Slides
Page 1
MEDLINE Medline Q2 2026 Earnings August 5 , 2026 BE6 BE5 BES
Page 2
Medline Q2 2025 Earnings August 12, 2025 Forward-Looking Statements This presentation contains “forward-looking statements” as defined under the U.S. federal securities laws, including, but not limited to, statements, estimates, and projections relating to our business, goals, targets, activities, efforts, initiatives, plans, and programs, and our investments in such activities, efforts, initiatives, plans, and programs; and projected or expected timing, results, achievement, and impacts. Words such as “aim,” “anticipate,” “assume,” “believe,” “commit,” “continue,” “could,” “estimate,” “expect,” “forecast,” “guidance,” “intend,” “likely,” “may,” “objectives,” “outlook,” “plan,” “potentially,” “predict,” “project,” “seek,” “should,” “target,” “will,” “would,” or variations of these terms and similar future or conditional expressions are intended to identify forward-looking statements. The forward-looking statements are based on management’s current expectations and are subject to various risks, uncertainties, and changes in circumstances, many of which are beyond our control, that could cause actual results to differ materially. For additional important information regarding such risks and uncertainties, please see the risk factors set forth in our filings with the U.S. Securities and Exchange Commission (“SEC”), including our most recently filed prospectus, Annual Report on Form 10-K, and subsequent reports on Forms 10-Q and 8-K. The forward-looking statements included in this presentation speak only as of the date of this presentation. Except as otherwise required by law, we disclaim and do not undertake any obligation to update, revise, or withdraw any forward-looking statement made in this presentation to reflect changed assumptions, the occurrence of unanticipated events, or changes to future operating results over time. 2 © 2026 Medline Non-GAAP Financial Measures This presentation includes certain financial information that is not presented in accordance with generally accepted accounting principles in the United States (“GAAP”), including, but not limited to, Adjusted EBITDA, Adjusted EBITDA Margin, Adjusted Net Income, Free Cash Flow, Organic Sales, and Net Leverage. These non-GAAP financial measures assist management in comparing our performance on a consistent basis for purposes of business decision-making by removing the impact of certain items that management believes do not directly reflect our underlying operations. These measures may differ from similarly titled non-GAAP financial measures presented by other companies. These non-GAAP financial measures are not substitutes for comparable GAAP measures and should be viewed as supplemental to, and not as alternatives to, GAAP results. Please view this presentation together with our Quarterly Report on Form 10-Q and the accompanying Disclosures and Non-GAAP Reconciliations, which includes a discussion of non-GAAP financial measures and reconciliations of non-GAAP financial measures to the comparable GAAP financial measures, available on our website at ir.medline.com under Financial Information > Quarterly Results or directly at ir.medline.com/financial-information/quarterly-results.
Page 3
Agenda Q2 2026 Financial Results 3 © 2026 Medline FY 2026 Guidance YTD 2026 Financial Results
Page 4
Q2 2026 Financial Results 1
Page 5
5 Q2 2026 highlights • Strong net sales of $7.7 billion, an increase of 11.6% compared to the prior period • Delivered double-digit net sales growth in U.S. Acute and Supply Chain Solutions • Achieved $659 million of total new customer signings1 in 1H'26, or over 65% of our $1 billion annual goal ◦ PV agreement with Allina Health, driven by Medline’s proven supply chain resilience and reliability ◦ Continued commercial momentum with notable physician office and laboratory wins • Demonstrated operational excellence through a rapid network response to the Tracy distribution center fire, successfully rerouting and redistributing the vast majority of customer order volumes • Secured more than 1.6 million square feet of new DC capacity after Tracy DC fire, expanding our customer-facing Northern California footprint by 45% © 2026 Medline 1. Total new customer signings refers to the estimated annual contract value of all new contracts entered into by new customers or by existing customers who are expanding their relationship with Medline, excluding renewals and extensions.
Page 6
6 Q2 2026 select financial highlights Note: Certain amounts and percentages presented in this presentation have a rounding element. As a result, the sum of the components may not equal the totals due to rounding. 1. Non-GAAP financial measure. See the accompanying Disclosures and Non-GAAP Reconciliations at ir.medline.com/financial-information/quarterly-results. © 2026 Medline Net Sales Adjusted EBITDA1 Highlights (versus prior year) • Net sales growth of 11.6%; accrued customer repayments associated with IEEPA tariff refunds is a 1.3% headwind • Organic Sales1 growth of 11.5% • Increase in Adjusted EBITDA1 primarily driven by higher net sales and net IEEPA tariff refund benefits, partially offset by higher operating expense and higher cost of goods sold including incremental net tariff costs +11.6% $1,060M +$243M +13.4% Q2 2025 Q2 2026 $935M $6.9B $7.7B Represents accrued customer repayments associated with IEEPA tariff refunds -$89M Represents net IEEPA tariff refund benefits Q2 2025 Q2 2026
Page 7
Q2 2026 net sales by segment and channel Q2 2026 vs. Q2 2025 $3.5B Medline Brand +6.6% $4.1B Supply Chain Solutions +16.3% $7.7B +11.6% $1.7B U.S. Non-acute +3.7% $5.4B U.S. Acute +14.7% $0.5B International +9.4% Segment 7 Channel Note: Certain amounts and percentages presented in this presentation have a rounding element. As a result, the sum of the components may not equal the totals due to rounding. © 2026 Medline $7.7B +11.6%Headwind from IEEPA customer repayments: Medline net sales: 1.3% Medline Brand: 2.7% U.S. Non-acute: 2.4% U.S. Acute: 1.0%
Page 8
8 Q2 2026 Medline Brand Highlights (versus prior year) • Surgical Solutions net sales +8.7% primarily driven by growth in kitting and operating room products • Front Line Care net sales +3.8% primarily driven by growth across multiple product divisions • Lab & Diagnostics net sales +12.2% primarily driven by growth in laboratory products • Segment Adjusted EBITDA1 +19.9% primarily due to net IEEPA tariff refund benefits and net sales growth, partially offset by net tariff costs and higher operating expenses $3.3B $3.5B +12.2% +8.7% Lab & Diagnostics Surgical SolutionsFront Line Care +6.6% +3.8% 1. Segment Adjusted EBITDA is our segment measure of profit or loss as defined by ASC 280. Segment Adjusted EBITDA does not include unallocated corporate and other costs. Note: Results for Surgical Solutions and Front Line Care include the impact of accrued customer repayments related to IEEPA tariff refunds. Q2 Net Sales Q2 Segment Adjusted EBITDA1 Medline Brand © 2026 Medline +19.9% $890M $1,067M
Page 9
9 Q2 2026 Supply Chain Solutions Highlights (versus prior year) • Supply Chain Solutions net sales +16.3% primarily driven by growth in Prime Vendor sales, including new customer implementations and existing customer growth • Segment Adjusted EBITDA1 +1.5% as strong net sales growth was mostly offset by customer mix from new Prime Vendor signings and higher operating expenses 1. Segment Adjusted EBITDA is our segment measure of profit or loss as defined by ASC 280. Segment Adjusted EBITDA does not include unallocated corporate and other costs. Q2 Net Sales Q2 Segment Adjusted EBITDA1 $3.6B $4.1B +16.3% $204M$201M +1.5% © 2026 Medline
Page 10
YTD 2026 Financial Results 2
Page 11
11 YTD 2026 select financial highlights Note: Certain amounts and percentages presented in this presentation have a rounding element. As a result, the sum of the components may not equal the totals due to rounding. 1. Non-GAAP financial measure. See the accompanying Disclosures and Non-GAAP Reconciliations at ir.medline.com/financial-information/quarterly-results. © 2026 Medline Net Sales Adjusted EBITDA1 Highlights (versus prior year) • Net sales growth of 11.1%; accrued customer repayments associated with IEEPA tariff refunds is a 0.7% headwind • Organic Sales1 growth of 10.8% • Increase in Adjusted EBITDA1 primarily driven by higher net sales and net IEEPA tariff refund benefits, partially offset by higher operating expenses and higher cost of goods sold including incremental net tariff costs YTD 2025 YTD 2026 $13.5B $15.0B Represents accrued customer repayments associated with IEEPA tariff refunds -$89M Represents net IEEPA tariff refund benefits YTD 2025 YTD 2026 +11.1% $1.80B $1.84B +1.9% +$243M
Page 12
YTD 2026 net sales by segment and channel YTD 2026 vs. YTD 2025 $7.0B Medline Brand +6.4% $8.0B Supply Chain Solutions +15.7% $15.0B +11.1% $3.5B U.S. Non-acute +5.2% $10.5B U.S. Acute +13.4% $1.0B International +9.7% Segment 12 Channel Note: Certain amounts and percentages presented in this presentation have a rounding element. As a result, the sum of the components may not equal the totals due to rounding.© 2026 Medline $15.0B +11.1% IEEPA tariff refund customer repayments: Medline Brand: -1.3% U.S. Non-acute: -1.2% U.S. Acute: -0.5% Headwind from IEEPA customer repayments: Medline net sales: 0.7% Medline Brand: 1.3% U.S. Non-acute: 1.2% U.S. Acute: 0.5%
Page 13
13 YTD 2026 Medline Brand Highlights (versus prior year) Lab & Diagnostics Surgical SolutionsFront Line Care 1. Segment Adjusted EBITDA is our segment measure of profit or loss as defined by ASC 280. Segment Adjusted EBITDA does not include unallocated corporate and other costs. Results for Surgical Solutions and Front Line Care include the impact of accrued customer repayments related to IEEPA tariff refunds. Medline Brand © 2026 Medline $7.0B YTD Net Sales $6.6B +6.4% +5.7% +4.9% +8.1% YTD Segment Adjusted EBITDA1 • Surgical Solutions net sales +8.1% primarily driven by higher volume for kitting and operating room products • Front Line Care net sales +4.9% primarily driven by growth across multiple product divisions • Lab & Diagnostics net sales +5.7% primarily driven by growth in laboratory products • Segment Adjusted EBITDA1 +6.5% primarily due to net sales growth and net IEEPA tariff refund benefits, partially offset by net tariff costs and higher operating expenses $1.8B $1.7B +6.5%
Page 14
14 YTD 2026 Supply Chain Solutions Highlights (versus prior year) • Supply Chain Solutions net sales +15.7% primarily driven by growth in Prime Vendor sales, including new customer implementations and existing customer growth • Segment Adjusted EBITDA1 +2.1% as strong net sales growth was mostly offset by customer mix from new Prime Vendor signings and higher operating expenses 1. Segment Adjusted EBITDA is our segment measure of profit or loss as defined by ASC 280. Segment Adjusted EBITDA does not include unallocated corporate and other costs. © 2026 Medline YTD Net Sales $6.9B $8.0B +15.7% YTD Segment Adjusted EBITDA1 $391M$383M +2.1%
Page 15
15 YTD 2026 cash flow and balance sheet highlights Cash and cash equivalents $2.3 billion Free Cash Flow1 $920 million Strong Free Cash Flow driven by net income, excluding the impact of non-cash items, partially offset by changes in working capital and investments in CapEx. Changes in working capital was a use of cash, primarily due to the IEEPA tariff refund receivable and higher receivables from sales growth, partially offset by accrued customer repayments associated with tariff refunds Net capital expenditures $207 million Continued enhancements and automation in our distribution centers and investments in our kitting manufacturing facilities Net Leverage1 2.9x Expect continued deleveraging over time 1. Non-GAAP financial measure. See the accompanying Disclosures and Non-GAAP Reconciliations at ir.medline.com/financial-information/quarterly-results.© 2026 Medline Short term investments $350 million
Page 16
FY 2026 Guidance 3
Page 17
FY 2026 guidance 17 Adjusted EBITDA1 (does not reflect the benefit of tariff refunds) Organic Sales1 Growth 1. Non-GAAP financial measure. See the accompanying Disclosures and Non-GAAP Reconciliations at ir.medline.com/financial-information/quarterly-results 2. Estimated share count is based on year-to-date Q2 2026 weighted-average diluted shares of Class A common stock outstanding plus anti-dilutive securities, rounded for presentation purposes. Reported diluted share count may vary as quarter-to-quarter assumptions and dilution factors evolve. © 2026 Medline 8.5% to 9.5% Prior (May 6, 2026) $3.3 to $3.4 billion 9.0% to 10.0% Current (August 5, 2026) Net interest expense Net CapEx Tax distributions Estimated GAAP tax rate $575 to $625 million Reflecting debt paydown from IPO proceeds, May 2026 refinancing, and an average net interest rate of ~4.8% in FY 2026 ~$500 to $600 million Capacity expansion in Mexico kitting facility and two additional DCs; includes Tracy-related CapEx expected to be recovered in future insurance proceeds $250 to $300 million Payments to Non-Controlling Interest holders in Medline Holdings, LP (MHLP), the partnership 17.5% to 19.5% Based on current ownership in which 65% of MHLP’s income is allocated to Medline Inc. ~1,320M fully diluted shares2 8.5% to 9.5% $3.5 to $3.6 billion
Page 18
Summary of tariff-related impacts 18 1. Assumes tariff rates for the remainder of FY2026 are generally consistent with pre-IEEPA rates experienced in January 2025. 2. Represents current estimate of FY 2026 net tariff impacts as of August 5, 2026. 3. These amounts were recorded entirely within the Medline Brand segment. © 2026 Medline Tariff costs IEEPA tariff refunds • Expect total recoveries of approximately $507 million • Recognized $332 million3 of tariff refunds as a reduction of COGS for Q2 and YTD 2026 • $89 million3 reduction of net sales related to accrued customer repayments for Q2 and YTD 2026 • Resulting in a net benefit of $243 million3, as well as $14 million of related interest income • Net tariff impacts totaled $230 million YTD 2026, including $110 million in Q2 2026 • FY 2026 net tariff impacts expected to be approximately $350 million1 • Continue to leverage sourcing and operational initiatives to mitigate tariff-related costs • Any tariff rate changes are not expected to materially impact 2026 results, with effects primarily reflected in 2027 Q1 2026 Q2 2026 YTD 2026 FY 2026E2 Net tariff impact $120M $110M $230M ~$350M Incremental YoY $85M $70M $155M ~$60M
Page 19
19 Adjusted EBITDA1 factors Primary drivers of updated Adjusted EBITDA1 guidance • Expect slightly elevated costs due to Middle East inflation; deliberate decision to not burden customers with cost • Operational investments primarily focused on supporting customer demand • Identified expected remediation costs, including investments in quality, manufacturing and product- related costs • Unplanned softness in our retail channel 1. Non-GAAP financial measure. See the accompanying Disclosures and Non-GAAP Reconciliations at ir.medline.com/financial-information/quarterly-results. 2. Amount shown represent the change between the midpoint of the prior FY2026 Adjusted EBITDA guidance range and the midpoint of the updated FY2026 Adjusted EBITDA guidance range. Adjusted EBITDA1 guidance change Prior guidance $3.5–$3.6B Updated guidance $3.3–$3.4B~$200M incremental2 Components of change from prior to updated guidance Middle East Tracy fire investment Operational investment Quality remediation efforts Retail softness