UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 __________________________________________________________________________________________
FORM 10-Q/A
Amendment No. 110-Q
 __________________________________________________________________________________________
(Mark One)
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 20172018
OR
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from          to         
Commission File Number 001-36092
 __________________________________________________________________________________________
Premier, Inc.
(Exact name of registrant as specified in its charter)
 ___________________________________________________________________________________________
Delaware 35-2477140
(State or other jurisdiction of
incorporation or organization)
 
(I.R.S. Employer
Identification No.)
  
13034 Ballantyne Corporate Place
Charlotte, North Carolina
 28277
(Address of principal executive offices) (Zip Code)
(704) 357-0022
(Registrant's telephone number, including area code)
 __________________________________________________________________________________________
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x     No  o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).  Yes x No  o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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 filerx Accelerated filero Non-accelerated filero
Smaller reporting companyo Emerging growth companyo (Do not check if a smaller reporting 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. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes   o No   x
As of May 5, 2017,4, 2018, there were 51,755,88052,587,645 shares of the registrant's Class A common stock, par value $0.01 per share, and 87,298,88880,335,701 shares of the registrant's Class B common stock, par value $0.000001 per share, outstanding.



EXPLANATORY NOTE
This Amendment No. 1 on Form 10-Q/A ("Amendment No. 1") is being filed in order to reflect the adjustments set forth below to adjust Premier, Inc.'s ("Premier" or the "Company") income tax accounting for the December 2, 2016 acquisition of the remaining 50% ownership interest of Innovatix, LLC not previously owned by the Company. This Amendment No. 1 amends and restates in their entirety the following items of the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2017, originally filed with the Securities and Exchange Commission ("SEC") on May 10, 2017 (the "Original Form 10-Q"):
Part I. Financial Information:
Item 1. Financial Statements;
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations; and
Item 4. Controls and Procedures.
Part II. Other Information - Item 6. Exhibits.
The Company has also updated the signature page, the certifications of its Chief Executive Officer and Chief Financial Officer in Exhibits 31.1, 31.2, 32.1 and 32.2, and the financial statements formatted in Extensible Business Reporting Language (XBRL) in Exhibits 101.
No other sections were changed, but for the convenience of the reader, this Amendment No. 1 restates in its entirety, as amended, the Company's Original Form 10-Q. This Amendment No. 1 is presented as of the filing date of the Original Form 10-Q and does not modify or update disclosures in any way other than as required to reflect the restatement described below. Readers should refer to the documents the Company has filed with or furnished to the SEC subsequent to the date of the Company's Original Form 10-Q for updated information.
Prior to December 2, 2016, the Company, through its consolidated subsidiary, Premier Supply Chain Improvement, Inc., held a 50% ownership interest in Innovatix, LLC, which was accounted for under the equity method and classified as a partnership for tax purposes. On December 2, 2016, the Company acquired the remaining 50% ownership interest of Innovatix, LLC. In connection with the acquisition, the Company’s historical 50% investment was remeasured under business combination accounting rules to fair value, resulting in a one-time gain of $204.8 million. At the time of the acquisition, a deferred tax liability of $95.8 million and a corresponding net deferred income tax expense of $95.8 million associated with the one-time gain were recorded by the Company. The Company has determined that a portion of the deferred tax liability and a portion of the deferred tax expense associated with the $204.8 million gain should not have been recorded.
Accordingly, the Company determined it necessary to adjust the Original Form 10-Q to remove the incorrectly recorded deferred tax liability and instead record deferred tax liabilities associated with the book and tax bases differences of the individual assets acquired and liabilities assumed. Based on the Company’s determination, the net effect of this adjustment increased goodwill by $42.9 million, decreased deferred tax liabilities by $34.3 million, decreased deferred tax assets by $10.5 million and increased income tax expense by $0.8 million and decreased income tax expense by $66.7 million as of and for the three and nine months ended March 31, 2017, respectively. Correspondingly, net income has been adjusted lower by $0.8 million and has been adjusted higher by $66.7 million for the three and nine months ended March 31, 2017, respectively.



TABLE OF CONTENTS
  Page
Item 1.
 
 
 
 
 
 
Item 2.
Item 3.
Item 4.
Item 1.
Item 1A.
Item 2.Unregistered Sales of Equity Securities and Use of Proceeds
Item 5.Other Information
Item 6.
 


CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
Statements made in this Quarterly Report that are not statements of historical or current facts, such as those under the heading "Management's Discussion and Analysis of Financial Condition and Results of Operations," are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from historical results or from any future results or projections expressed or implied by such forward-looking statements. In addition to statements that explicitly describe such risks and uncertainties, readers are urged to consider statements in conditional or future tenses or that include terms such as "believes," "belief," "expects," "estimates," "intends," "anticipates" or "plans" to be uncertain and forward-looking. Forward-looking statements may include comments as to our beliefs and expectations regarding future events and trends affecting our business and are necessarily subject to uncertainties, many of which are outside our control. Factors that could cause actual results to differ materially from those indicated in any forward-looking statement include, but are not limited to:
competition which could limit our ability to maintain or expand market share within our industry;
consolidation in the healthcare industry;
potential delays recognizing or increasing revenue if the sales cycle or implementation period takes longer than expected;
the terminability of member participation in our group purchasing organization ("GPO") programs with limited or no notice;notice, or the failure of a significant number of members to renew their GPO participation agreements;
the rate at which the markets for our non-GPO services and products develop;
the dependency of our members on payments from third-party payers;
our reliance on administrative fees whichthat 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 investments in, or partnerships or joint ventures with, other businesses, particularly those that we do not control;
potential litigation;
our reliance on Internet infrastructure, bandwidth providers, data center providers and other third parties and our own systems for providing services to our users;
data loss or corruption due to failures or errors in our systems and service disruptions at our data centers, or breaches or failures of our security measures;
the financial, 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;
changes in industry pricing benchmarks;
any increaseour inability to grow our integrated pharmacy business or maintain current patients due to increases in the safety risk profiles of prescription drugs or the withdrawal of prescription drugs from the market;
market, or our abilityinability to maintain and expand our existing base of drugs in our specialtyintegrated pharmacies;
our dependency on contract manufacturing facilities located in various parts of the world;
our ability to attract, hire, integrate and retain key personnel;


adequate protection of our intellectual property 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, cash flows or tax receivable agreement ("TRA") liabilities;
our indebtedness and our ability to obtain additional financing on favorable terms;
fluctuation of our quarterly cash flows, quarterly revenues and results of operations;
changes and uncertainty in the political, economic or regulatory environment affecting healthcare environment;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, collectively referred to as the "ACA";
our compliance with complex 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 and state privacy, security and breach notification laws;
compliance with current or future laws, rules or regulations adopted by the Food & Drug Administration ("FDA") applicable to our software applications that may be considered medical devices;
compliance with, and potential changes to, extensive federal, state and local laws, regulations and procedures governing our specialtyintegrated pharmacy operations;
risks inherent in the filling, packaging and distribution of pharmaceuticals, including the counseling required to be provided by our pharmacists for dispensing of products;
our holding company structure and dependence on distributions from Premier Healthcare Alliance, L.P. ("Premier LP");
different interests among our member owners or between us and our member owners;
the ability of our member owners to exercise significant control over us, including through the election of all of our directors;
exemption from certain corporate governance requirements due to our status as a "controlled company" within the meaning of the NASDAQ rules;
the terms of agreements between us and our member owners;
payments made under the tax receivable agreementsTRAs to Premier LP's limited partners and our ability to realize the expected tax benefits related to the acquisition of Class B common units;units from Premier LP's limited partners;
changes to Premier LP's allocation methods or examinations or changes in interpretation of applicable tax laws and regulations by various taxing authorities that may increase a tax-exempt limited partner's risk that some allocated income is unrelated business taxable income;
provisions in our certificate of incorporation and bylaws and the Amended and Restated Limited Partnership Agreement of Premier LP (as amended, the "LP Agreement") and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;
failure to maintain an effective system of internal controls;
the number of shares of Class A common stock that will be eligible for sale or exchange in the near future and the dilutive effect of such issuances;
our intention not to pay cash dividends on our Class A common stock;
when or whether we implement our recently announced Class A common stock repurchase program and the number of shares of Class A common stock, if any, purchased under the program;
possible future issuances of common stock, preferred stock, limited partnership units or debt securities and the dilutive effect of such issuances; and


the risk factors discussed under the heading "Risk Factors" in Item 1A of Part II herein and under Item 1A of our Annual Report on Form 10-K for the fiscal year ended June 30, 20162017 (the "2016"2017 Annual Report") and our Quarterly Report on Form 10-Q for the quarter ended December 31, 2016, each, 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. You should not place undue reliance on any of our forward-looking statements which speak only as of the date they are made. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Furthermore, we cannot guarantee future results, events, levels of activity, performance or achievements.


PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
PREMIER, INC.
Condensed Consolidated Balance Sheets
(Unaudited)
(In thousands, except share data)
March 31, 2017June 30, 2016
(Restated) March 31, 2018June 30, 2017
Assets  
Cash and cash equivalents$236,218
$248,817
$149,410
$156,735
Marketable securities
17,759
Accounts receivable (net of $2,908 and $1,981 allowance for doubtful accounts, respectively)162,178
144,424
Accounts receivable (net of $2,149 and $1,812 allowance for doubtful accounts, respectively)174,092
159,745
Inventory48,770
29,121
57,230
50,426
Prepaid expenses and other current assets41,702
19,646
24,374
35,164
Due from related parties5,388
3,123
491
6,742
Total current assets494,256
462,890
405,597
408,812
Marketable securities
30,130
Property and equipment (net of $303,052 and $265,751 accumulated depreciation, respectively)182,093
174,080
Intangible assets (net of $85,498 and $50,870 accumulated amortization, respectively)393,075
158,217
Property and equipment (net of $282,678 and $236,460 accumulated depreciation, respectively)198,853
187,365
Intangible assets (net of $139,802 and $99,198 accumulated amortization, respectively)335,948
377,962
Goodwill908,349
537,962
906,545
906,545
Deferred income tax assets468,760
422,849
306,738
482,484
Deferred compensation plan assets39,875
39,965
43,267
41,518
Investments in unconsolidated affiliates98,878
16,800
93,448
92,879
Other assets13,398
12,490
4,241
10,271
Total assets$2,598,684
$1,855,383
$2,294,637
$2,507,836
  
Liabilities, redeemable limited partners' capital and stockholders' deficit  
Accounts payable$30,974
$46,003
$43,708
$42,815
Accrued expenses78,988
56,774
69,094
55,857
Revenue share obligations70,396
63,603
75,341
72,078
Limited partners' distribution payable23,071
22,493
13,157
24,951
Accrued compensation and benefits51,701
60,425
52,857
53,506
Deferred revenue49,723
54,498
44,534
44,443
Current portion of tax receivable agreements14,009
13,912
17,925
17,925
Current portion of long-term debt376,710
5,484
200,255
227,993
Other liabilities30,335
2,871
7,044
32,019
Total current liabilities725,907
326,063
523,915
571,587
Long-term debt, less current portion6,928
13,858
6,962
6,279
Tax receivable agreements, less current portion333,407
265,750
232,783
321,796
Deferred compensation plan obligations39,875
39,965
43,267
41,518
Deferred tax liabilities46,137

33,787
48,227
Other liabilities44,847
23,978
56,456
42,099
Total liabilities1,197,101
669,614
897,170
1,031,506






March 31, 2017June 30, 2016March 31, 2018June 30, 2017
(Restated) 



Redeemable limited partners' capital2,809,333
3,137,230
2,532,731
3,138,583
Stockholders' deficit:  
Class A common stock, $0.01 par value, 500,000,000 shares authorized; 50,706,518 and 45,995,528 shares issued and outstanding at March 31, 2017 and June 30, 2016, respectively507
460
Class B common stock, $0.000001 par value, 600,000,000 shares authorized; 88,407,103 and 96,132,723 shares issued and outstanding at March 31, 2017 and June 30, 2016, respectively

Class A common stock, $0.01 par value, 500,000,000 shares authorized; 57,352,698 shares issued and 51,940,576 shares outstanding at March 31, 2018 and 51,943,281 shares issued and outstanding at June 30, 2017574
519
Class B common stock, $0.000001 par value, 600,000,000 shares authorized; 80,978,267 and 87,298,888 shares issued and outstanding at March 31, 2018 and June 30, 2017, respectively

Treasury stock, at cost; 5,412,122 shares(170,274)
Additional paid-in-capital



Accumulated deficit(1,408,257)(1,951,878)(965,564)(1,662,772)
Accumulated other comprehensive loss
(43)
Accumulated other comprehensive income (loss)

Total stockholders' deficit(1,407,750)(1,951,461)(1,135,264)(1,662,253)
Total liabilities, redeemable limited partners' capital and stockholders' deficit$2,598,684
$1,855,383
$2,294,637
$2,507,836
See accompanying notes to the unaudited condensed consolidated financial statements.


PREMIER, INC.
Condensed Consolidated Statements of Income
(Unaudited)
(In thousands, except per share data)
Three Months Ended March 31,Nine Months Ended March 31,
2017201620172016Three Months Ended March 31,Nine Months Ended March 31,
(Restated) (Restated) 2018201720182017
Net revenue:  
Net administrative fees$143,915
$131,270
$398,962
$369,952
$161,612
$143,915
$471,946
$398,962
Other services and support97,756
87,389
265,974
252,114
97,492
97,756
274,357
265,974
Services241,671
218,659
664,936
622,066
259,104
241,671
746,303
664,936
Products138,132
80,010
386,639
239,107
166,234
138,132
480,997
386,639
Net revenue379,803
298,669
1,051,575
861,173
425,338
379,803
1,227,300
1,051,575
Cost of revenue:  
Services47,319
40,685
134,865
119,301
47,037
47,319
141,228
134,865
Products129,929
71,408
356,900
214,512
156,511
129,929
454,222
356,900
Cost of revenue177,248
112,093
491,765
333,813
203,548
177,248
595,450
491,765
Gross profit202,555
186,576
559,810
527,360
221,790
202,555
631,850
559,810
Other operating income: 
Remeasurement of tax receivable agreement liabilities

177,174
5,722
Other operating income

177,174
5,722
Operating expenses:  
Selling, general and administrative108,668
101,898
296,833
288,120
109,007
108,668
331,948
302,555
Research and development755
1,180
2,328
2,060
292
755
1,105
2,328
Amortization of purchased intangible assets14,080
8,740
34,440
24,058
13,881
14,080
41,597
34,440
Operating expenses123,503
111,818
333,601
314,238
123,180
123,503
374,650
339,323
Operating income79,052
74,758
226,209
213,122
98,610
79,052
434,374
226,209
Remeasurement gain attributable to acquisition of Innovatix, LLC

204,833




204,833
Equity in net income of unconsolidated affiliates83
6,627
14,789
16,002
Equity in net income (loss) of unconsolidated affiliates(4,939)83
570
14,789
Interest and investment loss, net(2,017)(285)(3,026)(981)(1,236)(2,017)(4,239)(3,026)
Loss on disposal of long-lived assets(725)
(2,243)
(5)(725)(1,725)(2,243)
Other income (expense), net2,260

3,135
(2,081)
Other income (expense)(2,593)2,260
(14,486)3,135
Other income (expense), net(399)6,342
217,488
12,940
(8,773)(399)(19,880)217,488
Income before income taxes78,653
81,100
443,697
226,062
89,837
78,653
414,494
443,697
Income tax expense7,315
9,543
68,080
41,257
13,288
7,315
257,560
68,080
Net income71,338
71,557
375,617
184,805
76,549
71,338
156,934
375,617
Net income attributable to non-controlling interest in Premier LP(51,433)(56,018)(282,207)(153,735)(53,047)(51,433)(154,142)(282,207)
Adjustment of redeemable limited partners' capital to redemption amount(100,506)284,409
296,566
685,649
(127,039)(100,506)511,301
296,566
Net income (loss) attributable to stockholders$(80,601)$299,948
$389,976
$716,719
$(103,537)$(80,601)$514,093
$389,976
  
Weighted average shares outstanding:  
Basic50,525
44,716
49,051
41,329
53,529
50,525
53,885
49,051
Diluted50,525
145,018
141,372
145,558
53,529
50,525
138,254
141,372
  
Earnings (loss) per share attributable to stockholders:  
Basic$(1.60)$6.71
$7.95
$17.34
$(1.93)$(1.60)$9.54
$7.95
Diluted$(1.60)$0.43
$2.22
$1.03
$(1.93)$(1.60)$(0.84)$2.22
See accompanying notes to the unaudited condensed consolidated financial statements.


PREMIER, INC.
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)
(In thousands)
 Three Months Ended March 31,Nine Months Ended March 31,
 2017201620172016
 (Restated) (Restated) 
Net income$71,338
$71,557
$375,617
$184,805
Net unrealized gain (loss) on marketable securities
283
128
(226)
Total comprehensive income71,338
71,840
375,745
184,579
Less: Comprehensive income attributable to non-controlling interest(51,433)(56,219)(282,292)(153,578)
Comprehensive income attributable to Premier, Inc.$19,905
$15,621
$93,453
$31,001
 Three Months Ended March 31,Nine Months Ended March 31,
 2018201720182017
Net income$76,549
$71,338
$156,934
$375,617
Net unrealized gain on marketable securities


128
Total comprehensive income76,549
71,338
156,934
375,745
Less: comprehensive income attributable to non-controlling interest(53,047)(51,433)(154,142)(282,292)
Comprehensive income attributable to stockholders$23,502
$19,905
$2,792
$93,453
See accompanying notes to the unaudited condensed consolidated financial statements.



PREMIER, INC.
Condensed Consolidated Statement of Stockholders' Deficit
Nine months endedMonths Ended March 31, 20172018
(Unaudited)
(In thousands)
Class A
Common Stock
Class B
Common Stock
Additional Paid-In Capital
Accumulated Deficit
(Restated)
Accumulated Other Comprehensive Loss
Total Stockholders' Deficit
(Restated)
Class A
Common Stock
Class B
Common Stock
Treasury StockAdditional Paid-In CapitalAccumulated DeficitTotal Stockholders' Deficit
SharesAmountSharesAmountSharesAmountSharesAmountSharesAmount
Balance at June 30, 201645,996
$460
96,133
$
$
$(1,951,878)$(43)$(1,951,461)
Balance at June 30, 201751,943
$519
87,299
$

$
$
$(1,662,772)$(1,662,253)
Exchange of Class B units for Class A common stock by member owners3,858
38
(3,858)
123,743


123,781
5,889
50
(5,889)
(1,006)29,855
165,019

194,924
Exchange of Class B units for cash by member owners

(3,810)




Redemption of limited partner

(58)




Increase in additional paid-in capital related to quarterly exchange by member owners



23,886


23,886
Redemption of limited partners

(432)





Decrease in additional paid-in capital related to quarterly exchange by member owners, including associated TRA revaluation





(5,916)
(5,916)
Issuance of Class A common stock under equity incentive plan812
8


3,314


3,322
479
5




3,610

3,615
Issuance of Class A common stock under employee stock purchase plan41
1


1,255


1,256
48





1,388

1,388
Treasury stock(6,418)


6,418
(200,129)

(200,129)
Stock-based compensation expense



19,125


19,125






24,930

24,930
Repurchase of vested restricted units for employee tax-withholding



(17,678)

(17,678)





(5,916)
(5,916)
Net income




375,617

375,617







156,934
156,934
Net income attributable to non-controlling interest in Premier LP




(282,207)
(282,207)






(154,142)(154,142)
Net unrealized loss on marketable securities





43
43
Adjustment of redeemable limited partners' capital to redemption amount



(153,645)450,211

296,566






(183,115)694,416
511,301
Balance at March 31, 2017 (restated)50,707
$507
88,407
$
$
$(1,408,257)$
$(1,407,750)
Balance at March 31, 201851,941
$574
80,978
$
5,412
$(170,274)$
$(965,564)$(1,135,264)
See accompanying notes to the unaudited condensed consolidated financial statements.



PREMIER, INC.
Condensed Consolidated Statement of Stockholders' Deficit
Nine Months Ended March 31, 2017
(Unaudited)
(In thousands)
 Class A
Common Stock
Class B
Common Stock
Additional Paid-In CapitalAccumulated DeficitAccumulated Other Comprehensive LossTotal Stockholders' Deficit
 SharesAmountSharesAmount
Balance at June 30, 201645,996
$460
96,133
$
$
$(1,951,878)$(43)$(1,951,461)
Exchange of Class B units for Class A common stock by member owners3,858
38
(3,858)
123,743


123,781
Exchange of Class B units for cash by member owners

(3,810)




Redemption of limited partners

(58)




Increase in additional paid-in capital related to quarterly exchange by member owners, including associated TRA revaluation



23,886


23,886
Issuance of Class A common stock under equity incentive plan812
8


3,314


3,322
Issuance of Class A common stock under employee stock purchase plan41
1


1,255


1,256
Stock-based compensation expense



19,125


19,125
Repurchase of vested restricted units for employee tax-withholding



(17,678)

(17,678)
Net income




375,617

375,617
Net income attributable to non-controlling interest in Premier LP




(282,207)
(282,207)
Net unrealized loss on marketable securities





43
43
Adjustment of redeemable limited partners' capital to redemption amount



(153,645)450,211

296,566
Balance at March 31, 201750,707
$507
88,407
$
$
$(1,408,257)$
$(1,407,750)
See accompanying notes to the unaudited condensed consolidated financial statements.



PREMIER, INC.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
(In thousands)
Nine Months Ended March 31,
20172016Nine Months Ended March 31,
(Restated) 20182017
Operating activities  
Net income$375,617
$184,805
$156,934
$375,617
Adjustments to reconcile net income to net cash provided by operating activities:  
Depreciation and amortization77,758
61,232
93,998
77,758
Equity in net income of unconsolidated affiliates(14,789)(16,002)(570)(14,789)
Deferred income taxes45,961
22,345
243,550
45,961
Stock-based compensation19,125
36,785
24,930
19,125
Adjustment to tax receivable agreement liability(2,954)(4,818)
Remeasurement of tax receivable agreement liabilities(177,174)(2,954)
Remeasurement gain attributable to acquisition of Innovatix, LLC(204,833)

(204,833)
Loss on disposal of long-lived assets2,243

1,725
2,243
Changes in operating assets and liabilities:  
Accounts receivable, prepaid expenses and other current assets7,037
(27,071)(3,558)7,037
Other assets405
(9,773)378
405
Inventories(14,693)3,751
(6,804)(14,693)
Accounts payable, accrued expenses and other current liabilities(11,082)21,450
9,690
(11,082)
Long-term liabilities(1,221)(1,246)1,336
(1,221)
Loss on FFF put and call rights18,674
86
Other operating activities(4,363)(521)6,625
(4,449)
Net cash provided by operating activities274,211
270,937
369,734
274,211
Investing activities  
Purchase of marketable securities
(19,211)
Purchases of property and equipment(65,260)(51,892)
Proceeds from sale of marketable securities48,013
367,600

48,013
Acquisition of Innovatix, LLC and Essensa Ventures, LLC, net of cash acquired(319,717)

(319,717)
Acquisition of Acro Pharmaceutical Services LLC and Community Pharmacy Services, LLC, net of cash acquired(64,500)
Acquisition of CECity.com, Inc., net of cash acquired
(398,261)
Acquisition of Healthcare Insights, LLC, net of cash acquired
(64,274)
Acquisition of InFlow Health, LLC
(6,088)
Investment in unconsolidated affiliates(65,660)(3,250)
Acquisition of Acro Pharmaceuticals, net of cash acquired
(64,500)
Investments in unconsolidated affiliates
(65,660)
Distributions received on equity investments in unconsolidated affiliates6,550
17,043

6,550
Purchases of property and equipment(51,892)(54,684)
Other investing activities25
(6)
25
Net cash used in investing activities(447,181)(161,131)(65,260)(447,181)
Financing activities  
Payments made on notes payable(3,336)(1,847)(7,997)(3,336)
Proceeds from credit facility425,000
150,000
30,000
425,000
Payments on credit facility(57,500)(100,000)(50,000)(57,500)
Proceeds from exercise of stock options under equity incentive plan3,322
2,519
3,615
3,322
Proceeds from issuance of Class A common stock under stock purchase plan1,256
1,302
1,388
1,256
Repurchase of vested restricted units for employee tax-withholding(17,678)(63)(5,916)(17,678)
Settlement of exchange of Class B units by member owners
(123,330)
Distributions to limited partners of Premier LP(66,098)(67,363)
Repurchase of Class A common stock (held as treasury stock)(200,129)
Earn-out liability payment to GNYHA Holdings(16,662)
Net cash provided by (used in) financing activities(311,799)160,371
Net decrease in cash and cash equivalents(7,325)(12,599)
Cash and cash equivalents at beginning of year156,735
248,817
Cash and cash equivalents at end of period$149,410
$236,218


 Nine Months Ended March 31,
 20172016
 (Restated) 
Settlement of exchange of Class B units by member owners(123,330)
Distributions to limited partners of Premier LP(67,363)(67,965)
Final remittance of net income attributable to former S2S Global minority shareholder
(1,890)
Net cash provided by (used in) financing activities160,371
(17,944)
Net increase (decrease) in cash and cash equivalents(12,599)91,862
Cash and cash equivalents at beginning of year248,817
146,522
Cash and cash equivalents at end of period$236,218
$238,384
   
Supplemental schedule of non cash investing and financing activities:  
Decrease in redeemable limited partners' capital for adjustment to fair value, with offsetting decreases in additional paid-in-capital and accumulated deficit$296,566
$685,649
Reduction in redeemable limited partners' capital, with offsetting increases in common stock and additional paid-in capital related to quarterly exchanges by member owners$123,781
$260,598
Reduction in redeemable limited partners' capital for limited partners' distribution payable$67,941
$24,743
Distributions utilized to reduce subscriptions, notes, interest and accounts receivable from member owners$1,561
$4,813
Net increase in deferred tax assets related to quarterly exchanges by member owners and other adjustments$94,594
$92,387
Net increase in tax receivable agreement liability related to quarterly exchanges by member owners and other adjustments$70,708
$58,193
Net increase in additional paid-in capital related to quarterly exchanges by member owners and other adjustments$23,886
$34,195
Net increase in investments in unconsolidated affiliates related to FFF Enterprises, Inc. put and call rights, with offsetting increases in other assets and other liabilities$15,460
$
Net increase in investments in unconsolidated affiliates related to deferred taxes attributed to the net fair value of FFF Enterprises, Inc. put and call rights, with offsetting increases in deferred tax assets and deferred tax liabilities$5,955
$
Payable to member owners incurred upon repurchase of ownership interest$132
$2,888
 Nine Months Ended March 31,
 20182017
   
Supplemental schedule of non-cash investing and financing activities:  
Decrease in redeemable limited partners' capital for adjustment to fair value, with offsetting increases in additional paid-in-capital and accumulated deficit$511,301
$296,566
Reduction in redeemable limited partners' capital, with offsetting increases in common stock and additional paid-in capital related to quarterly exchanges by member owners$194,924
$123,781
Reduction in redeemable limited partners' capital for limited partners' distribution payable$54,305
$67,941
Distributions utilized to reduce subscriptions, notes, interest and accounts receivable from member owners$1,478
$1,561
Net increase in deferred tax assets related to quarterly exchanges by member owners and other adjustments$82,244
$94,594
Net increase in tax receivable agreement liabilities related to quarterly exchanges by member owners and other adjustments$88,160
$70,708
Net increase (decrease) in additional paid-in capital related to quarterly exchanges by member owners and other adjustments$(5,916)$23,886
Net increase in investments in unconsolidated affiliates related to FFF Enterprises, Inc. put and call rights, with offsetting increases in other assets and other liabilities$
$15,460
Net increase in investments in unconsolidated affiliates related to deferred taxes attributed to the net fair value of FFF Enterprises, Inc. put and call rights, with offsetting increases in deferred tax assets and deferred tax liabilities$
$5,955
Payable to member owners incurred upon repurchase of ownership interest$942
$132
See accompanying notes to the unaudited condensed consolidated financial statements.


PREMIER, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
(1) ORGANIZATION AND BASIS OF PRESENTATION
Organization
Premier, Inc. ("Premier" or the "Company") is a publicly-held, for-profit Delaware corporation primarily owned by hospitals, health systems and other healthcare organizations (such owners of Premier are referred to herein as "member owners") located in the United States and by public stockholders. The Company, together with its subsidiaries and affiliates, is a leading healthcare 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's business model and solutions are designed to provide its members access to scale efficiencies, spread the cost of their development, provide actionable intelligence derived from anonymized data in the Company's data warehouse, mitigate the risk of innovation and disseminate best practices that willto help the Company's member organizations succeed in their transformation to higher quality and more cost-effective healthcare.
The Company, together with its subsidiaries and affiliates, delivers its integrated platform of solutions through two business segments: supply chain servicesSupply Chain Services and performance services.Performance Services. See Note 16 - Segments for further information related to the Company's reportable business segments. The supply chain servicesSupply Chain Services segment includes one of the largest healthcare group purchasing organizationsorganization ("GPOs"GPO") programs in the United States, and integrated pharmacy and direct sourcing activities. The performance servicesPerformance Services segment includes one of the largest informatics and advisoryconsulting services businesses in the United States focused on healthcare providers. The Company's software as a service ("SaaS") informatics products utilize itsthe Company's comprehensive data set to provide actionable intelligence to its members, enabling them to benchmark, analyze and identify areas of improvement across the three main categories of cost management, quality and safety, and population health management. The performance servicesPerformance Services segment also includes the Company's technology-enabled performance improvement collaboratives, advisoryconsulting services, government services and insurance management services.
Basis of Presentation and Consolidation
Basis of Presentation
The Company, through its wholly-owned subsidiary, Premier Services, LLC ("Premier GP"), held an approximate 36%39% and 32%37% sole general partner interest in our main operating company, Premier Healthcare Alliance, L.P. ("Premier LP"), at March 31, 20172018 and June 30, 2016,2017, respectively. In addition to their ownership interest in Premier, LP's limited partnersour member owners held an approximate 64%61% and 68% ownership63% limited partner interest in Premier LP at March 31, 20172018 and June 30, 2016,2017, respectively.
Basis of Presentation and Consolidation
Basis of Presentation
The limited partners'member owners' interest in Premier LP is reflected as redeemable limited partners' capital in the Company's accompanying condensed consolidated balance sheets,Condensed Consolidated Balance Sheets, and the limited partners' proportionate share of income in Premier LP is reflected within net income attributable to non-controlling interest in Premier LP in the Company's accompanying condensed consolidated statementsCondensed Consolidated Statements of incomeIncome and within comprehensive income attributable to non-controlling interest in Premier LP in the Company's accompanying condensed consolidated statementsCondensed Consolidated Statements of comprehensive income.Comprehensive Income.
At March 31, 20172018 and June 30, 2016,2017, the member owners owned approximately 64%61% and 68%63%, respectively, of the Company's combined Class A and Class B common stock (the "common stock") through their ownership of Class B common stock. During the nine months ended March 31, 2017,2018, the member owners exchanged 3.95.9 million Class B common units and associated Class B common shares for an equal number of Class A common shares and exchanged 3.8 million Class B common units and associated Class B common shares for cash as part of their quarterly exchange rights underpursuant to an exchange agreement (the "Exchange Agreement") entered into by the member owners in connection with the completion of our initial public offering on October 1, 2013. The Exchange Agreement provides each member owner the cumulative right to exchange up to one-seventh of its initial allocation of Class B common units, as well as any additional Class B common units purchased by such member owner pursuant to certain rights of first refusal, for shares of Class A common stock (on a seriesone-for-one basis subject to customary adjustments for subdivisions or combinations by split, reverse split, distribution, reclassification, recapitalization or otherwise), cash or a combination of transactions (the "Reorganization") concurrent withboth, the consummationform of consideration to be at the discretion of the Company's initial public offeringindependent Audit and Compliance Committee of the Board of Directors (the "IPO,""Audit and togetherCompliance Committee"). In connection with the Reorganization, the "Reorganization and IPO") on October 1, 2013 (see Note 11 - Earnings (Loss) Per Share). DuringClass B common units exchanged for Class A common shares during the nine months ended March 31, 2017,2018, approximately 3.8 million Class B common units were retired in connection with the member owner exchange for cash and approximately 3.95.9 million Class B common units were contributed to Premier LP and converted to Class A common units, which remain outstanding. Correspondingly, approximately 7.7 million Class B common shares were retired during the same period.
Refer to the Company's Annual Report on Form 10-K for the fiscal year ended June 30, 20162017 (the "2016"2017 Annual Report") filed with the Securities and Exchange Commission ("SEC") on August 25, 201623, 2017 for further discussion of the Exchange Agreement and Reorganization and IPO.Agreement. At March 31, 20172018 and June 30, 2016,2017, the public investors, which may include member owners that have received shares of Class


A common stock in connection with previous exchanges of their Class B common units and associated


Class B common shares for an equal number of Class A common shares, owned approximately 36%39% and 32%37%, respectively, of the Company's outstanding common stock through their ownership of Class A common stock.
Principles of Consolidation
The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles ("GAAP") for interim financial information and pursuant to the rules and regulations of the SEC. Accordingly, certain information and disclosures normally included in annual financial statements have been condensed or omitted. The accompanying condensed consolidated financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of results of operations and financial condition for the interim periods shown, including normal recurring adjustments. The Company believes that the disclosures are adequate to make the information presented not misleading and should be read in conjunction with the audited consolidated financial statements and related footnotes contained in the 2017 Annual Report.
We have reclassified $5.7 million from selling, general and administrative expenses to the remeasurement of tax receivable agreement liabilities for the nine months ended March 31, 2017 within the Condensed Consolidated Statements of Income in order to conform with the current period presentation.
Variable Interest Entities
Premier LP is a variable interest entity ("VIE") as the limited partners do not have the ability to exercise a substantive removal right with respect to the general partner. The Company does not hold a majority interest but, through Premier GP, has 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 has both an obligation to absorb losses and a right to receive benefits. As such, the Company is the primary beneficiary of the VIE and consolidates the operations of Premier LP under the Variable Interest Model. See Note 2 - Significant Accounting Policies for further discussion of recently adopted accounting standards related to VIEs.
The assets and liabilities of Premier LP at March 31, 2017 (restated)2018 and June 30, 20162017 consisted of the following (in thousands):
March 31, 2017June 30, 2016
(Restated) March 31, 2018June 30, 2017
Assets  
Current$460,992
$442,251
$367,537
$385,477
Noncurrent1,635,668
973,741
1,582,302
1,616,539
Total assets of Premier LP$2,096,660
$1,415,992
$1,949,839
$2,002,016
  
Liabilities  
Current$721,360
$312,068
$521,353
$560,582
Noncurrent134,472
74,709
136,235
134,635
Total liabilities of Premier LP$855,832
$386,777
$657,588
$695,217
Net income attributable to Premier LP during the three and nine months ended March 31, 2018 and 2017 was as follows (in thousands):
 Three Months Ended March 31,Nine Months Ended March 31,
 2017201620172016
 (Restated) (Restated) 
Premier LP net income$80,837
$81,846
$436,811
$217,293
 Three Months Ended March 31,Nine Months Ended March 31,
 2018201720182017
Premier LP net income$87,920
$80,837
$255,050
$436,811



Premier LP's cash flows for the nine months ended March 31, 2017 (restated)2018 and 20162017 consisted of the following (in thousands):
 Nine Months Ended March 31,
 20172016
Net cash provided by (used in):  
Operating activities$320,185
$285,124
Investing activities(447,181)(161,131)
Financing activities121,090
(47,593)
Net increase (decrease) in cash and cash equivalents(5,906)76,400
Cash and cash equivalents at beginning of year210,048
126,662
Cash and cash equivalents at end of period$204,142
$203,062
Principles of Consolidation
The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles ("GAAP") for interim financial information and pursuant to the rules and regulations of the SEC. Accordingly, certain information and disclosures normally included in annual financial statements have been condensed or omitted. The accompanying condensed consolidated financial statements reflect all adjustments that, in the opinion of management, are necessary for a fair presentation of results of operations and financial condition for the interim periods shown, including normal recurring


adjustments. The Company believes that the disclosures are adequate to make the information presented not misleading and should be read in conjunction with the audited consolidated financial statements and related footnotes contained in the 2016 Annual Report.
 Nine Months Ended March 31,
 20182017
Net cash provided by (used in):  
Operating activities$388,340
$320,185
Investing activities(65,260)(447,181)
Financing activities(344,463)121,090
Net decrease in cash and cash equivalents(21,383)(5,906)
Cash and cash equivalents at beginning of year133,450
210,048
Cash and cash equivalents at end of period$112,067
$204,142
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 allowances for doubtful accounts, useful lives of property and equipment, stock-based compensation, payables under tax receivable agreements ("TRAs"), deferred tax balances including valuation allowances on deferred tax assets, uncertain tax positions, values of investments not publicly traded, the valuation allowance on deferred tax assets, uncertain income taxes, deferred revenue, future cash flows associated with asset impairments, 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.
RestatementGiven the Company's use of Previously Reported Financial Information
Priorestimates referenced above, it is important to highlight that on December 2, 2016,22, 2017, the U.S. government enacted comprehensive tax legislation commonly referred to as the Tax Cuts and Jobs Act ("TCJA"). The TCJA includes significant changes to the U.S. corporate income tax system, specifically reducing the U.S. federal corporate income tax rate from 35% to 21%. As changes under the TCJA are broad and complex, the Company throughcontinues to interpret the breadth of its consolidated subsidiary, Premier Supply Chain Improvement, Inc.immediate and long-term impacts. The Company notes that concurrent with the enactment of the TCJA, the SEC issued Staff Accounting Bulletin No. 118 ("PSCI"), held a 50% ownership interest in Innovatix, LLC ("Innovatix"SAB 118"), which was accountedprovides guidance on accounting for the tax effects of the TCJA.
SAB 118 provides a measurement period that should not extend beyond one year from the TCJA enactment date for companies to complete the accounting required under the equity method and classified asFinancial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC") 740. In accordance with SAB 118, a partnershipcompany must reflect the income tax effects of those aspects of the TCJA for which the accounting under ASC 740 is complete. To the extent that a company's accounting for certain income tax purposes. On December 2, 2016,effects of the TCJA is incomplete but it is able to determine a reasonable estimate, it must record a provisional amount on its financial statements. If a company cannot determine a provisional estimate to be included on its financial statements, it should continue to apply ASC 740 on the basis of the provision of the tax laws that were in effect immediately prior to the enactment of the TCJA. With this in mind, the Company acquiredhas prescribed such provisional relief via SAB 118 by incorporating various estimates regarding timing and determination of temporary difference recognition when calculating components of its deferred tax balances. While the remaining 50% ownership interest of Innovatix. In connection with the acquisition, the Company’s historical 50% investment was remeasured under business combination accounting rulesCompany is able to fair value, resulting in a one-time gain of $204.8 million. At the timeprovide reasonable estimates of the acquisition, a deferred tax liability of $95.8 million and a corresponding deferred income tax expense of $95.8 million associated withimpacts related to the one-time gain were recordedTCJA, the final impact may differ from these estimates, due to, among other things, changes in interpretations, assumptions, additional guidance that may be released by the CompanyI.R.S. and other actions that we may take that are reflected in the previously issued financial statements included in the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2017, originally filed with the Securities and Exchange Commission ("SEC") on May 10, 2017 (the "Original Form 10-Q").
Subsequentyet to the issuance of the financial statements included in the Company's Original Form 10-Q, the Company adjusted its income tax accounting for this acquisition. The Company determined that a portion of the deferred tax liability and a portion of the deferred tax expense associated with the $204.8 million gain that were reflected in the previously issued financial statements should not have been recorded. Accordingly, the Company determined it necessary to adjust the Original Form 10-Q to restate the previously recorded deferred tax liability and deferred income tax expense, and record deferred tax liabilities associated with the book and tax bases differences of the individual assets acquired and liabilities assumed.be determined.
The impact of these changes on selected financial amounts within the accompanying condensed consolidated financial statements is summarized below:
 March 31, 2017
Condensed Consolidated Balance SheetPreviously ReportedEffect of RestatementRestated
Assets:   
Goodwill$865,445
$42,904
$908,349
Deferred income tax assets$479,241
$(10,481)$468,760
Total assets$2,566,261
$32,423
$2,598,684
    
Liabilities and stockholders' deficit:   
Deferred tax liabilities$80,422
$(34,285)$46,137
Total liabilities$1,231,386
$(34,285)$1,197,101
Accumulated deficit$(1,474,965)$66,708
$(1,408,257)
Total stockholders' deficit$(1,474,458)$66,708
$(1,407,750)
Total liabilities, redeemable limited partners' capital and stockholders' deficit$2,566,261
$32,423
$2,598,684
    


 Three months ended March 31, 2017
Condensed Consolidated Statements of IncomePreviously ReportedEffect of RestatementRestated
Income tax expense$6,514
$801
$7,315
Net income$72,139
$(801)$71,338
Net income attributable to non-controlling interest in Premier LP$(51,965)$532
$(51,433)
Adjustment of redeemable limited partners' capital to redemption amount$(99,974)$(532)$(100,506)
Net income attributable to stockholders$(79,800)$(801)$(80,601)
    
Earnings per share attributable to stockholders:   
Basic$(1.58)$(0.02)$(1.60)
Diluted$(1.58)$(0.02)$(1.60)
    
 Nine months ended March 31, 2017
Condensed Consolidated Statements of IncomePreviously ReportedEffect of RestatementRestated
Income tax expense$134,788
$(66,708)$68,080
Net income$308,909
$66,708
$375,617
Net income attributable to non-controlling interest in Premier LP$(232,683)$(49,524)$(282,207)
Adjustment of redeemable limited partners' capital to redemption amount$247,042
$49,524
$296,566
Net income attributable to stockholders$323,268
$66,708
$389,976
    
Earnings per share attributable to stockholders:   
Basic$6.59
$1.36
$7.95
Diluted$1.83
$0.39
$2.22
    
 Three months ended March 31, 2017
Condensed Consolidated Statements of Comprehensive IncomePreviously ReportedEffect of RestatementRestated
Net income$72,139
$(801)$71,338
Comprehensive income attributable to non-controlling interest$(51,965)$532
$(51,433)
Comprehensive income attributable to Premier, Inc.$20,174
$(269)$19,905
    
 Nine months ended March 31, 2017
Condensed Consolidated Statements of Comprehensive IncomePreviously ReportedEffect of RestatementRestated
Net income$308,909
$66,708
$375,617
Comprehensive income attributable to non-controlling interest$(232,768)$(49,524)$(282,292)
Comprehensive income attributable to Premier, Inc.$76,269
$17,184
$93,453
    


 Nine months ended March 31, 2017
Condensed Consolidated Statement of Stockholders' DeficitPreviously ReportedEffect of RestatementRestated
Net income$308,909
$66,708
$375,617
Net income attributable to non-controlling interest in Premier LP$(232,683)$(49,524)$(282,207)
Accumulated deficit - Adjustment of redeemable limited partners' capital to redemption amount$400,687
$49,524
$450,211
Total stockholders' deficit - Adjustment of redeemable limited partners' capital to redemption amount$247,042
$49,524
$296,566
Total accumulated deficit (a)
$(1,474,965)$66,708
$(1,408,257)
Total stockholders' deficit (a)
$(1,474,458)$66,708
$(1,407,750)
    
 Nine months ended March 31, 2017
Condensed Consolidated Statements of Cash FlowsPreviously ReportedEffect of RestatementRestated
Net income$308,909
$66,708
$375,617
Deferred income taxes$112,669
$(66,708)$45,961
(a)Balances presented as of March 31, 2017.
(2) SIGNIFICANT ACCOUNTING POLICIES
There have been no material changes to the Company's significant accounting policies as described in the 20162017 Annual Report.
Recently Adopted Accounting Standards
In March 2016,July 2015, the Financial Accounting Standards Board ("FASB")FASB issued Accounting Standards Update ("ASU") No. 2016-09,2015-11, Compensation - StockInventory (Topic 330): Simplifying the Measurement of Inventory, which requires entities to measure most inventory "at the lower of cost and net realizable value," thereby simplifying the guidance under which an entity must measure inventory at the lower of cost or market. This guidance does not apply to inventories that are measured by using either the last-in, first-out method or the retail inventory method. The Company adopted


this standard effective July 1, 2017 using the prospective approach. The implementation of this ASU did not have a material effect on the Company's condensed consolidated financial statements.
In May 2017, the FASB issued ASU 2017-09, Compensation-Stock Compensation (Topic 718), Improvements: Scope of Modification Accounting, whichclarifies when changes to Employee Share-Based Payment Accountingthe terms or conditions of a share-based payment award must be accounted for as modifications. The new guidance will reduce diversity in practice and result in fewer changes to the terms of an award being accounted for as modifications. The Company adopted this standard effective October 1, 2017 using the prospective approach. The implementation of this ASU did not have a material effect on the Company's condensed consolidated financial statements.
In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments, which is intended to simplifyamends the accounting for employee share-based payments. The amendmentsguidance in this updated guidance include changes to simplifyASC 230 on the accounting for share-based payment transactions, including the income tax consequences, classification of such share-based awards as either equity or liabilitiescertain cash receipts and classificationpayments in the statement of cash flows. The Company early-adoptedprimary purpose of the standard effective July 1, 2016, usingASU is to reduce the prospective approach. Pursuant to the guidance, the Company recognized gross excess tax benefits of approximately $9.1 million ($3.6 million tax effected) during the three months ended September 30, 2016, which were fully offset by a valuation allowance at PHSI, the Company's consolidated subsidiary. No adjustments were made to prior periods, and the impact on prior periods would have been immaterial. All excess tax benefits related to share-based awards are reported as operating activities within the accompanying condensed consolidated statement of cash flows. In addition, the Company calculated diluted earnings per share without consideration of any tax benefitsdiversity in determining dilutive shares.
In August 2015, the FASB issued ASU 2015-15, Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements, which clarifies the SEC staff's position in ASU 2015-03 on presenting and measuring debt issuance costs incurred in connection with line-of-credit arrangements givenpractice that has resulted from the lack of consistent principles on this topic. The ASU amendments add or clarify guidance on this topic in ASU 2015-03, Interest-Imputation of Interest: Simplifying the Presentation of Debt Issuance Costs. ASU 2015-15 states that the SEC staff would "not object to an entity deferring and presenting debt issuance costs as an asset and subsequently amortizing the deferred debt issuance costs ratably over the term of the line-of-credit arrangement."eight cash flow issues. The Company adopted thethis standard effective JulyJanuary 1, 20162018 using the retrospective approach. The guidance had no impact on the Company's accounting for debt issuance costs associated with its lineimplementation of credit.
In February 2015, the FASB issuedthis ASU 2015-02, Consolidation (Topic 810): Amendments to the Consolidation Analysis, which effectively eliminated the presumption that a general partner should consolidate a limited partnership, modified the evaluation of whether limited partnerships and similar legal entities are VIEs or voting interest entities, and affected the consolidation analysis of reporting entities that are involved with VIEs (particularly those that have fee arrangements and related party relationships). The Company adopted the standard effective July 1, 2016 using the modified retrospective approach. The adoption of ASU 2015-02 did not impact the classification or presentation of cash flows within the Company's conclusions regarding consolidation or thecondensed consolidated financial statements other than providing additional disclosures around Premier's consolidation of Premier LP. As a result of ASU 2015-02, the Company no longer consolidates Premier LP under the presumption that the general partner controls a limited partnership but rather consolidates Premier LP under the Variable Interest Model. Premier LP meets the definition of a VIE as the limited partners do not have the ability to exercise a substantive removal right with respect to the general partner, Premier GP. Additionally, the Company, throughstatements.


Premier GP, has the exclusive power and authority to manage the business and affairs of Premier LP, to make all decisions with respect thereto driving the economic performance of Premier LP, and has both an obligation to absorb losses and a right to receive benefits.
Recently Issued Accounting Standards Not Yet Adopted
In January 2017, the FASB issued ASU 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment, which eliminates Step 2 from the goodwill impairment test. The guidance requires an entity to perform its annual, or interim, goodwill impairment test by comparing the fair value of a reporting unit with its carrying amount. An entity should recognize an impairment charge for the amount by which the carrying amount exceeds the reporting unit’s fair value. In addition, the guidance eliminates the requirement for any reporting unit with a zero or negative carrying amount to perform a qualitative assessment. The standard is effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2020. Early adoption is permitted for interim and annual goodwill impairment tests performed after January 1, 2017. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.
In October 2016, the FASB issued ASU 2016-16, Income Taxes (Topic 740): Intra-Entity Transfers of Assets Other Than Inventory, which removes the prohibition in ASC 740 against the immediate recognition of the current and deferred income tax effects of intra-entity transfers of assets other than inventory. The guidance is intended to reduce the complexity of GAAP and diversity in practice related to the tax consequences of certain types of intra-entity asset transfers, particularly those involving intellectual property. The standard is effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2018. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.
In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments, which amends the guidance in ASC 230 on the classification of certain cash receipts and payments in the statement of cash flows. The primary purpose of the ASU is to reduce the diversity in practice that has resulted from the lack of consistent principles on this topic. The ASU amendments add or clarify guidance on eight cash flow issues. The standard is effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2018. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.
In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), which is intended to increase transparency and comparability among organizations of accounting for leasing arrangements. This guidance establishes a right-of-use model that requires a lessee to record a right-of-use asset and a lease liability on the balance sheet for all leases with terms longer than twelve months. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition in the income statement. Entities will be required to recognize and measure leases as of the earliest period presented using a modified retrospective approach. The standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2019. Early adoption is permitted. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.
In January 2016, the FASB issued ASU 2016-01, Financial Instruments-Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities, which is intended to provide users of financial statements with more useful information on the recognition, measurement, presentation, and disclosure of financial instruments. The standard is effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2018. Early adoption is permitted for certain amendments. The Company is currently evaluating the impact of the adoption of the new standard on its consolidated financial statements and related disclosures.
In July 2015, the FASB issued ASU 2015-11, Inventory (Topic 330): Simplifying the Measurement of Inventory, which requires entities to measure most inventory "at the lower of cost and net realizable value," thereby simplifying the current guidance under which an entity must measure inventory at the lower of cost or market. This guidance will not apply to inventories that are measured by using either the last-in, first-out method or the retail inventory method. The new standard will be effective prospectively for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. The new standard will be effective for the Company for the fiscal year beginning July 1, 2017. Upon transition, entities must disclose the nature of and reason for the accounting change. We do not expect the adoption of the new standard to have a material impact on our consolidated financial statements and related disclosures.
In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606), which will supersede nearly all existing revenue recognition guidance. The new standard requires revenue to be recognized when promised goods or services


are transferred to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The new standard also requires additional disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, including significant judgments and changes in judgments and assets recognized from costs incurred to obtain or fulfill a contract. The new standard allows for either full retrospective or modified retrospective adoption.


TheIn August 2015, the FASB subsequently issued an amendment in ASU 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date, in August 2015 to defer the effective date of the new standard for all entities by one year. The new standard, as amended, will be effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. Early adoption as of the original effective date for public entities will be permitted.
TheIn March 2016, the FASB issued another amendment in ASU 2016-08, Revenue from Contracts with Customers (Topic 606): Principal versus Agent Considerations, in March 2016 related to a third party providing goods or services to a customer. When another party is involved in providing goods or services to a customer, an entity is required to determine whether the nature of its promise is to provide the specified good or service itself or to arrange for the good or service to be provided by a third party. If the entity provides the specific good or service itself, the entity acts as a principal. If an entity arranges for the good or service to be provided by a third party, the entity acts as an agent. The standard requires the principal to recognize revenue for the gross amount and the agent to recognize revenue for the amount of any fee or commission for which it expects to be entitled in exchange for arranging for the specified good or service to be provided. The new standard will be effective with ASU 2014-09.
In April 2016, the FASB issued ASU 2016-10, Revenue from Contracts with Customers (Topic 606): Identifying Performance Obligations and Licensing, which amends specific aspects of ASU 2014-09, including how to identify performance obligations and guidance related to licensing implementation. This amendment provides guidance on determining whether an entity's promise to grant a license provides a customer with either a right to use the entity's intellectual property or a right to access the entity's intellectual property. The amendment will be effective with ASU 2014-09.
In May 2016, the FASB issued ASU 2016-12, Revenue from Contracts with Customers (Topic 606): Narrow-Scope Improvements and Practical Expedients, which clarifies specific aspects of ASU 2014-09, clarifying how to identify performance obligations and guidance related to its promise in granting a license of intellectual property. This new standard provides guidance to allow entities to disregard items that are immaterial in the context of the contract, clarify when a promised good or service is separately identifiable and allow an entity to elect to account for the cost of shipping and handling performed after control of a good has been transferred to the customer as a fulfillment cost. The new standard also clarifies how an entity should evaluate the nature of its promise in granting a license of intellectual property to help determine whether it recognizes revenue over time or at a point in time and addresses how entities should consider license renewals and restrictions. The new standard will be effective with ASU 2014-09.
In December 2016, the FASB issued ASU 2016-20, Technical Corrections and Improvements to Topic 606: Revenue from Contracts with Customers, which clarifies specific aspects of ASU 2014-09, including allowing entities not to make quantitative disclosures about remaining performance obligations in certain cases and requiring entities that use any of the new or previously existing optional exemptions to expand their qualitative disclosures. The new standard also makes twelve other technical corrections and modifications to ASU 2014-09. The new standard will be effective with ASU 2014-09.
The new revenue recognition standardsstandard related to Topic 606 discussed above, as amended, will be effective for the Company for the fiscal year beginning July 1, 2018.2018, at which time we plan to adopt the standard using the modified retrospective approach. To-date, the Company has identified the following preliminary impacts of adopting the new standard on various revenue streams across its operating segments.
Within the Supply Chain Services segment, the Company is continuing to assess the impact of adopting the new standard on its various revenue streams. Under the new standard, the Company expects to recognize administrative fee revenue upon the occurrence of a sale by suppliers to the Company’s members. This differs from the current treatment in which the Company recognizes revenue in the period that the respective supplier reports member purchasing data, which is usually a month or a quarter in arrears of the actual member purchase activity. This change is expected to result in the Company recognizing revenue sooner in the revenue cycle than under the Company's current revenue recognition policy and the creation of a contract asset associated with this shift in revenue recognition timing. With regards to product revenue, the Company does not expect a significant impact on the timing of revenue recognition. The Company is currently evaluating the transition method that will be elected as well ascontinuing to assess the impact of the adoptionnew standard on the financial statements and disclosures.
Within the Performance Services segment, the Company is continuing to assess the impact of adopting the new standard on its various revenue streams. Under the new standard, the Company expects to recognize revenue associated with its perpetual and term licenses upon delivery to the customer (point in time) and the associated mandatory post-contract customer support ratably over the period during which the support is provided (over time). The Company expects that this change will result in a shift and acceleration in timing of revenue recognition relative to the existing guidance. Also under the new standard, the Company will be required to capitalize the incremental costs of obtaining a contract, which the Company has preliminarily identified as sales commissions and costs associated with implementing our SaaS informatics tools, and to amortize these costs in a manner that reflects the transfer of services to the customer. These costs are expensed as incurred under the Company's current policy. The Company is continuing to assess the impact of the new standardsstandard on its consolidatedthe financial statements and related disclosures.


Additionally, we arethe Company is evaluating the potential impactsimpact of adopting the new standard on our revenue contracts and identifying appropriate changes to ourits business processes, systems and controls necessary to support revenue recognition and disclosure requirements under the new standard.
(3) BUSINESS ACQUISITIONS
Acquisition of Innovatix and Essensa
Innovatix, LLC ("Innovatix") and Essensa Ventures, LLC
("Essensa") are GPOs focused on serving alternate site healthcare providers and other organizations throughout the United States. Prior to December 2, 2016, the Company, through its consolidated subsidiary, PSCI,Premier Supply Chain Improvement ("PSCI"), held 50% of the membership interests in Innovatix LLC ("Innovatix") (see Note 4 - Investments). On December 2, 2016, the Company, through PSCI, acquired from GNYHA Holdings, LLC ("GNYHA Holdings") (see Note 14 - Related Party Transactions) the remaining 50% ownership interest of Innovatix and 100% of the ownership interest in Essensa Ventures, LLC ("Essensa") for $325.0 million, of which $227.5 million in cash was paid at closing and $97.5 million in cash was paid on January 10, 2017.
The purchase price is subject to adjustment based on Innovatix's and Essensa's (i) cash on hand and cash equivalents, (ii) outstanding indebtedness and (iii) net working capital at closing. With regard to Innovatix, the As a result of certain purchase price adjustments set forthprovided for in (i), (ii)


and (iii) above are limited to 50% of the actual amount due to PSCI’s 50% ownership interest prior topurchase agreement, the acquisition. Innovatix and Essensa are GPOs focused on serving nonacute and alternate site health care providers and other organizations throughout the United States.adjusted purchase price was $336.0 million.
In connection with the acquisition, the Company utilized its credit facility dated June 24, 2014, as amended on June 4, 2015 (the "Credit Facility") to fund the $325.0 million purchase price (see Note 8 - Debt), which is reflected within current portion of long-term debt in the condensed consolidated balance sheet at March 31, 2017.
. The Company also incurred $0.4 million and $5.1 million of transaction costs related to this acquisition of $0.9 million and $0.4 million during the three months ended March 31, 2018 and 2017, respectively, and $4.2 million and $5.1 million during the nine months ended March 31, 2018 and 2017, respectively. These transaction costs were included in selling, general and administrative expenses in the accompanying condensed consolidated statementsCondensed Consolidated Statements of income.Income.
The Company has accounted for the Innovatix and Essensa acquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets acquired (see Note 6 - Intangible Assets, Net) and liabilities assumed based on their preliminary fair values. The purchase price allocation for the Innovatix and Essensa acquisition is preliminary and subject to changes in the fair value of working capital and valuation of the assets acquired and the liabilities assumed. The acquisition resulted in the recognition of approximately $334.6$334.7 million of goodwill (see Note 7 - Goodwill) attributable to the anticipated profitability of Innovatix and Essensa. The acquisition was considered an asset acquisition for tax purposes, and accordingly, the Company expects a portion of the goodwill to be deductible for tax purposes.


The preliminary fair values assigned to the net assets acquired and the liabilities assumed as of the acquisition date were as follows (in thousands):
Acquisition Date Fair Value
(Restated)
Acquisition Date Fair Value
Cash paid at closing$227,500
$227,500
Cash paid on January 10, 201797,500
97,500
Purchase price325,000
325,000
Additional cash paid at closing10,984
10,984
Adjusted purchase price335,984
335,984
Earn-out liability16,662
16,662
Receivable from GNYHA Holdings, LLC(3,000)(3,000)
Estimated working capital settlement1,106
Total consideration paid350,752
349,646
Cash acquired(16,267)(16,267)
Net consideration334,485
333,379
50% ownership interest in Innovatix218,044
218,356
Payable to Innovatix and Essensa(5,765)(5,765)
Enterprise value546,764
545,970
  
Accounts receivable22,261
21,242
Prepaid expenses and other current assets686
686
Fixed assets, net2,064
3,476
Intangible assets242,906
241,494
Total assets acquired267,917
266,898
Accrued expenses5,264
5,264
Revenue share obligations6,937
7,011
Other current liabilities694
694
Total liabilities assumed12,895
12,969
Deferred tax liability42,904
42,636
Goodwill$334,646
$334,677
The acquisition providesprovided the selling membersseller an earn-out opportunity of up to $43.0 million based on Innovatix's and Essensa's Adjusted EBITDA (as defined in the purchase agreement) for the fiscal year ending June 30, 2017. In accordance with GAAP,The Company and the contingent consideration is recorded at fair value based on a probability-weighted approach including multiple earnings scenarios. This value is not indicative of a knownseller finalized the amount payable pursuant to be paid. As ofthe earn-out opportunity and the Company paid the seller $21.1 million during the nine months ended March 31, 2017, the fair value of the earn-out liability was $18.5 million2018 (see Note 5 - Fair Value Measurements).
Certain executive officers of Innovatix and Essensa executed employment agreements that became effective upon the closing of the acquisition. The purchase agreement provides that in the event that Innovatix's and Essensa's Adjusted EBITDA exceeds agreed upon amounts, certain of those executive officers are entitled to receive a retention bonus payment of up to $3.0 million in the aggregate, for which the Company will be reimbursed by GNYHA Holdings LLC.of which $1.5 million was paid and reimbursed during the nine months ended March 31, 2018.
The Company's 50% ownership interest in Innovatix prior to the acquisition was accounted for under the equity method and had a carrying value of $13.2$13.3 million (see Note 4 - Investments). In connection with the acquisition, the Company's investment was remeasured under business combination accounting rules to a fair value of $218.0$218.4 million, resulting in a one-time gain of $204.8$205.1 million which was recorded in the accompanying condensed consolidated statements of income as other income.
Pro forma results of operations for the acquisition have not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements. The Company reports Innovatix and Essensa as part of its supply chain servicesSupply Chain Services segment.


Acquisition of Acro Pharmaceuticals
Acro Pharmaceutical Services LLC ("Acro") and Community Pharmacy Services, LLC
(collectively with Acro, "Acro Pharmaceuticals") are specialty pharmacy businesses that provide customized healthcare management solutions to members. On August 23, 2016, the Company, through its consolidated subsidiary, NS3 Health, LLC, acquired 100% of the membership interests of Acro Pharmaceutical Services LLC and Community Pharmacy Services, LLC (collectively, "Acro Pharmaceuticals")Pharmaceuticals for $75.0 million in cash, subject to adjustment based on Acro Pharmaceuticals' (i) cash on hand, (ii) outstanding indebtedness and (iii) net working capital at closing. Acro Pharmaceuticals iscash. As a specialty pharmacy business that provides customized healthcare management solutions to clients.result of certain purchase price adjustments provided for in the purchase agreement, the adjusted purchase price was $62.9 million. The acquisition was funded with available cash on hand.
The Company has accounted for the Acro Pharmaceuticals acquisition as a business combination whereby the purchase price was allocated to tangible and intangible assets acquired and liabilities assumed based on their preliminary fair values. The purchase price allocation for the Acro Pharmaceuticals acquisition is preliminary and subject to changes in fair value of working capital and valuation of the assets acquired and the liabilities assumed. The Acro Pharmaceuticals acquisition resulted in the recognition of approximately $35.7$33.9 million of goodwill (see Note 7 - Goodwill) attributable to the anticipated profitability of Acro Pharmaceuticals. The Acro Pharmaceuticals acquisition iswas considered an asset acquisition for tax purposes and accordingly, the Company expects the goodwill to be deductible for tax purposes.
Pro forma results of operations for the acquisition have not been presented because the effects on revenue and net income were not material to our historic consolidated financial statements. The Company reports Acro Pharmaceuticals as part of its supply chain servicesSupply Chain Services segment.
(4) INVESTMENTS
Investments in Unconsolidated Affiliates
The Company's investments in unconsolidated affiliates consisted of the following (in thousands):
 Carrying Value Equity in Net Income (Loss)
    Three Months Ended March 31,Nine Months Ended March 31,
 March 31, 2017June 30, 2016 2017201620172016
FFF Enterprises, Inc.$91,469
$
 $217
$
$4,394
$
BloodSolutions, LLC2,091
2,185
 (42)
(94)
PharmaPoint, LLC4,318
4,572
 (92)(108)(254)(284)
Innovatix, LLC
9,043
 
6,735
10,743
15,992
Other investments1,000
1,000
 


294
Total investments$98,878
$16,800
 $83
$6,627
$14,789
$16,002


 Carrying Value Equity in Net Income (Loss)
    Three Months Ended March 31,Nine Months Ended March 31,
 March 31, 2018June 30, 2017 2018201720182017
FFF$91,189
$85,520
 $64
$217
$5,668
$4,394
Bloodbuy1,963
2,066
 (37)(42)(102)(94)
PharmaPoint
4,232
 (4,073)(92)(4,232)(254)
Innovatix

 


10,743
Other investments296
1,061
 (893)
(764)
Total investments$93,448
$92,879
 $(4,939)$83
$570
$14,789
On July 26, 2016, the Company, through its consolidated subsidiary, PSCI, acquired 49% of the issued and outstanding stock of FFF Enterprises, Inc. ("FFF") for $65.7 million in cash plus consideration in the form of the FFF put and call rights. The Company recorded the initial investment in FFF in the accompanying condensed consolidated balance sheetCondensed Consolidated Balance Sheets at $87.1$81.1 million, of which $65.7 million was in cash and $15.4 million was consideration in the form of the net fair value of the FFF put and call rights and $6.0 million related to deferred taxes attributed to theinitial net fair value of the FFF put and call rights (see Note 5 - Fair Value Measurements for additional information related to the fair values of the FFF put and call rights). The Company accounts for its investment in FFF using the equity method of accounting and includes the investment as part of the supply chain servicesSupply Chain Services segment.
On January 28, 2016, theThe Company, through its consolidated subsidiary, PSCI, purchased 5.3 million Class B Membership Unitsheld a 15% ownership interest in BloodSolutions, LLC ("Bloodbuy") for approximately $2.3through its ownership of 5.3 million which represented a 15% ownership interestunits of Class B Membership Interests in Bloodbuy.Bloodbuy at March 31, 2018 and June 30, 2017. The Company accounts for its investment in Bloodbuy using the equity method of accounting as the Company has rights to appoint a boardBoard member, and includes the investment as part of the supply chain servicesSupply Chain Services segment.
The Company, through its consolidated subsidiary, PSCI, held a 28% ownership interest in PharmaPoint, LLC ("PharmaPoint") through its ownership of 5.0 million units of Class B Membership Interests in PharmaPoint at March 31, 20172018 and June 30, 2016. The remaining 72% ownership interest2017. During the three months ended March 31, 2018, the Company determined that it was unlikely to recover its investment in PharmaPoint, and as a result recognized an other-than-temporary impairment of $4.0 million, which is held by Nations Pharmaceuticals, LLC through its 13.0 million unitsincluded in equity in net income (loss) of Class A Membership Interests.unconsolidated affiliates in the accompanying Condensed Consolidated Statements of Income. The Company accounts for its investment in PharmaPoint using the equity method of accounting and includes the investment as part of the supply chain servicesSupply Chain Services segment.


The Company, through its consolidated subsidiary, PSCI, held 50% of the membership interests in Innovatix until December 2, 2016, at which time it acquired the remaining 50% membership interests (see Note 3 - Business Acquisitions and Note 14 - Related Party Transactions). As a result, the Company recognized a one-time gain of $204.8 million related to the remeasurement of the then-existing 50% ownership share to fair value. Prior to the acquisition, the Company accounted for its investment in Innovatix using the equity method of accounting and included the investment as part of the supply chain servicesSupply Chain Services segment.
Marketable Securities
The Company has historically invested its excess cash in commercial paper, U.S. government debt securities, corporate debt securities and other securities with maturities generally ranging from three months to five years from the date of purchase. The Company uses the specific-identification method to determine the cost of securities sold. At March 31, 2018 and June 30, 2017, the Company had no marketable securities other than those included in deferred compensation plan assets (see Note 5 - Fair Value Measurements). At June 30, 2016, corporate debt securities and asset-backed securities were classified as current and long-term marketable securities in the accompanying condensed consolidated balance sheets. See Note 5 - Fair Value Measurements for further information related to the Company's measurement of fair market value for its marketable securities. At June 30, 2016, marketable securities, classified as available-for-sale, consisted of the following (in thousands):
 Amortized CostGross Unrealized GainsGross Unrealized LossesFair Market Value
June 30, 2016    
Corporate debt securities$33,267
$
$(135)$33,132
Asset-backed securities14,755
3
(1)14,757
Total marketable securities$48,022
$3
$(136)$47,889

(5) FAIR VALUE MEASUREMENTS
Recurring Fair Value Measurements
The following table representsprovides a summary of the Company's financial assets and liabilities which are measured at fair value on a recurring basis (in thousands):
 Quoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3) Quoted Prices in Active Markets for Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)
Significant Unobservable Inputs
(Level 3)
March 31, 2017 
March 31, 2018 
Cash equivalents$75,149
$75,149
$
$
$460
$460
$
$
FFF call right9,936


9,936
752


752
Deferred compensation plan assets45,368
45,368


46,773
46,773


Total assets$130,453
$120,517
$
$9,936
$47,985
$47,233
$
$752
Earn-out liabilities$18,787
$
$
$18,787
$61
$
$
$61
FFF put right25,482


25,482
38,821


38,821
Total liabilities$44,269
$
$
$44,269
$38,882
$
$
$38,882
  
June 30, 2016 
June 30, 2017 
Cash equivalents$83,846
$83,846
$
$
$22,218
$22,218
$
$
Corporate debt securities33,132

33,132

Asset-backed securities14,757

14,757

FFF call right4,655


4,655
Deferred compensation plan assets41,917
41,917


47,202
47,202


Total assets$173,652
$125,763
$47,889
$
$74,075
$69,420
$
$4,655
Earn-out liabilities$4,128
$
$
$4,128
$21,310
$
$
$21,310
FFF put right24,050


24,050
Total liabilities$4,128
$
$
$4,128
$45,360
$
$
$45,360
Cash equivalents were included in cash and cash equivalents and corporate debt securities and asset-backed securities were included in current and long-term marketable securities in the accompanying condensed consolidated balance sheetsCondensed Consolidated Balance Sheets (see Note 4 - Investments). The fair value of the Company's corporate debt securities and asset-backed securities, classified as Level 2, were valued using quoted prices for similar securities in active markets or quoted prices for identical or similar securities in markets that are not active.
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 was included in prepaid expenses and other current assets ($5.53.5 million and $2.0$5.7 million at March 31, 20172018 and June 30, 2016,2017, respectively) in the accompanying condensed consolidated balance sheets.Condensed Consolidated Balance Sheets.
Financial Instruments Measured at Fair Value on a Recurring Basis Using Significant Unobservable Inputs (Level 3)
Earn-out liabilities
Earn-out liabilities were incurredestablished in connection with acquisitions of Healthcare Insights, LLC (acquired on July 31, 2015), Inflow Health, LLC (acquired on October 1, 2015, Healthcare Insights, LLC ("HCI") on July 31, 20152015) and Innovatix and Essensa (acquired on December 2, 20162016) (see Note 3 - Business Acquisitions). At March 31, 20172018 and June 30, 2016,2017, the earn-out liabilities were classified aswithin Level 3.3 of the fair

value hierarchy. The fair values of the earn-out liabilities were determined based on estimated future earnings and the probability of achieving them. The current portion of the earn-out liabilities was $18.5$0.0 million and $0.5$21.1 million at March 31, 20172018 and June 30, 2016,2017, respectively, and was included in other liabilities, current in the accompanying condensed consolidated balance sheets.Condensed Consolidated Balance Sheets. The decrease in the current portion of the earn-out liabilities is attributable to the $21.1 million earn-out payment to GNYHA Holdings that occurred during the current year (see Note 3 - Business Acquisitions). The long-term portion of the earn-out liabilities was $0.3$0.1 million and $3.7$0.2 million at March 31, 20172018 and June 30, 2016,2017, respectively, and was included in other liabilities, noncurrentnon-current in the accompanying condensed consolidated balance sheets.Condensed Consolidated Balance Sheets. Changes in the fair values of the earn-out liabilities were recorded within selling, general and administrative expenses in the accompanying condensed consolidated statementsCondensed Consolidated Statements of income.Income.
FFF put and call rights
Pursuant to a shareholders' agreement entered into in connection with the Company's equity investment in FFF on July 26, 2016 (see Note 4 - Investments), which shareholders' agreement was amended and restated November 22, 2017, the majority shareholder of FFF obtainedholds a put right ("FFF put right") that (i) provides such shareholder

the right to sell all or any portionrequire the Company to purchase up to 50% of its interest in FFF, to the Company, which is exercisable beginning on the fourth anniversary of the investment closing date, July 26, 2020, and (ii) requires the Company to purchase all or a portion of its remaining interest in FFF on or after December 31, 2020. Any such required purchases are to be made at a per share price equal to FFF's earnings before interest, taxes, depreciation and amortization ("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 ("Equity Value per Share"). In addition, the amended and restated shareholders' agreement providedprovides the Company with a call right ("FFF call right")requiring the majority shareholder to purchase thesell its remaining interest in FFF fromto the majority shareholder,Company, which is exercisable at any time within the later of 180 calendar days after the date of a Key Man Event (generally defined in the amended and restated shareholders' agreement as the resignation, termination for cause, death or disability of the majority shareholder). or 30 calendar days after December 31, 2020. In the event that the FFF put or call rights are exercised, the purchase price for the additional interest in FFF will be at a per share price equal to the Equity Value per Share.
The fair value of the FFF put and call rights were determined based on the Equity Value per Share calculation using unobservable inputs, which included the estimated FFF put and call rights' expiration dates, the forecast of FFF's EBITDA over the option period, forecasted movements in the overall market and the likelihood of a Key Man Event. Significant changes to the Equity Value per Share resulting from changes in the unobservable inputs could have a significant impact on the fair values of the FFF put and call rights.
The Company recorded the FFF put and call rights within long termlong-term other liabilities and long termlong-term other assets, respectively, withinin the accompanying condensed consolidated balance sheets.Condensed Consolidated Balance Sheets. Net changes in the fair value of the FFF put and call rights were recorded within other expense, net,income in the accompanying condensed consolidated statementsCondensed Consolidated Statements of income.Income.

A reconciliation of the Company's earn-out liabilities and FFF put and call rights is as follows (in thousands):
Beginning BalancePurchasesGain (Loss)Ending BalanceBeginning BalancePurchases (Settlements)Gain (Loss)Ending Balance
Three months ended March 31, 2017 
FFF call right asset$10,750
$
$(814)$9,936
Three Months Ended March 31, 2018 
FFF call right$2,108
$
$(1,356)$752
Total Level 3 assets$10,750
$
$(814)$9,936
$2,108
$
$(1,356)$752
Earn-out liabilities$16,713
$
$(2,074)$18,787
$2,792
$(2,625)$106
$61
FFF put right liability26,384

902
25,482
FFF put right37,110

(1,711)38,821
Total Level 3 liabilities$43,097
$
$(1,172)$44,269
$39,902
$(2,625)$(1,605)$38,882
  
Three months ended March 31, 2016 
Three Months Ended March 31, 2017 
FFF call right$10,750
$
$(814)$9,936
Total Level 3 assets$10,750
$
$(814)$9,936
Earn-out liabilities$4,109
$
$(27)$4,136
$16,713
$
$(2,074)$18,787
FFF put right26,384

902
25,482
Total Level 3 liabilities$4,109
$
$(27)$4,136
$43,097
$
$(1,172)$44,269
  
Nine months ended March 31, 2017 
FFF call right asset$
$10,361
$(425)$9,936
Nine Months Ended March 31, 2018 
FFF call right$4,655
$
$(3,903)$752
Total Level 3 assets$
$10,361
$(425)$9,936
$4,655
$
$(3,903)$752
Earn-out liabilities$4,128
$16,662
$2,003
$18,787
$21,310
$(21,125)$124
$61
FFF put right liability
25,821
339
25,482
FFF put right24,050

(14,771)38,821
Total Level 3 liabilities$4,128
$42,483
$2,342
$44,269
$45,360
$(21,125)$(14,647)$38,882
  
Nine months ended March 31, 2016 
Nine Months Ended March 31, 2017 
FFF call right$
$10,361
$(425)$9,936
Total Level 3 assets$
$10,361
$(425)$9,936
Earn-out liabilities$
$4,109
$(27)$4,136
$4,128
$16,662
$2,003
$18,787
FFF put right
25,821
339
25,482
Total Level 3 liabilities$
$4,109
$(27)$4,136
$4,128
$42,483
$2,342
$44,269
Non-Recurring Fair Value Measurements
During the nine months ended March 31, 2017,2018, no non-recurring fair value measurements were required related to the testingmeasurement 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 acquisitions of Acro Pharmaceuticals and Innovatix and Essensa were determined using the income approach (see Note 3 - Business Acquisitions). 

The Company recognized a one-time gain of $204.8 million related to the remeasurement of the Company's 50% equity method investment in Innovatix to fair value upon acquisition of the remaining interest in Innovatix (see Note 3 - Business Acquisitions). The fair value of the investment was calculated using a discounted cash flow model.
Financial Instruments Forfor Which Fair Value Only is Disclosed
The fair values of non-interest bearing notes payable, classified as Level 2, were less than their carrying values by approximately $0.6 million and $0.7 million at March 31, 20172018 and June 30, 2016, respectively,2017, based on assumed market interest rates of 3.5% and 2.6% for March 31, 2018 and 2.1%,June 30, 2017, respectively.
Other Financial Instruments
The fair valuevalues of cash, accounts receivable, accounts payable, and accrued liabilities and the Company's Credit Facility approximated carrying value due to the short-term nature of these financial instruments.


(6) INTANGIBLE ASSETS, NET
Intangible assets, net consisted of the following (in thousands):
Useful LifeMarch 31, 2017June 30, 2016Useful LifeMarch 31, 2018June 30, 2017
Member relationships14.7 years$220,100
$
14.7 years$220,100
$220,100
Technology5.0 years145,140
143,727
5.0 years142,317
143,727
Customer relationships8.3 years48,120
48,120
8.3 years48,120
48,120
Trade names8.3 years22,710
13,160
8.3 years22,710
22,710
Distribution network10.0 years22,400

10.0 years22,400
22,400
Favorable lease commitments10.1 years11,393

10.1 years11,393
11,393
Non-compete agreements5.9 years8,710
4,080
5.9 years8,710
8,710
Total intangible assets 478,573
209,087
 475,750
477,160
Accumulated amortization (85,498)(50,870) (139,802)(99,198)
Intangible assets, net $393,075
$158,217
 $335,948
$377,962
The increase in total intangible assets was due to the acquisitions of Acro Pharmaceuticals in August 2016 and Innovatix and Essensa in December 2016 (see Note 3 - Business Acquisitions). Intangible asset amortization totaled $14.1$13.9 million and $8.7$14.1 million for the three months ended March 31, 20172018 and 2016,2017, respectively, and $34.4$41.6 million and $24.1$34.4 million for the nine months ended March 31, 20172018 and 2016,2017, respectively.
(7) GOODWILL
Goodwill consisted of the following (in thousands):
 Supply Chain ServicesPerformance Services
Acquisition Adjustments (b)
Total
June 30, 2016$31,765
$506,197
$
$537,962
Acro Pharmaceuticals (a)
39,850

(4,109)35,741
Innovatix and Essensa (restated) (a)
331,163

3,483
334,646
March 31, 2017 (restated)$402,778
$506,197
$(626)$908,349
 March 31, 2018June 30, 2017
Supply Chain Services$400,348
$400,348
Performance Services506,197
506,197
Total goodwill$906,545
$906,545
(a)See Note 3 - Business Acquisitions for more information.
(b)The initial purchase price allocations for the Company's acquisitions are preliminary and subject to changes in fair value of working capital and valuation of the assets acquired and the liabilities assumed. The Acro Pharmaceuticals acquisition adjustments were related to working capital adjustments subsequent to the acquisition date which were recorded in the Supply Chain Services segment. The Innovatix and Essensa acquisition adjustments were related to working capital and intangible asset adjustments subsequent to the acquisition date which were recorded in the Supply Chain Services segment. See Note 3 - Business Acquisitions for more information.


(8) DEBT
Long-term debt consisted of the following (in thousands):
Commitment AmountDue DateMarch 31, 2017June 30, 2016Commitment AmountDue DateMarch 31, 2018June 30, 2017
Credit Facility$750,000
June 24, 2019$367,500
$
$750,000
June 24, 2019$200,000
$220,000
Notes payable$
Various16,138
19,342

Various7,217
14,272
Total debt  383,638
19,342
  207,217
234,272
Less: Current portion  (376,710)(5,484)  (200,255)(227,993)
Total long-term debt  $6,928
$13,858
  $6,962
$6,279
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 into an unsecured Credit Facility, dated as of June 24, 2014 and amended on June 4, 2015. The Credit Facility has a maturity date of June 24, 2019. The Credit Facility provides for borrowings of up to $750.0 million with (i) a $25.0 million sub-facility for standby letters of credit and (ii) a $75.0 million sub-facility for swingline loans. The Credit Facility may be increased from time to time at the Company's request up to an aggregate additional amount of $250.0 million, subject to lender approval. The Credit Facility includes an unconditional and irrevocable guaranty of all obligations under the Credit Facility by Premier GP, certain domestic subsidiaries of Premier GP and future guarantors, if any. Premier, Inc. is not a guarantor under the Credit Facility.


At the Company's option, committed loans may be in the form of eurodollarEurodollar rate loans ("Eurodollar Loans") or base rate loans ("Base Rate Loans"). Eurodollar Loans bear interest at the eurodollarEurodollar rate (defined as the London Interbank Offered Rate, or LIBOR, plus the Applicable Rate (defined as a margin based on the Consolidated Total Leverage Ratio (as defined in the Credit Facility))). Base Rate Loans bear interest at the Base Rate (defined as the highest of the prime rate announced by the administrative agent, the federal funds effective rate plus 0.50% or the one-month LIBOR plus 1.0%) plus the Applicable Rate. The Applicable Rate ranges from 1.125% to 1.750% for Eurodollar Loans and 0.125% to 0.750% for Base Rate Loans. At March 31, 2017,2018, the interest rate for three-month Eurodollar Loans was 2.275%3.435%, the interest rate for six-month Eurodollar Loans was 3.575% and the interest rate for the Base Rate Loans was 4.125%4.875%. The Co-Borrowers are required to pay a commitment fee ranging from 0.125% to 0.250% per annum on the actual daily unused amount of commitments under the Credit Facility. At March 31, 2017,2018, the commitment fee was 0.125%.
The Credit Facility contains customary representations and warranties as well as customary affirmative and negative covenants, including, among others, limitations on liens, indebtedness, fundamental changes, dispositions, restricted payments and investments, of which certain covenant calculations use EBITDA, a Non-GAAP financial measure. Under the terms of the Credit Facility, Premier GP is not permitted to allow its consolidated total leverage ratio (as defined in the Credit Facility) to exceed 3.00 to 1.00 for any period of four consecutive quarters. In addition, Premier GP must maintain a minimum consolidated interest coverage ratio (as defined in the Credit Facility) of 3.00 to 1.00 at the end of every fiscal quarter. Premier GP was in compliance with all such covenants at March 31, 2017.2018.
The Credit Facility also contains customary events of default including, among others, payment defaults, breaches of representations and warranties, covenant defaults, cross-defaults of any indebtedness or guarantees in excess of $30.0 million, bankruptcy and other insolvency events, judgment defaults in excess of $30.0 million, and the occurrence of a change of control (as defined in the Credit Facility). If any event of default occurs and is continuing, the administrative agent under the Credit Facility may, with the consent, or shall, at the request of the required lenders, terminate the commitments and declare all of the amounts owed under the Credit Facility to be immediately due and payable. The Company may prepay amounts outstanding under the Credit Facility without premium or penalty provided that Co-Borrowers compensate the lenders for losses and expenses incurred as a result of the prepayment of any Eurodollar Loan, as defined in the Credit Facility.
Proceeds from borrowings under the Credit Facility may generally be used to finance ongoing working capital requirements, including permitted acquisitions, discretionary cash settlements of Class B unit exchanges under the Exchange Agreement, (to the extent settled in cash)repurchases of Class A common stock pursuant to a stock repurchase program, and other general corporate activities. During the nine months ended March 31, 2017, the Company utilized $425.0 million of the Credit Facility, including $325.0 million to fund the acquisition price of Innovatix and Essensa (see Note 3 - Business Acquisitions), approximately $50.0 million to fund the cash settlement portion of the October 31, 2016 Class B common unit exchange under the Exchange agreement (see Note 9 - Redeemable Limited Partners' Capital), and the remainder to fund general corporate activities. During the three months ended March 31, 2017,2018, the Company repaid $57.5$50.0 million of borrowings and borrowed an additional $30.0 million under the Credit Facility. The Company had outstanding borrowings under the Credit Facility. These borrowings were classified as current liabilities in the condensed consolidated balance sheets as they were


Facility of $200.0 million at March 31, 2018. Borrowings due within one year of the balance sheet date.date are classified as current liabilities in the Condensed Consolidated Balance Sheets. They may be renewed or extended at the option of the Company through the maturity date of the Credit Facility.
On April 10, 2017, the Company repaid $97.5 million of borrowings under the Credit Facility.
Notes Payable
At March 31, 20172018 and June 30, 2016,2017, the Company had $16.1$7.2 million and $19.3$14.3 million, respectively, in notes payable consisting primarily of non-interest bearing notes payable outstanding to departed member owners, of which $9.2$0.2 million and $5.5$8.0 million, respectively, were included in current portion of long-term debt and $6.9$7.0 million and $13.9$6.3 million, respectively, arewere included in long-term debt, less current portion, in the accompanying consolidated balance sheets.Condensed Consolidated Balance Sheets. Notes payable generally have stated maturities of five years from their date of issuance.
(9) REDEEMABLE LIMITED PARTNERS' CAPITAL
Pursuant to the terms of its limited partnership agreement in effect prior to the Reorganization and IPO, Premier LP was required to repurchase a limited partner's interest in Premier LP upon the sale of such limited partner's shares of PHSI common stock, such limited partner's withdrawal from Premier LP, or such limited partner's failure to comply with the applicable purchase commitments under the historical limited partnership agreement of Premier LP. Redeemable limited partners' capital is classified as temporary equity in the mezzanine section of the accompanying condensed consolidated balance sheets as the withdrawal is at the option of each limited partner and the conditions of the repurchase are not solely within the Company's control.
Upon the consummation of the Reorganization and IPO, each limited partner's shares of PHSI were contributed for Class B common units of Premier LP. Commencing on October 31, 2014, and during each year thereafter, each limited partner has the cumulative right to exchange up to one-seventh of its initial allocation of Class B common units for shares of Class A common stock, cash or a combination of both, the form of consideration to be at the discretion of the Company's independent audit and compliance committee of the board of directors.
Redeemable limited partners' capital represents the member owners' 64%61% ownership of Premier LP through their ownership of Class B common units at March 31, 2017.2018. The limited partnersmember owners hold the majority of the votes of the boardBoard of directorsDirectors and any redemption or transfer or choice of consideration cannot be assumed to be within the control of the Company. Therefore, redeemable limited partners' capital is recorded at the greater of the book value or redemption amount per the Amended and Restated Limited Partnership Agreement of Premier LP (as amended, the "LP Agreement"), and is calculated as the fair value of all Class B common units as if immediately exchangeable into Class A common shares. For the nine months ended March 31, 20172018 and 2016,2017, the Company recorded decreases to the fair value for the redemption amount toof redeemable limited partners' capital as an adjustment of $296.6 million (restated) and $685.6 million, respectively.
During the nine months ended March 31, 2017, the Company recorded total reductions of $247.1 million to redeemable limited partners' capital to reflectredemption amount in the exchangeaccompanying Condensed Consolidated Statements of Class B common unitsIncome in the amount of $511.3 million and surrender of associated shares of Class B common stock by member owners for a like number of shares$296.6 million, respectively.
Redeemable limited partners' capital is classified as temporary equity in the mezzanine section of the Company's Class A common stock and the exchange of Class B common units and surrender of associated shares of Class B common stock by member owners for cash allaccompanying Condensed Consolidated Balance Sheets as, pursuant to the termsLP Agreement, withdrawal is at the option of each member owner and the conditions of the Exchange Agreement (see Note 11 - Earnings (Loss) Per Share).repurchase are not solely within the Company's control.


The table below showsprovides a summary of the changes in the redeemable limited partners' capital from June 30, 20162017 to March 31, 20172018 (in thousands):
 Receivables From Limited PartnersRedeemable Limited Partners' CapitalAccumulated Other Comprehensive LossTotal Redeemable Limited Partners' Capital
June 30, 2016$(6,226)$3,143,541
$(85)$3,137,230
Distributions applied to receivables from limited partners1,561


1,561
Redemption of limited partner
(132)
(132)
Net income attributable to non-controlling interest in Premier LP (restated)
282,207

282,207
Distributions to limited partners
(67,941)
(67,941)
Net unrealized loss on marketable securities

85
85
Exchange of Class B common units for Class A common stock by member owners
(123,781)
(123,781)
Exchange of Class B common units for cash by member owners
(123,330)
(123,330)
Adjustment to redemption amount (restated)
(296,566)
(296,566)
March 31, 2017$(4,665)$2,813,998
$
$2,809,333
 Receivables From Limited PartnersRedeemable Limited Partners' CapitalTotal Redeemable Limited Partners' Capital
June 30, 2017$(4,177)$3,142,760
$3,138,583
Distributions applied to receivables from limited partners1,478

1,478
Redemption of limited partners
(942)(942)
Net income attributable to non-controlling interest in Premier LP
154,142
154,142
Distributions to limited partners
(54,305)(54,305)
Exchange of Class B common units for Class A common stock by member owners
(194,924)(194,924)
Adjustment of redeemable limited partners' capital to redemption amount
(511,301)(511,301)
March 31, 2018$(2,699)$2,535,430
$2,532,731
Receivables from limited partners represent amounts due from limited partners for their required capital in Premier LP. These receivables are either interest bearing notes that were issued to new limited partners or non-interest bearing loans (contribution loans) provided to existing limited partners. These receivables are reflected as a reduction to redeemable limited partners' capital so that amounts due from limited partners for capital are not reflected as redeemable limited partnership capital until paid. No interest bearing notes receivable were executed by limited partners of Premier LP during the nine months ended March 31, 2017.2018.
During the nine months ended March 31, 2017, one2018, four limited partnerpartners withdrew from Premier LP. The limited partnership agreement provides for the redemption of the former limited partner'spartners' Class B common units that are not eligible for exchange in the form of a five-year, unsecured, non-interest bearing term promissory note, a cash payment equal to the present value of the redemption amount, or other mutually agreed upon terms. Partnership interest obligations to the former limited partners are reflected in notes payable in the accompanying consolidated balance sheets.Condensed Consolidated Balance Sheets. Under the Exchange Agreement, Class B common units that are eligible for exchange by the withdrawing limited partnerpartners must be exchanged in the next followingsubsequent quarter's exchange process.
Since the Reorganization and IPO, Premier LP's distribution policy has requiredrequires cash distributions as long as taxable income is generated and cash is available to distribute, on a quarterly basis prior to the 60th day after the end of each calendar quarter. The Company makes quarterly distributions to its limited partners in the form of a legal partnership income distribution governed by the terms of the LP Agreement. These partner distributions are based on the limited partner's ownership in Premier LP and relative participation across Premier service offerings. While these distributions are based on relative participation across Premier service offerings, it isthey are not based directly on revenue generated from an individual partner's participation as the distributions are based on the net income or loss(loss) of the partnership which encompassencompasses the operating expenses of the partnership as well as participation by non-owner members in Premier's service offerings. To the extent Premier LP incurred a net loss, the limited partners would not receive a quarterly distribution. As provided in the LP Agreement, the amount of actual cash distributed may be reduced by the amount of such distributions used by limited partners to offset contribution loans or other amounts payable to the Company.
Actual and expected quarterlyQuarterly distributions made to limited partners during the current fiscal year are as follows (in thousands):
Date
Distribution (a)
August 25, 2016$22,493
November 23, 2016$22,137
February 28, 2017$22,733
May 29, 2017 (b)
$23,071
Date
Distribution (a)
August 24, 2017$24,951
November 22, 2017$20,752
February 22, 2018$20,396
(a)Distributions are equal to Premier LP’s total taxable income from the preceding fiscal quarter-to-date period for each respective distribution date multiplied by the Company's standalone effective combined federal, state and local income tax rate.


(b)rate for each respective distribution date. Premier LP expects to make a $13.2 million quarterly distribution on or before May 29, 2017.24, 2018. The distribution is reflected in limited partners’partners' distribution payable in the accompanying condensed consolidated balance sheetsCondensed Consolidated Balance Sheets at March 31, 2017.2018.

Pursuant to the Exchange Agreement (see Note 1 - Organization and Basis of Presentation for more information), each limited partner has the cumulative right to exchange up to one-seventh of its initial allocation of Class B common units for shares of Class A common stock, cash or a combination of both, the form of consideration to be at the discretion of the Company's independent Audit and Compliance Committee. During the nine months ended March 31, 2018, the Company recorded total reductions of


$194.9 million to redeemable limited partners' capital to reflect the exchange of approximately 5.9 million Class B common units and surrender of associated 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 11 - Earnings Per Share for more information). Quarterly exchanges during the current fiscal year 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, 20171,231,410
$42,976
October 31, 20173,651,294
119,289
January 31, 20181,006,435
32,659
Total5,889,139
$194,924
(10) STOCKHOLDERS' DEFICIT
As of March 31, 2017,2018, there were 50,706,51851,940,576 shares of the Company's Class A common stock, par value $0.01 per share, and 88,407,10380,978,267 shares of the Company's Class B common stock, par value $0.000001 per share, outstanding.
On October 31, 2017, the Company's Board of Directors authorized the repurchase of up to $200.0 million of our outstanding Class A common stock as part of a balanced capital deployment strategy, such repurchases to be made from time to time in private or open market transactions at the Company's discretion in accordance with applicable federal securities laws. As of March 31, 2018, the Company completed its stock repurchase program and purchased approximately 6.4 million shares of Class A common stock at an average price of $31.16 per share for a total purchase price of $200.0 million.
Holders of Class A common stock are entitled to (i) one vote for each share held of record on all matters submitted to a vote of stockholders, (ii) receive dividends, when and if declared by the boardBoard of directorsDirectors out of funds legally available, subject to any statutory or contractual restrictions on the payment of dividends and subject to any restrictions on the payment of dividends imposed by the terms of any outstanding preferred stock or any class of series of stock having a preference over or the right to participate with the Class A common stock with respect to the payment of dividends or other distributions and (iii) receive pro rata, based on the number of shares of Class A common stock held, the remaining assets available for distribution upon the dissolution or liquidation of Premier, after payment in full of all amounts required to be paid to creditors and to the holders of preferred stock having liquidation preferences, if any.
Holders of Class B common stock are entitled to one vote for each share held of record on all matters submitted to a vote of stockholders, andbut are not entitled to receive dividends, other than dividends payable in shares of Premier's common stock, or to receive a distribution upon the dissolution or a liquidation of Premier, other than dividends payable in shares of Premier's common stock.Premier. Pursuant to the terms of a voting trust agreement by and among the Company, Premier LP, the holders of Class B common stock and Wells Fargo Delaware Trust Company, N.A., as the trustee, the trustee will vote all of the Class B common stock as a block in the manner determined by the plurality of the votes received by the trustee from the member owners for the election of directors to serve on the boardBoard of directors,Directors, and by a majority of the votes received by the trustee from the member owners for all other matters. Class B common stock will not be listed on any stock exchange and, except in connection with any permitted sale or transfer of Class B common units, cannot be sold or transferred.
(11) EARNINGS (LOSS) PER SHARE
Basic earnings (loss) per share of Premier 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 (loss) attributable to stockholders includes the adjustment recorded in the period to reflect redeemable limited partners' capital at the redemption amount, as a result of the exchange benefit obtained by limited partners through the ownership of Class B common units. Except when the effect would be anti-dilutive, the diluted earnings (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.


The following table provides a reconciliation of the numerator and denominator used for basic and diluted earnings (loss) per share (in thousands, except per share amounts):
Three Months Ended March 31,Nine Months Ended March 31,
2017201620172016Three Months Ended March 31,Nine Months Ended March 31,
(Restated) (Restated) 2018201720182017
Numerator for basic earnings (loss) per share:  
Net income (loss) attributable to stockholders$(80,601)$299,948
$389,976
$716,719
$(103,537)$(80,601)$514,093
$389,976
  
Numerator for diluted earnings (loss) per share:  
Net income (loss) attributable to stockholders$(80,601)$299,948
$389,976
$716,719
$(103,537)$(80,601)$514,093
$389,976
Adjustment of redeemable limited partners' capital to redemption amount
(284,409)(296,566)(685,649)

(511,301)(296,566)
Net income attributable to non-controlling interest in Premier LP
56,018
282,207
153,735


154,142
282,207
Net income (loss)(80,601)71,557
375,617
184,805
(103,537)(80,601)156,934
375,617
Tax effect on Premier, Inc. net income (a)

(9,551)(61,303)(34,639)

(272,822)(61,303)
Adjusted net income (loss)$(80,601)$62,006
$314,314
$150,166
$(103,537)$(80,601)$(115,888)$314,314
  
Denominator for basic earnings (loss) per share:  
Weighted average shares (b)
50,525
44,716
49,051
41,329
53,529
50,525
53,885
49,051
  
Denominator for diluted earnings (loss) per share:  
Weighted average shares (b)
50,525
44,716
49,051
41,329
53,529
50,525
53,885
49,051
Effect of dilutive securities: (c)
  
Stock options
249
256
290


266
256
Restricted stock
610
190
553


285
190
Performance share awards
1,606

1,329




Class B shares outstanding
97,837
91,875
102,057


83,818
91,875
Weighted average shares and assumed conversions50,525
145,018
141,372
145,558
53,529
50,525
138,254
141,372
  
Basic earnings (loss) per share$(1.60)$6.71
$7.95
$17.34
$(1.93)$(1.60)$9.54
$7.95
Diluted earnings (loss) per share$(1.60)$0.43
$2.22
$1.03
$(1.93)$(1.60)$(0.84)$2.22
(a)Represents income tax expense related to Premier, Inc. retaining the portion of net income attributable to income from non-controlling interest in Premier, LP for the purpose of diluted earnings (loss) per share.
(b)Weighted average number of common shares used for basic earnings (loss) per share excludes weighted average shares of non-vested stock options, non-vested restricted stock, non-vested performance share awards and Class B shares outstanding for the three and nine months ended March 31, 20172018 and 2016.2017.
(c)
Forthe three months ended March 31, 2017,2018, the effect of 2.82.9 million stock options, restricted stock units and performance share awards and 88.981.4 million Class B common units exchangeable for Class A common shares were excluded from diluted weighted average shares outstanding due to the net loss attributable to shareholdersstockholders sustained for the quarter and as including them would have been anti-dilutive for the period. For the nine months ended March 31, 2017,2018, the effect of 1.81.7 million stock options werewas excluded from diluted weighted average shares outstanding as they had an anti-dilutive effect, and the effect of 0.50.6 million performance shares wereshare awards was excluded from diluted weighted average shares outstanding as they had not satisfied the applicable performance criteria at the end of the period.
For the three months ended March 31, 2017, the effect of 2.8 million stock options, restricted stock units and performance share awards and 88.9 million Class B common units exchangeable for Class A common shares were excluded from diluted weighted average shares outstanding due to the net loss attributable to shareholders sustained for the quarter and as including them would have been anti-dilutive for the period. For the nine months ended March 31, 2016,2017, the effect of 1.41.8 million stock options were excluded from diluted weighted average shares outstanding as they had an anti-dilutive effect.

effect, and the effect of 0.5 million performance shares were excluded from diluted weighted average shares outstanding as they had not satisfied the applicable performance criteria at the end of the period.

Pursuant to the terms of the Exchange Agreement, on a quarterly basis, Premierthe Company has the option, as determined by the independent 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 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 are surrendered by member owners and retired (see Note 9 - Redeemable Limited Partners' Capital). The following table presents certain information regarding the exchange of Class B common units and associated Class B common stock for Premier's Class A common stock and/or cash in connection with the quarterly exchanges 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 ExchangePercentage of Combined Voting Power Class B/Class A Common Stock
August 1, 20161,323,654
94,809,069
47,365,528
67%/33%
October 31, 2016 (b)
5,047,528
89,761,541
50,085,904
64%/36%
January 31, 2017 (b)
1,296,682
88,464,859
50,701,862
64%/36%
May 1, 2017 (c)
993,194
87,298,888
51,734,785
63%/37%
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, 20171,231,410
86,067,478
53,212,057
62%/38%
October 31, 20173,651,294
82,416,184
57,215,143
59%/41%
January 31, 20181,006,435
81,169,319
54,829,086
60%/40%
April 30, 2018 (c)
642,566
80,335,701
52,585,392
60%/40%
(a)The number of Class B common shares retired or outstanding areis equivalent to the number of Class B common units retired upon exchange or outstanding after the exchange, as applicable.
(b)In connection with the October 31, 2016 exchange, 3.0 million Class B common units were exchanged for cash and 2.0 million Class B common units were exchanged for
The number of Class A common stock. In connection withshares outstanding after exchange also includes activity related to the January 31, 2017 exchange, 0.8 million Class B common units were exchanged for cashCompany's share repurchase program (see Note 10 - Stockholders' Deficit), equity incentive plan (see Note 12 - Stock-Based Compensation) and 0.5 million Class B common units were exchanged for Class A common stock.departed member owners (see Note 9 - Redeemable Limited Partners' Capital).
(c)As the quarterly exchange occurred on May 1, 2017,April 30, 2018, the impact of the exchange is not reflected in the condensed consolidated financial statements for the quarter ended March 31, 2017.2018.
(12) STOCK-BASED COMPENSATION
Stock-based compensation expense is recognized over the requisite service period, which generally equals the stated vesting period. Pre-tax stock-based compensation expense was $7.1$7.2 million and $11.8$7.1 million for the three months ended March 31, 20172018 and 2016,2017, respectively, with a resulting deferred tax benefit of $2.7$1.8 million and $4.5$2.7 million, respectively. Pre-tax stock-based compensation expense was $19.1$24.9 million and $36.8$19.1 million for the nine months ended March 31, 20172018 and 2016,2017, respectively, with a resulting deferred tax benefit of $7.3$6.2 million and $14.0$7.3 million, respectively. The deferred tax benefit was calculated at a rate of 25% for the three and nine months ended March 31, 2018 and 38%, for the three and nine months ended March 31, 2017, which represents the expected effective income tax rate at the time of the compensation expense deduction primarily at PHSI, and differs from the Company's current effective income tax rate which includes the impact of partnership income not subject to federal and state income taxes. The decrease in the deferred tax benefit is a result of the Tax Cuts and Jobs Act, which was enacted on December 22, 2017 (see Note 13 - Income Taxes).
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 11.3 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 March 31, 2017,2018, there were 4.63.5 million shares available for grant under the 2013 Equity Incentive Plan.


The following table includes information related to restricted stock, performance share awards and stock options for the nine months ended March 31, 2017:2018:
Restricted Stock Performance Share Awards Stock OptionsRestricted Stock Performance Share Awards Stock Options

Number of AwardsWeighted Average Fair Value at Grant Date Number of AwardsWeighted Average Fair Value at Grant Date Number of OptionsWeighted Average Exercise PriceNumber of AwardsWeighted Average Fair Value at Grant Date Number of AwardsWeighted Average Fair Value at Grant Date Number of OptionsWeighted Average Exercise Price
Outstanding at June 30, 2016403,117
$33.86
 1,443,708
$30.02
 3,314,661
$30.04
Outstanding at June 30, 2017576,988
$32.92
 1,085,872
$32.79
 3,372,499
$30.31
Granted265,852
$31.57
 902,736
$29.72
 524,709
$31.59
258,262
$32.93
 698,881
$32.62
 558,744
$32.79
Vested/exercised(47,114)$32.83
 (1,181,820)$27.00
 (123,586)$27.57
(178,482)$31.79
 (352,867)$31.73
 (128,559)$28.93
Forfeited(38,980)$33.77
 (74,101)$33.91
 (121,811)$34.22
(38,317)$32.59
 (91,185)$32.47
 (126,913)$33.79
Outstanding at March 31, 2017582,875
$32.91
 1,090,523
$32.78
 3,593,973
$30.21
Outstanding at March 31, 2018618,451
$33.27
 1,340,701
$33.00
 3,675,771
$30.62
                
Stock options outstanding and exercisable at March 31, 2017      2,429,376
$28.77
Stock options outstanding and exercisable at March 31, 2018      2,642,538
$29.68
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 three yearsa 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 expire either after twelve months of an employee's termination with Premier or immediately upon an employee's termination with Premier, depending on the termination circumstances. Stock options generally vest in equal annual installments over three years.
Unrecognized stock-based compensation expense at March 31, 20172018 was as follows (in thousands):
Unrecognized Stock-Based Compensation ExpenseWeighted Average Amortization PeriodUnrecognized Stock-Based Compensation ExpenseWeighted Average Amortization Period
Restricted stock$10,815
1.83 years$10,315
1.77 years
Performance share awards19,535
1.91 years22,476
1.83 years
Stock options9,737
1.83 years8,258
1.88 years
Total unrecognized stock-based compensation expense$40,087
1.87 years$41,049
1.82 years
The aggregate intrinsic value of stock options at March 31, 20172018 was as follows (in thousands):
Intrinsic Value of Stock OptionsIntrinsic Value of Stock Options
Outstanding and exercisable$8,556
$6,575
Expected to vest170
47
Total outstanding$8,726
$6,622
  
Exercised during the nine months ended March 31, 2017$621
Exercised during the nine months ended March 31, 2018$650


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

Nine Months Ended March 31,Nine Months Ended March 31,
2017201620182017
Expected life (a)
6 years6 years
Expected dividend (b)
Expected volatility (c)
32.01% - 33.00%32.70% - 33.50%29.44% - 32.26%32.01% - 33.00%
Risk-free interest rate (d)
1.31% - 2.13%1.37% - 1.82%1.89% - 2.75%1.31% - 2.13%
Weighted average option grant date fair value$10.48 - $11.28$11.19 - $12.40$9.48 - $11.42$10.48 - $11.28
(a)The six-year expected life (estimated period of time outstanding) of stock options granted was estimated using the "Simplified Method" which utilizes the midpoint between the vesting date and the end of the contractual term. This method was utilized for the stock options due to the lack of historical exercise behavior of Premier's employees.
(b)No dividends are expected to be paid over the contractual term of the stock options granted, resulting in the use of a zero expected dividend rate.
(c)The expected volatility rate is based on the observed historical volatilities of comparable companies.
(d)The risk-free interest rate was interpolated from the five-year and seven-year Constant Maturity Treasury rate published by the United States Treasury as of the date of the grant.
(13) INCOME TAXES
The Company's income tax expense is attributable to the activities of the Company, PHSI and PSCI, all of which are subchapter C corporations and are subject to U.S. federal and state income taxes. In contrast, under the provisions of federal and state laws, Premier LP is not subject to federal and state income taxes as itsthe income realized by Premier LP is taxable to its partners.
As a result of the TCJA that was enacted on December 22, 2017, the U.S. federal corporate income tax rate was reduced from 35% to 21%. In accordance with U.S. GAAP, the impact of changes in tax rates and tax laws is recognized as a component of income tax expense from continuing operations in the period of enactment. For fiscal year-end companies, determination of temporary differences contemplates the use of a blended U.S. federal income tax rate (which blends the income tax rates that were in effect prior to and after enactment) depending on expected timing of recognition for such temporary differences. The Company has remeasured its deferred tax balances as of the enactment date, accordingly. Given the nature and relative timing of the TCJA enactment, the Company is continuing to evaluate the impact of the TCJA and has prescribed provisional relief pursuant to SAB 118 to certain components of its deferred tax balances. More specifically, the Company has incorporated various estimates regarding timing and determination of temporary difference recognition when calculating its net deferred tax expense. As a result, for the three months ended March 31, 2017 and 2016,2018, the Company continued to remeasure its deferred tax balances based on refinements to the various estimates regarding the timing and determination of temporary differences and recorded $3.5 million of income tax expense associated with the remeasurement of $7.3deferred tax balances. In addition, the estimates will be subject to further revision based on actual financial results for the fourth quarter of the current fiscal year. The Company expects to finalize the remeasurement of its deferred tax balances in the fourth quarter of the fiscal year ending June 30, 2018.
Income tax expense for the three months ended March 31, 2018 and 2017 was $13.3 million (restated) and $9.5$7.3 million, respectively, which equates toreflects effective tax rates of 9%15% and 12%9%, respectively. The decrease in the effectiveIncome tax rate is primarily attributable to a deferred tax benefit recognized in connection with an increase in income apportioned to California. Forexpense for the nine months ended March 31, 2018 and 2017 was $257.6 million and 2016, the Company recorded tax expense of $68.1 million (restated) and $41.3 million, respectively, which equates toreflects effective tax rates of 15%62% and 18%15%, respectively. The decreaseincrease in the effective tax raterates is primarily attributable to the one-time gain recognized from the remeasurement of deferred tax balances, of which $224.7 million related to the 50% equity method investmentaforementioned decrease in Innovatix to fair value upon acquisition of Innovatix and Essensa (see Note 3 - Business Acquisitions).the U.S. federal corporate income tax rate. The Company's effective tax rate differsrates differ from income taxes recorded at the statutoryusing a combined (or blended) rate primarilylargely due to partnershipPremier LP income, which is not subject to federal, state andor local income taxes andas well as valuation allowances againstassociated with deferred tax assets at PHSI.
The Company had net deferredDeferred tax assets of $422.6decreased $161.3 million (restated) and $422.8to $273.0 million as ofat March 31, 2017 and2018 from $434.3 million at June 30, 2016, respectively.2017. The current period balance was comprised of $468.8$306.7 million (restated) in deferred tax assets at Premier, Inc. offset by $46.1$33.8 million (restated) in deferred tax liabilities at PHSI and PSCI. During the nine months ended March 31, 2017, the Company recorded a $27.4 million deferred tax liability associated with equity earnings from PSCI attributable to the one-time gain recognized from the remeasurement of the 50% equity method investmentThe decrease in Innovatix to fair value upon acquisition of Innovatix and Essensa and corresponding partnership income and basis differences in Premier LP at the Company (see Note 3 - Business Acquisitions), a $42.9 million deferred tax liability recorded upon acquisition of Innovatix primarily attributable to the excess of the financial reporting basis in the identifiable intangible assets over the tax basis, and an $18.8 million valuation allowance recorded against deferred tax assets primarily at PHSI. These decreases were partially offsetfrom the prior period was largely driven by $94.6$224.7 million ofin net reductions to deferred tax assets recordedand liabilities in connection with the exchanges of Class B common units pursuant tounderlying revaluation associated with the Exchange Agreementpreviously mentioned decrease in the U.S. federal corporate income tax rate. This decrease was partially offset by a $71.9 million increase in deferred tax assets in connection with the quarterly member owner exchanges that occurred during the nine months ended March 31, 2017.2018.


The Company had TRACompany's tax receivable agreement ("TRA") liabilities of $347.4 million and $279.7 million at March 31, 2017 and June 30, 2016, respectively, representingrepresent a payable to the limited partners for 85% of the tax savings payable to limited partners that the Company expects to receive, if any, in U.S. federal, foreign, state and local income and franchise tax that may be realized (or deemed to realize, in the case of payments required to be made upon certain occurrences under such TRAs) in connection with the Section 754 election.election by Premier LP. Tax savings are generated as a result of the increase in tax basis resulting from the initial sale of Class B common units, subsequent exchanges (pursuant to the Exchange Agreement) and payments under the TRA. The election results in adjustments to the tax basesbasis of the assets of Premier LP upon member owner exchanges of Class B common units of Premier LP for Class A common stock of Premier, Inc. or cash. TRA liabilities decreased $89.0 million to $250.7 million at March 31, 2018 from $339.7 million at June 30, 2017. The $67.7change in TRA liabilities was driven primarily by the $177.2 million increase was primarily attributable to $70.8decrease in valuation as a result of the TCJA's decrease in the U.S. federal corporate income tax rates, partially offset by $67.5 million ofin increases in TRA liabilities incurred in connection with the quarterly member owner exchanges that occurred during the nine months ended March 31, 2017.2018 and $20.9 million associated with the revaluation and remeasurement of the TRA liabilities due to the change in the allocation and realization of future anticipated payments.


(14) RELATED PARTY TRANSACTIONS
GNYHA Services, Inc. ("GNYHA")
GNYHA Purchasing Alliance, LLC and its affiliates beneficiallymember organizations ("GNYHA PA") owned approximately 9%8% of the outstanding partnership interests in Premier LP as of March 31, 2017. 2018. Although we no longer consider GNYHA PA a related party under U.S. GAAP, prior period information is included below.
Net administrative fees revenue based on purchases by GNYHA Services, Inc. ("GNYHA") (an affiliate of GNYHA PA) and its member organizations was $16.9 million and $17.0$51.8 million for the three months ended March 31, 2017 and 2016, respectively, and $51.8 million and $49.2 million for the nine months ended March 31, 2017, and 2016, respectively. The Company has a contractual requirement under the GPO participation agreement to pay each member owner revenue share from Premier LP equal to 30% of all gross administrative fees collected by Premier LP based upon purchasing by such member owner's facilities through Premier LP's GPO supplier contracts. As GNYHA also remits to Premier LP all gross administrative fees collected by GNYHA based on purchases by its member organizations through GNYHA's own GPO supplier contracts, it also receives revenue share from Premier LP equal to 30% of such gross administrative fees remitted to the Company. Approximately $7.2 million and $7.6$7.8 million of revenue share obligations in the accompanying condensed consolidated balance sheets relateCondensed Consolidated Balance Sheets related to revenue share obligations to GNYHA and its member organizations at March 31, 2017 and June 30, 2016, respectively.2017.
In addition, of the $23.1 million and $22.5$25.0 million limited partners' distribution payable in the accompanying condensed consolidated balance sheetsCondensed Consolidated Balance Sheets at March 31, 2017 and June 30, 2016, respectively, $2.42017, $2.7 million and $2.9 million werewas payable to GNYHA and its member organizations at March 31, 2017 and June 30, 2016, respectively.organizations. Services and support revenue earned from GNYHA and its member organizations was $3.9 million and $3.6$11.0 million during the three months ended March 31, 2017 and 2016, respectively, and $11.0 million and $10.0 million during the nine months ended March 31, 2017, and 2016, respectively. Product revenue earned from, or attributable to services provided to, GNYHA and its member organizations was $4.3 million and $4.4$12.3 million during the three months ended March 31, 2017 and 2016, respectively, and $12.3 million and $15.2 million during the nine months ended March 31, 2017, and 2016, respectively. Receivables from GNYHA and its member organizations, included in due from related parties in the accompanying condensed consolidated balance sheets,Condensed Consolidated Balance Sheets, were $4.2 million and $2.6$5.4 million at March 31, 2017 and June 30, 2016, respectively.2017.
Innovatix and Essensa
The Company held 50% of the membership interests in Innovatix until December 2, 2016, at which time it acquired the remaining 50% of the membership interests from GNYHA Holdings (see Note 3 - Business Acquisitions). The Company's share of Innovatix's net income included in equity in net income (loss) of unconsolidated affiliates in the accompanying condensed consolidated statementsCondensed Consolidated Statements of incomeIncome prior to the acquisition was $6.7 million during the three months ended March 31, 2016 and $10.7 million and $16.0 million during the nine months ended March 31, 2017 and 2016, respectively.2017. The Company maintained a group purchasing agreement with Innovatix under which Innovatix members were permitted to utilize Premier LP's GPO supplier contracts. Gross administrative fees revenue and a corresponding revenue share recorded under the arrangement prior to the acquisition were $12.1$19.9 million for the three months ended March 31, 2016 and $19.9 million and $31.8 million during the nine months ended March 31, 2017 and 2016, respectively. At June 30, 2016, the Company had revenue share obligations to Innovatix of $4.2 million in the accompanying condensed consolidated balance sheets.2017.
The Company historically maintained a group purchasing agreement with GNYHA Alternate Care Purchasing Corporation ("Essensa"),Essensa, under which Essensa utilized the Company's GPO supplier contracts. On December 2, 2016, the Company acquired 100% of the membership interests in Essensa from GNYHA Holdings (see Note 3 - Business Acquisitions). Net administrative fees revenue recorded from Essensa prior to the acquisition was $0.7 million for the three months ended March 31, 2016 and $1.2 million and $2.0 million for the nine months ended March 31, 2017 and 2016, respectively. At June 30, 2016, the Company had revenue share obligations to Essensa of $0.2 million.2017.
FFF
The Company's 49% ownership share of net income of FFF, which was acquired on July 26, 2016, included in equity in net income (loss) of unconsolidated affiliates in the accompanying condensed consolidated statementsCondensed Consolidated Statements of incomeIncome was $0.1 million and $0.2 million for the three months ended March 31, 2018 and 2017, respectively, and $5.7 million and $4.4 million for the three and nine months ended March 31, 2018 and 2017, respectively. The Company maintains group purchasing agreements with FFF and receives administrative fees for purchases made by the Company's members pursuant to those agreements. Net administrative fees revenue recorded from purchases under those agreements was $1.8 million and $1.4 million during the three months ended March 31, 2018 and 2017, respectively, and $5.8 million and $3.0 million during the three and nine months ended March 31, 2018 and 2017, respectively.


AEIX
The Company conducts all operational activities for American Excess Insurance Exchange Risk Retention Group ("AEIX"), a reciprocal risk retention group that provides excess and umbrella healthcare professional and general liability insurance to certain hospital and healthcare system members. The Company is reimbursed by AEIX for actual costs, plus an annual incentive management fee not to exceed $0.5 million per calendar year. The Company received cost reimbursement of $1.3$1.4 million and $1.1$1.3 million during the three months ended March 31, 20172018 and 2016,2017, respectively, and $3.5$4.2 million and $3.2$3.5 million during the nine months ended March 31, 2018 and 2017, and 2016, respectively. The Company received $0.2 million and $0.1 million in annual incentive management fees during the nine months ended March 31, 2017 and 2016. As of March 31, 20172018 and June 30, 2016, $0.82017, $0.5 million and $0.5$0.6 million, respectively, in amounts receivable from AEIX are included in due from related parties in the accompanying condensed consolidated balance sheets.Condensed Consolidated Balance Sheets.


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



(16) SEGMENTS
The Company delivers its solutions and manages its business through two reportable business segments, the supply chain servicesSupply Chain Services segment and the performance servicesPerformance Services segment. The supply chain servicesSupply Chain Services segment includes the Company's GPO, integrated pharmacy offerings and direct sourcing activities. The performance servicesPerformance Services segment includes the Company's informatics, collaborative, advisoryconsulting services, government services and insurance services businesses.
Segment information was as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended March 31,Nine Months Ended March 31,
20172016201720162018201720182017
Net revenue:  
Supply Chain Services  
Net administrative fees$143,915
$131,270
$398,962
$369,952
$161,612
$143,915
$471,946
$398,962
Other services and support3,116
1,104
5,962
2,963
2,899
3,116
8,470
5,962
Services147,031
132,374
404,924
372,915
164,511
147,031
480,416
404,924
Products138,132
80,010
386,639
239,107
166,234
138,132
480,997
386,639
Total Supply Chain Services285,163
212,384
791,563
612,022
330,745
285,163
961,413
791,563
Performance Services94,640
86,285
260,012
249,151
94,593
94,640
265,887
260,012
Net revenue$379,803
$298,669
$1,051,575
$861,173
$425,338
$379,803
$1,227,300
$1,051,575
  
Depreciation and amortization expense (a):
  
Supply Chain Services$5,717
$262
$8,637
$1,138
$5,500
$5,717
$16,166
$8,637
Performance Services21,491
20,016
63,350
55,616
24,541
21,491
71,093
63,350
Corporate1,974
1,572
5,771
4,478
2,424
1,974
6,739
5,771
Total depreciation and amortization expense$29,182
$21,850
$77,758
$61,232
$32,465
$29,182
$93,998
$77,758
  
Capital expenditures:  
Supply Chain Services$198
$63
$2,347
$1,031
$390
$198
$1,238
$2,347
Performance Services16,308
14,368
47,079
44,836
24,077
16,308
57,368
47,079
Corporate1,061
1,371
2,466
8,817
2,171
1,061
6,654
2,466
Total capital expenditures$17,567
$15,802
$51,892
$54,684
$26,638
$17,567
$65,260
$51,892
  
 March 31, 2017June 30, 2016
Total assets: (Restated)  March 31, 2018June 30, 2017
Supply Chain Services $1,118,587
$345,219
 $971,628
$1,017,023
Performance Services 901,360
934,588
 862,704
888,862
Corporate 578,737
575,576
 460,305
601,951
Total assets $2,598,684
$1,855,383
  $2,294,637
$2,507,836
(a)Includes amortization of purchased intangible assets.


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 income (loss) of unconsolidated affiliates less operating expenses directly attributable to the segment excluding depreciation and amortization, amortization of purchased intangible assets, merger and acquisition related expenses and non-recurring or non-cash items. 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.
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.
A reconciliation of income before income taxes to Segment Adjusted EBITDA is as follows (in thousands):
Three Months Ended March 31,Nine Months Ended March 31,Three Months Ended March 31,Nine Months Ended March 31,
20172016201720162018201720182017
Income before income taxes$78,653
$81,100
$443,697
$226,062
$89,837
$78,653
$414,494
$443,697
Remeasurement gain attributable to acquisition of Innovatix, LLC

(204,833)



(204,833)
Equity in net income of unconsolidated affiliates (a)
(83)(6,627)(14,789)(16,002)
Equity in net loss (income) of unconsolidated affiliates (a)
4,939
(83)(570)(14,789)
Interest and investment loss, net (b)
2,017
285
3,026
981
1,236
2,017
4,239
3,026
Loss on disposal of long-lived assets725

2,243

5
725
1,725
2,243
Other expense (income), net(2,260)
(3,135)2,081
Other expense (income)2,593
(2,260)14,486
(3,135)
Operating income79,052
74,758
226,209
213,122
98,610
79,052
434,374
226,209
Depreciation and amortization15,102
13,110
43,318
37,174
18,584
15,102
52,401
43,318
Amortization of purchased intangible assets14,080
8,740
34,440
24,058
13,881
14,080
41,597
34,440
Stock-based compensation (c)
7,157
11,839
19,476
37,093
7,333
7,157
25,241
19,476
Acquisition related expenses4,330
2,583
11,483
11,699
1,540
4,330
6,312
11,483
Strategic and financial restructuring expenses(d)
33

268
1,648

1,652

Adjustment to tax receivable agreement liability (d)
2,768

(2,954)(4,818)
Remeasurement of tax receivable agreement liabilities (e)

2,768
(177,174)(2,954)
ERP implementation expenses (e)(f)
215
1,162
1,741
3,240
40
215
531
1,741
Acquisition related adjustment - revenue (f)(g)
11,765
1,077
17,729
5,216
65
11,765
257
17,729
Equity in net income of unconsolidated affiliates (a)
83
6,627
14,789
16,002
Deferred compensation plan income (expense) (g)
1,675

2,778
(2,073)
Equity in net income (loss) of unconsolidated affiliates (a)
(4,939)83
570
14,789
Impairment on investments5,002

5,002

Deferred compensation plan income (expense) (h)
(112)1,675
3,004
2,778
Other income497

497

587
497
1,184
497
Adjusted EBITDA$136,724
$119,929
$369,506
$340,981
$142,239
$136,724
$394,951
$369,506
  
Segment Adjusted EBITDA:  
Supply Chain Services$127,898
$118,704
$364,224
$329,642
$135,265
$127,898
$392,930
$364,224
Performance Services36,535
30,771
87,449
90,158
36,715
36,535
85,865
87,449
Corporate (h)
(27,709)(29,546)(82,167)(78,819)
Corporate(29,741)(27,709)(83,844)(82,167)
Adjusted EBITDA$136,724
$119,929
$369,506
$340,981
$142,239
$136,724
$394,951
$369,506
(a)RepresentsRefer to Note 4 - Investments for further information regarding equity in net income (loss) of unconsolidated affiliates primarily generated by the Company's 49% ownership interest in FFF and 50% ownership interest in Innovatix prior to the acquisition of the remaining 50% interest on December 2, 2016.affiliates.
(b)Represents interest expense, net and realized gains and losses on our marketable securities.
(c)In addition toRepresents non-cash employee stock-based compensation expense includesand stock purchase plan expense of $0.1 million for bothduring the three months ended March 31, 2018 and 2017, and 2016$0.3 million and $0.4 million and $0.3 million forduring the nine months ended March 31, 20172018 and 2016,2017, respectively.
(d)Represents adjustmentlegal, accounting and other expenses directly related to strategic and financial restructuring expenses.
(e)Represents adjustments to TRA liabilities for a 14% decrease in the U.S. federal corporate income tax receivable agreement liability forrate that occurred during the nine months ended March 31, 2018, which is a result of the TCJA that was enacted on December 22, 2017, an increase in Premier LP income apportioned to California during the three months ended March 31, 2017 and a 1% decrease in the North Carolina state income tax rate that occurred during each of the nine months ended March 31, 2017 and 2016.2017.


(e)(f)Represents implementation and other costs associated with the implementation of anour enterprise resource planning ("ERP") system.
(f)(g)During
Upon acquiring Innovatix and Essensa, we recorded a net $11.6 million and $17.2 million purchase accounting adjustment to Adjusted EBITDA during the three and nine months ended March 31, 2017 we recorded $11.6 million and $17.2 million purchase accounting adjustments to Adjusted EBITDA,, respectively, related to our acquisition of Innovatix and Essensa in December 2016. These adjustments reflectthat reflects the fair value of administrative fees related to member purchases that occurred prior to December 2, 2016, but were reported to us subsequent to that date through March 31, 2017. Under our revenue recognition accounting policy, which is inan accordance with GAAP, these administrative fees would be ordinarily recorded as revenue when reported to us; however, the acquisition method of accounting requires us to estimate the amount of purchases prior to the acquisition date and to record the fair value of the administrative fees to be received from those purchases as an account receivable (as opposed to recognizing revenue when these transactions are reported to us) and record any corresponding revenue share obligation as a liability. The purchase accounting adjustment amounted to an estimated $22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0 million for the related revenue share obligation through March 31, 2017.


revenue share obligation as a liability. The purchase accounting adjustment amounted to an estimated $22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0 million for the related revenue share obligation through March 31, 2017.
This item also includes non-cash adjustments to deferred revenue of acquired entities of $0.1$0.1 million and $1.1$0.5 million for the three months ended March 31, 2017 and 2016, respectively, and $0.5 million and $5.2 million for the nine months ended March 31, 2017 and 2016,, respectively. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updatesupdate fees and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one year in duration, our GAAP revenues for the one year period subsequent to the acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to software license updatesupdate fees and product support revenues is intended to include, and thus reflect, the full amount of such revenues.
(g)Represents realized and unrealized gains and losses and dividend income on deferred compensation plan assets.
(h)Corporate consists of general and administrative corporate expenses that are not specific to either of our reporting segments.
(h) Represents realized and unrealized gains and losses and dividend income on deferred compensation plan assets.


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 the Company's Form 10-K for the fiscal year ended June 30, 20162017 (the "2016"2017 Annual Report") and Quarterly Report on Form 10-Q for the quarter ended December 31, 2016, each, filed with the Securities and Exchange Commission ("SEC").
Business Overview
Our Business
Premier, Inc. ("Premier", the "Company", "We""we", or "Our""our") is a leading healthcare performance improvement company, uniting an alliance of approximately 3,7503,900 U.S. hospitals and more than 130,000health systems and approximately 150,000 other providerproviders and organizations to transform healthcare. We partner with hospitals, health systems, physicians and other healthcare providers with the common goal of improving and innovating in the clinical, financial and operational areas of their 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, operational and population health software-as-a-servicesoftware as a service ("SaaS") informatics products, advisoryconsulting services and performance improvement collaborative programs.
As of March 31, 2017,2018, we were controlled by 170163 U.S. hospitals, health systems and other healthcare organizations, thatwhich represented approximately 1,4001,425 owned, leased and managed acute care facilities and other non-acute care organizations, through thetheir ownership of Class B common stock, which they received upon the completion of a series of transactions (the "Reorganization") concurrent with the consummation of our Initial Public Offering ("IPO", and collectively with the Reorganization, the "Reorganization and IPO") on October 1, 2013.stock. As of March 31, 2017,2018, the Class A common stock and Class B common stock represented approximately 36%39% and 64%61%, respectively, of our combined Class A and Class B common stock (collectively, the "Common Stock").stock. All of our Class B common stock was held beneficially by our member owners and all of our Class A common stock was held by public investors, which may include member owners that have received shares of our Class A common stock in connection with previous quarterly exchanges pursuant to an exchange agreement (the "Exchange Agreement") entered into by the member owners in connection with the Reorganizationcompletion of our initial public offering on October 1, 2013 (see Note 1 - Organization and IPO.Basis of Presentation to the accompanying condensed consolidated financial statements for more information).
We generated net revenue, net income 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 March 31,Nine Months Ended March 31,
20172016201720162018201720182017
Net revenue$379,803
$298,669
$1,051,575
$861,173
$425,338
$379,803
$1,227,300
$1,051,575
Net income (a)
$71,338
$71,557
$375,617
$184,805
$76,549
$71,338
$156,934
$375,617
Adjusted EBITDA$136,724
$119,929
$369,506
$340,981
Non-GAAP Adjusted EBITDA$142,239
$136,724
$394,951
$369,506
(a)
Net income has been restated for the three and nine months ended March 31, 2017. See Note 1 - Organization and Basis of Presentation to the accompanying condensed consolidated financial statements for more information.
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 to Non-GAAP Adjusted EBITDA, respectively.EBITDA.
Our Business Segments
Our business model and solutions are designed to provide our members access to scale efficiencies, spread the cost of their development, provide actionable intelligence derived from anonymized data in our data warehouse provided by our members, in our data warehouse, mitigate the risk of innovation and disseminate best practices that will help our member organizations succeed in their transformation to higher quality and more cost-effective healthcare. We deliver our integrated platform of solutions that address the areas of total


cost management, quality and safety improvement and population health management through two business segments: supply chain servicesSupply Chain Services and performance services.Performance Services.
Our supply chain servicesSupply Chain Services segment includes one of the largest healthcare group purchasing organizationsorganization ("GPO") programs in the United States, serving acute, nonacutenon-acute, non-healthcare and alternate sites, and includes integrated pharmacy and direct sourcing activities. Supply chain servicesChain Services net revenue grew from $212.4 million for the three months ended March 31, 2016 to $285.2 million for the three months ended March 31, 2017 to $330.7


million for the three months ended March 31, 2018, representing net revenue growth of 34%16%, and accounted for 75%78% of our overall net revenue for the three months ended March 31, 2017.2018. Supply chain servicesChain Services net revenue grew from $612.0 million for the nine months ended March 31, 2016 to $791.6 million for the nine months ended March 31, 2017 to $961.4 million for the nine months ended March 31, 2018, representing net revenue growth of 29%21%, and accounted for 75%78% of our overall net revenue for the nine months ended March 31, 2017.2018. We generate revenue in our supply chain servicesSupply Chain Services segment from administrative fees received from suppliers based on the total dollar volume of supplies purchased by our members and through product sales in connection with our integrated pharmacy and direct sourcing activities.
Our performance servicesPerformance Services segment includes one of the largest informatics and advisoryconsulting services businesses in the United States focused on healthcare providers. Performance servicesServices net revenue increased from $86.3 million for the three months ended March 31, 2016 toremained flat at $94.6 million for the three months ended March 31, 2018 and 2017, representing a 10% increase, and accounted for 25%22% of our overall net revenue for the three months ended March 31, 2017.2018. Performance servicesServices net revenue grewincreased from $249.2 million for the nine months ended March 31, 2016 to $260.0 million for the nine months ended March 31, 2017 to $265.9 million for the nine months ended March 31, 2018, representing net revenue growth of 4%,a 2% increase, and accounted for 25%22% of our overall net revenue for the nine months ended March 31, 2017.2018. Our SaaS informatics products utilize our comprehensive data set to provide actionable intelligence to our members, enabling them to benchmark, analyze and identify areas of improvement across three main categories: cost management, quality and safety and population health management. The performance servicesPerformance Services segment also includes our technology-enabled performance improvement collaboratives, advisoryconsulting services, government services and insurance management services.
Acquisitions
Acquisition of Innovatix LLC and Essensa Ventures, LLC
Prior to December 2, 2016, the Company, through its consolidated subsidiary, Premier Supply Chain Improvement ("PSCI"), held 50% of the membership interests in Innovatix, LLC ("Innovatix"). On December 2, 2016, the Company, through PSCI, acquired the remaining 50% ownership interests of Innovatix and 100% of the ownership interest in Essensa Ventures, LLC ("Essensa") for $325.0 million in cash. The purchase price, is subjectafter adjustments pursuant to adjustment based on Innovatix's and Essensa's (i) cash on hand and cash equivalents, (ii) outstanding indebtedness and (iii) net working capital at closing. With regard to Innovatix, the purchase price adjustments set forth in (i), (ii) and (iii) above are limited to 50% of the actual amount due to PSCI’s 50% ownership interest prior to the acquisition.agreement, was $336.0 million. The acquisition was funded with borrowings under the Company's credit facility dated June 24, 2014, as amended on June 4, 2015 (the "Credit Facility"). Innovatix and Essensa are GPOs focused on serving nonacute and alternate site health carehealthcare providers and other non-healthcare organizations throughout the United States. The Company reports Innovatix and Essensa as part of its supply chain servicesSupply Chain Services segment. See Note 3 - Business Acquisitions for more information.
Acquisition of Acro Pharmaceutical Services LLC and Community Pharmacy Services, LLCPharmaceuticals
On August 23, 2016, the Company, through its consolidated subsidiary, NS3 Health, LLC, acquired 100% of the membership interests of Acro Pharmaceutical Services LLC ("Acro") and Community Pharmacy Services, LLC (collectively with Acro, "Acro Pharmaceuticals") for $75.0 million in cash, subject. The aggregate purchase price, after adjustments pursuant to adjustment based on Acro Pharmaceuticals' (i) cash on hand, (ii) outstanding indebtedness and (iii) net working capital at closing.the purchase agreement, was $62.9 million. The acquisition was funded with available cash on hand. Acro Pharmaceuticals is a specialty pharmacy business that provides customized healthcare management solutions to members. The Company reports Acro Pharmaceuticals as part of its supply chain servicesSupply Chain Services segment. See Note 3 - Business Acquisitions for more information.
Market and Industry Trends and Outlook
We expect that certain trends and economic or industry-wide factors will continue to affect our business, both in the short-term and long-term. We have based our expectations described below on assumptions made by us and on information currently available to us. To the extent our underlying assumptions about, or interpretation of, available information prove to be incorrect, our actual results may vary materially from our expected results. See "Cautionary Note Regarding Forward-Looking Statements" for more information.
Trends in the U.S. healthcare market affect our revenues in the supply chain servicesSupply Chain Services and performance servicesPerformance Services segments. The trends we see affecting our current healthcare business include the impact of the implementation of current or future healthcare reform legislation, particularly the uncertainty regarding the status of the ACA, its repeal, replacement, or other modification, the enactment of new regulatory and reporting requirements, expansion and contraction of insurance coverage and associated costs that may impact subscriber elections, intense cost pressure, payment reform, and movement to alternative payment models, industryprovider consolidation, shift in care to the alternate site market competition and increased data availability and transparency. To meet the demands of this environment, there will be increased focus on scale and cost containment access to and use of healthcare analytics, and healthcare providers will need to measure and report on and bear financial risk for outcomes. We believe these trends


will result in increased demand for our supply chain servicesSupply Chain Services and performance servicesPerformance Services solutions in the areas of cost management, quality and safety and population health management. However,management, however, there are uncertainties and risks that may affect the actual impact of these anticipated trends or related assumptions on our business. See "Cautionary Note Regarding Forward-Looking Statements" herein for more information.


Critical Accounting Policies and Estimates
Management's Discussion and Analysis of Financial Condition and Results of Operations is primarily based upon our condensed consolidated financial statements, which have been prepared in accordance with generally accepted accounting principles ("GAAP"). The preparation of our condensed consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses and related disclosure of contingent assets and liabilities. Significant estimates, including estimates for allowances for doubtful accounts, useful lives of property and equipment, stock-based compensation, payables under tax receivable agreements ("TRA"), deferred tax balances including valuation allowances on deferred tax assets, uncertain tax positions, values of investments not publicly traded, deferred revenue, future cash flows associated with asset impairments, values of put and call rights and the allocation of purchase prices are evaluated on an ongoing basis. These estimates are based on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.
Given the Company's use of estimates referenced above, it is important to highlight that on December 22, 2017, the U.S. government enacted comprehensive tax legislation commonly referred to as the Tax Cuts and Jobs Act ("TCJA"). The TCJA includes significant changes to the U.S. corporate income tax system, specifically reducing the U.S. federal corporate income tax rate from 35% to 21%. As changes under the TCJA are broad and complex, the Company continues to interpret the breadth of its immediate and long-term impacts. The Company notes that concurrent with the enactment of the TCJA, the SEC issued Staff Accounting Bulletin No. 118 ("SAB 118"), which provides guidance on accounting for the tax effects of the TCJA.
SAB 118 provides a measurement period that should not extend beyond one year from the TCJA enactment date for companies to complete the accounting required under the Financial Accounting Standards Board Accounting Standards Codification ("ASC") 740. In accordance with SAB 118, a company must reflect the income tax effects of those aspects of the TCJA for which the accounting under ASC 740 is complete. To the extent that a company's accounting for certain income tax effects of the TCJA is incomplete but it is able to determine a reasonable estimate, it must record a provisional amount on its financial statements. If a company cannot determine a provisional estimate to be included on its financial statements, it should continue to apply ASC 740 on the basis of the provision of the tax laws that were in effect immediately prior to the enactment of the TCJA. With this in mind, the Company has prescribed such provisional relief via SAB 118 by incorporating various estimates regarding timing and determination of temporary difference recognition when calculating components of its deferred tax balances. While the Company is able to provide reasonable estimates of the impacts related to the TCJA, the final impact may differ from these estimates, due to, among other things, changes in interpretations, assumptions, additional guidance that may be released by the I.R.S. and other actions that we may take that are yet to be determined.
There have been no material changes to the Company's significant accounting policies as described in the Company's 2017 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 the Company 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 (i) service revenue, which includes net administrative fees revenue and other services and support revenue and (ii) product revenue. Net administrative fees revenue consists of GPO administrative fees in our supply chain servicesSupply Chain Services segment. Other services and support revenue consists primarily of fees generated by our performance servicesPerformance Services segment in connection with our SaaS informatics products subscriptions, license fees, advisoryconsulting services and performance improvement collaborative subscriptions. Product revenue consists of integrated pharmacy reimbursements and direct sourcing product sales, which are included in the supply chain servicesSupply Chain Services segment.
Supply Chain Services
Supply chain servicesChain Services revenue consists of GPO net administrative fees (gross administrative fees received from suppliers, reduced by the amount of any revenue share paid to members), integratedspecialty pharmacy revenue, direct sourcing revenue and managed service revenue.


The success of our supply chain servicesSupply Chain Services revenue streams are influenced by our ability to negotiate favorable contracts with suppliers, the number of members that utilize our GPO supplier contracts and the volume of their purchases, the number of members that utilize our integrated pharmacy, as well as the impact of changes in the defined allowable reimbursement amounts determined by Medicare, Medicaid and other managed care plans and the number of members that purchase products through our direct sourcing activities and the impact of competitive actions and pricing. Our managed services line of business is a fee for service model created to perform supply chain related services for members, including pharmacy benefit management ("PBM") services in partnership with a national PBM company.
Performance Services
Performance servicesServices revenue consists of SaaS informatics products subscriptions, license fees, performance improvement collaborative and other service subscriptions, professional fees for advisory and governmentconsulting services, insurance services management fees and commissions from endorsed commercial insurance programs.
Our performance servicesPerformance Services growth will depend upon the expansion of our SaaS informatics products, performance improvement collaboratives and advisoryconsulting services to new and existing members, impact of applied research initiatives, renewal of existing subscriptions to our SaaS informatics products and expansion into new markets with potential future acquisitions.
Cost of Revenue
Cost of service revenue includes expenses related to employees (including compensation and benefits) and outside consultants who directly provide services related to revenue-generating activities, including advisoryconsulting services to members and implementation services related to SaaS informatics products. Cost of service revenue also includes expenses related to hosting services, related data center capacity costs, third-party product license expenses and amortization of the cost of internal use software.
Cost of product revenue consists of purchase and shipment costs for specialty pharmaceuticals and direct sourced medical products. Our cost of product revenue is influenced by the cost and availability of specialty pharmaceuticals and the manufacturing and transportation costs associated with direct sourced medical products.
Other Operating Income
Other operating income includes the adjustment to TRA liabilities. Changes in estimated TRA liabilities that are the result of a change in tax accounting method, including the impacts of the TCJA, are recorded as a component of other operating income in the Condensed Consolidated Statements of Income. Changes in estimated TRA liabilities that are related to new basis changes as a result of the exchange of Class B common units for a like number of shares of Class A common stock or as a result of departed member owners are recorded as an increase to additional paid-in capital in the Condensed Consolidated Statements of Stockholders' Deficit. See "Income Tax Expense" below for additional information.
Operating Expenses
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, indirect costs such as insurance, professional fees and other general overhead expenses, and adjustments to tax receivable agreement ("TRA")TRA liabilities.
Research and development expenses consist of employee-related compensation and benefit expenses and third-party consulting fees of technology professionals, net of capitalized labor, incurred to develop our software-related products and services.


Amortization of purchased intangible assets includes the amortization of all identified intangible assets resulting from acquisitions.
Other Income, Net
Other income, net, consists primarily of a one-time gain of $204.8 million related to the remeasurement of our historical 50% equity method investment in Innovatix to fair value upon acquisition of Innovatix and Essensa on December 2, 2016 (see Note 3 - Business Acquisitions for more information) which occurred during the nine months ended March 31, 2017. In addition, other income, net includes equity in net income (loss) of unconsolidated affiliates that is generated from our equity method investments. Our equity method investments primarily consist of our 49% ownership in FFF Enterprises, Inc. ("FFF"), and prior to the acquisition of Innovatix and Essensa on December 2, 2016, included our 50% ownership interest in Innovatix. In connection with the acquisition of Innovatix and Essensa, the Company recorded a one-time gain of $205.1 million related to the remeasurement of our historical 50% equity method investment in Innovatix to fair value. Other income, net, also includes interest income and expense, realized and unrealized gains or losses on deferred compensation plan assets and gains or losses on the disposal of assets.


Income Tax Expense
The Company’sCompany's income tax expense is attributable to the activities of the Company, Premier Healthcare Solutions, Inc. ("PHSI")PHSI and PSCI, all of which are subchapter C Corporationscorporations and are subject to U.S. federal and state income taxes. In contrast, under the provisions of federal and state laws, Premier Healthcare Alliance, L.P. ("Premier LP")LP is not subject to U.S. federal and state income taxes as itsthe income realized by Premier LP is taxable to its partners. The Company’s overall effective tax rate differs from the U.SU.S. statutory tax rate primarily due to the aforementioned ownership structure as well as other items noted in Note 13 - Income Taxes.
Given the Company’s ownership and capital structure, we calculate various effective tax rates are calculated for specific tax items. The Company’s effective tax rate, as discussed in Note 13 - Income Taxes, represents the effective tax rate computed in accordance with generally accepted accounting principles ("GAAP") based on total income tax expense (reflected in income tax expense in the condensed consolidated statements of income) of the Company, PHSI, and PSCI divided by consolidated pre-tax book income. Non-GAAP Adjusted Fully Distributed Net Income is calculated net of taxes based on the Company’s fully distributed tax rate for expected federal and state income tax for the Company as a whole as if it were one taxable entity with all of its subsidiaries' activities included. Alternatively,For example, the deferred tax benefit related to stock-based compensation expense (see Note 12 - Stock-Based Compensation) is calculated based on the effective tax rate of PHSI, the legal entity where the majority of stock-based compensation expense is recorded. The Company’s effective tax rate, as discussed in Note 13 - Income Taxes, represents the effective tax rate computed in accordance with GAAP based on total income tax expense (reflected in income tax expense in the Condensed Consolidated Statements of Income) of the Company, PHSI and PSCI, divided by consolidated pre-tax income.
Non-GAAP Adjusted Fully Distributed Net Income is calculated net of taxes based on the Company’s fully distributed tax rate for federal and state income tax for the Company as a whole as if it were one taxable entity with all of its subsidiaries' activities included. Prior to the enactment of the Act, the rate used to compute the Non-GAAP Adjusted Fully Distributed Net Income was 39%. Effective as of January 1, 2018, the Company adjusted its fully distributed tax rate to 26% to determine its Non-GAAP Adjusted Fully Distributed Net Income and will continue to use that rate for the remainder of fiscal year 2018.
Net Income Attributable to Non-Controlling Interest
As of March 31, 2017,2018, we owned an approximate 36%39% controlling general partner interest in Premier LP through our wholly-owned subsidiary, Premier GP.Services, LLC ("Premier GP"). Net income attributable to non-controlling interest represents the portion of net income attributable to the limited partners of Premier LP, which was reduced from approximately 68%63% as of June 30, 20162017 to approximately 64%61% as of March 31, 2017 primarily2018, as a result of the completion ofcompleted quarterly exchanges pursuant to the Exchange Agreement (see Note 9 - Redeemable Limited Partners' Capital).
Our Use of Non-GAAP Financial Measures
The other key business metrics we consider are EBITDA, Adjusted EBITDA, Segment Adjusted EBITDA, Adjusted Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow, which are Non-GAAP financial measures.
We define EBITDA as net income before interest and investment income, net, income tax expense, depreciation and amortization and amortization of purchased intangible assets. We define Adjusted EBITDA as EBITDA before merger and acquisition related expenses and non-recurring, non-cash or non-operating items and including equity in net income (loss) 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 gaingains or losslosses 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 (loss) of unconsolidated affiliates. Operating expenses directly attributable to the segment include expenses associated with sales and marketing, general and administrative and product development activities specific to the operation of each segment. General and administrative corporate expenses that are not specific to a particular segment are not included in the calculation of Segment Adjusted EBITDA.
We define Adjusted Fully Distributed Net Income as net income attributable to Premier (i) excluding income tax expense, (ii) excluding the impact of adjustment of redeemable limited partners' capital to redemption amount (iii) excluding the effect of non-


recurringnon-recurring and non-cash items, (iv) assuming the exchange of all the Class B common units intofor shares of Class A common stock, which results in the elimination of non-controlling interest in Premier LP and (v) reflecting an adjustment for income tax expense on Non-GAAP fully distributed net income before income taxes at our estimated effective income tax rate. We define Adjusted Fully Distributed Earnings per Share as Adjusted Fully Distributed Net Income divided by diluted weighted average shares (see Note 11 - Earnings (Loss) Per Share).
We define Free Cash Flow as net cash provided by operating activities less distributions and tax receivable agreementTRA payments to limited partners and purchases of property and equipment. Free Cash Flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayments.


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 Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share to facilitate a comparison of our operating performance on a consistent basis from period to period that, when viewed in combination with our results prepared in accordance with GAAP, provides a more complete understanding of factors and trends affecting our business. We believe Adjusted EBITDA and Segment Adjusted EBITDA assist our boardBoard of directors,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) and certain items outside the control of our management team, e.g. taxes, as well as other non-cash (such as impairment of intangible assets, purchase accounting adjustments and stock-based compensation) and non-recurring items (such as strategic and financial restructuring expenses), from our operations.operating results. We believe Adjusted Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share assist our boardBoard of directors,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 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 intofor shares of Class A common stock. We believe Free Cash Flow is an important measure because it represents the cash that we generate after payment of tax distributions to limited partners and capital investment to maintain existing products and services 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 Fully Distributed Net Income, Adjusted Fully Distributed Earnings per Share and Free Cash Flow are not measurements of financial performance under GAAP, may have limitations as analytical tools and should not be considered in isolation from, or as an alternative to, net income, net cash provided by operating activities or any other measure of our performance derived in accordance with GAAP.
Some of the limitations of 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 Fully Distributed Net Income and Adjusted Fully Distributed 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 Fully Distributed Net Income and Adjusted Fully Distributed Earnings per Share are not measures of profitability under GAAP.
We also urge you to review the reconciliation of these Non-GAAP 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 Part I of 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 Fully Distributed Net Income, Adjusted Fully Distributed 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 Fully Distributed Net Income consist of stock-based compensation, strategic and financial restructuringacquisition related expenses, adjustments toremeasurement of TRA liabilities, ERPenterprise resource planning ("ERP") implementation expenses, and acquisition related adjustment - revenue. Theserevenue, remeasurement gain attributable to acquisition of Innovatix, LLC, loss on disposal of long-lived assets, loss (gain) on FFF put and call rights, impairment on investments and other expense. More information about certain of the more significant items are defined as follows: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 March 31, 2018 and 2017, and 2016$0.3 million and $0.4 million and $0.3 million for the nine months ended March 31, 2018 and 2017, respectively (see Note 12 - Stock-Based Compensation).
Remeasurement of TRA liabilities
The Company records TRA liabilities based on 85% of the estimated amount of tax savings the Company expects to receive, generally over a 15-year period, which are attributable to the initial purchase of Class B common units from the member owners made concurrently with the IPO and 2016, respectively.subsequent exchanges by member owners of Class B common units into Class A common stock or cash. Tax payments made under the TRA will be made to the member owners as the Company realizes tax benefits. Determining the estimated amount of tax savings the Company expects to receive requires judgment as deductibility of goodwill amortization expense is not assured and the estimate of tax savings is dependent upon the actual realization of the tax benefit and the tax rates in effect at that time.
StrategicChanges in estimated TRA liabilities that are the result of a change in tax accounting method, including the impacts of the TCJA, are recorded as a component of other operating income or selling, general and financial restructuringadministrative expenses
This item represents legal, accounting and other expenses directly in the Condensed Consolidated Statements of Income. Changes in estimated TRA liabilities that are related to strategic and financial restructuring activities.new basis changes as a result of the exchange of Class B common units for a like number of shares of Class A common stock or as a result of departed member owners are recorded as an increase to additional paid-in capital in the Condensed Consolidated Statements of Stockholders' Deficit.
Adjustment to tax receivable agreement liability
This item represents anThe adjustment to TRA liabilities for the nine months ended March 31, 2018 is primarily attributable to the 14% decrease in the U.S. federal corporate income tax rate, which occurred as a result of the TCJA that was enacted on December 22, 2017 (see Note 13 - Income Taxes). The adjustment to TRA liabilityliabilities for an increase in income apportioned to California during the three months ended March 31, 2017 is primarily attributable to the increase in Premier LP income apportioned to California and for the nine months ended March 31, 2017 is primarily attributable to the combination of the increase in Premier LP income apportioned to California and a 1% decrease in the North Carolina state income tax rate that occurred during each of the nine months ended March 31, 2017 and 2016.
ERP implementation expenses
This item includes costs related to the implementation of a new enterprise resource planning ("ERP") system.(see Note 13 - Income Taxes).
Acquisition related adjustment - revenue
During Upon acquiring Innovatix and Essensa, we recorded a net $11.6 million and $17.2 million purchase accounting adjustment to Adjusted EBITDA during the three and nine months ended March 31, 2017 we recorded $11.6 million and $17.2 million purchase accounting adjustments to Adjusted EBITDA,, respectively, related to our acquisition of Innovatix and Essensa on December 2, 2016. These adjustments reflectthat reflects the fair value of administrative fees related to member purchases that occurred prior to December 2, 2016, but were reported to us subsequent to that date through March 31, 2017. Under our revenue recognition accounting policy, which is inan accordance with GAAP, these administrative fees would be ordinarily recorded as revenue when reported to us; however, the acquisition method of accounting requires us to estimate the amount of purchases prior to the acquisition date and to record the fair value of the administrative fees to be received from those purchases as an account receivable (as opposed to recognizing revenue when these transactions are reported to us) and record any corresponding revenue share obligation as a liability. The purchase accounting adjustment amounted to an estimated $22.1$22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0$4.0 million for the related revenue share obligation through March 31, 2017.
This item also includes non-cash adjustments to deferred revenue of acquired entities of $0.1$0.1 million and $1.1$0.5 million for the three months ended March 31, 2017 and 2016, respectively, and $0.5 million and $5.2 million for the nine months ended March 31, 2017 and 2016,, respectively. Business combination accounting rules require the Company to record a deferred revenue liability at its fair value only if the acquired deferred revenue represents a legal performance obligation assumed by the acquirer. The fair value is based on direct and indirect incremental costs of providing the services plus a normal profit margin. Generally, this results in a reduction to the purchased deferred revenue balance, which was based on upfront fees associated with software license updatesupdate fees and product support contracts assumed in connection with acquisitions. Because these support contracts are typically one-yearone year in duration, our GAAP revenues for the one-yearone year period subsequent to ourthe acquisition of a business do not reflect the full amount of support revenues on these assumed support contracts that would have otherwise been recorded by the acquired entity. The Non-GAAP adjustment to our software license updatesupdate fees and product support revenues is intended to include, and thus reflect, the full amount of such revenues.revenues (see Note 16 - Segments).
Strategic and financial restructuring expenses
This item represents legal, accounting and other expenses directly related to strategic and financial restructuring activities.
Loss (gain) on FFF put and call rights
See Note 5 - Fair Value Measurements.


Impairment on investments
See Note 4 - Investments.


Results of Operations
The following table summarizes our results of operations for the three and nine months ended March 31, 2017 (restated) and 2016periods presented (in thousands, except per share data):
Three Months Ended March 31, Nine Months Ended March 31,
20172016 20172016Three Months Ended March 31, Nine Months Ended March 31,
(Restated)   (Restated)  20182017 20182017
Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net RevenueAmount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Net revenue:                  
Net administrative fees$143,915
38%$131,270
44% $398,962
38%$369,952
43%$161,612
38%$143,915
38% $471,946
38%$398,962
38%
Other services and support97,756
26%87,389
29% 265,974
25%252,114
29%97,492
23%97,756
26% 274,357
22%265,974
25%
Services241,671
64%218,659
73% 664,936
63%622,066
72%259,104
61%241,671
64% 746,303
60%664,936
63%
Products138,132
36%80,010
27% 386,639
37%239,107
28%166,234
39%138,132
36% 480,997
39%386,639
37%
Net revenue379,803
100%298,669
100% 1,051,575
100%861,173
100%425,338
100%379,803
100% 1,227,300
100%1,051,575
100%
Cost of revenue:                
Services47,319
13%40,685
14% 134,865
13%119,301
14%47,037
12%47,319
12% 141,228
13%134,865
13%
Products129,929
34%71,408
24% 356,900
34%214,512
25%156,511
37%129,929
34% 454,222
37%356,900
34%
Cost of revenue177,248
47%112,093
38% 491,765
47%333,813
39%203,548
49%177,248
46% 595,450
50%491,765
47%
Gross profit202,555
53%186,576
62% 559,810
53%527,360
61%221,790
51%202,555
54% 631,850
50%559,810
53%
Other operating income:        
Remeasurement of tax receivable agreement liabilities
—%
—% 177,174
14%5,722
1%
Other operating income
—%
—% 177,174
14%5,722
1%
Operating expenses:                
Selling, general and administrative108,668
28%101,898
34% 296,833
29%288,120
33%109,007
26%108,668
29% 331,948
27%302,555
29%
Research and development755
—%1,180
—% 2,328
—%2,060
—%292
—%755
—% 1,105
—%2,328
—%
Amortization of purchased intangible assets14,080
4%8,740
3% 34,440
3%24,058
3%13,881
3%14,080
4% 41,597
3%34,440
3%
Operating expenses123,503
32%111,818
37% 333,601
32%314,238
36%123,180
29%123,503
33% 374,650
30%339,323
32%
Operating income79,052
21%74,758
25% 226,209
21%213,122
25%98,610
23%79,052
22% 434,374
35%226,209
23%
Other income (expense), net(399)—%6,342
2% 217,488
21%12,940
1%(8,773)(2)%(399)—% (19,880)(2)%217,488
21%
Income before income taxes78,653
21%81,100
27% 443,697
42%226,062
26%89,837
21%78,653
22% 414,494
33%443,697
44%
Income tax expense7,315
2%9,543
3% 68,080
6%41,257
5%13,288
3%7,315
2% 257,560
21%68,080
6%
Net income71,338
19%71,557
24% 375,617
36%184,805
21%76,549
18%71,338
20% 156,934
12%375,617
38%
Net income attributable to non-controlling interest in Premier LP(51,433)(14)%(56,018)(19)% (282,207)(27)%(153,735)(18)%(53,047)(12)%(51,433)(14)% (154,142)(13)%(282,207)(27)%
Adjustment of redeemable limited partners' capital to redemption amount(100,506)nm284,409
nm 296,566
nm685,649
nm(127,039)nm(100,506)nm 511,301
nm296,566
nm
Net income attributable to stockholders$(80,601)nm$299,948
nm $389,976
nm$716,719
nm
Net income (loss) attributable to stockholders$(103,537)nm$(80,601)nm $514,093
nm$389,976
nm
                
Weighted average shares outstanding:                
Basic50,525
 44,716
 49,051
 41,329
 53,529
 50,525
 53,885
 49,051
 
Diluted50,525
 145,018
 141,372
 145,558
 53,529
 50,525
 138,254
 141,372
 
                
Earnings per share attributable to stockholders:       
Earnings (loss) per share attributable to stockholders:Earnings (loss) per share attributable to stockholders:       
Basic$(1.60) $6.71
 $7.95
 $17.34
 $(1.93) $(1.60) $9.54
 $7.95
 
Diluted$(1.60) $0.43
 $2.22
 $1.03
 $(1.93) $(1.60) $(0.84) $2.22
 
        
Certain Non-GAAP Financial Data:        
Adjusted EBITDA (1)
$136,724
36%$119,929
40% $369,506
35%$340,981
40%
Adjusted Fully Distributed Net Income (2)
$72,959
19%$63,920
21% $197,129
19%$181,691
21%
Adjusted Fully Distributed Earnings Per Share (2)
$0.52
 $0.44
 $1.39
 $1.25
 
nm = Not meaningful


(1)The following table shows the reconciliation of net income 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,
 2017201620172016
 (Restated) (Restated) 
Net income$71,338
$71,557
$375,617
$184,805
Interest and investment loss, net (a)
2,017
285
3,026
981
Income tax expense7,315
9,543
68,080
41,257
Depreciation and amortization15,102
13,110
43,318
37,174
Amortization of purchased intangible assets14,080
8,740
34,440
24,058
EBITDA109,852
103,235
524,481
288,275
Stock-based compensation (b)
7,157
11,839
19,476
37,093
Acquisition related expenses4,330
2,583
11,483
11,699
Strategic and financial restructuring expenses
33

268
Adjustment to tax receivable agreement liability (c)
2,768

(2,954)(4,818)
ERP implementation expenses (d)
215
1,162
1,741
3,240
Acquisition related adjustment - revenue (e)
11,765
1,077
17,729
5,216
Remeasurement gain attributable to acquisition of Innovatix, LLC

(204,833)
Loss on disposal of long-lived assets725

2,243

Other expense (income), net(88)
140
8
Adjusted EBITDA$136,724
$119,929
$369,506
$340,981
     
Income before income taxes$78,653
$81,100
$443,697
$226,062
Remeasurement gain attributable to acquisition of Innovatix, LLC

(204,833)
Equity in net income of unconsolidated affiliates (f)
(83)(6,627)(14,789)(16,002)
Interest and investment loss, net (a)
2,017
285
3,026
981
Loss on disposal of long-lived assets725

2,243

Other expense (income), net(2,260)
(3,135)2,081
Operating income79,052
74,758
226,209
213,122
Depreciation and amortization15,102
13,110
43,318
37,174
Amortization of purchased intangible assets14,080
8,740
34,440
24,058
Stock-based compensation (b)
7,157
11,839
19,476
37,093
Acquisition related expenses4,330
2,583
11,483
11,699
Strategic and financial restructuring expenses
33

268
Adjustment to tax receivable agreement liability (c)
2,768

(2,954)(4,818)
ERP implementation expenses (d)
215
1,162
1,741
3,240
Acquisition related adjustment - revenue (e)
11,765
1,077
17,729
5,216
Equity in net income of unconsolidated affiliates83
6,627
14,789
16,002
Deferred compensation plan income (expense) (g)
1,675

2,778
(2,073)
Other income497

497

Adjusted EBITDA$136,724
$119,929
$369,506
$340,981
     
Segment Adjusted EBITDA:    
Supply Chain Services$127,898
$118,704
$364,224
$329,642
Performance Services36,535
30,771
87,449
90,158
Corporate (h)
(27,709)(29,546)(82,167)(78,819)
Adjusted EBITDA$136,724
$119,929
$369,506
$340,981





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,
 20182017 20182017
 Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Certain Non-GAAP Financial Data:         
Adjusted EBITDA$142,239
33%$136,724
36% $394,951
32%$369,506
35%
Non-GAAP Adjusted Fully Distributed Net Income$90,590
21%$72,959
19% $222,284
18%$197,129
19%
Non-GAAP Adjusted Fully Distributed Earnings Per Share$0.67
 $0.52
  $1.61
 $1.39
 

























The following table provides the reconciliation of net income 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,
 2018201720182017
Net income$76,549
$71,338
$156,934
$375,617
Interest and investment loss, net1,236
2,017
4,239
3,026
Income tax expense13,288
7,315
257,560
68,080
Depreciation and amortization18,584
15,102
52,401
43,318
Amortization of purchased intangible assets13,881
14,080
41,597
34,440
EBITDA123,538
109,852
512,731
524,481
Stock-based compensation7,333
7,157
25,241
19,476
Acquisition related expenses1,540
4,330
6,312
11,483
Strategic and financial restructuring expenses1,648

1,652

Remeasurement of tax receivable agreement liabilities
2,768
(177,174)(2,954)
ERP implementation expenses40
215
531
1,741
Acquisition related adjustment - revenue65
11,765
257
17,729
Remeasurement gain attributable to acquisition of Innovatix, LLC


(204,833)
Loss on disposal of long-lived assets5
725
1,725
2,243
Loss (gain) on FFF put and call rights3,067
(88)18,674
86
Impairment on investments5,002

5,002

Other expense1


54
Adjusted EBITDA$142,239
$136,724
$394,951
$369,506
     
Income before income taxes$89,837
$78,653
$414,494
$443,697
Remeasurement gain attributable to acquisition of Innovatix, LLC


(204,833)
Equity in net loss (income) of unconsolidated affiliates4,939
(83)(570)(14,789)
Interest and investment loss, net1,236
2,017
4,239
3,026
Loss on disposal of long-lived assets5
725
1,725
2,243
Other expense (income)2,593
(2,260)14,486
(3,135)
Operating income98,610
79,052
434,374
226,209
Depreciation and amortization18,584
15,102
52,401
43,318
Amortization of purchased intangible assets13,881
14,080
41,597
34,440
Stock-based compensation7,333
7,157
25,241
19,476
Acquisition related expenses1,540
4,330
6,312
11,483
Strategic and financial restructuring expenses1,648

1,652

Remeasurement of tax receivable agreement liabilities
2,768
(177,174)(2,954)
ERP implementation expenses40
215
531
1,741
Acquisition related adjustment - revenue65
11,765
257
17,729
Equity in net income (loss) of unconsolidated affiliates(4,939)83
570
14,789
Impairment on investments5,002

5,002

Deferred compensation plan income (expense)(112)1,675
3,004
2,778
Other income587
497
1,184
497
Adjusted EBITDA$142,239
$136,724
$394,951
$369,506
     
Segment Adjusted EBITDA:    
Supply Chain Services$135,265
$127,898
$392,930
$364,224
Performance Services36,715
36,535
85,865
87,449
Corporate(29,741)(27,709)(83,844)(82,167)
Adjusted EBITDA$142,239
$136,724
$394,951
$369,506


The following table provides the reconciliation of net income (loss) attributable to stockholders to Non-GAAP Adjusted Fully Distributed Net Income and the reconciliation of the numerator and denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented (in thousands). Refer to "Our Use of Non-GAAP Financial Measures" for further information regarding items excluded in our calculation of Non-GAAP Adjusted Fully Distributed Net Income and Non-GAAP Adjusted Fully Distributed Earnings per Share.
 Three Months Ended March 31,Nine Months Ended March 31,
 2018201720182017
Net income (loss) attributable to stockholders$(103,537)$(80,601)$514,093
$389,976
Adjustment of redeemable limited partners' capital to redemption amount127,039
100,506
(511,301)(296,566)
Net income attributable to non-controlling interest in Premier LP53,047
51,433
154,142
282,207
Income tax expense13,288
7,315
257,560
68,080
Amortization of purchased intangible assets13,881
14,080
41,597
34,440
Stock-based compensation7,333
7,157
25,241
19,476
Acquisition related expenses1,540
4,330
6,312
11,483
Strategic and financial restructuring expenses1,648

1,652

Remeasurement of tax receivable agreement liabilities


2,768
(177,174)(2,954)
ERP implementation expenses40
215
531
1,741
Acquisition related adjustment - revenue65
11,765
257
17,729
Remeasurement gain attributable to acquisition of Innovatix, LLC


(204,833)
Loss on disposal of long-lived assets5
725
1,725
2,243
Loss (gain) on FFF put and call rights3,067
(88)18,674
86
Impairment on investments5,002

5,002

Other expense1


54
Non-GAAP adjusted fully distributed income before income taxes122,419
119,605
338,311
323,162
Income tax expense on fully distributed income before income taxes(a)
31,829
46,646
116,027
126,033
Non-GAAP Adjusted Fully Distributed Net Income$90,590
$72,959
$222,284
$197,129
     
Reconciliation of denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share
Weighted Average:    
Common shares used for basic and diluted earnings (loss) per share53,529
50,525
53,885
49,051
Potentially dilutive shares547
465
551
446
Conversion of Class B common units81,394
88,892
83,818
91,875
Weighted average fully distributed shares outstanding - diluted135,470
139,882
138,254
141,372
(a)Represents interest expense, net and realized gains and losses on our marketable securities.
(b)In addition to non-cash employee stock-based compensation expense, includes stock purchase plan expense of $0.1 million for both the three months ended March 31, 2017 and 2016 and $0.4 million and $0.3 million for the nine months ended March 31, 2017 and 2016, respectively.
(c)Represents adjustment to tax receivable agreement liability for an increase in income apportioned to California during the three months ended March 31, 2017 and a 1% decrease in the North Carolina state income tax rate that occurred during each of the nine months ended March 31, 2017 and 2016.
(d)Represents implementation and other costs associated with the implementation of an ERP system.
(e)Includes $11.6 million and $17.2 million purchase accounting adjustments to Adjusted EBITDA during the three and nine months ended March 31, 2017, respectively, related to our acquisition of Innovatix and Essensa on December 2, 2016, and non-cash adjustments to deferred revenue of previously acquired entities of $0.1 million and $1.1 million for the three months ended March 31, 2017 and 2016, respectively, and $0.5 million and $5.2 million for the nine months ended March 31, 2017 and 2016, respectively. The purchase accounting adjustment amounted to an estimated $22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0 million for the related revenue share obligation through March 31, 2017.
(f)Represents equity in net income of unconsolidated affiliates primarily generated by the Company's 49% ownership interest in FFF and 50% ownership interest in Innovatix prior to the acquisition of the remaining 50% interest on December 2, 2016.
(g)Represents realized and unrealized gains and losses and dividend income on deferred compensation plan assets.
(h)Corporate consists of general and administrative corporate expenses that are not specific to either of our reporting segments.
(2)The following table shows the reconciliation of net income (loss) attributable to stockholders to Non-GAAP Adjusted Fully Distributed Net Income and the reconciliation of the numerator and denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share for the periods presented (in thousands). Refer to "Our Use of Non-GAAP Financial Measures" for further information regarding items excluded in our calculation of Non-GAAP Adjusted Fully Distributed Net Income and Non-GAAP Adjusted Fully Distributed Earnings per Share.
 Three Months Ended March 31,Nine Months Ended March 31,
 2017201620172016
 (Restated) (Restated) 
Net income (loss) attributable to stockholders$(80,601)$299,948
$389,976
$716,719
Adjustment of redeemable limited partners' capital to redemption amount100,506
(284,409)(296,566)(685,649)
Net income attributable to non-controlling interest in Premier LP (a)
51,433
56,018
282,207
153,735
Income tax expense7,315
9,543
68,080
41,257
Amortization of purchased intangible assets14,080
8,740
34,440
24,058
Stock-based compensation (b)
7,157
11,839
19,476
37,093
Acquisition related expenses4,330
2,583
11,483
11,699
Strategic and financial restructuring expenses
33

268
Adjustment to tax receivable agreement liability (c)
2,768

(2,954)(4,818)
ERP implementation expenses (d)
215
1,162
1,741
3,240
Acquisition related adjustment - revenue (e)
11,765
1,077
17,729
5,216
Remeasurement gain attributable to acquisition of Innovatix, LLC

(204,833)
Loss on disposal of long-lived assets725

2,243

Other expense (income), net(88)
140

Non-GAAP adjusted fully distributed income before income taxes119,605
106,534
323,162
302,818
Income tax expense on fully distributed income before income
taxes
(f)
46,646
42,614
126,033
121,127
Non-GAAP Adjusted Fully Distributed Net Income$72,959
$63,920
$197,129
$181,691
     
Reconciliation of denominator for earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed Earnings per Share
Weighted Average:    
Common shares used for basic earnings per share50,525
44,716
49,051
41,329
Potentially dilutive shares465
2,465
446
2,172
Conversion of Class B common units88,892
97,837
91,875
102,057
Weighted average fully distributed shares outstanding - diluted139,882
145,018
141,372
145,558


(a)Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.
(b)In addition to non-cash employee stock-based compensation expense, includes stock purchase plan expense of $0.1 million for both the three months ended March 31, 2017 and 2016 and $0.4 million and $0.3 million for the nine months ended March 31, 2017 and 2016, respectively.
(c)Represents adjustment to tax receivable agreement liability for an increase in income apportioned to California during the three months ended March 31, 2017 and a 1% decrease in the North Carolina state income tax rate that occurred during each of the nine months ended March 31, 2017 and 2016.
(d)Represents implementation and other costs associated with the implementation of an ERP system.
(e)Includes $11.6 million and $17.2 million purchase accounting adjustments to Adjusted EBITDA during the three and nine months ended March 31, 2017, respectively, related to our acquisition of Innovatix and Essensa on December 2, 2016, and non-cash adjustments to deferred revenue of previously acquired entities of $0.1 million and $1.1 million for the three months ended March 31, 2017 and 2016, respectively, and $0.5 million and $5.2 million for the nine months ended March 31, 2017 and 2016, respectively. The purchase accounting adjustment amounted to an estimated $22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0 million for the related revenue share obligation through March 31, 2017.
(f)Reflects income tax expense at an estimated effective income tax rate of 39%26% and 40%34% of Non-GAAP adjusted fully distributed income before income taxes for the three and nine months ended March 31, 20172018, respectively, and 2016, respectively. The decrease in the estimated effective income tax rate is primarily attributed to a 1% decrease in the North Carolina state income tax rate that occurred during39% for the three and nine months ended September 30, 2016.March 31, 2017.


The following table showsprovides the reconciliation of earnings (loss) per share attributable to stockholders to Non-GAAP Adjusted Fully Distributed 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 Fully Distributed Earnings per Share.
Three Months Ended March 31,Nine Months Ended March 31,
2017201620172016Three Months Ended March 31,Nine Months Ended March 31,
(Restated) (Restated) 2018201720182017
Earnings (loss) per share attributable to stockholders$(1.60)$6.71
$7.95
$17.34
$(1.93)$(1.60)$9.54
$7.95
Adjustment of redeemable limited partners' capital to redemption amount2.00
(6.36)(6.05)(16.59)2.37
2.00
(9.49)(6.05)
Impact of additions: 
Net income attributable to non-controlling interest in Premier LP (a)
1.02
1.25
5.75
3.72
Net income attributable to non-controlling interest in Premier LP0.99
1.02
2.86
5.75
Income tax expense0.14
0.21
1.39
1.00
0.25
0.14
4.78
1.39
Amortization of purchased intangible assets0.28
0.20
0.70
0.58
0.26
0.28
0.77
0.70
Stock-based compensation (b)
0.14
0.26
0.40
0.90
Stock-based compensation0.14
0.14
0.47
0.40
Acquisition related expenses0.09
0.06
0.23
0.28
0.03
0.09
0.12
0.23
Strategic and financial restructuring expenses


0.01
0.03

0.03

Adjustment to tax receivable agreement liability (c)
0.05

(0.06)(0.12)
ERP implementation expenses (d)

0.03
0.04
0.08
Acquisition related adjustment - revenue (e)
0.23
0.02
0.36
0.13
Remeasurement of tax receivable agreement liabilities
0.05
(3.29)(0.06)
ERP implementation expenses

0.01
0.04
Acquisition related adjustment - revenue
0.23

0.36
Remeasurement gain attributable to acquisition of Innovatix, LLC

(4.18)



(4.18)
Loss on disposal of long-lived assets0.01

0.05


0.01
0.03
0.05
Loss (gain) on FFF put and call rights0.06

0.35

Impairment on investments0.09

0.09

Impact of corporation taxes (f)(a)
(0.92)(0.95)(2.57)(2.93)(0.60)(0.92)(2.14)(2.57)
Impact of increased share count (g)
(0.92)(0.99)(2.62)(3.15)
Impact of dilutive shares (b)
(1.02)(0.92)(2.52)(2.62)
Non-GAAP Adjusted Fully Distributed Earnings Per Share$0.52
$0.44
$1.39
$1.25
$0.67
$0.52
$1.61
$1.39
(a)Reflects the elimination of the non-controlling interest in Premier LP as if all member owners of Premier LP had fully exchanged their Class B common units for shares of Class A common stock.
(b)In addition to non-cash employee stock-based compensation expense, includes stock purchase plan expense of $0.1 million for both the three months ended March 31, 2017 and 2016 and $0.4 million and $0.3 million for the nine months ended March 31, 2017 and 2016, respectively.
(c)Represents adjustment to tax receivable agreement liability for an increase in income apportioned to California during the three months ended March 31, 2017 and a 1% decrease in the North Carolina state income tax rate that occurred during each of the nine months ended March 31, 2017 and 2016.
(d)Represents implementation and other costs associated with the implementation of an ERP system.
(e)Includes $11.6 million and $17.2 million purchase accounting adjustments to Adjusted EBITDA during the three and nine months ended March 31, 2017, respectively, related to our acquisition of Innovatix and Essensa on December 2, 2016, and non-cash adjustments to deferred revenue of previously acquired entities of $0.1 million and $1.1 million for the three months ended March 31, 2017 and 2016, respectively, and $0.5 million and $5.2 million for the nine months ended March 31, 2017 and 2016, respectively. The purchase accounting adjustment amounted to an estimated $22.1 million of accounts receivable relating to these administrative fees and an estimated $4.0 million for the related revenue share obligation through March 31, 2017.
(f)Reflects income tax expense at an estimated effective income tax rate of 39%26% and 40%34% of Non-GAAP adjusted fully distributed income before income taxes for the three and nine months ended March 31, 20172018, respectively, and 2016, respectively. The decrease in the estimated effective income tax rate is primarily attributed to a 1% decrease in the North Carolina state income tax rate that occurred during39% for the three and nine months ended September 30, 2016.March 31, 2017.


(g)(b)Reflects impact of increased share counts assumingdilutive shares, primarily attributable to the assumed conversion of all Class B common units and dilutive shares into shares offor Class A common stock.
Consolidated Results - Comparison of the Three and Nine Months ended March 31, 2018 to 2017
Net Revenue
The following table summarizes our netNet revenue increased $45.5 million, or 12%, to $425.3 million for the three andmonths ended March 31, 2018 from $379.8 million for the three months ended March 31, 2017. Net revenue increased $175.7 million, or 17%, to $1,227.3 million for the nine months ended March 31, 2017 and 2016, indicated both in dollars (in thousands) and as a percentage of net revenue:2018 from $1,051.6 million for the nine months ended March 31, 2017.
 Three Months Ended March 31, Nine Months Ended March 31,
 20172016 20172016
Net Revenue:Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Supply Chain Services         
Net administrative fees$143,915
38%$131,270
44% $398,962
38%$369,952
43%
Other services and support3,116
1%1,104
—% 5,962
1%2,963
—%
Services147,031
39%132,374
44% 404,924
39%372,915
43%
Products138,132
36%80,010
27% 386,639
36%239,107
28%
Total Supply Chain Services285,163
75%212,384
71% 791,563
75%612,022
71%
Performance Services94,640
25%86,285
29% 260,012
25%249,151
29%
Net revenue$379,803
100%$298,669
100% $1,051,575
100%$861,173
100%
Total netNet administrative fees revenue increased $81.1$17.7 million, or 27%12%, from the three months ended March 31, 20162017 to 2017,2018 and increased $190.4$72.9 million, or 22%18%, from the nine months ended March 31, 20162017 to 2017.
Supply Chain Services
Supply chain services segment net revenue increased $72.8 million, or 34%, from the three months ended March 31, 2016 to 2017, and increased $179.6 million, or 29% from the nine months ended March 31, 2016 to 2017.
Net administrative fees revenue in our supply chain services segment increased $12.6 million, or 10%, from the three months ended March 31, 2016 to 2017 and increased $29.0 million, or 8%, from the nine months ended March 31, 2016 to 2017. The increase in net administrative fees revenue was2018, primarily driven by aggregate contributions from Innovatix and Essensa, which were acquired in full on December 2, 2016, duringand further contract penetration of our existing members.
Other services and support revenue decreased $0.3 million, from the three and nine months ended March 31, 2017. Additionally, during2017 to 2018, remaining relatively flat. Other services and support revenue increased $8.4 million, or 3% from the nine months ended March 31, 2017 further contract penetrationto 2018, primarily due to growth in quality and cost management consulting services related to performance-based engagements. We also experienced increases in SaaS informatics products subscriptions, applied science services and government services related revenue, offset by a decrease in ambulatory reporting revenue. We expect to experience quarterly variability within other services and support revenue due to the timing of revenue recognition from certain consulting services and performance-based engagements in which our revenue is based on a percentage of identified member savings and recognition occurs upon approval and documentation of the savings. We expect our 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 to a lesser degree, the ongoing positive impact of conversion of new members to our contract portfolio contributed to the increase. We may experience quarterly fluctuations in net administrative fees revenue due to periodic variability associated with the receipt of supplier member purchasing reports and administrative fee payments at quarter-end; however, we expect our net administrative fees revenue to continue to grow to the extent our existing members increase the utilization of our contracts and additional members convertbegin to utilize our contract portfolio.products and services.
Product revenue in our supply chain services segment increased $58.1$28.1 million, or 73%20%, from the three months ended March 31, 20162017 to 20172018 and increased $147.5$94.4 million, or 62%24%, from the nine months ended March 31, 20162017 to 2017. The increases were2018, primarily driven by an increase in integrated pharmacy revenues mostly attributable to contributions from our expansion and growth in therapy offerings largely associated with increased contributions from


Acro Pharmaceuticals, acquisition duringas well as an increase in sales of certain limited distribution drugs dispensed to treat Idiopathic Pulmonary Fibrosis, Oncology and Multiple Sclerosis, partially offset by a slight decrease in the three and nine months ended March 31, 2017, andsales of HIV pharmaceuticals. We also experienced increased sales of direct sourcing products, partially offset by decreases in certain limited distribution drug sales, including Hepatitis C pharmaceuticals. Growth in product revenue was impacted by the competitive environment, adoption of new therapies and expansion of access for certain limited distribution drugs. However, weproducts. We expect our integrated pharmacy and direct sourcing and integrated pharmacy product revenues to continue to grow to the extent we are able to increase our product offerings, expand our product sales to existing members and additional members begin to utilize our programs.
Performance ServicesCost of Revenue
Performance services segment netCost of revenue increased $8.3$26.3 million, or 10%15%, to $203.5 million for the three months ended March 31, 2018 from $177.2 million for the three months ended March 31, 2017. Cost of revenue increased $103.7 million, or 21%, to $595.5 million for the nine months ended March 31, 2018 from $491.8 million for the nine months ended March 31, 2017.
Cost of services revenue decreased $0.3 million, or 1%, from the three months ended March 31, 20162017 to 2017 and2018, remaining relatively flat. Cost of services revenue increased $10.8$6.3 million, or 4%,5% from the nine months ended March 31, 20162017 to 2017,2018, primarily duedriven by higher salaries and benefits expenses resulting from increased staffing to support growth in ambulatory regulatory reporting and cost management services. Additionally, during the nine months ended March 31, 2017, government services revenue contributed to the increase.
Net revenue in the performance services segment continues to be impacted by the uncertain and competitive environment. Similarly, growth in advisory services was limited due to some larger engagement opportunities that require more complex and lengthy sales processes, involve longer implementations once secured and in some cases result in longer term revenue recognition due to performance-based fees.


We expect to experience quarterly variability in revenues generated from our performance services segment due to the timing of revenue recognition from certain advisory services and performance-based engagements as well as increased depreciation expense as a result of increased capitalization of internally developed software, offset by a decrease in which our revenue is based on a percentageconsulting costs. We expect cost of identified member savings and recognition occurs upon approval and documentation of the savings. We generally expect our performance services netservice revenue to grow over the long termincrease to the extent we are able to expand our salesperformance improvement collaboratives and consulting services to members, continue to develop new and existing membersinternally-developed software applications and additional members begin to utilize our products and services.expand into new product offerings.
Cost of Revenue
The following table summarizes our cost of revenue for the three and nine months ended March 31, 2017 and 2016, indicated both in dollars (in thousands) and as a percentage of net revenue:
 Three Months Ended March 31, Nine Months Ended March 31,
 20172016 20172016
Cost of revenue:Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Supply Chain Services         
Services$1,486
—%$719
—% $3,967
—%$2,053
—%
Products129,929
35%71,408
24% 356,900
34%214,512
25%
Total Supply Chain Services131,415
35%72,127
24% 360,867
34%216,565
25%
Performance Services         
Services45,833
12%39,966
14% 130,898
13%117,248
14%
Total Performance Services45,833
12%39,966
14% 130,898
13%117,248
14%
Total cost of revenue$177,248
47%$112,093
38% $491,765
47%$333,813
39%
Cost ofproduct revenue increased $65.1$26.6 million, or 58%20%, from the three months ended March 31, 20162017 to 20172018 and increased $158.0$97.3 million, or 47%,27% from the nine months ended March 31, 20162017 to 2017. Cost2018, primarily driven by higher product costs associated with the business operations of product revenue increased $58.5 million, or 82%, from the three months ended March 31, 2016 to 2017Acro Pharmaceuticals and increased $142.4 million, or 66%, from the nine months ended March 31, 2016 to 2017 primarily due to our Acro Pharmaceuticals acquisition and higher costs related to an increasedriven by growth in direct sourcing revenue. Costsales and the impact of service revenue increased $6.6 million, or 16%, from the three months ended March 31, 2016 to 2017 and increased $15.6 million, or 13%, from the nine months ended March 31, 2016 to 2017 primarily due to higher salary and benefits expense resulting from increased staffing to support our continued growth, increases in depreciation expense related to capitalized software resulting from increased capitalization of labor, and higher consulting costs for certain projects.
Supply Chain Services
Cost of revenue for the supply chain services segment increased $59.3 million, or 82%, from the three months ended March 31, 2016 to 2017 and increased $144.3 million, or 67%, from the nine months ended March 31, 2016 to 2017. The increase is primarily attributable to incremental cost of revenue related to our Acro Pharmaceuticals acquisition during the three and nine months ended March 31, 2017, in addition to increases in cost of product revenue related to higher direct sourcing sales.raw materials pricing. We expect our cost of product revenue to increase asto the extent we are able to sell additional integrated pharmacy and direct-sourced medical products to new and existing members and enroll additional members into our integrated pharmacy program. The increased cost of product revenues is expected to reduce our gross profit as a percentage of our net revenues.
Performance ServicesOther Operating Income
Cost of revenue for the performance services segmentOther operating income increased $5.8$171.5 million or 15%, from the three months ended March 31, 2016 to 2017 and increased $13.7 million, or 12%, from the nine months ended March 31, 20162017 to 2017. The increase is2018 as a result of the remeasurement of TRA liabilities, which was primarily attributable to higher salaries and benefits expenses due to increased staffing to support growth, depreciation expense resulting from increased capitalization of labor related to capitalized software, and higher consulting costs for certain projects. We expect cost of service revenue to increase to the extent we expand our performance improvement collaboratives and advisory services to members, continue to develop new and existing internally-developed software applications, and expand into new product offerings.


14% decrease in the U.S. federal corporate income tax rate associated with the TCJA.
Operating Expenses
The following table summarizes our operatingOperating expenses decreased $0.3 million, to $123.2 million for the three andmonths ended March 31, 2018 from $123.5 million for the three months ended March 31, 2017, remaining relatively flat. Operating expenses increased $35.4 million, or 10%, to $374.7 million for the nine months ended March 31, 2017 and 2016, indicated both in dollars (in thousands) and as a percentage of net revenue:
 Three Months Ended March 31, Nine Months Ended March 31,
 20172016 20172016
Operating expenses:Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Selling, general and administrative$108,668
28%$101,898
34% $296,833
29%$288,120
33%
Research and development755
—%1,180
—% 2,328
—%2,060
—%
Amortization of purchased intangible assets14,080
4%8,740
3% 34,440
3%24,058
3%
Total operating expenses$123,503
32%$111,818
37% $333,601
32%$314,238
36%
Operating expenses by segment:         
Supply Chain Services$47,067
12%$29,850
10% $119,980
12%$86,053
10%
Performance Services34,354
9%37,816
13% 104,078
10%110,885
13%
Corporate42,082
11%44,152
14% 109,543
10%117,300
13%
Total operating expenses$123,503
32%$111,818
37% $333,601
32%$314,238
36%
2018 from $339.3 million for the nine months ended March 31, 2017.
Selling, General and Administrative
Selling, general and administrative expenses increased $6.8$0.3 million, or 7%, from the three months ended March 31, 20162017 to 2017,2018, remaining relatively flat, and increased $8.7$29.3 million, or 3%10%, from the nine months ended March 31, 20162017 to 2017,2018, primarily driven by higheran increase in salaries and benefits expenses due toresulting from increased staffing mostly associated with acquisitions and to support growth and acquisitionsin our Supply Chain Services segment, an increase in depreciation expense resulting from increased capitalization, an increase in stock-based compensation expense largely driven by an increase in equity award grants in addition to higher acquisition costs,anticipated achievement of certain performance targets, along with an increase in severance expense related to the workforce reduction executed in the current period. These results were partially offset by a decrease in stock-based compensation primarily related to vestingcosts associated with the acquisitions of certain IPO-related performance based awards during the prior year.Innovatix and Acro Pharmaceuticals.
Research and Development
Research and development expenses decreased by $0.5 million from the three months ended March 31, 2017 to 2018 and $1.2 million from the nine months ended March 31, 2017 to 2018. Research and development expenses consist of employee-related compensation and benefit expenses and third-party consulting fees for technology professionals, net of capitalized labor, incurred to develop our software-related products and services. Research and development expenses decreased $0.4 million, or 33%, from the three months ended March 31, 2016 to 2017 and increased $0.2 million, or 10%, from the nine months ended March 31, 2016 to 2017. Including capitalized labor, total research and development expenditures were $11.3 million for the three months ended March 31, 2017, a decrease of $1.5 million from $12.8 million for the three months ended March 31, 2016, and were $46.0 million for the nine months ended March 31, 2017, an increase of $2.1 million from $43.9 million for the nine months ended March 31, 2016. We experience fluctuations in our research and development expenditures across reportable periods due to the timing of our software development lifecycles, new product features and functionality, new technologies and upgrades to our service offerings.


Amortization of Purchased Intangible Assets
Amortization of purchased intangible assets increased $5.4decreased $0.2 million, or 62%1%, from the three months ended March 31, 20162017 to 2017 and2018, remaining relatively flat. Amortization of purchased intangible assets increased $10.3$7.2 million, or 43%21%, from the nine months ended March 31, 20162017 to 2017. The increase was2018, primarily as a result of the additional amortization of purchased intangible assets related to our acquisitions. As we execute on our growth strategy and further deploy capital, we expect further increases in amortization of purchased intangible assets in connection with recent and future potential acquisitions.
Supply Chain Services
Operating expenses in the supply chain services segment increased $17.2 million, or 58%, from the three months ended March 31, 2016 to 2017 and increased $33.9 million, or 39%, from the nine months ended March 31, 2016 to 2017. The increases were due to higher salaries and benefits expenses due to increased staffing to support growth and acquisitions, higher acquisition costs and increased intangible asset amortization due to intangible assets purchased in the acquisitions of Acro Pharmaceuticals and Innovatix and Essensa.
Performance Services
Operating expenses in the performance services segment decreased $3.4 million, or 9%, from the three months ended March 31, 2016 to 2017 primarily due to a decrease in bad debt expense driven by recovery of past due amounts. Operating expenses in the


performance services segment decreased $6.8 million, or 6%, from the nine months ended March 31, 2016 to 2017 primarily due to reduced acquisition costs and gains recorded in the current period related to changes in the fair value of earn-out liabilities recorded in connection with our prior acquisition of InFlow Health, LLC, partially offset by additional amortization of purchased intangible assets related to previous acquisitions and increased salaries and benefits expenses due to staffing to support growth and acquisitions.
Corporate
Corporate expenses decreased $2.1 million, or 5%, from the three months ended March 31, 2016 to 2017 and decreased $7.8 million, or 7%, from the nine months ended March 31, 2016 to 2017. These decreases were primarily driven by a decrease in stock-based compensation expense due to vesting of certain IPO-related awards during the prior year, partially offset by increased salaries and benefits expenses due to staffing to support growth and acquisitions.
Other Non-Operating Income and Expense
Other Income (Expense), Net
Other income (expense), net decreased $6.7$8.4 million fromto $(8.8) million for the three months ended March 31, 2016 to2018 from $(0.4) million for the three months ended March 31, 2017, primarily due to a reductiondriven by the impairment of the Company's investment in equityPharmaPoint, LLC ("PharmaPoint") along with the loss on FFF put and call rights in net income of unconsolidated affiliates. As a result of acquiring the remaining 50% of Innovatix during the prior quarter, we no longer account for our ownership using the equity method.current period (see Note 4 - Investments and Note 5 - Fair Value Measurements). Other income (expense), net increased $204.6decreased $237.4 million fromto $(19.9) million for the nine months ended March 31, 2016 to2018 from $217.5 million for the nine months ended March 31, 2017, primarily due to the one-time $204.8$205.1 million gain recognized during the three months ended December 31, 2016 from the remeasurement of the 50% equity method investment in Innovatix to fair value upon acquisition of Innovatix and Essensaon December 2, 2016 (see Note 3 - Business AcquisitionsAcquisitions) along with a reduction in equity in net income (loss) of unconsolidated affiliates. As a result of acquiring the remaining 50% of Innovatix, we no longer account for more information).our ownership using the equity method. Other income (expense), net was also impacted by the loss on FFF put and call rights in the current period and partially offset by a moderate increase in equity in net income of FFF, which experienced improved performance in the nine months ended March 31, 2018.
Income Tax Expense
Income tax expense decreased $2.2 million fromFor the three months ended March 31, 20162018 and 2017, the Company recorded tax expense of $13.3 million and $7.3 million, respectively, which equates to 2017effective tax rates of 15% and increased $26.8 million from9%, respectively. For the nine months ended March 31, 20162018 and 2017, the Company recorded tax expense of $257.6 million and $68.1 million, respectively, which equates to 2017. Our effective tax rates were 9%of 62% and 12% for the three months ended March 31, 2017 and 2016,15%, respectively. The decreaseincrease in the effective tax rate is primarily attributable to a deferred tax benefit recognized in connection with an increase in income apportioned to California. Our effective tax rates were 15% and 18% for the nine months ended March 31, 2017 and 2016, respectively. The decrease in the effective tax rate is primarily attributable to the one-time gain recognized from the remeasurement of deferred tax balances related to the 50% equity method investmentdecrease in Innovatixthe U.S. federal corporate income tax rate from 35% to fair value.21%, pursuant to the TCJA enacted on December 22, 2017. The Company's effective tax rate differs from income taxes recorded at the combined (or blended) statutory income tax rate primarily due to partnership income not subject to federal, state and local income taxes and valuation allowances against deferred tax assets at PHSI. See Note 13 - Income Taxes for more information.
Net Income Attributable to Non-Controlling Interest
Net income attributable to non-controlling interest decreased $4.6increased $1.6 million, or 8%3%, fromto $53.0 million for the three months ended March 31, 20162018 from $51.4 million for the three months ended March 31, 2017, primarily attributable to 2017 drivenan increase in income of Premier LP offset by a decrease in non-controlling interestownership percentage in Premier LP to 61% from approximately 74% at March 31, 2016 to approximately 64% at March 31, 2017 primarily as a result of the completion of quarterly exchanges pursuant to the Exchange Agreement (see Note 9 - Redeemable Limited Partners' Capital)., respectively. Net income attributable to non-controlling interest increased $128.5decreased $128.1 million, or 84%45%, fromto $154.1 million for the nine months ended March 31, 2016 to 2017 due to an increase in Premier LP net income primarily driven by increased revenues, partially offset by the decrease in non-controlling ownership interest percentage in Premier LP.
Non-GAAP Adjusted EBITDA
The following table summarizes our Non-GAAP Adjusted EBITDA2018 from $282.2 million for the three and nine months ended March 31, 2017, and 2016, indicated bothprimarily attributable to a decrease in dollars (in thousands) andincome of Premier LP as well as a decrease in non-controlling ownership percentage of net revenue:in Premier LP to 61% from 64%, respectively.
 Three Months Ended March 31, Nine Months Ended March 31,
 20172016 20172016
Non-GAAP Adjusted EBITDA by segment:Amount% of Net RevenueAmount% of Net Revenue Amount% of Net RevenueAmount% of Net Revenue
Supply Chain Services$127,898
34%$118,704
40% $364,224
35%$329,642
38%
Performance Services36,535
9%30,771
10% 87,449
8%90,158
11%
Total Segment Adjusted EBITDA164,433
43%149,475
50% 451,673
43%419,800
49%
Corporate(27,709)(7)%(29,546)(10)% (82,167)(8)%(78,819)(9)%
Total Adjusted EBITDA$136,724
36%$119,929
40% $369,506
35%$340,981
40%
SegmentNon-GAAP Adjusted EBITDA for the supply chain services segment
Non-GAAP Adjusted EBITDA increased $9.2$5.5 million, or 8%4%, fromto $142.2 million for the three months ended March 31, 2016 to 2017 and increased $34.62018 from $136.7 million or 10%, fromfor the ninethree months ended March 31, 2016 to 2017, primarily as


a result of growth in net administrative fees revenue andincluding contributions related to the Innovatix and Essensa, acquisition, including net administrative fees revenue and a Non-GAAP revenue adjustment,along with an increase in product revenue. These results were partially offset by increased product costs and selling, general and administrative expenses resulting from higher salaries and benefits expenses as a result of acquisitions and to support growth along with an increase in severance expense related to acquisitionsthe workforce reduction executed in the current period. Additionally, Adjusted EBITDA for the prior period included an $11.6 million non-cash adjustment for cash collections not recognized as revenue on a GAAP basis due to a purchase accounting adjustment.
Non-GAAP Adjusted EBITDA increased $25.5 million, or 7%, to $395.0 million for the nine months ended March 31, 2018 from $369.5 million for the nine months ended March 31, 2017, primarily as a result of growth in net administrative fees revenue including contributions related to Innovatix and Essensa, net of a $10.7 million reduction in equity in net income (loss) of unconsolidated affiliates due to acquiring the remaining 50% of Innovatix duringas it was historically accounted for as an unconsolidated affiliate through the date of acquisition, along with an increase in product revenue and, to a lesser extent, an increase in other services and support revenue driven by growth in quality and cost management consulting services related to performance based engagements, and an increase in SaaS informatics products subscriptions, applied sciences and government services related revenue. These increases were partially offset by increased service and product costs and selling, general and administrative expenses resulting from higher salaries and benefits expenses as a result of acquisitions and to support growth along with an increase in


severance expense related to the workforce reduction executed in the current period. Additionally, Adjusted EBITDA for the prior quarter. Additionally, duringperiod included a $17.2 million non-cash adjustment for cash collections not recognized as revenue on a GAAP basis due to a purchase accounting adjustment.
Supply Chain Services - Comparison of the Three and Nine Months ended March 31, 2018 to 2017
The following table summarizes our results of operations and Non-GAAP Segment Adjusted EBITDA in the Supply Chain Services segment for the periods presented (in thousands):
 Three Months Ended March 31,Nine Months Ended March 31,
Supply Chain Services2018201720182017
Net revenue:    
Net administrative fees$161,612
$143,915
$471,946
$398,962
Other services and support2,899
3,116
8,470
5,962
Services164,511
147,031
480,416
404,924
Products166,234
138,132
480,997
386,639
Net revenue330,745
285,163
961,413
791,563
Cost of revenue:    
Services1,437
1,486
3,524
3,967
Products156,511
129,929
454,222
356,900
Cost of revenue157,948
131,415
457,746
360,867
Gross profit172,797
153,748
503,667
430,696
Operating expenses:    
Selling, general and administrative40,185
41,984
124,305
112,530
Amortization of purchased intangible assets5,040
5,083
15,057
7,450
Operating expenses45,225
47,067
139,362
119,980
Operating income$127,572
$106,681
$364,305
$310,716
Depreciation and amortization460
633
1,109
1,186
Amortization of purchased intangible assets5,040
5,083
15,057
7,450
Acquisition related expenses1,652
3,887
6,522
12,937
Acquisition related adjustment - revenue
11,617

17,249
Equity in net income (loss) of unconsolidated affiliates(4,047)83
1,334
14,789
Impairment on investments4,002

4,002

Other income (expense)586
(86)601
(103)
Non-GAAP Segment Adjusted EBITDA$135,265
$127,898
$392,930
$364,224
Net Revenue
Supply Chain Services segment net revenue increased $45.5 million, or 16%, to $330.7 million for the three months ended March 31, 2018 from $285.2 million for the three months ended March 31, 2017. Supply Chain Services segment net revenue increased $169.8 million, or 21%, to $961.4 million for the nine months ended March 31, 2017, Segment Adjusted EBITDA2018 from $791.6 million for the supply chain services segment wasnine months ended March 31, 2017.
Net administrative fees revenue increased as a result of earnings from our FFF equity investment.
Segment Adjusted EBITDA for the performance services segment increased $5.7$17.7 million, or 19%12%, from the three months ended March 31, 20162017 to 2017 driven by an increase in other services2018 and support revenue and a decrease in selling, general and administrative expenses driven by reduced bad debt expense, partially offset by an increase in cost of sales primarily related to higher labor and consulting costs for particular contracts and increases in salary and benefits expense due to an increase in headcount. Segment Adjusted EBITDA for the performance services segment decreased $2.8$72.9 million, or 3%18%, from the nine months ended March 31, 2017 to 2018, primarily driven by aggregate contributions from Innovatix and Essensa, which were acquired in full on December 2, 2016, to 2017 primarily related to a higher rateand further contract penetration of increase in cost of sales than the rate of increase inour existing members.
Product revenue due to requirements for certain contracts.
Adjusted EBITDA at the corporate level remained relatively flatincreased $28.1 million, or 20%, from the three months ended March 31, 20162017 to 2017, increasing $1.82018 and $94.4 million, or 6%, and decreased $3.4 million, or 4%24%, from the nine months ended March 31, 20162017 to 2017. The year-to-date decrease was2018, primarily driven by an increase in integrated pharmacy revenues mostly attributable to contributions from expansion and growth in therapy offerings largely associated with increased contributions from Acro Pharmaceuticals, as well as an increase in sales of certain limited distribution drugs dispensed to treat Idiopathic Pulmonary Fibrosis, Oncology and Multiple Sclerosis, partially offset by a slight decrease in the sales of HIV pharmaceuticals. We also


experienced increased sales of direct sourcing products. We expect our integrated pharmacy and direct sourcing product revenues to continue to grow to the extent we are able to increase our product offerings, expand our product sales to existing members and as additional members begin to utilize our programs.
Cost of Revenue
Supply Chain Services segment cost of revenue increased $26.5 million, or 20%, to $157.9 million for the three months ended March 31, 2018 from $131.4 million for the three months ended March 31, 2017. Supply Chain Services segment cost of revenue increased $96.9 million, or 27%, to $457.7 million for the nine months ended March 31, 2018 from $360.9 million for the nine months ended March 31, 2017.
Cost of product revenue increased $26.6 million, or 20%, from the three months ended March 31, 2017 to 2018 and $97.3 million, or 27%, from the nine months ended March 31, 2017 to 2018, primarily driven by higher product costs associated with the business operations of Acro Pharmaceuticals and due to higher costs driven by growth in direct sourcing sales and the impact of increases in raw materials pricing.
Operating Expenses
Supply Chain Services segment operating expenses decreased $1.8 million, or 4%, to $45.2 million for the three months ended March 31, 2018 from $47.1 million for the three months ended March 31, 2017. Supply Chain Services segment operating expenses increased $19.4 million, or 16%, to $139.4 million for the nine months ended March 31, 2018 from $120.0 million for the nine months ended March 31, 2017.
Selling, general and administrative expenses decreased $1.8 million, or 4%, from the three months ended March 31, 2017 to 2018 primarily driven by a decrease in costs associated with the acquisitions of Innovatix and Essensa. Selling, general and administrative expenses increased $11.8 million, or 10%, from the nine months ended March 31, 2017 to 2018, due to higher salaries and benefits expense primarily associated with the acquisitions of Innovatix and Essensa and to a lesser extent, the acquisition of Acro Pharmaceuticals, partially offset by a decrease in costs associated with the acquisitions of Innovatix and Essensa.
Amortization of purchased intangible assets remained flat at $5.0 million for the three months ended March 31, 2017 and 2018, and increased $7.6 million from the nine months ended March 31, 2017 to 2018, primarily as a result of additional amortization of purchased intangible assets related to our acquisitions.
Segment Adjusted EBITDA
Segment Adjusted EBITDA increased $7.4 million, or 6%, to $135.3 million for the three months ended March 31, 2018 from $127.9 million for the three months ended March 31, 2017. This increase was primarily a result of growth in net administrative fees revenue including contributions related to Innovatix and Essensa, along with an increase in product revenue. These increases were partially offset by increased product costs and selling, general and administrative expenses resulting from higher incremental corporate infrastructuresalaries and benefit expenses as a result of acquisitions and to support growth. Additionally, Segment Adjusted EBITDA for the prior period included an $11.6 million non-cash adjustment for cash collections not recognized as revenue on a GAAP basis due to a purchase accounting adjustment.
Segment Adjusted EBITDA increased $28.7 million, or 8%, to $392.9 million for the nine months ended March 31, 2018 from $364.2 million for the nine months ended March 31, 2017. This increase was primarily a result of growth in net administrative fees revenue including contributions related to Innovatix and Essensa, net of the reduction in equity in net income (loss) of unconsolidated affiliates due to acquiring the remaining 50% of Innovatix as it was historically accounted for as an unconsolidated affiliate through the date of acquisition, along with an increase in product revenue. These increases were partially offset by increased product costs and selling, general and administrative expenses resulting from higher salaries and benefit expenses as a result of acquisitions and to support growth. Additionally, Segment Adjusted EBITDA for the prior period included a $17.2 million non-cash adjustment for cash collections not recognized as revenue on a GAAP basis due to a purchase accounting adjustment.


Performance Services - Comparison of the Three and Nine Months ended March 31, 2018 to 2017
The following table summarizes our results of operations and Non-GAAP Segment Adjusted EBITDA in the Performance Services segment for the periods presented (in thousands):
 Three Months Ended March 31,Nine Months Ended March 31,
Performance Services2018201720182017
Net revenue:    
Other services and support$94,593
$94,640
$265,887
$260,012
Net revenue94,593
94,640
265,887
260,012
Cost of revenue:    
Services45,600
45,833
137,705
130,898
Cost of revenue45,600
45,833
137,705
130,898
Gross profit48,993
48,807
128,182
129,114
Operating expenses:    
Selling, general and administrative27,746
24,811
86,054
75,383
Research and development292
547
1,099
1,706
Amortization of purchased intangible assets8,841
8,996
26,540
26,989
Operating expenses36,879
34,354
113,693
104,078
Operating income$12,114
$14,453
$14,489
$25,036
Depreciation and amortization15,701
12,494
44,553
36,360
Amortization of purchased intangible assets8,841
8,996
26,540
26,989
Acquisition related expenses(112)443
(209)(1,454)
Acquisition related adjustment - revenue64
148
257
480
Equity in net income (loss) of unconsolidated affiliates(892)
(765)
Impairment on investments1,000

1,000

Other income (expense)(1)1

38
Non-GAAP Segment Adjusted EBITDA$36,715
$36,535
$85,865
$87,449
Net Revenue
Other services and support revenue remained flat at $94.6 million for the three months ended March 31, 2017 and 2018. Other services and support revenue increased $5.9 million, or 2%, to $265.9 million for the nine months ended March 31, 2018 from $260.0 million for the nine months ended March 31, 2017 primarily due to growth in quality and cost management consulting services related to performance-based engagements. We also experienced increases in SaaS informatics products subscriptions, applied science services and government services related revenue, offset by a decrease in ambulatory reporting revenue.
We expect to experience quarterly variability in revenue generated from our Performance Services segment due to the timing of revenue recognition from certain consulting services and performance-based engagements in which our revenue is based on a percentage of identified member savings and recognition occurs upon approval and documentation of the savings. We expect our Performance Services revenue to grow over the long-term to the extent we are able to expand our sales to existing members and additional members begin to utilize our products and services.
Cost of Revenue
Cost of revenue decreased $0.2 million, or 1%, to $45.6 million for the three months ended March 31, 2018 from $45.8 million for the three months ended March 31, 2017, remaining relatively flat. Cost of revenue increased $6.8 million, or 5%, to $137.7 million for the nine months ended March 31, 2018 from $130.9 million for the nine months ended March 31, 2017, primarily driven by higher salaries and benefits expenses resulting from increased staffing to support growth and performance-based engagements as well as increased depreciation expense as a result of increased capitalization of internally developed software, offset by a decrease in consulting costs.


Operating Expenses
Operating expenses increased $2.5 million, or 7%, to $36.9 million for the three months ended March 31, 2018 from $34.4 million for the three months ended March 31, 2017. Operating expenses increased $9.6 million, or 9%, to $113.7 million for the nine months ended March 31, 2018 from $104.1 million for the nine months ended March 31, 2017.
Selling, general and administrative expenses increased $2.9 million, or 12%, from the three months ended March 31, 2017 to 2018 and $10.7 million, or 14%, from the nine months ended March 31, 2017 to 2018, primarily driven by depreciation expense resulting from increased capitalization of internally developed software, as well as an increase in severance expense related to the workforce reduction executed in the current year acquisitions.period.
Amortization of purchased intangible assets decreased $0.2 million, or 2%, from the three months ended March 31, 2017 to 2018 and $0.4 million, or 2%, from the nine months ended March 31, 2017 to 2018, remaining relatively flat.
Segment Adjusted EBITDA
Segment Adjusted EBITDA increased $0.2 million to $36.7 million for the three months ended March 31, 2018 from $36.5 million for the three months ended March 31, 2017, remaining relatively flat. Segment Adjusted EBITDA decreased $1.6 million, or 2%, to $85.9 million for the nine months ended March 31, 2018 from $87.4 million for the nine months ended March 31, 2017. This decrease is primarily a result of an increase in severance expense related to the workforce reduction executed in the current period and was also impacted on a comparable basis due to higher revenue recognition from performance-based engagements in the prior year. Additionally, the Company made investments in staff and infrastructure to support growth involving primarily larger and more complex engagements that include significant performance-based consulting services initiatives, which also resulted in increased salaries and benefits expenses.
Corporate - Comparison of the Three and Nine Months ended March 31, 2018 to 2017
The following table summarizes corporate expenses and Non-GAAP Adjusted EBITDA for the periods presented (in thousands):
 Three Months Ended March 31,Nine Months Ended March 31,
Corporate2018201720182017
Other operating income:    
Remeasurement of tax receivable agreement liabilities$
$
$177,174
$5,722
Other operating income

177,174
5,722
Operating expenses:    
Selling, general and administrative41,075
41,874
121,588
114,643
Research and development
208
6
622
Operating expenses$41,075
$42,082
$121,594
$115,265
Operating income (loss)$(41,075)$(42,082)$55,580
$(109,543)
Depreciation and amortization2,424
1,974
6,739
5,772
Stock-based compensation7,333
7,157
25,241
19,476
Strategic and financial restructuring expenses1,648

1,652

Remeasurement of tax receivable agreement liabilities
2,768
(177,174)(2,954)
ERP implementation expenses40
215
531
1,741
Deferred compensation plan income (expense)(112)1,675
3,004
2,778
Other income1
584
583
563
Non-GAAP Adjusted EBITDA$(29,741)$(27,709)$(83,844)$(82,167)


Other Operating Income
Other operating income increased $171.5 million from the nine months ended March 31, 2017 to 2018 as a result of the remeasurement of TRA liabilities, which was primarily attributable to the 14% decrease in the U.S. federal corporate income tax rate associated with the TCJA. See "Member-Owner TRA" below for additional information related to the Company's TRA liabilities.
Operating Expenses
Operating expenses decreased $1.0 million, or 2%, to $41.1 million for the three months ended March 31, 2018 from $42.1 million for the three months ended March 31, 2017, remaining relatively flat. Operating expenses increased $6.3 million, or 5%, to $121.6 million for the nine months ended March 31, 2018 from $115.3 million for the nine months ended March 31, 2017.
Selling, general and administrative expenses decreased $0.8 million, or 2%, from the three months ended March 31, 2017 to 2018, remaining relatively flat, and increased $6.9 million, or 6%, from the nine months ended March 31, 2017 to 2018, primarily driven by an increase in stock-based compensation expense largely associated with anticipated achievement of certain performance targets.
Non-GAAP Adjusted EBITDA
Non-GAAP Adjusted EBITDA decreased by $2.0 million, or 7%, from the three months ended March 31, 2017 to 2018 and decreased $1.7 million, or 2%, from the nine months ended March 31, 2017 to 2018, driven primarily by an increase in professional services costs associated with a certain strategic consulting engagement.
Off-Balance Sheet Arrangements
As of March 31, 2017,2018, we did not have any off-balance sheet arrangements.
Critical Accounting Policies and Estimates
Management's Discussion and Analysis of Financial Condition and Results of Operations is based upon our condensed consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of our condensed consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses and related disclosure of contingent assets and liabilities. Significant estimates including estimates for allowances for doubtful accounts, useful lives of property and equipment, stock-based compensation, payables under tax receivable agreements, values of investments not publicly traded, the valuation allowance on deferred tax assets, uncertain income taxes, deferred revenue, future cash flows associated with asset impairments, values of put and call rights and the allocation of purchase price are evaluated on an ongoing basis. These estimates are based on historical experience and on various other assumptions that are believed to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates.
There have been no material changes to the Company's significant accounting policies as described in the Company's 2016 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 in the accompanying condensed consolidated financial statements in Part I of this Quarterly Report on Form 10-Q.
Liquidity and Capital Resources
Our principal source of cash has historically been cash provided by operating activities. From time to time we have used, and expect to use in the future, borrowings under our Credit Facility as a source of liquidity. Our primary cash requirements involve operating expenses, working capital fluctuations, capital expenditures, discretionary cash settlement of Class B common unit exchanges under the Exchange Agreement, (to the extent settled in cash),repurchases of Class A common stock pursuant to a stock repurchase program, acquisitions and related business investments and other general corporate activities. Our capital expenditures typically consist of internally-developed software costs, software purchases and computer hardware purchases. Prior to the Reorganization and IPO, the vast majority of our excess cash had been distributed to our member owners.
As of March 31, 20172018 and June 30, 2016,2017, we had cash and cash equivalents totaling $236.2$149.4 million and $248.8$156.7 million respectively. As of March 31, 2017,respectively, and there were no marketable securities$200.0 million and $220.0 million, respectively, in outstanding and as of June 30, 2016, marketable securities with maturities ranging from three months to five years totaled $47.9 million. The marketable securities held at June 30, 2016 were


liquidated in order to help fundborrowings under the equity investment in FFF on July 26, 2016 and the acquisition of Acro Pharmaceuticals on August 23, 2016.Credit Facility. During the nine months ended March 31, 2017, the Company utilized $425.0 million of the Credit Facility, including approximately $325.0 million to fund the acquisition price of Innovatix and Essensa, approximately $50.0 million to fund the cash settlement portion of the October 31, 2016 Class B common unit exchange under the Exchange Agreement, and the remainder to fund general corporate activities. During the nine months ended March 31, 2017,2018 the Company repaid $57.5$50.0 million of borrowings under the Credit Facility. On April 10, 2017, the Company repaid $97.5and borrowed an additional $30.0 million of 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, discretionary cash settlement of Class B common unit exchanges under the Exchange Agreement, (to the extent settled in cash)repurchases of Class A common stock pursuant to a stock repurchase program and growth for the foreseeable future. Our capital requirements depend on numerous factors, including funding requirements for our product and service development and commercialization efforts, our information technology requirements and the amount of cash generated by our operations. We currently believe that we have adequate capital resources at our disposal to fund currently anticipated capital expenditures, business growth and expansion and current and projected debt service requirements;requirements. However, strategic growth initiatives however, will likely require the use of available cash on hand, cash generated from operations, borrowings under our Credit Facility and other long-term debt and, potentially, proceeds from the issuance of additional equity or debt securities.


Discussion of cash flowsCash Flows for the nine monthsNine Months ended March 31, 20172018 and 20162017
A summary of net cash flows follows (in thousands):
Nine Months Ended March 31,Nine Months Ended March 31,
2017201620182017
Net cash provided by (used in):  
Operating activities$274,211
$270,937
$369,734
$274,211
Investing activities(447,181)(161,131)(65,260)(447,181)
Financing activities160,371
(17,944)(311,799)160,371
Net increase (decrease) in cash$(12,599)$91,862
Net decrease in cash and cash equivalents$(7,325)$(12,599)
Net cash provided by operating activities increased $3.3$95.5 million from the nine months ended March 31, 20162017 to 20172018 primarily driven by an increase in net administrative fees as well as decreased working capital needs, partially offset by increased selling, general and administrative expenses and increased outflows in the current year related to working capital needs.period.
Net cash used in investing activities increased $286.1decreased $381.9 million from the nine months ended March 31, 20162017 to 20172018 driven by a $319.6our $319.7 million reductionacquisition of Innovatix and Essensa, our $64.5 million acquisition of Acro Pharmaceuticals and our $65.7 million investment in FFF during the prior period, partially offset by $48.0 million in proceeds from the sale of marketable securities $65.7 million cash paid for our investment in FFF in July 2016, and a reduction in distributions received from equity investments of $10.5 million driven by the acquisition of the remaining 50% ownership of Innovatix in December 2016. These items were partially offset by a reduction in total cash outflows for business acquisitions from $468.6 million induring the prior period to $384.2and a $13.4 million increase in the current period,capitalization of internally developed software in addition to a $19.2 million reduction in cash outflows for the purchase of marketable securities as compared to the prior period as we did not purchase any marketable securities during the current period.
Net cash provided by financing activities was $160.4 million for the nine months ended March 31, 2017 compared to $17.9 million use ofwhile net cash used in financing activities was $311.8 million for the nine months ended March 31, 2016.2018. The $178.3 million increasechange in cash flows provided by and used in financing activities was largely driven by $367.5 million of borrowings, net of payments,borrowings under the Credit Facility in the currentprior period, compared to $50.0 million in the prior period. This increase was partially offset by $123.3the $100.0 million settlement of cash used to settle a portion of the exchange of Class B common units by member owners on October 31, 2016in the prior period and $17.6the $200.1 million in additional cash used to repurchase vested restrictedClass A common stock units, under our equity incentive plan, for employee tax-withholding.


stock repurchase program in the current period.
Discussion of Non-GAAP Free Cash Flow for the Nine Months ended March 31, 2018 and 2017
We define Non-GAAP Free Cash Flow as net cash provided by operating activities less distributions and tax receivable agreementTRA payments to limited partners and purchases of property and equipment. Free cash flow does not represent discretionary cash available for spending as it excludes certain contractual obligations such as debt repayments. A summary of Non-GAAP Free Cash Flow and reconciliation to net cash provided by operating activities for the periods presented follows (in thousands):
Nine Months Ended March 31,Nine Months Ended March 31,
2017201620182017
Net cash provided by operating activities$274,211
$270,937
$369,734
$274,211
Purchases of property and equipment(51,892)(54,684)(65,260)(51,892)
Distributions to limited partners of Premier LP(67,363)(67,965)(66,098)(67,363)
Non-GAAP Free Cash Flow$154,956
$148,288
$238,376
$154,956
Non-GAAP Free Cash Flow increased $6.7$83.4 million from the nine months ended March 31, 20162017 to 20172018 primarily driven by an increase in net administrative fees and reducedas well as decreased working capital expenditures,needs, partially offset by increased selling, general and administrative expenses and increased outflowscapitalization of internally developed software in the current year related to working capital needs.period. See “Our Use of Non-GAAP Financial Measures” above for additional information regarding our use of Non-GAAP Free Cash Flow.
The Company anticipates that its Non-GAAP Free Cash Flow will benefit as a result of the decrease in the U.S. federal corporate income tax rate associated with the TCJA as distributions to limited partners of Premier LP and payments to limited partners of Premier LP related to tax receivable agreements are expected to decrease in future periods as a result of the decreased federal corporate income tax rate.
Contractual Obligations
Notes Payable
At March 31, 2017,2018, we had commitments of $16.1$7.2 million for obligations under notes payable which represented obligations to departed member owners. Notes payable to departed member owners generally have stated maturities of five years from the date


of issuance and are non-interest bearing. See Note 8 - Debt in the accompanying condensed consolidated financial statements for more information.
2014 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 into an unsecured Credit Facility, dated as of June 24, 2014 and amended on June 4, 2015. The Credit Facility has a maturity date of June 24, 2019. The Credit Facility provides for borrowings of up to $750.0 million with (i) a $25.0 million sub-facility for standby letters of credit and (ii) a $75.0 million sub-facility for swingline loans. The Credit Facility may be increased from time to time at the Company's request up to an aggregate additional amount of $250.0 million, subject to lender approval. The Credit Facility includes an unconditional and irrevocable guaranty of all obligations under the Credit Facility by Premier GP, certain domestic subsidiaries of Premier GP and future guarantors, if any. Premier, Inc. is not a guarantor under the Credit Facility.
At the Company's option, committed loans may be in the form of eurodollarEurodollar rate loans ("Eurodollar Loans") or base rate loans ("Base Rate Loans"). Eurodollar Loans bear interest at the eurodollarEurodollar rate (defined as the London Interbank Offered Rate, or LIBOR, plus the Applicable Rate (defined as a margin based on the Consolidated Total Leverage Ratio (as defined in the Credit Facility))). Base Rate Loans bear interest at the Base Rate (defined as the highest of the prime rate announced by the administrative agent, the federal funds effective rate plus 0.50% or the one-month LIBOR plus 1.0%) plus the Applicable Rate. The Applicable Rate ranges from 1.125% to 1.750% for Eurodollar Loans and 0.125% to 0.750% for Base Rate Loans. At March 31, 2017,2018, the interest rate for three-month Eurodollar Loans was 2.275%3.435%, the interest rate for six-month Eurodollar Loans was 3.575% and the interest rate for the Base Rate Loans was 4.125%4.875%. The Co-Borrowers are required to pay a commitment fee ranging from 0.125% to 0.250% per annum on the actual daily unused amount of commitments under the Credit Facility. At March 31, 2017,2018, the commitment fee was 0.125%.
The Credit Facility contains customary representations and warranties as well as customary affirmative and negative covenants, including, among others, limitations on liens, indebtedness, fundamental changes, dispositions, restricted payments and investments, of which certain covenant calculations use EBITDA, a Non-GAAP financial measure. Under the terms of the Credit Facility, Premier GP is not permitted to allow its consolidated total leverage ratio (as defined in the Credit Facility) to exceed 3.00 to 1.00 for any period of four consecutive quarters. In addition, Premier GP must maintain a minimum consolidated interest coverage ratio (as defined in the Credit Facility) of 3.00 to 1.00 at the end of every fiscal quarter. Premier GP was in compliance with all such covenants at March 31, 2017.2018.
The Credit Facility also contains customary events of default including, among others, payment defaults, breaches of representations and warranties, covenant defaults, cross-defaults of any indebtedness or guarantees in excess of $30.0 million, bankruptcy and other insolvency events, judgment defaults in excess of $30.0 million, and the occurrence of a change of control (as defined in the


Credit Facility). If any event of default occurs and is continuing, the administrative agent under the Credit Facility may, with the consent, or shall, at the request of the required lenders, terminate the commitments and declare all of the amounts owed under the Credit Facility to be immediately due and payable. The Company may prepay amounts outstanding under the Credit Facility without premium or penalty provided that Co-Borrowers compensate the lenders for losses and expenses incurred as a result of the prepayment of any Eurodollar Loan, as defined in the Credit Facility.
Proceeds from borrowings under the Credit Facility may generally be used to finance ongoing working capital requirements, including permitted acquisitions, discretionary cash settlements of Class B unit exchanges under the Exchange Agreement, (to the extent settled in cash)repurchases of Class A common stock pursuant to a stock repurchase program and other general corporate activities. The Company borrowed $425.0 million under the Credit Facility and repaid $57.5 million of borrowings under the Credit Facility duringDuring the nine months ended March 31, 2017.2018, the Company repaid $50.0 million of borrowings and borrowed an additional $30.0 million under the Credit Facility. The Company had outstanding borrowings were classified as current liabilities inunder the condensed consolidated balance sheets as they wereCredit Facility of $200.0 million at March 31, 2018. Borrowings due within one year of the balance sheet date. However, theydate are classified as current liabilities in the Condensed Consolidated Balance Sheets. They may be renewed or extended at the option of the Company through the maturity date of the Credit Facility. On April 10, 2017, the Company repaid $97.5 million of borrowings under the Credit Facility. The above summary does not purport to be complete, and is subject to, and qualified in its entirety by reference to, the complete text of the Credit Facility, as amended, which is filed as an exhibit to the 20162017 Annual Report. See also Note 8 - Debt in our accompanying condensed consolidated financial statements in Part I of this Quarterly Report.
Member-Owner Tax Receivable AgreementTRA
In connection with the Reorganization and IPO, theThe Company entered into TRAs with each of our member owners. Pursuant to the agreement,TRAs, we will pay member owners 85% of the tax savings, if any, in U.S. federal, foreign, state and local income and franchise tax that we actually realize (or are deemed to realize, in the case of payments required to be made upon certain occurrences under such TRAs) in connection with the Section 754 election. The election results in adjustments to the tax basis of the assets of Premier LP upon member owner exchanges of Class B common units of Premier LP for Class A common stock of Premier, Inc., cash or cash.a combination of both. Tax savings are


generated as a result of the increases in tax basis resulting from the initial sale of Class B common units, subsequent exchanges (pursuant to the Exchange Agreement) and payments under the TRA.
The Company had TRA liabilities of $347.4$250.7 million and $279.7$339.7 million at March 31, 20172018 and June 30, 2016,2017, respectively. The $89.0 million decrease was primarily attributable to the $177.2 million revaluation and remeasurement of TRA liabilities increasedassociated with the decrease in the U.S. federal corporate income tax rate as a result of the TCJA, partially offset by $67.7$67.5 million primarily due to $70.8 million ofin increases in TRA liabilities incurred in connection with the quarterly member owner exchanges that occurred during the nine months endedperiod and $20.9 million associated with the revaluation and remeasurement of TRA liabilities due to a change in the allocation and realization of future anticipated payments.
Stock Repurchase Program
On October 31, 2017, we announced that our Board of Directors authorized the repurchase of up to $200.0 million of our outstanding Class A common stock as part of a balanced capital deployment strategy, such repurchases to be made from time to time in private or open market transactions at the Company's discretion, in accordance with applicable federal securities laws. As of March 31, 2017.2018, the Company completed its stock repurchase program and purchased approximately 6.4 million shares of Class A common stock at an average price of $31.16 per share for a total purchase price of $200.0 million.
Costs Associated with Exit or Disposal Activities
As part of our ongoing integration synergies and efforts to realign resources for future growth areas, we have implemented certain personnel adjustments, including a workforce reduction. More specifically, we finalized and committed to this course of action on February 2, 2018, and on February 5, 2018 we communicated to our employees that these personnel adjustments impacted approximately 75 positions (approximately 65 of which were related to the workforce reduction), or approximately 3% of total employees. The workforce reduction resulted in pre-tax cash restructuring charges, primarily relating to severance and transition assistance, of approximately $5.1 million in the third quarter ending March 31, 2018. The majority of employees impacted by these personnel adjustments were from our Performance Services segment.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Interest Rate Risk.Our exposure to market risk relatesrelated primarily to the increase or decrease in the amount of any interest expense we must pay with respect to outstanding debt instruments. At March 31, 2018, we had $200.0 million in outstanding borrowings under the Credit Facility. Committed loans may be in the form of Eurodollar Rate Loans or Base Rate Loans (as defined in the Credit Facility) at our option. Eurodollar Rate Loans bear interest at the Eurodollar Rate (defined as the London Interbank Offer Rate, or LIBOR) plus the Applicable Rate (defined as a margin based on the Consolidated Total Leverage Ratio (as defined in the Credit Facility)). Base Rate Loans bear interest at the Base Rate (defined as the highest of the prime rate announced by the administrative agent, the federal funds effective rate plus 0.50% or the one-month LIBOR plus 1.0%) plus the Applicable Rate. The Applicable Rate ranges from 1.125% to 1.750% for Eurodollar Rate Loans and 0.125% to 0.750% for Base Rate Loans. At March 31, 2018, the interest rate for three-month Eurodollar Rate Loans was 3.435%, the interest rate for six-month Eurodollar Loans was 3.575% and the interest rate for Base Rate Loans was 4.875%.
We have historically investedinvest our excess cash in a portfolio of individual cash equivalents and marketable securities.equivalents. We do not currently hold, and we have never held, any derivative financial instruments. As a result, weWe do not expect changes in interest rates to have a material impact on our financial condition or results of operations or financial position.operations. We plan to ensure the safety and preservation of our invested principal funds by limiting default, market and investment risks. We plan to mitigate default risk by investing in low-risk securities.
Foreign Currency Risk. Substantially all of our financial transactions are conducted in U.S. dollars. We do not have significant foreign operations and, accordingly, have only minimal 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 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, carried out an evaluation of the effectiveness of our disclosure controls and procedures. Based upon this initialour evaluation, our chief executive officer and chief financial officer have concluded that, our disclosure controls and procedures were effective as of March 31, 2017. However, subsequentdue solely to the endidentification of the period covered by this Quarterly Report,a material weakness in our chief executive officer and chiefinternal control over financial officer carried out another evaluation of the effectivenessreporting as described in Part II, Item 9A of our disclosure controls and procedures. Based upon this further evaluation, our chief executive officer and chief financial officer concluded2017 Form 10-K that has not yet been fully remediated, our disclosure controls and procedures were not designed effectively and did not operate at a sufficient level of detaileffective as of March 31, 2017 due to a material weakness in internal


control over financial reporting related to the income tax accounting for complex, non-routine or infrequent transactions as discussed below.
Management's quarterly evaluation of disclosure controls and procedures did not include an assessment of and conclusion on the effectiveness of disclosure controls and procedures of Innovatix, Essensa and Acro Pharmaceuticals, which were acquired during the nine months ended March 31, 2017 and are included in our condensed consolidated financial statements as of March 31, 2017 and for the period from the respective acquisition dates through March 31, 2017. The aggregate assets of Acro Pharmaceuticals and Innovatix and Essensa represented less than 1% of our total assets as of March 31, 2017. The net revenue generated by Innovatix and Essensa represented approximately 3% and 1% of our net revenue for the three and nine months ended March 31, 2017, respectively. Acro Pharmaceuticals represented approximately 14% and 13% of our net revenue for the three and nine months ended March 31, 2017, respectively.2018.
Changes in Internal Control Over Financial Reporting
The Company identified errors in the income tax accounting related to the December 2, 2016 acquisition of the remaining 50% ownership interest of Innovatix, LLC not previously owned by the Company, which indicated to management that deficiencies existed in internal control over financial reporting that potentially would not prevent or detect a material misstatement. Management therefore concluded there was a material weakness in internal control over financial reporting related to the income tax accounting for complex, non-routine or infrequent transactions. Specifically, management determined that the internal controls around income tax accounting for complex, non-routine or infrequent transactions were not designed effectively and did not operate at a sufficient level of detail to prevent or detect a material misstatement on a timely basis. Actions are currently being implemented to remediate this material weakness, including augmenting the Company's accounting resources, training, and implementing a more formal review and documentation process around the income tax accounting for complex, non-routine or infrequent transactions. Management believes that these actions will strengthen our overall internal control over financial reporting, including with respect to complex, non-routine or infrequent transactions. Management is continuing to assess our remediation efforts, and we may take additional measures or modify our internal control over financial reporting for these types of transactions.
We have substantially completed the implementation of core general ledger, related financial reporting and other components to our comprehensive enterprise resource planning ("ERP") system. In connection with the implementation of these components of the overall ERP system, we updated the processes that constitute our internal control over financial reporting, as necessary, to accommodate related changes to our accounting procedures and business processes.
Although the processes that constitute our internal control over financial reportingThere have been materially affected by the implementation of certain ERP modules and will require testing for effectiveness, we do not believe that the implementation of the ERP system has had or will have a material adverse effect on our internal control over financial reporting.
Except as otherwise described above, there have been no other changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the quarter ended March 31, 20172018 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.reporting, other than as described below under “Remediation Plan”.
Remediation Plan
As disclosed in Part II, Item 9A of our 2017 Form 10-K, we identified a material weakness in our internal control over financial reporting related to the income tax accounting for complex, non-routine or infrequent transactions. Since that time, we have been implementing a remediation plan to address this material weakness. The remediation plan consists of augmenting the Company’s accounting resources, training, and implementing a more formal review and documentation process around the income tax accounting for complex, non-routine or infrequent transactions that may arise from time to time. Management believes that this remediation plan will strengthen our overall internal control over financial reporting and specifically with respect to complex, non-routine or infrequent transactions. Management is continuing to assess the sufficiency and expected effectiveness of our remediation efforts, and we may take additional measures or modify our internal control over financial reporting for these types of transactions.
This material weakness will not be considered fully remediated until newly implemented remediation controls operate for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively. We expect these remedial actions to be effectively implemented during fiscal year 2018 in order to successfully remediate this material weakness by June 30, 2018. If these remedial measures are insufficient or not implemented effectively, or additional deficiencies arise, material misstatements may occur in the future. Among other things, any unremediated or additional material weaknesses could have the effects described in our 2017 Form 10-K, specifically under “Item 1A. Risk Factors - If we fail to maintain an effective system of integrated internal controls, we may not be able to report our financial results accurately, or we may determine that our prior financial statements are not reliable, which could have a material adverse effect on our business, financial condition and results of operations.



PART II—OTHER INFORMATION
Item 1. Legal Proceedings
We participate in businesses that are subject to substantial litigation. We are, from time to time, involved in litigation, arising in the ordinary course of business or otherwise, which may include claims relating to commercial, product liability, tort and personal injury, employment, antitrust, intellectual property, regulatory, or other matters. If current or future government regulations, specifically those with respect to antitrust or healthcare laws, are interpreted or enforced in a manner adverse to us or our business, we may be subject to enforcement actions, penalties and other material limitations on our business.
In the past, we have been named as a defendant in several lawsuits brought by suppliers of medical products. Typically, these lawsuits have alleged the existence of a conspiracy among manufacturers of competing products and operators of GPOs, including us, to deny the plaintiff access to a market for its products. We believe that we have at all times conducted our business affairs in an ethical and legally compliant manner and have successfully resolved all such actions. We may be subjected to similar actions in the future, and no assurance can be given that such matters will be resolved in a manner satisfactory to us or which will not harm our business, financial condition or results of operations.
Additional information relating to certain legal proceedings in which we are involved is included in Note 15 - Commitments and Contingencies to the accompanying condensed consolidated financial statements, which information is incorporated herein by reference.
Item 1A. Risk Factors
During the quarter ended March 31, 2017,2018, there were no material changes to the risk factors disclosed in "Risk Factors" in the 20162017 Annual Report,Report.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Purchases of Equity Securities
On October 31, 2017, we announced that our board of directors authorized the repurchase of up to $200.0 million of our outstanding Class A common stock, prior to June 30, 2018, as supplementedpart of a balanced capital deployment strategy. Subject to compliance with applicable federal securities laws, repurchases were authorized to be made from time to time in open market transactions, privately negotiated transactions, or other transactions, including trades under a plan established in accordance with Rule 10b5-1 under the Securities Exchange Act of 1934, as amended. All repurchases of our Quarterly Report on Form 10-Q forClass A common stock were recorded as treasury shares. The following table summarizes information relating to repurchases made of our Class A common stock through the quarter ended DecemberMarch 31, 2016.2018.
PeriodTotal Number of Shares Purchased
Average Price Paid per Share ($) (1)
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)(2)
January 1 through January 31, 2018923,949
31.56
923,949
96
February 1 through February 28, 20181,634,520
32.27
1,634,520
43
March 1 through
March 31, 2018
1,282,129
33.88
1,282,129

Total3,840,598
$32.64
3,840,598
$
(1) Average price paid per share excludes fees and commissions.
(2) From the stock repurchase program's inception through March 31, 2018, we purchased 6.4 million shares of Class A common stock at an average price of $31.16 per share for a total of $200.0 million since the program's inception.


Item 5. Other Information
Stock Repurchase Program Authorization
On May 7, 2018, the Company announced that its Board of Directors has approved the repurchase of up to $250 million of the Company's Class A common stock during fiscal 2019 through open market purchases or privately negotiated transactions. In order to initiate the repurchase program, the Company expects to execute the necessary agreements and documentation with one or more financial institutions during the next open trading window under the Company’s insider trading policy, scheduled to occur shortly after the May 7, 2018 fiscal 2018 third quarter earnings call. There can be no assurance, however, as to when or whether the repurchase program will be ultimately initiated or regarding number of shares of Class A common stock, if any, purchased under the program. The Company will provide additional details regarding the repurchase program, if adopted and initiated, in future filings with the SEC. See "Cautionary Note Regarding Forward-Looking Statements."



Item 6. Exhibits
The exhibits filed as part of this Quarterly Report are listed in the exhibit index immediately preceding such exhibits, which exhibit index is incorporated herein by reference.


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:August 21, 2017By:/s/ Craig S. McKasson
Name:Craig S. McKasson
Title:Chief Financial Officer and Senior Vice President
Signing on behalf of the registrant and as principal financial officer and principal accounting officer


Exhibit Index
Exhibit No. Description
31.1 
31.2 
32.1 
32.2 
101 Sections of the Premier, Inc. Quarterly Report on Form 10-Q/A10-Q for the quarter ended March 31, 2017,2018, formatted in XBRL (eXtensible Business Reporting Language), submitted in the following files:
101.INS XBRL Instance Document.*
101.SCH XBRL Taxonomy Extension Schema Document.*
101.CAL XBRL Taxonomy Extension Calculation Linkbase Document.*
101.DEF XBRL Taxonomy Extension Definition Linkbase Document.*
101.LAB XBRL Taxonomy Extension Label Linkbase Document.*
101.PRE XBRL Taxonomy Extension Presentation Linkbase Document.*
*    Filed herewith.
‡    Furnished herewith.


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 7, 2018By:/s/ Craig S. McKasson
Name:Craig S. McKasson
Title:Chief Financial Officer and Senior Vice President
Signing on behalf of the registrant and as principal financial officer and principal accounting officer

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