Attached files

file filename
8-K - FORM 8-K - Premier, Inc.d818966d8k.htm
EX-99.2 - EX-99.2 - Premier, Inc.d818966dex992.htm
EX-99.1 - EX-99.1 - Premier, Inc.d818966dex991.htm
First Quarter Fiscal 2015
Financial Results and Update
November 10, 2014
Exhibit 99.3


1
Forward-looking statements and Non-GAAP financial
measures
Forward-looking
statements—
presentation, including, but not limited to, those related to our financial and business outlook, strategy and
growth drivers, acquisition activities and pipeline, revenue available under contract, and financial guidance
and
related
assumptions,
are
“forward-looking
statements.”
Forward-looking
statements
may
involve
known
and unknown risks, uncertainties and other factors that may cause the actual results of Premier to be
materially different from historical results or from any future results or projections expressed or implied by
such forward-looking statements. Accordingly, readers should not place undue reliance on any forward
looking statements. Readers are urged to consider statements in the conditional or future tenses or that
include
terms
such
as
“believes,”
“belief,”
“expects,”
“estimates,”
“intends,”
“anticipates”
or
“plans”
to
be
uncertain and forward-looking.
Forward-looking statements may include comments as to Premier’s beliefs
and expectations as to future events and trends affecting its business and are necessarily subject to
uncertainties,
many
of
which
are
outside
Premier’s
control.
More
information
on
potential
risks
and
other
factors
that
could
affect
Premier’s
financial
results
is
included,
and
updated,
from
time
to
time,
in
Premier’s
periodic and current filings with the SEC and available on Premier’s website, including Premier’s most
recent
Form
10-K
for
the
year
ended
June
30,
2014.
Forward-looking
statements
speak
only
as
of
the
date
they are made. Premier undertakes no obligation to publicly update or revise any forward-looking
statements.
Certain
statements
made
during
this
conference
call
and
included
in this
Non-GAAP
financial
measures
defined in Regulation G under the Securities Exchange Act of 1934. Schedules are attached that reconcile
the non-GAAP financial measures included in the following presentation to the most directly comparable
financial measures calculated and presented in accordance with Generally Accepted Accounting Principles
in the United States. The press release attached as an Exhibit to our Form 8-K filed with the SEC in
connection with our earnings call, as well as our Form 10-Q for the quarter ended September 30, 2014 to
be filed shortly hereafter, provides further explanation and disclosure regarding our use of non-GAAP
financial measures and should be read in conjunction with these supplemental slides.
This
presentation
includes
certain
“non-GAAP
financial
measures”
as


Susan DeVore, President & CEO
Overview and Business Update


3
First-quarter highlights
1
(1) Comparisons are with year-ago pro forma information that reflects the impact of the company’s reorganization and initial public offering.  See Adjusted EBITDA,
Segment Adjusted EBITDA and Adjusted Fully Distributed Net Income reconciliations to GAAP equivalents in Appendix.
Acquired assets providing value and growth
Adjusted fully distributed net income per diluted
share of $0.33, increased 6% from prior year
Adjusted EBITDA rose 9% from prior year
SCS revenue exceeded and PS revenue in line with
company expectations
Net revenue up 15% from prior year, driven by double-
digit growth in both business segments
Strong start to fiscal 2015; affirming full-year guidance


4
Supply Chain Services revenue growth drivers
Solid GPO net administrative fees
revenue growth, up 4.1% year-over-year
on a pro forma basis
Products revenue up 45% year-over year


5
Performance Services revenue growth drivers
11% revenue growth consistent with
first-quarter expectations, driven by:
SaaS-based subscription growth, particularly
from PremierConnect
®
Enterprise and
Population Health Management
Advisory services and performance
improvement collaborative growth
One month of revenue from TheraDoc and
Aperek acquisitions


6
Member and
industry needs
Scale
Co-innovation
Intelligence to transform from the inside
Leadership in population health
Shared infrastructure
Premier strategic
differentiation
Total cost reduction
Quality improvement
across the continuum
Evolving delivery and
payment models
Actionable data and
information
Unique business model addresses industry challenges 
Helping health systems manage challenges, optimize
the transition, and build for the future….
all at the same time


7
Delivering practical insights to facilitate and inform future 
healthcare decision making 
Premier establishes Ebola rapid response
center
Premier and CDC research reveals potential
safety and cost implications of unnecessary
and duplicative antibiotic use in hospitals
Premier blood utilization analysis reveals
significant cost and quality improvement
opportunities for hospitals
Premier and eHealth Initiative survey shows
threat to ACOs from poor interoperability
across technology systems


8
Population health management initiatives
Building and piloting the first perioperative
surgical home collaborative with 43 hospitals
across the country
Co-developing a system-wide population
health collaborative, including up to 20
Medicare Shared Savings Program sites
Constructing new models to create greater
physician alignment
Major Catholic
integrated delivery
network
Large midwest
health system
Florida Medicare
Shared Savings
program
Building a care management platform to
manage  high-risk patients


Michael Alkire, Chief Operating Officer
Operations Update


10
Integrated solutions to complex challenges
Unified
sales/field
SUPPLY CHAIN SERVICES
PERFORMANCE SERVICES
Group purchasing, serving both
acute and alternate site
Physician preference
Capital equipment
Direct sourcing
Specialty pharmacy
Real-time demand aggregation
and purchasing
SaaS-based analytic products
in cost, quality, safety &
population health
Enterprise data analytics
platform
Collaboratives
Advisory services
Change the game in supply chain,
uncover unmatched savings and value,
and lead the disruption in this industry
Become the data analytics “backbone”
with wrap-around services for cost and
quality improvement over the short-term,
and for population health management
over the long-term


11
Select first-quarter healthcare system new business
GPO
PremierConnect Quality, Operations & Supply Chain
Provider of Choice
QUEST & PACT collaboratives
GPO
Yankee Alliance Supply Chain Solutions
PremierConnect Quality & Supply Chain
GPO
PremierConnect
ASCEND collaborative


12
Strategic acquisition integration
Clinical & Physician
Preference Solution
Data Management
Expanded Cost
Reduction
Supply Chain 
Technology
Enablement
Total Quality
Management
Physician preference contract management and data services
Closed July 2013
14 new customers signed in fiscal first quarter
72 current customers representing 284% growth over 14 months
Product continues to deliver double digit cost savings
Strategic Need
Company
Data acquisition and integration as-a-service
Closed October 2013
Delivering revenue and decreasing operating expenses while improving
integration capabilities across all products
Instrumental to implementation of real-time analytics for PremierConnect
Quality
Capital equipment planning, sourcing, analytics
Closed April 2014
Added 11 engagements since acquisition, including 3 in FYQ1
Member savings from 10%-18% off of best member negotiated price
Supply chain workflow and analytics
Closed August 2014
Key asset in current recruiting efforts
Full retention of customers 
Key asset for evolution of Supply Chain model
Clinical surveillance software
Closed September 2014
Significant impact to market share with ~600 installs, ~400 new customers
Penetration of academic health system market
Instrumental in planned migration to next-generation safety surveillance
solution
Full retention of existing accounts and achieving additional sales since
acquisition
Details and Progress


13
Expanding and deploying Premier capabilities
PremierConnect
®
Enterprise &
Data Alliance Collaborative
Leading developer of cloud-based
predictive analytics platform
Innovation in ambulatory data integration
Data integration project with major health
system underway, using Meddius technology
PremierConnect integrating ambulatory data
across diverse EMR systems
Health system will have actionable data across
both acute care locations and network clinics


Craig McKasson, Chief Financial Officer
Financial Review


15
First-quarter consolidated and segment highlights
1
Consolidated
Net revenue (millions)
Supply Chain Services
Net revenue (millions)
Performance Services
Net revenue (millions)
(1) See Adjusted EBITDA and Segment Adjusted EBITDA reconciliations to GAAP equivalents in Appendix; financial information for the fiscal 2014 first quarter is
pro forma and has been adjusted to reflect the impact of the company’s reorganization and IPO.
Consolidated


16
First-quarter non-GAAP adjusted fully distributed net
income
Calculates income taxes at 40%
on pre-tax income, assuming
taxable C corporate structure
Calculates adjusted fully
distributed earnings per share,
assuming total Class A and B
common shares held by public
$0.31
$0.33
Non-GAAP earnings per share on fully distributed
net income
(1) See non-GAAP adjusted fully distributed net income and non-GAAP earnings per share on fully distributed net income reconciliations to GAAP equivalents in
Appendix; financial information for the fiscal 2014 first quarter is pro forma and has been adjusted to reflect the impact of the company’s reorganization and IPO.
1


17
Cash flow and capital structure at September 30, 2014
Cash, cash equivalents and marketable
securities of $398.2 million
No outstanding borrowings on $750 million
five-year unsecured revolving credit facility
Cash flow from operations of $45.9 million


18
Fiscal 2015 annual guidance
1
Premier, Inc. affirms full-year fiscal 2015 financial guidance:
(in millions, except per share data)
Pro Forma
FY 2015
YoY Change
Net Revenue:
Supply Chain Services segment
$688 -
$707
8% -
11%
Performance Services segment
$281 -
$288
21% -
24%
Total Net Revenue
$969 -
$995
11% -
14%
Non-GAAP adjusted EBITDA
$379 -
$390
8% -
11%
Non-GAAP adjusted fully
distributed EPS
$1.39 -
$1.44
7% -
11%
(1) As of fiscal 2015 first-quarter conference call, 11/10/2014. Guidance measures are “forward-looking statements.” For information regarding the use and 
limitations of non-GAAP financial measures and forward-looking statements, see “Forward-looking statements and Non-GAAP financial measures” at the 
front of this presentation. Guidance is based on comparisons with prior-year non-GAAP pro forma results, which have been adjusted to reflect the impact of
the company’s reorganization and IPO. 


19
Fiscal 2015 guidance assumptions
Supply Chain Services growth driven by:
Low to mid-single-digit growth in net
administrative fee revenue
Continuation of high GPO retention rates
15% -
20% product revenue growth
Performance Services growth driven by:
Demand for integrated offerings of SaaS-based products,
advisory services and collaboratives
Continuation of high SaaS institutional renewal rates
TheraDoc and Aperek full revenue contributions in
second, third and fourth quarters


20
Exchange update
Approximately 4.7 million Class B shares
exchanged for Class A shares on 1-for-1 basis
on Oct. 31, 2014
~16 million shares eligible for exchange
Outcome provides additional liquidity and float for
public markets
Premier will conduct underwritten company
directed offering 
Approximately 3.8 million shares in the offering
Approximately 900,000 exchanged shares not
participating in the offering and cannot be sold until 60
days following the completion of the offering


Questions
21


Contact Investor Relations
Jim Storey
Vice President, Investor Relations
jim_storey@premierinc.com
Thank you
22


Appendix
23


24
Premier, Inc. supplemental financial information
(Unaudited, in thousands)
2014*
2013
Reconciliation of Non-GAAP Pro Forma Net Revenue to Net Revenue:
Non-GAAP Pro Forma Net Revenue
229,308
$       
199,313
$      
Non-GAAP pro forma adjustment for revenue share post-IPO
41,263
Net Revenue
229,308
$       
240,576
$      
Net income
64,887
$         
112,528
$      
Non-GAAP pro forma adjustment for revenue share post-IPO
(41,263)
Interest and investment income, net
(191)
(220)
Income tax expense
5,811
764
Depreciation and amortization
10,308
8,356
Amortization of purchased intangible assets
903
601
EBITDA
81,718
80,766
Stock-based compensation
6,439
325
Acquisition related expenses
1,278
142
Strategic and financial restructuring expenses
96
1,842
Adjustment to tax receivable agreement liability
(1,073)
Acquisition related adjustment - deferred revenue
2,065
Other (income) expense, net
(5)
(4)
Adjusted EBITDA
90,518
$         
83,071
$        
Segment Adjusted EBITDA:
Supply Chain Services
91,268
$         
125,480
$      
Non-GAAP pro forma adjustment for revenue share post-IPO
(41,263)
Supply Chain Services
(including non-GAAP pro forma adjustment)
91,268
$         
84,217
$        
Performance Services
18,362
16,329
Corporate
(19,112)
(17,475)
Adjusted EBITDA
90,518
$         
83,071
$        
Depreciation and amortization
(10,308)
(8,356)
Amortization of purchased intangible assets
(903)
(601)
Stock-based compensation
(6,439)
(325)
Acquisition related expenses
(1,278)
(142)
Strategic and financial restructuring expenses
(96)
(1,842)
Adjustment to tax receivable agreement liability
1,073
Acquisition related adjustment - deferred revenue
(2,065)
Equity in net income of unconsolidated affiliates
(4,866)
(4,114)
Deferred compensation plan expense
509
66,145
67,691
Non-GAAP pro forma adjustment for revenue share post-IPO
41,263
Operating income
66,145
$       
108,954
$    
Equity in net income of unconsolidated affiliates
4,866
4,114
Interest and investment income, net
191
220
Other (expense) income, net
(504)
4
Income before income taxes
70,698
$       
113,292
$    
* Note that no pro forma adjustments were made for the three months ended September 30, 2014; as such, actual results are presented for the three months ended September 30, 2014.
Three Months Ended
September 30,
Supplemental Financial Information - Reporting of Non-GAAP Pro Forma Adjusted EBITDA and Non-GAAP Adjusted Fully Distributed Net Income
Reconciliation of Selected Non-GAAP Measures to GAAP Measures
Reconciliation of Net Income to Adjusted EBITDA and Reconciliation of Segment Adjusted EBITDA to Income Before Income Taxes:


25
Premier, Inc. supplemental financial information
(Unaudited, in thousands)
2014*
2013
Reconciliation of Non-GAAP Pro Forma Adjusted Fully Distributed Net Income:
Net income (loss) attributable to shareholders
9,273
$           
(476)
$             
Non-GAAP pro forma adjustment for revenue share post-IPO
(41,263)
Income tax expense
5,811
764
Stock-based compensation
6,439
325
Acquisition related expenses
1,278
142
Strategic and financial restructuring expenses
96
1,842
Adjustment to tax receivable agreement liability
(1,073)
Acquisition related adjustment - deferred revenue
2,065
Amortization of purchased intangible assets
903
601
Net income attributable to noncontrolling interest in Premier LP
54,816
113,214
Non-GAAP pro forma adjusted fully distributed income before income taxes
79,608
75,149
Income tax expense on fully distributed income before income taxes
31,843
30,060
Non-GAAP Pro Forma Adjusted Fully Distributed Net Income
47,765
$       
45,089
$      
* Note that no pro forma adjustments were made for the three months ended September 30, 2014; as such, actual results are presented for the three months ended September 30, 2014.
Three Months Ended
September 30,
Supplemental Financial Information - Reporting of Non-GAAP Pro Forma Adjusted EBITDA and Non-GAAP Adjusted Fully Distributed Net Income
Reconciliation of Selected Non-GAAP Measures to GAAP Measures


26
Premier, Inc. supplemental financial information
(Unaudited, in thousands, except per share data)
2014*
2013
Reconciliation of numerator for GAAP EPS to Non-GAAP EPS on Adjusted Fully Distributed Net Income
Net loss attributable to shareholders after adjustment of redeemable limited partners' capital to redemption amount
(373,384)
$     
(476)
$             
Adjustment of redeemable limited partners' capital to redemption amount
382,657
Net income (loss) attributable to shareholders
9,273
                 (476)
Non-GAAP pro forma adjustment for revenue share post-IPO
(41,263)
Income tax expense
5,811
764
Stock-based compensation
6,439
325
Acquisition related expenses
1,278
142
Strategic and financial restructuring expenses
96
1,842
Adjustment to tax receivable agreement liability
(1,073)
Acquisition related adjustment - deferred revenue
2,065
Amortization of purchased intangible assets
903
601
Net income attributable to noncontrolling interest in Premier LP
54,816
113,214
Non-GAAP pro forma adjusted fully distributed income before income taxes
79,608
75,149
Income tax expense on fully distributed income before income taxes
31,843
30,060
Non-GAAP pro forma adjusted fully distributed net income
47,765
$       
45,089
$       
Reconciliation of denominator for GAAP EPS to Non-GAAP Adjusted Fully Distributed Net Income
Weighted Average:
Common shares used for basic and diluted earnings per share
            32,376
               5,627
Potentially dilutive shares
                  253
                    25
Class A common shares outstanding
                     -  
            26,749
Conversion of Class B common units
          112,083
          112,608
Weighted average fully distributed shares outstanding - diluted
        144,712
        145,009
Reconciliation of GAAP EPS to Adjusted Fully Distributed EPS
GAAP loss per share
$          (11.53)
$            (0.08)
Impact of adjustment of redeemable limited partners' capital to redemption amount
$           11.82
$                 -  
Impact of additions:
Non-GAAP pro forma adjustment for revenue share post-IPO
$                 -  
$            (7.33)
Income tax expense
$             0.18
$             0.14
Stock-based compensation
$             0.20
$             0.06
Acquisition related expenses
$             0.04
$             0.03
Strategic and financial restructuring expenses
$             0.00
$             0.33
Adjustment to tax receivable agreement liability
$            (0.03)
$                 -  
Acquisition related adjustment - deferred revenue
$             0.06
$                 -  
Amortization of purchased intangible assets
$             0.03
$             0.11
Net income attributable to noncontrolling interest in Premier LP
$             1.69
$           20.12
Impact of corporation taxes
$            (0.98)
$            (5.34)
Impact of increased share count
$            (1.15)
$            (7.70)
Non-GAAP earnings per share on adjusted fully distributed net income - diluted
$            0.33
$            0.31
* Note that no pro forma adjustments were made for the three months ended September 30, 2014; as such, actual results are presented for the three months ended September 30, 2014.
Three Months Ended
September 30,
Supplemental Financial Information - Reporting of Net Income and Earnings Per Share
Reconciliation of Selected Non-GAAP Measures to GAAP Measures