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Medline (MDLN) investor relations material
Medline Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Achieved record $2.4 billion in new customer signings and strong demand across acute and non-acute care channels, with major wins including the U.S. Department of Veterans Affairs and a large faith-based IDN.
Completed a successful IPO, raising over $7 billion, enhancing growth investment capacity, and strengthening the balance sheet.
Continued investment in automation, technology, and product innovation, including AI-powered supply chain solutions and Medline Brand portfolio expansion.
Fourth quarter net sales rose 14.8% year-over-year to $7.8 billion, driven by volume growth in both core segments.
Financial highlights
Annual net sales for 2025 grew 12% year-over-year to $28.4 billion, with 11% organic growth.
Adjusted EBITDA reached $3.5 billion, up 3.2% versus prior year, with margin declining 100 basis points to 12.2% due to tariffs and investments.
Full year 2025 net income was $1.2 billion, down 3.6% year-over-year, impacted by higher costs of goods sold (tariffs) and IPO-related expenses.
Gross margin for 2025 was 26.4%, down from 27.3% in 2024; operating margin was 7.8%, down from 8.4%.
Free cash flow for the year was $1.3 billion, reflecting capital investments and legal settlements.
Outlook and guidance
2026 organic sales growth expected in the range of 8%-9%, driven by new customer signings and continued strong utilization.
Adjusted EBITDA guidance for 2026 is $3.5-$3.6 billion, including a $200 million incremental tariff headwind.
Capital expenditures projected at $500 million, with effective tax rate expected between 17.5%-19.5%.
Approximately 1.4 billion fully diluted shares outstanding estimated for 2026.
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