Premier, Inc. (NASDAQ: PINC), a leading technology-driven healthcare improvement company, today reported financial results for the fiscal year 2023 first quarter ended September 30, 2022.

"Our fiscal 2023 first quarter results were consistent with our expectations, and we continued to make progress on executing our strategy to deliver sustainable, long-term growth and value creation," said Michael J. Alkire, Premier's president and CEO. "In our Supply Chain Services segment, we continued to see expected ongoing normalization of demand and pricing to pre-COVID-19 pandemic levels in our direct sourcing business, while our non-acute group purchasing business produced another quarter of growth. In addition, our adjacent markets and consulting businesses were the primary drivers of growth in the Performance Services segment during the quarter."

Alkire continued, "We also recently completed our acquisition of key assets to support Contigo Health’s growth strategy. As we look ahead, we believe we are on track to achieve our full-year fiscal 2023 guidance and long-term growth targets."

Fiscal First Quarter 2023 and Recent Highlights

(Financial comparisons are for fiscal first quarter of 2023 vs. fiscal first quarter of 2022)

• Premier reaffirmed its fiscal year 2023 full-year guidance for all guidance metrics as previously communicated on August 16, 2022. Refer to the table in the Fiscal 2023 Guidance section in this release for details.
• Supply Chain Services segment revenue declined quarter over quarter, as the company expected, primarily due to ongoing normalization of direct sourcing products revenue to pre-COVID-19 pandemic levels.
• Performance Services segment revenue increased 7% to $94.2 million from $88.3 million a year ago and was mainly the result of growth in the company's adjacent markets businesses, which include Contigo Health^®, Remitra™, PINC AI™ Applied Sciences and PINC AI™ Clinical Decision Support, and consulting business, partially offset by the timing of revenue associated with enterprise analytics license agreements in the current year compared to the prior year.
• The company’s adjacent markets businesses grew 40% over the prior-year quarter and remains on track to achieve 30%-to-40% growth in fiscal 2023 compared with fiscal 2022.
• GAAP net income and adjusted net income declined 65% and 21%, respectively, quarter over quarter. Refer to "Results of Operations for the Three Months Ended September 30, 2022" for more details.
• GAAP EPS and adjusted EPS declined 63% and 19%, respectively, quarter over quarter. Refer to "Results of Operations for the Three Months Ended September 30, 2022" for more details.
• During the three months ended September 30, 2022, Premier paid aggregate dividends of approximately $25.2 million to holders of its Class A common stock.
• On October 13, 2022, Premier subsidiary Contigo Health, LLC closed its transaction to acquire key assets from TRPN Direct Pay, Inc. and Devon Health, Inc. (together, "TRPN") which include contracts with more than 900,000 providers across 4.1 million U.S. locations, as well as licenses to proprietary cost containment technology.
• On October 19, 2022, Premier published its 2022 Sustainability Report, highlighting its environmental, social and governance practices and initiatives and the progress the company made over the past year in support of its mission to improve the health of communities and create long-term, sustainable value for stakeholders, including stockholders.
• PINC AI™ Applied Sciences was part of a collaborative team chosen as Biotech Week Boston's 2022 "BWB Awards" winner in the digital medicine category for innovative use of technology-enabled healthcare solutions in the digital medicine category.

*Descriptions of consolidated and segment adjusted (non-GAAP) financial measures and non-GAAP free cash flow are provided below under “Use and Definition of Non-GAAP Financial Measures,” and reconciliations are provided in the tables at the end of this release.

Consolidated Fiscal 2023 First Quarter Financial Highlights and Results of Operations

Fiscal 2023 Guidance

Certain statements in this release, including without limitation, those in this section, are forward-looking statements. For additional information regarding the use and limitations of such statements, refer to "Forward-Looking Statements" below and the "Risk Factors" section of the company's most recent Form 10-K for the fiscal year ended June 30, 2022.

For fiscal 2023, Premier continues to expect total net revenue to be in the range of $1.38 billion to $1.45 billion, adjusted EBITDA to be in the range of $510 million to $530 million, and adjusted EPS to be in the range of $2.63 to $2.75.

Results of Operations for the Three Months Ended September 30, 2022

(As compared with the three months ended September 30, 2021)

GAAP net revenue of $313.9 million decreased 14% from $365.1 million in the prior year period. The decline in revenue, which the company expected, was primarily due to the continued normalization of COVID-19 pandemic-driven demand and pricing for personal protective equipment (PPE) and other related supplies in the fiscal 2023 first quarter as compared with the prior year period.

GAAP net income of $43.0 million decreased 65% from $121.3 million a year ago primarily due to the prior year quarter gain on put rights associated with Premier's minority interest in FFF Enterprises, Inc. as well as a decrease in net revenue in the current year period.

GAAP diluted EPS of $0.36 decreased 63% from $0.97 in the same period a year ago mainly due to the aforementioned decrease in net income.

Adjusted EBITDA of $109.4 million decreased 10% from $121.7 million for the same period a year ago and was consistent with the company's expectations. The decline was primarily driven by the aforementioned decline in net revenue, higher logistics costs in the company's direct sourcing business and, in the Performance Services segment, increased cost of revenue and operating expenses to support growth in the adjacent markets businesses.

Adjusted net income of $62.5 million decreased 21% from $79.1 million for the same period a year ago. Adjusted earnings per share (EPS) decreased 19% to $0.52 from $0.64 for the same period a year ago. The company noted that adjusted net income and adjusted EPS reflect income tax expense at an effective rate of 26% and 21% for the first quarters of fiscal 2023 and 2022, respectively. The lower effective tax rate in first quarter of fiscal 2022 was primarily the result of the estimated impact of a valuation allowance release due to a subsidiary reorganization that was expected to and ultimately did occur in the second quarter of fiscal 2022.

Segment Results

(For the fiscal first quarter of 2023 as compared with the fiscal first quarter of 2022)

Supply Chain Services

Supply Chain Services segment net revenue of $219.7 million decreased 21% from $276.8 million for the same quarter a year ago, primarily reflecting lower products revenue in the first quarter of fiscal 2023, as described below.

Net administrative fees revenue was $150.0 million compared with $149.5 million in the year ago quarter primarily due to growth in the non-acute group purchasing business as well as further penetration of existing member spend in the acute group purchasing business, partially offset by the impact of members that did not amend or renew their group purchasing organization (GPO) agreements at the time of the company's August 2020 restructuring.

Products revenue of $58.9 million decreased 50% from $118.4 million a year ago which included higher prices and incremental purchases of PPE and other high-demand supplies related to the pandemic. The quarter-over-quarter decline was primarily driven by lower demand and pricing, as the company expected, for pandemic-related supplies which was partially offset by ongoing demand for commodity products primarily due to expansion of the product portfolio and increased member adoption.

Segment adjusted EBITDA of $121.2 million decreased 6% from $129.3 million the same period a year ago primarily due to the direct sourcing business, which experienced a decline in profitability due to a decrease in products revenue driven by lower demand and pricing for PPE as well as higher logistics costs that impacted margins.

Performance Services

Performance Services segment net revenue of $94.2 million increased 7% from $88.3 million for the same quarter a year ago, primarily driven by growth in the company's adjacent markets and consulting businesses partially offset by the timing of revenue associated with enterprise analytics license agreements in the current year compared to the prior year.

Segment adjusted EBITDA of $19.4 million decreased 18% from $23.7 million for the same period a year ago mainly due to the aforementioned timing of revenue associated with enterprise analytics license agreements as well as higher selling, general and administrative (SG&A) expense which was primarily the result of additional headcount to support growth in the company's adjacent markets businesses, primarily in Contigo Health and Remitra.

Cash Flows and Liquidity

Net cash provided by operating activities for the three months ended September 30, 2022 was $74.8 million, an increase of $19.6 million from the same period a year ago. The increase was primarily due to increased cash inflows from the continued growth in the Performance Services business as well as higher cash receipts from a dividend associated with one of the company's minority investments and was partially offset by a decrease in cash received as a result of lower revenue in Premier's direct sourcing business as demand for pandemic-related supplies continued to normalize during the quarter.

Net cash used in investing activities and net cash provided by financing activities for the three months ended September 30, 2022, were $20.2 million and $36.0 million, respectively. As of September 30, 2022, cash and cash equivalents were $176.6 million compared with $86.1 million as of June 30, 2022, and the company's five-year, $1.0 billion revolving credit facility had an outstanding balance of $250.0 million. Subsequent to quarter end, Premier utilized an additional $125.0 million from its credit facility to fund its acquisition of TRPN assets, bringing the outstanding balance to $375.0 million as of October 31, 2022.

Free cash flow for the three months ended September 30, 2022 was $31.5 million compared with $10.3 million for the same period a year ago. The increase was primarily due to the same factors that affected net cash provided by operating activities as well as a decrease in purchase of property and equipment.

In the first quarter of fiscal 2023, the company paid aggregate dividends of approximately $25.2 million to holders of its Class A common stock.

Conference Call

Premier will host a conference call to provide additional detail around the company's performance and outlook today at 8:00 a.m. ET. The call will be webcast live from the company's website and will be available at the following link: Premier Webcast Link. The webcast should be accessed 10 minutes prior to the conference call start time. A replay of the webcast will be available for one year following the conclusion of the live broadcast and will be accessible on the company's website at https://investors.premierinc.com.

For those parties who do not have internet access, the conference call may be accessed by calling one of the below telephone numbers and asking to join the Premier, Inc. call:

Premier’s presentation that will accompany the conference call and webcast can be accessed via the following link: Premier Events.

About Premier, Inc.

Premier, Inc. (NASDAQ: PINC) is a leading healthcare improvement company, uniting an alliance of more than 4,400 U.S. hospitals and health systems and approximately 250,000 other providers and organizations to transform healthcare. With integrated data and analytics, collaboratives, supply chain solutions, and consulting and other services, Premier enables better care and outcomes at a lower cost. Premier plays a critical role in the rapidly evolving healthcare industry, collaborating with members to co-develop long-term innovations that reinvent and improve the way care is delivered to patients nationwide. Headquartered in Charlotte, N.C., Premier is passionate about transforming American healthcare. Please visit Premier’s news and investor sites on www.premierinc.com, as well as Twitter, Facebook, LinkedIn, YouTube, Instagram and Premier’s blog for more information about the company.

Premier’s Use and Definition of Non-GAAP Measures

Premier uses EBITDA, adjusted EBITDA, segment adjusted EBITDA, adjusted net income, adjusted earnings per share, and free cash flow to facilitate a comparison of the company’s operating performance on a consistent basis from period to period and to provide measures that, when viewed in combination with its results prepared in accordance with GAAP, allow for a more complete understanding of factors and trends affecting the company’s business than GAAP measures alone. Management believes EBITDA, adjusted EBITDA and segment adjusted EBITDA assist the company’s board of directors, management and investors in comparing the company’s operating performance on a consistent basis from period to period by removing the impact of the company’s asset base (primarily depreciation and amortization) and items outside the control of management (taxes), as well as other non-cash (impairment of intangible assets and purchase accounting adjustments) and non-recurring items, from operating results. Adjusted EBITDA and segment adjusted EBITDA are supplemental financial measures used by the company and by external users of the company’s financial statements.

Management considers adjusted EBITDA an indicator of the operational strength and performance of the company’s business. Adjusted EBITDA allows management to assess performance without regard to financing methods and capital structure and without the impact of other matters that management does not consider indicative of the operating performance of the business. Segment adjusted EBITDA is the primary earnings measure used by management to evaluate the performance of the company’s business segments.

Management believes free cash flow is an important measure because it represents the cash that the company generates after payment of tax distributions to limited partners, payments to certain former limited partners that elected to execute a Unit Exchange and Tax Receivable Agreement (“Unit Exchange Agreement) in connection with our August 2020 restructuring and purchases of property and equipment to maintain existing products and services and ongoing business operations, as well as development of new and upgraded products and services to support future growth. Free cash flow is important because it allows the company to enhance stockholder value through acquisitions, partnerships, joint ventures, investments in related or complimentary businesses and/or debt reduction.

Non-recurring items are items to be income or expenses and other items that have not been earned or incurred within the prior two years and are not expected to recur within the next two years. Such items include stock-based compensation, acquisition- and disposition-related expenses, strategic initiative- and financial restructuring-related expenses, remeasurement of TRA liabilities, loss on disposal of long-live assets, gain or loss on FFF put and call rights, income and expense that has been classified as discontinued operations and other expense.

Non-operating items include gains or losses on the disposal of assets and interest and investment income or expense.

EBITDA is defined as net income before income or loss from discontinued operations, net of tax, interest and investment income or expense, net, income tax expense, depreciation and amortization and amortization of purchased intangible assets.

Adjusted EBITDA is defined as EBITDA before merger and acquisition-related expenses and non-recurring, non-cash or non-operating items and including equity in net income of unconsolidated affiliates.

Segment adjusted EBITDA is defined as the segment’s net revenue less cost of revenue and operating expenses directly attributable to the segment excluding depreciation and amortization, amortization of purchased intangible assets, merger and acquisition-related expenses and non-recurring or non-cash items, and including equity in net income of unconsolidated affiliates. Operating expenses directly attributable to the segment include expenses associated with sales and marketing, general and administrative, and product development activities specific to the operation of each segment. General and administrative corporate expenses that are not specific to a particular segment are not included in the calculation of Segment Adjusted EBITDA. Segment Adjusted EBITDA also excludes any income and expense that has been classified as discontinued operations.

Adjusted net income is defined as net income attributable to Premier (i) excluding income or loss from discontinued operations, net, (ii) excluding income tax expense, (iii) excluding the impact of adjustment of redeemable limited partners’ capital to redemption amount, (iv) excluding the effect of non-recurring or non-cash items, including certain strategic initiative- and financial restructuring-related expenses, (v) assuming the exchange of all the Class B common units for shares of Class A common stock, which results in the elimination of non-controlling interest in Premier LP and (vi) reflecting an adjustment for income tax expense on Non-GAAP net income before income taxes at our estimated annual effective income tax rate, adjusted for unusual or infrequent items.

Adjusted earnings per share is Adjusted Net Income divided by diluted weighted average shares.

Free cash flow is defined as net cash provided by operating activities from continuing operations less distributions and Tax Receivable Agreement payments to limited partners, early termination payments to certain former limited partners that elected to execute a Unit Exchange Agreement in connection with our August 2020 restructuring and purchases of property and equipment. Free Cash Flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayments.

To properly and prudently evaluate our business, readers are urged to review the reconciliation of these non-GAAP financial measures, as well as the other financial tables, included at the end of this release. Readers should not rely on any single financial measure to evaluate the company’s business. In addition, the non-GAAP financial measures used in this release are susceptible to varying calculations and may differ from, and may therefore not be comparable to, similarly titled measures used by other companies.

Further information on Premier’s use of non-GAAP financial measures is available in the “Our Use of Non-GAAP Financial Measures” section of Premier’s Form 10-K for the year ended June 30, 2023, filed with the Securities and Exchange Commission (SEC), as may be updated in subsequent filings with the SEC.

Premier's Use of Forward-Looking Non-GAAP Measures

The company does not meaningfully reconcile guidance for non-GAAP adjusted EBITDA and non-GAAP adjusted earnings per share to net income attributable to stockholders or earnings per share attributable to stockholders because the company cannot provide guidance for the more significant reconciling items between net income attributable to stockholders and adjusted EBITDA and between earnings per share attributable to stockholders and non-GAAP adjusted earnings per share without unreasonable effort. This is due to the fact that future period non-GAAP guidance includes adjustments for items not indicative of our core operations, which may include, without limitation, items included in the supplemental financial information for reconciliation of reported GAAP results to non-GAAP results. Such items include strategic and acquisition related expenses for professional fees; mark to market adjustments for put options and contingent liabilities; gains and losses on stock-based performance shares; adjustments to its income tax provision (such as valuation allowance adjustments and settlements of income tax claims); items related to corporate and facility restructurings; and certain other items the company believes to be non-indicative of its ongoing operations. Such adjustments may be affected by changes in ongoing assumptions, judgements, as well as nonrecurring, unusual or unanticipated charges, expenses or gains/losses or other items that may not directly correlate to the underlying performance of our business operations. The exact amount of these adjustments is not currently determinable but may be significant.

Cautionary Note Regarding Forward-Looking Statements

Statements made in this release that are not statements of historical or current facts, such as those related to our ability to advance our long-term strategies, the payment of dividends at current levels, or at all, the timing and number of shares repurchased under our share repurchase approval, our expected effective income tax rate, and the statements under the heading “Fiscal 2023 Outlook and Guidance” and the key assumptions underlying fiscal 2023 guidance, are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of Premier to be materially different from historical results or from any future results or projections expressed or implied by such forward-looking statements. Accordingly, readers should not place undue reliance on any forward-looking statements. In addition to statements that explicitly describe such risks and uncertainties, readers are urged to consider statements in the conditional or future tenses or that include terms such as “believes,” “belief,” “expects,” “estimates,” “intends,” “anticipates” or “plans” to be uncertain and forward-looking. Forward-looking statements may include comments as to Premier’s beliefs and expectations as to future events and trends affecting its business and are necessarily subject to uncertainties, many of which are outside Premier’s control. More information on potential factors that could affect Premier’s financial results is included from time to time in the “Cautionary Note Regarding Forward-Looking Statements,” “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” sections of Premier’s periodic and current filings with the SEC, including those discussed under the “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” section of Premier’s Form 10-K for the year ended June 30, 2022 as well as the Form 10-Q for the quarter ended September 30, 2022, expected to be filed with the SEC shortly after the date of this release, and also made available on Premier’s website at investors.premierinc.com. Forward-looking statements speak only as of the date they are made, and Premier undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information or future events that occur after that date, or otherwise.

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