PINC 10-Q Quarterly Report March 31, 2016

PREMIER, INC.

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10-Q 1 pinc-20160331x10q.htm 10-Q SEC Document

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

______________________________________________________________________

FORM 10-Q

________________________________________________________________

(Mark One)



x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2016



o	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission File Number 001-36092

______________________________________________________________________

Premier, Inc.

(Exact name of registrant as specified in its charter)

______________________________________________________________________



Delaware		35-2477140
(State or other jurisdiction of incorporation or organization)		(I.R.S. Employer Identification No.)

13034 Ballantyne Corporate Place Charlotte, North Carolina		28277
(Address of principal executive offices)		(Zip Code)

(704) 357-0022

(Registrant's telephone number, including area code)

_____________________________________________________________________

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes x

No o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of "large accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act.



Large accelerated filer	x	Accelerated filer	o	Non-accelerated filer	o	Smaller reporting company	o
				(Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No x

As of May 6, 2016 , there were 45,554,075 shares of the registrant's Class A common stock, par value $0.01 per share, and 96,132,723 shares of the registrant's Class B common stock, par value $0.000001 per share, outstanding.

TABLE OF CONTENTS



		Page
PART I. FINANCIAL INFORMATION		6
Item 1.	Financial Statements	6
	Condensed Consolidated Balance Sheets as of March 31, 2016 and June 30, 2015 (Unaudited)	6
	Condensed Consolidated Statements of Income for the three and nine months ended March 31, 2016 and 2015 (Unaudited)	7
	Condensed Consolidated Statements of Comprehensive Income for the three and nine months ended March 31, 2016 and 2015 (Unaudited)	8
	Condensed Consolidated Statement of Stockholders' Deficit for the nine months ended March 31, 2016 (Unaudited)	9
	Condensed Consolidated Statements of Cash Flows for the nine months ended March 31, 2016 and 2015 (Unaudited)	10
	Notes to Condensed Consolidated Financial Statements (Unaudited)	12
Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	33
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	59
Item 4.	Controls and Procedures	59
PART II. OTHER INFORMATION		60
Item 1.	Legal Proceedings	60
Item 1A.	Risk Factors	60
Item 6.	Exhibits	60
	Signatures	61

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

Statements made in this Quarterly Report that are not statements of historical or current facts, such as those under the heading "Management's Discussion and Analysis of Financial Condition and Results of Operations," 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 our actual results, performance or achievements to be materially different from historical results or from any future results or projections expressed or implied by such forward-looking statements. In addition to statements that explicitly describe such risks and uncertainties, readers are urged to consider statements in 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 our beliefs and expectations regarding future events and trends affecting our business and are necessarily subject to uncertainties, many of which are outside our control. Factors that could cause actual results to differ materially from those indicated in any forward-looking statement include, but are not limited to:


•	competition which could limit our ability to maintain or expand market share within our industry;


•	consolidation in the healthcare industry;


•	potential delays in generating or an inability to generate revenues if the sales cycle takes longer than expected;


•	the terminability of member participation in our group purchasing organization ("GPO") programs with limited or no notice;


•	the impact of our business strategy that involves reducing the prices for products and services in our supply chain services segment;


•	the rate at which the markets for our non-GPO services and products develop;


•	the dependency of our members on payments from third-party payers;


•	our reliance on administrative fees which we receive from GPO suppliers;


•	our ability to maintain third-party provider and strategic alliances or enter into new alliances;


•	our ability to offer new and innovative products and services;


•	the portion of revenues we receive from our largest members;


•	risks and expenses related to future acquisition opportunities and integration of acquisitions;


•	financial and operational risks associated with investments in, or partnerships or joint ventures with, other businesses, particularly those that we do not control;


•	potential litigation;


•	our reliance on Internet infrastructure, bandwidth providers, data center providers and other third parties and our own systems for providing services to our users;


•	data loss or corruption due to failures or errors in our systems and service disruptions at our data centers, or breaches or failures of our security measures;


•	the financial and reputational consequences of cyber-attacks or other data security breaches that disrupt our operations or result in the dissemination of proprietary or confidential information about us or our members or other third parties;


•	our ability to use, disclose, de-identify or license data and to integrate third-party technologies;


•	our reliance on partners and other third parties;


•	our use of "open source" software;


•	changes in industry pricing benchmarks;


•	any adverse changes in the safety risk profiles of prescription drugs or the withdrawal of prescription drugs from the market;



	3


•	our ability to maintain and expand our existing base of drugs in our specialty pharmacy;


•	our dependency on contract manufacturing facilities located in various parts of the world;


•	our ability to attract, hire, integrate and retain key personnel;


•	adequate protection of our intellectual property;


•	any alleged infringement, misappropriation or violation of third-party proprietary rights;


•	potential sales and use tax liability in certain jurisdictions;


•	our current and future indebtedness and our ability to obtain additional financing;


•	fluctuation of our cash flows, quarterly revenues and results of operations;


•	changes in the political, economic or healthcare regulatory environment;


•	our compliance with federal and state laws governing financial relationships among healthcare providers and the submission of false or fraudulent healthcare claims;


•	interpretation and enforcement of current or future antitrust laws and regulations;


•	potential healthcare reform and new regulatory requirements placed on our software, services and content;


•	compliance with federal and state privacy, security and breach notification laws;


•	product safety concerns and regulation;


•	our holding company structure and dependence on distributions from Premier Healthcare Alliance, L.P. ("Premier LP");


•	different interests among our member owners or between us and our member owners;


•	our ability to effectively deploy the net proceeds from future issuances of our equity or debt securities;


•	the ability of our member owners to exercise significant control over us, including through the election of all of our directors;


•	exemption from certain corporate governance requirements due to our status as a "controlled company" within the meaning of the Nasdaq Global Select Market rules;


•	the terms of agreements between us and our member owners;


•	payments made to Premier LP's limited partners under the tax receivable agreements;


•	our ability to realize all or a portion of the tax benefits that are expected to result from the acquisition of Class B common units from the limited partners;


•	changes to Premier LP's allocation methods that may increase a tax-exempt limited partner's risk that some allocated income is unrelated business taxable income;


•	the dilutive effect of Premier LP's issuance of additional units or future issuances by us of common stock or preferred stock;


•	provisions in our certificate of incorporation and bylaws and the Amended and Restated Limited Partnership Agreement of Premier LP (as amended, the "LP Agreement") and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;


•	the requirements of being a public company and our inexperience and limited operating history as a publicly-traded company;


•	failure to establish and maintain an effective system of internal controls;


•	our relatively smaller public float in comparison to other public companies;


•	any downgrade in securities or industry analysts' recommendations about our business or Class A common stock;


•	the potential volatility of our Class A common stock price;



	4


•	the number of shares of Class A common stock that will be eligible for sale or exchange in the near future and the dilutive effect of such issuances;


•	our intention not to pay cash dividends on our Class A common stock;


•	possible future issuances of debt securities; and


•	the risk factors discussed under the heading "Risk Factors" herein and under Item 1A of our Annual Report on Form 10-K for the fiscal year ended June 30, 2015 (the "2015 Annual Report"), filed with the Securities and Exchange Commission ("SEC") on August 26, 2015.

More information on potential factors that could affect our 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" or similarly captioned sections of this Quarterly Report and our other periodic and current filings made from time to time with the SEC, which are available on our website at http://investors.premierinc.com/. You should not place undue reliance on any of our forward-looking statements which speak only as of the date they are made. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Furthermore, we cannot guarantee future results, events, levels of activity, performance or achievements.



	5

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

PREMIER, INC.

Condensed Consolidated Balance Sheets

(Unaudited)

(In thousands, except share and per share data)



	March 31, 2016			June 30, 2015

Assets
Cash and cash equivalents	$	238,384		$	146,522
Marketable securities	27,170			240,667
Accounts receivable (net of $1,899 and $1,153 allowance for doubtful accounts, respectively)	128,981			99,120
Inventory	29,307			33,058
Prepaid expenses and other current assets	24,970			22,353
Due from related parties	4,445			3,444
Total current assets	453,257			545,164
Marketable securities	39,456			174,745
Property and equipment (net of $255,085 and $220,685 accumulated depreciation, respectively)	165,736			147,625
Intangible assets (net of $41,873 and $17,815 accumulated amortization, respectively)	167,212			38,669
Goodwill	537,902			215,645
Deferred income tax assets	423,766			353,723
Deferred compensation plan assets	38,791			37,483
Other assets	28,856			17,137
Total assets	$	1,854,976		$	1,530,191

Liabilities, redeemable limited partners' capital and stockholders' deficit
Accounts payable	$	26,365		$	37,634
Accrued expenses	68,308			41,261
Revenue share obligations	62,630			59,259
Limited partners' distribution payable	24,743			22,432
Accrued compensation and benefits	43,236			51,066
Deferred revenue	52,820			39,824
Current portion of tax receivable agreements	10,845			11,123
Current portion of long-term debt	4,731			2,256
Other liabilities	5,412			4,776
Total current liabilities	299,090			269,631
Long-term debt, less current portion	64,243			15,679
Tax receivable agreements, less current portion	278,406			224,754
Deferred compensation plan obligations	38,791			37,483
Other liabilities	24,138			20,914
Total liabilities	704,668			568,461
Commitments and contingencies
Redeemable limited partners' capital	3,218,086			4,079,832
Stockholders' deficit:
Class A common stock, $0.01 par value, 500,000,000 shares authorized; 45,342,351 and 37,668,870 shares issued and outstanding at March 31, 2016 and June 30, 2015, respectively	453			377
Class B common stock, $0.000001 par value, 600,000,000 shares authorized; 96,674,787 and 106,382,552 shares issued and outstanding at March 31, 2016 and June 30, 2015, respectively	—			—
Additional paid-in capital	—			—
Accumulated deficit	(2,068,152		)	(3,118,474		)
Accumulated other comprehensive loss	(79		)	(5		)
Total stockholders' deficit	(2,067,778		)	(3,118,102		)
Total liabilities, redeemable limited partners' capital and stockholders' deficit	$	1,854,976		$	1,530,191

See accompanying notes to the unaudited condensed consolidated financial statements.



	6

PREMIER, INC.

Condensed Consolidated Statements of Income

(Unaudited)

(In thousands, except per share data)



	Three months ended March 31,						Nine months ended March 31,
	2016			2015			2016			2015
Net revenue:
Net administrative fees	$	131,270		$	117,959		$	369,952		$	337,157
Other services and support	87,389			70,326			252,114			199,621
Services	218,659			188,285			622,066			536,778
Products	80,010			73,438			239,107			203,698
Net revenue	298,669			261,723			861,173			740,476
Cost of revenue:
Services	40,685			36,026			119,301			104,066
Products	71,408			66,789			214,512			183,302
Cost of revenue	112,093			102,815			333,813			287,368
Gross profit	186,576			158,908			527,360			453,108
Operating expenses:
Selling, general and administrative	101,898			86,847			288,120			243,404
Research and development	1,180			596			2,060			2,385
Amortization of purchased intangible assets	8,740			2,554			24,058			6,598
Operating expenses	111,818			89,997			314,238			252,387
Operating income	74,758			68,911			213,122			200,721
Equity in net income of unconsolidated affiliates	6,627			5,197			16,002			14,812
Interest and investment (expense) income, net	(285		)	204			(981		)	517
Loss on investment	—			(1,000		)	—			(1,000		)
Other income (expense), net	—			743			(2,081		)	(219		)
Other income, net	6,342			5,144			12,940			14,110
Income before income taxes	81,100			74,055			226,062			214,831
Income tax expense	9,543			2,026			41,257			12,107
Net income	71,557			72,029			184,805			202,724
Net income attributable to non-controlling interest in S2S Global	—			(252		)	—			(1,836		)
Net income attributable to non-controlling interest in Premier LP	(56,018		)	(59,568		)	(153,735		)	(170,135		)
Net income attributable to non-controlling interest	(56,018		)	(59,820		)	(153,735		)	(171,971		)
Adjustment of redeemable limited partners' capital to redemption amount	284,409			(387,062		)	685,649			(811,969		)
Net income (loss) attributable to stockholders	$	299,948		$	(374,853	)	$	716,719		$	(781,216	)

Weighted average shares outstanding:
Basic	44,716			37,316			41,329			35,066
Diluted	145,018			37,316			145,558			35,066

Earnings (loss) per share attributable to stockholders:
Basic	$	6.71		$	(10.05	)	$	17.34		$	(22.28	)
Diluted	$	0.43		$	(10.05	)	$	1.03		$	(22.28	)

See accompanying notes to the unaudited condensed consolidated financial statements.



	7

PREMIER, INC.

Condensed Consolidated Statements of Comprehensive Income

(Unaudited)

(In thousands)



	Three months ended March 31,						Nine months ended March 31,
	2016			2015			2016			2015
Net income	$	71,557		$	72,029		$	184,805		$	202,724
Net unrealized gain (loss) on marketable securities	283			218			(226		)	(128		)
Total comprehensive income	71,840			72,247			184,579			202,596
Less: comprehensive income attributable to non-controlling interest	(56,219		)	(59,658		)	(153,578		)	(171,876		)
Comprehensive income attributable to Premier, Inc.	$	15,621		$	12,589		$	31,001		$	30,720

See accompanying notes to the unaudited condensed consolidated financial statements.



	8

PREMIER, INC.

Condensed Consolidated Statement of Stockholders' Deficit

Nine Months Ended March 31, 2016

(Unaudited)

(In thousands)



	Class A Common Stock			Class B Common Stock				Additional Paid-In Capital			Accumulated Deficit			Accumulated Other Comprehensive Loss			Total Stockholders' Deficit
	Shares	Amount		Shares		Amount		Additional Paid-In Capital			Accumulated Deficit			Accumulated Other Comprehensive Loss			Total Stockholders' Deficit
Balance at June 30, 2015	37,669	$	377	106,383		$	—	$	—		$	(3,118,474	)	$	(5	)	$	(3,118,102	)
Redemption of limited partners	—	—		(2,194	)	—		—			—			—			—
Exchange of Class B common units for Class A common stock by member owners	7,514	75		(7,514	)	—		260,523			—			—			260,598
Increase in additional paid-in capital related to quarterly exchange by member owners and departure of member owners	—	—		—		—		34,195			—			—			34,195
Issuance of Class A common stock under equity incentive plan	116	1		—		—		2,519			—			—			2,520
Final remittance of net income attributable to S2S Global before February 1, 2015	—	—		—		—		—			(1,890		)	—			(1,890		)
Stock-based compensation expense	—	—		—		—		36,785			—			—			36,785
Employee stock purchase plan	43	—		—		—		1,534			—			—			1,534
Repurchase of restricted units	—	—		—		—		(63		)	—			—			(63		)
Net income	—	—		—		—		—			184,805			—			184,805
Net income attributable to non-controlling interest	—	—		—		—		—			(153,735		)	—			(153,735		)
Net unrealized loss on marketable securities	—	—		—		—		—			—			(74		)	(74		)
Adjustment of redeemable limited partners' capital to redemption amount	—	—		—		—		(335,493		)	1,021,142			—			685,649
Balance at March 31, 2016	45,342	$	453	96,675		$	—	$	—		$	(2,068,152	)	$	(79	)	$	(2,067,778	)

See accompanying notes to the unaudited condensed consolidated financial statements.



	9

PREMIER, INC.

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(In thousands)



	Nine months ended March 31,
	2016			2015
Operating activities
Net income	$	184,805		$	202,724
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	61,232			39,705
Equity in net income of unconsolidated affiliates	(16,002		)	(14,812		)
Deferred income taxes	22,345			(269		)
Loss on investment	—			1,000
Stock-based compensation	36,785			21,129
Adjustment to tax receivable agreement liability	(4,818		)	—
Changes in operating assets and liabilities:
Accounts receivable, prepaid expenses and other current assets	(27,071		)	(23,645		)
Other assets	(9,773		)	(1,130		)
Inventory	3,751			(9,035		)
Accounts payable, accrued expenses, revenue share obligations and other current liabilities	21,450			35,670
Long-term liabilities	(1,246		)	2,417
Other operating activities	(521		)	1,821
Net cash provided by operating activities	270,937			255,575
Investing activities
Purchase of marketable securities	(19,211		)	(239,782		)
Proceeds from sale of marketable securities	367,600			298,757
Acquisition of CECity.com, Inc., net of cash acquired	(398,261		)	—
Acquisition of Healthcare Insights, LLC, net of cash acquired	(64,274		)	—
Acquisition of InFlowHealth, LLC	(6,088		)	—
Acquisition of Aperek, Inc., net of cash acquired	—			(47,446		)
Acquisition of TheraDoc, Inc., net of cash acquired	—			(108,561		)
Purchase of noncontrolling interest in S2S Global	—			(14,518		)
Investment in unconsolidated affiliates	(3,250		)	—
Distributions received on equity investment	17,043			13,900
Purchases of property and equipment	(54,684		)	(51,064		)
Proceeds from sale of property and equipment	95			—
Other investing activities	(101		)	(443		)
Net cash used in investing activities	(161,131		)	(149,157		)
Financing activities
Payments made on notes payable	(1,847		)	(1,046		)
Proceeds from S2S Global revolving line of credit	—			1,007
Payments on S2S Global revolving line of credit	—			(14,715		)
Proceeds from credit facility	150,000			—
Payments on credit facility	(100,000		)	—
Proceeds from exercise of stock options under equity incentive plan	2,519			1,076
Proceeds from issuance of Class A common stock under stock purchase plan	1,302			—
Repurchase of restricted units	(63		)	(90		)
Final remittance of net income attributable to former S2S Global minority shareholder	(1,890		)	—
Distributions to limited partners of Premier LP	(67,965		)	(68,800		)
Net cash used in financing activities	(17,944		)	(82,568		)
Net increase in cash and cash equivalents	91,862			23,850
Cash and cash equivalents at beginning of period	146,522			131,786
Cash and cash equivalents at end of period	$	238,384		$	155,636



	10




Supplemental schedule of non-cash investing and financing activities:
Payable to member owners incurred upon repurchase of ownership interest	$	2,888		$	2,046
Reduction in tax receivable agreement liability related to departed member owners	$	12,225		$	1,580
Distributions and notes payable utilized to reduce subscriptions, notes, interest and accounts receivable from member owners	$	4,813		$	4,884
Reduction in redeemable limited partners' capital for limited partners' distribution payable	$	24,743		$	23,398
Increase in redeemable limited partners' capital for adjustment to redemption amount, with offsetting increase in additional paid-in-capital and accumulated deficit	$	685,649		$	811,969
Reduction in redeemable limited partners' capital, with offsetting increase in common stock and additional paid-in capital related to quarterly exchange by member owners	$	(260,598	)	$	(164,655	)
Increase in additional paid-in capital related to quarterly exchanges by member owners and departure of member owners	$	34,195		$	16,796
Increase in tax receivable agreement liability related to quarterly exchanges by member owners	$	70,418		$	53,793
Increase in deferred tax assets related to quarterly exchanges by member owners	$	97,108		$	70,589
Reduction in deferred tax assets related to departed member owners	$	4,721		$	—

See accompanying notes to the unaudited condensed consolidated financial statements.



	11

PREMIER, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

(1) ORGANIZATION AND BASIS OF PRESENTATION

Organization

Premier, Inc. ("Premier" or the "Company") is a publicly-held, for-profit Delaware corporation primarily owned by hospitals, health systems and other healthcare organizations (such owners of Premier are referred to herein as "member owners") located in the United States and by public stockholders. The Company, together with its subsidiaries and affiliates, is a leading healthcare improvement company that unites hospitals, health systems, physicians and other healthcare providers to improve and innovate in the clinical, financial and operational areas of their businesses to meet the demands of a rapidly evolving healthcare industry.

The Company's business model and solutions are designed to provide its members access to scale efficiencies, spread the cost of their development, provide actionable intelligence derived from anonymized data in the Company's data warehouse, mitigate the risk of innovation and disseminate best practices that will help the Company's member organizations succeed in their transformation to higher quality and more cost-effective healthcare.

The Company, together with its subsidiaries and affiliates, delivers its integrated platform of solutions through two business segments: supply chain services and performance services. The supply chain services segment includes one of the largest healthcare group purchasing organizations ("GPOs") in the United States, a specialty pharmacy and direct sourcing activities. The performance services segment includes one of the largest informatics and advisory services businesses in the United States focused on healthcare providers. The Company's software as a service ("SaaS") informatics products utilize its comprehensive data set to provide actionable intelligence to its members, enabling them to benchmark, analyze and identify areas of improvement across the three main categories of cost management, quality and safety, and population health management. The performance services segment also includes the Company's technology-enabled performance improvement collaboratives, advisory services and insurance management services.

Basis of Presentation and Principles of Consolidation

Basis of Presentation

The Company, through its wholly-owned subsidiary, Premier Services, LLC ("Premier GP"), holds an approximate 32% controlling general partner interest in, and, as a result, consolidates the financial statements of, Premier Healthcare Alliance, L.P. ("Premier LP"). The limited partners' approximate 68% ownership of Premier LP is reflected as redeemable limited partners' capital in the Company's accompanying condensed consolidated balance sheets, and the limited partners' proportionate share of income in Premier LP is reflected within net income attributable to non-controlling interest in Premier LP in the Company's accompanying condensed consolidated statements of income and within comprehensive income attributable to non-controlling interest in the accompanying condensed consolidated statements of comprehensive income. During the nine months ended March 31, 2016 , the member owners exchanged approximately 7.5 million of their Class B common units and associated Class B common stock for an equal number of Class A common stock as part of their quarterly exchange rights under an exchange agreement (the "Exchange Agreement") entered into by the member owners in connection with the completion of a series of transactions (the "Reorganization") following the consummation of the Company's initial public offering (the "IPO", and collectively with the Reorganization, the "Reorganization and IPO") on October 1, 2013 (see Note 13 - Earnings (Loss) Per Share). As a result of t he February 1, 2016 exchange, member owners’ ownership percentage of the Company’s combined Class A and Class B common stock (“Common Stock”) decreased from approximately 70% at December 31, 2015 to approximately 68% at March 31, 2016 through their ownership of Class B common stock. The ownership percentage of public investors’ ownership percentage, which may include member owners that have received shares of Class A common stock in connection with previous exchanges, increased from approximately 30% at December 31, 2015 to approximately 32% at March 31, 2016 .

Principles of Consolidation

The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles ("GAAP") for interim financial information and pursuant to the rules and regulations of the Securities and Exchange Commission (the "SEC"). Accordingly, certain information and disclosures normally included in annual financial statements have been condensed or omitted. The accompanying condensed consolidated financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of results of operations and financial condition for the interim periods shown, including normal recurring adjustments. The Company believes that the disclosures are adequate to make the information presented not misleading and should be read in conjunction with the audited consolidated financial statements and



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related footnotes contained in the Company's Annual Report on Form 10-K for the fiscal year ended June 30, 2015 (the "2015 Annual Report") filed with the SEC on August 26, 2015.

Use of Estimates in the Preparation of Financial Statements

The preparation of the Company's condensed consolidated financial statements in accordance with GAAP requires management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses and related disclosure of contingent assets and liabilities. Significant estimates including estimates for allowances for doubtful accounts, useful lives of property and equipment, stock-based compensation, payables under tax receivable agreements, values of investments not publicly traded, the valuation allowance on deferred tax assets, uncertain income taxes, deferred revenue, future cash flows associated with asset impairments, and the allocation of purchase price are evaluated on an ongoing basis. These estimates are based on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.

(2) SIGNIFICANT ACCOUNTING POLICIES

There have been no material changes to the Company's significant accounting policies as described in the 2015 Annual Report, other than the balance sheet classification of deferred taxes discussed below and in Note 15 - Income Taxes.

Recently Adopted Accounting Standards

In November 2015, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2015-17 Balance Sheet Classification of Deferred Taxe s as part of their simplification initiatives. The update requires that deferred tax liabilities and assets be classified as noncurrent in a classified statement of financial position. The Company early adopted this standard as allowed as of December 31, 2015. The Company retroactively adjusted deferred tax assets and liabilities as they would have been reported at June 30, 2015 in accordance with ASU 2015-17 (see Note 15 - Income Taxes).

In September 2015, the FASB issued ASU 2015-16 Simplifying the Accounting Measurement-Period Adjustments . Under this standard, an acquirer must recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined. The effect on earnings of changes in depreciation or amortization, or other income effects (if any) as a result of the change to the provisional amounts, calculated as if the accounting had been completed as of the acquisition date, must be recorded in the reporting period in which the adjustment amounts are determined rather than retrospectively. This standard also requires that the acquirer present separately on the face of the income statement, or disclose in the notes, the portion of the amount recorded in current-period earnings by line item that would have been recorded in previous reporting periods if the adjustment to the provisional amounts had been recognized as of the acquisition date.

The Company early adopted the new standard as allowed effective January 1, 2016. The adoption of ASU 2015-16 did not result in any significant changes in the Company's result of operations or statement of position. For further information, see Note 7 - Goodwill.

Recently Issued Accounting Standards Not Yet Adopted

In March 2016, the FASB issued ASU No. 2016-09 Compensation - Stock Compensation (Topic 718), Improvements to Employee Share-Based Payment Accounting which is intended to simplify the accounting for employee share-based payments. The amendments in this updated guidance include changes to simplify the accounting for share-based payment transactions, including the income tax consequences, classification of such share-based awards as either equity or liabilities and classification in the statement of cash flows. The standard is effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2017. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.

In February 2016, the FASB issued ASU No. 2016-02 Leases (Topic 842) which is intended to increase transparency and comparability among organizations of accounting for leasing arrangements. This guidance establishes a right-of-use model that requires a lessee to record a right-of-use asset and a lease liability on the balance sheet for all leases with terms longer than twelve months. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition in the income statement. Entities will be required to recognize and measure leases as of the earliest period presented using a modified retrospective approach. The standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2019. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.



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In January 2016, the FASB issued ASU No. 2016-01 Recognition and Measurement of Financial Assets and Financial Liabilities which is intended to provide users of financial statements with more useful information on the recognition, measurement, presentation, and disclosure of financial instruments. The standard is effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2018. Early adoption is permitted for financial statements that have not been issued. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.

In August 2015, the FASB issued ASU 2015-15 Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements which clarifies the SEC staff’s position on presenting and measuring debt issuance costs incurred in connection with line-of-credit arrangements given the lack of guidance on this topic in ASU 2015-03 Interest-Imputation of Interest: Simplifying the Presentation of Debt Issuance Costs. The SEC staff has announced that it would “not object to an entity deferring and presenting debt issuance costs as an asset and subsequently amortizing the deferred debt issuance costs ratably over the term of the line-of-credit arrangement.” This standard will be effective retrospectively for financial statements issued for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2016. Early adoption is permitted for financial statements that have not been previously issued. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.

In July 2015, the FASB issued ASU 2015-11, Simplifying the Measurement of Inventory , which requires entities to measure most inventory “at the lower of cost and net realizable value,” thereby simplifying the current guidance under which an entity must measure inventory at the lower of cost or market. This guidance will not apply to inventories that are measured by using either the last-in, first-out method or the retail inventory method. The new standard will be effective prospectively for annual periods beginning after December 15, 2016, and interim periods therein. The new standard will be effective for the Company for the fiscal year beginning July 1, 2017. Early adoption is permitted. Upon transition, entities must disclose the nature of and reason for the accounting change. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.

In February 2015, the FASB issued ASU 2015-02, Consolidation (Topic 810): Amendments to the Consolidation Analysis , which effectively eliminates the presumption that a general partner should consolidate a limited partnership, modifies the evaluation of whether limited partnerships and similar legal entities are variable interest entities ("VIE"s) or voting interest entities, and affects the consolidation analysis of reporting entities that are involved with VIEs (particularly those that have fee arrangements and related party relationships). In some cases, consolidation conclusions will change under the new guidance and, in other cases, a reporting entity will provide additional disclosures if an entity that currently is not considered a VIE is considered a VIE under the new guidance. The new standard will be effective for fiscal years, and interim periods within those years, beginning after December 15, 2015 and early adoption is permitted. The new standard allows for either full retrospective or modified retrospective adoption. The new standard will be effective for the Company for the fiscal year beginning July 1, 2016. The Company has completed its preliminary evaluation and believes there is no impact from the adoption of the new standard on its consolidated financial statements other than providing additional disclosures.

In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers , which will supersede nearly all existing revenue recognition guidance. The new standard requires revenue to be recognized when promised goods or services are transferred to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The new standard also requires additional disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and assets recognized from costs incurred to obtain or fulfill a contract. The new standard allows for either full retrospective or modified retrospective adoption.

The FASB subsequently issued an amendment in ASU 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date , in August 2015 to defer the effective date of the new standard for all entities by one year. The new standard, as amended, will be effective for fiscal years, and interim periods within those years, beginning after December 15, 2017 and early adoption as of the original effective date for public entities will be permitted. ASU 2014-09, as amended, will be effective for the Company for the fiscal year beginning July 1, 2018.

The FASB issued another amendment in ASU 2016-08, Revenue from Contracts with Customers (Topic 606): Principal versus Agent Considerations , in March 2016 related to a third party providing goods or services to a customer. When another party is involved in providing goods or services to a customer, an entity is required to determine whether the nature of its promise is to provide the specified good or service itself, the entity acts as a principal. If an entity arranges for the good or service to be provided by a third party, the entity acts as an agent. The amendment requires principals to recognize revenue for the gross amount and agents to recognize revenue for the amount of any fee or commission it expects to be entitled. The amendment will be effective with ASU 2014-09.



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In April 2016, the FASB issued ASU 2016-10, Identifying Performance Obligations and Licensing , which amends specific aspects of ASU 2014-09, Revenue from Contracts with Customers, including how to identify performance obligations and guidance related to licensing implementation. This amendment provides guidance on determining whether an entity's promise to grant a license provides a customer with either a right to use the entity's intellectual property or a right to access the entity's intellectual property. The amendment will be effective with ASU 2014-09.

The Company is currently evaluating the transition method that will be elected as well as the impact of the adoption of ASU 2014-09, as amended, on its consolidated financial statements and related disclosures. The Company is also evaluating the impact of the deferral of the effective date on its plans for adopting the new standard.

(3) BUSINESS ACQUISITIONS

Acquisition of InFlowHealth, LLC

On October 1, 2015, the Company’s consolidated subsidiary, Premier Healthcare Solutions, Inc. ("PHSI") acquired all of the limited liability company membership interests of InFlow for $6.1 million in cash, subject to post-closing adjustments based on InFlow’s actual (i) indebtedness, (ii) transaction expenses and (iii) net working capital at closing. The acquisition provides selling members an earn-out opportunity of up to $26.9 million based on InFlow’s future annual contractual subscription revenues above certain thresholds through December 31, 2019. As of March 31, 2016 , the Company valued the earn-out at $4.1 million related to the contingent purchase price, of which $0.7 million is classified as current and included in other current liabilities and $3.4 million is classified as long-term and included in other non-current liabilities in the condensed consolidated balance sheet. In accordance with GAAP, the contingent consideration is recorded at fair value based on a probability-weighted approach including multiple earnings scenarios, although this value is not indicative of a known amount to be paid. The selling members also received restricted stock units of the Company with an aggregate equity grant value of $2.1 million , which vest over a three -year period with restrictions tied to continued employment.

InFlow is a SaaS-based software developer that specializes in improving the operational, financial and strategic performance of physician practices. InFlow’s software allows physicians to identify opportunities for improvement and guide physician practice budgeting and strategic investments by aggregating financial and operational data from physicians in medical groups across the United States. The software is designed to provide actionable insights into among other things, practice capacity, patient volumes, productivity and staffing ratios, revenue cycle performance, patient demographics, referral patterns, and overall compensation.

The Company has accounted for the InFlow acquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets (see Note 6 - Intangible Assets, Net) acquired and liabilities assumed based on their preliminary fair values. The InFlow acquisition resulted in the recognition of approximately $5.9 million of goodwill (see Note 7 - Goodwill) attributable to the anticipated profitability of InFlow. The Company reports InFlow as part of its performance services segment. The InFlow acquisition is considered an asset acquisition for tax purposes. Accordingly, the Company expects the goodwill to be deductible for tax purposes.

The purchase price allocation for the InFlow acquisition is preliminary and subject to changes in fair value of working capital, valuation of the assets acquired and the liabilities assumed. The calculation of the earn-out is based on future revenues as defined in the purchase agreement. In accordance with GAAP, the Company is required to fair-value the earn-out liability at each reporting period with any adjustments to the earn-out recorded in earnings under other expenses, net.

For the six months ended December 31, 2015 , the Company overstated cash flows used in investing activities by $4.1 million and overstated cash flows provided by operating activities by $4.1 million related to the earn-out liability for InFlow. The Company has corrected the cash flow statement as of the nine months ended March 31, 2016 in the condensed consolidated financial statements.

Acquisition of CECity.com, Inc.

On August 20, 2015, PHSI acquired 100% of the outstanding shares of capital stock of CECity.com, Inc. (“CECity”), a Delaware corporation, for $398.3 million , subject to post-closing adjustments based on CECity's actual (i) net working capital, (ii) cash and cash equivalents and (iii) indebtedness at closing. The Company funded the acquisition with $250.0 million of cash and $150.0 million of borrowings under the Company’s credit facility (see Note 9 - Debt). CECity is a cloud-based healthcare solutions provider, specializing in performance management and improvement, pay-for-value reporting and professional education. CECity offers turnkey solutions for clinical data registries, continuing medical education, maintenance of certification, performance improvement, pay-for-value reporting and life-long professional development.

The Company has accounted for the CECity acquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets (see Note 6 - Intangible Assets, Net) acquired and liabilities assumed based on their preliminary fair values. The CECity acquisition resulted in the recognition of approximately $273.9 million of goodwill (see Note 7 - Goodwill)



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which reflects a premium relative to the fair value of the identified assets due to the strategic importance of the transaction to the Company and the CECity business model which does not rely extensively on tangible assets as well as the anticipated profitability of CECity. The CECity acquisition is considered an asset acquisition for tax purposes. Accordingly, the Company expects the goodwill to be deductible for tax purposes.

The purchase price allocation for the CECity acquisition is preliminary and subject to changes in fair value of working capital and the valuation of the assets acquired and the liabilities assumed. The following table summarizes the preliminary fair values assigned to the net assets acquired and the liabilities assumed as of the CECity acquisition date of August 20, 2015 (in thousands):



	Acquisition Date Fair Value
Purchase price	$	400,000
Working capital adjustment	(28		)
Total purchase price	399,972
Less: cash acquired	(1,708		)
Total purchase price, net of cash acquired	398,264
Accounts receivable	3,937
Other current assets	295
Property and equipment	605
Intangible assets	125,400
Total assets acquired	130,237
Other current liabilities	5,871
Total liabilities assumed	5,871
Goodwill	$	273,898

Approximately $0.5 million and $3.3 million of pretax transaction-related costs related to the CECity acquisition are recorded in selling, general and administrative expenses in the accompanying condensed consolidated statement of income for the three and nine months ended March 31, 2016 , respectively. The Company reports CECity as part of its performance services segment.

Pro forma results of operations for this acquisition have not been presented because the effects on revenue and net income were not material to our historic condensed consolidated financial statements.

Acquisition of Healthcare Insights, LLC

On July 31, 2015, PHSI acquired all of the limited liability company membership interests of Healthcare Insights, LLC (“HCI”) for $64.3 million in cash, subject to post-closing adjustments based on HCI’s actual (i) indebtedness, (ii) transaction expenses and (iii) net working capital at closing. The acquisition also provides selling members with an earn-out opportunity of up to $4.0 million based on HCI’s revenues during the 12 months ending December 31, 2017 as defined in the purchase agreement. As of March 31, 2016, the fair value of the earn-out liability related to the HCI acquisition is zero . HCI has two primary businesses exclusively serving the healthcare provider market: (i) financial analytics which includes budgeting, forecasting, and labor productivity applications, and (ii) clinical analytics which includes service line analytics and direct costing analytics to support value-based care.

The Company has accounted for the HCI acquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets (see Note 6 - Intangible Assets, Net) acquired and liabilities assumed based on their preliminary fair values. The HCI acquisition resulted in the recognition of approximately $42.4 million of goodwill (see Note 7 - Goodwill) attributable to the anticipated profitability of HCI. The Company reports HCI as part of its performance services segment. The HCI acquisition is considered an asset acquisition for tax purposes. Accordingly, the Company expects the goodwill to be deductible for tax purposes.

The purchase price allocation for the HCI acquisition is preliminary and subject to changes in fair value of working capital, valuation of the assets acquired and the liabilities assumed. The calculation of the earn-out is based on future revenues as defined in the purchase agreement. In accordance with GAAP, the Company is required to fair-value the earn-out liability at each reporting period with any adjustments to the earn-out recorded in earnings in other expense, net.



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(4) ACCOUNTS RECEIVABLE, NET

Trade accounts receivable consist primarily of amounts due from hospital and healthcare system members for services and products. Managed services receivable consist of amounts receivable from fees for supply chain services for members utilizing our integrated pharmacy services related to contract negotiation and administration, claims data, rebate processing and evaluation of current pharmacy formulary and utilization. Other receivables consist primarily of interest receivable on marketable securities.

Accounts receivable, net consists of the following (in thousands):



	March 31, 2016			June 30, 2015
Trade accounts receivable	$	112,556		$	88,078
Managed services receivable	17,920			10,941
Other	404			1,254
	130,880			100,273
Allowance for doubtful accounts	(1,899		)	(1,153		)
Accounts receivable, net	$	128,981		$	99,120



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(5) MARKETABLE SECURITIES

The Company invests its excess cash in commercial paper, U.S. government debt securities, corporate debt securities and other securities with maturities generally ranging from three months to five years from the date of purchase. The Company uses the specific-identification method to determine the cost of securities sold. Marketable securities, classified as available-for-sale, consist of the following (in thousands):



	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Market Value
March 31, 2016
Corporate debt securities	$	45,574	$	7	$	(238	)	$	45,343
Asset-backed securities	21,301		—		(18		)	21,283
	$	66,875	$	7	$	(256	)	$	66,626
June 30, 2015
Commercial paper	$	43,067	$	12	$	—		$	43,079
U.S. government debt securities	101,597		66		(8		)	101,655
Corporate debt securities	211,079		34		(129		)	210,984
Asset-backed securities	59,692		12		(10		)	59,694
	$	415,435	$	124	$	(147	)	$	415,412

Commercial paper, corporate debt securities, U.S. government debt securities and asset-backed securities are classified as current and long-term marketable securities in the accompanying condensed consolidated balance sheets.

The decline in the fair market value of corporate debt securities is attributable to changes in interest rates and not credit quality. The Company does not intend to sell the corporate debt securities in an unrealized loss position and it is not more likely than not that the Company will be required to sell the corporate debt securities before recovery of their amortized cost bases, which may be maturity. The Company does not consider the corporate debt securities to be other-than-temporarily impaired at March 31, 2016 .

At March 31, 2016 , the Company had marketable securities with the following maturities (in thousands):



	Cost		Fair Market Value
Due in one year or less	$	27,168	$	27,170
Due after one year through five years	39,707		39,456
	$	66,875	$	66,626

See Note 10 - Fair Value Measurements for further discussion related to the Company’s measurement of fair market value for its marketable securities.

(6) INTANGIBLE ASSETS, NET

Intangible assets, net consist of the following (in thousands):



	Useful Life	March 31, 2016			June 30, 2015
Technology	5.0 years	$	140,326		$	34,524
Customer relationships	8.3 years	48,120			16,120
Non-compete agreements	5.0 years	4,080			80
Trade names	7.0 years	13,160			5,760
Technology under development	4.9 years	3,399			—
		$	209,085		$	56,484
Accumulated amortization		(41,873		)	(17,815		)
Total intangible assets, net		$	167,212		$	38,669



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The increase in intangible assets, net was due to the CECity, HCI and InFlow acquisitions completed during the nine months ended March 31, 2016 (see Note 3 - Business Acquisitions). Amortization expense of intangible assets totaled $8.7 million and $2.6 million for the three months ended March 31, 2016 and 2015, respectively, and $24.1 million and $6.6 million for the nine months ended March 31, 2016 and 2015, respectively.

(7) GOODWILL

Goodwill consists of the following (in thousands):



	Supply Chain Services		Performance Services		Acquisition adjustments during the measurement period		Total
Balance at June 30, 2015	$	31,765	$	183,880	$	—	$	215,645
CECity acquisition ^(a)	—		273,713		185		273,898
HCI acquisition ^(a)	—		41,905		534		42,439
InFlow acquisition ^(a)	—		5,827		93		5,920
Balance at March 31, 2016	$	31,765	$	505,325	$	812	$	537,902

(a) See Note 3 - Business Acquisitions

(8) INVESTMENTS

Innovatix, LLC ("Innovatix") is a privately held limited liability company that provides group purchasing services to alternate site providers in specific classes of trade. The Company, through its consolidated subsidiary, Premier Supply Chain Improvement, Inc. ("PSCI"), held 50% of the membership units in Innovatix at March 31, 2016 and June 30, 2015 . The Company accounts for its investment in Innovatix using the equity method of accounting. The carrying value of the Company's investment in Innovatix was $8.3 million and $9.3 million at March 31, 2016 and June 30, 2015 , respectively, and is classified as long-term and included in other assets in the accompanying condensed consolidated balance sheets. The Company's 50% ownership share of Innovatix's net income included in equity in net income of unconsolidated affiliates in the accompanying condensed consolidated statements of income is, all of which is included in the supply chain services segment, $6.7 million and $5.2 million for the three months ended March 31, 2016 and 2015, respectively, and $16.0 million and $14.8 million for the nine months ended March 31, 2016 and 2015, respectively.

On May 1, 2015, the Company, through its consolidated subsidiary, PSCI, purchased 5,000,000 units of Class B Membership Interests in PharmaPoint, LLC ("PharmaPoint") for $5.0 million which represented a 28% ownership interest in PharmaPoint. The remaining 72% ownership interest is held by Nations Pharmaceuticals, LLC through its 13,000,000 units of Class A Membership Interests. The Company accounts for its investment in PharmaPoint using the equity method of accounting. The carrying value of the Company's investment in PharmaPoint is approximately $4.6 million at March 31, 2016 and $5.0 million at June 30, 2015 , which is included in other assets in the accompanying condensed consolidated balance sheets. The Company’s share of PharmaPoint’s net loss was $(0.1) million and $(0.3) million for the three and nine months ended March 31, 2016, respectively. The PharmaPoint net loss is included in equity in net income from unconsolidated affiliates in the accompanying condensed consolidated statements of income and included in the supply chain services segment.

The Company obtained a 49% ownership interest in Pharmacy Quality Solutions, Inc. (“PQS”) through its acquisition of CECity in August 2015 (see Note 3 - Business Acquisitions). PQS provides medication use quality assessment services through its EquiPP platform which is utilized by U.S. pharmacies, including major retail chains with monthly medication data for approximately 40 million individuals. The Company recorded zero net income from unconsolidated affiliates for the three and nine months ended March 31, 2016 . The Company accounts for its investment in PQS under the equity method. The carrying value of the Company's investment in PQS was $0 at March 31, 2016 .

On January 28, 2016, the Company, through its consolidated subsidiary, PSCI, purchased 5,250,000 Class B Membership Units in BloodSolutions, LLC ("Bloodbuy") for $2.25 million , which represented a 15% ownership interest in Bloodbuy. The Company accounts for its investment in Bloodbuy using the equity method of accounting as the Company has rights to appoint a board member. The carrying value of the Company's investment in Bloodbuy is approximately $2.25 million at March 31, 2016,



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which is included in other assets in the accompanying condensed consolidated balance sheets. The Company recorded zero net income from unconsolidated affiliates for the three and nine months ended March 31, 2016.

(9) DEBT

Long-term debt consists of the following (in thousands):



				March 31, 2016			June 30, 2015
	Commitment Amount		Due Date	Balance Outstanding			Balance Outstanding
Credit Facility	$	750,000	June 24, 2019	$	50,000		$	—
Notes Payable	—		Various	18,974			17,935
				68,974			17,935
Less: current portion				(4,731		)	(2,256		)
Total				$	64,243		$	15,679

Credit Facility

On June 24, 2014, Premier LP, along with its consolidated subsidiaries, PSCI and PHSI, as Co-Borrowers, Premier GP and certain domestic subsidiaries of Premier GP, as guarantors, entered into an unsecured Credit Facility, dated as of June 24, 2014 and amended on June 4, 2015 (the "Credit Facility"). The Credit Facility provides for borrowings of up to $750.0 million with (i) a $25.0 million sub-facility for standby letters of credit and (ii) a $75.0 million sub-facility for swingline loans. The Credit Facility may be increased from time to time at the Company's request by up to an aggregate additional amount of $250.0 million , subject to lender approval. The Credit Facility includes an unconditional and irrevocable guaranty of all obligations under the Credit Facility by Premier GP, certain domestic subsidiaries of Premier GP and future guarantors, if any. Premier, Inc. is not a guarantor under the Credit Facility.

At the Company's option, committed loans may be in the form of eurodollar rate loans (“Eurodollar Loans”) or base rate loans (“Base Rate Loans”). Eurodollar Loans bear interest at the eurodollar rate (defined as the London Interbank Offered Rate, or LIBOR, plus the Applicable Rate (defined as a margin based on the Consolidated Total Leverage Ratio (as defined in the Credit Facility)). Base Rate Loans bear interest at the Base Rate (defined as the highest of the prime rate announced by the administrative agent, the federal funds effective rate plus 0.50% or the one-month LIBOR plus 1.0% ) plus the Applicable Rate. The Applicable Rate ranges from 1.125% to 1.75% for Eurodollar Loans and 0.125% to 0.75% for Base Rate Loans. To fund the CECity acquisition the Company utilized $150.0 million of the Credit Facility (see Note 3 - Business Acquisitions), of which $50.0 million was repaid in November 2015 and $50.0 million was repaid in February 2016. At March 31, 2016, the interest rate for the three month Eurodollar Loans was 1.745% . The Co-Borrowers are required to pay a commitment fee ranging from 0.125% to 0.25% per annum on the actual daily unused amount of commitments under the Credit Facility. At March 31, 2016 , the commitment fee was 0.125% . As of March 31, 2016 , the Company had approximately $ 25.0 million available for credit commitments.

The Credit Facility also contains customary events of default including, among others, payment defaults, breaches of representations and warranties, covenant defaults, cross-defaults of any indebtedness or guarantees in excess of $ 30.0 million, bankruptcy and other insolvency events, judgment defaults in excess of $30.0 million , and the occurrence of a change of control (as defined in the Credit Facility). If any event of default occurs and is continuing, the administrative agent under the Credit Facility may, with the consent, or shall, at the request, of the required lenders, terminate the commitments and declare all of the amounts owed under the Credit Facility to be immediately due and payable. The Company may prepay amounts outstanding under the Credit Facility without premium or penalty provided that Co-Borrowers compensate the lenders for losses and expenses incurred as a result of the prepayment of any Eurodollar Loan, as defined in the Credit Facility.

Notes Payable

Notes payable consist primarily of non-interest bearing notes payable outstanding to departed member owners and generally have stated maturities of five years from their date of issuance.



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(10) FAIR VALUE MEASUREMENTS

Recurring Fair Value Measurements

The following table represents the Company's financial assets and liabilities which are measured at fair value on a recurring basis (in thousands):



Description	Total		Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
March 31, 2016
Cash equivalents	$	53,610	$	53,610	$	—	$	—
Corporate debt securities	45,343		—		45,343		—
Asset-backed securities	21,283		—		21,283		—
Deferred compensation plan assets ^(a)	40,714		40,714		—		—
Total assets	$	160,950	$	94,324	$	66,626	$	—
Earn-out liabilities ^(b)	4,136		—		—		4,136
Total liabilities	$	4,136	$	—	$	—	$	4,136

June 30, 2015
Cash equivalents	$	33,434	$	33,434	$	—	$	—
Commercial paper	43,079		—		43,079		—
U.S. government debt securities	101,655		34,145		67,510		—
Corporate debt securities	210,984		—		210,984		—
Asset-backed securities	59,694		—		59,694		—
Deferred compensation plan assets ^(a)	40,057		40,057		—		—
Total assets	$	488,903	$	107,636	$	381,267	$	—

(a) Deferred compensation plan assets consist of highly liquid mutual fund investments.

(b) Earn-out liabilities incurred in connection with acquisitions of InFlow and HCI.

Cash equivalents are included in cash and cash equivalents; commercial paper, corporate debt securities, U.S. government debt securities and asset-backed securities are included in current and long-term marketable securities (see Note 5 - Marketable Securities); the current portion of deferred compensation plan assets is included in prepaid expenses and other current assets ( $1.9 million and $2.6 million at March 31, 2016 and June 30, 2015 , respectively) in the accompanying condensed consolidated balance sheets. The fair value of the Company's commercial paper, corporate debt securities, U.S. government debt securities and asset-backed securities, classified as Level 2, are valued using quoted prices for similar securities in active markets or quoted prices for identical or similar securities in markets that are not active. The Company had no assets or liabilities for which fair value is measured on a recurring basis at June 30, 2015 that would be classified as Level 3. At March 31, 2016, the Company's earn-out liabilities are classified as Level 3. The fair value of the earn-out liabilities was determined using the Monte Carlo simulation method.

Non-Recurring Fair Value Measurements

During the three and nine months ended March 31, 2016 , no non-recurring fair value measurements were required relating to the testing of goodwill and intangible assets for impairment, however the purchase price allocations required significant non-recurring Level 3 inputs (see Note 3 - Business Acquisitions). The preliminary fair values of the acquired intangible assets resulting from the acquisitions of CECity, HCI and InFlow were determined using the income approach.

Other Financial Instruments

The fair value of cash, accounts receivable, accounts payable and accrued liabilities approximates carrying value because of the short-term nature of these financial instruments. The carrying amount of the Credit Facility at March 31, 2016 approximates fair value based on the variable nature of the interest thereupon and the consistency of the three and six-month LIBOR since



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drawing on the Credit Facility in August 2015. The fair value of non-interest bearing notes payable, classified as Level 2, is less than their carrying value by approximately $0.7 million and $0.6 million at March 31, 2016 and June 30, 2015 , respectively, based on an assumed market interest rate of 2.0% at March 31, 2016 and 1.6% at June 30, 2015 , respectively.

(11) REDEEMABLE LIMITED PARTNERS' CAPITAL

Pursuant to the terms of the historical limited partnership agreement of Premier LP in effect prior to the Reorganization and IPO, Premier LP was required to repurchase a limited partner's interest in Premier LP upon the sale of such limited partner's shares of PHSI common stock, such limited partner's withdrawal from Premier LP or such limited partner's failure to comply with the applicable purchase commitments under such limited partnership agreement of Premier LP. As a result, the redeemable limited partners' capital is classified as temporary equity in the mezzanine section of the accompanying condensed consolidated balance sheets since (i) the withdrawal is at the option of each limited partner and (ii) the conditions of the repurchase are not solely within the Company's control.

Upon the consummation of the Reorganization and IPO, each limited partner's shares of PHSI were contributed for Class B common units of Premier LP. Commencing on October 31, 2014, and during each year thereafter, each limited partner has the cumulative right to exchange up to one-seventh of its initial allocation of Class B common units for shares of Class A common stock, cash or a combination of both, the form of consideration to be at the discretion of the Company's independent audit committee of the board of directors.

Redeemable limited partners' capital represents the member owners' 68% ownership of Premier LP at March 31, 2016 . The limited partners hold the majority of the votes of the board of directors and any redemption or transfer or choice of consideration cannot be assumed to be within the control of the Company. As such, classification outside of permanent equity is required and the redeemable limited partners' capital is recorded at the redemption amount, which represents the greater of the book value or redemption amount per the Amended and Restated Limited Partnership Agreement of Premier LP (as amended, the "LP Agreement") in the mezzanine section of the accompanying condensed consolidated balance sheets at March 31, 2016 and June 30, 2015. As previously discussed, the Company records redeemable limited partners' capital at the greater of the book value or redemption amount per the LP Agreement that the Company calculates as the fair value of all Class B common units, as if immediately exchangeable into Class A common shares. For the nine months ended March 31, 2016 and 2015 the Company recorded an adjustment to fair value for the redemption amount to redeemable limited partners' capital of $(685.6) million and $812.0 million , respectively.

During the nine months ended March 31, 2016 , the Company recorded a reduction of $260.6 million to redeemable limited partners' capital to reflect the exchange of Class B common units and associated shares of Class B common stock by the member owners for an equal number of shares of the Company's Class A common stock pursuant to the terms of the Exchange Agreement (see Note 13 - Earnings (Loss) Per Share).



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The table below shows the changes in the redeemable limited partners' capital classified as temporary equity from June 30, 2015 to March 31, 2016 (in thousands):



	Receivables From Limited Partners			Redeemable Limited Partners' Capital			Accumulated Other Comprehensive Loss			Total Redeemable Limited Partners' Capital
June 30, 2015	$	(11,633	)	$	4,091,473		$	(8	)	$	4,079,832
Distributions and notes payable applied to receivables from limited partners	4,813			—			—			4,813
Redemption of limited partners	—			(3,614		)	—			(3,614		)
Net income attributable to Premier LP	—			153,735			—			153,735
Distributions to limited partners	—			(70,276		)	—			(70,276		)
Net unrealized loss on marketable securities	—			—			(157		)	(157		)
Exchange of Class B common units for Class A common stock by member owners	—			(260,598		)	—			(260,598		)
Adjustment to redemption amount	—			(685,649		)	—			(685,649		)
March 31, 2016	$	(6,820	)	$	3,225,071		$	(165	)	$	3,218,086

Receivables from limited partners represent amounts due from limited partners for their required capital in Premier LP. These receivables are either interest bearing notes issued to new limited partners or non-interest bearing loans (contribution loans) provided to existing limited partners and are reflected as a reduction in redeemable limited partners' capital (which includes the capital funded by such receivables) because amounts due from limited partners for capital are not reflected as redeemable limited partnership capital until paid. No interest bearing notes receivable were executed by limited partners of Premier LP during the nine months ended March 31, 2016 .

During the nine months ended March 31, 2016 , five limited partners withdrew from Premier LP. The limited partnership agreement provides for the redemption of the former limited partner's Class B common units that are not eligible for exchange in the form of a five -year, unsecured, non-interest bearing term promissory note, a cash payment equal to the present value of the redemption amount or other mutually agreed upon terms. Partnership interest obligations to the former limited partners are reflected in notes payable in the accompanying condensed consolidated balance sheets. In connection with such withdrawals, the Company issued $2.9 million in five -year, unsecured, non-interest bearing term promissory notes at the redemption amount per the LP Agreement.

Upon the consummation of the Reorganization and IPO, Premier LP amended its distribution policy in which cash distributions will be required, as long as taxable income is generated and cash is available to distribute, on a quarterly basis prior to the 60 th day after the end of each calendar quarter. The Company makes quarterly distributions to its limited partners in the form of a legal partnership income distribution governed by the terms of the LP Agreement. These partner distributions are based on the limited partner’s ownership in Premier LP and relative participation across Premier service offerings. While these distributions are based on relative participation across Premier service offerings, it is not based directly on revenue generated from an individual partner’s participation as the distributions are based on the net income or loss of the partnership which encompass the operating expenses of the partnership as well as participation by non-owner members in Premier’s service offerings. To the extent Premier LP incurred a net loss, the partners would not receive a quarterly distribution. As provided in the LP Agreement, the amount of actual cash distributed may be reduced by the amount of such distributions used by limited partners to offset contribution loans or other amounts payable to the Company.

Premier LP made a quarterly distribution on August 27, 2015 to its limited partners of $22.4 million , which is equal to Premier LP's total taxable income for the three months ended June 30, 2015 multiplied by the Company's standalone effective combined federal, state and local income tax rate.

Premier LP made a quarterly distribution on November 29, 2015 to its limited partners of $23.1 million , which is equal to Premier LP's total taxable income for the three months ended September 30, 2015 multiplied by the Company's standalone effective combined federal, state and local income tax rate.

Premier LP made a quarterly distribution on February 25, 2016 to its limited partners of $22.5 million , which is equal to Premier LP's total taxable income for the three months ended December 31, 2015 multiplied by the Company's standalone effective combined federal, state and local income tax rate.



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Premier LP will make a quarterly distribution on or before May 29, 2016 to its limited partners of $24.7 million , which is equal to Premier LP's total taxable income for the three months ended March 31, 2016 multiplied by the Company's stand-alone effective combined federal, state and local income tax rate. The distribution is reflected in limited partners' distribution payable in the accompanying condensed consolidated balance sheet at March 31, 2016 .

(12) STOCKHOLDERS' DEFICIT

As of March 31, 2016 , there were 45,342,351 shares of the Company's Class A common stock, par value $0.01 per share, and 96,674,787 shares of the Company's Class B common stock, par value $0.000001 per share, outstanding.

Holders of Class A common stock are entitled to (i) one vote for each share held of record on all matters submitted to a vote of stockholders, (ii) receive dividends, when and if declared by the board of directors out of funds legally available therefore, subject to any statutory or contractual restrictions on the payment of dividends and to any restrictions on the payment of dividends imposed by the terms of any outstanding preferred stock or any class of series of stock having a preference over or the right to participate with the Class A common stock with respect to the payment of dividends or other distributions and (iii) receive pro rata, based on the number of shares of Class A common stock held, the remaining assets available for distribution upon the dissolution or liquidation of Premier, after payment in full of all amounts required to be paid to creditors and to the holders of preferred stock having liquidation preferences, if any.

Holders of Class B common stock are (i) entitled to one vote for each share held of record on all matters submitted to a vote of stockholders and (ii) not entitled to receive dividends or to receive a distribution upon the dissolution or a liquidation of Premier, other than dividends payable in shares of Premier's common stock. Pursuant to the Voting Trust Agreement, the trustee will vote all of the Class B common stock as a block in the manner determined by the plurality of the votes received by the trustee from the member owners for the election of directors to serve on the board of directors, and by a majority of the votes received by the trustee from the member owners for all other matters. Class B common stock will not be listed on any stock exchange and, except in connection with any permitted sale or transfer of Class B common units, cannot be sold or transferred.

(13) EARNINGS (LOSS) PER SHARE

Basic earnings (loss) per share of Premier is computed by dividing net income (loss) attributable to stockholders by the weighted average number of shares of common stock outstanding for the period. Net income (loss) attributable to stockholders includes the adjustment recorded in the period to reflect redeemable limited partners' capital at the redemption amount, as a result of the exchange benefit obtained by limited partners through the ownership of Class B common units. Except when the effect would be anti-dilutive, the diluted earnings per share calculation, which is calculated using the treasury stock method, includes the impact of non-vested restricted stock units and awards, shares of non-vested performance share awards, shares that could be issued under the outstanding stock options and Class B common units issued if all exchanges occurred.



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The following table provides a reconciliation of common shares used for basic earnings (loss) per share and diluted earnings (loss) per share (in thousands, except per share amounts):



	Three months ended March 31,						Nine months ended March 31,
	2016			2015			2016			2015
Numerator for basic earnings (loss) per share:
Net income (loss) attributable to stockholders	$	299,948		$	(374,853	)	$	716,719		$	(781,216	)

Numerator for diluted earnings (loss) per share:
Net income attributable to stockholders	$	299,948		$	—		$	716,719		$	—
Adjustment of redeemable limited partners' capital to redemption amount	(284,409		)	—			(685,649		)	—
Net income attributable to non-controlling interest in Premier LP	56,018			—			153,735			—
Net income	71,557			—			184,805			—
Tax effect on Premier Inc. net income ^(a)	(9,551		)	—			(34,639		)	—
Adjusted net income	$	62,006		$	—		$	150,166		$	—

Denominator for basic earnings (loss) weighted average shares ^(b)	44,716			37,316			41,329			35,066

Denominator for diluted earnings (loss) per share:
Effect of dilutive securities: ^(c)
Stock options	249			—			290			—
Restricted stock	610			—			553			—
Performance share awards	1,606			—			1,329			—
Class B shares outstanding	97,837			—			102,057			—
Denominator for diluted earnings (loss) per share-adjusted:
Weighted average shares and assumed conversions	145,018			37,316			145,558			35,066

Basic earnings (loss) per share	$	6.71		$	(10.05	)	$	17.34		$	(22.28	)
Diluted earnings (loss) per share	$	0.43		$	(10.05	)	$	1.03		$	(22.28	)


(a)	Represents income tax expense related to Premier, Inc. retaining the portion of net income attributable to income from non-controlling interest in Premier, LP for the purpose of diluted earnings per share.


(b)	Weighted average number of common shares used for basic earnings (loss) per share excludes weighted average shares of non-vested stock options, non-vested restricted stock, non-vested performance share awards and Class B shares outstanding for the three and nine months ended March 31, 2016 and 2015, respectively.

(c)

For the three months ended March 31, 2015 , the effect of 151 , 380 and 617 stock options, restricted stock units, and performance share awards, respectively, and for the nine months ended March 31, 2015, 4 , 319 , and 522 stock options, restricted stock units, and performance share awards, respectively, were excluded from the diluted weighted average shares outstanding due to the net loss sustained for the respective periods. Further, 106,659 Class B common units exchangeable for Class A common shares was excluded from the dilutive weighted average shares outstanding because to do so would have been anti-dilutive for the period presented.

Pursuant to the terms of the Exchange Agreement, Premier has issued, on a quarterly basis, shares of Class A common stock to member owners in exchange for an equal number of Class B common units of Premier LP. In connection with the exchange of Class B common units by member owners, shares of Premier's Class B common stock are surrendered by member owners and retired (see Note 11 - Redeemable Limited Partners' Capital). The following table presents certain information regarding the exchange of Class B common units and associated Class B common stock for Premier's Class A common stock in connection with the quarterly exchanges pursuant to the terms of the Exchange Agreement. The table contemplates material activity related to the Class B common units, Class B common stock and Class A common stock up through the date of the applicable quarterly exchange:



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Date of Quarterly Exchange	Number of Class B Common Units Exchanged	Number of Class B Common Shares Retired Upon Exchange	Number of Class B Common Units Outstanding After Exchange	Number of Class B Common Shares Outstanding After Exchange	Number of Class A Common Shares Outstanding After Exchange	Percentage of Combined Voting Power Class B/Class A Common Stock
July 31, 2015	91,374	91,374	106,078,063	106,078,063	37,762,544	74%/26%
November 2, 2015	5,830,458	5,830,458	100,150,698	100,150,698	43,600,976	70%/30%
February 1, 2016	1,591,807	1,591,807	96,802,070	96,802,070	45,239,204	68%/32%
May 2, 2016 ^(a)	209,359	209,359	96,132,723	96,132,723	45,554,075	68%/32%


(a)	As the quarterly exchange occurred on May 2, 2016, the impact of the exchange is not reflected in the condensed consolidated financial statements for the quarter ended March 31, 2016 .

(14) STOCK-BASED COMPENSATION

Stock-based compensation expense is recognized over the requisite service period, which generally equals the stated vesting period. Pre-tax stock-based compensation expense was $11.8 million and $36.8 million , respectively, for the three and nine months ended March 31, 2016 , with a resulting deferred tax benefit of $4.5 million and $14.0 million , respectively, calculated at a rate of 38% , which represents the expected effective income tax rate at the time of the compensation expense deduction and differs from the Company's current effective income tax rate due to enacted state income tax rate changes. Pre-tax stock-based compensation expense was $7.3 million and $21.1 million , respectively, for the three and nine months ended March 31, 2015 , with a resulting tax benefit of $2.8 million and $8.0 million , respectively.

At March 31, 2016 , there was $42.2 million of unrecognized stock-based compensation expense related to non-vested awards that will be amortized over 1.84 years.

Premier 2013 Equity Incentive Plan

The Premier 2013 Equity Incentive Plan (the "2013 Equity Incentive Plan") provides for grants of up to 11,260,783 shares of Class A common stock, all of which are eligible to be issued as non-qualified stock options, incentive stock options, stock appreciation rights, restricted stock, restricted stock units or performance awards. As of March 31, 2016 , there were 5,233,952 shares available for grant under the 2013 Equity Incentive Plan.

Restricted Stock. Restricted stock units ("RSU") and restricted stock awards ("RSA") issued and outstanding generally vest over a three -year period for employees and a one -year period for directors. The following table includes information related to restricted stock awards for the nine months ended March 31, 2016 :



	Number of Shares		Weighted Average Fair Value at Grant Date
Outstanding at June 30, 2015	819,091		$	28.15
Granted	254,948		$	35.11
Vested	(26,804	)	$	30.87
Forfeited	(31,750	)	$	30.26
Outstanding at March 31, 2016	1,015,485		$	29.76

At March 31, 2016 , there was $10.8 million of unrecognized stock-based compensation expense related to non-vested awards that will be amortized over 1.88 years .

Performance Share Awards. Performance share awards issued and outstanding generally vest over three years if performance targets are met. The following table includes information related to performance share awards for the nine months ended March 31, 2016 :



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	Number of Shares		Weighted Average Fair Value at Grant Date
Outstanding at June 30, 2015	1,091,868		$	28.19
Granted	379,316		$	35.51
Forfeited	(21,980	)	$	32.29
Outstanding at March 31, 2016	1,449,204		$	30.04

At March 31, 2016 , there was $17.1 million of unrecognized stock-based compensation expense related to non-vested awards that will be amortized over 1.77 years .

Stock Options. Stock options have a term of 10 years from the date of grant. Vested stock options will expire either after 12 months of an employee's termination with Premier or immediately upon an employee's termination with Premier, depending on the termination circumstances. Stock options generally vest in equal annual installments over three years. The following table includes information related to stock options for the nine months ended March 31, 2016 :



	Number of Options		Weighted Average Exercise Price
Outstanding at June 30, 2015	2,643,078		$	28.24
Granted	860,765		$	35.48
Exercised	(91,439	)	$	27.55
Forfeited	(42,571	)	$	33.53
Outstanding at March 31, 2016	3,369,833		$	30.04

Outstanding and exercisable at March 31, 2016	1,443,077		$	27.67

The aggregate intrinsic value of stock options outstanding at March 31, 2016 was $13.2 million . The aggregate intrinsic value of stock options outstanding and exercisable at March 31, 2016 was $8.2 million . The aggregate intrinsic value of stock options expected to vest at March 31, 2016 was $4.9 million . The intrinsic value of stock options exercised during the nine months ended March 31, 2016 was $0.5 million .

At March 31, 2016 , there was $14.2 million of unrecognized stock-based compensation expense related to stock options that will be amortized over 1.89 years .



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The Company estimates the fair value of each stock option on the date of grant using a Black-Scholes option-pricing model, applying the following assumptions and amortizes expense over the option's vesting period using the straight-line attribution approach:



	March 31,
	2016	2015
Expected life ⁽¹⁾	6 years	6 years
Expected dividend ⁽²⁾	—	—
Expected volatility ⁽³⁾	32.70% - 33.50%	36.20% - 39.50%
Risk-free interest rate ⁽⁴⁾	1.37% - 1.82%	1.66% - 1.84%
Weighted average option grant date fair value	$11.28 - $12.40	$12.82 - $13.77


(1)	The six -year expected life (estimated period of time outstanding) of stock options granted was estimated using the "Simplified Method" which utilizes the midpoint between the vesting date and the end of the contractual term. This method was utilized for the stock options due to the lack of historical exercise behavior of Premier's employees.


(2)	No dividends are expected to be paid over the contractual term of the stock options granted, resulting in the use of a zero expected dividend rate.


(3)	The expected volatility rate is based on the observed historical volatilities of comparable companies.


(4)	The risk-free interest rate was interpolated from the five -year and seven -year United States Treasury constant maturity market yield as of the date of the grant.

(15) INCOME TAXES

The Company's income tax expense is attributable to the activities of the Company, PHSI and PSCI, all of which are subchapter C corporations. Under the provisions of federal and state statutes, Premier LP is not subject to federal and state income taxes. For federal and state income tax purposes, income realized by Premier LP is taxable to its partners. The Company, PHSI and PSCI are subject to U.S. federal and state income taxes.

For the three months ended March 31, 2016 and 2015, the Company recorded tax expense on income before income taxes of $9.5 million and $2.0 million , respectively, which equates to an effective tax rate of 11.7% and 2.7% , respectively. The effective tax rate has increased from prior year primarily attributable to the recording of valuation allowances against deferred tax assets at PHSI. The Company’s effective tax rate differs from income taxes recorded at the statutory rate primarily due to partnership income not subject to federal income taxes, state and local taxes and nondeductible expenses.

For the nine months ended March 31, 2016 and 2015, the Company recorded tax expense on income before income taxes of $41.3 million and $12.1 million , respectively, which equates to an effective tax rate of 18.3% and 5.6% , respectively. The effective tax rate has increased from prior year primarily attributable to the recording of valuation allowances against deferred tax assets at PHSI and discrete tax expense at Premier associated with a 1% reduction in the North Carolina state income tax for years 2016 and beyond that was not present in the prior year. The Company's effective income tax rate differs from income taxes recorded at the statutory rate primarily due to partnership income not subject to federal income taxes, state and local taxes and nondeductible expenses.

The Company has deferred tax assets of $423.8 million and $353.7 million as of March 31, 2016 and June 30, 2015 , respectively. The increase of $70.1 million is primarily attributable to the increases of $ 97.1 million in connection with the exchange of member owner Class B common units pursuant to the Exchange Agreement that occurred during the nine months ended March 31, 2016 and $9.7 million recorded in the ordinary course of business offset by the reductions in deferred tax assets of $8.0 million recorded in connection with adjusting the basis in assets related to the North Carolina state income tax rate reduction, a $4.7 million decrease in deferred tax assets attributable to tax receivable agreements due to departed member owners, and a valuation allowance recorded against deferred tax assets of $24.0 million at PHSI.

The Company has tax receivable agreements liabilities of $289.3 million as of March 31, 2016 , representing 85% of the tax savings payable to limited partners that the Company expects to receive in connection with the Section 754 election which results in adjustments to the tax basis of the assets of Premier LP upon member owner exchanges of Class B common units of Premier LP for Class A common stock of Premier, Inc. and represents an increase of $53.4 million when compared to the $235.9 million as of June 30, 2015 . The increase is attributable to a $ 70.4 million increase in connection with quarterly member owner exchanges on July 31, 2015, November 2, 2015, and February 1, 2016 offset by a $4.8 million decrease in connection with revaluing the

deferred tax assets and tax receivable liabilities associated with the North Carolina state income tax rate reduction and $12.2 million decrease in connection with departed member owners.

In November 2015, the FASB issued ASU 2015-17, Balance Sheet Classification of Deferred Taxes , which requires companies to classify all deferred tax assets and liabilities as non-current on the balance sheet instead of separating into current and non-current. As noted in Note 2 - Significant Accounting Policies, the Company elected to early adopt the provisions of this guidance on a retrospective basis the result of which was to reclassify approximately $8.0 million of deferred tax assets classified as current to non-current at June 30, 2015.

In accordance with the prescribed guidance, the Company’s condensed consolidated balance sheet at June 30, 2015 has been retrospectively adjusted to apply the new guidance as summarized in the table below (in thousands):



	June 30, 2015					June 30, 2015
	As Reported		Adjustment			As Adjusted
Deferred income tax asset - current	$	8,005	$	(8,005	)	$	—
Deferred income tax asset	345,718		8,005			353,723
Total	$	353,723	$	—		$	353,723

(16) RELATED PARTY TRANSACTIONS

GNYHA Services, Inc. ("GNYHA") and its member organizations owned approximately 10% of the outstanding partnership interests in Premier LP as of March 31, 2016 . Net administrative fees revenue based on purchases by GNYHA and its member organizations was $17.0 million and $14.6 million for the three months ended March 31, 2016 and 2015, respectively, and $49.2 million and $44.2 million for the nine months ended March 31, 2016 and 2015, respectively. The Company has a contractual requirement under the GPO participation agreement to pay each member owner revenue share from Premier LP equal to 30% of all gross administrative fees collected by Premier LP based upon purchasing by such member owner's facilities through Premier LP's GPO supplier contracts. As GNYHA also remits to Premier LP all gross administrative fees collected by GNYHA based on purchases by its member organizations through GNYHA's own GPO supplier contracts, it also receives revenue share from Premier LP equal to 30% of such gross administrative fees remitted to the Company. Approximately $7.3 million and $7.1 million of revenue share obligations in the accompanying condensed consolidated balance sheets relate to revenue share obligations to GNYHA and its member organizations at March 31, 2016 and June 30, 2015 , respectively. The Company also maintains a group purchasing agreement with GNYHA Alternate Care Purchasing Corporation, d/b/a Essensa, under which Essensa utilizes the Company's GPO supplier contracts. Net administrative fees revenue recorded with Essensa was $0.7 million and $0.6 million for each of the three months ended March 31, 2016 and 2015, respectively, and $2.0 million and $1.8 million for the nine months ended March 31, 2016 and 2015, respectively.

In addition, $3.1 million and $3.0 million of the $24.7 million and $22.4 million limited partners' distribution payable in the accompanying condensed consolidated balance sheets are payable to GNYHA and its member organizations at March 31, 2016 and June 30, 2015 , respectively. In addition, $8.0 million and $10.7 million were recorded during the three months ended March 31, 2016 and 2015, respectively, and $25.2 million and $23.2 million were recorded during the nine months ended March 31, 2016 and 2015, respectively, for services and support revenue earned from GNYHA and its member organizations. Receivables from GNYHA and its member organizations, included in due from related parties in the accompanying condensed consolidated balance sheets, were $3.8 million and $3.0 million at March 31, 2016 and June 30, 2015 , respectively.

The Company's 50% ownership share of Innovatix's net income included in equity in net income of unconsolidated affiliates in the accompanying condensed consolidated statements of income is $6.7 million and $5.2 million for the three months ended March 31, 2016 and 2015, respectively, and $16.0 million and $14.8 million for the nine months ended March 31, 2016 and 2015, respectively. The Company maintains a group purchasing agreement with Innovatix under which Innovatix members are permitted to utilize Premier LP's GPO supplier contracts. Gross administrative fees revenue and a corresponding revenue share recorded under the arrangement were $12.1 million and $9.5 million for the three months ended March 31, 2016 and 2015, respectively, and $31.8 million and $27.4 million for the nine months ended March 31, 2016 , respectively. At March 31, 2016 and June 30, 2015 , the Company had revenue share obligations to Innovatix of $3.4 million and $3.7 million , respectively, in the accompanying condensed consolidated balance sheets.

The Company conducts all operational activities for American Excess Insurance Exchange Risk Retention Group ("AEIX"), a reciprocal risk retention group that provides excess hospital, professional, umbrella and general liability insurance to certain hospital and healthcare system members. The Company is reimbursed by AEIX for actual costs, plus an annual incentive management fee not to exceed $0.5 million per calendar year. The Company received cost reimbursement of $1.1 million and $1.3



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million for the three months ended March 31, 2016 and 2015, respectively, and $3.2 million and $3.6 million for the nine months ended March 31, 2016 and 2015, respectively. The Company earned annual incentive management fees of $0.1 million for both the three months ended March 31, 2016 and 2015. As of March 31, 2016 and June 30, 2015 , $0.6 million and $0.4 million , respectively, in amounts payable to the Company by AEIX are included in due from related parties in the accompanying condensed consolidated balance sheets.

The Company's 49% ownership share of PQS’s earnings included in equity in net income of unconsolidated affiliates in the accompanying condensed consolidated statements of income is $0 for both the three month period ended March 31, 2016 and the period August 20, 2015 through March 31, 2016 . The Company recognized revenue of $0.5 million for the three months ended March 31, 2016 and $1.0 million for the period August 20, 2015 through March 31, 2016 from PQS for hosting services. The Company has $0.3 million in accounts receivable, net from PQS as of March 31, 2016.

(17) COMMITMENTS AND CONTINGENCIES

The Company is not currently involved in any litigation it believes to be significant. The Company is periodically involved in litigation, arising in the ordinary course of business or otherwise, which from time to time may include claims relating to commercial, product liability, employment, antitrust, intellectual property, or other regulatory matters. If current or future government regulations, specifically, those with respect to antitrust or healthcare laws, are interpreted or enforced in a manner adverse to the Company or its business, the Company may be subject to enforcement actions, penalties and other material limitations which could have a material adverse effect on the Company's business, financial condition and results of operations.



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(18) SEGMENTS

The Company delivers its solutions and manages its business through two reportable business segments, the supply chain services segment and the performance services segment. The supply chain services segment includes the Company's GPO, integrated pharmacy offerings and direct sourcing activities. The performance services segment includes the Company's informatics, collaborative, advisory services and insurance services businesses.

The Company uses Segment Adjusted EBITDA (as defined herein) as its primary measure of profit or loss to assess segment performance and to determine the allocation of resources. The Company also uses Segment Adjusted EBITDA to facilitate the comparison of the segment operating performance on a consistent basis from period to period. The Company defines Segment Adjusted EBITDA as the segment's net revenue and equity in net income of unconsolidated affiliates less 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. Non-recurring items are expenses that have not been incurred within the prior two years and are not expected to recur within the next two years. 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.

All reportable segment revenues are presented net of inter-segment eliminations and represent revenues from external customers.

The following tables present selected net revenue and Segment Adjusted EBITDA (in thousands):



	Three months ended March 31,				Nine months ended March 31,
Net Revenue	2016		2015		2016		2015
Supply Chain Services
Net administrative fees	$	131,270	$	117,959	$	369,952	$	337,157
Other services and support	1,104		740		2,963		1,192
Services	132,374		118,699		372,915		338,349
Products	80,010		73,438		239,107		203,698
Total Supply Chain Services	$	212,384	$	192,137	$	612,022	$	542,047
Performance Services	86,285		69,586		249,151		198,429
Total	$	298,669	$	261,723	$	861,173	$	740,476



	Three months ended March 31,						Nine months ended March 31,
Segment Adjusted EBITDA	2016			2015			2016			2015
Supply Chain Services	$	118,704		$	101,600		$	329,642		$	290,210
Performance Services	30,771			26,166			90,158			67,717
Corporate	(29,546		)	(24,021		)	(78,819		)	(64,856		)
Total	$	119,929		$	103,745		$	340,981		$	293,071



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A reconciliation of Segment Adjusted EBITDA to income before income taxes is as follows (in thousands):



	Three months ended March 31,						Nine months ended March 31,
	2016			2015			2016			2015
Segment Adjusted EBITDA	$	119,929		$	103,745		$	340,981		$	293,071
Depreciation and amortization	(13,110		)	(11,538		)	(37,174		)	(33,107		)
Amortization of purchased intangible assets	(8,740		)	(2,554		)	(24,058		)	(6,598		)
Acquisition related expenses ^(a)	(2,583		)	(2,863		)	(11,699		)	(6,408		)
Strategic and financial restructuring expenses ^(b)	(33		)	(2		)	(268		)	(1,281		)
Stock-based compensation expense ^(c)	(11,839		)	(7,285		)	(37,093		)	(21,129		)
ERP implementation expenses ^(d)	(1,162		)	—			(3,240		)	—
Adjustment to tax receivable agreement liability ^(e)	—			(1,073		)	4,818			—
Acquisition related adjustment - deferred revenue ^(f)	(1,077		)	(3,563		)	(5,216		)	(9,224		)
Equity in net income of unconsolidated affiliates ^(g)	(6,627		)	(5,197		)	(16,002		)	(14,812		)
Deferred compensation plan expense	—			(759		)	2,073			209
Operating income	$	74,758		$	68,911		$	213,122		$	200,721
Equity in net income of unconsolidated affiliates ^(g)	6,627			5,197			16,002			14,812
Interest and investment (expense) income, net	(285		)	204			(981		)	517
Loss on investment	—			(1,000		)	—			(1,000		)
Other expense, net	—			743			(2,081		)	(219		)
Income before income taxes	$	81,100		$	74,055		$	226,062		$	214,831


(a)	Represents legal, accounting and other expenses related to acquisition activities.


(b)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses.


(c)	Represents non-cash employee stock based compensation expense and $0.1 million and $0.3 million stock purchase plan expense in the three and nine months ended March 31, 2016 , respectively.


(d)	Represents implementation and other costs associated with the implementation of a new enterprise resource planning ("ERP") system.


(e)	Represents adjustment to tax receivable agreement liability for a 1% decrease in the North Carolina state income tax rate during the nine months ended March 31, 2016 and adjustment to tax receivable agreements liability due to impact of departed member owners during the three months ended March 31, 2015 .

(f)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one year in duration, our GAAP revenues for the one year period subsequent to the acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(g)	Represents equity in net income of unconsolidated affiliates primarily generated by the Company's 50% ownership interest in Innovatix, all of which is included in the supply chain services segment.



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The following tables present capital expenditures, total assets and depreciation and amortization expense (in thousands):



	Three months ended March 31,				Nine months ended March 31,
Capital Expenditures	2016		2015		2016		2015
Supply Chain Services	$	63	$	478	$	1,031	$	1,342
Performance Services	14,368		15,812		44,836		45,143
Corporate	1,371		2,363		8,817		4,579
Total	$	15,802	$	18,653	$	54,684	$	51,064



Total Assets	March 31, 2016		June 30, 2015
Supply Chain Services	$	332,456	$	466,537
Performance Services	949,418		457,963
Corporate	573,102		605,691
Total	$	1,854,976	$	1,530,191



	Three months ended March 31,				Nine months ended March 31,
Depreciation and Amortization Expense ^(a)	2016		2015		2016		2015
Supply Chain Services	$	262	$	525	$	1,138	$	1,441
Performance Services	20,016		12,238		55,616		34,451
Corporate	1,572		1,328		4,478		3,813
Total	$	21,850	$	14,091	$	61,232	$	39,705

(a) Includes amortization of purchased intangible assets.



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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion should be read in conjunction with our condensed consolidated financial statements and the notes thereto included elsewhere in this Quarterly Report. This discussion is designed to provide the reader with information that will assist in understanding our condensed consolidated financial statements, the changes in certain key items in those financial statements from quarter to quarter and the primary factors that accounted for those changes, as well as how certain accounting principles affect our condensed consolidated financial statements. In addition, the following discussion includes certain forward-looking statements. For a discussion of important factors, including the continuing development of our business and other factors which could cause actual results to differ materially from the results referred to in the forward-looking statements, see “Risk Factors” in the Company's Form 10-K for the fiscal year ended June 30, 2015 (the "2015 Annual Report"), filed with the Securities and Exchange Commission ("SEC") on August 26, 2015 and "Cautionary Note Regarding Forward-Looking Statements" contained in this Quarterly Report.

Business Overview

Our Business

Premier, Inc. ("Premier", the "Company", "We", or "Our") are a leading healthcare improvement company, uniting an alliance of approximately 3,600 U.S. hospitals and 120,000 other providers to transform healthcare. We unite hospitals, health systems, physicians and other healthcare providers with the common goal of improving and innovating in the clinical, financial and operational areas of their business to meet the demands of a rapidly evolving healthcare industry. We deliver value through a comprehensive technology-enabled platform that offers critical supply chain services, clinical, financial, operational and population health software-as-a-service ("SaaS") informatics products, advisory services and performance improvement collaborative programs.

As of March 31, 2016 , we were controlled by 172 U.S. hospitals, health systems and other healthcare organizations, that represented approximately 1,400 owned, leased and managed acute care facilities and other non-acute care organizations, through the ownership of Class B common stock, which they received upon the completion of a series of transactions (the "Reorganization") concurrent with the consummation of our Initial Public Offering ("IPO", and collectively with the Reorganization, the "Reorganization and IPO") on October 1, 2013. As of March 31, 2016 , the Class A common stock and Class B common stock represented approximately 32% and 68% of our combined Class A and Class B common stock, collectively (the "Common Stock"). All of our Class B common stock was held by our member owners and all of our Class A common stock was held by public investors, which may include member owners that have received shares of our Class A common stock in connection with previous quarterly exchanges pursuant to the Exchange Agreement.

We generated net revenue of $298.7 million and $261.7 million , net income of $71.6 million and $72.0 million , and Adjusted EBITDA of $119.9 million and $103.7 million for the three months ended March 31, 2016 and 2015, respectively. We generated net revenue of $861.2 million and $740.5 million , net income of $184.8 million and $202.7 million , and Adjusted EBITDA of $341.0 million and $293.1 million for the nine months ended March 31, 2016 and 2015, respectively.

Our Business Segments

Our business model and solutions are designed to provide our members access to scale efficiencies, spread the cost of their development, provide actionable intelligence derived from anonymized data in our data warehouse provided by our members, mitigate the risk of innovation and disseminate best practices that will help our member organizations succeed in their transformation to higher quality and more cost-effective healthcare. We deliver our integrated platform of solutions that address the areas of total cost management, quality and safety improvement and population health management through two business segments: supply chain services and performance services.

Our supply chain services segment includes one of the largest healthcare group purchasing organizations ("GPO") in the United States, serving acute and alternate sites, a specialty pharmacy and our direct sourcing activities. Supply chain services net revenue grew from $192.1 million for the three months ended March 31, 2015 to $212.4 million for the three months ended March 31, 2016 , representing net revenue growth of 11% , and accounted for 71% of our overall net revenue. Supply chain services net revenue grew from $542.0 million for the nine months ended March 31, 2015 to $612.0 million for the nine months ended March 31, 2016 , representing net revenue growth of 13% , and accounted for 71% of our overall net revenue. We generate revenue in our supply chain services segment from fees received from suppliers based on the total dollar volume of supplies purchased by our members and through product sales in connection with our specialty pharmacy and direct sourcing activities.

Our performance services segment includes one of the largest informatics and advisory services businesses in the United States focused on healthcare providers. Performance services net revenue grew from $69.6 million for the three months ended



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March 31, 2015 to $86.3 million for the three months ended March 31, 2016 , representing revenue growth of 24% , and in the three months ended March 31, 2016 accounted for 29% of our overall net revenue. Performance services net revenue grew from $198.4 million for the nine months ended March 31, 2015 to $249.2 million for the nine months ended March 31, 2016 , representing revenue growth of 26% , and in the nine months ended March 31, 2016 accounted for 29% of our overall net revenue. Our SaaS informatics products utilize our comprehensive data set to provide actionable intelligence to our members, enabling them to benchmark, analyze and identify areas of improvement across three main categories: cost management, quality and safety and population health management. This segment also includes our advisory services and technology-enabled collaboratives.

Acquisitions

Acquisition of InFlowHealth, LLC

On October 1, 2015, the Company's consolidated subsidiary, Premier Healthcare Solutions, Inc. ("PHSI") acquired all of the limited liability company membership interests of InFlowHealth, LLC (“InFlow”) for $6.1 million in cash, subject to post-closing adjustments based on InFlow’s actual (i) indebtedness, (ii) transaction expenses and (iii) net working capital at closing. The acquisition provides selling members an earn-out opportunity of up to $26.9 million based on InFlow’s future annual contractual subscription revenues through December 31, 2019. The selling members also received restricted stock units of Premier with an aggregate equity grant value of $2.1 million which vest over a three-year period with restrictions tied to continued employment. Assets acquired and liabilities assumed were recorded at their estimated fair values as of October 1, 2015, with the remaining unallocated purchase price recorded as goodwill (see Note 3 - Business Acquisitions). Management's estimates and assumptions are subject to change within the measurement period (not to exceed one year).

Acquisition of CECity.com, Inc.

On August 20, 2015 PHSI acquired 100% of the outstanding shares of capital stock of CECity.com, Inc. ("CECity") for $398.3 million in cash, subject to post-closing adjustments based on CECity's actual (i) net working capital, (ii) cash and cash equivalents and (iii) indebtedness at closing. The Company funded the acquisition with $250.0 million of cash and $150.0 million of borrowings under the Company’s unsecured credit agreement (the "Credit Facility") (see Note 9 - Debt). Assets acquired and liabilities assumed were recorded at their estimated fair values as of August 20, 2015, with the remaining unallocated purchase price recorded as goodwill (see Note 3 - Business Acquisitions). Management's estimates and assumptions are subject to change within the measurement period (not to exceed one year).

Acquisition of Healthcare Insights, LLC

On July 31, 2015, PHSI acquired all of the limited liability company membership interests of Healthcare Insights, LLC ("HCI") for $64.3 million in cash, subject to post-closing adjustments based on HCI’s actual (i) indebtedness, (ii) transaction expenses and (iii) net working capital at closing. The acquisition also provides selling members with an earn-out opportunity of up to $4.0 million based on HCI’s revenues during the twelve months ended December 31, 2017. Assets acquired and liabilities assumed were recorded at their estimated fair values as of July 31, 2015, with the remaining unallocated purchase price recorded as goodwill (see Note 3 - Business Acquisitions). Management's estimates and assumptions are subject to change within the measurement period (not to exceed one year).

Market and Industry Trends and Outlook

We expect that certain trends and economic or industry-wide factors will continue to affect our business, both in the short-term and long-term. We have based our expectations described below on assumptions made by us and on information currently available to us. To the extent our underlying assumptions about, or interpretation of, available information prove to be incorrect our actual results may vary materially from our expected results. See "Cautionary Note Regarding Forward-Looking Statements."

Trends in the U.S. healthcare market affect our revenues in the supply chain services and performance services segments. The trends we see affecting our current healthcare business include the implementation of healthcare reform legislation, expansion of insurance coverage, intense cost pressure, payment reform, provider consolidation, shift in care to the alternate site market and increased data availability and transparency. To meet the demands of this environment, there will be increased focus on scale and cost containment and healthcare providers will need to measure and report on and bear financial risk for outcomes. We believe these trends will result in increased demand for our supply chain services and performance services solutions in the areas of cost management, quality and safety, and population health management.



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Key Components of Our Results of Operations

Net Revenue

Net revenue consists of (i) service revenue, which includes net administrative fees revenue and other services and support revenue and (ii) product revenue. Net administrative fees revenue consists of GPO administrative fees in our supply chain services segment. Other services and support revenue consists primarily of fees generated by our performance services segment in connection with our SaaS informatics products subscriptions, license fees, advisory services and performance improvement collaborative subscriptions. Product revenue consists of specialty pharmacy and direct sourcing product sales, which are included in the supply chain services segment.

Supply Chain Services

Supply chain services revenue consists of GPO net administrative fees (gross administrative fees received from suppliers, reduced by the amount of any revenue paid to members), specialty pharmacy revenue, direct sourcing revenue and managed service revenue.

The success of our supply chain services revenue streams are influenced by the number of members that utilize our GPO supplier contracts and the volume of their purchases, the number of members that utilize our specialty pharmacy, as well as the impact of changes in the defined allowable reimbursement amounts determined by Medicare, Medicaid and other managed care plans and the number of members that purchase products through our direct sourcing activities and the impact of competitive pricing.

Our managed services line of business is a fee for service model created to perform supply chain related services for members, including through a partnership with a national pharmacy benefit manager, to provide contract negotiation and administration, claims data and rebate processing and evaluation of current pharmacy formulary and utilization.

Performance Services

Performance services revenue consists of SaaS informatics products subscriptions, license fees, performance improvement collaborative and other service subscriptions, professional fees for advisory services, insurance services management fees and commissions from endorsed commercial insurance programs.

Our performance services growth will depend upon the expansion of our SaaS informatics products, performance improvement collaboratives and advisory services to new and existing members, impact of applied research initiatives, renewal of existing subscriptions to our SaaS informatics products and expansion into new markets with potential future acquisitions.

Cost of Revenue

Cost of service revenue includes expenses related to employees (including compensation and benefits) and outside consultants who directly provide services related to revenue-generating activities, including advisory services to members and implementation services related to SaaS informatics products. Cost of service revenue also includes expenses related to hosting services, related data center capacity costs, third-party product license expenses and amortization of the cost of internal use software.

Cost of product revenue consists of purchase and shipment costs for specialty pharmaceuticals and direct sourced medical products. Our cost of product revenue will be influenced by the cost and availability of specialty pharmaceuticals and the manufacturing and transportation costs associated with direct sourced medical products.

Operating Expenses

Selling, general and administrative (“SGA”) expenses consist of expenses directly associated with selling and administrative functions and support of revenue-generating activities including expenses to support and maintain our software-related products and services. In general, SGA expenses are comprised of compensation and benefits related costs, travel-related expenses, business development expenses including costs for business acquisition opportunities and indirect costs such as insurance, professional fees, and other general overhead expenses. General and administrative expenses have increased as a result of being a public company, including stock-based compensation expense related to the equity incentive plan established in connection with the Reorganization and IPO.

Research and development expenses consist of employee-related compensation and benefit expenses and third-party consulting fees of technology professionals, net of capitalized labor, incurred to develop our software-related products and services.

Amortization of purchased intangible assets includes the amortization of all identified intangible assets resulting from acquisitions.

Other Income, Net

Other income, net, consists primarily of equity in net income of our unconsolidated affiliates that is primarily generated from our 50% ownership interest in Innovatix, LLC (“Innovatix”). A change in the number of, and use by, members that participate in our GPO programs through Innovatix could have a significant effect on the amounts earned from this investment. Other income,



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net, also includes interest income, net, and realized gains and losses on our marketable securities as well as gains or losses on the disposal of assets.

Income Tax Expense

Income tax expense includes the income tax expense attributable to Premier, PHSI and Premier Supply Chain Improvement, Inc. (“PSCI”). For federal and state income tax purposes, income realized by Premier Healthcare Alliance, L.P. ("Premier LP") is taxable to its partners. As such, the effective tax rate is attributable to the flow through of Premier LP income, which is not subject to federal and state income tax at Premier.

Net Income Attributable to Non-Controlling Interest

As of March 31, 2016 , we owned an approximate 32% controlling general partner interest in Premier LP through Premier GP. Net income attributable to non-controlling interest represents the portion of net income attributable to the limited partners of Premier LP (approximately 68% , and the portion of net income or loss attributable to the 40% non-controlling equity interest in SVS LLC d/b/a S2S Global ("S2S Global") prior to our February 2, 2015 purchase. Our non-controlling interest attributable to limited partners of Premier LP was reduced from 99% to approximately 78% upon the Reorganization, and further reduced to approximately 68% as of March 31, 2016 , as a result of completed quarterly exchanges pursuant to the Exchange Agreement (see Note 11 - Redeemable Limited Partners' Capital).

Other Key Business Metrics

The other key business metrics we consider are EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow.

We define EBITDA as net income before interest and investment income, net, income tax expense, depreciation and amortization and amortization of purchased intangible assets. We define Adjusted EBITDA 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. For all financial measures not in accordance with generally accepted accounting principles (“Non-GAAP”), we consider non-recurring items to be expenses and other items that have not been incurred within the prior two years and are not expected to recur within the next two years. Such expenses include certain strategic and financial restructuring expenses. Non-operating items include gain or loss on the disposal of assets.

We define Segment Adjusted EBITDA as the segment's net revenue less 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.

We define Adjusted Fully Distributed Net Income 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 of non-recurring and non-cash items, (iv) assuming the exchange of all the Class B common units into shares of Class A common stock, which results in the elimination of non-controlling interest in Premier LP and (v) reflecting an adjustment for income tax expense on Non-GAAP fully distributed net income before income taxes at our estimated effective income tax rate. Adjusted Fully Distributed Net Income is a Non-GAAP financial measure because it represents net income attributable to Premier before merger and acquisition related expenses and non-recurring or non-cash items and the effects of non-controlling interests in Premier LP.

We define Adjusted Fully Distributed Earnings per Share as earnings per share attributable to Premier (i) excluding income tax expense, (ii) excluding impact of adjustment of redeemable limited partners' capital to redemption amount, (iii) excluding the effect of non-recurring and non-cash items, (iv) assuming the exchange of all the Class B common units into shares of Class A common stock, which results in the elimination of non-controlling interest in Premier LP and (v) reflecting an adjustment for income tax expense on Non-GAAP fully distributed net income before income taxes at our estimated effective income tax rate. Adjusted Fully Distributed Earnings per Share is a Non-GAAP financial measure because it represents earnings per share attributable to Premier before merger and acquisition related expenses and non-recurring or non-cash items, the effects of non-controlling interests in Premier LP, and the impact of the adjustment of redeemable limited partners' capital to redemption amount.

We define Free Cash Flow as net cash provided by operating activities less distributions to limited partners and purchases of property and equipment. Free Cash Flow is a Non-GAAP financial measure because it does not represent net cash provided by operating activities alone but takes into consideration the ongoing distributions to limited partners and purchase of property and equipment that are necessary for ongoing business operations and long-term value creation. We believe Free Cash Flow is an important measure because it represents the cash that we generate after payment of tax distributions to limited partners and capital investment to maintain existing products and services as well as development of new and upgraded products and services to support future growth. Free Cash Flow is important because it allows us to enhance stockholder value through acquisitions, partnerships,



	36

joint ventures, investments in related business and/or debt reduction. Also, Free Cash Flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayment.

Adjusted EBITDA and Free Cash Flow are supplemental financial measures used by us and by external users of our financial statements. We consider Adjusted EBITDA and Free Cash Flow to be indicators of the operational strength and performance of our business. Adjusted EBITDA and Free Cash Flow measures allow us to assess our performance without regard to financing methods and capital structure and without the impact of other matters that we do not consider indicative of the operating performance of our business. Segment Adjusted EBITDA is the primary earnings measure we use to evaluate the performance of our business segments.

We use Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share to facilitate a comparison of our operating performance on a consistent basis from period to period that, when viewed in combination with our results prepared in accordance with generally accepted accounting principles (“GAAP”), provides a more complete understanding of factors and trends affecting our business than GAAP measures alone. We believe Adjusted EBITDA and Segment Adjusted EBITDA assist our board of directors, management and investors in comparing our operating performance on a consistent basis from period to period because they remove the impact of our asset base (primarily depreciation and amortization) and items outside the control of our management team, e.g. taxes, as well as other non-cash (impairment of intangible assets, purchase accounting adjustments and stock-based compensation) and non-recurring items (strategic and financial restructuring expenses), from our operations. We believe Adjusted Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share 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 it removes non-cash (impairment of intangible assets, purchase accounting adjustments and stock-based compensation) and non-recurring items (strategic and financial restructuring expenses), and eliminates the variability of non-controlling interest as a result of member owner exchanges of Class B common units into shares of Class A common stock (which exchanges are a member owner’s cumulative right, but not obligation, which began on October 31, 2014, and occur each year thereafter, and are limited to one-seventh of the member owner’s initial allocation of Class B common units).

Despite the importance of these Non-GAAP financial measures in analyzing our business, determining compliance with certain financial covenants in our Credit Facility, measuring and determining incentive compensation and evaluating our operating performance relative to our competitors, EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow are not measurements of financial performance under GAAP, may have limitations as analytical tools and should not be considered in isolation from, or as an alternative to, net income, net cash provided by operating activities, or any other measure of our performance derived in accordance with GAAP.

Some of the limitations of EBITDA, Adjusted EBITDA and Segment Adjusted EBITDA include that they do not reflect: our capital expenditures or our future requirements for capital expenditures or contractual commitments; changes in, or cash requirements for, our working capital needs; the interest expense or the cash requirements to service interest or principal payments under our Credit Facility; income tax payments we are required to make; and any cash requirements for replacements of assets being depreciated or amortized. In addition, EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA and Free Cash Flow are not measures of liquidity under GAAP, or otherwise, and are not alternatives to cash flows from continuing operating activities.

Some of the limitations of Adjusted Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share are that they do not reflect income tax expense or income tax payments we are required to make. In addition, Adjusted Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share are not measures of profitability under GAAP.

We also urge you to review the reconciliation of these Non-GAAP measures included elsewhere in this Quarterly Report. To properly and prudently evaluate our business, we encourage you to review the condensed consolidated financial statements and related notes included elsewhere in this Quarterly Report, and to not rely on any single financial measure to evaluate our business. In addition, because EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow are susceptible to varying calculations, the EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow measures, as presented in this Quarterly Report, may differ from, and may therefore not be comparable to, similarly titled measures used by other companies.



	37

Results of Operations

Three Months Ended March 31, 2016 Compared to the Three Months Ended March 31, 2015

The following table summarizes our results of operations for the three months ended March 31, 2016 and 2015 (in thousands, except per share data):



	Three months ended March 31,
	2016					2015
	Amount			% of Net Revenue		Amount			% of Net Revenue
Net revenue:
Net administrative fees	$	131,270		44	%	$	117,959		45	%
Other services and support	87,389			29	%	70,326			27	%
Services	218,659			73	%	188,285			72	%
Products	80,010			27	%	73,438			28	%
Net revenue	298,669			100	%	261,723			100	%
Cost of revenue:
Services	40,685			14	%	36,026			14	%
Products	71,408			24	%	66,789			25	%
Cost of revenue	112,093			38	%	102,815			39	%
Gross profit	186,576			62	%	158,908			61	%
Operating expenses:
Selling, general and administrative	101,898			34	%	86,847			33	%
Research and development	1,180			—	%	596			—	%
Amortization of purchased intangible assets	8,740			3	%	2,554			1	%
Operating expenses	111,818			37	%	89,997			34	%
Operating income	74,758			25	%	68,911			27	%
Other income, net	6,342			2	%	5,144			2	%
Income before income taxes	81,100			27	%	74,055			29	%
Income tax expense	9,543			3	%	2,026			1	%
Net income	71,557			24	%	72,029			28	%
Net income attributable to non-controlling interest in S2S Global	—			—	%	(252		)	—	%
Net income attributable to non-controlling interest in Premier LP	(56,018		)	(19	)%	(59,568		)	(23	)%
Net income attributable to non-controlling interest	(56,018		)	(19	)%	(59,820		)	(23	)%
Adjustment of redeemable limited partners' capital to redemption amount	284,409			nm		(387,062		)	nm
Net income (loss) attributable to stockholders	$	299,948		nm		$	(374,853	)	nm

Weighted average shares outstanding:
Basic	44,716			nm		37,316			nm
Diluted	145,018			nm		37,316			nm

Earnings (loss) per share attributable to stockholders
Basic	$	6.71		nm		$	(10.05	)	nm
Diluted	$	0.43		nm		$	(10.05	)	nm

Adjusted EBITDA ⁽¹⁾	$	119,929		40	%	$	103,745		40	%
Adjusted Fully Distributed Net Income ⁽²⁾	$	63,920		21	%	$	55,286		21	%
Adjusted Fully Distributed Earnings Per Share ⁽³⁾	$	0.44		nm		$	0.38		nm

nm = Not meaningful



	38


(1)	The following table shows the reconciliation of net income to Adjusted EBITDA and the reconciliation of Segment Adjusted EBITDA to income before income taxes for the periods presented (in thousands):



	Three months ended March 31,
	2016			2015
Net income	$	71,557		$	72,029
Interest and investment income, net ^(a)	285			(204		)
Income tax expense	9,543			2,026
Depreciation and amortization	13,110			11,538
Amortization of purchased intangible assets	8,740			2,554
EBITDA	103,235			87,943
Stock-based compensation ^(b)	11,839			7,285
Acquisition related expenses ^(c)	2,583			2,863
Strategic and financial restructuring expenses ^(d)	33			2
Adjustment to tax receivable agreement liability ^(e)	—			1,073
Loss on investment ^(f)	—			1,000
ERP implementation expenses ^(g)	1,162			—
Acquisition related adjustment - deferred revenue ^(h)	1,077			3,563
Other income, net ⁽ⁱ⁾	—			16
Adjusted EBITDA	$	119,929		$	103,745

Segment Adjusted EBITDA:
Supply Chain Services	$	118,704		$	101,600
Performance Services	30,771			26,166
Corporate ^(j)	(29,546		)	(24,021		)
Adjusted EBITDA	119,929			103,745
Depreciation and amortization	(13,110		)	(11,538		)
Amortization of purchased intangible assets	(8,740		)	(2,554		)
Stock-based compensation ^(b)	(11,839		)	(7,285		)
Acquisition related expenses ^(c)	(2,583		)	(2,863		)
Strategic and financial restructuring expenses ^(d)	(33		)	(2		)
Adjustment to tax receivable agreement liability ^(e)	—			(1,073		)
ERP implementation expenses ^(g)	(1,162		)	—
Acquisition related adjustment - deferred revenue ^(h)	(1,077		)	(3,563		)
Equity in net income of unconsolidated affiliates	(6,627		)	(5,197		)
Deferred compensation plan expense	—			(759		)
Operating income	74,758			68,911
Equity in net income of unconsolidated affiliates	6,627			5,197
Interest and investment income, net ^(a)	(285		)	204
Loss on investment ^(f)	—			(1,000		)
Other expense, net ⁽ⁱ⁾	—			743
Income before income taxes	$	81,100		$	74,055


(a)	Represents interest income, net and realized gains and losses on our marketable securities.


(b)	Represents non-cash employee stock based compensation expense and $0.1 million stock purchase plan expense in the three months ended March 31, 2016 .


(c)	Represents legal, accounting and other expenses related to acquisition activities.


(d)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses.


(e)	Represents adjustment to tax receivable agreements liability due to impact of departed member owners during the three months ended March 31, 2015.


(f)	Represents the loss on investment for the three months ended March 31, 2015.


(g)	Represents implementation and other costs of new enterprise resource planning ("ERP") system.



	39

(h)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(i)	Represents gains and losses on investments and other assets.


(j)	Corporate consists of general and administrative corporate expenses that are not specific to either of our reporting segments.


(2)	The following table shows the reconciliation of net income (loss) attributable to stockholders to Non-GAAP Adjusted Fully Distributed Net Income for the periods presented (in thousands):



	Three months ended March 31,
	2016			2015
Net income (loss) attributable to stockholders	$	299,948		$	(374,853	)
Adjustment of redeemable limited partners' capital to redemption amount	(284,409		)	387,062
Income tax expense	9,543			2,026
Stock-based compensation ^(a)	11,839			7,285
Acquisition related expenses ^(b)	2,583			2,863
Strategic and financial restructuring expenses ^(c)	33			2
Loss on investment ^(d)	—			1,000
ERP implementation expenses ^(e)	1,162			—
Adjustment to tax receivable agreement liability ^(f)	—			1,073
Acquisition related adjustment - deferred revenue ^(g)	1,077			3,563
Amortization of purchased intangible assets	8,740			2,554
Net income attributable to non-controlling interest in Premier LP ^(h)	56,018			59,568
Non-GAAP adjusted fully distributed income before income taxes	106,534			92,143
Income tax expense on fully distributed income before income taxes ⁽ⁱ⁾	42,614			36,857
Non-GAAP Adjusted Fully Distributed Net Income	$	63,920		$	55,286


(a)	Represents non-cash employee stock based compensation expense and $0.1 million stock purchase plan expense in the three months ended March 31, 2016 .


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses.


(d)	Represents the loss on investment for the three months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreements liability due to impact of departed member owners during the three months ended March 31, 2015.

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.



	40


(3)	The following table shows the reconciliation of the numerator and denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented (in thousands):



	Three months ended March 31,
	2016			2015
Reconciliation of numerator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share:
Net income (loss) attributable to stockholders	$	299,948		$	(374,853	)
Adjustment of redeemable limited partners' capital to redemption amount	(284,409		)	387,062
Income tax expense	9,543			2,026
Stock-based compensation ^(a)	11,839			7,285
Acquisition related expenses ^(b)	2,583			2,863
Strategic and financial restructuring expenses ^(c)	33			2
Loss on investment ^(d)	—			1,000
ERP implementation expenses ^(e)	1,162			—
Adjustment to tax receivable agreement liability ^(f)	—			1,073
Acquisition related adjustment - deferred revenue ^(g)	1,077			3,563
Amortization of purchased intangible assets	8,740			2,554
Net income attributable to non-controlling interest in Premier LP ^(h)	56,018			59,568
Non-GAAP adjusted fully distributed income before income taxes	106,534			92,143
Income tax expense on fully distributed income before income taxes ⁽ⁱ⁾	42,614			36,857
Non-GAAP Adjusted Fully Distributed Net Income	$	63,920		$	55,286

Reconciliation of denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share
Weighted Average:
Common shares used for basic and diluted earnings (loss) per share	44,716			37,316
Potentially dilutive shares	2,465			1,148
Conversion of class B common units	97,837			106,706
Weighted average fully distributed shares outstanding - diluted	145,018			145,170


(a)	Represents non-cash employee stock based compensation expense and $0.1 million stock purchase plan expense in the three months ended March 31, 2016 .


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses.


(d)	Represents the loss on investment for the three months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreements liability due to impact of departed member owners during the three months ended March 31, 2015.

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.



	41

The following table show the reconciliation of earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented:



	Three months ended March 31,
	2016			2015

Earnings (loss) per share attributable to stockholders	$	6.71		$	(10.05	)
Adjustment of redeemable limited partners' capital to redemption amount	(6.36		)	10.37
Impact of additions:
Income tax expense	0.21			0.05
Stock-based compensation ^(a)	0.26			0.20
Acquisition related expenses ^(b)	0.06			0.08
Strategic and financial restructuring expenses ^(c)	—			—
Loss on investment ^(d)	—			0.03
ERP implementation expenses ^(e)	0.03			—
Adjustment to tax receivable agreement liability ^(f)	—			0.03
Acquisition related adjustment - deferred revenue ^(g)	0.02			0.10
Amortization of purchased intangible assets	0.20			0.07
Net income attributable to non-controlling interest in Premier LP ^(h)	1.25			1.60
Impact of corporation taxes ⁽ⁱ⁾	(0.95		)	(0.99		)
Impact of increased share count ^(j)	(0.99		)	(1.11		)
Non-GAAP Adjusted Fully Distributed Earnings per Share	$	0.44		$	0.38


(a)	Represents non-cash employee stock based compensation expense and $0.1 million stock purchase plan expense in the three months ended March 31, 2016 .


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses.


(d)	Represents the loss on investment for the three months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreements liability due to impact of departed member owners during the three months ended March 31, 2015.

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.


(j)	Reflects impact of increased share counts assuming the conversion of all Class B common units into shares of Class A common stock.



	42

Net Revenue

The following table summarizes our net revenue for the three months ended March 31, 2016 and 2015, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Three months ended March 31,
	2016				2015
Net Revenue	Amount		% of Net Revenue		Amount		% of Net Revenue
Supply Chain Services
Net administrative fees	$	131,270	44	%	$	117,959	45	%
Other services and support	1,104		—	%	740		—	%
Services	132,374		44	%	118,699		45	%
Products	80,010		27	%	73,438		28	%
Total Supply Chain Services	212,384		71	%	192,137		73	%
Performance Services	86,285		29	%	69,586		27	%
Total	$	298,669	100	%	$	261,723	100	%

Total net revenue for the three months ended March 31, 2016 was $298.7 million , an increase of $37.0 million , or 14% from $261.7 million for the three months ended March 31, 2015 . Our supply chain services net revenue was 71% and 73% of total net revenue for the three months ended March 31, 2016 and 2015, respectively.

Supply Chain Services

Our supply chain services segment net revenue for the three months ended March 31, 2016 was $212.4 million , an increase of $20.3 million , or 11% , from $192.1 million for the three months ended March 31, 2015 .

Net administrative fees revenue in our supply chain services segment for the three months ended March 31, 2016 was $131.3 million , an increase of $13.3 million , or 11% , from $118.0 million for the three months ended March 31, 2015 . The increase in net administrative fees revenue was primarily attributable to the further contract penetration of existing members, and continued recruitment and conversion of new members to our contract portfolio. We may experience quarterly fluctuations in net administrative fees revenue due to periodic variability associated with the receipt of supplier member purchasing reports and administrative fee payments at quarter-end; however, we expect our net administrative fees revenue to continue to grow to the extent our existing members increase the utilization of our contracts and additional members convert to our contract portfolio.

Product revenue in our supply chain services segment for the three months ended March 31, 2016 was $80.0 million , an increase of $6.6 million , or 9% , from $73.4 million for the three months ended March 31, 2015 . Product revenue in our supply chain services segment increased for the three months ended March 31, 2016 due to $3.4 million of increased specialty pharmacy revenue and $3.2 million of increased direct sourcing revenue, as a result of ongoing expansion of member participation in our specialty pharmacy and direct sourcing businesses. The slower pace of growth in the current quarter in our specialty pharmacy business is due to a decline in the dispensing of Hepatitis C specialty pharmaceuticals that contributed significantly to prior-year growth. Excluding the impact of Hepatitis C, product revenues increased approximately 25% in the quarter. However, we expect our direct sourcing and specialty pharmacy product revenues to continue to grow to the extent we are able to increase our product offerings, expand our product sales to existing members and additional members begin to utilize our programs.

Performance Services

Our performance services segment net revenue for the three months ended March 31, 2016 was $86.3 million , an increase of $16.7 million or 24% , from $69.6 million for the three months ended March 31, 2015 . The increase was primarily driven by revenues from the Company's CECity and HCI acquisitions of $12.5 million , along with growth in our SaaS-based subscriptions, license revenue, advisory services engagements and performance improvement collaboratives.

We believe that additional growth from our CECity acquisition during the quarter was constrained by the impact of the Centers for Medicare & Medicaid Services (“CMS”) regulatory developments that allowed certain exemptions to CMS’ Meaningful Use reporting requirements. In addition, the market’s continued evolution to more integrated technology solutions has resulted in lengthier implementations for some of our more complex solutions, and has also impacted growth of certain less-integrated, acute focused solutions. Similarly, growth in our advisory services was more limited due to delays and re-scoping of certain large projects during the quarter.



	43

We expect to experience quarterly variability in revenues generated from our performance services segment due to the timing of revenue recognition from certain advisory services and performance-based engagements in which our revenue is based on a percentage of identified member savings and recognition occurs upon approval and documentation of the savings. We expect our performance services net revenue to continue to grow to the extent we are able to expand our sales to existing members and additional members begin to utilize our products and services.

Cost of Revenue

The following table summarizes our cost of revenue for the periods, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Three months ended March 31,
	2016				2015
	Amount		% of Net Revenue		Amount		% of Net Revenue
Cost of revenue:
Products	$	71,408	24	%	$	66,789	26	%
Services	40,685		14	%	36,026		14	%
Total cost of revenue	$	112,093	38	%	$	102,815	39	%
Cost of revenue by segment:
Supply Chain Services	$	72,127	24	%	$	67,579	26	%
Performance Services	39,966		13	%	35,236		13	%
Total cost of revenue	$	112,093	38	%	$	102,815	39	%

Cost of revenue for the three months ended March 31, 2016 was $112.1 million , an increase of $9.3 million , or 9% , from $102.8 million for the three months ended March 31, 2015 . Cost of product revenue increased by $4.6 million , which was primarily attributable to the increases in direct sourcing and specialty pharmacy revenue. We expect our cost of product revenue to increase as we sell additional direct-sourced medical products to new and existing members and enroll additional members into our specialty pharmacy program. Cost of service revenue increased by $4.7 million primarily due to an increase in personnel to support growth in SaaS-based implementations and population health advisory services. We expect cost of service revenue to increase to the extent we expand our performance improvement collaboratives and advisory services to members, increase sales of our population health management SaaS informatics products under reseller agreements, continue to develop new and existing internally-developed software applications, and expand into new product offerings as a result of our acquisitions of CECity, HCI and InFlow.

Cost of revenue for the supply chain services segment for the three months ended March 31, 2016 was $72.1 million , an increase of $4.5 million , or 7% , from $67.6 million for the three months ended March 31, 2015 . The increase is primarily attributable to the growth in the direct sourcing and specialty pharmacy businesses, which have higher associated cost of revenue as compared to group purchasing.

Cost of revenue for the performance services segment for the three months ended March 31, 2016 was $40.0 million , an increase of $4.8 million , or 14% , from $35.2 million for the three months ended March 31, 2015 primarily due to an increase in personnel to support growth in SaaS-based implementations and population health advisory services. We expect cost of service revenue to increase to the extent we expand our performance improvement collaboratives and advisory services to members, continue to develop new and existing internally-developed software applications, and expand into new product offerings as a result of our acquisitions of CECity, HCI and InFlow.



	44

Operating Expenses

The following table summarizes our operating expenses for the periods, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Three months ended March 31,
	2016				2015
	Amount		%of Net Revenue		Amount		%of Net Revenue
Operating expenses:
Selling, general and administrative	$	101,898	34	%	$	86,847	33	%
Research and development	1,180		—	%	596		—	%
Amortization of purchased intangible assets	8,740		3	%	2,554		1	%
Total operating expenses	$	111,818	37	%	$	89,997	34	%
Operating expenses by segment:
Supply Chain Services	$	29,850	10	%	$	29,208	11	%
Performance Services	37,816		13	%	26,321		10	%
Total segment operating expenses	67,666		23	%	55,529		21	%
Corporate	44,152		15	%	34,468		13	%
Total operating expenses	$	111,818	37	%	$	89,997	34	%

Selling, General and Administrative

Selling, general and administrative expenses for the three months ended March 31, 2016 were $101.9 million , an increase of $15.1 million , or 17% , from $86.8 million for the three months ended March 31, 2015 primarily attributable to an increase in stock-based compensation of $4.5 million due to the layering of an additional plan year of stock compensation along with an increase in projected achievement for performance based shares. Also contributing to the increase were increased salaries and benefits of $4.1 million due to the acquisitions of CECity and HCI and ERP system implementation expenses of $1.2 million .

We expect our selling, general and administrative expenses will continue to increase as we grow our business.

Research and Development

Research and development expenses for the three months ended March 31, 2016 were $1.2 million , an increase of $0.6 million , from $0.6 million for the three months ended March 31, 2015 . Including capitalized labor, total research and development expenditures were $15.1 million for the three months ended March 31, 2016, an increase of $0.4 million from $14.7 million for the three months ended March 31, 2015. We experience fluctuations in our research and development expenditures across reportable periods due to the timing of our software development lifecycles, with new product features and functionality, new technologies and upgrades to our service offerings.

Amortization of Purchased Intangible Assets

Amortization of purchased intangible assets for the three months ended March 31, 2016 was $8.7 million , an increase of $6.1 million , from $2.6 million for the three months ended March 31, 2015 . The increase was primarily as a result of the additional amortization of purchased intangible assets related to our acquisitions. As we execute on our growth strategy and further deploy capital, we expect further increases in amortization of purchased intangible assets in connection with recent and future potential acquisitions.

Corporate

The increase in corporate expenses is primarily attributable to investments in data center co-location and cyber security related expenditures as well as incremental corporate infrastructure, primarily in finance and legal, due to growth and the current year acquisitions.

Other Non-operating Income and Expense



	45

Other Income, Net

Other income, net, for the three months ended March 31, 2016 was $6.3 million , an increase of $1.2 million , or 24% , from $5.1 million for the three months ended March 31, 2015 , due primarily to an increase in equity income from Innovatix, an unconsolidated affiliate.

Income Tax Expense

For the three months ended March 31, 2016 and March 31, 2015 the Company recorded tax expense of $9.5 million and $2.0 million , respectively, which equates to an effective tax rate of 11.7% and 2.7% , respectively. The effective tax rate has increased from prior year primarily attributable to the recording of valuation allowances against deferred tax assets at PHSI. The Company’s effective tax rate differs from income taxes recorded at the statutory rate primarily due to partnership income not subject to federal income taxes, state and local taxes and nondeductible expenses.

Net Income Attributable to Non-Controlling Interest

Net income attributable to non-controlling interest for the three months ended March 31, 2016 was $56.0 million , a decrease of $3.6 million , or 6% , from $59.6 million for the three months ended March 31, 2015 , primarily as a result of a decrease in non-controlling interest from approximately 70% at December 31, 2015 to approximately 68% at March 31, 2016 as well as a decrease in net income of $0.5 million driven by the related increase in the Company's tax expense due to the increase in Class A common stock ownership and related decrease in member ownership of Class B common units and associated Class B common stock after the February 1, 2016 quarterly exchange.

Non-GAAP Adjusted EBITDA



	Three months ended March 31,
	2016					2015
	Amount			% of Net Revenue		Amount			% of Net Revenue
Non-GAAP Adjusted EBITDA by segment:
Supply Chain Services	$	118,704		40	%	$	101,600		39	%
Performance Services	30,771			10	%	26,166			10	%
Total Segment Adjusted EBITDA	149,475			50	%	127,766			49	%
Corporate	(29,546		)	(10	)%	(24,021		)	(9	)%
Total Adjusted EBITDA	$	119,929		40	%	$	103,745		40	%

Adjusted EBITDA for the three months ended March 31, 2016 was $119.9 million , an increase of $16.2 million , or 16% , from $103.7 million for the three months ended March 31, 2015 . The increase in Adjusted EBITDA is primarily driven by revenue growth in the supply chain and performance services segments, including contributions from the acquisitions of CECity and HCI.

Segment Adjusted EBITDA for the supply chain services segment of $118.7 million for the three months ended March 31, 2016 reflects an increase of $17.1 million , or 17% , compared to $101.6 million for the three months ended March 31, 2015 , primarily as a result of increased net administrative fees revenue.

Segment Adjusted EBITDA for the performance services segment of $30.8 million for the three months ended March 31, 2016 reflects an increase of approximately $4.6 million , or 18% , compared to $26.2 million for the three months ended March 31, 2015 , driven by contributions from the acquisitions of CECity and HCI.



	46

Nine Months Ended March 31, 2016 Compared to the Nine Months Ended March 31, 2015

The following table summarizes our results of operations for the nine months ended March 31, 2016 and 2015 (in thousands, except per share data):



	Nine months ended March 31,
	2016					2015
	Amount			% of Net Revenue		Amount			% of Net Revenue
Net revenue:
Net administrative fees	$	369,952		43	%	$	337,157		45	%
Other services and support	252,114			29	%	199,621			27	%
Services	622,066			72	%	536,778			72	%
Products	239,107			28	%	203,698			28	%
Net revenue	861,173			100	%	740,476			100	%
Cost of revenue:
Services	119,301			14	%	104,066			14	%
Products	214,512			25	%	183,302			25	%
Cost of revenue	333,813			39	%	287,368			39	%
Gross profit	527,360			61	%	453,108			61	%
Operating expenses:
Selling, general and administrative	288,120			33	%	243,404			33	%
Research and development	2,060			—	%	2,385			—	%
Amortization of purchased intangible assets	24,058			3	%	6,598			1	%
Operating expenses	314,238			36	%	252,387			34	%
Operating income	213,122			25	%	200,721			27	%
Other income, net	12,940			2	%	14,110			2	%
Income before income taxes	226,062			26	%	214,831			29	%
Income tax expense	41,257			5	%	12,107			2	%
Net income	184,805			21	%	202,724			27	%
Net income attributable to non-controlling interest in S2S Global	—			—	%	(1,836		)	—	%
Net income attributable to non-controlling interest in Premier LP	(153,735		)	(18	)%	(170,135		)	(23	)%
Net income attributable to non-controlling interest	(153,735		)	(18	)%	(171,971		)	(23	)%
Adjustment of redeemable limited partners' capital to redemption amount	685,649			nm		(811,969		)	nm
Net income (loss) attributable to stockholders	$	716,719		nm		$	(781,216	)	nm

Weighted average shares outstanding:
Basic	41,329			nm		35,066			nm
Diluted	145,558			nm		35,066			nm

Earnings (loss) per share attributable to stockholders:
Basic	$	17.34		nm		$	(22.28	)	nm
Diluted	$	1.03		nm		$	(22.28	)	nm

Adjusted EBITDA ⁽¹⁾	$	340,981		40%		$	293,071		40%
Adjusted Fully Distributed Net Income ⁽²⁾	$	181,691		21%		$	155,181		21%
Adjusted Fully Distributed Earnings Per Share ⁽³⁾	$	1.25		nm		$	1.07		nm

nm = Not meaningful



	47


(1)	The following table shows the reconciliation of net income to Adjusted EBITDA and the reconciliation of Segment Adjusted EBITDA to income before income taxes for the periods presented (in thousands):



	Nine months ended March 31,
	2016			2015
Net income	$	184,805		$	202,724
Interest and investment income, net ^(a)	981			(517		)
Income tax expense	41,257			12,107
Depreciation and amortization	37,174			33,107
Amortization of purchased intangible assets	24,058			6,598
EBITDA	288,275			254,019
Stock-based compensation ^(b)	37,093			21,129
Acquisition related expenses ^(c)	11,699			6,408
Strategic and financial restructuring expenses ^(d)	268			1,281
Loss on investment ^(e)	—			1,000
ERP implementation expenses ^(f)	3,240			—
Adjustment to tax receivable agreement liability ^(g)	(4,818		)	—
Acquisition related adjustment - deferred revenue ^(h)	5,216			9,224
Other income, net ⁽ⁱ⁾	8			10
Adjusted EBITDA	$	340,981		$	293,071

Segment Adjusted EBITDA:
Supply Chain Services	$	329,642		$	290,210
Performance Services	90,158			67,717
Corporate ^(j)	(78,819		)	(64,856		)
Adjusted EBITDA	340,981			293,071
Depreciation and amortization	(37,174		)	(33,107		)
Amortization of purchased intangible assets	(24,058		)	(6,598		)
Stock-based compensation ^(b)	(37,093		)	(21,129		)
Acquisition related expenses ^(c)	(11,699		)	(6,408		)
Strategic and financial restructuring expenses ^(d)	(268		)	(1,281		)
ERP implementation expenses ^(f)	(3,240		)	—
Adjustment to tax receivable agreement liability ^(g)	4,818			—
Acquisition related adjustment - deferred revenue ^(h)	(5,216		)	(9,224		)
Equity in net income of unconsolidated affiliates	(16,002		)	(14,812		)
Deferred compensation plan expense	2,073			209
Operating income	213,122			200,721
Equity in net income of unconsolidated affiliates	16,002			14,812
Interest and investment (income) expense, net ^(a)	(981		)	517
Loss on investment ^(e)	—			(1,000		)
Other expense, net ^(j)	(2,081		)	(219		)
Income before income taxes	$	226,062		$	214,831


(a)	Represents interest income, net and realized gains and losses on our marketable securities.


(b)	Represents non-cash employee stock based compensation expense and $0.3 million stock purchase plan expense in the nine months ended March 31, 2016 .


(c)	Represents legal, accounting and other expenses related to acquisition activities.


(d)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses. During the nine months ended March 31, 2016 and 2015, strategic and financial restructuring expenses were incurred in connection with the company-directed offering related to the quarterly exchange pursuant to the Exchange Agreement.


(e)	Represents the loss on investment for the nine months ended March 31, 2015.


(f)	Represents implementation and other costs of new ERP system.



	48


(g)	Represents adjustment to tax receivable agreement liability for a 1% decrease in the North Carolina state income tax rate during the nine months ended March 31, 2016 .

(h)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(i)	Represents gains and losses on investments and other assets.


(j)	Corporate consists of general and administrative corporate expenses that are not specific to either of our reporting segments.


(2)	The following table shows the reconciliation of net income (loss) attributable to stockholders to Non-GAAP Adjusted Fully Distributed Net Income for the periods presented (in thousands):



	Nine months ended March 31,
	2016			2015
Net income (loss) attributable to stockholders	$	716,719		$	(781,216	)
Adjustment of redeemable limited partners' capital to redemption amount	(685,649		)	811,969
Income tax expense	41,257			12,107
Stock-based compensation ^(a)	37,093			21,129
Acquisition related expenses ^(b)	11,699			6,408
Strategic and financial restructuring expenses ^(c)	268			1,281
Loss on investment ^(d)	—			1,000
ERP implementation expenses ^(e)	3,240			—
Adjustment to tax receivable agreement liability ^(f)	(4,818		)	—
Acquisition related adjustment - deferred revenue ^(g)	5,216			9,224
Amortization of purchased intangible assets	24,058			6,598
Net income attributable to non-controlling interest in Premier LP ^(h)	153,735			170,135
Non-GAAP fully distributed income before income taxes	302,818			258,635
Income tax expense on fully distributed income before income taxes ⁽ⁱ⁾	121,127			103,454
Non-GAAP Adjusted Fully Distributed Net Income	$	181,691		$	155,181


(a)	Represents non-cash employee stock based compensation expense and $0.3 million stock purchase plan expense in the nine months ended March 31, 2016 .


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses. During the nine months ended March 31, 2016 and 2015, strategic and financial restructuring expenses were incurred in connection with the company-directed offering related to the quarterly exchange pursuant to the Exchange Agreement.


(d)	Represents the loss on investment for the nine months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreement liability for a 1% decrease in the North Carolina state income tax rate during the nine months ended March 31, 2016 .

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.



	49


(3)	The following table shows the reconciliation of the numerator and denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented (in thousands):



	Nine months ended March 31,
	2016			2015
Reconciliation of numerator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share:
Net income (loss) attributable to stockholders	$	716,719		$	(781,216	)
Adjustment of redeemable limited partners' capital to redemption amount	(685,649		)	811,969
Income tax expense	41,257			12,107
Stock-based compensation ^(a)	37,093			21,129
Acquisition related expenses ^(b)	11,699			6,408
Strategic and financial restructuring expenses ^(c)	268			1,281
Loss on investment ^(d)	—			1,000
ERP implementation expenses ^(e)	3,240			—
Adjustment to tax receivable agreement liability ^(f)	(4,818		)	—
Acquisition related adjustment - deferred revenue ^(g)	5,216			9,224
Amortization of purchased intangible assets	24,058			6,598
Net income attributable to non-controlling interest in Premier LP ^(h)	153,735			170,135
Non-GAAP fully distributed income before income taxes	302,818			258,635
Income tax expense on fully distributed income before income taxes ⁽ⁱ⁾	121,127			103,454
Non-GAAP Adjusted Fully Distributed Net Income	$	181,691		$	155,181

Reconciliation of denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share
Weighted Average:
Common shares used for basic and diluted earnings (loss) per share	41,329			35,066
Potentially dilutive shares	2,172			845
Conversion of class B common units	102,057			109,184
Weighted average fully distributed shares outstanding - diluted	145,558			145,095


(a)	Represents non-cash employee stock based compensation expense and $0.3 million stock purchase plan expense in the nine months ended March 31, 2016 .


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses. During the nine months ended March 31, 2016 and 2015, strategic and financial restructuring expenses were incurred in connection with the company-directed offering related to the quarterly exchange pursuant to the Exchange Agreement.


(d)	Represents the loss on investment for the nine months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreement liability for a 1% decrease in the North Carolina state income tax rate during the nine months ended March 31, 2016 .

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.



	50

The following table shows the reconciliation of earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented:



	Nine months ended March 31,
	2016			2015

Earnings (loss) per share attributable to stockholders:	$	17.34		$	(22.28	)
Adjustment of redeemable limited partners' capital to redemption amount	(16.59		)	23.16
Impact of additions:
Income tax expense	1.00			0.35
Stock-based compensation ^(a)	0.90			0.60
Acquisition related expenses ^(b)	0.28			0.18
Strategic and financial restructuring expenses ^(c)	0.01			0.04
Loss on investment ^(d)	—			0.03
ERP implementation expenses ^(e)	0.08			—
Adjustment to tax receivable agreement liability ^(f)	(0.12		)	—
Acquisition related adjustment - deferred revenue ^(g)	0.13			0.26
Amortization of purchased intangible assets	0.58			0.19
Net income attributable to non-controlling interest in Premier LP ^(h)	3.72			4.85
Impact of corporation taxes ⁽ⁱ⁾	(2.93		)	(2.95		)
Impact of increased share count ^(j)	(3.15		)	(3.36		)
Non-GAAP Adjusted Fully Distributed Earnings per Share	$	1.25		$	1.07


(a)	Represents non-cash employee stock based compensation expense and stock purchase plan expense.


(b)	Represents legal, accounting and other expenses related to acquisition activities.


(c)	Represents legal, accounting and other expenses directly related to strategic and financial restructuring expenses. During the nine months ended March 31, 2016 and 2015, strategic and financial restructuring expenses were incurred in connection with the company-directed offering related to the quarterly exchange pursuant to the Exchange Agreement.


(d)	Represents the loss on investment for the nine months ended March 31, 2015.


(e)	Represents implementation and other costs of new ERP system.


(f)	Represents adjustment to tax receivable agreement liability for a 1% decrease in the North Carolina state income tax rate during the nine months ended March 31, 2016 .

(g)

Represents non-cash adjustment to deferred revenue of acquired entities. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updates and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-year in duration, our GAAP revenues for the one-year period subsequent to our acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updates and product support revenues is intended to include, and thus reflect, the full amount of such revenues.


(h)	Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.


(i)	Reflects income tax expense at an estimated effective income tax rate of 40% of Non-GAAP adjusted fully distributed income before income taxes.


(j)	Reflects impact of increased share counts assuming the conversion of all Class B common units into shares of Class A common stock.



	51

Net Revenue

The following table summarizes our net revenue for the nine months ended March 31, 2016 and 2015, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Nine months ended March 31,
	2016				2015
Net Revenue	Amount		% of Net Revenue		Amount		% of Net Revenue
Supply Chain Services
Net administrative fees	$	369,952	43	%	$	337,157	46	%
Other services and support	2,963		—	%	1,192		—	%
Services	372,915		43	%	338,349		46	%
Products	239,107		28	%	203,698		27	%
Total Supply Chain Services	612,022		71	%	542,047		73	%
Performance Services	249,151		29	%	198,429		27	%
Total	$	861,173	100	%	$	740,476	100	%

Total net revenue for the nine months ended March 31, 2016 was $861.2 million , an increase of $120.7 million , or 16% , from $740.5 million for the nine months ended March 31, 2015 . Our supply chain services net revenue was 71% and 73% of total net revenue for the nine months ended March 31, 2016 and 2015, respectively.

Supply Chain Services

Our supply chain services segment net revenue for the nine months ended March 31, 2016 was $612.0 million , an increase of $70.0 million , or 13% , from $542.0 million for the nine months ended March 31, 2015 .

Net administrative fees revenue in our supply chain services segment for the nine months ended March 31, 2016 was $370.0 million , an increase of $32.8 million , or 10% , from $337.2 million for the nine months ended March 31, 2015 . The increase in net administrative fees revenue was primarily attributable to the further contract penetration of existing members, continuing impact of member conversion to our contract portfolio as well as the continuation of positive utilization trends, although at a normalized level. We may experience quarterly fluctuations in net administrative fees revenue due to periodic variability associated with the receipt of supplier member purchasing reports and administrative fee payments at quarter-end; however, we expect our net administrative fees revenue to continue to grow to the extent our existing members increase the utilization of our contracts and additional members convert to our contract portfolio.

Product revenue in our supply chain services segment for the nine months ended March 31, 2016 was $239.1 million , an increase of $35.4 million , or 17% , from $203.7 million for the nine months ended March 31, 2015 . Product revenue in our supply chain services segment increased for the nine months ended March 31, 2016 due to $17.4 million of increased specialty pharmacy revenue and $18.0 million of increased direct sourcing revenue, primarily as a result of ongoing expansion of member participation in our specialty pharmacy and direct sourcing businesses. We expect our direct sourcing and specialty pharmacy product revenue to continue to grow to the extent we are able to increase our product offerings, expand our product sales to existing members and additional members begin to utilize our programs.

Performance Services

Our performance services segment net revenue for the nine months ended March 31, 2016 was $249.2 million , an increase of $50.8 million , or 26% from $198.4 million for the nine months ended March 31, 2015 . The increase was primarily driven by contributions of $23.0 million from our acquisitions of CECity and HCI which closed during the nine months ended March 31, 2016 , growth in our SaaS subscription and license revenue including increased revenue from TheraDoc, Inc. ("TheraDoc") which was lower in the prior year due to purchase accounting, and increased revenues from the Company’s advisory services primarily from population health and applied research.

We believe that additional growth from our CECity acquisition during the quarter ended March 31, 2016 was constrained by the impact of the Centers for Medicare & Medicaid Services (“CMS”) regulatory developments that allowed certain exemptions to CMS’ Meaningful Use reporting requirements. In addition, the market’s continued evolution to more integrated technology solutions has resulted in lengthier implementations for some of our more complex solutions, and has also impacted growth of certain less-integrated, acute focused solutions. Similarly, growth in our advisory services was more limited due to delays and re-scoping of certain large projects during the quarter ended March 31, 2016 .



	52

Cost of Revenue

The following table summarizes our cost of revenue for the nine months ended March 31, 2016 and 2015, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Nine months ended March 31,
	2016				2015
	Amount		% of Net Revenue		Amount		% of Net Revenue
Cost of revenue:
Products	$	214,512	25	%	$	183,302	25	%
Services	119,301		14	%	104,066		14	%
Total cost of revenue	$	333,813	39	%	$	287,368	39	%
Cost of revenue by segment:
Supply Chain Services	$	216,554	25	%	$	184,860	25	%
Performance Services	117,259		14	%	102,508		14	%
Total cost of revenue	$	333,813	39	%	$	287,368	39	%

Cost of revenue for the nine months ended March 31, 2016 was $333.8 million , an increase of $46.4 million , or 16% , from $287.4 million for the nine months ended March 31, 2015 . Cost of product revenue increased by $31.2 million , which was primarily attributable to the increases in direct sourcing and specialty pharmacy revenue consistent with the increase in product revenue. We expect our cost of product revenue to increase as we sell additional direct-sourced medical products to new and existing members and enroll additional members into our specialty pharmacy program. Cost of service revenue increased by $15.2 million primarily due to increased personnel costs to support growth in SaaS-based implementations and population health advisory services. We expect cost of service revenue to increase to the extent we expand our performance improvement collaboratives and advisory services to members, increase sales of our population health management SaaS informatics products under reseller agreements, continue to develop new and existing internally-developed software applications, and expand into new product offerings as a result of our acquisitions of CECity, HCI and InFlow.

Cost of revenue for the supply chain services segment for the nine months ended March 31, 2016 was $216.6 million , an increase of $31.7 million , or 17% , from $184.9 million for the nine months ended March 31, 2015 . The increase is primarily attributable to the growth in the direct sourcing and specialty pharmacy businesses, which have higher associated cost of revenue as compared to group purchasing. As a result, there is a higher increase in cost of revenue relative to net revenue because product revenue is growing at a higher rate than net administrative fees.

Cost of revenue for the performance services segment for the nine months ended March 31, 2016 was $117.3 million , an increase of $14.8 million , or 14% , from $102.5 million for the nine months ended March 31, 2015 . The increase is primarily due to increased personnel costs to support growth in SaaS-based implementations and population health advisory services. We expect cost of service revenue to increase to the extent we expand our performance improvement collaboratives and advisory services to members, continue to develop new and existing internally-developed software applications, and expand into new product offerings as a result of our acquisitions of CECity, HCI and InFlow.



	53

Operating Expenses

The following table summarizes our operating expenses for the nine months ended March 31, 2016 and 2015, respectively, indicated both in dollars (in thousands) and as a percentage of net revenue:



	Nine months ended March 31,
	2016				2015
	Amount		% of Net Revenue		Amount		% of Net Revenue
Operating expenses:
Selling, general and administrative	$	288,120	33	%	$	243,404	33	%
Research and development	2,060		—	%	2,385		—	%
Amortization of purchased intangible assets	24,058		3	%	6,598		1	%
Total operating expenses	$	314,238	36	%	$	252,387	34	%
Operating expenses by segment:
Supply Chain Services	$	86,053	10	%	$	83,759	11	%
Performance Services	110,885		13	%	77,758		11	%
Total segment operating expenses	196,938		23	%	161,517		22	%
Corporate	117,300		14	%	90,870		12	%
Total operating expenses	$	314,238	36	%	$	252,387	34	%

Selling, General and Administrative

Selling, general and administrative expenses for the nine months ended March 31, 2016 were $288.1 million , an increase of $44.7 million , or 18% , from $243.4 million for the nine months ended March 31, 2015 . Stock-based compensation increased by $15.7 million primarily attributable to an additional layer of expense for a new plan year as well as an increase in projected achievement for performance based shares. Also contributing to the increase were increased salaries and benefits expenses of $9.6 million primarily due to the acquisitions of CECity and HCI, acquisition-related expenses of $5.3 million , and ERP system implementation expenses of $3.2 million .

We expect our selling, general and administrative expenses will continue to increase as we grow our business.

Research and Development

Research and development expenses for the nine months ended March 31, 2016 were $2.1 million , a decrease of $0.3 million , or 13% , from $2.4 million for the nine months ended March 31, 2015 . Including capitalized labor, total research and development expenditures were $44.2 million for the three months ended March 31, 2016, an increase of $1.8 million from $42.4 million for the three months ended March 31, 2015. We experience fluctuations in our research and development expenditures across reportable periods due to the timing of our software development lifecycles, with new product features and functionality, new technologies and upgrades to our service offerings.

Amortization of Purchased Intangible Assets

Amortization of purchased intangible assets for the nine months ended March 31, 2016 was $24.1 million , an increase of $17.5 million , from $6.6 million for the nine months ended March 31, 2015 . The increase was primarily as a result of the additional amortization of purchased intangible assets obtained in our acquisitions of TheraDoc, CECity, HCI and InFlow. As we execute on our growth strategy and further deploy capital, we expect further increases in amortization of purchased intangible assets in connection with recent and future potential acquisitions.

Other Non-operating Income and Expense

Other Income, Net

Other income, net, for the nine months ended March 31, 2016 was $12.9 million , a decrease of $1.2 million , or 9% , from $14.1 million for the nine months ended March 31, 2015 . The decrease was due primarily to higher deferred compensation plan losses of $1.9 million offset by higher equity earnings from Innovatix, an unconsolidated affiliate, of $1.2 million .



	54

Income Tax Expense

For the nine months ended March 31, 2016 and 2015, the Company recorded tax expense on income before income taxes of $41.3 million and $12.1 million , respectively, which equates to an effective tax rate of 18.3% and 5.6% , respectively. The effective tax rate has increased from prior year due primarily attributable to the recording of valuation allowances against deferred tax assets at PHSI and discrete tax expense at Premier associated with a reduction in the North Carolina state income tax for years 2016 and beyond that was not present in the prior year. The Company's effective income tax rate differs from income taxes recorded at the statutory rate primarily due to partnership income not subject to federal income taxes, state and local taxes and nondeductible expenses.

Net Income Attributable to Non-Controlling Interest

Net income attributable to non-controlling interest for the nine months ended March 31, 2016 was $153.7 million , a decrease of $18.3 million , or 11% , from $172.0 million for the nine months ended March 31, 2015 , primarily as a result of the overall decrease in net income of $17.9 million driven by the related increase in the Company’s tax expense due to the increase in Class A common stock ownership and related decrease in member ownership of Class B common units and associated Class B common stock.

Non-GAAP Adjusted EBITDA



	Nine months ended March 31,
	2016					2015
	Amount			% of Net Revenue		Amount			% of Net Revenue
Non-GAAP Adjusted EBITDA by segment:
Supply Chain Services	$	329,642		38	%	$	290,210		39	%
Performance Services	90,158			10	%	67,717			9	%
Total Segment Adjusted EBITDA	419,800			49	%	357,927			48	%
Corporate	(78,819		)	(9	)%	(64,856		)	(8	)%
Total Adjusted EBITDA	$	340,981		40	%	$	293,071		40	%

Adjusted EBITDA for the nine months ended March 31, 2016 was $341.0 million , an increase of $47.9 million , or 16% , from $293.1 million for the nine months ended March 31, 2015 .

Segment Adjusted EBITDA for the supply chain services segment of $329.6 million for the nine months ended March 31, 2016 reflects an increase of $39.4 million , or 14% , compared to $290.2 million for the nine months ended March 31, 2015 , primarily as a result of increased net administrative fees revenue and growth in direct sourcing.

Segment Adjusted EBITDA for the performance services segment of $90.2 million for the nine months ended March 31, 2016 reflects an increase of approximately $22.5 million , or 33% , compared to $67.7 million for the nine months ended March 31, 2015 , driven primarily by contributions from the acquisitions of CECity and HCI as well as increased revenues from the Company’s SaaS subscriptions and licenses and advisory services.

Off-Balance Sheet Arrangements

As of March 31, 2016 , we did not have any off-balance sheet arrangements.

Critical Accounting Policies and Estimates

Management's Discussion and Analysis of Financial Condition and Results of Operations is based upon our condensed consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of our condensed consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses and related disclosure of contingent assets and liabilities. Estimates are evaluated on an ongoing basis, including those related to reserves for bad debts, useful lives of property and equipment, stock-based compensation, payables under tax receivable agreements, value of investments not publicly traded, the valuation allowance on deferred tax assets and the fair value of purchased intangible assets and goodwill. These estimates are based on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments



	55

about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.

There have been no material changes to the Company's significant accounting policies as described in the Company's 2015 Annual Report.

New Accounting Standards

New accounting standards that we have recently adopted as well as those that have been recently issued but not yet adopted by us are included in Note 2 - Significant Accounting Policies, to the accompanying condensed consolidated financial statements appearing in this Quarterly Report on Form 10-Q.

Liquidity and Capital Resources

Our principal source of cash has historically been cash provided by operating activities. From time to time we have used, and expect to use in the future, borrowings under our Credit Facility as a source of liquidity. Our primary cash requirements involve operating expenses, working capital fluctuations, capital expenditures, acquisitions and related business investments. Our capital expenditures typically consist of internally-developed software costs, software purchases and computer hardware purchases. Prior to the Reorganization and IPO, the vast majority of our excess cash had been distributed to our member owners.

As of March 31, 2016 and June 30, 2015 , we had cash and cash equivalents totaling $238.4 million and $146.5 million respectively, and marketable securities with maturities ranging from three months to five years totaling $66.6 million and $415.4 million , respectively. The decrease in marketable securities of $348.8 million is primarily attributable to funding the acquisitions of CECity and HCI.

As of March 31, 2016 , there was $50.0 million outstanding under the Credit Facility. See Note 9 - Debt to the accompanying condensed consolidated financial statements for more information.

We expect cash generated from operations and borrowings under our Credit Facility to provide us with liquidity to fund our working capital requirements, revenue share obligations, tax payments, capital expenditures and growth for the foreseeable future. Our capital requirements depend on numerous factors, including funding requirements for our product and service development and commercialization efforts and our information technology requirements and the amount of cash generated by our operations. We currently believe that we have adequate capital resources at our disposal to fund currently anticipated capital expenditures, business growth and expansion and current and projected debt service requirements; strategic growth initiatives, however, will likely require the use of available cash on hand, cash generated from operations, borrowings under our Credit Facility and other long-term debt and, potentially, proceeds from the issuance of additional equity or debt securities.

Discussion of cash flows for the nine months ended March 31, 2016 and 2015

A summary of net cash flows follows (in thousands):



	Nine months ended March 31,
	2016			2015
Net cash provided by (used in):
Operating activities	$	270,937		$	255,575
Investing activities	(161,131		)	(149,157		)
Financing activities	(17,944		)	(82,568		)
Net increase (decrease) in cash	$	91,862		$	23,850

Net cash provided by operating activities was $270.9 million for the nine months ended March 31, 2016 compared to $255.6 million for the nine months ended March 31, 2015 , with the year-over-year increase of $15.4 million primarily attributable to increased net revenue offset by a $10.0 million net prepayment to a distributor in order to receive additional discounts on product purchases and $8.9 million in additional tax payments during the nine months ended March 31, 2016 in comparison to the nine months ended March 31, 2015 , which benefited from the carryover effect of a fiscal year 2014 overpayment.



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Net cash used in investing activities was $161.1 million for the nine months ended March 31, 2016 , an increase of $12.0 million from $149.2 million for the nine months ended March 31, 2015 . Our investing activities for the nine months ended March 31, 2016 primarily consisted of (i) the acquisitions of CECity, HCI and InFlow, net of cash acquired, for a total of $468.6 million , (ii) capital expenditures of $54.7 million for property and equipment and, (iii) purchases of marketable securities of $19.2 million offset by (i) net proceeds from the sale of marketable securities of $367.6 million and (ii) distributions from Innovatix of $17.0 million .

Our investing activities for the nine months ended March 31, 2015 consisted primarily of (i) the acquisitions of Aperek, Inc. and TheraDoc, net of cash acquired, and the purchase of the non-controlling interest in S2S Global, for a total of $170.5 million , (ii) capital expenditures of $51.1 million for property and equipment, and (iii) purchases of marketable securities of $239.8 million partially offset by (i) net proceeds from the sale of marketable securities of $298.8 million and (ii) distributions from Innovatix of $13.9 million .

Net cash used in financing activities was $17.9 million for the nine months ended March 31, 2016 compared to $82.6 million for the nine months ended March 31, 2015 . Our financing activities for the nine months ended March 31, 2016 primarily included proceeds from the Credit Facility of $150.0 million partially offset by repayment of $100.0 million on the Credit Facility in November 2015 and February 2016 and net cash payments to Premier LP limited partners of $68.0 million . Our financing activities for the nine months ended March 31, 2015 primarily included net cash payments to Premier LP limited partners of $68.8 million .

Discussion of Non-GAAP Free Cash Flow

We define Free Cash Flow as net cash provided by operating activities less distributions to limited partners and purchases of property and equipment. A summary of Non-GAAP Free Cash Flow and reconciliation to net cash provided by operating activities for the periods presented follows (in thousands):



	Three months ended March 31,						Nine months ended March 31,
	2016			2015			2016			2015

Net cash provided by operating activities	$	132,101		$	101,860		$	270,937		$	255,575
Purchases of property and equipment	(15,802		)	(18,653		)	(54,684		)	(51,064		)
Distributions to limited partners of Premier LP	(22,504		)	(23,701		)	(67,965		)	(68,800		)
Non-GAAP Free Cash Flow	$	93,795		$	59,506		$	148,288		$	135,711

Free Cash Flow for the three months ended March 31, 2016 was $93.8 million , compared with $59.5 million for the three months ended March 31, 2015 . Free Cash Flow increased primarily due to an increase in net cash flows provided by operating activities of $30.2 million due primarily to increased net revenue.

Free Cash Flow for the nine months ended March 31, 2016 was $148.3 million , compared with $135.7 million for the nine months ended March 31, 2015 . Free Cash Flow increased primarily due to an increase in net cash flows provided by operating activities of $15.4 million , due primarily to increased net revenue, offset by a net $10.0 million prepayment to a distributor discussed above and an increase of $3.6 million in annual incentive payments that occurred in September 2015.

Contractual Obligations

Notes Payable

At March 31, 2016 , we had material commitments of $19.0 million for obligations under notes payable which represented obligations to departed member owners. Notes payable to departed member owners generally have stated maturities of five years from the date of issuance. See Note 9 - Debt to the accompanying condensed consolidated financial statements.

2014 Credit Facility

On June 24, 2014, we entered into our current Credit Facility. The Credit Facility was amended on June 4, 2015. The Credit Facility has a maturity date of June 24, 2019. The Credit Facility provides for borrowings of up to $750.0 million with (i) a $25.0 million sub-facility for standby letters of credit and (ii) a $75.0 million sub-facility for swingline loans. At our request, the Credit



	57

Facility may be increased from time to time by up to an additional aggregate amount of $250.0 million , subject to the approval of the lenders providing such increase. The Credit Facility includes an unconditional and irrevocable guaranty of all obligations under the credit facility by Premier GP, certain domestic subsidiaries of Premier GP and future guarantors, if any. Premier, Inc. is not a guarantor under the Credit Facility.

The Credit Facility permits us to prepay amounts outstanding without premium or penalty, though we are required to compensate the lenders for losses and expenses incurred as a result of the prepayment of any Eurodollar Rate Loan (as defined in the Credit Facility). Committed loans may be in the form of Eurodollar Rate Loans or Base Rate Loans (as defined in the Credit Facility) at our option. Eurodollar Rate Loans bear interest at the Eurodollar Rate (defined as the London Interbank Offer Rate, or LIBOR, plus the Applicable Rate (defined as a margin based on the Consolidated Total Leverage Ratio (as defined in the Credit Facility)). Base Rate Loans bear interest at the Base Rate (defined as the highest of the prime rate announced by the administrative agent, the federal funds effective rate plus 0.50% or the one-month LIBOR plus 1.0% ) plus the Applicable Rate. The Applicable Rate ranges from 1.125% to 1.75% for Eurodollar Loans and 0.125% to 0.75% for Base Rate Loans. At March 31, 2016 , the interest rate for six-month Eurodollar Rate Loans was 1.745% . We are required to pay a commitment fee ranging from 0.125% to 0.25% per annum on the actual daily unused amount of commitments under the credit facility. At March 31, 2016 , the commitment fee was 0.125% .

The Credit Facility contains customary representations and warranties as well as customary affirmative and negative covenants, including, among others, limitations on liens, indebtedness, fundamental changes, dispositions, restricted payments and investments. Under the terms of the Credit Facility, Premier GP is not permitted to allow its Consolidated Total Leverage Ratio (as defined in the Credit Facility) to exceed 3.00 to 1.00 for any period of four consecutive fiscal quarters. In addition, Premier GP must maintain a minimum Consolidated Interest Coverage Ratio (as defined in the Credit Facility) of 3.00 to 1.00 at the end of every fiscal quarter. We were in compliance with all such covenants at March 31, 2016 . The credit facility also contains customary events of default including, among others, payment defaults, breaches of representations and warranties, covenant defaults, cross-defaults of any indebtedness or guarantees in excess of $30.0 million , bankruptcy and other insolvency events, judgment defaults in excess of $30.0 million , and the occurrence of a change of control (as defined in the Credit Facility). If any event of default occurs and is continuing, the administrative agent under the Credit Facility may, with the consent, or shall, at the request, of the required lenders, terminate the commitments and declare all of the amounts owed under the Credit Facility to be immediately due and payable.

Proceeds from borrowings under the Credit Facility may generally be used to finance ongoing working capital requirements, including permitted acquisitions and other general corporate purposes. As of March 31, 2016 , we had $50.0 million in outstanding borrowings under the Credit Facility. The above summary does not purport to be complete, and is subject to, and qualified in its entirety by reference to, the complete text of the Credit Facility, as amended, which is filed as an exhibit to the 2015 Annual Report. See also, Note 9 - Debt to our accompanying condensed consolidated financial statements contained in this Quarterly Report.

Member-Owner Tax Receivable Agreement

In connection with the Reorganization and IPO, we entered into a tax receivable agreement with each of our member owners pursuant to which we agreed to pay to the member owners, generally over a 15-year period (under current law), 85% of the amount of cash savings, if any, in U.S. federal, foreign, state and local income and franchise tax that we actually realize (or are deemed to realize, in the case of payments required to be made upon certain occurrences under such Tax Receivable Agreements) as a result of the increases in tax basis resulting from the initial sale of Class B common units by the member owners in connection with the Reorganization, as well as subsequent exchanges by such member owners pursuant to the Exchange Agreement, and of certain other tax benefits related to our entering into the Tax Receivable Agreements ("TRA"), including tax benefits attributable to payments under the TRA.

The Company has tax receivable agreement liabilities of $289.3 million and $235.9 million as of March 31, 2016 , and June 30, 2015 , respectively, which represents 85% of the tax savings the Company expects to receive in connection with the Section 754 election. The increase of $53.4 million in these liabilities from March 31, 2015 to March 31, 2016 is comprised of a $ 70.4 million increase for quarterly member owner exchanges, a decrease of $4.8 million in connection with revaluing the deferred tax and TRA liabilities in connection with the North Carolina state income tax rate reduction for 2016 and beyond and a decrease of $12.2 million in connection with departed member owners.



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Item 3. Quantitative and Qualitative Disclosures About Market Risk

Our exposure to market risk relates primarily to the increase or decrease in the amount of interest income we can earn on our investment portfolio and on the increase or decrease in the amount of any interest expense we must pay with respect to outstanding debt instruments. We invest our excess cash in a portfolio of individual cash equivalents and marketable securities. We do not currently hold, and we have never held, any derivative financial instruments. As a result, we do not expect changes in interest rates to have a material impact on our results of operations or financial position. We plan to ensure the safety and preservation of our invested principal funds by limiting default, market and investment risks. We plan to mitigate default risk by investing in low-risk securities. Substantially all of our financial transactions are conducted in U.S. dollars.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures (as defined in Rule 13a-15(e) of the Exchange Act) that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC's rules and forms and that such information is accumulated and communicated to our management, including our chief executive officer and chief financial officer, as appropriate, to allow timely decisions regarding required disclosures. Any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives.

As of the end of the period covered by this Quarterly Report, we carried out an evaluation under the supervision and with the participation of our management, including our chief executive officer and chief financial officer, of the effectiveness of our disclosure controls and procedures. Based upon our evaluation, our chief executive officer and chief financial officer have concluded that our disclosure controls and procedures were effective as of March 31, 2016 .

Management’s quarterly evaluation of disclosure controls and procedures did not include an assessment of and conclusion on the effectiveness of disclosure controls and procedures of CECity, HCI or InFlow which were acquired during the nine months ended March 31, 2016 and are included in our condensed consolidated financial statements as of March 31, 2016 and for the period from their respective acquisition dates through March 31, 2016 . The assets of CECity, HCI and InFlow represented approximately 22%, 4% and 1%, respectively, of our total assets as of March 31, 2016 . CECity represented approximately 2.0%, and HCI and InFlow represented less than 1%, of our net revenue for the nine months ended March 31, 2016 .

Changes in Internal Control Over Financial Reporting

We are in the process of implementing a new comprehensive enterprise resource planning ("ERP") system. During the three months ended March 31, 2016 , we completed the implementation of certain ERP modules including human resources, payroll and expense reimbursement. In connection with the implementation of these components of the overall ERP system, we updated the processes that constitute our internal control over financial reporting, as necessary, to accommodate related changes to our accounting procedures and business processes. We will continue to implement additional ERP modules including core general ledger and related financial reporting components in a phased approach.

Although the processes that constitute our internal control over financial reporting have been materially affected by the implementation of certain ERP modules and will require testing for effectiveness, we do not believe that the implementation of the ERP system has had or will have a material adverse effect on our internal control over financial reporting.

Except as otherwise described above, there have been no other changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended March 31, 2016 , that has materially affected, or is reasonably likely to materially affect our internal control over financial reporting.



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PART II—OTHER INFORMATION

Item 1. Legal Proceedings

We participate in businesses that are subject to substantial litigation. We are, from time to time, involved in litigation, arising in the ordinary course of business or otherwise, which may include claims relating to commercial, product liability, employment, antitrust, intellectual property, regulatory, or other matters. If current or future government regulations, specifically those with respect to antitrust or healthcare laws, are interpreted or enforced in a manner adverse to us or our business, we may be subject to enforcement actions, penalties and other material limitations on our business.

We have been named as a defendant in several lawsuits brought by suppliers of medical products. Typically, these lawsuits have alleged the existence of a conspiracy among manufacturers of competing products and operators of GPOs, including us, to deny the plaintiff access to a market for its products. We believe that we have at all times conducted our business affairs in an ethical and legally compliant manner and have successfully resolved all such actions. We may be subjected to similar actions in the future, and no assurance can be given that such matters will be resolved in a manner satisfactory to us or which will not harm our business, financial condition or results of operations.

Additional information relating to certain legal proceedings in which we are involved is included in Note 17 - Commitments and Contingencies, to the accompanying condensed consolidated financial statements, which information is incorporated herein by reference.

Item 1A. Risk Factors

During the quarter ended March 31, 2016 , there were no material changes to the risk factors disclosed in "Risk Factors" in the 2015 Annual Report.

Item 6. Exhibits

The exhibits filed as part of this Quarterly Report are listed in the exhibit index immediately preceding such exhibits, which exhibit index is incorporated herein by reference.



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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this Quarterly Report to be signed on its behalf by the undersigned, thereunto duly authorized.



		PREMIER, INC.

Date: May 10, 2016	By:	/s/ Craig S. McKasson
	Name:	Craig S. McKasson
	Title:	Chief Financial Officer and Senior Vice President
		Signing on behalf of the registrant and as principal financial officer and principal accounting officer



	61

Exhibit Index



Exhibit No.		Description
31.1		Certification as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
31.2		Certification as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*
32.1		Certification required by 18 United States Code Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.‡
32.2		Certification required by 18 United States Code Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.‡
101		Sections of the Premier, Inc. Quarterly Report on Form 10-Q for the quarter ended March 31, 2016, formatted in XBRL (eXtensible Business Reporting Language), submitted in the following files:
101.INS		XBRL Instance Document.
101.SCH		XBRL Taxonomy Extension Schema Document.
101.CAL		XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF		XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB		XBRL Taxonomy Extension Label Linkbase Document.
101.PRE		XBRL Taxonomy Extension Presentation Linkbase Document.


*	Filed herewith.


‡	Furnished herewith.



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TABLE OF CONTENTS

Part I. Financial Information Item 1. Financial Statements Item 2. Management S Discussion and Analysis Of Financial Condition and Results Of Operations Item 3. Quantitative and Qualitative Disclosures About Market Risk Item 4. Controls and Procedures Part II Other Information Item 1. Legal Proceedings Item 1A. Risk Factors Item 6. Exhibits

PINC 10-Q Quarter ended March 31, 2016