | % | 4.7 | % | 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 September 26, 2026 compared to the three months ended September 27, 2025
Medline Brand
Medline Brand segment net sales for the three months ended September 26, 2026 increased $226 million, or 6.6%, to $3,637 million, compared to $3,411 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 September 26, 2026, which increased $271 million, or 18.7%, to $1,719 million, compared to $1,448 million for the respective period in 2025.
Surgical Solutions net sales for the three months ended September 26, 2026 increased $121 million, or 7.9%, to $1,659 million, compared to $1,538 million for the respective period in 2025, primarily driven by volume growth in kitting and operating room products. Front Line Care net sales for the three months ended September 26, 2026 increased $72 million, or 4.4%, to $1,706 million, compared to $1,634 million for the respective period in 2025, primarily driven by volume growth, including exam gloves and personal care products. Laboratory and Diagnostics net sales for the three months ended September 26, 2026 increased $33 million, or 13.8%, to $272 million, compared to $239 million for the respective period in 2025, primarily driven by volume growth in laboratory products.
Medline Brand Segment Adjusted EBITDA for the three months ended September 26, 2026 increased $122 million, or 14.9%, to $943 million, compared to $821 million for the respective period in 2025, primarily driven by growth in net sales and tariff refunds, partially offset by higher distribution expense and higher compensation and benefit expense related to investments in headcount. Medline Brand Segment Adjusted EBITDA margin increased to 25.9% from 24.1%, primarily driven by tariff refunds.
Supply Chain Solutions
Supply Chain Solutions segment net sales for the three months ended September 26, 2026 increased $515 million, or 13.9%, to $4,219 million, compared to $3,704 million for the respective period in 2025. The increase was primarily driven by volume growth in Prime Vendor sales for the three months ended September 26, 2026, which increased $573 million, or 19.1%, to $3,566 million, compared to $2,993 million for the respective period in 2025, including implementation of new relationships and growth with existing customers.
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Supply Chain Solutions Segment Adjusted EBITDA for the three months ended September 26, 2026 decreased $21 million, or 10.2%, to $184 million, compared to $205 million for the respective period in 2025. Supply Chain Solutions Segment Adjusted EBITDA margin decreased to 4.4% from 5.5%, primarily due to customer mix from Prime Vendors at lower margins and higher operating expenses, partially offset by increased vendor funding.
Business Segment Results of Operations for the nine months ended September 26, 2026 compared to the nine months ended September 27, 2025
Medline Brand
Medline Brand segment net sales for the nine months ended September 26, 2026 increased $645 million, or 6.5%, to $10,642 million, compared to $9,997 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 nine months ended September 26, 2026, which increased $654 million, or 14.9%, to $5,031 million, compared to $4,377 million for the respective period in 2025, partially offset by customer repayments associated with tariff refunds.
Surgical Solutions net sales for the nine months ended September 26, 2026 increased $359 million, or 8.0%, to $4,853 million, compared to $4,494 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 nine months ended September 26, 2026 increased $224 million, or 4.7%, to $4,976 million, compared to $4,752 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 nine months ended September 26, 2026 increased $62 million, or 8.3%, to $813 million, compared to $751 million for the respective period in 2025, primarily driven by volume growth in laboratory products.
Medline Brand Segment Adjusted EBITDA for the nine months ended September 26, 2026 increased $234 million, or 9.2%, to $2,775 million, compared to $2,541 million for the respective period in 2025, primarily driven by growth in net sales and tariff refunds, partially offset by higher import costs due to tariffs, higher distribution expense, and higher compensation and benefit expense related to investments in headcount. Medline Brand Segment Adjusted EBITDA margin increased to 26.1% from 25.4%, primarily driven by tariff refunds, partially offset by higher import costs due to tariffs.
Supply Chain Solutions
Supply Chain Solutions segment net sales for the nine months ended September 26, 2026 increased $1,603 million, or 15.1%, to $12,251 million, compared to $10,648 million for the respective period in 2025. The increase was primarily driven by volume growth in Prime Vendor sales for the nine months ended September 26, 2026, which increased $1,651 million, or 18.9%, to $10,393 million, compared to $8,742 million for the respective period in 2025, including implementation of new relationships and growth with existing customers.
Supply Chain Solutions Segment Adjusted EBITDA for the nine months ended September 26, 2026 decreased $13 million, or 2.2%, to $575 million, compared to $588 million for the respective period in 2025. Supply Chain Solutions Segment Adjusted EBITDA margin decreased to 4.7% from 5.5%, primarily due to customer mix from Prime Vendors at lower margins and higher operating expenses, partially offset by increased vendor funding.
Non-GAAP Financial Information
Management believes that certain financial measures that are not presented in accordance with GAAP provide management and investors useful supplemental information that provides a meaningful view of our financial condition and results of operations across periods by removing the impact of items that management believes do not directly reflect our ongoing operating performance. Adjusted EBITDA and Adjusted EBITDA Margin are supplemental measures that are not required by or presented in accordance with GAAP. In evaluating our performance as measured by Adjusted EBITDA and Adjusted EBITDA Margin, management recognizes and considers the limitations of these measures. Other companies in our industry may calculate Adjusted EBITDA and Adjusted EBITDA Margin differently than we do or may not calculate them at all, limiting their usefulness as comparative measures. Because of these limitations, Adjusted EBITDA and Adjusted EBITDA Margin should not be considered in isolation or as substitutes for net income (loss), or any other measure calculated in accordance with GAAP, as applicable, and should be considered together with our GAAP financial measures and the reconciliations to the corresponding GAAP financial measures set forth below.
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Adjusted EBITDA and Adjusted EBITDA Margin
Adjusted EBITDA is defined as net income (loss) adjusted for (i) interest expense, net, (ii) provision for income taxes, (iii) depreciation and amortization, (iv) inventory-related adjustments, (v) stock-based compensation, (vi) litigation (gains) charges, net, (vii) transaction-related costs, and (viii) other non-core (gains) charges. Management defines Adjusted EBITDA Margin as Adjusted EBITDA divided by net sales. Adjusted EBITDA and Adjusted EBITDA Margin are key performance measures that our management uses to assess our financial performance as well as for internal planning and forecasting purposes. We consider Adjusted EBITDA and Adjusted EBITDA Margin to be meaningful performance measures to investors to evaluate our operating performance and to compare the financial results between periods.
The following table sets forth a reconciliation of net income, the most comparable GAAP measure, to Adjusted EBITDA and Adjusted EBITDA Margin:
| Three months ended | Nine months ended | ||||||||||||||||||||||
| (in millions, except percentages) | September 26, 2026 | September 27, 2025 | September 26, 2026 | September 27, 2025 | |||||||||||||||||||
| Net income | $ | 318 | $ | 322 | $ | 696 | $ | 977 | |||||||||||||||
| Interest expense, net | 118 | 213 | 373 | 646 | |||||||||||||||||||
| Provision for income taxes | 68 | 23 | 216 | 65 | |||||||||||||||||||
| Depreciation and amortization | 259 | 253 | 769 | 750 | |||||||||||||||||||
Inventory-related adjustments (1) | 122 | 2 | 154 | 38 | |||||||||||||||||||
Stock-based compensation expense | 29 | 15 | 81 | 52 | |||||||||||||||||||
Litigation gains, net (2) | — | — | — | (47) | |||||||||||||||||||
Transaction-related costs (3) | 30 | 12 | 94 | 35 | |||||||||||||||||||
Other non-core charges (4) | 16 | 19 | 413 | 146 | |||||||||||||||||||
| Adjusted EBITDA | $ | 960 | $ | 859 | $ | 2,796 | $ | 2,662 | |||||||||||||||
Net income margin (5) | 4.0 | % | 4.5 | % | 3.0 | % | 4.7 | % | |||||||||||||||
Adjusted EBITDA Margin (5) | 12.2 | % | 12.1 | % | 12.2 | % | 12.9 | % | |||||||||||||||
(1)Represents the non-cash impact of last-in, first-out reserve changes attributable to changes in inventory costs.
(2)The nine months ended September 27, 2025, represents a settlement adjustment of $(8) million related to the ethylene oxide litigation, $(43) million related to settlement of an intellectual property dispute, and $4 million related to other legal settlements.
(3)The three and nine months ended September 26, 2026 and September 27, 2025, respectively, includes $30 million, $4 million, $87 million and $12 million of expenses related to our IPO and subsequent offerings, consisting of legal, accounting, and advisory fees, as well as one-time employee bonuses, which are subject to an ongoing service requirement. The three months ended September 27, 2025 and the nine months ended September 26, 2026 and September 27, 2025 include $8 million, $7 million, and $23 million of acquisition and integration-related costs and adjustments, respectively.
(4)The three and nine months ended September 26, 2026 primarily include:
a.Costs related to specified transformation and implementation projects of $11 million and $34 million, respectively.
b.Loss on debt extinguishment and other debt refinancing costs and fees related to specified financing transactions of $1 million and $46 million, respectively.
c.The impact attributable to a fire at the distribution center in Tracy, California, net of insurance proceeds of $(20) million and $316 million, respectively.
d.Costs attributable to specified remediation activities undertaken in response to the FDA observations and warning letters described above under “FDA and Quality Matters” of $13 million.
e.Recall and discontinuation costs related to Medline Brand beds of $13 million, as described above under “FDA and Quality Matters”.
The three and nine months ended September 27, 2025 primarily include:
f.Costs related to specified transformation and implementation projects of $3 million and $15 million, respectively.
g.Loss on debt extinguishment and other debt refinancing costs and fees related to specified financing transactions of $6 million.
h.Foreign exchange losses directly attributable to the remeasurement of euro-denominated term loans of $9 million and $84 million, respectively.
The nine months ended September 27, 2025 also includes $32 million credit loss expense related to certain customer receivable.
(5)Net income margin represents net income divided by net sales and Adjusted EBITDA Margin represents Adjusted EBITDA divided by net sales.
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Liquidity and Capital Resources
Our primary sources of liquidity are our cash and cash equivalents, short-term investments, cash flows from operations, and revolving credit facility. As of September 26, 2026, we had cash and cash equivalents of $2,321 million, short-term investments of $1,287 million, and available liquidity under our Revolving Credit Facility of $962 million.
Our primary uses of cash include product purchases, operating costs, personnel-related costs, capital expenditures related to property and equipment, acquisitions, payments of interest under our indebtedness, distributions to noncontrolling interest holders, payments on tax receivable agreement, and may include from time to time in the future repurchases of our Class A common stock and/or units of Medline Holdings.
Our net capital expenditures were $348 million and $309 million for the nine months ended September 26, 2026 and September 27, 2025, respectively. These include the continued enhancements and automation in our distribution centers and investments in our manufacturing facilities in Mexico and other regions. We anticipate the net capital expenditures for the fiscal year 2026 to total up to $600 million, primarily related to the expansion of manufacturing facilities and distribution centers, further investment in automation, and investments in capital equipment lost in the Tracy fire.
On May 28, 2026, Medline Borrower, LP and Medline Co-Issuer, Inc., our indirect subsidiaries, issued the 2031 Notes and the 2033 Notes. Concurrently with the notes offering, Medline Borrower, LP entered into Amendment No. 7 to the Credit Agreement, pursuant to which it refinanced the existing dollar-denominated term loan facility due 2030 with a new senior secured dollar-denominated term loan facility in an aggregate principal amount of approximately $2,750 million due 2033 (the “2033 Refinancing Term Loan Facility”). The net proceeds from the offering of the 2031 Notes and 2033 Notes, together with borrowings under the 2033 Refinancing Term Loan Facility and cash on hand, were used to repay in full all outstanding indebtedness under our existing dollar-denominated term loan facility due 2028, refinance approximately $724 million of our existing dollar-denominated term loan facility due 2030, redeem approximately $500 million of our 6.250% senior secured notes due 2029, and pay related fees and expenses. See Note 5—Credit Agreements and Borrowings to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report for additional information on our indebtedness.
On October 22, 2026, we prepaid $750 million in aggregate principal amount of our 2033 Refinancing Term Loan Facility under our Credit Agreement using cash on hand. We expect the prepayment to reduce interest expense in future periods and to result in a loss on extinguishment of debt of approximately $21 million in the fourth quarter of 2026. See Note 5, “Credit Agreements and Borrowings,” and Note 17, “Subsequent Events,” to our unaudited condensed consolidated financial statements included in Part I, “Item 1—Financial Statements” of this Quarterly Report.
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 and investing and financing requirements, including the prepayment of long-term borrowings, sufficiently for at least the next year as well as for the longer-term. 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 services, foreign currency exchange rates and other risks and uncertainties applicable to our business.
Share Repurchase Program
In October 2026, our Board of Directors authorized a share repurchase program under which we may repurchase up to $1 billion of our outstanding Class A common stock and/or units of Medline Holdings (the “Share Repurchase Program”). We may repurchase shares of Class A common stock and/or units of Medline Holdings from time to time through open market purchases, in privately negotiated transactions, or by other means in accordance with applicable securities laws and other restrictions. In determining the amount of capital to allocate to any future share repurchases, we will take into account, among other things, our historical and expected business performance and cash and liquidity position, as well as global economic and market conditions and the market price of our Class A common stock. The timing, manner, price and amount of any repurchases under the Share Repurchase Program will be determined by us in our discretion. The Share Repurchase Program does not have an expiration date, does not obligate us to acquire any particular amount of Class A common stock and/or units of Medline Holdings, and may be suspended or terminated at any time at our discretion. As of the date of this Quarterly Report, we had not repurchased any shares under the Share Repurchase Program.
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Initial Public Offering
After completion of the IPO, Medline Inc. became our holding company and has no material assets other than its ownership of Common Units in Medline Holdings. Medline Inc. has no independent means of generating net sales. Medline Inc. intends to cause Medline Holdings to make distributions and payments to its holders of Units, including Medline Inc. and the Continuing Unitholders, in an amount sufficient to cover all applicable taxes at assumed tax rates, expenses, payments under the tax receivable agreement and dividends, if any, declared by it. Deterioration in the financial condition, earnings or cash flow of Medline Holdings and its subsidiaries for any reason could limit or impair their ability to pay such distributions. Additionally, the terms of our financing arrangements, including the Credit Agreement that governs the Senior Secured Credit Facilities and certain indentures governing the Senior Notes, contain covenants that may restrict Medline Holdings and its subsidiaries from paying such distributions, subject to certain exceptions. Further, Medline Holdings is generally prohibited under Delaware law from making a distribution to a limited partner to the extent that, at the time of the distribution, after giving effect to the distribution, liabilities of Medline Holdings (with certain exceptions) exceed the fair value of its assets. Subsidiaries of Medline Holdings are generally subject to similar legal limitations on their ability to make distributions to Medline Holdings. See Part I, “Item 1A—Risk Factors—Risks Related to Our Organizational Structure—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, and it is accordingly dependent upon distributions from Medline Holdings to pay taxes, make payments under the tax receivable agreement and pay any dividends.” of our 2025 Form 10-K.
As market conditions warrant, we and our equity holders, including our Principal Stockholders, their respective affiliates and members of our management, may from time to time seek to repurchase our outstanding debt securities or loans, including the Senior Notes and borrowings under our Senior Secured Credit Facilities, in privately negotiated or open market transactions, by tender offer or otherwise, and such repurchases may be at prices below par and may constitute a material portion of the tranche of debt being repurchased. Subject to any applicable limitations contained in the agreements governing our indebtedness, any purchases made by us may be funded by the use of cash on our balance sheet or the incurrence of new secured or unsecured debt, including borrowings under our credit facilities. The amounts involved in any such purchase transactions, individually or in the aggregate, may be material. Any such purchases may be with respect to a substantial amount of a particular class or series of debt, with the attendant reduction in the trading liquidity of such class or series. In addition, any such purchases made at prices below the “adjusted issue price” (as defined for U.S. federal income tax purposes) may result in taxable cancellation of indebtedness income to us, which amounts may be material, and in related adverse tax consequences to us.
Cash Flows
The following table sets forth the major components of our unaudited Condensed Consolidated Statements of Cash Flows for the periods presented:
| Nine months ended | ||||||||||||||
| (in millions) | September 26, 2026 | September 27, 2025 | ||||||||||||
| Net cash and cash equivalents and restricted cash provided by (used in): | ||||||||||||||
| Operating activities | $ | 2,152 | $ | 1,515 | ||||||||||
| Investing activities | (1,537) | (336) | ||||||||||||
| Financing activities | (220) | (498) | ||||||||||||
| Effect of exchange rate changes | (14) | 24 | ||||||||||||
| Net change in cash and cash equivalents and restricted cash | $ | 381 | $ | 705 | ||||||||||
Cash Flows provided by Operating Activities
Net cash provided by operating activities was $2,152 million and $1,515 million for the nine months ended September 26, 2026 and September 27, 2025, respectively.
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Net cash provided by operating activities for the nine months ended September 26, 2026 was primarily driven by net income, net of non-cash items and inclusive of $399 million tariff refunds received, and by changes in working capital. Changes in working capital resulted in net cash provided of $105 million, which is primarily driven by an increase in accrued expenses and other current liabilities related to $102 million of interest payable, $78 million of customer repayments associated with tariff refunds, and $69 million for one-time employee bonuses related to the IPO, all anticipated to be paid during the fourth quarter 2026. Due to higher net sales, these increases are partially offset by the net impact of an increase in trade accounts receivable of $281 million and an increase in customer rebate liabilities of $89 million.
Net cash provided by operating activities for the nine months ended September 27, 2025 was primarily 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 $501 million, which is primarily driven by an increase in inventories of $249 million, including tariff impacts, and an increase in trade accounts receivable of $239 million.
Cash Flows used in Investing Activities
Net cash used in investing activities was $1,537 million and $336 million for the nine months ended September 26, 2026 and September 27, 2025, respectively.
For the nine months ended September 26, 2026, net cash used in investing activities was primarily driven by short-term investments in time deposits of $1,274 million and net capital expenditures of $348 million, partially offset by insurance recoveries of $100 million.
For the nine months ended September 27, 2025, net cash used in investing activities was primarily driven by net capital expenditures of $309 million and payments for asset acquisitions of $33 million.
Cash Flows used in Financing Activities
Net cash used in financing activities was $220 million and $498 million for the nine months ended September 26, 2026 and September 27, 2025, respectively.
For the nine months ended September 26, 2026, net cash used in financing activities was primarily driven by distributions to noncontrolling interests of $164 million and $48 million net repayment of long-term borrowings.
For the nine months ended September 27, 2025, net cash used in financing activities was primarily driven by distribution to partners of $422 million, net repayment for long-term borrowings of $43 million, and Class B Unit repurchases of $33 million.
Indebtedness
As of September 26, 2026, our total indebtedness was $12,743 million, including outstanding borrowings of senior unsecured notes with a principal amount of $2,500 million, senior secured notes with a principal amount of $7,500 million, and $2,743 million under a senior secured term loan facility.
On May 28, 2026, we issued 2031 Notes and 2033 Notes. We also entered into Amendment No. 7 to the Credit Agreement, which refinanced our existing dollar-denominated term loan facility due 2030 with the 2033 Refinancing Term Loan Facility. The 2033 Refinancing Term Loan Facility amortizes in equal quarterly installments in an aggregate annual amount equal to 1.00% of the original principal amount of the loans, with the balance payable at maturity of the 2033 Refinancing Term Loan Facility.
On October 22, 2026, we prepaid $750 million in aggregate principal amount of our 2033 Refinancing Term Loan Facility under our Credit Agreement using cash on hand.
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Our long-term debt contains affirmative and negative covenants, including under the Credit Agreement, as amended, and the indentures governing the Senior Notes. We were in compliance with all such covenants as of September 26, 2026. The springing financial covenant under the Credit Agreement, which is applicable solely to the Revolving Credit Facility, requires compliance with a maximum ratio of consolidated first lien net indebtedness to Consolidated EBITDA (as defined in the Credit Agreement) of 8.3x, which ratio is tested on the last day of any fiscal quarter only if the aggregate principal amount of borrowings (excluding outstanding letters of credit (whether or not cash collateralized)) under the Revolving Credit Facility exceeds 35% of the greater of (a) the total amount of commitments under the Revolving Credit Facility on such day and (b) $1,000 million. While the springing financial covenant was not subject to testing as of September 26, 2026 as we did not have any outstanding borrowings under the Revolving Credit Facility at such time, our ratio of consolidated first lien net indebtedness to Consolidated EBITDA as of the last day of any applicable fiscal quarter has not exceeded the maximum ratio permitted under the springing financial covenant. The failure to satisfy this ratio would impact our ability to borrow amounts committed under our Revolving Credit Facility which could have a material impact on our liquidity.
See Note 5—Credit Agreements and Borrowings to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report for additional information on our indebtedness.
We use interest rate derivatives to add stability to interest expense and to manage our exposure to interest rate movements. See Note 11—Derivatives and Hedging Activities Risk Management to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report, and Part II, “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations —Cash Flow Hedges of Interest Rate Risk” of our 2025 Form 10-K.
Tax Receivable Agreement
As of September 26, 2026, we had recorded a tax receivable agreement liability of $4,415 million. Assuming:
(i) a price of $34.70 per share of our Class A common stock, which was the closing sales price of our Class A common stock on September 25, 2026 as reported on Nasdaq;
(ii) a constant corporate tax rate of 25.7%;
(iii) we will have sufficient taxable income to fully utilize the tax benefits;
(iv) no material changes in tax law,
if (i) the Continuing Unitholders had exchanged all of the Common Units that they held on September 26, 2026, and (ii) all Incentive Units had been converted to Common Units and subsequently exchanged for shares of Class A common stock at a price of $34.70 per share of Class A common stock as of such date, we would, as a result of such hypothetical exchanges, (a) have incremental tax benefits related to attributes covered by the tax receivable agreement of approximately $5,889 million and (b) increase the aggregate noncurrent tax receivable agreement liability recorded, based on our estimate of the aggregate amount that Medline Inc. would pay under the tax receivable agreement, to approximately $9,703 million, generally payable over a 15-year period.
These amounts are estimates and have been prepared for informational purposes only. The actual amount of tax benefits related to attributes covered by the tax receivable agreement and related noncurrent liabilities that we will recognize as a result of any such future exchanges will differ based on, among other things: (i) the amount and timing of future exchanges of Common Units (including Common Units issued upon conversion of vested Incentive Units) by Continuing Unitholders, and the extent to which such exchanges are taxable; (ii) the price per share of our Class A common stock at the time of the exchanges; (iii) the amount and timing of future income against which to offset the tax benefits; and (iv) the tax rates then in effect.
See Note 7—Tax Receivable Agreement and Note 15—Related Party to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report, and Part II, “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations —Tax Receivable Agreement” of our 2025 Form 10-K.
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Contractual Obligations
During the nine months ended September 26, 2026, other than the refinancing transactions described above and in Note 5—Credit Agreements and Borrowings to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report, there were no material changes to the contractual obligations from those disclosed in our 2025 Form 10-K.
For additional information regarding debt and non-cancellable contractual service and purchases obligations, see Note 5—Credit Agreements and Borrowings and Note 9—Commitments and Contingencies to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report.
Critical Accounting Estimates
There have been no material changes in our critical accounting policies and estimates from those disclosed in Part II, “Item 7—Management’s Discussion and Analysis of Financial Condition and Results of Operations—Critical Accounting Estimates” of our 2025 Form 10-K.
Recently Adopted Accounting Standards and Recently Issued Accounting Standards Not Yet Adopted
For a discussion of recently adopted accounting standards and recently issued accounting standards not yet adopted, please 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.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There has been no material change in our exposure to market risks as disclosed in the 2025 Form 10-K.
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Management, with the participation of the Company’s principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act, as of the end of the period covered by this Quarterly Report.
Based on that evaluation, the Company’s principal executive officer and principal financial officer concluded that, as of the end of the period covered by this Quarterly Report, the Company’s disclosure controls and procedures were effective to provide reasonable assurance that the information we are required to disclose in reports that we file or submit under the Exchange Act is (i) recorded, processed, summarized, and reported within the time periods specified in SEC rules and forms, and (ii) accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow timely decisions regarding required disclosure.
Changes in Internal Control over Financial Reporting
There were no changes in our internal controls over financial reporting identified in connection with the evaluation required by Rules 13a-15(d) and 15d-15(d) of the Exchange Act during the quarter ended September 26, 2026 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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Limitations on Effectiveness of Controls
Management, including our principal executive officer and principal financial officer, believes that our disclosure controls and procedures and internal control over financial reporting are designed to provide reasonable assurance of achieving their objectives and are effective at the reasonable assurance level. However, the effectiveness of any internal control over financial reporting is subject to inherent limitations, including the exercise of judgment in designing, implementing, operating and evaluating the controls and procedures, and the inability to eliminate misconduct completely. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the controls. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because of changes in conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.
PART II—OTHER INFORMATION
Item 1. Legal Proceedings
From time to time, we are subject to claims and legal actions arising in the ordinary course of business. We intend to vigorously defend ourselves against our outstanding litigation and do not currently believe that the outcome of any such litigation will have a material adverse effect on our business, results of operations and financial condition.
In litigation, including those described herein, plaintiffs may seek various remedies, including, without limitation: declaratory and/or injunctive relief; compensatory or punitive damages; restitution, disgorgement, civil penalties, abatement, attorneys’ fees, costs, and/or other relief. Settlement demands may seek significant monetary and other remedies, or otherwise be on terms that we do not consider reasonable under the circumstances. In addition, awards against and settlements by our competitors or publicity associated with our current litigation could incentivize parties to bring additional claims against us.
See Note 9—Commitments and Contingencies to our unaudited condensed consolidated financial statements included under Part I, “Item 1—Financial Statements” of this Quarterly Report, which is incorporated by reference into this Item 1.
Item 1A. Risk Factors
There have been no material changes for the period covered by this Quarterly Report to the risk factors disclosed in Part I, “Item 1A—Risk Factors” of our 2025 Form 10-K.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
On December 18, 2025, we completed the IPO of our Class A common stock in which we 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 shares sold in the offering were registered under the Securities Act pursuant to our Registration Statement on Form S-1 (File No. 333-291112) which was declared effective by the SEC on December 16, 2025. There has been no change in the use of proceeds from our IPO as described in the 2025 Form 10-K.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not applicable.
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Item 5. Other Information
Trading Plan Arrangements
The table below summarizes the terms of any “Rule 10b5-1 trading arrangement” or any “non-Rule 10b5-1 trading arrangement” (each as defined in Item 408 of Regulation S-K of the Exchange Act) adopted terminated by our officers or directors during the three months ended September 26, 2026. The trading arrangement listed below was intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act.
| Name | Title | Date of Adoption or Termination | Duration of Trading Arrangement | Number of Shares to be Sold Pursuant to the Trading Arrangement | ||||||||||
The terminated plan was scheduled to expire December 31, 2026 | The terminated plan covered up to 100% of the shares of Class A common stock issued upon the vesting and exchange of | |||||||||||||
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Item 6. Exhibits
Exhibit No. | Description of Exhibit | |||||||
3.1 | ||||||||
3.2 | ||||||||
31.1 | ||||||||
31.2 | ||||||||
32.1 | ||||||||
32.2 | ||||||||
101.INS | Inline XBRL Instance Document* | |||||||
101.SCH | Inline XBRL Taxonomy Extension Schema Document* | |||||||
101.CAL | Inline XBRL Taxonomy Extension Calculation Linkbase Document* | |||||||
101.DEF | Inline XBRL Taxonomy Extension Definition Linkbase Document* | |||||||
101.LAB | Inline XBRL Taxonomy Extension Label Linkbase Document* | |||||||
101.PRE | Inline XBRL Taxonomy Extension Presentation Linkbase Document* | |||||||
104 | Cover Page Interactive Data File (embedded within the Inline XBRL document)* | |||||||
* Filed herewith.
** Furnished herewith. The certifications attached as Exhibits 32.1 and 32.2 to this Quarterly Report are deemed furnished and not filed with the SEC and are not to be incorporated by reference into any filing of the Company under the Securities Act or the Exchange Act, whether made before or after the date of this Quarterly Report, irrespective of any general incorporation language contained in such filing.
61
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: November 4, 2026
MEDLINE INC. | |||||
By: | /s/ Michael B. Drazin | ||||
Name: Michael B. Drazin | |||||
Title: Chief Financial Officer (Principal Financial Officer) (Duly Authorized Officer) | |||||
MEDLINE INC. | |||||
By: | /s/ Jessi L. Corcoran | ||||
Name: Jessi L. Corcoran | |||||
Title: Chief Accounting Officer (Principal Accounting Officer) (Duly Authorized Officer) | |||||
62
Exhibit 31.1
CERTIFICATION PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, James M. Boyle, certify that:
1.I have reviewed this Quarterly Report on Form 10-Q of Medline Inc.;
2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:
a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b.[Reserved];
c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5.The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
| Dated : November 4, 2026 | /s/ James M. Boyle | |||||||
| James M. Boyle | ||||||||
| Chief Executive Officer | ||||||||
Exhibit 31.2
CERTIFICATION PURSUANT TO RULE 13a-14(a) OR 15d-14(a) OF THE SECURITIES EXCHANGE ACT OF 1934, AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002
I, Michael B. Drazin, certify that:
1.I have reviewed this Quarterly Report on Form 10-Q of Medline Inc.;
2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
4.The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:
a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
b.[Reserved];
c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
5.The registrant's other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant's auditors and the audit committee of the registrant's board of directors (or persons performing the equivalent functions):
a.All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant's ability to record, process, summarize and report financial information; and
b.Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant's internal control over financial reporting.
| Dated : November 4, 2026 | /s/ Michael B. Drazin | |||||||
| Michael B. Drazin | ||||||||
| Chief Financial Officer | ||||||||
Exhibit 32.1
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
I, James M. Boyle, Chief Executive Officer of Medline Inc. (the “Company”), certify, pursuant to 18 U.S.C. Section 1350, that:
1.the Quarterly Report on Form 10-Q for the fiscal quarter ended September 26, 2026 containing the financial statements of the Company (the “Quarterly Report”), which this statement accompanies, fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m or 78o(d)); and
2.the information contained in the Quarterly Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| Dated : November 4, 2026 | /s/ James M. Boyle | |||||||
| James M. Boyle | ||||||||
| Chief Executive Officer | ||||||||
This certification shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section.
A signed original of this written statement required by Section 906 of the Sarbanes-Oxley Act of 2002 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.
Exhibit 32.2
CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350, AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002
I, Michael B. Drazin, Chief Financial Officer of Medline Inc. (the “Company”), certify, pursuant to 18 U.S.C. Section 1350, that:
1.the Quarterly Report on Form 10-Q for the fiscal quarter ended September 26, 2026 containing the financial statements of the Company (the “Quarterly Report”), which this statement accompanies, fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m or 78o(d)); and
2.the information contained in the Quarterly Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| Dated : November 4, 2026 | /s/ Michael B. Drazin | |||||||
| Michael B. Drazin | ||||||||
| Chief Financial Officer | ||||||||
This certification shall not, except to the extent required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section.
A signed original of this written statement required by Section 906 of the Sarbanes-Oxley Act of 2002 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.