UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 __________________________________________________________________________________________
FORM 10-Q
 __________________________________________________________________________________________
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended MarchDecember 31, 2021
OR
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)
 __________________________________________________________________________________________
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Class A Common Stock, $0.01 Par ValuePINCNASDAQ Global Select Market
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  ☒     No   ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files).  Yes  ☒ No  ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer Accelerated filerNon-accelerated filer
Smaller reporting companyEmerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes   ☐ No   ☒
As of April 29, 2021,January 27, 2022, there were 122,269,491119,082,893 shares of the registrant’s Class A common stock, par value $0.01 per share outstanding.



TABLE OF CONTENTS
Page
Item 5.
Exhibits




CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
Statements made in this Quarterly Reportquarterly report for the six months ended December 31, 2021 for Premier, Inc. (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:
the impact of the continuing financial and operational uncertainty due to the coronavirus pandemic or other pandemics;pandemics and associated supply chain disruptions and inflation;
competition which could limit our ability to maintain or expand market share within our industry;
consolidation in the healthcare industry;
potential delays recognizing or increasing revenue if the sales cycle or implementation period takes longer than expected;
the impact on us if members of our group purchasing organization (“GPO”) programs reduce activity levels or terminate or elect not to renew their contracts on substantially similar terms or at all;
the rate at which the markets for our software as a service (“SaaS”) or licensed-based clinical analytics products and services develop;
the dependency of our members on payments from third-party payers;
our reliance on administrative fees that we receive from GPO suppliers;
our ability to maintain third-party provider and strategic alliances or enter into new alliances;
our ability to timely 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 non-controlling investments in other businesses or other joint ventures that we do not control, particularly early-stage companies;
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, operational 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 use of “open source” software;
our dependency on contract manufacturing facilities located in various parts of the world;
inventory risk we face in the event of a potential material price decline for the personal protective equipment or other products we may have purchased at elevated market prices or fixed prices;
3


our ability to attract, hire, integrate and retain key personnel;
3


adequate protection of our intellectual property and potential claims against our use of the intellectual property of third parties;
potential sales and use tax liability in certain jurisdictions;
changes in tax laws that materially impact our tax rate, income tax expense, anticipated tax benefits, deferred tax assets, cash flows and profitability;
our indebtedness and our ability to obtain additional financing on favorable terms, including our ability to renew or replace our existing long-term credit facility at maturity;
fluctuation of our quarterly cash flows, revenues and results of operations;
changes and uncertainty in the political, economic or regulatory environment affecting healthcare organizations, including with respect to the status of the Patient Protection and Affordable Care Act, as amended by the Healthcare and Education Reconciliation Act of 2010;2010 and pandemic-related public health and reimbursement measures;
our compliance with complex international, 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;
compliance with complex federal, state and stateinternational privacy, security and breach notification laws;
compliance with current or future laws, rules or regulations relating to information blocking provisions of the 21st Century Cures Act issued by the Office of the National Coordinator for Health Information Technology (the “ONC Rules”) that may cause our certified Health Information Technology products to be regulated by the ONC Rules;
compliance with current or future laws, rules or regulations adopted by the Food & Drug Administration applicable to our software applications that may be considered medical devices;
our holding company structure and dependence on distributions from Premier Healthcare Alliance, L.P. (“Premier LP”);
different interests among our members or between us and our members;
the ability of our members to exercise significant influence over us;
the terms of agreements between us and our members;
the impact of payments required under notes payable to former limited partners related to the early termination of the Unit Exchange and Tax Receivable Acceleration Agreements (the “Unit Exchange Agreements”) issued in connection with our August 2020 Restructuring on our overall cash flow and our ability to fully realize the expected tax benefits to match such fixed payment obligations under the Unit Exchange Agreements;those notes payable;
provisions in our certificate of incorporation and bylaws and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;
failure to maintain an effective system of internal controls over financial reporting or an inability to remediate any weaknesses identified and the related costs of remediation;
the impact to us oron the price of our Class A common stock if we cease paying dividends or reduce dividend payments from current levels;
the number of shares of Class A common stock repurchased by us pursuant to any then existing Class A common stock repurchase program and the timing of any such repurchases;
the number of shares of Class A common stock eligible for sale after the issuance of Class A common stock in our August 2020 restructuringRestructuring and the potential impact of such sales; and
the risk factors discussed under the heading “Risk Factors” under Item 1A of our Annual Report on Form 10-K for the fiscal year ended June 30, 20202021 (the “2020“2021 Annual Report”), filed with the Securities and Exchange Commission (“SEC”).
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/ (the contents of which are not part of this Quarterly Report). 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 or future events or otherwise. Furthermore, we cannot guarantee future results, events, levels of activity, performance or achievements.
4


Certain Definitions
For periods prior to August 11, 2020, references in this Quarterly Report to “member owners” are references to the participants in our GPO programprograms that were also limited partners of Premier LPHealthcare Alliance L.P. (“Premier LP”), sometimes referred to as “LPs,” that held Class B common units of Premier LP and shares of our Class B common stock.
For periods on or after August 11, 2020, references in this Quarterly Report to “members” are references to healthcare provider participantshealth systems and other customers that participate in our GPO programprograms, or utilize any of our programs or services, some of which were formerly referred to as member owners.
References to the “August 2020 Restructuring” are references to our corporate restructuring on August 11, 2020 in which we (i) eliminated our dual-class ownership structure, through an exchange under which member owners converted their Class B common units in Premier LP and corresponding Class B common shares of Premier, Inc. into our Class A common stock, on a one-for-one basis, and (ii) exercised our right to terminate the Tax Receivable Agreement (the “TRA”) by providing all former limited partners a notice of termination and the amount of the expected payment to be made to each limited partner pursuant to the early termination provisions of the TRA with a determination date of August 10, 2020. For additional information and details regarding the August 2020 Restructuring, see our 2021 Annual Report.

5


PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
PREMIER, INC.
Condensed Consolidated Balance Sheets
(Unaudited)
(In thousands, except share data)
March 31, 2021June 30, 2020December 31, 2021June 30, 2021
AssetsAssetsAssets
Cash and cash equivalentsCash and cash equivalents$132,584 $99,304 Cash and cash equivalents$86,161 $129,141 
Accounts receivable (net of $2,137 and $731 allowance for doubtful accounts, respectively)188,519 135,063 
Contract assets259,331 215,660 
Accounts receivable (net of $1,312 and $1,174 allowance for credit losses, respectively)Accounts receivable (net of $1,312 and $1,174 allowance for credit losses, respectively)137,902 142,557 
Contract assets (net of $1,248 and $1,110 allowance for credit losses, respectively)Contract assets (net of $1,248 and $1,110 allowance for credit losses, respectively)289,136 266,173 
InventoryInventory225,231 70,997 Inventory148,415 176,376 
Prepaid expenses and other current assetsPrepaid expenses and other current assets83,527 97,338 Prepaid expenses and other current assets66,499 68,049 
Total current assetsTotal current assets889,192 618,362 Total current assets728,113 782,296 
Property and equipment (net of $503,189 and $452,609 accumulated depreciation, respectively)223,689 206,728 
Intangible assets (net of $279,023 and $245,160 accumulated amortization, respectively)407,531 417,422 
Property and equipment (net of $559,269 and $518,332 accumulated depreciation, respectively)Property and equipment (net of $559,269 and $518,332 accumulated depreciation, respectively)225,470 224,271 
Intangible assets (net of $311,650 and $289,912 accumulated amortization, respectively)Intangible assets (net of $311,650 and $289,912 accumulated amortization, respectively)374,904 396,642 
GoodwillGoodwill999,777 941,965 Goodwill999,913 999,913 
Deferred income tax assetsDeferred income tax assets821,439 430,025 Deferred income tax assets761,934 781,824 
Deferred compensation plan assetsDeferred compensation plan assets55,952 49,175 Deferred compensation plan assets57,172 59,581 
Investments in unconsolidated affiliatesInvestments in unconsolidated affiliates153,747 133,335 Investments in unconsolidated affiliates192,398 153,224 
Operating lease right-of-use assetsOperating lease right-of-use assets50,556 57,823 Operating lease right-of-use assets44,122 48,199 
Other assetsOther assets80,082 93,680 Other assets67,436 76,948 
Total assetsTotal assets$3,681,965 $2,948,515 Total assets$3,451,462 $3,522,898 
Liabilities, redeemable limited partners' capital and stockholders' equity
Liabilities and stockholders' equityLiabilities and stockholders' equity
Accounts payableAccounts payable$100,348 $54,841 Accounts payable$70,510 $85,413 
Accrued expensesAccrued expenses64,255 53,500 Accrued expenses53,728 48,144 
Revenue share obligationsRevenue share obligations216,054 145,777 Revenue share obligations230,109 226,883 
Limited partners' distribution payable8,012 
Accrued compensation and benefitsAccrued compensation and benefits80,234 73,262 Accrued compensation and benefits62,815 100,713 
Deferred revenueDeferred revenue35,933 35,446 Deferred revenue33,367 34,058 
Current portion of tax receivable agreements13,689 
Current portion of notes payable to members95,483 
Current portion of notes payable to former limited partnersCurrent portion of notes payable to former limited partners96,877 95,948 
Line of credit and current portion of long-term debtLine of credit and current portion of long-term debt203,964 79,560 Line of credit and current portion of long-term debt128,005 78,295 
Other liabilities56,574 31,987 
Other current liabilitiesOther current liabilities47,599 47,330 
Total current liabilitiesTotal current liabilities852,845 496,074 Total current liabilities723,010 716,784 
Long-term debt, less current portionLong-term debt, less current portion5,333 4,640 Long-term debt, less current portion2,745 5,333 
Tax receivable agreements, less current portion279,981 
Notes payable to members, less current portion323,156 
Notes payable to former limited partners, less current portionNotes payable to former limited partners, less current portion250,324 298,995 
Deferred compensation plan obligationsDeferred compensation plan obligations55,952 49,175 Deferred compensation plan obligations57,172 59,581 
Deferred tax liabilities17,508 
Deferred consideration, less current portionDeferred consideration, less current portion83,700 112,917 Deferred consideration, less current portion57,444 56,809 
Operating lease liabilities, less current portionOperating lease liabilities, less current portion45,654 52,990 Operating lease liabilities, less current portion38,350 43,102 
Other liabilitiesOther liabilities100,758 75,658 Other liabilities43,615 112,401 
Total liabilitiesTotal liabilities1,467,398 1,088,943 Total liabilities1,172,660 1,293,005 
Commitments and contingencies (Note 16)0
Redeemable limited partners' capital0 1,720,309 
Commitments and contingencies (Note 14)Commitments and contingencies (Note 14)00
6


March 31, 2021June 30, 2020
Stockholders' equity:
Class A common stock, $0.01 par value, 500,000,000 shares authorized; 122,268,758 shares issued and outstanding at March 31, 2021 and 71,627,462 shares issued and outstanding at June 30, 20201,223 716 
Class B common stock, $0.000001 par value, 600,000,000 shares authorized; 0 and 50,213,098 shares issued and outstanding at March 31, 2021 and June 30, 2020, respectively
Additional paid-in-capital2,046,836 138,547 
Retained earnings166,508 
Total stockholders' equity2,214,567 139,263 
Total liabilities, redeemable limited partners' capital and stockholders' equity$3,681,965 $2,948,515 
December 31, 2021June 30, 2021
Stockholders' equity:
Class A common stock, $0.01 par value, 500,000,000 shares authorized; 124,403,702 shares issued and 119,935,420 shares outstanding at December 31, 2021 and 122,533,051 shares issued and outstanding at June 30, 20211,244 1,225 
Treasury stock, at cost; 4,468,282 and 0 shares at December 31, 2021 and June 30, 2021, respectively(176,024)— 
Additional paid-in capital2,135,687 2,059,194 
Retained earnings317,896 169,474 
Accumulated other comprehensive loss(1)— 
Total stockholders' equity2,278,802 2,229,893 
Total liabilities and stockholders' equity$3,451,462 $3,522,898 
See accompanying notes to the unaudited condensed consolidated financial statements.
7


PREMIER, INC.
Condensed Consolidated Statements of Income and Comprehensive Income
(Unaudited)
(In thousands, except per share data)
Three Months EndedNine Months Ended
March 31,March 31,
2021202020212020
Net revenue:
Net administrative fees$146,553 $174,049 $424,537 $518,566 
Other services and support107,375 99,591 304,020 270,929 
Services253,928 273,640 728,557 789,495 
Products215,995 61,183 511,080 167,344 
Net revenue469,923 334,823 1,239,637 956,839 
Cost of revenue:
Services46,980 49,007 125,852 143,965 
Products211,136 54,121 496,286 150,415 
Cost of revenue258,116 103,128 622,138 294,380 
Gross profit211,807 231,695 617,499 662,459 
Operating expenses:
Selling, general and administrative134,502 115,289 388,453 315,311 
Research and development715 628 2,013 1,808 
Amortization of purchased intangible assets10,400 13,966 33,864 38,948 
Operating expenses145,617 129,883 424,330 356,067 
Operating income66,190 101,812 193,169 306,392 
Equity in net income of unconsolidated affiliates5,524 4,442 16,023 11,038 
Interest and investment loss, net(3,225)(9,966)(8,742)(9,849)
(Loss) gain on FFF put and call rights(5,195)(13,906)(21,621)8,477 
Other income (expense), net1,594 (5,005)10,167 (1,996)
Other (expense) income, net(1,302)(24,435)(4,173)7,670 
Income before income taxes64,888 77,377 188,996 314,062 
Income tax expense (benefit)13,444 4,165 (88,037)78,336 
Net income from continuing operations51,444 73,212 277,033 235,726 
Income from discontinued operations, net of tax1,009 
Net income51,444 73,217 277,033 236,735 
Net income from continuing operations attributable to non-controlling interest(3,123)(35,055)(15,903)(132,189)
Net income from discontinued operations attributable to non-controlling interest(3)(480)
Net income attributable to non-controlling interest(3,123)(35,058)(15,903)(132,669)
Adjustment of redeemable limited partners' capital to redemption amount302,569 (26,685)516,725 
Net income attributable to stockholders$48,321 $340,728 $234,445 $620,791 
Comprehensive income:
Net income51,444 73,217 277,033 236,735 
Less: comprehensive income attributable to non-controlling interest(3,123)(35,058)(15,903)(132,669)
Comprehensive income attributable to stockholders$48,321 $38,159 $261,130 $104,066 
Weighted average shares outstanding:
Basic122,254 69,451 114,596 65,582 
Diluted123,116 122,470 115,365 124,030 
8


Three Months EndedNine Months Ended
March 31,March 31,
2021202020212020
Earnings per share attributable to stockholders:
Basic earnings per share attributable to stockholders$0.40 $4.91 $2.05 $9.47 
Diluted earnings per share attributable to stockholders$0.39 $0.54 $2.03 $1.66 
Three Months EndedSix Months Ended
December 31,December 31,
2021202020212020
Net revenue:
Net administrative fees$150,403 $145,339 $299,865 $277,984 
Other services and support117,046 97,818 214,301 196,645 
Services267,449 243,157 514,166 474,629 
Products111,766 179,670 230,196 295,085 
Net revenue379,215 422,827 744,362 769,714 
Cost of revenue:
Services45,782 40,122 89,591 78,872 
Products96,933 171,722 206,295 285,150 
Cost of revenue142,715 211,844 295,886 364,022 
Gross profit236,500 210,983 448,476 405,692 
Operating expenses:
Selling, general and administrative146,840 129,997 274,654 253,951 
Research and development846 722 1,840 1,298 
Amortization of purchased intangible assets10,850 10,260 21,739 23,464 
Operating expenses158,536 140,979 298,233 278,713 
Operating income77,964 70,004 150,243 126,979 
Equity in net income of unconsolidated affiliates6,116 4,572 13,174 10,499 
Interest expense, net(2,873)(3,398)(5,661)(5,517)
(Loss) gain on FFF Put and Call Rights— (14,507)64,110 (16,426)
Other income, net2,392 4,890 2,072 8,573 
Other income (expense), net5,635 (8,443)73,695 (2,871)
Income before income taxes83,599 61,561 223,938 124,108 
Income tax expense (benefit)6,367 16,657 25,400 (78,324)
Net income77,232 44,904 198,538 202,432 
Net income attributable to non-controlling interest(1,687)(935)(989)(12,780)
Adjustment of redeemable limited partners' capital to redemption amount— — — (26,685)
Net income attributable to stockholders$75,545 $43,969 $197,549 $162,967 
Comprehensive income:
Net income$77,232 $44,904 $198,538 $202,432 
Comprehensive income attributable to non-controlling interest(1,687)(935)(989)(12,780)
Foreign currency translation loss(1)— (1)— 
Comprehensive income attributable to stockholders$75,544 $43,969 $197,548 $189,652 
Weighted average shares outstanding:
Basic121,181 122,127 122,063 110,851 
Diluted122,473 122,919 123,523 111,573 
Earnings per share attributable to stockholders:
Basic$0.62 $0.36 $1.62 $1.47 
Diluted$0.62 $0.36 $1.61 $1.46 
See accompanying notes to the unaudited condensed consolidated financial statements.
98


PREMIER, INC.
Condensed Consolidated Statements of Stockholders' Equity (Deficit)
NineSix Months Ended MarchDecember 31, 2021 and 2020
(Unaudited)
(In thousands)
Class A
Common Stock
Class B
Common Stock
Treasury StockAdditional Paid-In CapitalRetained Earnings / (Accumulated Deficit)Total Stockholders' Equity
SharesAmountSharesAmountSharesAmount
Balance at June 30, 202071,627 $716 50,213 $0 0 $0 $138,547 $0 $139,263 
Balance at July 1, 202071,627 716 50,213 138,547 139,263 
Impact of change in accounting principle— — — — — — — (1,228)(1,228)
Adjusted balance at July 1, 202071,627 716 50,213 0 0 0 138,547 (1,228)138,035 
Exchange of Class B common units for Class A common stock by member owners70 (70)— — — 2,436 — 2,437 
Increase in additional paid-in capital related to quarterly exchange by member owners, including associated TRA revaluation— — — — — — 37,319 — 37,319 
Increase in additional paid-in capital related to final exchange by member owners, including TRA termination— — — — — — 517,526 — 517,526 
Issuance of Class A common stock under equity incentive plan241 — — — — 642 — 644 
Stock-based compensation expense— — — — — — 7,229 — 7,229 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (3,023)— (3,023)
Net income— — — — — — — 180,685 180,685 
Net income attributable to non-controlling interest— — — — — — — (11,845)(11,845)
Adjustment of redeemable limited partners' capital to redemption amount— — — — — — — (26,685)(26,685)
Reclassification of redeemable limited partners' capital to permanent equity— — — — — — 1,750,840 3,767 1,754,607 
Final exchange of Class B common units for Class A common stock by member owners50,143 502 (50,143)— — — (502)— 
Early Termination Payments to members— — — — — — (438,967)— (438,967)
Dividends ($0.19 per share)— — — — — — — (23,381)(23,381)
Balance at September 30, 2020122,081 1,221 0 0 0 0 2,012,047 121,313 2,134,581 
Issuance of Class A common stock under equity incentive plan102 — — — — 1,770 — 1,771 
Issuance of Class A common stock under employee stock purchase plan45 — — — — 1,597 — 1,597 
Stock-based compensation expense— — — — — — 7,316 — 7,316 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (28)— (28)
Net income— — — — — — — 44,904 44,904 
Net income attributable to non-controlling interest— — — — — — 935 (935)
Dividends ($0.19 per share)— — — — — — — (23,374)(23,374)
Adjustment in additional paid-in capital related to consolidated investment— — — — — — 318 (318)
Capital Contributions— — — — — — 1,959 — 1,959 
Non-controlling interest in consolidated investments— — — — — — 3,690 — 3,690 
Balance at December 31, 2020122,228 1,222 0 0 0 0 2,029,604 141,590 2,172,416 
Issuance of Class A common stock under equity incentive plan40 — — — — 1,101 — 1,102 
Stock-based compensation expense— — — — — — 13,056 — 13,056 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (48)— (48)
Net income— — — — — — — 51,444 51,444 
Net income attributable to non-controlling interest— — — — — — 3,123 (3,123)
Dividends ($0.19 per share)— — — — — — — (23,403)(23,403)
Balance at March 31, 2021122,268 $1,223 0 $0 0 $0 $2,046,836 $166,508 $2,214,567 
Class A
Common Stock
Class B
Common Stock
Treasury StockAdditional Paid-In CapitalAccumulated Other Comprehensive IncomeRetained EarningsTotal Stockholders' Equity
SharesAmountSharesAmountSharesAmount
Balance at June 30, 2021122,533 $1,225  $  $ $2,059,194 $ $169,474 $2,229,893 
Issuance of Class A common stock under equity incentive plan1,239 13 — — — — 22,851 — — 22,864 
Treasury stock(1,091)— — — 1,091 (42,628)— — — (42,628)
Stock-based compensation expense— — — — — — 7,554 — — 7,554 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (9,171)— — (9,171)
Net income— — — — — — — — 121,306 121,306 
Net loss attributable to non-controlling interest— — — — — — (698)— 698 — 
Dividends ($0.20 per share)— — — — — — — — (24,877)(24,877)
Non-controlling interest related to acquisition— — — — — — 23,145 — — 23,145 
Balance at September 30, 2021122,681 1,238   1,091 (42,628)2,102,875  266,601 2,328,086 
Issuance of Class A common stock under equity incentive plan579 — — — — 14,398 — — 14,403 
Issuance of Class A common stock under employee stock purchase plan52 — — — — 1,976 — — 1,977 
Treasury stock(3,377)— — — 3,377 (133,396)— — — (133,396)
Stock-based compensation expense— — — — — — 16,234 — — 16,234 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (1,495)— — (1,495)
Net income— — — — — — — — 77,232 77,232 
Net income attributable to non-controlling interest— — — — — — 1,687 — (1,687)— 
Change in ownership of consolidated entity— — — — — — 12 — — 12 
Dividends ($0.20 per share)— — — — — — — (24,250)(24,250)
Foreign currency translation loss— — — — — — — (1)— (1)
Balance at December 31, 2021119,935 $1,244  $ 4,468 $(176,024)$2,135,687 $(1)$317,896 $2,278,802 








109


Class A
Common Stock
Class B
Common Stock
Treasury StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders’ Equity (Deficit)
SharesAmountSharesAmountSharesAmount
Balance at June 30, 201961,938 $644 64,548 $0 2,419 $(87,220)$0 $(775,674)$(862,250)
Balance at July 1, 201961,938 644 64,548 2,419 (87,220)(775,674)(862,250)
Impact of change in accounting principle— — — — — — — (899)(899)
Adjusted balance at July 1, 201961,938 644 64,548 0 2,419 (87,220)0 (776,573)(863,149)
Exchange of Class B common units for Class A common stock by member owners1,311 — (1,311)— (1,311)47,258 3,534 — 50,792 
Redemption of limited partners— — (782)— — — — — 
Increase in additional paid-in capital related to quarterly exchange by member owners, including associated TRA revaluation— — — — — — 12,272 — 12,272 
Issuance of Class A common stock under equity incentive plan485 — — — — 1,749 — 1,754 
Treasury stock(1,055)— — — 1,055 (35,649)— — (35,649)
Stock-based compensation expense— — — — — — 3,704 — 3,704 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (8,311)— (8,311)
Net income— — — — — — — 71,329 71,329 
Net income attributable to non-controlling interest in Premier LP— — — — — — — (41,907)(41,907)
Adjustment of redeemable limited partners' capital to redemption amount— — — — — — (12,948)707,257 694,309 
Balance at September 30, 201962,679 649 62,455 0 2,163 (75,611)0 (39,894)(114,856)
Exchange of Class B units for Class A common stock by member owners6,873 19 (6,873)— (5,031)164,810 59,117 — 223,946 
Increase in additional paid-in capital related to departure and quarterly exchange by member owners, including associated TRA revaluation— — — — — — 1,103 — 1,103 
Issuance of Class A common stock under equity incentive plan146 — — — — 4,243 — 4,244 
Issuance of Class A common stock under employee stock purchase plan40 — — — — 1,540 — 1,540 
Treasury stock(3,549)— — — 3,549 (112,917)— — (112,917)
Stock-based compensation expense— — — — — — 7,775 — 7,775 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (47)— (47)
Net income— — — — — — — 92,189 92,189 
Net income attributable to non-controlling interest in Premier LP— — — — — — — (55,704)(55,704)
Adjustment of redeemable limited partner's capital to redemption amount— — — — — — (73,731)(406,422)(480,153)
Balance at December 31, 201966,189 669 55,582 0 681 (23,718)0 (409,831)(432,880)
Exchange of Class B units for Class A common stock by member owners4,866 41 (4,866)— (723)25,245 143,908 — 169,194 
Increase in additional paid-in capital related to departure and quarterly exchange by member owners, including associated TRA revaluation— — — — — — 58,193 — 58,193 
Issuance of Class A common stock under equity incentive plan58 — — — — 308 — 309 
Treasury stock(42)— — — 42 (1,527)— — (1,527)
Stock-based compensation expense— — — — — — 7,568 — 7,568 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (123)— (123)
Net income— — — — — — — 73,217 73,217 
Net income attributable to non-controlling interest in Premier LP— — — — — — — (35,058)(35,058)
Adjustment of redeemable limited partner's capital to redemption amount— — — — — — (69,103)371,672 302,569 
Balance at March 31, 202071,071 $711 50,716 $0 0 $0 $140,751 $0 $141,462 
Class A
Common Stock
Class B
Common Stock
Treasury StockAdditional Paid-In CapitalRetained Earnings / (Accumulated Deficit)Total Stockholders' Equity
SharesAmountSharesAmountSharesAmount
Balance at June 30, 202071,627 $716 50,213 $  $ $138,547 $ $139,263 
Balance at July 1, 202071,627 716 50,213 — — — 138,547 — 139,263 
Impact of change in accounting principle— — — — — — — (1,228)(1,228)
Adjusted balance at July 1, 202071,627 716 50,213    138,547 (1,228)138,035 
Exchange of Class B common units for Class A common stock by member owners70 (70)— — — 2,436 — 2,437 
Increase in additional paid-in capital related to quarterly exchange by member owners, including associated TRA revaluation— — — — — — 37,319 — 37,319 
Increase in additional paid-in capital related to final exchange by member owners, including TRA termination— — — — — — 517,526 — 517,526 
Issuance of Class A common stock under equity incentive plan241 — — — — 642 — 644 
Stock-based compensation expense— — — — — — 7,229 — 7,229 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (3,023)— (3,023)
Net income— — — — — — — 157,528 157,528 
Net income attributable to non-controlling interest— — — — — — — (11,845)(11,845)
Adjustment of redeemable limited partners' capital to redemption amount— — — — — — — (26,685)(26,685)
Reclassification of redeemable limited partners' capital to permanent equity— — — — — — 1,750,840 3,767 1,754,607 
Final exchange of Class B common units for Class A common stock by member owners50,143 502 (50,143)— — — (502)— — 
Early termination payments to members— — — — — — (438,967)— (438,967)
Dividends ($0.19 per share)— — — — — — — (23,381)(23,381)
Balance at September 30, 2020122,081 1,221     2,012,047 98,156 2,111,424 
Issuance of Class A common stock under equity incentive plan102 — — — — 1,770 — 1,771 
Issuance of Class A common stock under employee stock purchase plan45 — — — — — 1,597 — 1,597 
Stock-based compensation expense— — — — — — 7,316 — 7,316 
Repurchase of vested restricted units for employee tax-withholding— — — — — — (28)— (28)
Net income— — — — — — — 44,904 44,904 
Net income attributable to non-controlling interest— — — — — — 935 (935)— 
Dividends ($0.19 per share)— — — — — — — (23,374)(23,374)
Adjustment in additional paid-in capital related to consolidated investment— — — — — — 318 (318)— 
Capital contributions— — — — — — 1,959 — 1,959 
Non-controlling interest in consolidated investments— — — — — — 3,690 — 3,690 
Balance at December 31, 2020122,228 $1,222  $  $ $2,029,604 $118,433 $2,149,259 
See accompanying notes to the unaudited condensed consolidated financial statements.
10


PREMIER, INC.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
(In thousands)
Six Months Ended December 31,
20212020
Operating activities
Net income$198,538 $202,432 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization63,205 60,031 
Equity in net income of unconsolidated affiliates(13,174)(10,499)
Deferred income taxes19,890 (104,378)
Stock-based compensation23,788 14,545 
(Gain) loss on FFF call/put rights(64,110)16,426 
Other930 323 
Changes in operating assets and liabilities, net of the effects of acquisitions:
Accounts receivable, inventories, prepaid expenses and other assets50,164 (127,764)
Contract assets(22,963)(23,541)
Accounts payable, accrued expenses, deferred revenue, revenue share obligations and other liabilities(58,741)88,602 
Net cash provided by operating activities197,527 116,177 
Investing activities
Purchases of property and equipment(42,660)(44,864)
Acquisition of businesses and equity method investments, net of cash acquired(26,000)(791)
Other— (1,228)
Net cash used in investing activities(68,660)(46,883)
Financing activities
Payments made on notes payable(50,621)(3,684)
Proceeds from credit facility175,000 125,000 
Payments on credit facility(125,000)(100,000)
Distributions to limited partners of Premier LP— (9,949)
Payments to limited partners of Premier LP related to tax receivable agreements— (24,218)
Cash dividends paid(49,044)(46,396)
Repurchase of Class A common stock (held as treasury stock)(173,916)— 
Proceeds from exercise of stock options37,267 2,416 
Other14,468 (2,754)
Net cash used in financing activities(171,846)(59,585)
Effect of exchange rate changes on cash flows(1)— 
Net increase in cash and cash equivalents(42,980)9,709 
Cash and cash equivalents at beginning of period129,141 99,304 
Cash and cash equivalents at end of period$86,161 $109,013 
See accompanying notes to the unaudited condensed consolidated financial statements.
11


PREMIER, INC.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
(In thousands)
Nine Months Ended March 31,
20212020
Operating activities
Net income$277,033 $236,735 
Adjustments to reconcile net income to net cash provided by operating activities:
Income from discontinued operations, net of tax(1,009)
Depreciation and amortization89,768 114,638 
Equity in net income of unconsolidated affiliates(16,023)(11,038)
Deferred income taxes(123,307)60,394 
Stock-based compensation27,601 19,048 
Remeasurement of tax receivable agreement liabilities(24,584)
Impairment of held to maturity investments8,500 
Loss (gain) on FFF put and call rights21,621 (8,477)
Other537 2,078 
Changes in operating assets and liabilities, net of the effects of acquisitions:
Accounts receivable, inventories, prepaid expenses and other assets(181,263)(95,953)
Contract assets(43,733)(28,909)
Accounts payable, accrued expenses, deferred revenue, revenue share obligations and other liabilities140,131 (23,341)
Net cash provided by operating activities from continuing operations192,365 248,082 
Net cash provided by operating activities from discontinued operations9,338 
Net cash provided by operating activities192,365 257,420 
Investing activities
Purchases of property and equipment(66,911)(69,326)
Acquisition of businesses, net of cash acquired(81,152)(96,346)
Investments in unconsolidated affiliates(10,165)
Other(1,228)3,883 
Net cash used in investing activities(149,291)(171,954)
Financing activities
Payments made on notes payable(31,692)(2,046)
Proceeds from credit facility225,000 375,000 
Payments on credit facility(100,000)(150,000)
Distributions to limited partners of Premier LP(9,949)(39,590)
Payments to limited partners of Premier LP related to tax receivable agreements(24,218)(17,425)
Cash dividends paid(69,647)
Repurchase of Class A common stock (held as treasury stock)(150,093)
Other712 (633)
Net cash (used in) provided by financing activities(9,794)15,213 
Net increase in cash and cash equivalents33,280 100,679 
Cash and cash equivalents at beginning of year99,304 141,055 
Cash and cash equivalents at end of period$132,584 $241,734 
See accompanying notes to the unaudited condensed consolidated financial statements.
12


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 located in the United States. The Company is a holding company with no material business operations of its own. TheFollowing an internal legal entity reorganization of the Company’s corporate subsidiaries in December 2021 to simplify the Company’s subsidiary reporting structure (the “Subsidiary Reorganization”), the Company’s primary asset is its equity interest in its wholly owned subsidiary Premier Services, LLC,Healthcare Solutions, Inc., a Delaware limited liability companycorporation (“Premier GP”PHSI”). Premier GP is the sole general partner of Premier Healthcare Alliance, L.P. (“Premier LP”), a California limited partnership. The Company conducts substantially all of its business operations through Premier LPPHSI and its other consolidated subsidiaries.subsidiaries, including Premier LP. The Company, together with its subsidiaries and affiliates, is a leading healthcare performance 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 also provides services to non-healthcare businesses.other businesses including food service, schools and universities.
The Company’s business model and solutions are designed to provide its members and other customers access to scale efficiencies, spread the cost of their development, provide actionable intelligence derived from anonymized data in the Company’s enterprise data warehouse, mitigate the risk of innovation and disseminate best practices to help the Company’s member organizationsmembers and other customers 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 2 business segments: Supply Chain Services and Performance Services. See Note 1715 - Segments for further information related to the Company’s reportable business segments. The Supply Chain Services segment includes one of the largest healthcare group purchasing organization (“GPO”) programs in the United States, supply chain co-management and direct sourcing activities. The Performance Services segment through its development, integrationconsists of 3 sub-brands: PINC AITM, the Company’s technology and delivery of technologyservices platform with wrap-around service offerings includes one of the largestthat help optimize performance in three main areas – clinical intelligence, margin improvement and value-based care – using advanced analytics to identify improvement opportunities, consulting services for clinical and cost analyticsoperational design, and consulting services businessesworkflow solutions to hardwire sustainable change in the United States focused on healthcare providers. The Company is also expanding its capabilities to more fully address and coordinate care improvement and standardization in the employer, payor andprovider, life sciences markets. The Company’s software as a service (“SaaS”) and licensed-based clinical analytics products utilize the Company’s comprehensive data set to provide actionable intelligence to its members and other customers, enabling them to benchmark, analyze and identify areas of improvement across the 3 main categories of cost management, quality and safety, and value-based care. While leveraging these tools, the Company also combines its consulting services and technology-enabled performance improvement collaboratives to provide a more comprehensive and holistic customer value proposition and overall experience. The Performance Services segment also includespayer markets; Contigo Health®, the Company’s direct-to-employer initiativebusiness which provides third party administrator services and insurance management services.of health benefit programs; and RemitraTM, the Company’s digital invoicing and payables business.
Acquisitions and Divestitures
Acquisition of Invoice Delivery Services, LP AssetsDecember 2021 Subsidiary Reorganization
On MarchDecember 1, 2021, the Company through a newly formed consolidated subsidiary, Premier IDS, LLC (“Premier IDS”), acquired substantially allcompleted the assets and assumed certain liabilitiesSubsidiary Reorganization, an internal legal entity reorganization of Invoice Delivery Services, LP (“IDS”) for an adjusted purchase price of $80.4 million, subject to certain adjustments, of which $80.0 million was paid at closing with borrowings under the Company’s Credit Facility (as defined below).
IDS offers digitization technologies that convert paper and portable document format (“PDF”) invoices to an electronic format to automate, streamline and simplify accounts payable processes in healthcare. IDS’ solutions include thosecorporate subsidiaries for electronic invoicing and tracking, as well as digital payments. IDS will be integrated within Premier under the brand name RemitraTM and reported as partpurpose of the Performance Services segment. See Note 3 - Business Acquisitions for further information.
Company Structure and Restructuring
The Company, through Premier GP and Premier Services II, LLC, a Delaware limited liability company that is a wholly owned subsidiary of the Company and the sole limited partner of Premier LP, held a 100% interest in Premier LP at March 31, 2021. At June 30, 2020, the Company held a 59% sole general partner interest in Premier LP. At March 31, 2021 and June 30, 2020, members held a 0% and 41% limited partner interest in Premier LP, respectively. On July 31, 2020, after the resignation of 3 directors affiliated withsimplifying the Company’s members,subsidiary reporting structure. Pursuant to the Board of Directors consisted of 15 (15) directors, comprised of 8 (8) independent directors, 6 (6) member-directors and the Company’s Chief Executive Officer, thus having a majority of independent directors on the Board of Directors. Since the member-directors no longer comprised a majority of the Board of Directors as of July 31, 2020, the limited partner’s redemption feature was under the control of the Company (not the holders of
13


Class B common units). As a result, $1.8 billion representing the fair value of redeemable limited partners’ capital at July 31, 2020 was reclassified from temporary equity in the mezzanine section of the Condensed Consolidated Balance Sheets to additional paid in capital as a component of permanent equity.
On August 11, 2020, the Company entered into an Agreement and Plan of Merger dated as of August 11, 2020 (the “Merger Agreement”), by and among the Company, Premier LP and BridgeCo, LLC (“BridgeCo”), a wholly owned subsidiary ofSubsidiary Reorganization, (i) Premier Services, LLC formed for the sole purpose of merging with and into(“Prior Premier LP. Pursuant to the Merger Agreement, effective August 11, 2020, (i) BridgeCoGP”) merged with and into Premier, LP, with Premier LP being the surviving entity (the “Merger”), andentity; (ii) eachPremier LP distributed 99% of the issued and outstanding Class B common unitsequity interest of PHSI to Premier on a tax-free basis; (iii) Premier LP was canceled and converted automatically into a right to receive 1 sharedistributed 1% of the Company’s Class A common stock. In conjunction withequity interest of PHSI to Premier Services II, LLC (“Premier Services”); (iv) Premier Services distributed the Merger, all1% of the issuedequity interest of PHSI to Premier; and outstanding shares of Class B common stock of the Company beneficially held by the former limited partners of(v) Premier LP (individually a “LP”contributed (a) its membership interest in Premier Services and collectively, the “LPs”) were canceled in accordance with the Company’s Certificate of Incorporation. The exchange agreement (“Exchange Agreement”), which allowed the Company to settle Class B common units submitted for exchange by LPs for cash, Class A common stock or a combination thereof at(b) its discretion, was terminated in connection with the restructuring activity discussed above.
Furthermore, on August 10, 2020, the Company exercised its right to terminate the Tax Receivable Agreement (“TRA”). See Note 9 - Debt and Notes Payable and Note 14 - Income Taxes for further information.
Basis of Presentation and Consolidation
Basis of Presentation
At March 31, 2021, the Company was wholly owned by public investors, which included member owners that received shares of Class A common stock in connection with the aforementioned restructuring as well as previous exchanges of Class B common units and associated Class B common stock.
At June 30, 2020, the member owners’partnership interest in Premier LP was 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 was reflected within net income attributable to non-controlling interest and within comprehensive income attributable to non-controlling interest in the Company’s accompanying Condensed Consolidated Statements of Income and Comprehensive Income.
At June 30, 2020, public investors, which included member owners that received shares of Class A common stock in connection with previous exchanges of their Class B common units and associated Class B common shares, owned 59%PHSI. As a result of the Company’s outstanding common stockSubsidiary Reorganization, (i) the Company conducts substantially all of its business operations through their ownershipPHSI and PHSI’s direct and indirect subsidiaries and (ii) PHSI became the sole general partner of Class A common stock. The member owners owned 41% of the Company’s combined Class A and Class B common stock through their ownership of Class B common stock.Premier LP.
Principles of Consolidation
The accompanying condensed consolidated financial statements have been prepared pursuant to the rules and regulations of the SEC and in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and include the assets, liabilities, revenues and expenses of all majority-owned subsidiaries over which the Company exercised control and when applicable, entities for which the Company had a controlling financial interest or was the primary beneficiary. All intercompany transactions have been eliminated upon consolidation. 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, includingconsisting of normal recurring adjustments.adjustments unless otherwise disclosed. 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 related footnotes contained in the 20202021 Annual Report.
1412




Supplementary Cash Flows Information
The following table presents supplementary cash flows information for the ninesix months ended MarchDecember 31, 2021 and 2020 (in thousands):
Nine Months Ended March 31,
20212020
Supplemental schedule of non-cash investing and financing activities:
Increase (decrease) in redeemable limited partners' capital for adjustment to fair value, with offsetting decrease (increase) in stockholders' equity$26,685 $(516,725)
Decrease in redeemable limited partners' capital, with offsetting increase in stockholders' equity related to quarterly exchanges by member owners(2,437)(443,931)
Net increase in deferred tax assets related to departures and quarterly exchanges by member owners and other adjustments331 63,958 
Net increase in deferred tax assets related to final exchange by member owners284,852 
Reclassification of redeemable limited partners' capital to additional paid in capital1,754,607 
Decrease in additional paid-in capital related to notes payable to members, net of discounts438,967 
Net increase in additional paid-in capital related to departures and quarterly exchanges by member owners and other adjustments37,319 71,568 
Increase in additional paid-in capital related to final exchange by member owners517,526 
Accrued dividend equivalents513 
Variable Interest Entities
At March 31, 2021, as a result of the aforementioned restructuring, Premier LP no longer meets the definition of a variable interest entity (“VIE”), as defined in Accounting Standards Codification (“ASC”) Topic 810. The results of operations of Premier LP are included in the condensed consolidated financial statements.
At June 30, 2020, Premier LP was a VIE as the limited partners did not have the ability to exercise a substantive removal right with respect to the general partner. The Company, through Premier GP, had the exclusive power and authority to manage the business and affairs of Premier LP, to make all decisions with respect to driving the economic performance of Premier LP, and had both an obligation to absorb losses and a right to receive benefits. As such, the Company was the primary beneficiary of the VIE and consolidated the operations of Premier LP under the Variable Interest Model.
The assets and liabilities of Premier LP at June 30, 2020, including assets and liabilities of discontinued operations, consisted of the following (in thousands):
June 30, 2020
Assets
Current$610,990 
Noncurrent1,900,137 
Total assets of Premier LP$2,511,127
Liabilities
Current$580,430 
Noncurrent296,801 
Total liabilities of Premier LP$877,231
Net income attributable to Premier LP, including income and expense that has been classified as discontinued operations, during the three and nine months ended March 31, 2020 was as follows (in thousands):
Three Months Ended March 31, 2020Nine Months Ended March 31, 2020
Premier LP net income$84,185 $290,430 
15


Premier LP’s cash flows, including cash flows attributable to discontinued operations, for the nine months ended March 31, 2020 consisted of the following (in thousands):
Nine Months Ended March 31, 2020
Net cash provided by (used in):
Operating activities$252,566 
Investing activities(171,954)
Financing activities24,790 
Net increase in cash and cash equivalents105,402 
Cash and cash equivalents at beginning of year131,210 
Cash and cash equivalents at end of period$236,612
Six Months Ended December 31,
20212020
Supplementary non-cash investing and financing activities:
Increase in treasury stock related to a payable as a result of applying trade date accounting when recording the repurchase of Class A common stock$2,108 $— 
Non-cash additions to property and equipment— 
Accrued dividend equivalents244 363 
Increase in redeemable limited partners' capital for adjustment to fair value, with offsetting decrease in stockholders' equity— 26,685 
Decrease in redeemable limited partners' capital, with offsetting increase in stockholders' equity related to quarterly exchanges by member owners— (2,437)
Net increase in deferred tax assets related to departures and quarterly exchanges by member owners and other adjustments— 331 
Net increase in deferred tax assets related to final exchange by member owners— 284,852 
Reclassification of redeemable limited partners' capital to additional paid in capital— 1,754,607 
Decrease in additional paid-in capital related to notes payable to former limited partners, net of discounts— 438,967 
Net increase in additional paid-in capital related to departures and quarterly exchanges by member owners and other adjustments— 37,319 
Increase in additional paid-in capital related to final exchange by member owners— 517,526 
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 are evaluated on an ongoing basis, including estimates for net administrative fees revenue, other services and support revenue, contract assets, deferred revenue, contract costs, allowances for doubtful accounts,credit losses, useful lives of property and equipment, stock-based compensation, deferred tax balances including valuation allowances on deferred tax assets, uncertain tax positions, values of investments not publicly traded, projected future cash flows used in the evaluation of asset impairments, values of put and call rights, values of earn-out liabilities and the allocation of purchase prices. 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 20202021 Annual Report, except as described below.
Accounts Receivable
Financial instruments, other than marketable securities, that subject the Company to potential concentrations of credit risk consist primarily of the Company's receivables. Receivables consist primarily of amounts due from hospital and healthcare system members for services and products. The Company maintains an allowance for expected credit losses. This allowance is an estimate and is regularly evaluated by the Company for adequacy by taking into consideration factors such as past experience, credit quality of the member and other customer base and age of the receivable balances, both individually and in the aggregate. As receivables are generally due within one year, changes to economic conditions are not expected to have a significant impact on our estimate of expected credit losses. However, we will monitor economic conditions on a quarterly basis to determine if any adjustments are deemed necessary. Provisions for the allowance for expected credit losses attributable to bad debt are recorded in selling, general and administrative expenses in the accompanying Consolidated Statements of Income and Comprehensive Income. Accounts deemed uncollectible are written off, net of actual recoveries. If circumstances related to specific customers change, the Company's estimate of the recoverability of receivables could be further adjusted.
Contract Assets
Supply Chain Services contract assets represents estimated member and other customer purchases on supplier contracts for which administrative fees have been earned, but not collected. Performance Services contract assets represents revenue earned for services provided but which the company is not contractually able to bill as of the end of the respective reporting period. Historically, we have not recognized a provision for contract assets. Under ASC Topic 326, we include Performance Services’ contract assets in our reserving process and assess the risk of loss similar to our methodology of the Company’s receivables, since the contract assets are reclassified to receivables when we become entitled to payment. Accordingly, a reserve is applied upon recognition of the contract asset.
Recently AdoptedIssued Accounting Standards Not Yet Adopted
In June 2016,October 2021, the FASB issued ASU 2016-13, Financial Instruments-Credit LossesNo. 2021-08 Business Combinations (Topic 326)805): Measurement of Credit Losses on Financial Instruments,Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, (“ASU 2016-13”2021-08”), which modifiesrequires that an acquirer recognize and measure contract assets and contract liabilities acquired in a business combination in accordance with Topic 606, Revenue from Contracts with Customers. ASU 2021-08 will be effective for the measurementCompany for the fiscal year beginning July 1, 2023. Early adoption is permitted including adoption in interim periods. The Company is currently evaluating the impact of expected credit lossesthe adoption of the new standard on certainits consolidated financial statements and related disclosures.
1613


instruments and the timing of when such losses are recorded. The Company adopted ASU 2016-13 effective July 1, 2020 on a modified retrospective basis which resulted in a reduction to retained earnings of $1.2 million.
In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework-Changes to the Disclosure Requirements for Fair Value Measurement, (“ASU 2018-13”), which improves the effectiveness of fair value measurement disclosures by eliminating, adding and modifying certain disclosure requirements for fair value measurements as part of its disclosure framework project. Entities will no longer be required to disclose the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, but public companies will be required to disclose the range and weighted average used to develop significant unobservable inputs for Level 3 fair value measurements. The Company adopted ASU 2018-13 effective July 1, 2020 and has updated the financial statements accordingly to reflect the updates in the disclosure requirements (see Note 6 - Fair Value Measurements). The implementation of ASU 2018-13 did not have a material effect on the Company’s condensed consolidated financial statements.
In August 2018, the FASB issued ASU 2018-15, Intangibles- Goodwill and Other-Internal Use Software (Topic 350): Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement that is a Service Contract,(“ASU 2018-15”), which requires customers in a cloud computing arrangement (i.e., hosting arrangement) that is a service contract to follow the internal use software guidance in ASC 350-40 to determine which implementation costs to capitalize or expense. The Company adopted ASU 2018-15 effective July 1, 2020 on a prospective basis. The implementation of ASU 2018-15 did not have a material effect on the Company’s condensed consolidated financial statements.
(3) BUSINESS ACQUISITIONS
Acquisition of Invoice Delivery Services, LP Assets
On March 1, 2021, the Company acquired, through its indirect, wholly-owned subsidiary Premier IDS, acquiredLLC, substantially all the assets and assumed certain liabilities of IDSInvoice Delivery Services, LP (“IDS”) for an adjusted purchase price of $80.4$80.7 million, subject to certain adjustments, of which $80.0 million was paid at closing with borrowings under the Company’s Credit Facility (the “IDS Acquisition”)(as defined in Note 8 - Debt and Notes Payable).
The Company has accounted for the IDS Acquisitionacquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets acquired and liabilities assumed based on their fair values. The total fair value assigned to intangible assets acquired was $22.4 million, consisting primarily of developed technology.
The IDS Acquisitionacquisition resulted in the recognition of $57.5$57.7 million of goodwill (see Note 8 - Goodwill and Intangible Assets) attributablebased on the purchase price paid in the acquisition compared to the anticipated profitabilityfair value of IDS.the tangible assets acquired. The IDS Acquisitionacquisition was considered an asset acquisition for income tax purposes. Accordingly, the Company expects tax goodwill to be deductible for tax purposes. The initial purchase price allocation for the IDS Acquisitionacquisition is preliminary and subject to changes in fair value of working capital andthe valuation of the assets acquired.acquired and liabilities assumed. IDS will beis being integrated within Premier under the brand name RemitraTM and is reported as part of the Performance Services segment.
AcquisitionPro forma results of Health Design Plus, LLC
On May 4, 2020, the Company, through its consolidated subsidiary Premier Healthcare Solutions, Inc. (“PHSI”), acquired 97% of the equity of Health Design Plus, LLC (“HDP”) for an adjusted purchase price of $23.8 million, giving effect to certain purchase price adjustments provided for in the purchase agreement. The transaction was funded with borrowings under the Company’s Credit Facility.
The purchase price allocation was finalized during the three months ended December 31, 2020.
Acquisition of Acurity and Nexera Assets
On February 28, 2020, the Company acquired substantially all of the assets and certain liabilities of Acurity, Inc. and Nexera, Inc. (the “Acurity and Nexera asset acquisition”). The Company agreed to pay an aggregate amount of $291.5 million, of which $166.1 million was paid at closing with borrowings under the Credit Facility. An additional $120.0 million will be paid in 4 equal annual installments of $30.0 million on or about June 30, 2021, 2022, 2023 and 2024. An additional $4.7 million was paid to GNYHA during the three months ended September 30, 2020.
In addition, the asset purchase agreement provides an earn-out opportunity for Acurity, Inc. of up to $30.0 million based upon the Company’s achievement of a range of member renewals on terms to be agreed to by the Company and GNYHA based on prevailing market conditions in December 2023. As of March 31, 2021, the fair value of the earn-out liability was $24.0 million (see Note 6 - Fair Value Measurements).
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Prior to entering into the purchase agreement, Acurity, Inc. agreed to provide one-time rebates of $93.8 million to certain of its then members based on their pre-closing purchasing volume. The Company concluded that these one-time rebates should be excluded from the purchase price and capitalized as prepaid contract administrative fee share at closing. As a result, the total fair value of consideration paid as part of the acquisition totaled $202.6 million.
The purchase price allocation was finalized during the three months ended September 30, 2020.
Acquisition of Medpricer
On October 28, 2019, the Company, through its consolidated subsidiary Premier Supply Chain Improvement, Inc. (“PSCI”), acquired all of the outstanding capital stock in Medpricer.com, Inc. (“Medpricer”) for an adjusted purchase price of $38.5 million. The transaction was funded with borrowings under the Credit Facility.
The acquisition provides the sellers an earn-out opportunity of up to $5.0 million based on Medpricer’s achievement of a revenue target for the calendar year ended December 31, 2020. As of March 31, 2021, the value of the earn-out liability was $4.8 million.
The purchase price allocation was finalized during the three months ended September 30, 2020.
(4) DISCONTINUED OPERATIONS AND EXIT ACTIVITIES
In connection with the sale of certain assets and wind down and exit from the specialty pharmacy business, the Company met the criteria for classifying certain assets and liabilities of its specialty pharmacy business as a discontinued operation as of June 30, 2019. Prior to its classification as a discontinued operation, the specialty pharmacy business was included as part of the Supply Chain Services segment.
As of June 30, 2020, the Company had completed the wind down and exit from the specialty pharmacy business and had 0 net income or loss from discontinued operations for the threeacquisition have not been presented because the effects on revenue and nine months ended March 31, 2021.
The following table summarizes the major components of net income from discontinued operations (in thousands):
Three Months Ended March 31, 2020Nine Months Ended March 31, 2020
Operating gain from discontinued operations$$
Net gain on disposal of assets24 1,399 
Income from discontinued operations before income taxes24 1,399 
Income tax expense19 390 
Income from discontinued operations, net of tax1,009 
Net income from discontinued operations attributable to non-controlling interest in Premier LP(3)(480)
Net income from discontinued operations attributable to stockholders$$529 
were not material to the Company’s historic consolidated financial statements.
(5)(4) INVESTMENTS
Investments in Unconsolidated Affiliates
The Company’s investments in unconsolidated affiliates consisted of the following (in thousands):
Carrying ValueEquity in Net Income
Three Months EndedNine Months Ended
March 31,March 31,
March 31, 2021June 30, 20202021202020212020
FFF$117,591 $109,204 $806 $4,340 $8,387 $10,830 
Prestige18,276 11,194 4,436 7,082 
Other investments17,880 12,937 282 102 554 208 
Total investments$153,747 $133,335 $5,524 $4,442 $16,023 $11,038 
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Carrying ValueEquity in Net Income
Three Months EndedSix Months Ended
December 31,December 31,
December 31, 2021June 30, 20212021202020212020
FFF$129,947 $120,548 $3,454 $3,007 $9,399 $7,581 
Exela27,003 — 1,003 — 1,003 — 
Prestige16,815 14,478 1,579 1,594 2,337 2,646 
Other investments18,633 18,198 80 (29)435 272 
Total investments$192,398 $153,224 $6,116 $4,572 $13,174 $10,499 
The Company, through PSCI,Premier Supply Chain Improvement, Inc. (“PSCI”), held a 49% interest in FFF Enterprises, Inc. (“FFF”) through its ownership of stock of FFF at MarchDecember 31, 2021 and June 30, 2020. The Company records2021. On July 29, 2021, the fair valueFFF shareholders’ agreement was amended resulting in the termination of the FFF put right, which had previously provided the majority shareholder of FFF a right to require the Company to purchase such shareholder’s interest in FFF, on an all or nothing basis, on or after April 15, 2023 (“FFF Put Right”). The termination of the FFF Put Right resulted in the derecognition of the FFF Put Right liability and call rightsthe recognition of a corresponding non-cash gain of $64.1 million in the accompanying Condensed Consolidated Balance SheetsStatements of Income and Comprehensive Income (see Note 65 - Fair Value Measurements for additional information).
The Company, accounts forthrough its investmentconsolidated subsidiary, ExPre Holdings, LLC (“ExPre”), held an approximate 6% interest in FFF using the equity methodExela Holdings, Inc. (“Exela”), through its ownership of accounting and includes the investment as partExela Class A common stock at December 31, 2021. The Company owns approximately 15% of the Supply Chain Services segment.membership interest of ExPre, with the remainder of the membership interests held by 11 member health systems or their affiliates.
The Company, through its consolidated subsidiary, PRAM Holdings, LLC (“PRAM”), held an approximate 20% interest in Prestige Ameritech Ltd. (“Prestige”) through its ownership of Prestige limited partnership units at MarchDecember 31, 2021. The Company owns approximately 26% of the membership interest of PRAM, with the remainder of the membership interests held by 16 member health systems. systems or their affiliates.
The Company accounts for its investmentinvestments in FFF, Exela and Prestige using the equity method of accounting and includes theeach investment as part of the Supply Chain Services segment.Segment.
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(6)

(5) FAIR VALUE MEASUREMENTS
Recurring Fair Value Measurements
The following tables provide for the periods presented a summary oftable represents the Company’s financial assets and liabilities, which are measured at fair value on a recurring basis (in thousands):
March 31, 2021Fair Value of Financial Assets and LiabilitiesQuoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs
(Level 3)
Cash equivalents$75 $75 $$
Deferred compensation plan assets61,107 61,107 
Total assets61,182 61,182 0 0 
Earn-out liabilities23,954 23,954 
FFF put right58,379 58,379 
Total liabilities$82,333 $0 $0 $82,333 
June 30, 2020Fair Value of Financial Assets and LiabilitiesQuoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs
(Level 3)
Fair Value of Financial Assets and LiabilitiesQuoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs
(Level 3)
December 31, 2021December 31, 2021
Cash equivalentsCash equivalents$13,272 $13,272 $$Cash equivalents$75 $75 $— $— 
Deferred compensation plan assetsDeferred compensation plan assets52,538 52,538 Deferred compensation plan assets63,395 63,395 — — 
Total assetsTotal assets65,810 65,810 0 0 Total assets63,470 63,470   
Earn-out liability33,151 33,151 
Earn-out liabilitiesEarn-out liabilities24,139 — — 24,139 
Total liabilitiesTotal liabilities$24,139 $ $ $24,139 
June 30, 2021June 30, 2021
Cash equivalentsCash equivalents$75 $75 $— $— 
Deferred compensation plan assetsDeferred compensation plan assets65,051 65,051 — — 
Total assetsTotal assets65,126 65,126   
Earn-out liabilitiesEarn-out liabilities24,249 — — 24,249 
FFF put rightFFF put right36,758 36,758 FFF put right64,110 — — 64,110 
Total liabilitiesTotal liabilities$69,909 $0 $0 $69,909 Total liabilities$88,359 $ $ $88,359 
Deferred compensation plan assets consisted of highly liquid mutual fund investments, which were classified as Level 1. The current portion of deferred compensation plan assets ($5.26.2 million and $3.4$5.5 million at MarchDecember 31, 2021 and June 30, 2020,2021, respectively) was included in prepaid expenses and other current assets in the accompanying Condensed Consolidated Balance Sheets.
Financial Instruments Measured at Fair Value on a Recurring Basis Using Significant Unobservable Inputs (Level 3)
FFF putPut and call rightsCall Rights
In connection withOn July 29, 2021, the Company’s equity investment in FFF the Company entered into a shareholders’ agreement that provides, among other things, thatwas amended resulting in the majority shareholder of FFF holds a put right that requires the Company to purchase the majority shareholder’s interest in FFF, on an all or nothing basis, on or after April 15, 2023. Any required purchase by the Company upon exercisetermination of the put right by FFF’s majority shareholder must be made at a per share price equal to FFF’s earnings before interest, taxes, depreciationFFF Put Right and amortization (“EBITDA”) over the twelve calendar months prior toderecognition of the purchase date multiplied by a market adjusted multiple, adjusted for any outstanding debt and cash and cash equivalents (“Equity Value per Share”). FFF Put Right liability.
In addition, in the event of a Key Man Event (generally defined in the FFF shareholders’ agreement as the resignation, termination for cause, death or disability of the majority shareholder), the Company has a call right that requires the majority shareholder to sell its remaining interest in FFF to the Company, and is exercisable at any time within the later of
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180 calendar days after (i) the date of a Key Man Event or (ii) January 30, 2021.(the “Call Right”, together with the FFF Put Right, the “Put and Call Rights”). As of MarchDecember 31, 2021 and June 30, 2020,2021, the call rightCall Right had 0zero value. In the event that either of these rights arethe Call Right is exercised, the purchase price for the additional interest in FFF will be at a per share price equal to FFF’s earnings before interest, taxes, depreciation and amortization (“FFF EBITDA”) over the twelve calendar months prior to the purchase date multiplied by a market adjusted multiple, adjusted for any outstanding debt and cash and cash equivalents, divided by the number of shares of FFF common stock then outstanding (“Equity Value per Share.Share”).
TheAt June 30, 2021, the fair values of the FFF putPut and call rightsCall Rights were determined using a Monte Carlo simulation in a risk-neutral framework based on the Equity Value per Share calculation using unobservable inputs, which included the estimated FFF putPut and call rights’Call Rights expiration dates, the forecast of FFF’s EBITDA and enterprise value over the option period, forecasted movements in the overall market and the likelihood of a Key Man Event. FFF’s enterprise value over the option period was valued utilizing expected annual FFF EBITDA and Revenuerevenue growth rates, among other assumptions. The resulting FFF enterprise value was an assumption utilized in the valuation of the putPut and call rights. Significant increases to weighted average cost of capital, business enterprise value, correlation and credit spread could significantly decrease the liability while a significant increase to asset volatility, EBITDA growth rate and revenue growth rate could significantly increase the liability.Call Rights.
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The Company utilized the following assumptions to estimate the fair value of FFFthe Put and Call Rights:Rights at June 30, 2021:
March 31, 2021June 30, 2020
Annual EBITDA growth rate2.5-10.8%2.5-26.5%
Annual revenue growth rate2.5-6.3%1.4-14.4%
Correlation80.0 %80.0 %
Weighted average cost of capital14.0 %14.5 %
Asset volatility30.0 %28.0 %
Credit spread0.9 %1.7 %
June 30, 2021
Annual FFF EBITDA growth rate2.5-10.8%
Annual revenue growth rate2.5-6.3%
Correlation80.0 %
Weighted average cost of capital14.0 %
Asset volatility30.0 %
Credit spread0.8 %
The significant assumptions using the Monte Carlo simulation approach for valuation of the Put and Call Rights are:
(i)Annual EBITDA Growth Rate: The forecasted EBITDA growth range over six years;
(ii)Annual Revenue Growth Rate: The forecasted Revenue growth range over six years;
(iii)Correlation: The estimated correlation between future Business Enterprise Value and EBITDA of FFF;
(iv)Weighted Average Cost of Capital: The expected rate paid to security holders to finance debt and equity;
(v)Asset volatility: Based on the asset volatility of guideline public companies in the healthcare industry; and
(vi)Credit Spread: Based on term-matched BBB yield curve.
TheAt June 30, 2021, the Company recorded the FFF putPut and call rightsCall Rights within long-term other liabilities and long-term other assets, respectively, within the accompanying Condensed Consolidated Balance Sheets. Net changes in the fair values of the Put and Call Rights, including the gain recorded as a result of the termination of the FFF put and call rightsPut Right, were recorded within other income (expense) income,, net in the accompanying Condensed Consolidated Statements of Income and Comprehensive Income.
Earn-out liabilities
Earn-out liabilities wereAn earn-out liability was established in connection with the acquisition of substantially all of the assets and certain liabilities of Acurity, Inc. and Nexera, Inc. (the “Acurity and Nexera asset acquisition and the Stanson Health, Inc. (“Stanson”acquisition”) and Medpricer acquisitions.in February 2020. The earn-out liability associated with the Acurity and Nexera asset acquisition was classified as Level 3 of the fair value hierarchy. The earn-out liability associated with the Medpricer acquisition is no longer measured at fair value as of March 31, 2021, given Medpricer’s achievement of a portion of the earn-out. The full earn-out associated with the Stanson acquisition was paid to former employees and shareholders as of December 31, 2020.
The earn-out liability arising from expected earn-out payments related to the Acurity and Nexera asset acquisition werewas measured on the acquisition date using a probability-weighted expected payment model and are remeasured periodically due to changes in management’s estimates of the number of transferred member renewals and market conditions. In determining the fair value of the contingent liabilities, management reviews the current results of the acquired business, along with projected results for the remaining earn-out period, to calculate the expected earn-out payment to be made based on the contractual terms set out in the respective acquisition agreement. The Acurity and Nexera earn-out liability utilized a credit spread of 1.0%0.9% at Marchboth December 31, 2021 and June 30, 2020.2021. As of MarchDecember 31, 2021 and June 30, 2020,2021, the undiscounted range of outcomes is between $0 and $30.0 million. A significant decrease in the probability could result in a significant decrease in the value of the earn-out liability. The fair value of the Acurity and Nexera earn-out liability at MarchDecember 31, 2021 and June 30, 20202021 was $24.0$24.1 million and $22.7$24.2 million, respectively.
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Acurity and Nexera Earn-out (a)
Input assumptionsInput assumptionsAs of March 31, 2021As of June 30, 2020Input assumptionsAs of December 31, 2021As of June 30, 2021
Probability of transferred member renewal percentage < 50%Probability of transferred member renewal percentage < 50%5.0 %5.0 %Probability of transferred member renewal percentage < 50%5.0 %5.0 %
Probability of transferred member renewal percentage between 50% and 65%Probability of transferred member renewal percentage between 50% and 65%10.0 %10.0 %Probability of transferred member renewal percentage between 50% and 65%10.0 %10.0 %
Probability of transferred member renewal percentage between 65% and 80%Probability of transferred member renewal percentage between 65% and 80%25.0 %25.0 %Probability of transferred member renewal percentage between 65% and 80%25.0 %25.0 %
Probability of transferred member renewal percentage > 80%Probability of transferred member renewal percentage > 80%60.0 %60.0 %Probability of transferred member renewal percentage > 80%60.0 %60.0 %
Credit spreadCredit spread1.0 %1.0 %Credit spread0.9 %0.9 %

(a)The Acurity and Nexera earn-out liability was initially valued as of February 28, 2020.
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A reconciliation of the Company’s FFF put and call rightsPut Right and earn-out liabilities is as follows (in thousands):
Beginning Balance
Purchases (Settlements) (a)
Gain (Loss) (b)
Ending BalanceBeginning Balance
Purchases (Settlements) (a)(b)
(Gain)/Loss (c)
Ending Balance
Three Months Ended March 31, 2021
Three Months Ended December 31, 2021Three Months Ended December 31, 2021
Earn-out liabilitiesEarn-out liabilities$24,368 $— $(229)$24,139 
Total Level 3 liabilitiesTotal Level 3 liabilities$24,368 $ $(229)$24,139 
Three Months Ended December 31, 2020Three Months Ended December 31, 2020
Earn-out liabilitiesEarn-out liabilities$22,700 (1,254)23,954 Earn-out liabilities$23,017 $(4,660)$4,343 $22,700 
FFF put rightFFF put right53,184 (5,195)58,379 FFF put right38,677 — 14,507 53,184 
Total Level 3 liabilitiesTotal Level 3 liabilities$75,884 $0 $(6,449)$82,333 Total Level 3 liabilities$61,694 $(4,660)$18,850 $75,884 
Three Months Ended March 31, 2020
Six Months Ended December 31, 2021Six Months Ended December 31, 2021
Earn-out liabilitiesEarn-out liabilities$13,420 $22,700 $1,233 $34,887 Earn-out liabilities$24,249 $— $(110)$24,139 
FFF put rightFFF put right19,065 (13,906)32,971 FFF put right64,110 (64,110)— — 
Total Level 3 liabilitiesTotal Level 3 liabilities$32,485 $22,700 $(12,673)$67,858 Total Level 3 liabilities$88,359 $(64,110)$(110)$24,139 
Nine Months Ended March 31, 2021
Six Months Ended December 31, 2020Six Months Ended December 31, 2020
Earn-out liabilitiesEarn-out liabilities$33,151 $(13,733)$(4,536)$23,954 Earn-out liabilities$33,151 $(13,733)$3,282 $22,700 
FFF put rightFFF put right36,758 (21,621)58,379 FFF put right36,758 — 16,426 53,184 
Total Level 3 liabilitiesTotal Level 3 liabilities$69,909 $(13,733)$(26,157)$82,333 Total Level 3 liabilities$69,909 $(13,733)$19,708 $75,884 
Nine Months Ended March 31, 2020
FFF call right$204 $$(204)$
Total Level 3 assets204 0 (204)0 
Earn-out liabilities6,816 26,481 (1,590)34,887 
FFF put right41,652 8,681 32,971 
Total Level 3 liabilities$48,468 $26,481 $7,091 $67,858 

(a)Purchases (Settlements) for the ninesix months ended MarchDecember 31, 2021 includes non-cash gain recognized as a result the termination of the FFF Put Right and the derecognition of the FFF Put Right liability.
(b)Purchases (Settlements) for the three months ended December 31, 2020 includes the Medpricer earnout, which hashad been earned in part but not yet paid as of MarchDecember 31, 20212020. Purchases (Settlements) for the six months ended December 31, 2020 includes the Medpricer earnout and the Stanson earnout, which was paid in full as of December 31, 2020.
(b)    (c)A gain on level 3 asset balances will increase the asset ending balance whereby a gain on level 3 liability balances will decrease the liability ending balance. A loss on level 3 asset balances will decrease the asset ending balance wherebywhereas a loss on level 3 liability balance will increase the liability ending balance.
Non-Recurring Fair Value Measurements
During the ninesix months ended MarchDecember 31, 2021, the Company recorded notes payable to members resulting from the deferral of the early termination payments associated with the termination of the TRAformer limited partners as parta result of the August 2020 restructuring. TheseRestructuring. Although these notes are non-interest bearing, they include a Level 2 input associated with the implied interest rate of 1.8% and are calculated as of August 11, 2020. (see Note 98 - Debt and Notes Payable).
During the ninesix months ended MarchDecember 31, 2021, no non-recurring fair value measurements were required relating to the measurement of goodwill and intangible assets for impairment. However, purchase price allocations required significant non-recurring Level 3 inputs. The preliminary fair values of the acquired intangible assets resulting from the IDS Acquisition was determined using the income approach (see Note 3 - Business Acquisitions).
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Financial Instruments For Which Fair Value Only is Disclosed
The fair values of non-interest bearing notes payable, classified as Level 2, were less than their carrying value by $0.2$0.1 million at Marchboth December 31, 2021 and June 30, 2020,2021 based on assumed market interest rates of 1.6% for both periods.
Other Financial Instruments
The fair values of cash, accounts receivable, accounts payable, accrued liabilities, and the Credit Facility (as defined in Note 98 - Debt and Notes Payable) approximated carrying value due to the short-term nature of these financial instruments.
(7)(6) CONTRACT BALANCES
Deferred Revenue
Revenue recognized during the ninesix months ended MarchDecember 31, 2021 that was included in the opening balance of deferred revenue at June 30, 20202021 was $16.5$13.0 million, which is a result of satisfying performance obligations.
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Performance Obligations
A performance obligation is a promise to transfer a distinct good or service to a customer. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. Contracts may have a single performance obligation as the promise to transfer individual goods or services is not separately identifiable from other promises and, therefore, not distinct, while other contracts may have multiple performance obligations, most commonly due to the contract covering multiple phases or deliverable arrangements (licensing fees, implementation fees, maintenance and support fees, professional fees for consulting services), including certain performance guarantees.
Net revenue of $8.1 million and $3.7 million was recognized during the three and six months ended MarchDecember 31, 2021, respectively, from performance obligations that were satisfied or partially satisfied in prior periodsperiods. The net revenue recognized was $8.5 million.driven by an increase of $7.3 million and $3.1 million, respectively, in net administrative fees revenue related to under-forecasted cash receipts received in the current period. There was also an increase of $0.8 million and $0.6 million, respectively, associated with revised forecasts from underlying contracts that include variable consideration components as well as additional fluctuations due to input method contracts which occur in the normal course of business.
Net revenue of $3.1 million was recognized during the three months ended December 31, 2020 from performance obligations that were satisfied or partially satisfied in prior periods. The net revenue recognized was driven by a $11.4$4.9 million increase in net administrative fees revenue related to under-forecasted cash receipts received in the current period partially offset by a reduction of $2.9$1.8 million associated with revised forecasts from underlying contracts that include variable consideration components as well as additional fluctuations due to input method contracts which occur in the normal course of business.
The reductionA decrease to net revenue of $3.2 million was recognized during the ninesix months ended MarchDecember 31, 20212020 from performance obligations that were satisfied or partially satisfied in prior periods was $3.9 million.periods. The reductiondecrease in net revenue recognized was driven by a $0.9$2.5 million decrease in net administrative fees revenue related to over-forecasted cash receipts received in the current period and a reduction of $3.0$0.7 million associated with revised forecasts from underlying contracts that include variable consideration components as well as additional fluctuations due to input method contracts which occur in the normal course of business.
Reduction in net revenue recognized during the three and nine months ended March 31, 2020 from performance obligations that were satisfied or partially satisfied in prior periods was $0.1 million and $1.4 million, respectively. The reduction was driven by $3.8 million and $6.9 million, respectively, associated with revised forecasts from underlying contracts that include variable consideration components as well as additional fluctuations due to input method contracts which occur in the normal course of business. This was offset by $3.7 million and $5.5 million, respectively, of net administrative fees revenue related to under-forecasted cash receipts received in the current period.
Remaining performance obligations represent the portion of the transaction price that has not yet been satisfied or achieved. As of MarchDecember 31, 2021, the aggregate amount of the transaction price allocated to remaining performance obligations was $589.5$654.1 million. The Company expects to recognize approximately 45%44% of the remaining performance obligations over the next 12 months and an additional 26% over the following 12 months, with the remainder recognized thereafter.
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(8)(7) GOODWILL AND INTANGIBLE ASSETS
Goodwill
Goodwill consisted of the following (in thousands):
Supply Chain ServicesPerformance ServicesTotal
June 30, 2020$387,722 $554,243 $941,965 
Acquisition of businesses and assets57,514 57,514 
Adjustments to acquisition purchase price780 (482)298 
March 31, 2021$388,502 $611,275 $999,777 
The initial purchase price allocation for the IDS Acquisition is preliminaryAt December 31, 2021 and subject to changes in fair value of working capital and valuation of the assets acquired and the liabilities assumed.
Adjustments to acquisition purchase price since June 30, 2020 are a result2021, we had goodwill balances recorded at Supply Chain Services and Performance Services of measurement period adjustments from the Acurity$388.5 million and Nexera asset acquisition and the HDP acquisition. See Note 3 - Business Acquisitions for more information.$611.4 million, respectively.
Intangible Assets, Net
Intangible assets, net consisted of the following (in thousands):
Useful LifeMarch 31, 2021June 30, 2020Useful LifeDecember 31, 2021June 30, 2021
Member relationshipsMember relationships14.7 years$386,100 $386,100 Member relationships14.7 years$386,100 $386,100 
TechnologyTechnology6.1 years186,017 164,117 Technology6.1 years186,017 186,017 
Customer relationshipsCustomer relationships9.6 years70,830 70,830 Customer relationships9.6 years70,830 70,830 
Trade namesTrade names7.4 years24,610 24,160 Trade names7.4 years24,610 24,610 
Non-compete agreementsNon-compete agreements5.3 years11,315 11,315 Non-compete agreements5.3 years11,315 11,315 
Other (a)
Other (a)
10.2 years7,682 6,060 
Other (a)
10.2 years7,682 7,682 
Total intangible assetsTotal intangible assets686,554 662,582 Total intangible assets686,554 686,554 
Accumulated amortizationAccumulated amortization(279,023)(245,160)Accumulated amortization(311,650)(289,912)
Total intangible assets, netTotal intangible assets, net$407,531 $417,422 Total intangible assets, net$374,904 $396,642 

(a) Includes a $1.0 million indefinite-lived asset that was acquired through the HDP acquisition.asset.
Total intangible assets increased due to the IDS Acquisition (see Note 3 - Business Acquisitions). Intangible asset amortization was $10.4$21.7 million and $14.0$23.5 million for the threesix months ended March 31, 2021 and 2020, respectively, and $33.9 million and $38.9 million for the nine months ended MarchDecember 31, 2021 and 2020, respectively.
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(9)


(8) DEBT AND NOTES PAYABLE
Long-term debt and notes payable consisted of the following (in thousands):
March 31, 2021June 30, 2020December 31, 2021June 30, 2021
Credit Facility$200,000 $75,000 
Notes payable to members418,639 
Credit facilityCredit facility$125,000 $75,000 
Notes payable to members, net of discountNotes payable to members, net of discount347,201 394,943 
Other notes payableOther notes payable9,297 9,200 Other notes payable5,750 8,628 
Total debt and notes payableTotal debt and notes payable627,936 84,200 Total debt and notes payable477,951 478,571 
Less: current portionLess: current portion(299,447)(79,560)Less: current portion(224,882)(174,243)
Total long-term debt and notes payableTotal long-term debt and notes payable$328,489 $4,640 Total long-term debt and notes payable$253,069 $304,328 
Credit Facility
Premier LP,PHSI, along with its consolidated subsidiaries, PSCIPremier LP and PHSI,PSCI, as Co-Borrowers, Prior Premier GP and certain domestic subsidiaries of Premier GP,the Co-Borrowers, as guarantors, entered into an unsecured Credit Facility, dated as of November 9, 2018 (the “Credit
23


Facility”). The Credit Facility has a maturity date of November 9, 2023, subject to up to 2 one-year extensions atOn December 1, 2021, in connection with the request of the Co-Borrowers and approval of a majority of the lenders under the Credit Facility. The Credit Facility provides for borrowings of up to $1.0 billion with (i) a $50.0 million sub-facility for standby letters of credit and (ii) a $100.0 million sub-facility for swingline loans. The Credit Facility also provides that Co-Borrowers may from time to time (i) incur incremental term loans and (ii) request an increase in the revolving commitments underSubsidiary Reorganization, the Credit Facility together upwas amended to an aggregate of $350.0 million, subject to the approval of the lenders providing such term loans or revolving commitment increases. The Credit Facility includes an unconditional and irrevocable guaranty of all obligations under the Credit Facility byremove Prior Premier GP certain domestic subsidiaries of Premier GP and future guarantors, if any.as a guarantor. Premier, Inc. is not a guarantor under the Credit Facility.
Outstanding borrowings under the Credit Facility bear interest on a variable rate structure with borrowings bearing interest at either London Interbank Offered Rate (“LIBOR”) plus an applicable margin rangingranging from 1.000% to 1.500% or the prime lending rate plus an applicable margin ranging from 0.000% to 0.500%. At MarchDecember 31, 2021, the weighted average interest rate on outstanding borrowings under the Credit Facility was 1.115%1.110% and the annual commitment fee, based on the actual daily unused amount of commitments under the Credit Facility, was 0.100%.
The Credit Facility contains customary representations and warranties as well as customary affirmative and negative covenants. Premier GPcovenants, including, among others, limitations on liens, indebtedness, fundamental changes, dispositions, restricted payments and investments. The Company was in compliance with all such covenants at MarchDecember 31, 2021. The Credit Facility also contains customary events of default, including a cross-default of any indebtedness or guarantees in excess of $75.0 million. 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 a majority of the lenders under the Credit Facility, 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, repurchases of Class A common stock pursuant to stock repurchase programs, dividend payments, if and when declared, and other general corporate activities. During the nine months ended March 31, 2021, the Company borrowed $225.0 million and repaid $100.0 million of borrowings under the Credit Facility. The Company had $200.0$125.0 million in outstanding borrowings under the Credit Facility at MarchDecember 31, 2021 with $799.9$874.9 million of available borrowing capacity after reductions for outstanding borrowings and outstanding letters of credit. In AprilFor the six months ended December 31, 2021, the Company borrowed $175.0 million and repaid $75.0$125.0 million of outstanding borrowings under the Credit Facility.
Notes Payable
Notes Payable to Members
On August 10, 2020, the Company exercised its right to terminate the TRA by and among the Company and the former limited partners of Premier LP by providing all former LPs a notice of the termination and the amount of the expected payment to be made to each LP pursuant to the early termination provisions of the TRA (each such amount an “Early Termination Payment”) with a determination date of August 10, 2020 (the “Determination Date”). The valuation of the Early Termination Payment is based on the average of the closing prices of a share of Class A common stock on the stock exchange over the 20 trading days ending three days prior to the Determination Date. The aggregate amount of the Early Termination Payments was $472.6 million. Of that amount, $10.5 million was paid on September 15, 2020, to LPs that did not elect to execute a Unit Exchange and Tax Receivable Acceleration Agreement (“Unit Exchange Agreement”) in connection with the Company’s August 2020 restructuring. The remaining amount payable, $462.1 million in the aggregate, will be paid, without interest, to certain LPs that elected to execute a Unit Exchange Agreement, which deferred the Early Termination Payments over 18 quarterly installments commencing during the quarter ended March 31, 2021 and ending in the quarter ending June 30, 2025. While non-interest bearing, pursuant to GAAP requirements, the notes payable to members were recorded net of imputed interest of 1.8%. During the quarter ended March 31, 2021, the Company paid the first quarterly installment of $25.7 million.Former Limited Partners
At MarchDecember 31, 2021, the Company had $418.6$347.2 million of notes payable to members,former LPs, net of discounts on notes payable of $17.8$12.2 million, of which $95.5$96.9 million was recorded to current portion of notes payable to membersformer limited partners in the accompanying Condensed Consolidated Balance Sheets. At June 30, 2021, the Company had $394.9 million of notes payable to former LPs, net of discounts on notes payable of $15.8 million, of which $95.9 million was recorded to current portion of notes payable to former limited partners in the accompanying Condensed Consolidated Balance Sheets. The notes payable to former LPs were issued in connection with the early termination of the TRA as part of the August 2020 Restructuring. Although the notes payable to former LPs are non-interest bearing, pursuant to GAAP requirements, they were recorded net of imputed interest at a fixed annual rate of 1.8%.
Other
At MarchDecember 31, 2021 and June 30, 2020,2021, the Company had $9.3$5.8 million and $9.2$8.6 million in other notes payable, respectively, of which $4.0$3.0 million and $4.6$3.3 million, respectively, were included in current portion of long-term debt in the accompanying Condensed Consolidated Balance Sheets. Other notes payable do not bear interest and generally have stated maturities of three to five years from their date of issuance.
2419


Future minimum principal payments on total outstanding notes payable as of March 31, 2021 are as follows (in thousands):
2021 (a)
$29,218 
2022105,211 
2023103,629 
2024104,231 
2025103,419 
Total principal payments$445,708 
(a)     For the period from April 1, 2021 to June 30, 2021.
(10)(9) REDEEMABLE LIMITED PARTNERS' CAPITAL
On July 31, 2020, after the resignation of 3 directors affiliated with the Company’s members, the Board of Directors consisted of 15 (15) directors, comprised of 8 (8) independent directors, 6 (6) member-directors and the Company’s Chief Executive Officer, thus having a majority of independent directors on the Board of Directors. Since the member-directors no longer comprised a majority of the Board of Directors, as of July 31, 2020, the limited partner’s redemption feature was under the control of the Company (not the holders of Class B common units). As a result, $1.8 billion representing theThe fair value of redeemable limited partners’ capital at July 31, 2020 was reclassified from temporary equity in the mezzanine section of the Condensed Consolidated Balance Sheets to additional paid in capital as a component of permanent equity.equity at July 31, 2020. As a result, there were no adjustments to the fair value of redeemable limited partners’ capital for the six months ended December 31, 2021.
For the ninesix months ended MarchDecember 31, 2021 and 2020, the Company recorded adjustmentsan adjustment of $(26.7) million to the fair value of redeemable limited partners’ capital as an adjustment of redeemable limited partners’ capital to redemption amount in the accompanying Condensed Consolidated Statements of Income and Comprehensive Income in the amounts of $(26.7) million and $516.7 million, respectively. With respectIncome. Subsequent to the nine months ended MarchJuly 31, 2021, 02020, there were no adjustments to the fair value of redeemable limited partners’ capital as an adjustment of redeemable limited partners’ capital to redemption amount were recorded subsequent to July 31, 2020 in the accompanying Condensed Consolidated Statements of Income and Comprehensive Income. Refer to “Company Structure and Restructuring” in Note 1 - Organization and Basis of Presentation.
The tables below provide a summary of the changes in redeemable limited partners’ capital from June 30, 2020 to September 30, 2020 and June 30, 2019 to March 31, 2020 (in thousands). There were 0no changes in redeemable limited partner’s capital from September 30, 2020 to MarchDecember 31, 2021.2020.
Receivables From Limited PartnersRedeemable Limited Partners' CapitalTotal Redeemable Limited Partners' Capital
June 30, 2020$(995)$1,721,304 $1,720,309 
Distributions applied to receivables from limited partners141 — 141 
Net income attributable to non-controlling interest in Premier LP— 11,845 11,845 
Distributions to limited partners— (1,936)(1,936)
Exchange of Class B common units for Class A common stock by member owners— (2,437)(2,437)
Adjustment of redeemable limited partners' capital to redemption amount— 26,685 26,685 
Reclassification to permanent equity854 (1,755,461)(1,754,607)
September 30, 2020$0 $0 $0 
25


Receivables From Limited PartnersRedeemable Limited Partners’ CapitalTotal Redeemable Limited Partners’ Capital
June 30, 2019$(1,204)$2,524,474 $2,523,270 
Distributions applied to receivables from limited partners69 — 69 
Redemption of limited partners— (1,371)(1,371)
Net income attributable to non-controlling interest in Premier LP— 41,907 41,907 
Distributions to limited partners— (13,699)(13,699)
Exchange of Class B common units for Class A common stock by member owners— (50,792)(50,792)
Adjustment of redeemable limited partners' capital to redemption amount— (694,309)(694,309)
September 30, 2019(1,135)1,806,210 1,805,075 
Distributions applied to receivables from limited partners70 — 70 
Net income attributable to non-controlling interest in Premier LP— 55,704 55,704 
Distributions to limited partners— (12,689)(12,689)
Exchange of Class B common units for Class A common stock by member owners— (223,946)(223,946)
Adjustment of redeemable limited partners' capital to redemption amount— 480,153 480,153 
December 31, 2019(1,065)2,105,432 2,104,367 
Distributions applied to receivables from limited partners71 — 71 
Net income attributable to non-controlling interest in Premier LP— 35,058 35,058 
Distributions to limited partners— (9,314)(9,314)
Exchange of Class B common units for Class A common stock by member owners— (169,194)(169,194)
Adjustment of redeemable limited partners' capital to redemption amount— (302,569)(302,569)
March 31, 2020$(994)$1,659,413 $1,658,419 
Pursuant to the Exchange Agreement in place prior to the August 2020 restructuring, each limited partner had 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 and Compliance Committee of the Board of Directors. During the nine months ended March 31, 2021, the Company recorded total reductions of $2.4 million to redeemable limited partners' capital prior to the August 2020 restructuring to reflect the exchange of 0.1 million Class B common units and surrender and retirement of a corresponding number of shares of Class B common stock by member owners for a like number of shares of the Company's Class A common stock (see Note 12 - Earnings Per Share for more information). On August 11, 2020, the Exchange Agreement was terminated in connection with the restructuring as discussed in Note 1 - Organization and Basis of Presentation.
Quarterly exchanges during the nine months ended March 31, 2021 were as follows (in thousands, except Class B common units):
Date of Quarterly ExchangeNumber of Class B Common Units ExchangedReduction in Redeemable Limited Partners' Capital
July 31, 202069,684 $2,437 
As a result of the August 2020 restructuring, there were 0 quarterly exchanges subsequent to the July 31, 2020 exchange.
Receivables From Limited PartnersRedeemable Limited Partners' CapitalTotal Redeemable Limited Partners' Capital
June 30, 2020$(995)$1,721,304 $1,720,309 
Distributions applied to receivables from limited partners141 — 141 
Net income attributable to non-controlling interest in Premier LP— 11,845 11,845 
Distributions to limited partners— (1,936)(1,936)
Exchange of Class B common units for Class A common stock by member owners— (2,437)(2,437)
Adjustment of redeemable limited partners' capital to redemption amount— 26,685 26,685 
Reclassification to permanent equity854 (1,755,461)(1,754,607)
September 30, 2020$ $ $ 
(11)(10) STOCKHOLDERS' EQUITY
As of MarchDecember 31, 2021, there were 122,268,758119,935,420 shares of the Company's Class A common stock, par value $0.01 per share, outstanding.
HoldersOn August 5, 2021, the Company’s Board of Directors authorized the repurchase of up to $250.0 million of our outstanding Class A common stock during fiscal year 2022 through open market purchases or privately negotiated transactions. As of December 31, 2021, the Company had purchased approximately 4.5 million shares of Class A common stock are entitled to (i) 1 voteat an average price of $39.37 per share for each share helda total purchase price of record on all matters submitted to a vote of stockholders, (ii) receive dividends, when and if declared by$176.0 million. There can be no assurances regarding the Board of Directors out of funds legally available, subject to any statutorytiming or contractual restrictions on the payment of dividends and subject to any restrictions on the payment of dividends
26


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,purchased under this authorization. The repurchase authorization may be suspended, delayed or discontinued at any time at 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.
On July 31, 2020, $1.8 billion representing the fair value of redeemable limited partners capital on July 31, 2020 was reclassified from temporary equity in the mezzanine section of the Condensed Consolidated Balance Sheets to additional paid in capital as a component of permanent equity. Refer to Note 10 - Redeemable Limited Partners' Capital for further discussion.
On August 11, 2020, pursuant to the Merger Agreement, each of the issued and outstanding Class B common units was canceled and converted automatically into a right to receive 1 sharediscretion of the Company’s Class A common stock. In conjunction withBoard of Directors.
During the Merger, all of the issued and outstanding shares of Class B common stock of the Company beneficially held by the LPs were canceled in accordance with the Company’s Certificate of Incorporation. On August 11, 2020, the Company issued 50,143,414 shares of Class A common stock pursuant to the Merger.
On September 15, 2020,six months ended December 15, 2020, and March 15,31, 2021, the Company paid a cash dividenddividends of $0.19$0.20 per share on outstanding shares of Class A common stock to stockholders on each of record on September 1, 2020,15, 2021 and December 1, 2020, and March 1, 2021, respectively.15, 2021. On April 23, 2021,January 20, 2022, the Board of Directors declared a cash dividend of $0.19$0.20 per share, payable on JuneMarch 15, 20212022 to stockholders of record on JuneMarch 1, 2021.2022.
(12)(11) EARNINGS PER SHARE
Basic earnings per share is computed by dividing net income attributable to stockholders by the weighted average number of shares of common stock outstanding for the period. Net income attributable to stockholders includes the adjustment recorded in the period to reflect redeemable limited partners’ capital at the redemption amount, which iswas due to the exchange benefit obtained by limited partners through the ownership of Class B common units.units, which were canceled in conjunction with the August 2020 Restructuring. Except when the effect would be anti-dilutive, the diluted earnings (loss) per share calculation, which is calculated using the treasury stock method, includes the impact of shares that could be issued under the outstanding stock options, non-vested restricted stock units and awards, shares of non-vested performance share awards and the effect of the assumed redemption of Class B common units through the issuance of Class A common shares.
On August 11, 2020, pursuant to the Merger Agreement, each of the issued and outstanding Class B common units (and corresponding shares of the Company’s Class B common stock) was canceled and converted automatically into a right to receive 1 share of the Company’s Class A common stock, and the Company issued an aggregate of 50,143,414all potentially issuable dilutive shares of Class A common stock. Refer to Note 1 - Organization and Basis of Presentation for further discussion.

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The following table provides a reconciliation of the numerator and denominator used for basic and diluted (loss) earnings per share (in thousands, except per share amounts):
Three Months Ended March 31,Nine Months Ended March 31,
2021202020212020
Numerator for basic earnings per share:
Net income from continuing operations attributable to stockholders (a)
$48,321 $340,726 $234,445 $620,262 
Net income from discontinued operations attributable to stockholders529 
Net income attributable to stockholders$48,321 $340,728 $234,445 $620,791 
Numerator for diluted earnings per share:
Net income from continuing operations attributable to stockholders (a)
$48,321 $340,726 $234,445 $620,262 
Adjustment of redeemable limited partners’ capital to redemption amount(302,569)(516,725)
Net income from continuing operations attributable to non-controlling interest in Premier LP35,055 132,189 
Net income from continuing operations48,321 73,212 234,445 235,726 
Tax effect on Premier, Inc. net income (b)(c)
(7,067)(30,007)
Adjusted net income from continuing operations$48,321 $66,145 $234,445 $205,719 
Three Months Ended December 31,Six Months Ended December 31,
2021202020212020
Numerator for basic earnings per share:
Net income attributable to stockholders (a)
$75,545 $43,969 $197,549 $162,967 
Numerator for diluted earnings per share:
Net income attributable to stockholders (a)
$75,545 $43,969 $197,549 $162,967 
Net income attributable to non-controlling interest— — 989 — 
Net income for diluted earnings per share$75,545 $43,969 $198,538 $162,967 
Denominator for earnings per share:
Basic weighted average shares outstanding (b)
121,181 122,127 122,063 110,851 
Effect of dilutive securities: (c)
Stock options267 321 288 287 
Restricted stock540 333 516 318 
Performance share awards485 138 656 117 
Diluted weighted average shares and assumed conversions122,473 122,919 123,523 111,573 
Earnings per share attributable to stockholders:
Basic$0.62 $0.36 $1.62 $1.47 
Diluted$0.62 $0.36 $1.61 $1.46 
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Three Months Ended March 31,Nine Months Ended March 31,
2021202020212020
Net income from discontinued operations attributable to stockholders$$$$529 
Net income from discontinued operations attributable to non-controlling interest in Premier LP480 
Adjusted net income from discontinued operations$$$$1,009 
Adjusted net income$48,321 $66,150 $234,445 $206,728 
Denominator for earnings per share:
Basic weighted average shares outstanding (d)
122,254 69,451 114,596 65,582 
Effect of dilutive securities: (e)
Stock options325 232 300 357 
Restricted stock373 216 336 239 
Performance share awards164 197 133 66 
Class B shares outstanding52,374 57,786 
Diluted weighted average shares and assumed conversions123,116 122,470 115,365 124,030 
Earnings per share attributable to stockholders:
Basic earnings per share attributable to stockholders$0.40 $4.91 $2.05 $9.47 
Diluted earnings per share attributable to stockholders$0.39 $0.54 $2.03 $1.66 

(a)Net income from continuing operations attributable to stockholders was calculated as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,
2021202020212020
Net income from continuing operations$51,444 $73,212 $277,033 $235,726 
Net income from continuing operations attributable to non-controlling interest(3,123)(35,055)(15,903)(132,189)
Adjustment of redeemable limited partners’ capital to redemption amount302,569 (26,685)516,725 
Net income from continuing operations attributable to stockholders$48,321 $340,726 $234,445 $620,262 
Three Months Ended December 31,Six Months Ended December 31,
2021202020212020
Net income$77,232 $44,904 $198,538 $202,432 
Net income attributable to non-controlling interest(1,687)(935)(989)(12,780)
Adjustment of redeemable limited partners’ capital to redemption amount— — — (26,685)
Net income attributable to stockholders$75,545 $43,969 $197,549 $162,967 
(b)For the three months ended March 31, 2021, the tax expense related to Premier, Inc. retaining the portion of net income from continuing operations attributable to income from non-controlling interest in PRAM and DePre Holdings, LLC (“DPH”) was calculated as a component of the income tax provision for the three months ended March 31, 2021.
(c)For the nine months ended March 31, 2021, the tax expense related to Premier, Inc. retaining the portion of net income from continuing operations attributable to income from non-controlling interest in Premier, LP, PRAM and DPH was calculated as a component of the income tax provision for the nine months ended March 31, 2021.
(d)For the three and nine months ended March 31, 2020, represents income tax expense related to Premier, Inc. retaining the portion of net income from continuing operations attributable to income from non-controlling interest in Premier, LP for the purpose of diluted earnings per share.
(e)Weighted average number of common shares used for basic earnings per share excludes weighted averagethe impact of all potentially issuable dilutive shares of non-vestedClass A common stock options, non-vested restricted stock, non-vested performance share awards and Class B shares outstanding for the three and ninesix months ended MarchDecember 31, 2021 and 2020.
(f)(c)For the threesix months ended MarchDecember 31, 2021, the effect of 0.40.3 million stock options and restricted stock units werewas excluded from diluted weighted average shares outstanding as theyit had an anti-dilutive effect.
For the nine months ended March 31, 2021, Additionally, the effect of 1.50.2 million stock options and restricted stock units and 7.50.4 million Class B common units wereperformance share awards was excluded from diluted weighted average shares outstanding as theythe awards had an anti-dilutive effect.not satisfied the applicable performance criteria at the end of the period.
For the three and ninesix months ended MarchDecember 31, 2021,2020, the effect of 0.70.4 million and 1.1 million stock options and restricted stock units, respectively, was excluded from diluted weighted average shares outstanding as it had an anti-dilutive effect. Additionally, the effect of 0.6 million performance share awards was excluded from diluted weighted average shares outstanding as the awards had not satisfied the applicable performance criteria at the end of the period.
For the three and ninesix months ended MarchDecember 31, 2020, the effect of 0.811.2 million stock options and restricted stockClass B common units was excluded from the diluted weighted average shares outstanding as theyit had an anti-dilutive effect. Additionally, the effect of less than 0.1 million performance share awards was excluded from diluted weighted average shares outstanding as the awards had not satisfied the applicable performance criteria at the end of the period.
Pursuant to the Exchange Agreement in place prior to the August 2020 restructuring, on a quarterly basis, the Company had the option, as determined by the Audit and Compliance Committee, to settle the exchange of Class B common units of Premier LP by member owners for cash, an equal number of Class A common shares of Premier, Inc. or a combination of cash and shares
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of Class A common stock. In connection with the exchange of Class B common units by member owners, regardless of the consideration used to settle the exchange, an equal number of shares of Premier's Class B common stock were surrendered by member owners and retired (see Note 10 - Redeemable Limited Partners' Capital). On August 11, 2020, the Exchange Agreement was terminated in connection with the restructuring as discussed in Note 1 - Organization and Basis of Presentation.
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 and/or cash in connection with the quarterly exchange pursuant to the terms of the Exchange Agreement, including activity related to the Class A and Class B common units and Class A and Class B common stock through the date of the applicable quarterly exchange:
Quarterly Exchange by Member Owners
Class B Common Shares Retired Upon Exchange (a)
Class B Common Shares Outstanding After Exchange (a)
Class A Common Shares Outstanding After Exchange (b)
Percentage of Combined Voting Power Class B/Class A Common Stock
July 31, 202069,684 50,143,414 71,724,149 41%/59%
(a)The number of Class B common shares retired or outstanding is equivalent to the number of Class B common units retired upon exchange or outstanding after the exchange, as applicable.
(b)The number of Class A common shares outstanding after exchange also includes activity related to the Company's share repurchase program equity incentive plan (see Note 13 - Stock-Based Compensation).
(13)(12) STOCK-BASED COMPENSATION
Stock-based compensation expense is recognized over the requisite service period, which generally equals the stated vesting period. The associated deferred tax benefit was calculated at a rate of 26% for the threesix months ended MarchDecember 31, 2021 and 25% for the three months ended March 31, 2020, 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 which includes the impact of the Merger.rate. See Note 1413 - Income Taxes for further information.
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Stock-based compensation expense and the resulting deferred tax benefits were as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Pre-tax stock-based compensation expensePre-tax stock-based compensation expense$13,056 $7,568 $27,601 $19,048 Pre-tax stock-based compensation expense$16,234 $7,316 $23,788 $14,545 
Deferred tax benefit (a)
Deferred tax benefit (a)
2,521 1,915 4,641 4,819 
Deferred tax benefit (a)
3,650 1,011 4,725 2,120 
Total stock-based compensation expense, net of taxTotal stock-based compensation expense, net of tax$10,535 $5,653 $22,960 $14,229 Total stock-based compensation expense, net of tax$12,584 $6,305 $19,063 $12,425 

(a)For the three and ninesix months ended MarchDecember 31, 2021, the deferred tax benefit was reduced by $0.9$0.8 million and 2.5$1.5 million, respectively, attributable to stock-based compensation expense that is nondeductible for tax purposes pursuant to Section 162(m) as amended by the Tax Cuts and Jobs Act of 2017.
Premier 2013 Equity Incentive Plan
The Premier 2013 Equity Incentive Plan, as amended and restated (and including any further amendments thereto, the “2013 Equity Incentive Plan”) provides for grants of up to 14.8 million 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 share awards. As of MarchDecember 31, 2021, there were 5.34.6 million shares available for grant under the 2013 Equity Incentive Plan.
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The following table includes information related to restricted stock, performance share awards and stock options for the ninesix months ended MarchDecember 31, 2021:
Restricted StockPerformance Share AwardsStock OptionsRestricted StockPerformance Share AwardsStock Options
Number of AwardsWeighted Average Fair Value at Grant DateNumber of AwardsWeighted Average Fair Value at Grant DateNumber of OptionsWeighted Average Exercise PriceNumber of AwardsWeighted Average Fair Value at Grant DateNumber of AwardsWeighted Average Fair Value at Grant DateNumber of OptionsWeighted Average Exercise Price
Outstanding at June 30, 2020681,538 $37.91 1,606,309 $37.58 2,544,137 $30.17 
Outstanding at June 30, 2021Outstanding at June 30, 2021990,301 $35.27 1,731,002 $35.56 2,163,006 $30.32 
GrantedGranted571,761 $31.94 695,233 $29.20 $Granted617,505 $37.79 651,392 $37.18 — $— 
Vested/exercisedVested/exercised(200,384)$34.40 (161,544)$32.77 (124,390)$30.96 Vested/exercised(281,142)$40.41 (588,142)$43.74 (1,236,015)$30.17 
ForfeitedForfeited(57,813)$36.26 (401,425)$33.71 (33,184)$35.13 Forfeited(117,122)$33.57 (168,127)$31.87 (12,025)$36.54 
Outstanding at March 31, 2021995,102 $35.28 1,738,573 $35.57 2,386,563 $30.05 
Outstanding at December 31, 2021Outstanding at December 31, 20211,209,542 $35.53 1,626,125 $33.63 914,966 $30.45 
Stock options outstanding and exercisable at March 31, 20212,386,563 $30.05 
Stock options outstanding and exercisable at December 31, 2021Stock options outstanding and exercisable at December 31, 2021914,966 $30.45 
Restricted stock units and restricted stock awards issued and outstanding generally vest over a three-year period for employees and a one-year period for directors. Performance share awards issued and outstanding generally vest over a three-year period if performance targets are met. Stock options have a term of ten years from the date of grant. Vested stock options will generally expire either twelve months after an employee’s termination with Premierthe Company or immediately upon90 days after an employee’s termination with Premier,the Company, depending on the termination circumstances. Stock options generally vest in equal annual installments over three years.
Unrecognized stock-based compensation expense at MarchDecember 31, 2021 was as follows (in thousands):. At December 31, 2021, there was no unrecognized stock-based compensation expense for outstanding stock options.
Unrecognized Stock-Based Compensation ExpenseWeighted Average Amortization Period
Restricted stock$19,92628,795 2.02.2 years
Performance share awards27,19129,291 1.81.9 years
Total unrecognized stock-based compensation expense$47,11758,086 1.92.1 years
22


The aggregate intrinsic value of stock options at MarchDecember 31, 2021 was as follows (in thousands):
Intrinsic Value of Stock Options
Outstanding and exercisable$9,7579,810 
Expected to vest
Total outstanding$9,757 
Exercised during the year ended MarchDecember 31, 2021527$9,697 
(14)(13) INCOME TAXES
On August 11,Income tax expense for the three months ended December 31, 2021, and 2020 was $6.4 million and $16.7 million, respectively, which reflects effective tax rates of 8% and 27%, respectively. The change in the Company entered intoeffective tax rate for the Merger Agreement and pursuantthree months ended December 31, 2021 is primarily attributable to the Merger Agreement, eachSubsidiary Reorganization which was completed on December 1, 2021.
Income tax expense for the six months ended December 31, 2021 was $25.4 million, which reflects an effective tax rate of the issued and outstanding Class B common units was canceled and converted automatically into a right11% compared to receive one share of the Company’s Class A common stock. In conjunction with the Merger, all the issued and outstanding shares of Class B common stock of the Company beneficially held by the LPs were canceled in accordance with the Company’s Certificate of Incorporation.
At the consummation of the Merger, the Company simplified its tax structure, resulting in the Company and its subsidiaries forming one consolidated filing group for tax purposes. As a result, the Company recorded a one-time deferredan income tax benefit of $131.4$78.3 million for the six months ended December 31, 2020 which reflects an effective tax rate of (63)%. The change in the effective tax rate for the six months ended December 31, 2021 is primarily driven by the prior year deferred tax remeasurement due to the change in the state statutory rate and valuation allowance release.
30


Incomerelease resulting from the Company and its subsidiaries forming one consolidated filing group for tax expense forpurposes at the three months ended March 31, 2021 and 2020 was $13.4 million and $4.2 million, respectively, which reflects effective tax rates of 21% and 5%, respectively. The effective tax rate for the three months ended March 31, 2021 increased compared to the prior year period as a resultconsummation of the prior year impact of the income tax benefit associated with the NOL carryback provisions under the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) and the associated release of the valuation allowance in March 2020. Income tax (benefit) expense for the nine months ended March 31, 2021 andAugust 2020 was $(88.0) million and $78.3 million, respectively, which reflects effective tax rates of (47)% and 25%, respectively. The change in the effective tax rate for the nine months ended March 31, 2021 is primarily driven by the aforementioned one-time deferred tax remeasurement and valuation allowance release as a result of the Merger.Restructuring. Excluding the one-time deferred tax benefit, the effective tax rate would have been 23%24% for the ninesix months ended MarchDecember 31, 2021.2020.
NetDuring the first quarter of fiscal year 2022, the Company assessed the future realization of its deferred tax assets increased by $408.9 million to $821.4 million at March 31, 2021 from $412.5 million at June 30, 2020. The increase in net deferred tax assets was largely driven by an increase of $285.0 million in deferred tax assets related to the final exchange of all outstanding Class B common units for the Company’s Class A common stock on August 11, 2020 and $131.4 million deferred tax remeasurement and valuation allowance release as a result of its plan to complete the Merger.
Subsidiary Reorganization by the end of the second quarter of fiscal year 2022. On August 10, 2020,December 1, 2021, the Company exercised its right to terminatecompleted the TRA bySubsidiary Reorganization and amongreassessed the valuation allowance release. In fiscal year 2022, the Company expects to release $32.3 million of deferred tax asset valuation allowance primarily related to finite-lived net operating losses and the former limited partners of Premier LP by providing all former LPs a notice of the terminationresearch and the amount of the expected payment to be made to each LP pursuant to the early termination provisions of the TRA on the Determination Date (see Note 9 - Debt and Notes Payable for further information).development credit carryforwards. As a result of the TRA termination, TRA liabilitiesSubsidiary Reorganization, the Company has included $6.4 million of $293.7tax benefit in its annualized effective tax rate calculation based on the amount that is expected to offset ordinary income during fiscal year 2022. The remaining $25.9 million at June 30, 2020 were extinguishedof valuation allowance expected to be released relates to carryforwards expected to be utilized in future years and is being recognized as a liability was recorded to current portion of notes payable to members and notes payable to members, less current portiondiscrete item in the accompanying Condensed Consolidated Balance Sheets for amounts payable pursuant to the Unit Exchange Agreements.six months ended December 31, 2021.
(15) RELATED PARTY TRANSACTIONS
The Company’s 49% ownership share of net income of FFF, which was acquired on July 26, 2016, included in equity in net income of unconsolidated affiliates in the accompanying Condensed Consolidated Statements of Income and Comprehensive Income was $0.8 million and $4.3 million for the three months ended March 31, 2021 and 2020, respectively, and $8.4 million and $10.8 million for the nine months ended March 31, 2021 and 2020, respectively. The Company maintains group purchasing agreements with FFF and receives administrative fees for purchases made by the Company’s members and other customers pursuant to those agreements. Net administrative fees revenue recorded from purchases under those agreements was $1.1 million and $1.2 million during the three months ended March 31, 2021 and 2020, respectively, and $4.6 million and $5.8 million for the nine months ended March 31, 2021 and 2020.
(16)(14) COMMITMENTS AND CONTINGENCIES
Operating Leases
Operating lease expense for the three months ended MarchDecember 31, 2021 and 2020 was $2.6$2.5 million and $2.7 million, respectively. Operating lease expense for the ninesix months ended MarchDecember 31, 2021 and 2020 were both $8.2 million.was $5.1 million and $5.6 million, respectively. As of MarchDecember 31, 2021, the weighted average remaining lease term was 5.04.3 years and the weighted average discount rate was 4%.
Future minimum lease payments under noncancelablenoncancellable operating leases with initial lease terms in excess of one year were as follows (in thousands):
March 31, 2021June 30, 2020December 31, 2021June 30, 2021
2021 (a)
$2,995 $12,171 
202211,738 11,738 
2022 (a)
2022 (a)
$6,003 $11,738 
2023202312,012 12,012 202312,131 12,012 
2024202412,145 12,145 202412,267 12,145 
2025202512,177 12,177 202512,301 12,177 
202620269,005 8,878 
ThereafterThereafter10,171 10,171 Thereafter1,324 1,293 
Total future minimum lease paymentsTotal future minimum lease payments61,238 70,414 Total future minimum lease payments53,031 58,243 
Less: imputed interestLess: imputed interest5,820 7,567 Less: imputed interest4,351 5,289 
Total operating lease liabilities (b)
Total operating lease liabilities (b)
$55,418 $62,847 
Total operating lease liabilities (b)
$48,680 $52,954 

(a)As of MarchDecember 31, 2021, future minimum lease payments are for the period from AprilJanuary 1, 20212022 to June 30, 2021.2022.
(b)As of MarchDecember 31, 2021, total operating lease liabilities included $9.8$10.3 million within other current liabilities current in the Condensed Consolidated Balance Sheets.
3123


Other Matters
The Company is not currently involved in any litigation it believes to be material. 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, tort and personal injury, employment, antitrust, intellectual property, or other regulatory matters. Furthermore, as a public company, the Company may become subject to stockholder derivative or other similar litigation. If current or future government regulations, specifically,including but not limited to 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 regulatory inquiries or investigations, 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.
(17)(15) SEGMENTS
The Company delivers its solutions and manages its business through 2 reportable business segments, the Supply Chain Services segment and the Performance Services segment. The Supply Chain Services segment includes the Company’s GPO, supply chain co-management and direct sourcing activities. The Performance Services segment includesconsists of 3 sub-brands: PINC AITM, the Company’s informatics, collaborative, consultingtechnology and services platform; Contigo Health®, the Company’s direct-to-employer initiativebusiness; and insurance management services businesses.RemitraTM, the Company’s digital invoicing and payables business.
The following table presents disaggregated revenue by business segment and underlying source (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Net revenue:Net revenue:Net revenue:
Segment net revenueSegment net revenue
Supply Chain ServicesSupply Chain ServicesSupply Chain Services
Net administrative feesNet administrative fees$146,553 $174,049 $424,537 $518,566 Net administrative fees$150,403 $145,339 $299,865 $277,984 
Other services and supportOther services and support8,630 3,396 18,307 8,439 Other services and support9,326 4,086 18,251 9,677 
ServicesServices155,183 177,445 442,844 527,005 Services159,729 149,425 318,116 287,661 
ProductsProducts215,995 61,183 511,080 167,344 Products111,766 179,670 230,196 295,085 
Total Supply Chain Services (a)
Total Supply Chain Services (a)
371,178 238,628 953,924 694,349 
Total Supply Chain Services (a)
271,495 329,095 548,312 582,746 
Performance Services (a)
Performance Services (a)
98,745 96,195 285,713 262,490 
Performance Services (a)
107,729 93,732 196,059 186,968 
Total segment net revenueTotal segment net revenue379,224 422,827 744,371 769,714 
Eliminations (a)
Eliminations (a)
(9)— (9)— 
Net revenueNet revenue$469,923 $334,823 $1,239,637 $956,839 Net revenue$379,215 $422,827 $744,362 $769,714 

(a)Includes intersegment revenue that is eliminated in consolidation. Intersegment revenue is not separately identified in Segments as the amounts are not material.
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Additional segment information related to depreciation and amortization expense, capital expenditures and total assets was as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Depreciation and amortization expense (a):
Depreciation and amortization expense (a):
Depreciation and amortization expense (a):
Supply Chain ServicesSupply Chain Services$9,389 $6,896 $27,608 $16,592 Supply Chain Services$13,452 $9,417 $26,596 $18,219 
Performance ServicesPerformance Services18,196 30,950 55,763 91,862 Performance Services16,076 17,810 32,186 37,567 
CorporateCorporate2,152 1,897 6,397 6,184 Corporate2,192 2,126 4,423 4,245 
Total depreciation and amortization expenseTotal depreciation and amortization expense$29,737 $39,743 $89,768 $114,638 Total depreciation and amortization expense$31,720 $29,353 $63,205 $60,031 
Capital expenditures:Capital expenditures:Capital expenditures:
Supply Chain ServicesSupply Chain Services$2,486 $2,485 $8,061 $4,571 Supply Chain Services$7,315 $2,699 $15,472 $5,575 
Performance ServicesPerformance Services18,835 20,840 54,118 57,956 Performance Services12,363 16,912 23,386 35,283 
CorporateCorporate726 1,233 4,732 6,799 Corporate1,932 271 3,802 4,006 
Total capital expendituresTotal capital expenditures$22,047 $24,558 $66,911 $69,326 Total capital expenditures$21,610 $19,882 $42,660 $44,864 
March 31, 2021June 30, 2020December 31, 2021June 30, 2021
Total assets:Total assets:Total assets:
Supply Chain ServicesSupply Chain Services$1,698,254 $1,483,751 Supply Chain Services$1,475,941 $1,550,300 
Performance ServicesPerformance Services1,043,065 930,968 Performance Services1,034,427 1,043,608 
CorporateCorporate940,706 538,248 Corporate941,097 928,939 
Total assetsTotal assets3,682,025 2,952,967 Total assets3,451,465 3,522,847 
Eliminations (b)
Eliminations (b)
(60)(4,452)
Eliminations (b)
(3)51 
Total assets, netTotal assets, net$3,681,965 $2,948,515 Total assets, net$3,451,462 $3,522,898 

(a)Includes amortization of purchased intangible assets.
(b)Includes eliminations of intersegment transactions which occur during the ordinary course of business.
The Company uses Segment Adjusted EBITDA (a financial measure not determined in accordance with generally accepted accounting principles (“Non-GAAP”)) 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 incomeless cost of unconsolidated affiliates lessrevenue and operating expenses directly attributable to the segment excluding depreciation and amortization, amortization of purchased intangible assets, merger and acquisition related expenses, and non-recurring or non-cash items.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. Non-recurring items are income or expenses and other items that have not been earned or incurred within the prior two years and are not expected to recur within the next two years. General and administrative corporate expenses that are not specific to a particular segment are not included in the calculation of Segment Adjusted EBITDA. Segment Adjusted EBITDA also excludes any income and expense that has been classified as discontinued operations.
For more information on Segment Adjusted EBITDA and the use of Non-GAAP financial measures, see “Our Use of Non-GAAP Financial Measures” within Item 2 - Management’s Discussion and Analysis of Financial Condition and Results of Operations.
3325


A reconciliation of income before income taxes to unaudited Segment Adjusted EBITDA, a Non-GAAP financial measure, is as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Income before income taxesIncome before income taxes$64,888 $77,377 $188,996 $314,062 Income before income taxes$83,599 $61,561 $223,938 $124,108 
Equity in net income of unconsolidated affiliates (a)
Equity in net income of unconsolidated affiliates (a)
(5,524)(4,442)(16,023)(11,038)
Equity in net income of unconsolidated affiliates (a)
(6,116)(4,572)(13,174)(10,499)
Interest and investment loss, netInterest and investment loss, net3,225 9,966 8,742 9,849 Interest and investment loss, net2,873 3,398 5,661 5,517 
Loss (gain) on FFF put and call rights (b)
5,195 13,906 21,621 (8,477)
Loss (gain) on FFF Put and Call Rights (b)
Loss (gain) on FFF Put and Call Rights (b)
— 14,507 (64,110)16,426 
Other (income) expenseOther (income) expense(1,594)5,005 (10,167)1,996 Other (income) expense(2,392)(4,890)(2,072)(8,573)
Operating incomeOperating income66,190 101,812 193,169 306,392 Operating income77,964 70,004 150,243 126,979 
Depreciation and amortizationDepreciation and amortization19,337 25,777 55,904 75,690 Depreciation and amortization20,870 19,093 41,466 36,567 
Amortization of purchased intangible assetsAmortization of purchased intangible assets10,400 13,966 33,864 38,948 Amortization of purchased intangible assets10,850 10,260 21,739 23,464 
Stock-based compensation (c)
Stock-based compensation (c)
13,180 7,668 27,970 19,358 
Stock-based compensation (c)
16,330 7,415 24,081 14,790 
Acquisition and disposition related expensesAcquisition and disposition related expenses4,126 7,287 14,889 16,263 Acquisition and disposition related expenses3,746 7,918 7,167 10,763 
Remeasurement of tax receivable agreement liabilities (d)
(902)(24,584)
Equity in net income of unconsolidated affiliates (a)
Equity in net income of unconsolidated affiliates (a)
5,524 4,442 16,023 11,038 
Equity in net income of unconsolidated affiliates (a)
6,116 4,572 13,174 10,499 
Deferred compensation plan income (expense) (e)
1,521 (5,476)9,231 (2,484)
Deferred compensation plan income (d)
Deferred compensation plan income (d)
2,389 4,803 2,071 7,710 
Other expense, netOther expense, net929 1,315 5,718 3,929 Other expense, net3,751 753 3,778 4,789 
Non-GAAP Adjusted EBITDANon-GAAP Adjusted EBITDA$121,207 $155,889 $356,768 $444,550 Non-GAAP Adjusted EBITDA$142,016 $124,818 $263,719 $235,561 
Segment Non-GAAP Adjusted EBITDA:Segment Non-GAAP Adjusted EBITDA:Segment Non-GAAP Adjusted EBITDA:
Supply Chain Services (f)
$117,949 $149,212 $339,538 $447,081 
Performance Services (f)
35,950 34,634 109,675 84,977 
Supply Chain Services (e)
Supply Chain Services (e)
$134,280 $118,939 $263,549 $221,590 
Performance Services (e)
Performance Services (e)
39,010 36,609 62,725 73,724 
CorporateCorporate(32,692)(27,957)(92,445)(87,508)Corporate(31,274)(30,730)(62,555)(59,753)
Non-GAAP Adjusted EBITDANon-GAAP Adjusted EBITDA$121,207 $155,889 $356,768 $444,550 Non-GAAP Adjusted EBITDA$142,016 $124,818 $263,719 $235,561 

(a)Refer to Note 54 - Investments for more information.
(b)Refer to Note 65 - Fair Value Measurements for more information.
(c)Includes non-cash employee stock-based compensation expense and stock purchase plan expense of $0.1 million duringfor both of the three months ended MarchDecember 31, 2021 and 2020. Also includes $0.4 million 2020and $0.3 million duringand $0.2 million for the ninesix months ended MarchDecember 31, 2021 and 2020, respectively.
(d)The adjustments to TRA liabilities for the three and nine months ended March 31, 2020 is primarily attributable to decreases in the Premier, Inc. effective tax rate related to state tax liabilities.
(e)Represents realized and unrealized gains and losses and dividend income on deferred compensation plan assets.
(f)(e)Includes intersegment revenue which is eliminated in consolidation.
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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 the discussions under “Risk Factors” and “Cautionary Note Regarding Forward-Looking Statements” herein and in our Form 10-K for the fiscal year ended June 30, 20202021 (the “2020“2021 Annual Report”), filed with the Securities and Exchange Commission (“SEC”).
Business Overview
Our Business
Premier, Inc. (“Premier”, the “Company”, “we”, or “our”) is a leading healthcare improvement company, uniting an alliance of more than 4,100 U.S. hospitals, and health systems and approximately 200,000 other providers and organizations to transform healthcare. We partner with hospitals, health systems, physicians and other healthcare providers and organizations with the common goal of improving and innovating in the clinical, financial and operational areas of their businesses 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,
26


operational and value-based care software-as-a-service (“SaaS”) andas well as licensed-based clinical analytics products, enterprise analytics licenses, consulting services, and performance improvement collaborative programs.programs, third-party administrator services and digital invoicing and payment processes for healthcare providers and vendors. We also provide services to non-healthcare businesses.other businesses including food service, schools and universities.
We generated net revenue, net income from continuing operations and Adjusted EBITDA (a financial measure not determined in accordance with generally accepted accounting principles (“Non-GAAP”)) for the periods presented as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Net revenueNet revenue$469,923 $334,823 $1,239,637 $956,839 Net revenue$379,215 $422,827 $744,362 $769,714 
Net income from continuing operations$51,444 $73,212 $277,033 $235,726 
Net incomeNet income77,232 44,904 198,538 202,432 
Non-GAAP Adjusted EBITDANon-GAAP Adjusted EBITDA$121,207 $155,889 $356,768 $444,550 Non-GAAP Adjusted EBITDA142,016 124,818 263,719 235,561 
See “Our Use of Non-GAAP Financial Measures” and “Results of Operations” below for a discussion of our use of Non-GAAP Adjusted EBITDA and a reconciliation of net income from continuing operations to Non-GAAP Adjusted EBITDA.
Our Business Segments
Our business model and solutions are designed to provide our members and other customers access to scale efficiencies while focusing on optimization of information resources and cost containment, 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 and other customers 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.
Segment net revenue for the three months ended MarchDecember 31, 2021 and 2020 was as follows (in thousands):
Three Months Ended March 31,Change% of Net Revenue
Net revenue:202120202021202020212020
Supply Chain Services$371,178 $238,628 $132,550 56 %79 %71 %
Performance Services98,745 96,195 2,550 %21 %29 %
Net revenue$469,923 $334,823 $135,100 40 %100 %100 %
35


Three Months Ended December 31,Change% of Net Revenue
Net revenue:202120202021202020212020
Supply Chain Services$271,495 $329,095 $(57,600)(18)%72 %78 %
Performance Services107,729 93,732 13,997 15 %28 %22 %
Net revenue$379,224 $422,827 $(43,603)(10)%100 %100 %
Segment net revenue for the ninesix months ended MarchDecember 31, 2021 and 2020 was as follows (in thousands):
Nine Months Ended March 31,Change% of Net RevenueSix Months Ended December 31,Change% of Net Revenue
Net revenue:Net revenue:202120202021202020212020Net revenue:202120202021202020212020
Supply Chain ServicesSupply Chain Services$953,924 $694,349 $259,575 37 %77 %73 %Supply Chain Services$548,312 $582,746 $(34,434)(6)%74��%76 %
Performance ServicesPerformance Services285,713 262,490 23,223 %23 %27 %Performance Services196,059 186,968 9,091 %26 %24 %
Net revenueNet revenue$1,239,637 $956,839 $282,798 30 %100 %100 %Net revenue$744,371 $769,714 $(25,343)(3)%100 %100 %
Our Supply Chain Services segment includes one of the largest healthcare group purchasing organization programs (“GPO”) programs in the United States, serving acute, non-acute and non-healthcare sites and alternate sites,providing supply chain co-management and our direct sourcing activities. We generate revenue in our Supply Chain Services segment from administrative fees received from suppliers based on the total dollar volume of supplies purchased by our members and other customers, fees from supply chain co-management and through product sales in connection with our direct sourcing activities.
Our Performance Services segment includes oneconsists of the largestthree sub-brands: PINC AITM, our technology and services platform with offerings that help optimize performance in three main areas – clinical and cost analytics and consulting services businesses in the United States focused on healthcare providers. We are also expanding our capabilities to more fully address and coordinate careintelligence, margin improvement and standardization in the employer, payor and life sciences markets. Our SaaS-based clinicalvalue-based care – using advanced analytics products and technology licenses utilize our comprehensive data set to provide actionable intelligence to our members and other customers, enabling them to benchmark, analyze and identify areas of improvement across three main categories: cost management, quality and safety, and value based care. The Performance Services segment also includes our technology-enabled performance improvement collaboratives, consulting services, direct to employer initiative and insurance management services.
CEO Transition
In February 2021, we announced that Susan D. DeVore is retiring on June 30, 2021 and will step down as our chief executive officer and from the Board of Directors effective May 1, 2021, and that our president, Michael J. Alkire, will become our chief executive officer and a member of the Board of Directors effective May 1, 2021. Ms. DeVore is expected to provideopportunities, consulting services for a periodclinical and operational design, and workflow solutions to hardwire sustainable change in the provider, life sciences and payer markets; Contigo Health®, our direct-to-employer business which provides third party administrator services and management of twenty-four (24) months after her separation.health benefit programs; and RemitraTM, our digital invoicing and payables business. Each sub-brand serves different markets but are all united in our vision to optimize provider performance and accelerate industry innovation for better, smarter healthcare. For additional information, please see “Performance Services Realignment for Fiscal 2022” under “Item 1. Business” in our 2021 Annual Report.
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Acquisitions
Acquisition of Invoice Delivery Services, LP Assets
On March 1, 2021, we acquired, through a newly formed consolidatedour indirect, wholly-owned subsidiary, Premier IDS, LLC, acquired substantially all the assets and assumed certain liabilities of Invoice Delivery Services, LP (“IDS”) for an adjusted purchase price of $80.4$80.7 million, subject to certain adjustments, of which $80.0 million was paid at closing with borrowings under our Credit Facility (as defined in Note 98 - Debt and Notes Payable to the accompanying condensed consolidated financial statements).
IDS offers digitization technologies that convert paper and portable document format (“PDF”) invoices to an electronic format to automate, streamline, and simplify accounts payable processes in healthcare. IDS’ solutions include those for electronic invoicing and tracking, as well as digital payments. IDS will beis being integrated within Premier under the brand name RemitraTM and reported as part of the Performance Services segment. See Note 3 - Business Acquisitions to the accompanying condensed consolidated financial statements for further information.
Acquisition of Health Design Plus, LLC
On May 4, 2020, we, through our consolidated subsidiary, Premier Healthcare Solutions, Inc. (“PHSI”), acquired 97% of the equity of Health Design Plus, LLC (“HDP”) for an adjusted purchase price of $23.8 million, giving effect to certain purchase price adjustments provided for in the purchase agreement. The transaction was funded with borrowings under our Credit Facility. HDP is a third-party administrator and arranges care for employees through its Centers of Excellence program. Shortly after closing, HDP was renamed Contigo Health, LLC (“Contigo Health”) and is reported as part of the Performance Services segment. See Note 3 - Business Acquisitions to the accompanying condensed consolidated financial statements for further information.
Acquisition of Acurity and Nexera Assets
On February 28, 2020, we, through two newly formed consolidated subsidiaries, Prince A Purchaser, LLC (“PAP”) and Prince N Purchaser, LLC (“PNP”), acquired substantially all of the assets and certain liabilities of Acurity, Inc. and Nexera, Inc., both indirect wholly owned subsidiaries of Greater New York Hospital Association (“GYNHA”), for an aggregate amount of $291.5 million, of which $166.1 million was paid at closing with borrowings under our Credit Facility (the “Acurity and Nexera asset acquisition”). Pursuant to the terms of the asset purchase agreement (as amended, the “Purchase Agreement”), an additional
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$120.0 million will be paid to the sellers in four equal annual installments of $30.0 million on or about June 30, 2021, 2022, 2023 and 2024. An additional $4.7 million was paid to GNYHA during the three months ended March 31, 2021. In addition, the Purchase Agreement provides a graduated earn-out opportunity to Acurity, Inc. of up to $30.0 million based upon our achievement of a range of member renewals on terms to be agreed to by us and GNYHA based on prevailing market conditions in December 2023.
After the closing of the transaction, we changed the names of PAP and PNP to Acurity, LLC (“Acurity”) and Nexera, LLC (“Nexera”), respectively. Acurity is a regional group purchasing organization and has been a customer and strategic partner of ours for more than 24 years. Nexera is a hospital financial improvement consulting firm which partners with healthcare organizations to improve hospital and health system performance, with a significant focus on supply chain enhancement and transformation. We report the operations of Acurity and Nexera as part of the Supply Chain Services segment. See Note 3 - Business Acquisitions to the accompanying condensed consolidated financial statements for further information.
Acquisition of Medpricer
On October 28, 2019, we, through our consolidated subsidiary, Premier Supply Chain Improvement, Inc. (“PSCI”), acquired all of the outstanding capital stock in Medpricer.com, Inc. (“Medpricer”) for an adjusted purchase price of $38.5 million giving effect to certain purchase price adjustments provided for in the purchase agreement. The transaction was funded with borrowings under the Credit Facility. Medpricer is a SaaS-based provider of technology solutions that enable hospitals and other organizations to analyze, benchmark and source purchased services contracts independent of any existing GPO affiliation. During the fourth quarter of fiscal year 2020, Medpricer changed its name to Conductiv, Inc. (“Conductiv”) and is reported as part of the Supply Chain Services segment. See Note 3 - Business Acquisitions to the accompanying condensed consolidated financial statements for further information.
Market and Industry Trends and Outlook
We expect that certain trends and economic or industrywide factors will continue to affect our business, in both in the short- 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” and “Risk Factors” in the 20202021 Annual Report.
Trends in the U.S. healthcare market affect our revenues and costs in the Supply Chain Services and Performance Services segments. The trends we see affecting our current healthcare business include the impact of the implementation of current or future healthcare legislation, particularly the uncertainty regarding the status ofpotential for the Affordable Care Act (“ACA”) and the potential for the ACA to be struck down as unconstitutionalmaterially altered by Congress, through regulatory action by government agencies, or in the U.S. Supreme Court or significantly altered byevent of a change of party control in Congress. Actions related to the ACA could be disruptive for Premier and our customers, impacting revenue, reporting requirements, payment reforms, 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. Over the long-term, 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 value-based care, however, there are uncertainties and risks that may affect the actual impact of these anticipated trends, expected demand for our services or related assumptions on our business. See “Cautionary Note Regarding Forward-Looking Statements” for more information.
COVID-19 Pandemic, Variants Thereof, Recurrences or Similar Pandemics
In addition to the trends in the U.S. healthcare market discussed above, we face known and unknown uncertainties arising from the outbreak of the novel coronavirus (“COVID-19”) and the resulting global pandemic and financial and operational uncertainty, including its impact on the overall economy, our sales, operations and supply chains, our members and other customers, workforce and suppliers, and countries. As a result of the COVID-19 pandemic, variants thereof, and potential future pandemic outbreaks, we face significant risks including, but not limited to:
Changes in the demand for our products and services. We have experienced and may continue to experience demand uncertainty from both significantmaterial increases and decreases in demand as a result of COVID-19.the COVID-19 pandemic. There has beenwas a significantmaterial increase in demand for personal protective equipment (“PPE”), drugs and other supplies directly related to treating and preventing the spread of COVID-19. However, either voluntarily or due to government orders or advisories, patients,COVID-19 and variants thereof during fiscal 2020 and 2021. Patients, hospitals and other medical facilities have deferred and continue to defer some elective procedures and routine medical visits during the crisis whichdue to ongoing and continuing volatility or as the result of government orders or advisories. This created a material decline in the demand for supplies and services not related to COVID-19 throughduring 2020, 2021 and the third quarterfirst half of fiscal 20212022, and such lower demand is expected tomay continue through fiscal 2021.2022 and beyond if COVID-19 vaccine protection wanes due to COVID-19 variants. In addition, as a result of our members' and other customers’members’ focus on managing the effects of COVID-19 on patients and its impacts,their businesses, we
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may experience uncertain have experienced a decrease in demand for our consulting and other performance service engagements. Furthermore, duringas a result of the COVID-19 pandemic, many of our members'members’ non-acute or non-healthcare facilities, such as education and hospitality businesses, closed or operated on a limited or reduced basis andbasis. These facilities have delayed re-opening,re-opened at a slower pace and, as a result, we may see a material reduction in product sales to those facilities. The extent to which these impacts on demand willmay continue, and the effect that they willmay have on our business and operating results, will depend upon future developments that are highly uncertain and cannot be accurately predicted.
Limited access to our members'members’ facilities that impacts our ability to fulfill our contractual requirements. Our member hospitals and non-acute care sites have experienced, and continue to experience, reduced or limited access for non-patients, including our field teams, consultants and other professionals, and travel restrictions have impacted our employees'employees’ ability to travel to our members' facilities.members’ facilities and our performance under our existing contracts. The long-termlong-
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term continuation, or any future recurrence of these circumstances may negatively impact the ability of our employees to more effectively deliver existing or sell new products and services to our members and could affect our performance of our existing contracts.
Materials and personnel shortages and disruptions in supply chain, including manufacturing and shipping. The global supply chain has been significantlymaterially disrupted due to stay at homepersonnel shortages associated with ongoing COVID-19 rates of infection, stay-at-home orders, border closings, and rapidly escalating shipping costs. Borderscosts and material logistical delays due to port congestion. Border closings and restrictions in response to COVID-19, particularly regarding China, and India, have impacted our access to products for our members and other customers.members. Staffing or personnel shortages due to shelter in placeshelter-in-place orders and quarantines, or other public health measures, have led to material logistical delays and an increase in shipping costs which have impacted and in the future may continue to impact us and our members, other customers or suppliers. In addition, due to unprecedented demand during the COVID-19 pandemic, there arehave been widespread shortages in certain product categories. During the COVID-19 pandemic, we lost revenue when member healthcare systems chose to source products directly themselves rather than through our GPO when incumbent suppliers could not deliver products in a timely manner or at all, and we were not able to locate reputable alternative suppliers. In the food service line, COVID-19 related illnesses have impacted food processing suppliers and led to plant closures. If the supply chainschain for materials used in the products purchased by our members through our GPO or products contract manufactured through our direct sourcing business arecontinue to be adversely impacted by restrictions resulting fromthe COVID-19 pandemic, our supply chainschain may continue to be disrupted. In addition, due to the volatility of the price and supply of products, including PPE, there is risk that we may purchase products from suppliers at that we cannot recover in the event of a potential material price decline. Failure of our suppliers, contract manufacturers, distributors, contractors and other business partners to meet their obligations to our members, other customers or to us, or significantmaterial disruptions in their ability to do so due to their own financial or operational difficulties, may adversely impact our operations.
Requests for contract modifications, payment deferrals or exercises of force majeure clauses. We have and may continue to receive requests for contract modifications, payment waivers and deferrals, payment reductions or amended payment terms from our contract counterparties. We have and may continue to receive requests to delay service or payment on performance service contracts. In addition, we have and may continue to receive requests from our suppliers for increases to their contracted prices, and such requests may be implemented in the future. Inflation in such contract prices may impact member utilization of items and services available through our GPO contracts, which could adversely impact our net administrative fees revenue and direct sourcing revenue. In addition, several pharmacy suppliers have exercised force majeure clauses related to failure to supply clauses in their contracts with us because they are unable to obtain raw materials for manufacturing from India and China. The standard failure to supply language in our contracts contains financial penalties to suppliers if they are unable to supply products, which such suppliers may not be able to pay. In addition, we may not be able to source products from alternative suppliers on commercially reasonable terms, or at all.
Overall economic and capital markets decline. The impact of the COVID-19 pandemic and variants thereof and associated supply chain disruptions and inflation could result in a prolonged recession or depression in the United States or globally that could harm the banking system, limit demand for all products and services and cause other seenforeseen and unforeseen events and circumstances, all of which could negatively impact us. The continued spread of COVID-19 has led to and could continue to lead to severe disruption and volatility in the United States and global capital markets, which could increase our cost of capital and adversely affect our ability to access the capital markets in the future. In addition, trading prices on the public stock market, includingas well as that of our Class A common stock, have been highly volatile as a result of the COVID-19 pandemic.
Managing the evolving regulatory environment. In response to the COVID-19 pandemic and variants thereof, federal, state and local governments are issuing new rules, regulations, changing reimbursement eligibility rules, orders and advisories on a regular basis. These government actions can impact us and our members, and other customers and suppliers.
The ultimate impact of COVID-19, variants thereof, recurrences, or similar pandemics on our business, results of operations, financial condition and cash flows is dependent on future developments, including the duration of any pandemic and the related length of its impact on the United States and global economies, which are uncertain and cannot be predicted at this time. The impact of the COVID-19 pandemic, variants thereof, recurrences, or future similar pandemics may also exacerbate many of the other risks described in Item 1A. “Risk Factors” section of the 20202021 Annual Report. Despite our efforts to manage these impacts, their ultimate impact depends on factors beyond our knowledge or control, including the duration and severity of any outbreak and actions taken to contain its spread and mitigate its public health effects. The foregoing and other continued disruptions in our business as a
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result of the COVID-19 pandemic, variants thereof, recurrences or similar pandemics could result in a material adverse effect on our business, results of operations, financial condition, cash flows, prospects and the trading prices of our securities in the near-term and through some or all of fiscal 20212022 and beyond.
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Critical Accounting Policies and Estimates
Refer to Note 1 - Organization and Basis of Presentation and Note 2 - Significant Accounting Policies to the accompanying condensed consolidated financial statements for more information related to our use of estimates in the preparation of financial statements as well as information related to material changes in our significant accounting policies that were included in our 20202021 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, which is incorporated herein by reference.
Key Components of Our Results of Operations
Net Revenue
Net revenue consists of service revenue, which includes net administrative fees revenue and other services and support revenue, and productproducts 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 as discussed below. Productand supply chain co-management revenue generated by our Supply Chain Services segment. Products revenue consists of direct sourcing product sales, which are included in theour 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 revenue share paid to members), supply chain co-management and direct sourcing revenue.
The success of our Supply Chain Services revenue streams are influenced by our ability to negotiate favorable contracts with suppliers and members, the number of members that utilize our GPO supplier contracts and the volume of their purchases, 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 and other customers that purchase products through our direct sourcing activities and the impact of competitive pricing.
Performance Services
Performance Services revenue consists of SaaSof:
Health care information technology license and SaaS-based clinical, analyticsmargin improvement and value-based care products subscriptions, license fees, performance improvement collaborative and other service subscriptions and professional fees for consulting services third party administrator fees forunder our direct to employer initiative, PINC AI technology and services platform;
insurance services management fees and commissions from endorsed commercial insurance programs.programs;
third party administrator fees for our Contigo Health direct to employer business; and
customer fees for our Remitra digital invoicing and payables business.
Our Performance Services growth will depend upon the expansion of our SaaS clinical analytics products, performance improvement collaborativesPINC AI technology and consulting services platform to new and existing members and other customers, expansion of our Contigo Health and Remitra businesses to new and existing members, renewal of existing subscriptions to our SaaS and licensed informaticssoftware products, and our ability to generate additional applied sciences engagements, our ability to sell enterprise analytics licenses to new and expandexisting customers at rates sufficient to offset the loss of recurring SaaS-based revenue due to the conversion to an enterprise analytics license and expansion into new markets.
Cost of Revenue
Cost of revenue consists of cost of service revenue and cost of productproducts 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 consulting services to members and other customers, third-party administrator services and implementation services related to our SaaS clinical analyticsand licensed software products along with associated amortization of certain capitalized contract costs. Amortization of contract costs represent amounts that have been capitalized and reflect the incremental costs of obtaining and fulfilling a contract. Amortization of contract costs included within cost of service revenue include costs related to implementing SaaS informatics tools. 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 internally developed software applications.
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Cost of productproducts revenue consists of purchase and shipment costs for direct sourced medical and commodity products. Our cost of productproducts revenue is influenced by the manufacturing and transportation costs associated with direct sourced medical and commodity products.
Operating Expenses
Operating expenses includes selling, general and administrative expenses, research and development expenses and amortization of purchased intangible assets.
Selling, general and administrative expenses are 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. Selling, general and administrative expenses primarily consist of compensation and benefits related costs, travel-related expenses, business development expenses, including costs for business acquisition opportunities, business disposition related expenses, indirect costs such as insurance, professional fees and other general overhead expenses, and amortization of certain contract costs. Amortization of contract costs represent amounts, including sales commissions, that have been capitalized and reflect the incremental costs of obtaining and fulfilling a contract.
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.services prior to reaching technological feasibility.
Amortization of purchased intangible assets includes the amortization of all identified intangible assets.
Other Income (Expense) Income,, Net
Other income (expense) income, net, includes equity in net income of unconsolidated affiliates that is generated from our equity method investments. Our equity method investments primarily consist of our interests in FFF Enterprises, Inc. (“FFF”), Exela Holdings, Inc. (“Exela”), and Prestige Ameritech Ltd. (“Prestige”) (see Note 4 - Investments). Other income (expense) income,, net, also includes the change in the fair value of ourthe FFF putCall Right and call rightsthe gain recognized due to the termination of the FFF Put Right and derecognition of the associated liability (see Note 65 - Fair Value Measurements), interest income and expense, realized and unrealized gains or losses on deferred compensation plan assets, gains or losses on the disposal of assets, and any impairment on our held-to-maturity investments.
Income Tax Expense
On August 11, 2020, we entered into the Merger Agreement by and among us, Premier Healthcare Alliance, LP (“Premier LP”) and BridgeCo, a wholly owned subsidiary of Premier Services, LLC formed for the sole purpose of merging with and into Premier LP. Pursuant to the Merger Agreement, (i) each of the issued and outstanding Class B common units of Premier LP was canceled and converted automatically into a right to receive one share of our Class A common stock, and (ii) all of the issued and outstanding shares of our Class B common stock beneficially held by the limited partners of Premier LP were canceled in accordance with our Certificate of Incorporation. As a result of the Merger, we simplified our tax structure whereby we and our subsidiaries formed one consolidated filing group for federal income tax purposes. See Note 14 - Income Taxes. (Benefit)
Adjusted Net Income, a Non-GAAP financial measure as defined below in “Our Use of Non-GAAP Financial Measures”, is calculated net of taxes based on our estimated annual effective tax rate for federal and state income tax, adjusted for unusual or infrequent items, as we are a consolidated filing group for federal income tax purposes with all of our subsidiaries’ activities included. Prior to August 11, 2020, Adjusted Net Income was calculated as if we were one consolidated group forThe tax purposes. The rate used to compute Adjusted Net Income was 22%25% and 24% for the three and ninesix months ended MarchDecember 31, 2021 and 26%2020, respectively. The change in the tax rate used to compute Adjusted Net Income is due to our internal legal entity reorganization of our corporate subsidiaries for the threepurpose of simplifying our subsidiary reporting structure on December 1, 2021 (the “Subsidiary Reorganization”) resulting in the release of $32.3 million of valuation allowance of our deferred tax asset in the fiscal year ending June 30, 2022. As a result of the Subsidiary Reorganization, one of our consolidated subsidiaries is expected to have sufficient income to utilize its net operating loss and nineresearch and development credit carryforwards.
During the first quarter of fiscal 2022, we made substantial progress on the Subsidiary Reorganization and as we expected to complete it prior to December 31, 2021, we released the valuation allowance. On December 1, 2021, we completed the Subsidiary Reorganization and reassessed the portion of the valuation allowance benefited through fiscal 2022 ordinary income and the portion included as a discrete item. Of the $32.3 million valuation allowance expected to be released, $6.4 million is included in the estimated annual effective tax rate calculation to the extent such carryforwards are projected to offset fiscal 2022 ordinary income. The remaining $25.9 million of valuation allowance expected to be released has been included as a discrete item in the six months ended MarchDecember 31, 2020.2021.
Net Income Attributable to Non-Controlling Interest
For the nine months ended March 31, 2021, we recognizedWe recognize net income attributable to the limited partners of Premier LP through August 11, 2020, the date of the Merger.non-controlling interest for non-Premier ownership in our consolidated subsidiaries which hold interest in our equity method investments. At MarchDecember 31, 2021, we through Premier Services, LLC (“Premier GP), the sole general partner of Premier LP, and Premier Services II, LLC, a Delaware limited liability company, wholly owned subsidiary of us and sole limited partner of Premier LP, held 100% interest in Premier LP. At June 30, 2020, we held 59% sole general partner interest in Premier LP. In addition to their equity ownership interest in us, our members held a 0% and 41% limited partner interest in Premier LP at March 31, 2021 and June 30, 2020, respectively (see Note 10 - Redeemable Limited Partners' Capital to the accompanying condensed consolidated financial statements).
Through our consolidated subsidiary, PRAM Holdings, LLC (“PRAM”), we hold an approximate 20% interest in Prestige through PRAM’s ownership of Prestige limited partnership units at March 31, 2021. We own approximately 26%, 21% and 15% of the membership interest of PRAM withHoldings, LLC (“PRAM”), DePre Holdings, LLC (“DePre”) and ExPre Holdings, LLC (“ExPre”), respectively. We recognized net income attributable to non-controlling interest for the remainder74%, 79% and 85% interest held in PRAM, DePre and ExPre, respectively, by 16 member health systems or their affiliates. PRAM, DePre and ExPre are investments we made as part of our long-term supply chain resiliency program to promote domestic and geographically diverse manufacturing and to help ensure a robust and resilient supply chain for essential medical products.
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As of December 31, 2021, we own 92% of the equity interest in Contigo Health and recognized net income attributable to non-controlling interest for the 74% interest4% of equity held by the 16an affiliate of a member health systems.
Through our consolidated subsidiary, DePre Holdings, LLC (“DPH”), we hold an approximate 49% interestsystem in DePre, LLC (“DePre”) through DPH’s ownership of DePre membership interests at March 31, 2021. We own approximately 21% of the membership interest of DPH, with the remainderaddition to 4% held by 34 member health systems, and recognized net income attributable to non-controlling interest for the 79% interest held by the 34 member health systems.
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Ascertain customers of March 31, 2021, we own 97% of the equity interest in HDP and recognized net income attributable to non-controlling interest for the 3% of equity retained by University Hospitals Holdings, Inc.Contigo Health.
Our Use of Non-GAAP Financial Measures
The other key business metrics we consider are EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Net Income, (historically referenced as “Adjusted Fully Distributed Net Income”), Adjusted Earnings per Share (historically referenced as “Adjusted Fully Distributed Earnings per Share”) and Free Cash Flow, which are all Non-GAAP financial measures.
We define EBITDA as net income before income or loss from discontinued operations, net of tax, interest and investment income or expense, net, income tax expense, depreciation and amortization and amortization of purchased intangible assets. 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 Non-GAAP financial measures, we consider non-recurring items to be income or expenses and other items that have not been earned or incurred within the prior two years and are not expected to recur within the next two years. Such items include certain strategic and financial restructuring expenses. Non-operating items include gains or losses on the disposal of assets and interest and investment income or expense.
We define Segment Adjusted EBITDA as the segment’s net revenue less cost of revenue and operating expenses directly attributable to the segment excluding depreciation and amortization, amortization of purchased intangible assets, merger and acquisition related expenses and non-recurring or non-cash items and including equity in net income of unconsolidated affiliates. Operating expenses directly attributable to the segment include expenses associated with sales and marketing, general and administrative, and product development activities specific to the operation of each segment. General and administrative corporate expenses that are not specific to a particular segment are not included in the calculation of Segment Adjusted EBITDA. Segment Adjusted EBITDA also excludes any income and expense that has been classified as discontinued operations.
We define Adjusted Net Income as net income attributable to Premier (i) excluding income or loss from discontinued operations, net, (ii) excluding income tax expense, (iii) excluding the impact of adjustment of redeemable limited partners’ capital to redemption amount, (iv) excluding the effect of non-recurring or non-cash items, including certain strategic and financial restructuring expenses, (v) assuming the exchange of all the Class B common units for shares of Class A common stock, which results in the elimination of non-controlling interest in Premier LP and (vi) reflecting an adjustment for income tax expense on Non-GAAP net income before income taxes at our estimated annual effective income tax rate, adjusted for unusual or infrequent items. We define Adjusted Earnings per Share as Adjusted Net Income divided by diluted weighted average shares (see Note 1211 - Earnings Per Share).
We define Free Cash Flow as net cash provided by operating activities from continuing operations less distributions and Tax Receivable Agreement (“TRA”) payments to limited partners, early termination payments to certain former limited partners that elected to execute a Unit Exchange and Tax Receivable Acceleration Agreement (“Unit Exchange Agreement”) in connection with our August 2020 Restructuring and purchases of property and equipment. Free Cash Flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayments.
Adjusted EBITDA and Free Cash Flow are supplemental financial measures used by us and by external users of our financial statements and are considered 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. More specifically, 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 Net Income and Adjusted 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 GAAP, provides a more complete understanding of factors and trends affecting our business. 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 earnings elements attributable to our asset base (primarily depreciation and amortization), certain items outside the control of our management team, e.g. taxes, other non-cash items (such as impairment of intangible assets, purchase accounting adjustments and stock-based compensation), and non-recurring items (such as strategic and financial restructuring expenses) and income and expense that has been classified as discontinued operations from our operating results. We believe Adjusted Net Income and Adjusted 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 these measures remove non-cash (such as impairment of intangible assets, purchase accounting adjustments and stock-based compensation) and non-recurring items (such
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as strategic and financial restructuring expenses), and eliminate the variability of non-controlling interest that results from member owner exchanges of Class B common units for shares of Class A common stock. We believe Free Cash Flow is an
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important measure because it represents the cash that we generate after payment of tax distributions to limited partners, payments to certain former limited partners that elected to execute a Unit Exchange Agreement and capital investment to maintain existing products and services and ongoing business operations, as well as development of new and upgraded products and services to support future growth. Our Free Cash Flow allows us to enhance stockholder value through acquisitions, partnerships, joint ventures, investments in related businesses and debt reduction.
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 Net Income, Adjusted 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 the EBITDA, Adjusted EBITDA and Segment Adjusted EBITDA measures 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 operating activities.
Some of the limitations of the Adjusted Net Income and Adjusted Earnings per Share measures are that they do not reflect income tax expense or income tax payments we are required to make. In addition, Adjusted Net Income and Adjusted Earnings per Share are not measures of profitability under GAAP.
We also urge you to review the reconciliation of these Non-GAAP financial 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 the EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Net Income, Adjusted Earnings per Share and Free Cash Flow measures are susceptible to varying calculations, such Non-GAAP financial measures may differ from, and may therefore not be comparable to, similarly titled measures used by other companies.
Non-recurring and non-cash items excluded in our calculation of Adjusted EBITDA, Segment Adjusted EBITDA and Adjusted Net Income consist of stock-based compensation, acquisition and disposition related expenses, remeasurement of TRA liabilities, gain on or loss on the FFF putPut and call rights,Call Rights, income and expense that has been classified as discontinued operations and other expense. More information about certain of the more significant items follows below.
Stock-based compensation
In addition to non-cash employee stock-based compensation expense, this item includes non-cash stock purchase plan expense of $0.1 million for both the three months ended MarchDecember 31, 2021 and 2020 and $0.4$0.3 million and $0.3$0.2 million for the ninesix months ended MarchDecember 31, 2021 and 2020, respectively (see Note 1312 - Stock-Based Compensation to the accompanying condensed consolidated financial statements).
Acquisition and disposition related expenses
Acquisition related expenses include legal, accounting, and other expenses related to acquisition activities and gains and losses on the change in fair value of earn-out liabilities. Disposition related expenses include severance and retention benefits and financial advisor fees and legal fees related to disposition activities.
Remeasurement of TRA liabilities
On August 10, 2020, we exercised our right to terminate the TRA entered into as of September 25, 2013 and effective as of October 1, 2013 by and among us and the former limited partners of Premier LP by providing all former LPs a notice of the termination and the amount of the expected payment to be made to each LP pursuant to the early termination provisions of the TRA with a determination date of August 10, 2020.
Prior to termination of the TRA, we recorded TRA liabilities based on 85% of the estimated amount of tax savings we expected to receive, generally over a 15-year period, which were attributable to the initial purchase of Class B common units from the member owners made concurrently with the IPO and subsequent exchanges by member owners of Class B common units into Class A common stock or cash. Tax payments made under the TRA were made to the member owners as we realized tax benefits. Determining the estimated amount of tax savings we expected to receive required judgment as deductibility of goodwill amortization expense was not assured and the estimate of tax savings was dependent upon the actual realization of the tax benefit and the tax rates in effect at that time.
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Gain or loss on FFF putPut and call rightsCall Rights
See Note 65 - Fair Value Measurements to the accompanying condensed consolidated financial statements.
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Results of Operations
Results of operations for all periods presented have been retrospectively adjusted to reflect continuing operations unless otherwise indicated.
The following table presents our results of operations for the periods presented (in thousands, except per share data):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Amount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net Revenue
Net revenue:Net revenue:Net revenue:
Net administrative feesNet administrative fees$146,553 31%$174,049 52%$424,537 34%$518,566 54%Net administrative fees$150,403 40%$145,339 34%$299,865 40%$277,984 36%
Other services and supportOther services and support107,375 23%99,591 30%304,020 25%270,929 29%Other services and support117,046 31%97,818 23%214,301 29%196,645 26%
ServicesServices253,928 54%273,640 82%728,557 59%789,495 83%Services267,449 71%243,157 58%514,166 69%474,629 62%
ProductsProducts215,995 46%61,183 18%511,080 41%167,344 17%Products111,766 29%179,670 42%230,196 31%295,085 38%
Net revenueNet revenue469,923 100%334,823 100%1,239,637 100%956,839 100%Net revenue379,215 100%422,827 100%744,362 100%769,714 100%
Cost of revenue:Cost of revenue:Cost of revenue:
ServicesServices46,980 10%49,007 15%125,852 10%143,965 15%Services45,782 12%40,122 9%89,591 12%78,872 10%
ProductsProducts211,136 45%54,121 16%496,286 40%150,415 16%Products96,933 26%171,722 41%206,295 28%285,150 37%
Cost of revenueCost of revenue258,116 55%103,128 31%622,138 50%294,380 31%Cost of revenue142,715 38%211,844 50%295,886 40%364,022 47%
Gross profitGross profit211,807 45%231,695 69%617,499 50%662,459 69%Gross profit236,500 62%210,983 50%448,476 60%405,692 53%
Operating expenses:
Selling, general and administrative134,502 29%115,289 34%388,453 31%315,311 33%
Research and development715 —%628 —%2,013 —%1,808 —%
Amortization of purchased intangible assets10,400 2%13,966 4%33,864 3%38,948 4%
Operating expensesOperating expenses145,617 31%129,883 38%424,330 34%356,067 37%Operating expenses158,536 42%140,979 33%298,233 40%278,713 36%
Operating incomeOperating income66,190 14%101,812 30%193,169 16%306,392 32%Operating income77,964 21%70,004 17%150,243 20%126,979 16%
Other (expense) income, net(1,302)—%(24,435)(7)%(4,173)—%7,670 1%
Other income (expense), netOther income (expense), net5,635 1%(8,443)(2)%73,695 10%(2,871)—%
Income before income taxesIncome before income taxes64,888 14%77,377 23%188,996 15%314,062 33%Income before income taxes83,599 22%61,561 15%223,938 30%124,108 16%
Income tax expense (benefit)Income tax expense (benefit)13,444 3%4,165 1%(88,037)(7)%78,336 8%Income tax expense (benefit)6,367 2%16,657 4%25,400 3%(78,324)(10)%
Net income from continuing operations51,444 11%73,212 22%277,033 22%235,726 25%
Income from discontinued operations, net of tax— —%—%— —%1,009 —%
Net incomeNet income51,444 11%73,217 22%277,033 22%236,735 25%Net income77,232 20%44,904 11%198,538 27%202,432 26%
Net income from continuing operations attributable to non-controlling interest(3,123)(1)%(35,055)(10)%(15,903)(1)%(132,189)(14)%
Net income from discontinued operations attributable to non-controlling interest— —%(3)—%— —%(480)—%
Net income attributable to non-controlling interestNet income attributable to non-controlling interest(3,123)(1)%(35,058)(10)%(15,903)(1)%(132,669)(14)%Net income attributable to non-controlling interest(1,687)—%(935)—%(989)—%(12,780)(2)%
Adjustment of redeemable limited partners’ capital to redemption amountAdjustment of redeemable limited partners’ capital to redemption amount— nm302,569 nm(26,685)nm516,725 nmAdjustment of redeemable limited partners’ capital to redemption amount— —%— —%— —%(26,685)(3)%
Net income attributable to stockholdersNet income attributable to stockholders$48,321 nm$340,728 nm$234,445 nm$620,791 nmNet income attributable to stockholders$75,545 nm$43,969 nm$197,549 nm$162,967 nm
Weighted average shares outstanding:
Earnings per share attributable to stockholders:Earnings per share attributable to stockholders:
BasicBasic122,254 69,451 114,596 65,582 Basic$0.62 $0.36 $1.62 $1.47 
DilutedDiluted123,116 122,470 115,365 124,030 Diluted$0.62 $0.36 $1.61 $1.46 
Earnings per share attributable to stockholders:
Basic earnings per share attributable to stockholders$0.40 $4.91 $2.05 $9.47 
Diluted earnings per share attributable to stockholders$0.39 $0.54 $2.03 $1.66 
nm = Not meaningful
44


The following table provides certain Non-GAAP financial measures for the periods presented (in thousands, except per share data). Refer to “Our Use of Non-GAAP Financial Measures” for further information regarding items excluded in our calculation of Adjusted EBITDA and Segment Adjusted EBITDA.
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Certain Non-GAAP Financial Data:Certain Non-GAAP Financial Data:Amount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueCertain Non-GAAP Financial Data:Amount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net Revenue
Adjusted EBITDAAdjusted EBITDA$121,207 26%$155,889 47%$356,768 29%$444,550 46%Adjusted EBITDA$142,016 37%124,818 30%$263,719 35%$235,561 31%
Non-GAAP Adjusted Net IncomeNon-GAAP Adjusted Net Income$78,535 17%$88,908 27%$232,023 19%$265,668 28%Non-GAAP Adjusted Net Income90,011 24%79,394 19%165,145 22%149,553 19%
Non-GAAP Adjusted Earnings Per ShareNon-GAAP Adjusted Earnings Per Share$0.64 nm$0.73 nm$1.89 nm$2.14 nmNon-GAAP Adjusted Earnings Per Share0.73 nm0.65 nm1.34 nm1.22 nm
nm = Not meaningful
34


The following tables provide the reconciliation of net income from continuing operations to Adjusted EBITDA and the reconciliation of income before income taxes to Segment Adjusted EBITDA (in thousands). Refer to “Our Use of Non-GAAP Financial Measures” for further information regarding items excluded in our calculation of Adjusted EBITDA and Segment Adjusted EBITDA.
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Net income from continuing operations$51,444 $73,212 $277,033 $235,726 
Interest and investment loss, net3,225 9,966 8,742 9,849 
Net incomeNet income$77,232 $44,904 $198,538 $202,432 
Interest expense, netInterest expense, net2,873 3,398 5,661 5,517 
Income tax expense (benefit)Income tax expense (benefit)13,444 4,165 (88,037)78,336 Income tax expense (benefit)6,367 16,657 25,400 (78,324)
Depreciation and amortizationDepreciation and amortization19,337 25,777 55,904 75,690 Depreciation and amortization20,870 19,093 41,466 36,567 
Amortization of purchased intangible assetsAmortization of purchased intangible assets10,400 13,966 33,864 38,948 Amortization of purchased intangible assets10,850 10,260 21,739 23,464 
EBITDAEBITDA97,850 127,086 287,506 438,549 EBITDA118,192 94,312 292,804 189,656 
Stock-based compensationStock-based compensation13,180 7,668 27,970 19,358 Stock-based compensation16,330 7,415 24,081 14,790 
Acquisition and disposition related expensesAcquisition and disposition related expenses4,126 7,287 14,889 16,263 Acquisition and disposition related expenses3,746 7,918 7,167 10,763 
Remeasurement of tax receivable agreement liabilities— (902)— (24,584)
Loss (gain) on FFF put and call rights5,195 13,906 21,621 (8,477)
Loss (gain) on FFF Put and Call RightsLoss (gain) on FFF Put and Call Rights— 14,507 (64,110)16,426 
Other expense, netOther expense, net856 844 4,782 3,441 Other expense, net3,748 666 3,777 3,926 
Adjusted EBITDAAdjusted EBITDA$121,207 $155,889 $356,768 $444,550 Adjusted EBITDA$142,016 $124,818 $263,719 $235,561 
Income before income taxesIncome before income taxes$64,888 $77,377 $188,996 $314,062 Income before income taxes$83,599 $61,561 $223,938 $124,108 
Equity in net income of unconsolidated affiliatesEquity in net income of unconsolidated affiliates(5,524)(4,442)(16,023)(11,038)Equity in net income of unconsolidated affiliates(6,116)(4,572)(13,174)(10,499)
Interest and investment loss, net3,225 9,966 8,742 9,849 
Loss (gain) on FFF put and call rights5,195 13,906 21,621 (8,477)
Other (income) expense(1,594)5,005 (10,167)1,996 
Interest expense, netInterest expense, net2,873 3,398 5,661 5,517 
Loss (gain) on FFF Put and Call RightsLoss (gain) on FFF Put and Call Rights— 14,507 (64,110)16,426 
Other expense, netOther expense, net(2,392)(4,890)(2,072)(8,573)
Operating incomeOperating income66,190 101,812 193,169 306,392 Operating income77,964 70,004 150,243 126,979 
Depreciation and amortizationDepreciation and amortization19,337 25,777 55,904 75,690 Depreciation and amortization20,870 19,093 41,466 36,567 
Amortization of purchased intangible assetsAmortization of purchased intangible assets10,400 13,966 33,864 38,948 Amortization of purchased intangible assets10,850 10,260 21,739 23,464 
Stock-based compensationStock-based compensation13,180 7,668 27,970 19,358 Stock-based compensation16,330 7,415 24,081 14,790 
Acquisition and disposition related expensesAcquisition and disposition related expenses4,126 7,287 14,889 16,263 Acquisition and disposition related expenses3,746 7,918 7,167 10,763 
Remeasurement of tax receivable agreement liabilities— (902)— (24,584)
Equity in net income of unconsolidated affiliatesEquity in net income of unconsolidated affiliates5,524 4,442 16,023 11,038 Equity in net income of unconsolidated affiliates6,116 4,572 13,174 10,499 
Deferred compensation plan income (expense)1,521 (5,476)9,231 (2,484)
Deferred compensation plan incomeDeferred compensation plan income2,389 4,803 2,071 7,710 
Other expense, netOther expense, net929 1,315 5,718 3,929 Other expense, net3,751 753 3,778 4,789 
Adjusted EBITDAAdjusted EBITDA$121,207 $155,889 $356,768 $444,550 Adjusted EBITDA$142,016 $124,818 $263,719 $235,561 

Three Months Ended December 31,Six Months Ended December 31,
2021202020212020
Segment Adjusted EBITDA:
Supply Chain Services$134,280 $118,939 $263,549 $221,590 
Performance Services39,010 36,609 62,725 73,724 
Corporate(31,274)(30,730)(62,555)(59,753)
Adjusted EBITDA$142,016 $124,818 $263,719 $235,561 
4535



Three Months Ended March 31,Nine Months Ended March 31,
2021202020212020
Segment Adjusted EBITDA:
Supply Chain Services$117,949 $149,212 $339,538 $447,081 
Performance Services35,950 34,634 109,675 84,977 
Corporate(32,692)(27,957)(92,445)(87,508)
Adjusted EBITDA$121,207 $155,889 $356,768 $444,550 
The following table provides the reconciliation of net income attributable to stockholders to Non-GAAP Adjusted Net Income and the reconciliation of the numerator and denominator for earnings per share attributable to stockholders to Non-GAAP Adjusted Earnings per Share for the periods presented (in thousands). Refer to “Our Use of Non-GAAP Financial Measures” for further information regarding items excluded in our calculation of Non-GAAP Adjusted Net Income and Non-GAAP Adjusted Earnings per Share.
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Net income attributable to stockholdersNet income attributable to stockholders$48,321 $340,728 $234,445 $620,791 Net income attributable to stockholders$75,545 $43,969 $197,549 $162,967 
Adjustment of redeemable limited partners’ capital to redemption amountAdjustment of redeemable limited partners’ capital to redemption amount— (302,569)26,685 (516,725)Adjustment of redeemable limited partners’ capital to redemption amount— — — 26,685 
Net income attributable to non-controlling interestNet income attributable to non-controlling interest3,123 35,058 15,903 132,669 Net income attributable to non-controlling interest1,687 935 989 12,780 
Income from discontinued operations, net of tax— (5)— (1,009)
Income tax expense (benefit)Income tax expense (benefit)13,444 4,165 (88,037)78,336 Income tax expense (benefit)6,367 16,657 25,400 (78,324)
Amortization of purchased intangible assetsAmortization of purchased intangible assets10,400 13,966 33,864 38,948 Amortization of purchased intangible assets10,850 10,260 21,739 23,464 
Stock-based compensationStock-based compensation13,180 7,668 27,970 19,358 Stock-based compensation16,330 7,415 24,081 14,790 
Acquisition and disposition related expensesAcquisition and disposition related expenses4,126 7,287 14,889 16,263 Acquisition and disposition related expenses3,746 7,918 7,167 10,763 
Remeasurement of tax receivable agreement liabilities— (902)— (24,584)
Loss (gain) on FFF put and call rights5,195 13,906 21,621 (8,477)
Loss (gain) on FFF Put and Call RightsLoss (gain) on FFF Put and Call Rights— 14,507 (64,110)16,426 
Other expense, netOther expense, net2,897 844 10,126 3,441 Other expense, net5,490 2,805 7,378 7,229 
Non-GAAP adjusted income before income taxesNon-GAAP adjusted income before income taxes100,686 120,146 297,466 359,011 Non-GAAP adjusted income before income taxes120,015 104,466 220,193 196,780 
Income tax expense on adjusted income before income taxes (a)
Income tax expense on adjusted income before income taxes (a)
22,151 31,238 65,443 93,343 
Income tax expense on adjusted income before income taxes (a)
30,004 25,072 55,048 47,227 
Non-GAAP Adjusted Net IncomeNon-GAAP Adjusted Net Income$78,535 $88,908 $232,023 $265,668 Non-GAAP Adjusted Net Income$90,011 $79,394 $165,145 $149,553 
Reconciliation of denominator for earnings per share attributable to stockholders to Non-GAAP Adjusted Earnings per ShareReconciliation of denominator for earnings per share attributable to stockholders to Non-GAAP Adjusted Earnings per ShareReconciliation of denominator for earnings per share attributable to stockholders to Non-GAAP Adjusted Earnings per Share
Weighted Average:Weighted Average:Weighted Average:
Basic weighted average shares outstandingBasic weighted average shares outstanding122,254 69,451 114,596 65,582 Basic weighted average shares outstanding121,181 122,127 122,063 110,851 
Dilutive securitiesDilutive securities862 645 769 662 Dilutive securities1,292 792 1,460 722 
Class B shares outstanding (b)
— 52,374 — 57,786 
Weighted average shares outstanding - dilutedWeighted average shares outstanding - diluted123,116 122,470 115,365 124,030 Weighted average shares outstanding - diluted122,473 122,919 123,523 111,573 
Dilutive securities— — — — 
Class B shares outstanding (b)
Class B shares outstanding (b)
— — 7,511 — 
Class B shares outstanding (b)
— — — 11,185 
Non-GAAP weighted average shares outstanding - dilutedNon-GAAP weighted average shares outstanding - diluted123,116 122,470 122,876 124,030 Non-GAAP weighted average shares outstanding - diluted122,473 122,919 123,523 122,758 

(a)Reflects income tax expense at an estimated effective income tax rate of 22%25% of non-GAAP adjusted net income before income taxes for the three and ninesix months ended MarchDecember 31, 2021 and 26%24% of non-GAAP adjusted net income before income taxes for the three and ninesix months ended MarchDecember 31, 2020.
(b)For the ninesix months ended MarchDecember 31, 2021,2020, the effect of 7.511.2 million Class B commons werecommon shares was excluded from the GAAP diluted weighted average shares outstanding as they had an anti-dilutive effect. Oneffect and on a non-GAAP basis, the effect of 7.511.2 million Class B common unitsshares was included in the non-GAAP diluted weighted average shares outstanding.

4636


The following table provides the reconciliation of earnings per share attributable to stockholders to Non-GAAP Adjusted Earnings per Share for the periods presented. Refer to “Our Use of Non-GAAP Financial Measures” for further information regarding items excluded in our calculation of Non-GAAP Adjusted Earnings per Share.
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
20212020202120202021202020212020
Earnings per share attributable to stockholdersEarnings per share attributable to stockholders$0.40 $4.91 $2.05 $9.47 Earnings per share attributable to stockholders$0.62 $0.36 $1.62 $1.47 
Adjustment of redeemable limited partners’ capital to redemption amountAdjustment of redeemable limited partners’ capital to redemption amount— (4.36)0.23 (7.88)Adjustment of redeemable limited partners’ capital to redemption amount— — — 0.24 
Net income attributable to non-controlling interestNet income attributable to non-controlling interest0.03 0.50 0.14 2.02 Net income attributable to non-controlling interest0.01 0.01 0.01 0.12 
Income from discontinued operations, net of tax— — — (0.02)
Income tax expense (benefit)Income tax expense (benefit)0.11 0.06 (0.77)1.19 Income tax expense (benefit)0.05 0.14 0.21 (0.71)
Amortization of purchased intangible assetsAmortization of purchased intangible assets0.09 0.20 0.30 0.59 Amortization of purchased intangible assets0.09 0.08 0.18 0.21 
Stock-based compensationStock-based compensation0.11 0.11 0.24 0.30 Stock-based compensation0.13 0.06 0.20 0.13 
Acquisition and disposition related expensesAcquisition and disposition related expenses0.03 0.10 0.13 0.25 Acquisition and disposition related expenses0.03 0.06 0.06 0.10 
Remeasurement of tax receivable agreement liabilities— (0.01)— (0.37)
Loss (gain) on FFF put and call rights0.04 0.20 0.19 (0.13)
Loss (gain) on FFF Put and Call RightsLoss (gain) on FFF Put and Call Rights— 0.12 (0.53)0.15 
Other expense, netOther expense, net0.02 0.01 0.09 0.05 Other expense, net0.06 0.02 0.06 0.07 
Impact of corporation taxes (a)
Impact of corporation taxes (a)
(0.19)(0.45)(0.57)(1.42)
Impact of corporation taxes (a)
(0.25)(0.20)(0.45)(0.43)
Impact of dilutive shares (b)
Impact of dilutive shares (b)
— (0.54)(0.14)(1.91)
Impact of dilutive shares (b)
(0.01)— (0.02)(0.13)
Non-GAAP Adjusted Earnings Per ShareNon-GAAP Adjusted Earnings Per Share$0.64 $0.73 $1.89 $2.14 Non-GAAP Adjusted Earnings Per Share$0.73 $0.65 $1.34 $1.22 

(a)Reflects income tax expense at an estimated effective income tax rate of 22%25% ofnon-GAAP adjusted net income before income taxes for the three and ninesix months ended MarchDecember 31, 2021 and 26%24% of non-GAAP adjusted net income before income taxes for the three and ninesix months ended MarchDecember 31, 2020.
(b)Reflects impact of dilutive shares on a non-GAAP basis, primarily attributable to the assumed conversion of allthe weighted average outstanding Class B common units for the six months ended December 31, 2020 for Class A common stock.
Consolidated Results - Comparison of the Three Months Ended MarchDecember 31, 2021 to 2020
Net Revenue
Net revenue increased by $135.1 million during the three months ended March 31, 2021 compared to the three months ended March 31, 2020, primarily due to an increase of $154.8 million in product revenue and an increase of $7.8 million in other services and support revenue, partially offset by a decrease of $27.5 million in net administrative fees revenue. The variances in the material factors contributing to the changes in the consolidated net revenueresults are discussed further in “Segment Results” below.
Cost ofNet Revenue
Cost ofNet revenue increaseddecreased by $155.0$43.6 million during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020, primarily due to a decrease of $67.9 million in products revenue partially offset by an increase of $5.1 million in net administrative fees revenue and an increase of $19.2 million in other services and support revenue.
Cost of Revenue
Cost of revenue decreased by $69.1 million during the three months ended December 31, 2021 compared to the three months ended December 31, 2020, primarily due to a decrease of $74.8 million in cost of products revenue partially offset by an increase of $5.7 million in cost of services revenue.
Operating Expenses
Operating expenses increased by $17.5 million during the three months ended December 31, 2021 compared to the three months ended December 31, 2020, primarily due to an increase of $157.0 million in cost of product revenue, partially offset by a decrease of $2.0 million in cost of services revenue. The variances in the material factors contributing to the changes in consolidated cost of revenue are discussed further in “Segment Results” below.
Operating Expenses
Operating expenses increased by $15.7 million during the three months ended March 31, 2021 compared to the three months ended March 31, 2020, primarily due to an increase of $19.2$16.8 million in selling, general and administrative expenses. The variancesexpenses and an increase of $0.6 million in the material factors contributing to the changes in consolidated operating expenses are discussed further in “Segment Results” below.amortization of purchased intangible assets.
Other Income, Net
Other income, net increased by $23.1$14.0 million during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020, primarily due to a decrease in the loss on the FFF put and call rightsPut Right in the prior year period. There was no gain or loss on the FFF Put Right recognized in the current period as a result of the termination and corresponding derecognition of the FFF Put Right liability on July 29, 2021 (see Note 65 - Fair Value Measurements to the accompanying condensed consolidated financial statements for further information) and the other than temporary impairment charges associated with held-to-maturity investments in the prior year period..
Income Tax Expense
For the three months ended MarchDecember 31, 2021, we recorded tax expense of $13.4$6.4 million compared to tax expense of $4.2$16.7 million recorded during the three months ended MarchDecember 31, 2020. The tax expense recorded during the three months ended MarchDecember 31, 2021 and 2020 resulted in effective tax rates of 7.6% and 27.1%, respectively. The change in the effective tax
4737


2021 and 2020 results in effective tax rates of 21% and 5%, respectively. The increase in the effective tax rate is largely driven byattributable to the prior year impact of the income tax benefit associated with the NOL carryback provisions under the CARES ActSubsidiary Reorganization. (See Note 1 - Organization and the associated release of the valuation allowance in March 2020. See Note 1413 - Income Taxes to the accompanying condensed consolidated financial statements for more information.)
Net Income Attributable to Non-Controlling Interest
Net income attributable to non-controlling interest decreasedincreased by $32.0$0.8 million during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020, primarily due to the Merger, whereby net income attributable to non-controlling interestan increase in Premier LP was not recorded after the Merger date of August 11, 2020. As of March 31, 2021, we owned a 99.999% controlling general partner interest and a 0.001% limited partnership interest in Premier GP. At June 30, 2020, the portion of net income attributable to the limited partners of Premier LP was 41%.
Partially offsetting the decrease was the addition of non-controlling interest for the portion of net income attributable toin PRAM, DPHDePre and HDP, which was 74%, 79% and 3%, respectively.ExPre.
Adjusted EBITDA
Adjusted EBITDA, a Non-GAAP financial measure as defined in “Our Use of Non-GAAP Financial Measures”, decreasedincreased by $34.7$17.2 million during the three months ended MarchDecember 31, 2021, compared to the three months ended MarchDecember 31, 2020. The increase was driven by increases of $15.4 million and $2.4 million in Supply Chain Services and Performance Services Adjusted EBITDA, respectively, partially offset by a decrease of $0.6 million in Corporate Adjusted EBITDA.
Consolidated Results - Comparison of the Six Months Ended December 31, 2021 to 2020
The variances in the material factors contributing to the changes in the consolidated Non-GAAP Adjusted EBITDAresults are discussed further in “Segment Results” below.
Consolidated Results - Comparison of the Nine Months Ended March 31, 2021 to 2020
Net Revenue
Net revenue increaseddecreased by $282.8$25.3 million during the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020, primarily due to decrease of $64.9 million in products revenue partially offset by an increase of $21.9 million in net administrative fees revenue and an increase of $17.7 million in other services and support revenue.
Cost of Revenue
Cost of revenue decreased by $68.1 million during the six months ended December 31, 2021 compared to the six months ended December 31, 2020, primarily due to a decrease of $78.9 million in cost of products revenue partially offset by an increase of $10.7 million in cost of services revenue.
Operating Expenses
Operating expenses increased by $19.5 million during the six months ended December 31, 2021 compared to the six months ended December 31, 2020, primarily due to an increase of $343.7$20.7 million in product revenueselling, general and an increase of $33.1 million in other services and support revenue,administrative expenses partially offset by a decrease of $94.0$1.8 million in net administrative fees revenue. The variances in the material factors contributing to the changes in consolidated net revenue are discussed further in “Segment Results” below.
Costamortization of Revenue
Cost of revenue increased by $327.8 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020, primarily due to an increase of $345.9 million in cost of product revenue, partially offset by a decrease of $18.1 million in cost of services revenue. The variances in the material factors contributing to the changes in consolidated cost of revenue are discussed further in “Segment Results” below.
Operating Expenses
Operating expenses increased by $68.3 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020, primarily due to an increase of $73.1 million in selling, general and administrative expenses. The variances in the material factors contributing to the changes in consolidated operating expenses are discussed further in “Segment Results” below.purchased intangible assets.
Other Income, Net
Other income, net decreasedincreased by $11.8$76.6 million during the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020, primarily due to the current period gain on the FFF Put Right as a result of the termination and corresponding derecognition of the FFF Put Right liability on July 29, 2021 compared to a loss on the FFF put and call rights in the current period compared to the gain on the FFF put and call rightsPut Right recognized in the prior year period (see Note 65 - Fair Value Measurements to the accompanying condensed consolidated financial statements for further information) as well as an increase in equity in net income of unconsolidated affiliates (see Note 4 - Investments to the accompanying condensed consolidated financial statements for further information). The increases were partially offset by an increasea decrease in deferred compensation plan income and the other than temporary impairment charges associated with held-to-maturity investments in the prior year period.income.
Income Tax Expense (Benefit) Expense
For the ninesix months ended MarchDecember 31, 2021, we recorded a tax benefitexpense of $88.0$25.4 million compared to a tax expensebenefit of $78.3 million recorded during the ninesix months ended MarchDecember 31, 2020. The tax benefitexpense and expensebenefit recorded during the ninesix months ended MarchDecember 31, 2021 and 2020 resultsresulted in effective tax rates of (47)%11.3% and 25%(63.1)%, respectively. The change in the effective tax rate is primarily attributable to the prior year one-time deferred tax benefit associated with the remeasurement of the deferred tax asset and valuation allowance release as a result of the Merger. SeeAugust 2020 Restructuring. (See Note 1413 - Income Taxes to the accompanying condensed consolidated financial statements for more information.
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)
Net Income Attributable to Non-Controlling Interest
Net income attributable to non-controlling interest decreased by $116.8$11.8 million during the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020, primarily due to the Merger,August 2020 Restructuring, whereby net income attributable to non-controlling interest in Premier LP was not recorded after the Merger date of August 11, 2020.
Partially offsetting the decrease was the addition of non-controlling interest for the portion of net income attributable to PRAM, DPH and HDP, which was 74%, 79% and 3%, respectively.
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Adjusted EBITDA
Adjusted EBITDA, a Non-GAAP financial measure decreasedas defined in “Our Use of Non-GAAP Financial Measures”, increased by $87.8$28.2 million during the ninethree months ended MarchDecember 31, 2021, compared to the ninesix months ended MarchDecember 31, 2020. The variances2020 driven by an increase of $42.0 million in the material factors contributing to the changes in consolidated Non-GAAPSupply Chain Services Adjusted EBITDA are discussed furtherpartially offset by decreases of $11.0 million and $2.8 million in “Segment Results” below.
Performance Services and Corporate Adjusted EBITDA, respectively.
Segment Results
Supply Chain Services
The following table presents our results of operations and Adjusted EBITDA, a Non-GAAP financial measure, in the Supply Chain Services segment for the periods presented (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
Supply Chain ServicesSupply Chain Services20212020Change20212020ChangeSupply Chain Services20212020Change20212020Change
Net revenue:Net revenue:Net revenue:
Net administrative feesNet administrative fees$146,553 $174,049 $(27,496)(16)%$424,537 $518,566 $(94,029)(18)%Net administrative fees$150,403 $145,339 $5,064 3%$299,865 $277,984 $21,881 %
Other services and supportOther services and support8,630 3,396 5,234 154%18,307 8,439 9,868 117 %Other services and support9,326 4,086 5,240 128%18,251 9,677 8,574 89 %
ServicesServices155,183 177,445 (22,262)(13)%442,844 527,005 (84,161)(16)%Services159,729 149,425 10,304 7%318,116 287,661 30,455 11 %
ProductsProducts215,995 61,183 154,812 253%511,080 167,344 343,736 205 %Products111,766 179,670 (67,904)(38)%230,196 295,085 (64,889)(22)%
Net revenueNet revenue371,178 238,628 132,550 56%953,924 694,349 259,575 37 %Net revenue271,495 329,095 (57,600)(18)%548,312 582,746 (34,434)(6)%
Cost of revenue:Cost of revenue:Cost of revenue:
ServicesServices1,120 123 997 nm2,627 278 2,349 845 %Services3,267 774 2,493 322%6,638 1,508 5,130 340 %
ProductsProducts211,136 54,121 157,015 290%496,286 150,415 345,871 230 %Products96,933 171,722 (74,789)(44)%206,295 285,150 (78,855)(28)%
Cost of revenueCost of revenue212,256 54,244 158,012 291%498,913 150,693 348,220 231 %Cost of revenue100,200 172,496 (72,296)(42)%212,933 286,658 (73,725)(26)%
Gross profitGross profit158,922 184,384 (25,462)(14)%455,011 543,656 (88,645)(16)%Gross profit171,295 156,599 14,696 9%335,379 296,088 39,291 13 %
Operating expenses:Operating expenses:Operating expenses:
Selling, general and administrativeSelling, general and administrative49,714 45,512 4,202 9%144,511 119,179 25,332 21 %Selling, general and administrative48,454 50,372 (1,918)(4)%96,498 94,796 1,702 %
Research and developmentResearch and development72 — 72 —%199 193 — %Research and development72 109 (37)(34)%236 127 109 86 %
Amortization of purchased intangible assetsAmortization of purchased intangible assets8,151 6,125 2,026 33%24,205 14,318 9,887 69 %Amortization of purchased intangible assets8,116 8,055 61 1%16,252 16,054 198 %
Operating expensesOperating expenses57,937 51,637 6,300 12%168,915 133,503 35,412 27 %Operating expenses56,642 58,536 (1,894)(3)%112,986 110,977 2,009 2 %
Operating incomeOperating income100,985 132,747 (31,762)(24)%$286,096 $410,153 $(124,057)(30)%Operating income114,653 98,063 16,590 17%222,393 185,111 37,282 20 %
Depreciation and amortizationDepreciation and amortization1,238 771 3,403 2,274 Depreciation and amortization5,336 1,363 10,344 2,165 
Amortization of purchased intangible assetsAmortization of purchased intangible assets8,151 6,125 24,205 14,318 Amortization of purchased intangible assets8,116 8,054 16,252 16,054 
Acquisition and disposition related expensesAcquisition and disposition related expenses2,053 4,871 9,684 9,204 Acquisition and disposition related expenses56 6,747 1,608 7,632 
Equity in net income of unconsolidated affiliatesEquity in net income of unconsolidated affiliates5,319 4,431 15,907 10,865 Equity in net income of unconsolidated affiliates6,116 4,697 12,946 10,588 
Other expenseOther expense203 267 243 267 Other expense15 40 
Segment Adjusted EBITDASegment Adjusted EBITDA$117,949 $149,212 $(31,263)(21)%$339,538 $447,081 $(107,543)(24)%Segment Adjusted EBITDA$134,280 $118,939 $15,341 13%$263,549 $221,590 $41,959 19 %
Comparison of the Three Months Ended MarchDecember 31, 2021 to 2020
Net Revenue
Supply Chain Services segment net revenue increaseddecreased by $132.6$57.6 million, or 56%18%, during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 20202020. The decrease in net revenue was primarily due to a decrease in products revenue of $67.9 million driven by lower demand for and pricing of personal protective equipment (“PPE”) and other high demand supplies as a result of the state of the COVID-19 pandemic partially offset by growth in commodity products under our PREMIERPRO® brand. As the COVID-19 pandemic subsides or becomes more manageable, we expect further stabilization of the market for some of these products and, accordingly, a decrease in period over period products revenue growth rates.
The decrease in net revenue was partially offset by an increase in net administrative fees of $5.1 million driven by an increase in the demand for supplies and services, increased utilization of our contracts by our existing members and the addition of new
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categories and suppliers. In addition, the decrease was partially offset by an increase of $5.2 million in other services and support revenue largely due to an increase in productsupply chain co-management fees.
Cost of Revenue
Supply Chain Services segment cost of revenue of $154.8decreased by $72.3 million that wasduring the three months ended December 31, 2021 compared to the three months ended December 31, 2020 primarily driven by growththe aforementioned decrease in commodity products and aggregated purchasing of certain productsrevenue due to the prior year increase in demand as well as fluctuations in product costs. This was partially offset by an increase in cost of services revenue due to the aggregated purchasingaforementioned increase in other services and support revenue and rapidly escalating shipping costs. As the COVID-19 pandemic subsides or becomes more manageable, we expect further stabilization of the market for some of these products and, accordingly, a decrease in period over period cost of products revenue.
Operating Expenses
Supply Chain Services segment operating expenses decreased by $1.9 million during the three months ended December 31, 2021 compared to the three months ended December 31, 2020. The decrease was primarily due to a decrease of $1.9 million in selling, general and administrative expenses driven by a decrease in acquisition and disposition related expenses partially offset by an increase in personnel costs and depreciation and amortization expense.
Segment Adjusted EBITDA
Supply Chain Services Segment Adjusted EBITDA increased by $15.3 million, or 13%, during the three months ended December 31, 2021 compared to the three months ended December 31, 2020, primarily due to the aforementioned increase in net administrative fees revenue and favorable product mix in our direct sourcing activities business.
Comparison of the Six Months Ended December 31, 2021 to 2020
Net Revenue
Supply Chain Services segment net revenue decreased by $34.4 million, or 6%, during the six months ended December 31, 2021 compared to the six months ended December 31, 2020. The decrease in net revenue was primarily due to a decrease in products revenue of $64.9 million driven by lower demand for and pricing of PPE and other high demand supplies as a result of the COVID-19 pandemic. The increase in Supply Chain
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Services segment net revenue is also due to a $5.2 million increased supply chain co-management fees as a resultstate of the asset acquisition of Nexera.
These increases wereCOVID-19 pandemic partially offset by growth in commodity products under our PREMIERPRO® brand. As the COVID-19 pandemic subsides or becomes more manageable, we expect further stabilization of the market for some of these products and, accordingly, a decrease in period over period products revenue growth rates.
The decrease was partially offset by an increase in net administrative fees of $27.5$21.9 million as a result of amendments to GPO Participation Agreements, effective as of July 1, 2020, lower utilization of GPO contracts and the related declinedriven by an increase in the demand for supplies and services, as a resultincreased utilization of COVID-19our contracts by our existing members and amortization of the prepaid contract administrative fee share for one-time rebates paid by Acurity, Inc. to certain of its then members, as agreed to by Acurity, Inc. prior to entering into the Purchase Agreement (“Acurity prepaid contract administrative fee share”). These decreases in net administrative fees were partially offset by growth from further penetration of member purchased services, the addition of new categories and supplierssuppliers. In addition, the decrease was partially offset by an increase of $8.6 million in other services and the addition of new memberssupport revenue due to our contract portfolio.an increase in supply chain co-management fees.
Cost of Revenue
Supply Chain Services segment cost of revenue increaseddecreased by $158.0$73.7 million during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended MarchDecember 31, 2020. The2020 primarily driven by the decrease in products revenue due to the prior year increase in cost of revenue, drivendemand partially offset by the aforementioned increase in product revenue, was greater thanother services and support revenue. As the increase in product revenue of $154.8 million primarily due to product costs in excessCOVID-19 pandemic subsides or becomes more manageable, we expect further stabilization of the selling price that we incurred asmarket for some of these products and, accordingly, a resultdecrease in period over period cost of COVID-19.products revenue.
Operating Expenses
Supply Chain Services segment operating expenses increased by $6.3$2.0 million during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended MarchDecember 31, 2020. The increase was2020 primarily due to an increase in selling, general and administrative expenses of $4.2$1.7 million driven by an increase in expenses associated with our fiscal year 2020 acquisition of Medpricerdepreciation and the Acurity and Nexera asset acquisitionamortization expense. The increases were partially offset by a decrease in employee travelacquisition and meeting expenses due to COVID-19. In addition, operating expenses increased by $2.0 million as a result of increased amortization of purchased intangible assetsdisposition related to the fiscal year 2020 acquisitions.expenses.
Segment Adjusted EBITDA
Supply Chain Services Segment Adjusted EBITDA decreasedincreased by $31.3$42.0 million, or 19%, during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended March 31, 2020, primarily due to the aforementioned decrease in net administrative fees and the increase in selling, general and administrative expenses largely due to our fiscal year 2020 acquisitions.
Comparison of the Nine Months Ended March 31, 2021 to 2020
Net Revenue
Supply Chain Services segment net revenue increased by $259.6 million, or 37%, during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020 largely driven by an increase in product revenue of $343.7 million due primarily to the aggregated purchasing of PPE as a result of COVID-19 and growth in commodity products and aggregated purchasing of certain products. Supply Chain Services segment revenue also increased by $9.9 million due to supply chain co-management fees as a result of the asset acquisition of Nexera.
There has been a significant increase in demand for PPE and other supplies directly related to treating and preventing the spread of COVID-19, as well as replenishing and maintaining certain inventory levels, that has contributed significantly to the increase in product revenue. To the extent the COVID-19 pandemic subsides or becomes more manageable, we expect the market for these high demand products to stabilize and, accordingly, we anticipate product revenue growth rates to correspondingly decrease.
These increases were partially offset by a decrease in net administrative fees of $94.0 million primarily as a result of amendments to GPO Participation Agreements, effective as of July 1, 2020, lower utilization of GPO contracts and the related decline in the demand for supplies and services as a result of COVID-19 and amortization of the Acurity prepaid contract administrative fee share. These decreases in net administrative fees were partially offset by further penetration of member purchased services and the addition of new categories and suppliers.
We anticipate lower net administrative fees for the remainder of fiscal year 2021 due to amendments to GPO Participation Agreements and the ongoing impact from COVID-19. However, once the COVID-19 pandemic subsides and we move into fiscal year 2022, we expect our net administrative fees revenue to grow to the extent our existing members increase the utilization of our contracts and new members convert to our contract portfolio. Due to competitive market trends, we have experienced, and expect to continue to experience, requests, at times, to provide existing and prospective members and other
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customers increases in revenue share on incremental or overall purchasing volume that could, if materially increased, adversely impact our revenues and overall financial performance.
Cost of Revenue
Supply Chain Services segment cost of revenue increased by $348.2 million during the nine months ended March 31, 2021 compared to the nine months ended MarchDecember 31, 2020, primarily due to the aforementioned increase in product revenue as well as higher costs for products that we incurred as a result of COVID-19. As a result of the COVID-19 pandemic, we expect higher costs in fiscal year 2021 due to increased demand in PPE. To the extent the COVID-19 pandemic subsides or becomes more manageable, we expect the market for these high demand products to stabilize and, accordingly, we anticipate our product costs to correspondingly decrease. However, once the COVID-19 pandemic subsides, we expect our cost of non-COVID-19-related product revenue to increase to the extent we are able to sell additional direct-sourced medical products to new and existing members and other customers. Depending on the underlying product sales mix in the future, increases in product revenues could reduce our gross profit as a percentage of our net revenue.
Operating Expenses
Supply Chain Services segment operating expenses increased by $35.4 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020. The increase was primarily due to an increase in selling, general and administrative expenses of $25.3 million driven by an increase in expenses associated with our fiscal year 2020 acquisition of Medpricer and the Acurity and Nexera asset acquisition partially offset by a decrease in employee travel and meeting expenses due to the COVID-19 pandemic. In addition, operating expenses increased by $9.9 million as a result of increased amortization of purchased intangible assets related to the fiscal year 2020 acquisitions.
Segment Adjusted EBITDA
Supply Chain Services Segment Adjusted EBITDA decreased by $107.5 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020, primarily due to the aforementioned decrease in net administrative fees revenue and the increasefavorable product mix in selling, general and administrative expenses largely due to our fiscal year 2020 acquisitions.direct sourcing activities business.

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Performance Services
The following table presents our results of operations and Adjusted EBITDA in the Performance Services segment for the periods presented (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,
Performance Services20212020Change20212020Change
Net revenue:
Other services and support$98,745 $96,195 $2,550 3%$285,713 $262,490 $23,223 9%
Net revenue98,745 96,195 2,550 3%285,713 262,490 23,223 9%
Cost of revenue:
Services45,860 48,884 (3,024)(6)%123,225 143,687 (20,462)(14)%
Cost of revenue45,860 48,884 (3,024)(6)%123,225 143,687 (20,462)(14)%
Gross profit52,885 47,311 5,574 12%162,488 118,803 43,685 37%
Operating expenses:
Selling, general and administrative34,517 37,586 (3,069)(8)%102,488 106,522 (4,034)(4)%
Research and development643 628 15 2%1,814 1,797 17 1%
Amortization of purchased intangible assets2,249 7,841 (5,592)(71)%9,659 24,630 (14,971)(61)%
Operating expenses37,409 46,055 (8,646)(19)%113,961 132,949 (18,988)(14)%
Operating income (loss)15,476 1,256 14,220 nm$48,527 $(14,146)$62,673 nm
Depreciation and amortization15,947 23,109 46,104 67,232 
Amortization of purchased intangible assets2,249 7,841 9,659 24,630 
Acquisition related expenses2,073 2,416 5,205 7,059 
Equity in net income of unconsolidated affiliates205 11 116 173 
Other expense— 64 29 
Segment Adjusted EBITDA$35,950 $34,634 $1,316 4%$109,675 $84,977 $24,698 29%
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Three Months Ended December 31,Six Months Ended December 31,
Performance Services20212020Change20212020Change
Net revenue:
Other services and support$107,729 $93,732 $13,997 15%$196,059 $186,968 $9,091 5%
Net revenue107,729 93,732 13,997 15%196,059 186,968 9,091 5%
Cost of revenue:
Services42,515 39,348 3,167 8%82,953 77,364 5,589 7%
Cost of revenue42,515 39,348 3,167 8%82,953 77,364 5,589 7%
Gross profit65,214 54,384 10,830 20%113,106 109,604 3,502 3%
Operating expenses:
Selling, general and administrative42,462 33,813 8,649 26%81,263 67,972 13,291 20%
Research and development774 613 161 26%1,604 1,171 433 37%
Amortization of purchased intangible assets2,734 2,205 529 24%5,487 7,410 (1,923)(26)%
Operating expenses45,970 36,631 9,339 25%88,354 76,553 11,801 15%
Operating income19,244 17,753 1,491 8%24,752 33,051 (8,299)(25)%
Depreciation and amortization13,342 15,604 26,699 30,157 
Amortization of purchased intangible assets2,734 2,206 5,487 7,410 
Acquisition related expenses3,690 1,171 5,559 3,131 
Equity in net income of unconsolidated affiliates— (125)228 (89)
Other expense— — — 64 
Segment Adjusted EBITDA$39,010 $36,609 $2,401 7%$62,725 $73,724 $(10,999)(15)%
Comparison of the Three Months Ended MarchDecember 31, 2021 to 2020
Net Revenue
Net revenue in our Performance Services segment increased by $2.6$14.0 million, or 15%, during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020. The increase was primarily driven by higher revenue associated with enterprise analytics license agreements executed during the current period as compared to the prior year period, incremental revenue from our Remitra business and growth in our Contigo Health business.
Cost of Revenue
Performance Services segment cost of revenue increased by $3.2 million during the three months ended December 31, 2021 compared to the three months ended December 31, 2020, primarily due to an increase in personnel costs related to growth in our Contigo Health business and incremental expenses associated with our Remitra business.
Operating Expenses
Performance Services segment operating expenses increased by $9.3 million during the three months ended December 31, 2021 compared to the three months ended December 31, 2020. The increase was primarily due to an increase of $8.6 million in selling, general and administrative expenses driven by an increase in professional fees and a decrease in capitalized labor costs as well as an increase of $0.5 million in amortization of purchased intangible assets.
Segment Adjusted EBITDA
Performance Services Segment Adjusted EBITDA increased by $2.4 million, or 7%, during the three months ended December 31, 2021 compared to the three months ended December 31, 2020 primarily due to the aforementioned increase in revenue partially offset by the aforementioned increases in cost of revenue and operating expenses.
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Comparison of the Six Months Ended December 31, 2021 to 2020
Net Revenue
Net revenue in our Performance Services segment increased by $9.1 million, or 5%, during the six months ended December 31, 2021 compared to the six months ended December 31, 2020. The increase was primarily driven by incremental revenue associated withfrom our acquisition of HDP in May 2020, growth in life sciencesRemitra business, and growth in the cost management and consulting services. This increase was partially offset by a reduction in the technology businesses due to lowerhigher revenue associated with enterprise analytics license agreements executed during the current period as compared to the prior year period and lower revenue as a result of the planned reduction and subsequent discontinuance of the Hospital Improvement Innovation Network (“HIIN”) contractgrowth in March 2020.our Contigo Health business.
Cost of Revenue
Performance Services segment cost of revenue decreasedincreased by $3.0$5.6 million during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended MarchDecember 31, 2020, primarily due to a decreasean increase in amortization of internally developed software applications, lower consulting expenses duepersonnel costs related to decreased utilization of third-party contractorsgrowth in our Contigo Health business and lower expenses as a result of the planned reduction and subsequent discontinuance of the HIIN contract in March 2020. These decreases were partially offset by incremental expenses associated with the HDP acquisition.our Remitra business.
Operating Expenses
Performance Services segment operating expenses decreasedincreased by $8.6$11.8 million during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended MarchDecember 31, 20202020. The increase was primarily due to $5.6an increase of $13.3 million in selling, general and administrative expenses driven by an increase in professional fees as well as a decrease in capitalized labor costs. The increase was partially offset by $1.9 million of lower amortization of purchased intangible assets during the current period and decreased selling, general and administrative expenses of $3.1 million. The decrease in selling, general and administrative expenses was driven by a decrease in amortization of internally developed software applications and a decrease in employee travel and meeting expenses as a result of the COVID-19 pandemic.assets.
Segment Adjusted EBITDA
Performance Services Segment Adjusted EBITDA increaseddecreased by $1.3$11.0 million, or 15%, during the threesix months ended MarchDecember 31, 2021 compared to the threesix months ended MarchDecember 31, 2020 primarily due to the aforementioned increaseincreases in cost of revenue and lower employee travel and meetingoperating expenses due to the COVID-19 pandemic offset by incremental expenses associated with the HDP acquisition.
Comparison of the Nine Months Ended March 31, 2021 to 2020
Net Revenue
Other services and support revenue in our Performance Services segment increased by $23.2 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020. The increase was primarily driven by growth across the technology businesses, including new enterprise analytics license agreements, as well as incremental revenue associated with our fiscal year 2020 acquisition of HDP. These increases were partially offset by lower demand in consulting services as a result of the COVID-19 pandemic and lower revenue as a result of the planned reduction and subsequent discontinuance of the HIIN contract in March 2020.
We expect our other services and support revenue to grow over the long-term to the extent we are able to expand our sales to existing members and as additional members and other customers, employer, payor and life sciences markets, begin to utilize our integrated platform of products and services.
Cost of Revenue
Performance Services segment cost of revenue decreased by $20.5 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020, primarily due to a decrease in amortization of internally developed software applications, lower consulting expenses due to decreased utilization of third-party contractors and lower expenses as a result of the planned reduction and subsequent discontinuance of the HIIN contract in March 2020. These decreases were partially offset by incremental expenses associated with the HDP acquisition.
Operating Expenses
Performance Services segment operating expenses decreased by $19.0 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020. The decrease was primarily due to a reduction in amortization of
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purchased intangible assets of $15.0 million and a decrease in selling, general and administrative expenses of $4.0 million driven by a decrease in employee travel and meeting expenses due to COVID-19 and a decrease in amortization of internally developed software applications partially offset by an increase in expenses associated with the HDP acquisition.
Segment Adjusted EBITDA
Performance Services Segment Adjusted EBITDA increased by $24.7 million during the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020 primarily due to the aforementioned increase in revenue and decrease in selling, general and administrative expenses offset by incremental expenses associated with the HDP acquisition.revenue.
Corporate
The following table presents corporate expenses and Adjusted EBITDA for the periods presented (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended December 31,Six Months Ended December 31,
CorporateCorporate20212020Change20212020ChangeCorporate20212020Change20212020Change
Operating expenses:Operating expenses:Operating expenses:
Selling, general and administrativeSelling, general and administrative$50,271 $32,191 $18,080 56%$141,454 $89,610 $51,844 58%Selling, general and administrative$55,933 $45,812 $10,121 22%$96,902 $91,183 $5,719 6%
Research and development— — — nm— (5)nm
Operating expensesOperating expenses50,271 32,191 18,080 56%141,454 89,615 51,839 58%Operating expenses55,933 45,812 10,121 22%96,902 91,183 5,719 6%
Operating lossOperating loss(50,271)(32,191)(18,080)56%(141,454)(89,615)(51,839)58%Operating loss(55,933)(45,812)(10,121)22%(96,902)(91,183)(5,719)6%
Depreciation and amortizationDepreciation and amortization2,152 1,897 6,397 6,184 Depreciation and amortization2,192 2,126 4,423 4,245 
Stock-based compensationStock-based compensation13,180 7,668 27,970 19,358 Stock-based compensation16,330 7,415 24,081 14,790 
Remeasurement of tax receivable agreement liabilities— (902)— (24,584)
Deferred compensation plan incomeDeferred compensation plan income1,521 (5,476)9,231 (2,484)Deferred compensation plan income2,389 4,803 2,071 7,710 
Other income726 1,047 5,411 3,633 
Other expense, netOther expense, net3,748 738 3,772 4,685 
Adjusted EBITDAAdjusted EBITDA$(32,692)$(27,957)$(4,735)17%$(92,445)$(87,508)$(4,937)6%Adjusted EBITDA$(31,274)$(30,730)$(544)(2)%$(62,555)$(59,753)$(2,802)(5)%
Comparison of the Three Months Ended MarchDecember 31, 2021 to 2020
Operating Expenses
Corporate operating expenses increased by $18.1$10.1 million during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020, primarily due to an increase in deferredstock-based compensation plan expense due to market changes and incremental personnel costshigher achievement of performance share awards, an increase in professional fees related to the fiscal year 2020 acquisitions. These increases to operatingstrategic and financial restructuring expenses were partially offset by a decreasein support of growth and strategic initiatives, and an increase in employee travel and meeting expenses as travel and meeting limitations due to the COVID-19 pandemic.pandemic began to subside.
Adjusted EBITDA
Adjusted EBITDA decreased by $4.7$0.5 million, or 2%, during the three months ended MarchDecember 31, 2021 compared to the three months ended MarchDecember 31, 2020, primarily due to incremental personnel costs related to the fiscal year 2020 acquisitions offset by a decreasean increase in employee-related expenses, including employee travel and meeting expenses due to the COVID-19 pandemic.expenses.
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Comparison of the NineSix Months Ended MarchDecember 31, 2021 to 2020
Operating Expenses
Corporate operating expenses increased by $51.8$5.7 million during the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020, primarily due to the prior period net remeasurement of the TRA as a result of the changeincreases in North Carolina state income tax law, costs incurred in connection with our August 2020 restructuring, incremental personnel costs related to the fiscal year 2020 acquisitions and an increase in deferredstock-based compensation plan expense due to market changes. These increases to operatinghigher achievement of performance share awards and employee-related expenses, were partially offset by a decrease inincluding employee travel and meeting expenses as travel and meeting limitations due to the COVID-19 pandemic.pandemic began to subside.
Adjusted EBITDA
Adjusted EBITDA decreased by $4.9$2.8 million, or 5%, during the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020, primarily due to incremental personnel costs related to the fiscal year 2020 acquisitions offset by a decreasean increase in professional fees and employee-related expenses, including employee travel and meeting expenses due to the COVID-19 pandemic.expenses.
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Off-Balance Sheet Arrangements
As of MarchDecember 31, 2021, we did not have any off-balance sheet arrangements.
Liquidity and Capital Resources
Our principal source of cash has primarily 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 defined below and Note 8 - Debt and Notes Payable to the accompanying condensed consolidated financial statements for more information) as a source of liquidity. Our primary cash requirements involve operating expenses, working capital fluctuations, revenue share obligations, tax payments, capital expenditures, dividend payments on our Class A common stock, if and when declared, repurchases of Class A common stock pursuant to stock repurchase programs in place from time to time, acquisitions and related business investments, and general corporate activities. Our capital expenditures typically consist of internally developed software costs, software purchases and computer hardware purchases.
As of MarchDecember 31, 2021 and June 30, 2020,2021, we had cash and cash equivalents of $132.6$86.2 million and $99.3$129.1 million, respectively. As of MarchDecember 31, 2021 and June 30, 2020,2021, there were $200.0$125.0 million and $75.0 million, respectively, of outstanding borrowings under theour Credit Facility. During the ninesix months ended MarchDecember 31, 2021, we borrowed $225.0$175.0 million and repaid $100.0$125.0 million of borrowings under theour Credit Facility, which was used for other general corporate purposes. In April 2021, we repaid $75.0 million of outstanding borrowings under the Credit Facility.
We expect cash generated from operations and borrowings under our Credit Facility to provide us with adequate liquidity to fund our anticipated working capital requirements, revenue share obligations, tax payments, capital expenditures, dividend payments on our Class A common stock, if and when declared, and repurchases of Class A common stock pursuant to stock repurchase programs in place from time to time. Our capital requirements depend on numerous factors, including funding requirements for our product and service development and commercialization efforts, our information technology requirements, and the amount of cash generated by our operations. We 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. However, strategic growth initiatives will likely require the use of one or a combination of various forms of capital resources including 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.
During the second half of fiscal 2020,The COVID-19 became a global pandemic that spreadand its variants continue to create challenges throughout the United States and much of the rest of the world. The full extent to which the COVID-19 pandemic willmay impact our business, operating results, financial condition and liquidity in the future will depend on future developments that are highly uncertain and cannot be accurately predicted, including new information that may emerge concerning COVID-19 and variants thereof, the continued actions to contain it orand treat its impact, including the timing, development and deploymentsuccess of an effective vaccine,the COVID-19 vaccination program, or recurrences of COVID-19, variants thereof or similar pandemics. As discussed in Item 1A. “Risk Factors” in our 20202021 Annual Report as well as in this Quarterly Report under “Market and Industry Trends and Outlook” within Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operation, as a result of the COVID-19 pandemic and potential future pandemic outbreaks, we face significant risks including but not limited to the following:
We have experienced and may continue to experience demand uncertainty from both significantmaterial increases and decreases in demand for PPE, drugs and other productssupplies directly related to the treatmenttreating and preventing the spread of COVID-19 and any variants thereof and decreases in demand for non-COVID-19-related products.supplies and services.
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Our GPO member hospitals and non-acute care sites have experienced and continue to experience, reduced or limited access for non-patients, including our field teams, consultants and other professionals, and travel restrictions have impacted our employees'employees’ ability to travel to our members'members’ facilities.
The global supply chain has been significantlymaterially disrupted due to stay at homepersonnel shortages associated with ongoing COVID-19 rates of infection, stay-at-home orders, border closings, and rapidly escalating shipping costs.costs and material logistical delays due to port congestion.
We have and may continue to receive requests for contract modifications, payment waivers and deferrals, payment reductions or amended payment terms from our contract counterparties. Inflation in such contract prices may impact member utilization of items and services available through our GPO contracts, with uncertain impact on our net administrative fees revenue and direct sourcing revenue. In addition, several pharmacy suppliers have exercised force majeure clauses related to failure to supply clauses in their contracts with us.
The impact of the COVID-19 pandemic and any variants thereof could result in a prolonged recession or depression in the United States or globally that could harm the banking system, limit demand for all products and services and cause other seenforeseen and unforeseen events and circumstances, all of which could negatively impact us.
In response to the COVID-19 pandemic,and variants thereof, federal, state and local governments are issuing new rules, regulations, changing reimbursement eligibility rules, orders and advisories on a regular basis. These government actions can impact us, our members, other customers and suppliers.
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Discussion of Cash Flows for the NineSix Months Ended MarchDecember 31, 2021 and 2020
A summary of net cash flows follows (in thousands):
Nine Months Ended March 31,Six Months Ended December 31,
2021202020212020
Net cash provided by (used in):Net cash provided by (used in):Net cash provided by (used in):
Operating activitiesOperating activities$192,365 $248,082 Operating activities$197,527 $116,177 
Investing activitiesInvesting activities(149,291)(171,954)Investing activities(68,660)(46,883)
Financing activitiesFinancing activities(9,794)15,213 Financing activities(171,846)(59,585)
Operating activities from discontinued operations— 9,338 
Net increase in cash and cash equivalentsNet increase in cash and cash equivalents$33,280 $100,679 Net increase in cash and cash equivalents$(42,979)$9,709 
Net cash provided by operating activities decreasedincreased by $55.7$81.4 million for the nine months ended March 31, 2021 compared to the nine months ended March 31, 2020. The decrease in net cash provided by operating activities was primarily due to lower profitabilitya decrease of our Supply Chain Services segment$151.6 million in cash paid for cost of revenue. This increase was partially offset by a decrease of $43.6 million in cash received from lower net administrative fees revenue as a resultrevenues and increase of amendments to GPO Participation Agreements, effective as$34.4 million in payments of July 1, 2020, lower utilization of GPO contracts and the related decline in the demand for supplies and services as a result of the COVID-19 pandemic and amortization of the Acurity prepaid contract administrative fee share. In addition, net cash provided by operating activities was impacted by changes in our net working capital, including higher levels of inventory, primarily driven by the impact of the aggregated purchasing of PPE as a result of the COVID-19 pandemic.expenses.
Net cash used in investing activities decreasedincreased by $22.7$21.8 million for the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020. The decreaseincrease in net cash used in investing activities iswas primarily due to $26.0 million of cash paid by ExPre for an ownership interest in Exela Holdings, Inc., which was partially offset by a $15.2$2.2 million reduction in cash paid for business acquisitions and a reduction of $10.2 million in investments in unconsolidated affiliates as a result of no investments in unconsolidated affiliates in the current year. These decreases were offset by cash proceeds of $3.6 million received in the prior year from the liquidationpurchases of property and equipment in connection with our exit from specialty pharmacy operations in June 2019.equipment.
Net cash used in financing activities changedincreased by $25.0$112.3 million for the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020. The change in netNet cash used in financing activities was driven by a $100.0$173.9 million decrease in net borrowings under the Credit Facility, cash dividends payments of $69.6 million and a $25.7 million payment on the outstanding notes payable to members (see Note 9 - Debt and Notes Payable). These were offset by a decrease of $150.1 million for prior year repurchases of Class A common stock under the fiscal year 20202022 stock repurchase program, an increase of $46.9 million in payments made on notes payable and an increase in cash dividend payments of $2.7 million. The net cash used in financing activities was partially offset by an increase of $25.0 million in net borrowings under our Credit Facility, a $29.6reduction of $34.2 million reduction in distributions to limited partners of Premier LP and payments to limited partners of Premier LP related to tax receivable agreements as a result of the elimination ofboth distributions and payments were eliminated in connection with the August 2020 restructuring.Restructuring, an increase of $34.8 million in proceeds from the issuance of Class A common stock in connection with the exercise of outstanding stock options and an increase of $17.2 million in other financing activities. Other financing activities is primarily driven by proceeds from member health systems that acquired membership interests in ExPre.
Net cash provided by operating activities attributable to discontinued operations decreased by $9.3 million for the nine months ended March 31, 2021, compared to the nine months ended March 31, 2020 primarily due to payments on liabilities that were outstanding as of March 31, 2020.
Discussion of Non-GAAP Free Cash Flow for the NineSix Months Ended MarchDecember 31, 2021 and 2020
We define Non-GAAP Free Cash Flow as net cash provided by operating activities from continuing operations less distributions and TRA payments to limited partners, early termination payments to certain former limited partners that elected to execute a Unit Exchange Agreement in connection with our August 2020 Restructuring and purchases of property and equipment. Non-GAAP Free cash flowCash Flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayments. repayments under our Credit Facility.
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A summary of Non-GAAP Free Cash Flow and reconciliation to net cash provided by operating activities for the periods presented follows (in thousands):
55
Six Months Ended December 31,
20212020
Net cash provided by operating activities$197,527 $116,177 
Purchases of property and equipment(42,660)(44,864)
Early termination payments to certain former limited partners that elected to execute a Unit Exchange Agreement (a)
(47,741)— 
Distributions to limited partners of Premier LP— (9,949)
Payments to limited partners of Premier LP related to tax receivable agreements— (24,218)
Non-GAAP Free Cash Flow$107,126 $37,146 


(a)
Nine Months Ended March 31,
20212020
Net cash provided by operating activities from continuing operations (a)
$192,365 $340,228 
Purchases of property and equipment(66,911)(69,326)
Distributions to limited partners of Premier LP (b)
(9,949)(39,590)
Payments to limited partners of Premier LP related to tax receivable agreements (b)
(24,218)(17,425)
Non-GAAP Free Cash Flow$91,287 $213,887 
(a) NetEarly termination payments to certain former limited partners that elected to execute a Unit Exchange Agreement in connection with our August 2020 Restructuring are presented in our Condensed Consolidated Statements of Cash Flows under “Payments made on notes payable.” We paid $51.3 million to members including imputed interest of $3.6 million which is included in net cash provided by operating activities from continuing operations for the nine months ended March 31, 2020 excludes the impact of the Acurity prepaid contract administrative fee share, as defined above.
(b) Limited partners refers to member owners prioractivities. See Note 8 - Debt and Notes Payable to the August 2020 restructuring.accompanying condensed consolidated financial statements for further information.
Non-GAAP Free Cash Flow decreasedincreased by $122.6$70.0 million for the ninesix months ended MarchDecember 31, 2021 compared to the ninesix months ended MarchDecember 31, 2020. The decreaseincrease in Non-GAAP Free Cash Flow was primarily due todriven by the aforementioned decrease$81.4 million increase in net cash provided by operating activities which was driven by lower net administrative fees revenue as a result of amendments to GPO Participation Agreements and lower utilization of GPO contracts as a result of COVID-19 as well as changes in our net working capital, including higher levels of inventory, primarily driven by the impact of the aggregated purchasing of PPE as a result of the COVID-19 pandemic. The net cash provided by operating activities for continuing operations for the nine months ended March 31, 2020 also includes the impact of the Acurity prepaid contract administrative fee share.
In addition, the change in Non-GAAP Free Cash Flow was due to higher TRA payments during the nine months ended March 31, 2021 which include the $10.5 million that was paid to limited partners of Premier LP who did not elect to execute a Unit Exchange and Tax Receivable Acceleration Agreement in connection with the August 2020 restructuring offset by the elimination ofno distributions to limited partners of Premier LP or payments to limited partners of Premier LP related to tax receivable agreements in the six months ended December 31, 2021 as both were eliminated in connection with the August 2020 restructuring.
Restructuring. These decreases in Non-GAAP Free Cash Flowincreases were partially offset by lower distributions$47.7 million of early termination payments to certain former limited partners of Premier LP as a result ofin connection with the August 2020 restructuring.Restructuring.
See “Our Use of Non-GAAP Financial Measures” above for additional information regarding our use of Non-GAAP Free Cash Flow.
Contractual Obligations
Notes Payable to MembersFormer Limited Partners
At MarchDecember 31, 2021, we had commitments of $418.6$359.4 million net of imputed interest of $17.8 million for obligations under notes payable which represents the aggregate early termination payments dueremains to members in connection with the early termination of the TRA. Notes payable to members will be paid without interest in 1814 equal quarterly installments commencing duringto former limited partners that elected to execute Unit Exchange Agreements ending with the quarter ended March 31, 2021 and ending in the quarter ending June 30, 2025. See Note 98 - Debt and Notes Payable to the accompanying condensed consolidated financial statements for more information.
Other Notes Payable
At MarchDecember 31, 2021, we had commitments of $9.3$5.8 million for other obligations under notes payable. Other notes payable have stated maturities between three to five years from the date of issuance and are non-interest bearing. See Note 98 - Debt and Notes Payable to the accompanying condensed consolidated financial statements for more information.
Credit Facility
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 intoWe maintain an unsecured Credit Facility, datedcredit facility which provides for borrowings of up to $1.0 billion with a $50.0 million sub-facility for standby letters of credit and a $100.0 million sub-facility for swingline loans as well as the ability to incur incremental term loans from time to time and request an increase in the revolving commitments up to an aggregate of November 9, 2018.$350.0 million, subject to certain conditions (the “Credit Facility”). The Credit Facility has a maturity date ofmatures on November 9, 2023, subject to up to two one-year extensions atwhich require the request of the Co-Borrowers and approval of a majority of the lenders under the Credit Facility. The Credit Facility provides for
Outstanding borrowings of up to $1.0 billion with (i) a $50.0 million sub-facility for standby letters of credit and (ii) a $100.0 million sub-facility for swingline loans. The Credit Facility also provides that Co-Borrowers may from time to time (i) incur incremental term loans and (ii) request an increase in the revolving commitments under the Credit Facility together up to an aggregate of $350.0 million, subject to the approval of the lenders providing such term loans or revolving commitment 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.
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At our 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 on a variable rate structure with borrowings bearing interest at the Eurodollar rate (defined aseither the London Interbank Offered Rate or LIBOR, plus the Applicable Rate (defined as a margin based on the Consolidated Total Net 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%, the one-month LIBOR plus 1.0% and 0.0%(“LIBOR”) plus the Applicable Rate. The Applicable Rate rangesan applicable margin ranging from 1.000% to 1.500% for Eurodollar Loans andor the prime lending rate plus an applicable margin ranging from 0.000% to 0.500% for Base Rate Loans. In the event that LIBOR is no longer available, the Credit Facility states that interest will be calculated based upon rates offered to leading banks for comparable loans by leading banks in the London interbank market. At March 31, 2021, the interest rate for one-month Eurodollar Loans was 1.148% and the interest rate for Base Rate Loans was 3.250%. The Co-Borrowers are required toWe pay a commitment fee ranging from 0.100% to 0.200% per annum on the actual dailyfor unused amount of commitmentscapacity under the Credit Facility. At MarchDecember 31, 2021, the interest rate on outstanding borrowings under the Credit Facility was 1.110% and the commitment fee was 0.100%.
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’s consolidated total net leverage ratio (as defined in the Credit Facility) may not exceed 3.75 to 1.00 for four consecutive quarters, provided that, in connection with any acquisition for which the aggregate consideration exceeds $250.0 million, the maximum consolidated total net leverage ratio may increase to 4.25 to 1.00 for the four consecutive fiscal quarters beginning with the quarter in which such acquisition is completed. In addition, Premier GP must maintain a minimum consolidated interest coverage ratio (as defined in the Credit Facility) of 2.50 to 1.00 at the end of every fiscal quarter. Premier GP wascovenants. We were in compliance with all such covenants at MarchDecember 31, 2021.
The Credit Facility also contains customary events of default, including among others, payment defaults, breaches of representations and warranties, covenant defaults, cross-defaultsa cross-default of any indebtedness or guarantees in excess of $75.0 million, bankruptcy and other insolvency events, ERISA-related liabilities and judgment defaults in excess of $50.0 million, and the occurrence of a change of control (as defined in the Credit Facility).million. 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 a majority
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of the lenders under the Credit Facility, terminate the commitments and declare all of the amounts owed under the Credit Facility to be immediately due and payable. We 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.
Proceeds from borrowings under the Credit Facility may generally be used to finance ongoing working capital requirements, including permitted acquisitions, cash dividends, if and when declared, repurchases of Class A common stock pursuant to stock repurchase programs, in place from time to time, dividend payments, if and when declared, and other general corporate activities. WeAt December 31, 2021, we had $200.0 million outstanding borrowings of $125.0 million under the Credit Facility at March 31, 2021 with $799.9$874.9 million of available borrowing capacity after reductions for outstanding borrowings and outstanding letters of credit. In April 2021, we repaid $75.0 million of 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 Exhibit 10.2110.1 to the 2020 Annualthis Quarterly Report. See also Note 98 - Debt and Notes Payable to the accompanying condensed consolidated financial statements.
Cash Dividends
OnIn each of September 15, 2020,2021 and December 15, 2020, and March 15, 2021, we paid a cash dividend of $0.19$0.20 per share on outstanding shares of Class A common stock to stockholders of record on September 1, 2020, December 1, 2020, and March 1, 2021 respectively.stock. On April 23, 2021,January 20, 2022, our Board of Directors declared a cash dividend of $0.19$0.20 per share, payable on JuneMarch 15, 20212022 to stockholders of record on JuneMarch 1, 2021.2022.
We currently expect quarterly dividends to continue to be paid on or about December 15, March 15, June 15, and September 15. However, the actual declaration of any future cash dividends, and the setting of record and payment dates as well as the per share amounts, will be at the discretion of our Board of Directors each quarter after consideration of various factors, including our results of operations, financial condition and capital requirements, earnings, general business conditions, restrictions imposed by our current credit facility and any future financing arrangements, legal restrictions on the payment of dividends and other factors our Board of Directors deems relevant.
Stock Repurchase Program
On August 5, 2021, our Board of Directors authorized the repurchase of up to $250.0 million of our outstanding Class A common stock during fiscal year 2022 through open market purchases or privately negotiated transactions. At December 31, 2021, we had purchased approximately 4.5 million shares of Class A common stock at an average price of $39.37 per share for a total purchase price of $176.0 million. The purchase authorization may be suspended, delayed, or discontinued at any time at the discretion of our Board of Directors. Repurchases are subject to compliance with applicable federal securities laws and our management may, at its discretion, suspend, delay, or discontinue repurchases at any time, based on market conditions, alternate uses of capital, or other factors.
57Impact of Inflation
The U.S. economy is experiencing significant inflation. Historically, we have not experienced significant inflation risk in our business arising from fluctuations in market prices across our diverse product portfolio. However, our ability to raise our selling prices depends on market conditions and there may be periods during which we are unable to fully recover increases in our costs. Our GPO business has largely been unaffected by pricing inflation as we use our members’ aggregated purchasing power to negotiate firm prices in many of our contracts. In our Direct Sourcing business, we have historically been able to adjust our selling prices to pass through increases in cost or offset them through various cost reduction initiatives.


Item 3. Quantitative and Qualitative Disclosures About Market Risk
Interest Rate Risk
Our exposure to market risk relatedrelates primarily to the increase or decrease in the amount of any interest expense we must pay with respect to outstanding variable-rate debt instruments. At MarchDecember 31, 2021, we had $200.0$125.0 million outstanding borrowings under our Credit Facility. At MarchBased on the weighted average interest rate charged on outstanding borrowings under our Credit Facility at December 31, 2021, a one-percent change in the weighted average interest rate charged on outstanding borrowings under the Credit Facility would result in a net change inincrease or decrease interest expense over the next twelve months by $2.0$1.3 million.
We invest our excess cash in a portfolio of individual cash equivalents. We do not currently hold and have never held, any material derivative financial instruments. 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 safetymitigate default, market, and preservationinvestment risks of our invested funds by limiting default, market, and investment risks. We plan to mitigate default risk by investing in low-risk securities.
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Foreign Currency Risk
Substantially all of our financial transactions are conducted in U.S. dollars. We do not have significant foreign operations and, accordingly, do not believe we have market risk associated with foreign currencies.
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 Securities Exchange Act)Act of 1934 (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 concluded that our disclosure controls and procedures were effective as of MarchDecember 31, 2021.
Changes in Internal Control Over Financial Reporting
There have been no 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 MarchDecember 31, 2021 that have materially affected, or are 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 inoperate businesses that are subject to substantial litigation from time to time. We are periodically involved in litigation, arising in the ordinary course of business or otherwise, which from time to time may include claims relating to contractual disputes, product liability, tort or personal injury, employment, antitrust, intellectual property or other commercial or regulatory matters. If current or future government regulations are interpreted or enforced in a manner adverse to us or our business, including without limitation those with respect to antitrust or healthcare laws, we may be subject to enforcement actions, penalties, damages and material limitations on our business.
Furthermore, as a public company, we may become subject to stockholder inspection demands under Delaware law and derivative or other similar litigation.
From time to time we have been named as a defendant in class action or other antitrust lawsuits brought by suppliers or purchasers of medical products. Typically, these lawsuits have alleged the existence of a conspiracy among manufacturers of competing products, distributors and/or operators of GPOs, including us, to deny the plaintiff access to a market for certain products, to raise the prices for products and/or limit the plaintiff’s choice of products to buy. 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. No assurance can be given that we will not be subjected to similar actions in the future or that any such existing or future 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 1614 - 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 MarchDecember 31, 2021, there were no material changes to the risk factors disclosed in Item 1A. “Risk Factors” in the 20202021 Annual Report.
Item 5. Other Information2. Unregistered Sales of Equity Securities and Use of Proceeds
Purchases of Equity Securities
On April 23,August 5, 2021, our Board of Directors declared a cash dividendauthorized the repurchase of $0.19up to $250.0 million of our outstanding Class A common stock during fiscal year 2022 through open market purchases or privately negotiated transactions. All repurchases of our Class A common stock were recorded as treasury shares. The following table summarizes information relating to repurchases of our Class A common stock for the quarter ended December 31, 2021.
PeriodTotal Number of Share Purchased
Average Price Paid per Share ($)(a)
Total Number of Shares Purchased as Part of Publicly Announced Program
Approximate Dollar Value of Shares that May Yet be Purchased Under the Program (in millions)(b)
October 1 through October 31, 20211,031,268 $39.16 1,031,268 $167 
November 1 through November 30, 20211,262,046 40.44 1,262,046 116 
December 1 through December 31. 20211,083,606 38.67 1,083,606 74 
Total3,376,920 3,376,920 $74 

(a)Average price per share payable on June 15,excludes fees and commissions.
(b)From the stock repurchase program's inception through December 31, 2021, to stockholderswe purchased approximately 4.5 million shares of record on June 1, 2021. DeclarationClass A common stock at an average price of any future cash dividends will be at the discretion$39.37 per share for a total of our Board of Directors after consideration of various factors, including our results of operations, financial condition and capital requirements, earnings, general business conditions, restrictions imposed by our current credit facility and any future financing arrangements, legal restrictions on the payment of dividends and other factors our Board of Directors deems relevant.$176.0 million.
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Item 6. Exhibits
Exhibit No.Description
10.1
10.2
31.1
31.2
32.1
32.2
101Sections of the Premier, Inc. Quarterly Report on Form 10-Q for the quarter ended MarchDecember 31, 2021, formatted in iXBRL (Inline eXtensible Business Reporting Language), submitted in the following files:
101.SCHInline XBRL Taxonomy Extension Schema Document.*
101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document.*
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document.*
101.LABInline XBRL Taxonomy Extension Label Linkbase Document.*
101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document.*
104The cover page from the Premier, Inc. Quarterly Report on Form 10-Q for the quarter ended MarchDecember 31, 2021, formatted in Inline XBRL (included in Exhibit 101).*
*    Filed herewith.
+    Indicates a management contract or compensatory plan or arrangement
‡    Furnished herewith.
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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 4, 2021February 1, 2022By:/s/ Craig S. McKasson
Name:Craig S. McKasson
Title:Chief Administrative and Financial Officer and Senior Vice President
Signing on behalf of the registrant and as principal financial officer and principal accounting officer
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