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Premier(PINC) - 2025 Q3 - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company reported net revenue of $261 million for Q3, which grew by $21 million sequentially but declined by $25 million year-over-year due to higher fee share from contract renewals [12] - Adjusted EBITDA for Q3 was $73 million, representing a sequential improvement of $21 million and achieving the highest quarterly margin of 28.4% for the fiscal year [13] - GAAP net income from continuing operations increased by $76 million compared to the prior year period, primarily due to asset impairment charges related to Contigo Health in the previous year [12] Business Segment Data and Key Metrics Changes - The Supply Chain Services segment performed above expectations, with gross administrative fees growing driven by higher contract penetration and onboarding of new members [14] - Performance Services saw notable sequential revenue and adjusted EBITDA improvement, although consulting revenue was lower compared to the prior year, partially offset by better performance in applied sciences [16] Market Data and Key Metrics Changes - The company experienced broad growth across key categories such as med surg, diagnostics, food, and pharmacy, with gross administrative fees growing 3.5% over the prior year period [15] - The company is actively monitoring tariff developments and has seen no material disruption across its GPO portfolio, although it remains a fluid situation [6][7] Company Strategy and Development Direction - The company is committed to technology-enabled performance improvement and supply chain excellence, focusing on AI, machine learning, and automation to drive impact across various healthcare challenges [8][9] - A strategic partnership with Epic is expected to enhance the company's documentation and coding solutions, further validating its tech-forward approach [9] Management's Comments on Operating Environment and Future Outlook - Management noted that healthcare providers are under pressure due to rising costs, workforce shortages, and reimbursement challenges, leading to increased demand for the company's services [6] - The company is increasing its full-year guidance for adjusted EBITDA and adjusted EPS due to better-than-expected performance in Supply Chain Services [5][19] Other Important Information - The company initiated a $200 million accelerated share repurchase program during the quarter and returned $60 million to stockholders through dividends [5][17] - The final payment associated with the termination of the tax receivable agreement is expected by the end of the fiscal year, which will positively impact free cash flow starting July 1, 2025 [18] Q&A Session Summary Question: What is driving the outperformance in both segments? - Management indicated that the outperformance is due to a combination of factors including pressure on healthcare systems from reimbursement changes, labor shortages, and tariffs [24][25] Question: How are customers managing tariff impacts? - Management explained that healthcare systems cannot absorb significant tariffs without impacting their margins, and they are working on strategies to mitigate these costs [32][33] Question: What is the significance of pharmaceuticals in revenue? - Approximately 18.5% of gross administrative fees come from pharmaceuticals, with ongoing efforts to expand domestic drug manufacturing [66] Question: What are the expectations for health system customers in Q4? - Management expressed that health systems are under pressure and may not have a significantly positive outlook due to concerns over tariffs and labor markets [70][71] Question: Are there any one-time items in net admin fee revenue? - Management confirmed there were no one-time items in net administrative fees for the quarter, attributing the performance to effective execution [62][63]