Medline
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Medline (MDLN) investor relations material

Medline Q2 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q2 2026 earnings summary5 Aug, 2026

Executive summary

  • Q2 2026 net sales rose 11.6% to $7.7 billion, with organic sales up 11.5% and strong gains in Medline Brand and Supply Chain Solutions.

  • Adjusted EBITDA increased 13.4% to $1.1 billion, benefiting from IEEPA tariff refunds; net income was $139 million, down 58.3% due to a $336 million Tracy, CA distribution center fire.

  • H1 2026 net sales reached $15.0 billion, with $650–$659 million in new customer signings, over 65% of the annual goal.

  • Rapid recovery and expansion followed the Tracy fire, with new facilities expanding California footprint by 1.6 million sq. ft.

  • Growth was primarily volume-driven, with minimal impact from pricing or FX.

Financial highlights

  • Q2 gross profit was $2.2 billion (+16.3% YoY), gross margin improved to 28.8% from 27.7% due to tariff refunds.

  • Adjusted EBITDA margin rose to 13.8%; net income margin was 1.8%.

  • Free cash flow for H1 was $920 million; CapEx was $207 million.

  • Total debt stood at $12.75 billion; cash and equivalents at $2.3 billion.

  • Interest expense, net, decreased 46.6% to $119 million post-IPO.

Outlook and guidance

  • Full-year organic sales growth guidance raised to 9%-10%; adjusted EBITDA guidance lowered to $3.3-$3.4 billion due to inflation, Tracy fire, and operational investments.

  • CapEx guidance updated to $500-$600 million, including Tracy-related investments.

  • Insurance recoveries for Tracy fire expected in future periods; timing and amounts uncertain.

  • Sequential sales expected flat in Q3, increasing in Q4; adjusted EBITDA to rise each quarter, strongest in Q4.

Drivers behind the FY26 EBITDA guidance reduction
Prime Vendor mix impact on Supply Chain margins
Scope and duration of quality remediation efforts
Drivers for lowering 2026 Adjusted EBITDA outlook
Financial impact of Tracy facility fire on income
Progress on 2026 new customer signing goals
Rationale for excluding IEEPA refunds from EBITDA
Operational response and costs from Tracy fire
Quality remediation and FDA action plan status
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