Premier (PINC) 8-K Results of Operations and Financial Condition

Exhibit 99.1

PREMIER INC. REPORTS FISCAL 2018 FOURTH-QUARTER AND

FULL-YEAR RESULTS

CHARLOTTE, NC, August 21, 2018 – Premier Inc. (NASDAQ: PINC) today reported financial results for the fiscal 2018 fourth quarter and full fiscal year ended June 30, 2018.

Full-Year 2018 Highlights:

• Net revenue increased 14% to $1.66 billion from the prior year; Supply Chain Services segment revenue rose 18% to $1.30 billion and Performance Services segment revenue increased 2% to $360.7 million.

• Due to aone-timere-measurement of deferred taxes related to tax reform, income tax expense increased more than 200%, resulting in a 43% decline in net income to $257.6 million from the prior year. Afternon-cash adjustments to reflect the change in the redemption value of limited partners’ Class B common unit ownership at the end of each period, diluted earnings per share totaled $1.36 compared with $1.51 the prior year.

• Non-GAAP adjusted EBITDA* increased 8% to $543.0 million from the prior year.

• Non-GAAP adjusted fully distributed net income* increased 19% to $317.1 million, representing $2.31 per diluted share, an increase of 22% over $1.89 per diluted share from the prior year.

• For the fiscal year ended June 30, 2018, the company generated cash flow from operations of $507.7 million. At June 30, 2018, the company’s cash and cash equivalents totaled $152.4 million, and the company had an outstanding balance of $100 million on its five-year revolving $750 million credit facility.

• Non-GAAP free cash flow* for the fiscal year increased 55% to $335.8 million from $216.5 million the prior year and represented 62% of full-yearnon-GAAP adjusted EBITDA.

• Premier established a $250 million stock repurchase plan for fiscal 2019 and completed its previous $200.0 million stock repurchase plan implemented during fiscal 2018.

Q4 2018 Highlights:

• Net revenue increased 8% to $434.0 million from the same period last year; Supply Chain Services segment revenue rose 10% to $339.2 million and Performance Services segment revenue increased 2% to $94.8 million.

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• Net income rose 36% to $100.6 million from the same period a year ago. Afternon-cash adjustments to reflect the change in the redemption value of limited partners’ Class B common unit ownership at the end of each period, diluted earnings per share reflected a loss of $6.17 compared with a loss of $6.10 for the same period last year.

• Non-GAAP adjusted EBITDA* of $148.1 million increased 12% from the same period last year.

• Non-GAAP adjusted fully distributed net income* increased 35% to $94.8 million, representing $0.70 per diluted share, an increase of 41% over $0.50 per diluted share from a year ago.

* Descriptions of adjusted EBITDA, adjusted fully distributed net income, adjusted fully distributed earnings per share, free cash flow and othernon-GAAP financial measures are provided in “Use and Definition ofNon-GAAP Measures,” and reconciliations are provided in the tables at the end of this release.

“Premier’s fourth quarter delivered a very successful finish to fiscal 2018, as stronger-than-anticipated revenue performance across our Supply Chain and Performance Services businesses produced earnings results that exceeded our expectations,” said Susan DeVore, president and chief executive officer. “These results capped a solid fiscal 2018 performance, once again demonstrating Premier’s consistent financial strength and operational excellence, which we believe solidify our continued leadership as we work with our nation’s health systems and other providers to transform healthcare delivery in America.

“Operationally, we finished the year with a 98% retention rate in our group purchasing (GPO) business, which generated approximately $60 billion in contract volume,” DeVore said. “We also achieved a 97% SaaS institutional renewal rate within our Performance Services segment, and our consulting services business delivered year-over-year growth for both the quarter and year. We continue to grow and expand our relationships and further refine our supply chain and performance services offerings. We finished fiscal 2018 with more than 4,000 member hospitals and health systems and approximately 165,000 other providers and organizations.

“Looking forward, we remain confident that Premier is uniquely well positioned to succeed in this dynamically evolving marketplace,” DeVore said. “Our comprehensive, data-driven analytics and consulting services provide health systems with a total value proposition aimed at comprehensively reducing costs, improving quality and safety, and moving our industry towards value-based care. In partnership with our members, we are constantly striving to expand and evolve our offerings to leverage new technologies and capitalize on new opportunities emerging in the marketplace. We believe Premier will continue to deliver meaningful value for our members, meaningful growth for our company, and long-term return and value for our stockholders.”

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Results of Operations for the Fourth Quarter of Fiscal 2018

Consolidated Fourth-Quarter and Full Year Financial Highlights

	Three Months Ended June 30,									Twelve Months Ended June 30,
(in thousands, except per share data)	2018			2017			% Change			2018			2017			% Change
Net Revenue(a):
Supply Chain Services:
Net administrative fees	$	171,893		$	158,506			8	%	$	643,839		$	557,468			15	%
Other services and support		2,985			3,742			(20	)%		11,454			9,704			18	%
Services		174,878			162,248			8	%		655,293			567,172			16	%
Products		164,286			147,479			11	%		645,284			534,118			21	%
Total Supply Chain Services(a)		339,164			309,727			10	%		1,300,577			1,101,290			18	%
Performance Services(a)		94,792			93,371			2	%		360,679			353,383			2	%
Total(a)	$	433,956		$	403,098			8	%	$	1,661,256		$	1,454,673			14	%
Net income	$	100,636		$	73,860			36	%	$	257,570		$	449,477			(43	)%
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)		3	%	$	190,882		$	76,249			150	%
Adjusted net income (loss)(b)	$	(323,211	)	$	(313,727	)		3	%	$	187,313		$	76,249			146	%
Weighted average shares outstanding:
Basic		52,412			51,470			2	%		53,518			49,654			8	%
Diluted		52,412			51,470			2	%		137,340			50,374			173	%
Earnings (loss) per share attributable to stockholders:
Basic	$	(6.17	)	$	(6.10	)		1	%		3.57		$	1.54			132	%
Diluted(b)	$	(6.17	)	$	(6.10	)		1	%		1.36		$	1.51			(10	)%
NON-GAAP FINANCIAL MEASURES:
Adjusted EBITDA (a) (c):
Supply Chain Services	$	142,450		$	129,539			10	%	$	535,380		$	493,763			8	%
Performance Services		37,564			33,641			12	%		123,429			121,090			2	%
Total segment adjusted EBITDA		180,014			163,180			10	%		658,809			614,853			7	%
Corporate		(31,917	)		(31,095	)		(3	)%		(115,760	)		(113,262	)		(2	)%
Total (a)	$	148,097		$	132,085			12	%	$	543,049		$	501,591			8	%
Adjusted fully distributed net income(c)	$	94,813		$	70,170			35	%	$	317,098		$	267,299			19	%
Earnings per share on adjusted fully distributed net income - diluted(a) (c)	$	0.70		$	0.50			41	%	$	2.31		$	1.89			22	%

(a) Bolded measures correspond to company guidance.

(b) Earnings per share attributable to stockholders excludes the adjustment of redeemable limited partners’ capital to redemption amount and the net income attributable tonon-controlling interest in Premier LP if Class B common stock is determined to be dilutive. Likewise, earnings per share attributable to stockholders includes the adjustment of redeemable limited partners’ capital to redemption amount and the net income attributable tonon-controlling interest in Premier LP if Class B common stock is determined to be antidilutive.

(c) See attached supplemental financial information for reconciliation of reported GAAP results toNon-GAAP results.

For the fiscal fourth-quarter ended June 30, 2018, Premier generated net revenue of $434.0 million, an increase of 8%, from net revenue of $403.1 million for the same period a year ago.

Net income for the fiscal fourth-quarter increased 36% to $100.6 million from $73.9 million for the same period a year ago. In accordance with GAAP, fiscal 2018 and 2017 fourth-quarter net income attributable to stockholders includednon-cash adjustments of $(353.7) million and $(333.7) million, respectively, to reflect the change in the redemption value of limited partners’ Class B common unit ownership at the end of each period. Thesenon-cash adjustments result primarily from changes in the number of Class B common shares outstanding and the company’s stock price between periods and do not reflect results of the company’s business operations. After these GAAPnon-cash adjustments, the company reported a net loss attributable to stockholders of

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$323.2 million, compared with a net loss of $313.7 million for the same period a year ago. The fourth-quarter net loss per diluted share of $6.17 compared with a net loss of $6.10 for the same period a year ago.See “Calculation of GAAP Earnings per Share” in the income statement section of this press release.

Fiscal fourth-quarternon-GAAP adjusted EBITDA of $148.1 million increased 12% from $132.1 million for the same period a year ago. The growth was primarily driven by an increase in net administrative fees revenue in the company’s group purchasing business and revenue growth coupled with diligent expense management in the company’s Performance Services segment.

Non-GAAP adjusted fully distributed net income for the fiscal fourth quarter increased 35% to $94.8 million from $70.2 million for the same period a year ago.Non-GAAP adjusted fully distributed earnings per share increased 41% to $0.70 from $0.50 for the same period a year ago. Adjusted fully distributed earnings per share represents net income, adjusted fornon-recurring andnon-cash items, attributable to all stockholders as if all Class B stockholders exchanged their Class B common units and associated Class B common shares for Class A common shares.

Segment Results

Supply Chain Services

For the fiscal fourth-quarter ended June 30, 2018, the Supply Chain Services segment generated net revenue of $339.2 million, an increase of 10% from $309.7 million the prior year. Revenue growth was driven by strong performance of both the company’s GPO and products businesses. GPO net administrative fees revenue of $171.9 million increased 8% from a year ago, driven by ongoing contract penetration of new and existing members augmented by timing of cash collections as well as higher than anticipated recoveries of past due administrative fees. Product revenues of $164.3 million increased 11% from a year ago, resulting from continued growth in the integrated pharmacy and direct sourcing business.

Supply Chain Services segmentnon-GAAP adjusted EBITDA of $142.5 million for the fiscal 2018 fourth quarter increased 10% from $129.5 million for the same period a year ago. The increase primarily resulted from the increase in net administrative fees revenue.

Performance Services

For the fiscal fourth-quarter ended June 30, 2018, the Performance Services segment generated net revenue of $94.8 million, an increase of 2% from $93.4 million for the same quarter last year. The growth reflects increases in the areas of SaaS informatics products subscription revenue associated with cost management, clinical surveillance and ambulatory regulatory reporting, as well as a year-over-year increase in consulting services revenue.

Performance Services segmentnon-GAAP adjusted EBITDA of $37.6 million for the fiscal 2018 fourth quarter reflected an increase of 12% from $33.6 million for the same quarter last year, driven primarily by the increased revenue and diligent management of costs.

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Results of Operations for the Fiscal Year Ended June 30, 2018

The company generated net revenue of $1.66 billion for the fiscal year ended June 30, 2018, a 14% increase from net revenue of $1.45 billion last year.

Net income decreased $191.9 million, or 43%, to $257.6 million for the fiscal year from $449.5 million for the prior year, due almost entirely to aone-timere-measurement of deferred taxes to a lower federal income tax rate resulting from the Tax Cuts and Jobs Act, which resulted in a more than 200% increase in income tax expense to $259.2 million in fiscal 2018 from $81.8 million the prior year. Fiscal 2018 and 2017 full-year net income attributable to stockholders requirednon-cash adjustments of $157.6 million and $(37.2) million, respectively, to reflect changes in redemption value of the limited partners’ Class B common unit ownership at the end of each period. Thesenon-cash adjustments result from changes in the number of Class B common shares outstanding and the company’s stock price between periods and do not reflect results of the company’s business operations. After thesenon-cash adjustments based on the changes in stock price, and after theone-timere-measurement of deferred taxes, the company reported net income attributable to stockholders of $1.36 per diluted share, compared with $1.51 per diluted share a year ago.(See income statement in the tables section of this press release.)

For the fiscal year ended June 30, 2018,non-GAAP adjusted EBITDA of $543.0 million increased 8% from $501.6 million the prior year.Non-GAAP adjusted fully distributed net income increased 19% to $317.1 million from $267.3 million the prior year, representing $2.31 per diluted share, a 22% increase from $1.89.

Supply Chain Services segment net revenue for fiscal 2018 increased 18% to $1.30 billion from $1.10 billion a year earlier. Supply Chain Servicesnon-GAAP segment adjusted EBITDA increased 8%, to $535.4 million, from the prior year.

Performance Services segment net revenue for fiscal 2018 increased 2% to $360.7 million from $353.4 million a year ago. Performance Servicesnon-GAAP segment adjusted EBITDA increased 2%, to $123.4 million, from the prior year.

Cash Flows and Liquidity

Net cash provided by operating activities was $507.7 million for the fiscal year ended June 30, 2018, an increase of 29% from $392.2 million for fiscal 2017. The increase in cash flow from operations primarily resulted from the increase in net administrative fees revenue and decreased working capital needs. At June 30, 2018, the company’s cash and cash equivalents totaled $152.4 million, compared with $156.7 million at June 30, 2017. At June 30, 2018, the company had an outstanding balance of $100.0 million on its five-year $750.0 million revolving credit facility. During the fiscal fourth quarter, the company repaid $100.0 million on the credit facility.

Non-GAAP free cash flow for the fiscal year ended June 30, 2018 increased to $335.8 million from $216.5 million the prior year and represented 62% ofnon-GAAP adjusted EBITDA. The increase in free cash flow primarily resulted from the same factors driving growth in cash flow from operations.(See free cash flow definition in “Use and Definitions ofNon-GAAP Financial Measures,” and reconciliation to net cash provided by operating activities is provided in the tables section of this press release).

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Fiscal 2019 Outlook and Guidance

The statements in this “Fiscal 2019 Outlook and Guidance” discussion are “forward-looking statements.” For additional information regarding the use and limitations of such statements, see “Forward-Looking Statements” below and the “Risk Factors” section of the company’s most recent Form10-K filed with the Securities and Exchange Commission (SEC), as updated from time to time in the company’s other filings with the SEC.

Additionally,the new revenue recognition standard related to Topic 606 is effective for Premier for the fiscal year beginning July 1, 2018, and is being adopted using the modified retrospective approach. Premier is nearing implementation and is quantifying the impact of the new standard on its consolidated financial statements. Due to the inherent complexity of its revenue recognition, Premier will continue to evaluate all potential impacts of the new standard and is concurrently refining its business processes, systems and internal controls necessary to support accounting, reporting and disclosure requirements. Fiscal 2019 guidance and the accompanying assumptions and revenue stream visibility are prior to the impact of Topic 606 to enable comparability against historical results.

Premier believes it remains well positioned financially and operationally for fiscal 2019, and is introducing financial guidance for the fiscal year based on the following key assumptions:

• Net administrative fees revenue growth in thelow- tomid-single-digit range.

• Revenue growth of the company’s products business of 7% to 11%.

• Performance consistent with the company’s current visibility into its annual revenue stream. Assuming the continuation of historical GPO retention and SaaS institutional renewal rates that are consistent with fiscal 2018 results, approximately 89% to 94% of Premier’s fiscal 2019 consolidated net revenue guidance range is available under contract.

• A consolidatednon-GAAP adjusted EBITDA margin in the 32% range.

• Capital expenditures of approximately $90 million to $ 95 million.

• An effective tax rate of approximately 26%.

• Stock-based compensation of $36 million to $38 million.

• Amortization of purchased intangible assets of approximately $54 million.

• Per-share guidance does not include the impact of share repurchases under the previously announced $250 million stock repurchase plan for fiscal 2019. The timing and amount of any share repurchases will be determined by management based on market conditions, share price and other factors.

• Guidance does not contemplate any material acquisitions.

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Based on the company’s current outlook, and the realization of the assumptions discussed above in all material respects, Premier has established the following financial guidance for the fiscal year ending June 30, 2019:

Fiscal 2019 Financial Guidance *

Premier, Inc. introduces full-year fiscal 2019 financial guidance, as follows:

(in millions, except per share data)	FY 2019		% YoY Increase
Net Revenue:
Supply Chain Services segment		$1,355.0 - $1,407.0		4% - 8%
Performance Services segment		$366.0 - $380.0		1% - 5%
Total Net Revenue		$1,721.0 - $1,787.0		4% - 8%
Non-GAAP adjusted EBITDA		$559.0 - $581.0		3% - 7%
Non-GAAP adjusted fully distributed EPS		$2.60 - $2.72		13% - 18%

* The company does not meaningfully reconcile guidance fornon-GAAP adjusted EBITDA andnon-GAAP adjusted fully distributed earnings per share to net income attributable to stockholders or earnings per share attributable to stockholders because the company cannot provide guidance for more significant reconciling items between net income attributable to stockholders and adjusted EBITDA and between earnings per share attributable to stockholders andnon-GAAP adjusted fully distributed earnings per share without unreasonable effort. This is due to two primary reasons:

• Reasonable guidance cannot be provided for reconciling the adjustment of redeemable limited partners’ capital to redemption amount – historically the largest adjustment in the reconciliation fromnon-GAAP to GAAP amounts – due to the fact that the increase or decrease in this item is based on the change in the number of shares of Class B stock outstanding and change in stock price between quarters, which the company cannot predict, control or reasonably estimate.

• Reasonable guidance cannot be provided for earnings per share attributable to stockholders because the ongoing quarterly member-owner exchange of Class B common stock and corresponding Class B units into shares of Class A common stock impacts the number of shares of Class A common stock outstanding each quarter, which the company cannot predict, control or reasonably estimate. Member owners have the right, but not the obligation, to exchange shares on a quarterly basis, and the company has the discretion to settle any exchanged shares for Class A common stock, cash, or a combination thereof, neither of which can be predicted, controlled or reasonably estimated at this time.

Conference Call

Premier management will host a conference call and live audio webcast on Tuesday, August 21, 2018, at 8:00 a.m. ET, to discuss the company’s financial results. The conference call can be accessed through a link provided on the investor relations page on Premier’s website atinvestors.premierinc.com. Those wanting to participate by phone may do so by dialing 844.296.7719 and providing the operator with conference ID number: 1072798. International callers should dial 574.990.1041and provide the same passcode. The company encourages callers to dial in at least five minutes before the start of the call to register. The archived webcast will be accessible on Premier’s investor relations page for at least 90 days following the webcast.

About Premier Inc.

Premier Inc. (NASDAQ: PINC) is a leading healthcare improvement company, uniting an alliance of more than 4,000 U.S. hospitals and health systems and approximately 165,000 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 toco-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 onwww.premierinc.com; as well asTwitter,Facebook,LinkedIn,YouTube,Instagram andPremier’s blog for more information about the company.

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Use and Definitions ofNon-GAAP Financial Measures

Premier uses EBITDA, adjusted EBITDA, segment adjusted EBITDA, adjusted fully distributed net income, adjusted fully distributed 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. The company believes adjusted EBITDA and segment adjusted EBITDA assist its 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 othernon-cash (impairment of intangible assets and purchase accounting adjustments) andnon-recurring items, from operating results.

In addition, adjusted fully distributed net income and adjusted fully distributed earnings per share eliminate the variability ofnon-controlling interest as a result of member owner exchanges of Class B common stock and corresponding Class B units into shares of Class A common stock and other potentially dilutive equity transactions which are outside of management’s control. Adjusted fully distributed net income is defined as net income attributable to Premier (i) excluding income tax expense, (ii) excluding the impact of adjustment of redeemable limited partners’ capital to redemption amount, (iii) excluding the effect ofnon-recurring andnon-cash items, (iv) assuming the exchange of all the Class B common units for shares of Class A common stock, which results in the elimination ofnon-controlling interest in Premier LP, and (v) reflecting an adjustment for income tax expense onnon-GAAP fully distributed net income before income taxes at the company’s estimated effective income tax rate. We define adjusted fully distributed earnings per share as adjusted fully distributed net income divided by diluted weighted average shares. These measures assist our board of directors, management and investors in comparing our net income and earnings per share on a consistent basis from period to period because these measures removenon-cash andnon-recurring items, and eliminate the variability ofnon-controlling interest that results from member owner exchanges of Class B common units into shares of Class A common stock.

EBITDA is defined as net income before interest and investment income, 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 andnon-recurring,non-cash ornon-operating items, and including equity in net income (or loss) of unconsolidated affiliates. For allNon-GAAP financial measures, we considernon-recurring 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 certain strategic and financial restructuring expenses.Non-operating items include gains or losses on the disposal of assets and interest and investment income or expense.

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 andnon-recurring ornon-cash items, and including equity in net income of unconsolidated affiliates.

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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. Adjusted EBITDA is a supplemental financial measure 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.

Free cash flow is defined as net cash provided by operating activities less distributions and tax receivable agreement payments to limited partners 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. 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 and capital investment 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.

To properly and prudently evaluate our business, readers are urged to review the reconciliation of thesenon-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, thenon-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 ofnon-GAAP financial measures is available in the “Our Use ofNon-GAAP Financial Measures” section of Premier’s Form10-K for the year ended June 30, 2018, expected to be filed with the SEC shortly after the date of this release.

Forward-Looking Statements

Statements made in this release that are not statements of historical or current facts, such as those related to expected financial performance, growth trends and market uncertainty in our Supply Chain and Performance Services business segments and their respective business units, the impact of regulatory uncertainty and our ability to manage through these issues, the statements related to fiscal 2019 outlook and guidance and the assumptions underlying such guidance, and Premier’s repurchase activity under its stock repurchase program, including the timing and number of shares repurchased or the possible suspension of or discontinuance of the repurchase program at any time are “forward-looking statements” within the meaning of the Private Securities Litigation Reform

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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 Form10-K for the year ended June 30, 2017, Form10-Q for the quarters ended September 30, 2017, December 31, 2017 and March 31, 2018, as well as the Form10-K for the fiscal year ended June 30, 2018, expected to be filed with the SEC shortly after the date of this release, and also made available on Premier’s website atinvestors.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.

Contacts
Investor contact:	Media contact:
Jim Storey	Amanda Forster
Vice President, Investor Relations	Vice President, Public Relations
704.816.5958	202.897.8004
jim_storey@premierinc.com	amanda_forster@premierinc.com

(Tables Follow)

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Consolidated Statements of Income

(Unaudited)

(In thousands, except per share data)

	Three Months Ended June 30,						Twelve Months Ended June 30,
	2018			2017			2018			2017
Net revenue:
Net administrative fees	$	171,893		$	158,506		$	643,839		$	557,468
Other services and support		97,777			97,113			372,133			363,087
Services		269,670			255,619			1,015,972			920,555
Products		164,286			147,479			645,284			534,118
Net revenue		433,956			403,098			1,661,256			1,454,673
Cost of revenue:
Services		46,171			47,910			187,399			182,775
Products		156,669			140,373			610,892			497,273
Cost of revenue		202,840			188,283			798,291			680,048
Gross profit		231,116			214,815			862,965			774,625
Other operating income:
Remeasurement of tax receivable agreement liabilities		—			—			177,174			5,447
Other operating income:		—			—			177,174			5,447
Operating expenses:
Selling, general and administrative		111,691			108,638			443,639			410,918
Research and development		318			779			1,423			3,107
Amortization of purchased intangible assets		13,851			13,887			55,447			48,327
Operating expenses		125,860			123,304			500,509			462,352
Operating income		105,256			91,511			539,630			317,720
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			313			—			205,146
Equity in net income (loss) of unconsolidated affiliates		604			(44	)		1,174			14,745
Interest and investment loss, net		(1,061	)		(1,486	)		(5,300	)		(4,512	)
Loss on disposal of long-lived assets		(651	)		(179	)		(2,376	)		(2,422	)
Other income (expense)		(1,838	)		(2,521	)		(16,324	)		614
Other income (expense), net		(2,946	)		(3,917	)		(22,826	)		213,571
Income before income taxes		102,310			87,594			516,804			531,291
Income tax expense		1,674			13,734			259,234			81,814
Net income		100,636			73,860			257,570			449,477
Net income attributable tonon-controlling interest in Premier LP		(70,127	)		(53,845	)		(224,269	)		(336,052	)
Adjustment of redeemable limited partners’ capital to redemption amount		(353,720	)		(333,742	)		157,581			(37,176	)
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)	$	190,882		$	76,249
Calculation of GAAP Earnings (Loss) per Share
Numerator for basic earnings (loss) per share:
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)	$	190,882		$	76,249
Numerator for diluted earnings (loss) per share:
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)	$	190,882		$	76,249
Adjustment of redeemable limited partners’ capital to redemption amount		—			—			(157,581	)		—
Net income attributable tonon-controlling interest in Premier LP		—			—			224,269			—
Net income (loss)		(323,211	)		(313,727	)		257,570			76,249
Tax effect on Premier, Inc. net income		—			—			(70,257	)		—
Adjusted net income (loss)	$	(323,211	)	$	(313,727	)	$	187,313		$	76,249
Denominator for basic earnings (loss) per share:
Weighted average shares		52,412			51,470			53,518			49,654
Denominator for diluted earnings (loss) per share:
Weighted average shares		52,412			51,470			53,518			49,654
Effect of dilutive stock based awards		—			—			822			720
Class B shares outstanding		—			—			83,000			—
Weighted average shares and assumed conversions		52,412			51,470			137,340			50,374
Basic earnings (loss) per share	$	(6.17	)	$	(6.10	)	$	3.57		$	1.54
Diluted earnings (loss) per share	$	(6.17	)	$	(6.10	)	$	1.36		$	1.51

Premier, Inc. FY18 Q4 and Year-End Results

Page 12 of 16

Consolidated Balance Sheets

(Unaudited)

(In thousands, except share data)

	June 30, 2018			June 30, 2017
Assets
Cash and cash equivalents	$	152,386		$	156,735
Accounts receivable (net of $1,841 and $1,812 allowance for doubtful accounts, respectively)		185,874			159,745
Inventory		66,139			50,426
Prepaid expenses and other current assets		23,325			35,164
Due from related parties		894			6,742
Total current assets		428,618			408,812
Property and equipment (net of $297,591 and $236,460 accumulated depreciation, respectively)		206,693			187,365
Intangible assets (net of $153,635 and $99,198 accumulated amortization, respectively)		322,115			377,962
Goodwill		906,545			906,545
Deferred income tax assets		305,624			482,484
Deferred compensation plan assets		44,577			41,518
Investments in unconsolidated affiliates		94,053			92,879
Other assets		3,991			10,271
Total assets	$	2,312,216		$	2,507,836
Liabilities, redeemable limited partners’ capital and stockholders’ deficit
Accounts payable	$	60,130		$	42,815
Accrued expenses		64,257			55,857
Revenue share obligations		78,999			72,078
Limited partners’ distribution payable		15,465			24,951
Accrued compensation and benefits		64,112			53,506
Deferred revenue		39,785			44,443
Current portion of tax receivable agreements		17,925			17,925
Current portion of long-term debt		100,250			227,993
Other liabilities		7,959			32,019
Total current liabilities		448,882			571,587
Long-term debt, less current portion		6,962			6,279
Tax receivable agreements, less current portion		237,176			321,796
Deferred compensation plan obligations		44,577			41,518
Deferred tax liabilities		17,569			48,227
Other liabilities		63,704			42,099
Total liabilities		818,870			1,031,506
Redeemable limited partners’ capital		2,920,410			3,138,583
Stockholders’ deficit:
Class A common stock, $0.01 par value, 500,000,000 shares authorized; 57,530,733 shares issued and 52,761,177 shares outstanding at June 30, 2018 and 51,943,281 shares issued and outstanding at June 30, 2017		575			519
Class B common stock, $0.000001 par value, 600,000,000 shares authorized; 80,335,701 and 87,298,888 shares issued and outstanding at June 30, 2018 and June 30, 2017, respectively		—			—
Treasury stock, at cost; 4,769,556 shares		(150,058	)		—
Additionalpaid-in-capital		—			—
Accumulated deficit		(1,277,581	)		(1,662,772	)
Accumulated other comprehensive loss		—			—
Total stockholders’ deficit		(1,427,064	)		(1,662,253	)
Total liabilities, redeemable limited partners’ capital and stockholders’ deficit	$	2,312,216		$	2,507,836

Premier, Inc. FY18 Q4 and Year-End Results

Page 13 of 16

Consolidated Statements of Cash Flows

(Unaudited)

(In thousands)

	Twelve Months Ended June 30,
	2018			2017
Operating activities
Net income	$	257,570		$	449,477
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		126,759			107,211
Equity in net income of unconsolidated affiliates		(1,174	)		(14,745	)
Deferred income taxes		232,990			60,562
Stock-based compensation		29,408			26,470
Remeasurement of tax receivable agreement liabilities		(177,174	)		(5,447	)
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(205,146	)
Loss on disposal of long-lived assets		2,376			2,422
Changes in operating assets and liabilities:
Accounts receivable, prepaid expenses and other current assets		(14,291	)		3,365
Other assets		(824	)		6,821
Inventories		(15,713	)		(16,349	)
Accounts payable, accrued expenses, and other current liabilities		32,767			(24,482	)
Long-term liabilities		6,673			(901	)
Loss on FFF put and call rights		22,036			3,935
Other operating activities		6,303			(946	)
Net cash provided by operating activities		507,706			392,247
Investing activities
Purchases of property and equipment		(92,680	)		(71,372	)
Proceeds from sale of marketable securities		—			48,013
Acquisition of Innovatix, LLC and Essensa Ventures, LLC, net of cash acquired		—			(319,717	)
Acquisition of Acro Pharmaceuticals, net of cash acquired		—			(62,892	)
Investments in unconsolidated affiliates		—			(65,660	)
Distributions received on equity investments in unconsolidated affiliates		—			6,550
Other investing activities		—			25
Net cash used in investing activities		(92,680	)		(465,053	)
Financing activities
Payments made on notes payable		(8,002	)		(5,486	)
Proceeds from credit facility		30,000			425,000
Payments on credit facility		(150,000	)		(205,000	)
Proceeds from exercise of stock options under equity incentive plan		8,019			9,168
Proceeds from issuance of Class A common stock under stock purchase plan		2,619			2,483
Repurchase of vested restricted units for employeetax-withholding		(5,965	)		(17,717	)
Settlement of exchange of Class B units by member owners		—			(123,331	)
Distributions to limited partners of Premier LP		(79,255	)		(90,434	)
Payments to limited partners of Premier LP related to tax receivable agreements		—			(13,959	)
Repurchase of Class A common stock (held as treasury stock)		(200,129	)		—
Earn-out liability payment to GNYHA Holdings		(16,662	)		—
Net cash used in financing activities		(419,375	)		(19,276	)
Net decrease in cash and cash equivalents		(4,349	)		(92,082	)
Cash and cash equivalents at beginning of year		156,735			248,817
Cash and cash equivalents at end of year	$	152,386		$	156,735

Premier, Inc. FY18 Q4 and Year-End Results

Page 14 of 16

Supplemental Financial Information

Reconciliation of Net Cash Provided by Operating Activities toNon-GAAP Free Cash Flow

(Unaudited)

(In thousands)

	Three Months Ended June 30,						Twelve Months Ended June 30,
	2018			2017			2018			2017
Net cash provided by operating activities	$	137,972		$	118,036		$	507,706		$	392,247
Purchases of property and equipment		(27,420	)		(19,480	)		(92,680	)		(71,372	)
Distributions to limited partners of Premier LP		(13,157	)		(23,071	)		(79,255	)		(90,434	)
Payments to limited partners under tax receivable agreements*		—			(13,959	)		—			(13,959	)
Non-GAAP Free Cash Flow	$	97,395		$	61,526		$	335,771		$	216,482

* The timing of TRA payments has shifted to July due to the change in the company’s federal tax filing deadline, which has been extended one month to April. Although Premier did not make a TRA payment in fiscal 2018, it did make a $17.9 million TRA payment to limited partners in July of fiscal 2019.

Premier, Inc. FY18 Q4 and Year-End Results

Page 15 of 16

Supplemental Financial Information

Reconciliation of Net Income to Adjusted EBITDA

Reconciliation of Operating Income to Segment Adjusted EBITDA

Reconciliation of Net Income Attributable to Stockholders toNon-GAAP Adjusted Fully Distributed Net Income

(Unaudited)

(In thousands)

	Three Months Ended June 30,						Twelve Months Ended June 30,
	2018			2017			2018			2017
Net income	$	100,636		$	73,860		$	257,570		$	449,477
Interest and investment loss, net		1,061			1,486			5,300			4,512
Income tax expense		1,674			13,734			259,234			81,814
Depreciation and amortization		18,911			15,566			71,312			58,884
Amortization of purchased intangible assets		13,851			13,887			55,447			48,327
EBITDA		136,133			118,533			648,863			643,014
Stock-based compensation		4,558			7,384			29,799			26,860
Acquisition related expenses		2,022			4,307			8,335			15,790
Strategic and financial restructuring expenses		859			31			2,512			31
Remeasurement of tax receivable agreement liabilities		—			(2,493	)		(177,174	)		(5,447	)
ERP implementation expenses		469			287			1,000			2,028
Acquisition related adjustment - revenue		43			320			300			18,049
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(313	)		—			(205,146	)
Loss on disposal of long-lived assets		651			179			2,376			2,422
Loss on FFF put and call rights		3,362			3,849			22,036			3,935
Impairment on investments		—			—			5,002			—
Other expense		—			1			—			55
Adjusted EBITDA	$	148,097		$	132,085		$	543,049		$	501,591
Income before income taxes	$	102,310		$	87,594		$	516,804		$	531,291
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(313	)		—			(205,146	)
Equity in net loss (income) of unconsolidated affiliates		(604	)		44			(1,174	)		(14,745	)
Interest and investment loss, net		1,061			1,486			5,300			4,512
Loss on disposal of long-lived assets		651			179			2,376			2,422
Other expense (income)		1,838			2,521			16,324			(614	)
Operating income		105,256			91,511			539,630			317,720
Depreciation and amortization		18,911			15,566			71,312			58,884
Amortization of purchased intangible assets		13,851			13,887			55,447			48,327
Stock-based compensation		4,558			7,384			29,799			26,860
Acquisition related expenses		2,022			4,307			8,335			15,790
Strategic and financial restructuring expenses		859			31			2,512			31
Remeasurement of tax receivable agreement liabilities		—			(2,493	)		(177,174	)		(5,447	)
ERP implementation expenses		469			287			1,000			2,028
Acquisition related adjustment - revenue		43			320			300			18,049
Equity in net income (loss) of unconsolidated affiliates		604			(44	)		1,174			14,745
Impairment on investments		—			—			5,002			—
Deferred compensation plan income		957			1,242			3,960			4,020
Other income		567			87			1,752			584
Adjusted EBITDA	$	148,097		$	132,085		$	543,049		$	501,591
Segment Adjusted EBITDA:
Supply Chain Services	$	142,450		$	129,539		$	535,380		$	493,763
Performance Services		37,564			33,641			123,429			121,090
Corporate		(31,917	)		(31,095	)		(115,760	)		(113,262	)
Adjusted EBITDA	$	148,097		$	132,085		$	543,049		$	501,591
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)	$	190,882		$	76,249
Adjustment of redeemable partners’ capital to redemption amount		353,720			333,742			(157,581	)		37,176
Net income attributable tonon-controlling interest in Premier LP		70,127			53,845			224,269			336,052
Income tax expense		1,674			13,734			259,234			81,814
Amortization of purchased intangible assets		13,851			13,887			55,447			48,327
Stock-based compensation		4,558			7,384			29,799			26,860
Acquisition related expenses		2,022			4,307			8,335			15,790
Strategic and financial restructuring expenses		859			31			2,512			31
Remeasurement of tax receivable agreement liabilities		—			(2,493	)		(177,174	)		(5,447	)
ERP implementation expenses		469			287			1,000			2,028
Acquisition related adjustment - revenue		43			320			300			18,049
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(313	)		—			(205,146	)
Loss on disposal of long-lived assets		651			179			2,376			2,422
Loss on FFF put and call rights		3,362			3,849			22,036			3,935
Impairment on investments		—			—			5,002			—
Other expense		—			1			1			55
Non-GAAP adjusted fully distributed income before income taxes		128,125			115,033			466,438			438,195
Income tax expense on fully distributed income before income taxes		33,312			44,863			149,340			170,896
Non-GAAP Adjusted Fully Distributed Net Income	$	94,813		$	70,170		$	317,098		$	267,299

Premier, Inc. FY18 Q4 and Year-End Results

Page 16 of 16

Supplemental Financial Information

Reconciliation of GAAP EPS toNon-GAAP EPS on Adjusted Fully Distributed Net Income

(Unaudited)

(In thousands, except per share data)

	Three Months Ended June 30,						Twelve Months Ended June 30,
	2018			2017			2018			2017
Net income (loss) attributable to stockholders	$	(323,211	)	$	(313,727	)	$	190,882		$	76,249
Adjustment of redeemable partners’ capital to redemption amount		353,720			333,742			(157,581	)		37,176
Net income attributable tonon-controlling interest in Premier LP		70,127			53,845			224,269			336,052
Income tax expense		1,674			13,734			259,234			81,814
Amortization of purchased intangible assets		13,851			13,887			55,447			48,327
Stock-based compensation		4,558			7,384			29,799			26,860
Acquisition related expenses		2,022			4,307			8,335			15,790
Strategic and financial restructuring expenses		859			31			2,512			31
Remeasurement of tax receivable agreement liabilities		—			(2,493	)		(177,174	)		(5,447	)
ERP implementation expenses		469			287			1,000			2,028
Acquisition related adjustment - revenue		43			320			300			18,049
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(313	)		—			(205,146	)
Loss on disposal of long-lived assets		651			179			2,376			2,422
Loss on FFF put and call rights		3,362			3,849			22,036			3,935
Impairment on investments		—			—			5,002			—
Other expense		—			1			1			55
Non-GAAP adjusted fully distributed income before income taxes		128,125			115,033			466,438			438,195
Income tax expense on fully distributed income before income taxes		33,312			44,863			149,340			170,896
Non-GAAP Adjusted Fully Distributed Net Income	$	94,813		$	70,170		$	317,098		$	267,299
Weighted Average:
Common shares used for basic and diluted earnings (loss) per share		52,412			51,470			53,518			49,654
Potentially dilutive shares		1,636			1,545			822			720
Conversion of Class B common units		80,548			87,638			83,000			90,816
Weighted average fully distributed shares outstanding - diluted		134,596			140,653			137,340			141,190
GAAP earnings (loss) per share	$	(6.17	)	$	(6.10	)	$	3.57		$	1.54
Adjustment of redeemable limited partners’ capital to redemption amount		6.75			6.48			(2.94	)		0.75
Net income attributable tonon-controlling interest in Premier LP		1.34			1.05			4.19			6.77
Income tax expense		0.03			0.27			4.84			1.65
Amortization of purchased intangible assets		0.26			0.27			1.04			0.97
Stock-based compensation		0.09			0.14			0.56			0.54
Acquisition related expenses		0.04			0.08			0.16			0.32
Strategic and financial restructuring expenses		0.02			—			0.05			—
Remeasurement of tax receivable agreement liabilities		—			(0.05	)		(3.31	)		(0.11	)
ERP implementation expenses		0.01			0.01			0.02			0.04
Acquisition related adjustment - revenue		—			0.01			0.01			0.36
Remeasurement gain attributable to acquisition of Innovatix, LLC		—			(0.01	)		—			(4.13	)
Loss on disposal of long-lived assets		0.01			—			0.04			0.05
Loss on FFF put and call rights		0.06			0.07			0.41			0.08
Impairment on investments		—			—			0.09			—
Impact of corporation taxes		(0.64	)		(0.86	)		(2.80	)		(3.45	)
Impact of dilutive shares		(1.10	)		(0.86	)		(3.62	)		(3.49	)
Non-GAAP EPS on Adjusted Fully Distributed Net Income	$	0.70		$	0.50		$	2.31		$	1.89

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