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STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL
 9 Months Ended
Sep. 26, 2026
Equity [Abstract]  
STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL 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.
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 changes in redemption value were recorded, prospectively. The redemption rights terminated upon the IPO, and the redeemable units were reclassed to permanent equity.

Equity Structure After IPO and Reorganization

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

Class A Common Stock

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

Class B Common Stock

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

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

Preferred Stock

The Company is authorized to issue, without the approval of its stockholders, one or more series of preferred stock. The Board may determine, with respect to any series of preferred stock, the powers, including voting powers, preferences and relative, participating, optional or other special rights.

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.
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 InstrumentsCurrency Translation AdjustmentsRetirement PlansAccumulated Other Comprehensive (Loss) Income
Balance, June 27, 2026$14 $(16)$(4)$(6)
Other comprehensive income before reclassifications— 13 — 13 
Amount reclassified to earnings(10)— — (10)
Net other comprehensive (loss) income(10)13 — 3 
Less: Other comprehensive (loss) income attributable to noncontrolling interests(3)4 — 1 
Balance, September 26, 2026$7 $(7)$(4)$(4)

Three Months Ended September 27, 2025
(in millions)Unrealized Gain (Loss) on Derivative InstrumentsCurrency Translation AdjustmentsRetirement PlansAccumulated Other Comprehensive Income (Loss)
Balance, June 28, 2025$74 $(13)$1 $62 
Other comprehensive income before reclassifications2 10 — 12 
Amount reclassified to earnings(22)— — (22)
Net other comprehensive (loss) income(20)10 — (10)
Balance, September 27, 2025$54 $(3)$1 $52 

Nine Months Ended September 26, 2026
(in millions)Unrealized Gain (Loss) on Derivative InstrumentsCurrency Translation AdjustmentsRetirement PlansAccumulated Other Comprehensive Income (Loss)
Balance, January 1, 2026$22 $9 $(4)$27 
Other comprehensive income (loss) before reclassifications8 (26)— (18)
Amount reclassified to earnings(30)— — (30)
Net other comprehensive loss(22)(26)— (48)
Less: Other comprehensive loss attributable to noncontrolling interests(7)(10)— (17)
Balance, September 26, 2026$7 $(7)$(4)$(4)
STOCKHOLDERS’ EQUITY, MEZZANINE EQUITY AND PARTNERS’ CAPITAL (Continued)
Nine Months Ended September 27, 2025
(in millions)Unrealized Gain (Loss) on Derivative InstrumentsCurrency Translation AdjustmentsRetirement PlansAccumulated Other Comprehensive Income (Loss)
Balance, January 1, 2025$124 $(114)$1 $11 
Other comprehensive (loss) income before reclassifications(3)111 — 108 
Amount reclassified to earnings(67)— — (67)
Net other comprehensive (loss) income(70)111 — 41 
Balance, September 27, 2025$54 $(3)$1 $52 

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