Premier, Inc. (PINC) 10-Year Financial Performance & Capital Metrics

PINC • • Industrial / General

HealthcareHealthcare ITRevenue Cycle ManagementClaims Processing & Payment Integrity

AboutPremier, Inc., together with its subsidiaries, operates as a healthcare improvement company in the United States. It operates in two segments, Supply Chain Services and Performance Services. The Supply Chain Services segment offers its members with an access to a range of products and services, including medical and surgical products, pharmaceuticals, laboratory supplies, capital equipment, information technology, facilities and construction, and food and nutritional products, as well as purchased services, such as clinical engineering and workforce solutions. This segment also provides the ASCENDrive programs for members to receive group purchasing programs, tiers, and prices; SURPASS Performance Group services; STOCKD, an e-commerce platform; PROVIDEGX program, which identifies supply sources for drugs that are on or may be at risk of being added to the national drug shortage list, or that are vulnerable to pricing volatility, as well as direct sourcing business; SaaS informatics products; supply chain co-management services; purchased services contracts; direct sourcing solutions; and supply chain resiliency programs. The Performance Services segment provides technology and services platform with offerings that help optimize performance in three main areas, including clinical intelligence, margin improvement, and value-based care under the PINC AI brand; third party administrator services and management of health benefit programs under the Contigo Health brand; and digital invoicing and payables services that offers financial support services to healthcare product suppliers and service providers under the Remitra brand. The company also provides services to other businesses, including food service, schools, and universities. Premier, Inc. was incorporated in 2013 and is headquartered in Charlotte, North Carolina.Show more

Revenue $1.01B -10.9%
EBITDA $119M -53.5%
Net Income $20M -83.0%
EPS (Diluted) 0.22 -78.8%
Gross Margin 73.41% -3.8%
EBITDA Margin 11.73% -47.8%
Operating Margin 0.11% -99.0%
Net Margin 2% -81.0%
ROE 1.16% -79.1%
ROIC 0.05% -98.9%
Debt/Equity 0.18 +218.0%
Interest Coverage 0.06 -100.0%

Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

✓FCF machine: 31.5% free cash flow margin
✓High quality earnings: Operating CF exceeds net income
✓Healthy dividend yield of 3.0%
✓Share count reduced 19.7% through buybacks
✓Healthy 5Y average net margin of 12.8%
✓Trading near 52-week high

✗Weaknesses

✗Weak 3Y average ROE of 4.8%
✗Profits declining 31.1% over 5 years
✗Dividend payout exceeds 100% of earnings

Price & Volume

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Growth Metrics

Revenue CAGR

10Y0.06%

5Y-4.87%

3Y-10.93%

TTM-16.19%

Profit (Net Income) CAGR

10Y-6.27%

5Y-31.08%

3Y-57.6%

TTM-109.24%

EPS CAGR

10Y-

5Y-35.94%

3Y-53.51%

TTM-107.17%

ROCE

10Y Avg13.45%

5Y Avg6.75%

3Y Avg4.79%

Latest0.05%

Peer Comparison

Claims Processing & Payment Integrity

Name	Market Cap	Current Price	P/E Ratio	Revenue Growth 1Y	Net Margin	ROE	FCF Yield	Debt/Equity
PINCPremier, Inc.	2.34B	28.26	128.45	-10.86%	-2.42%	-1.59%	13.64%	0.18
SCNXScienture Holdings, Inc.	21.25M	0.52	0.21	-89.98%	-31.46%	-24.86%		0.04
MSPRMSP Recovery, Inc.	950.43K	0.07	-0.00	136.85%	-73.28%	-55.86%
CTEVClaritev Corporation	496.76M	30.06	-0.29	-3.21%	-35.93%	-183.57%		54.05
TBRGTruBridge, Inc.	326.3M	21.74	-15.75	0.95%	1.59%	30.92%	3.99%	1.04

Profit & Loss

	Jun 2016	Jun 2017	Jun 2018	Jun 2019	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Sales/Revenue+	1.16B	1.45B	1.66B	1.22B	1.3B	1.72B	1.43B	1.1B	1.14B	1.01B
Revenue Growth %	0.15%	0.25%	0.14%	-0.27%	0.07%	0.32%	-0.17%	-0.24%	0.04%	-0.11%
Cost of Goods Sold+	457.06M	680.05M	798.29M	355.63M	432.79M	883.82M	547.86M	218.09M	268.88M	269.29M
COGS % of Revenue	0.39%	0.47%	0.48%	0.29%	0.33%	0.51%	0.38%	0.2%	0.24%	0.27%
Gross Profit+	705.54M	774.63M	862.97M	862.01M	866.8M	837.33M	885.04M	877.25M	867.12M	743.36M
Gross Margin %	0.61%	0.53%	0.52%	0.71%	0.67%	0.49%	0.62%	0.8%	0.76%	0.73%
Gross Profit Growth %	0.16%	0.1%	0.11%	-0%	0.01%	-0.03%	0.06%	-0.01%	-0.01%	-0.14%
Operating Expenses+	439.59M	439.57M	302.3M	493.49M	493.18M	580.42M	624.97M	633.12M	740.48M	742.24M
OpEx % of Revenue	0.38%	0.3%	0.18%	0.41%	0.38%	0.34%	0.44%	0.58%	0.65%	0.73%
Selling, General & Admin	403.61M	405.47M	425.25M	438.99M	459.86M	532.33M	576.88M	581.02M	690.34M	538.54M
SG&A % of Revenue	0.35%	0.28%	0.26%	0.36%	0.35%	0.31%	0.4%	0.53%	0.61%	0.53%
Research & Development	2.92M	3.11M	1.42M	1.22M	2.38M	3.34M	4.15M	4.54M	3.12M	2.63M
R&D % of Revenue	0%	0%	0%	0%	0%	0%	0%	0%	0%	0%
Other Operating Expenses	33.05M	30.99M	-124.37M	53.28M	30.95M	44.75M	43.94M	47.56M	47.03M	201.07M
Operating Income+	265.95M	317.72M	539.63M	368.51M	373.62M	256.92M	260.07M	244.13M	126.65M	1.12M
Operating Margin %	0.23%	0.22%	0.32%	0.3%	0.29%	0.15%	0.18%	0.22%	0.11%	0%
Operating Income Growth %	-0%	0.19%	0.7%	-0.32%	0.01%	-0.31%	0.01%	-0.06%	-0.48%	-0.99%
EBITDA+	350.1M	421.72M	662.7M	508.68M	526.45M	377.98M	389.18M	377.38M	255.4M	118.75M
EBITDA Margin %	0.3%	0.29%	0.4%	0.42%	0.41%	0.22%	0.27%	0.34%	0.22%	0.12%
EBITDA Growth %	0.09%	0.2%	0.57%	-0.23%	0.03%	-0.28%	0.03%	-0.03%	-0.32%	-0.54%
D&A (Non-Cash Add-back)	84.16M	104M	123.06M	140.16M	152.83M	121.06M	129.11M	133.25M	128.75M	117.63M
EBIT	265.95M	531.79M	522.83M	368.51M	395M	262.61M	338.04M	266.51M	147.18M	115.27M
Net Interest Income+	-1.02M	-4.51M	-5.3M	-2.47M	-11.31M	-11.96M	-11.14M	-14.65M	619K	-17.22M
Interest Income	0	0	0	0	0	0	0	0	1.28M	0
Interest Expense	1.02M	4.51M	5.3M	2.47M	11.31M	11.96M	11.14M	14.65M	662K	17.22M
Other Income/Expense	18.93M	213.57M	-22.83M	-375K	10.07M	-6.28M	66.83M	7.73M	19.88M	96.93M
Pretax Income+	284.88M	531.29M	516.8M	368.14M	383.69M	250.64M	326.9M	251.86M	146.52M	98.05M
Pretax Margin %	0.25%	0.37%	0.31%	0.3%	0.3%	0.15%	0.23%	0.23%	0.13%	0.1%
Income Tax+	49.72M	81.81M	259.23M	33.46M	92.56M	-53.94M	58.58M	76.08M	42.3M	25.32M
Effective Tax Rate %	0.15%	0.21%	0.06%	0.3%	0.34%	1.15%	0.81%	0.69%	0.82%	0.21%
Net Income+	41.61M	113.42M	33.3M	109.12M	130.36M	287.52M	265.87M	175.03M	119.54M	20.27M
Net Margin %	0.04%	0.08%	0.02%	0.09%	0.1%	0.17%	0.19%	0.16%	0.11%	0.02%
Net Income Growth %	0.07%	1.73%	-0.71%	2.28%	0.19%	1.21%	-0.08%	-0.34%	-0.32%	-0.83%
Net Income (Continuing)	235.16M	449.6M	258.01M	334.68M	291.13M	304.58M	268.32M	175.78M	104.22M	72.73M
Discontinued Operations	0	-127K	-437K	-24.65M	1.05M	0	0	-890K	2.5M	-41.9M
Minority Interest	3.14B	3.14B	2.92B	2.52B	0	0	0	0	0	0
EPS (Diluted)+	0.97	1.51	1.39	-0.15	2.04	2.22	2.19	1.46	1.04	0.22
EPS Growth %	1.04%	0.56%	-0.08%	-1.11%	14.6%	0.09%	-0.01%	-0.33%	-0.29%	-0.79%
EPS (Basic)	19.32	1.54	3.57	-0.15	8.93	2.24	2.21	1.47	1.05	0.22
Diluted Shares Outstanding	145.31M	50.37M	137.34M	59.19M	123.61M	117.53M	121.67M	119.89M	114.41M	91.92M
Basic Shares Outstanding	42.37M	49.65M	52.97M	59.19M	67.03M	116.53M	120.22M	118.77M	113.79M	91.23M
Dividend Payout Ratio	2.23%	0.8%	2.38%	0.53%	0.38%	0.32%	0.36%	0.57%	0.8%	3.82%

Balance Sheet

	Jun 2016	Jun 2017	Jun 2018	Jun 2019	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Total Current Assets+	462.89M	408.81M	428.62M	614.04M	618.36M	782.3M	645.57M	641.63M	755.26M	585.8M
Cash & Short-Term Investments	266.58M	156.74M	152.39M	141.06M	99.3M	129.14M	86.14M	89.79M	125.15M	83.72M
Cash Only	248.82M	156.74M	152.39M	141.06M	99.3M	129.14M	86.14M	89.79M	125.15M	83.72M
Short-Term Investments	17.76M	0	0	0	0	0	0	0	0	0
Accounts Receivable	147.55M	166.49M	186.77M	394.81M	350.72M	408.73M	374.19M	414.51M	436.8M	417.43M
Days Sales Outstanding	46.32	41.77	41.04	118.35	98.5	86.68	95.32	138.13	140.34	150.46
Inventory	29.12M	50.43M	52.63M	51.03M	71M	176.38M	119.65M	76.93M	79.8M	0
Days Inventory Outstanding	23.26	27.07	24.07	52.38	59.88	72.84	79.72	128.76	108.32	-
Other Current Assets	0	0	14.39M	24.57M	0	0	0	60.39M	113.52M	84.65M
Total Non-Current Assets+	1.39B	2.1B	1.88B	1.96B	2.33B	2.74B	2.71B	2.73B	2.65B	2.51B
Property, Plant & Equipment	174.08M	187.37M	206.69M	205.11M	264.55M	272.47M	252.91M	241.56M	226.35M	206.55M
Fixed Asset Turnover	6.68x	7.76x	8.04x	5.94x	4.91x	6.32x	5.67x	4.53x	5.02x	4.90x
Goodwill	537.96M	906.54M	906.54M	880.71M	941.97M	999.91M	999.91M	1.01B	995.85M	897.89M
Intangible Assets	158.22M	377.96M	322.12M	270.72M	417.42M	396.64M	356.57M	430.03M	269.26M	250.77M
Long-Term Investments	46.93M	92.88M	94.05M	99.64M	133.34M	153.22M	215.54M	231.83M	228.56M	262.62M
Other Non-Current Assets	52.45M	51.79M	48.57M	77.33M	142.85M	136.53M	161.59M	160.46M	153.17M	130.57M
Total Assets+	1.86B	2.51B	2.31B	2.57B	2.95B	3.52B	3.36B	3.37B	3.4B	3.1B
Asset Turnover	0.63x	0.58x	0.72x	0.47x	0.44x	0.49x	0.43x	0.32x	0.33x	0.33x
Asset Growth %	0.21%	0.35%	-0.08%	0.11%	0.15%	0.19%	-0.05%	0%	0.01%	-0.09%
Total Current Liabilities+	326.06M	571.59M	448.88M	458.02M	496.07M	716.78M	753.14M	815.46M	746.56M	910.63M
Accounts Payable	46M	42.81M	47.95M	54.54M	54.84M	85.41M	44.63M	54.38M	22.61M	19.62M
Days Payables Outstanding	36.74	22.98	21.93	55.98	46.25	35.27	29.73	91	30.69	26.59
Short-Term Debt	5.48M	227.99M	100.25M	27.61M	79.56M	174.24M	250.86M	316.21M	102.53M	280M
Deferred Revenue (Current)	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K	1000K
Other Current Liabilities	140.81M	175.53M	185.29M	244.57M	264.71M	374.93M	386.22M	373.45M	491.5M	479.6M
Current Ratio	1.42x	0.72x	0.95x	1.34x	1.25x	1.09x	0.86x	0.79x	1.01x	0.64x
Quick Ratio	1.33x	0.63x	0.84x	1.23x	1.10x	0.85x	0.70x	0.69x	0.90x	0.64x
Cash Conversion Cycle	32.84	45.86	43.18	114.75	112.13	124.24	145.3	175.88	217.97	-
Total Non-Current Liabilities+	3.48B	3.6B	3.29B	2.97B	2.31B	576.22M	355.14M	221.67M	692.65M	655.86M
Long-Term Debt	13.86M	6.28M	6.96M	6M	4.64M	304.33M	203.47M	102.26M	0	0
Capital Lease Obligations	0	0	0	0	52.99M	43.1M	32.96M	21.86M	11.17M	2.01M
Deferred Tax Liabilities	3.81M	52.05M	25.83M	12.19M	33.67M	18.52M	18.8M	22.91M	23.23M	0
Other Non-Current Liabilities	3.46B	3.54B	3.26B	2.96B	2.22B	210.27M	99.91M	74.63M	58.84M	653.86M
Total Liabilities	3.81B	4.17B	3.74B	3.43B	2.81B	1.29B	1.11B	1.04B	1.44B	1.57B
Total Debt+	19.34M	234.27M	107.21M	33.61M	137.19M	521.67M	487.29M	440.33M	113.7M	282.01M
Net Debt	-229.47M	77.54M	-45.17M	-107.44M	37.89M	392.53M	401.14M	350.54M	-11.45M	198.28M
Debt / Equity	0.02x	0.16x	0.07x	0.02x	0.99x	0.23x	0.22x	0.19x	0.06x	0.18x
Debt / EBITDA	0.06x	0.56x	0.16x	0.07x	0.26x	1.38x	1.25x	1.17x	0.45x	2.37x
Net Debt / EBITDA	-0.66x	0.18x	-0.07x	-0.21x	0.07x	1.04x	1.03x	0.93x	-0.04x	1.67x
Interest Coverage	260.48x	70.42x	101.82x	149.14x	33.03x	21.47x	23.34x	16.67x	191.31x	0.06x
Total Equity+	1.19B	1.48B	1.49B	1.66B	139.26M	2.23B	2.25B	2.33B	1.96B	1.53B
Equity Growth %	1.38%	0.25%	0.01%	0.11%	-0.92%	15.01%	0.01%	0.04%	-0.16%	-0.22%
Book Value per Share	8.16	29.31	10.87	28.06	1.13	18.97	18.48	19.47	17.15	16.65
Total Shareholders' Equity	-1.95B	-1.66B	-1.43B	-862.25M	139.26M	2.23B	2.25B	2.33B	1.96B	1.53B
Common Stock	460K	519K	575K	644K	716K	1.23M	1.25M	1.26M	1.11M	916K
Retained Earnings	-1.95B	-1.66B	-1.28B	-775.67M	0	169.47M	331.69M	405.1M	105.59M	-485.05M
Treasury Stock	0	0	-150.06M	-87.22M	0	0	-250.13M	-250.13M	-250.13M	-161.56M
Accumulated OCI	-43K	-236.46M	-297.59M	0	0	0	-3K	-8K	-29K	-51K
Minority Interest	3.14B	3.14B	2.92B	2.52B	0	0	0	0	0	0

Cash Flow

	Jun 2016	Jun 2017	Jun 2018	Jun 2019	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Cash from Operations+	371.47M	392.25M	507.71M	505.34M	349.52M	407.4M	444.23M	444.54M	296.56M	401.43M
Operating CF Margin %	0.32%	0.27%	0.31%	0.42%	0.27%	0.24%	0.31%	0.41%	0.26%	0.4%
Operating CF Growth %	0.02%	0.06%	0.29%	-0%	-0.31%	0.17%	0.09%	0%	-0.33%	0.35%
Net Income	235.16M	449.48M	257.57M	334.68M	291.13M	304.58M	268.32M	174.89M	106.72M	62.17M
Depreciation & Amortization	84.16M	107.21M	126.76M	140.16M	152.83M	121.06M	129.11M	133.79M	129M	117.63M
Stock-Based Compensation	48.67M	26.47M	29.41M	29M	21.13M	35.91M	46.81M	14.36M	23.29M	23.15M
Deferred Taxes	25.71M	60.56M	232.99M	11.88M	67.98M	-83.69M	56.79M	71.4M	-122.57M	27.08M
Other Non-Cash Items	-25.4M	-219.93M	-147.63M	-2.8M	-23.25M	15.15M	-63.56M	46.53M	135.83M	103.66M
Working Capital Changes	3.17M	-31.55M	8.61M	-7.58M	-160.29M	14.39M	6.77M	3.58M	24.29M	67.74M
Change in Receivables	-37.25M	3.37M	-14.29M	-6.7M	-121.73M	-68.01M	-19.9M	-40.61M	-50.66M	20.56M
Change in Inventory	3.94M	-16.35M	-15.71M	1.6M	0	0	56.72M	42.72M	-2.87M	0
Change in Payables	50.31M	-24.48M	32.77M	17.92M	-30.35M	134.08M	-41.18M	7.42M	8.72M	-3.11M
Cash from Investing+	-159.64M	-465.05M	-92.68M	-129.47M	-222.32M	-174.57M	-139.44M	-273.62M	-68.47M	-102.09M
Capital Expenditures	-76.99M	-71.37M	-92.68M	-93.39M	-94.4M	-88.88M	-87.44M	-82.3M	-81.19M	-82.65M
CapEx % of Revenue	0.07%	0.05%	0.06%	0.08%	0.07%	0.05%	0.06%	0.08%	0.07%	0.08%
Acquisitions	-	-	-	-	-	-	-	-	-	-
Investments	-	-	-	-	-	-	-	-	-	-
Other Investing	22.07M	25K	0	22.64M	3.88M	-1.23M	-10M	-1.51M	39.94M	20.4M
Cash from Financing+	-109.54M	-19.28M	-419.38M	-387.2M	-168.95M	-203M	-347.79M	-167.27M	-192.72M	-340.73M
Debt Issued (Net)	-	-	-	-	-	-	-	-	-	-
Equity Issued (Net)	-	-	-	-	-	-	-	-	-	-
Dividends Paid	-92.71M	-90.43M	-79.25M	-57.83M	-48.9M	-92.9M	-96.45M	-100.23M	-95.21M	-77.44M
Share Repurchases	-	-	-	-	-	-	-	-	-	-
Other Financing	-6.83M	-125.64M	-11.99M	-17.72M	-17.54M	-59.39M	23.04M	-37.25M	618.42M	-40.57M
Net Change in Cash	-	-	-	-	-	-	-	-	-	-
Free Cash Flow+	294.48M	320.88M	415.03M	411.95M	255.13M	318.53M	356.79M	362.24M	215.37M	318.78M
FCF Margin %	0.25%	0.22%	0.25%	0.34%	0.2%	0.19%	0.25%	0.33%	0.19%	0.31%
FCF Growth %	0%	0.09%	0.29%	-0.01%	-0.38%	0.25%	0.12%	0.02%	-0.41%	0.48%
FCF per Share	2.03	6.37	3.02	6.96	2.06	2.71	2.93	3.02	1.88	3.47
FCF Conversion (FCF/Net Income)	8.93x	3.46x	15.25x	4.63x	2.68x	1.42x	1.67x	2.54x	2.48x	19.81x
Interest Paid	0	0	0	0	0	0	0	0	0	24.33M
Taxes Paid	0	0	0	0	0	0	0	0	0	4.5M

Key Ratios

Metric	2016	2017	2018	2019	2020	2021	2022	2023	2024	2025
Return on Equity (ROE)	3.51%	8.52%	2.24%	6.92%	14.48%	24.27%	11.87%	7.64%	5.56%	1.16%
Return on Invested Capital (ROIC)	20.86%	18.99%	26.96%	18.41%	32.38%	13.77%	7.4%	6.86%	4.1%	0.05%
Gross Margin	60.69%	53.25%	51.95%	70.79%	66.7%	48.65%	61.77%	80.09%	76.33%	73.41%
Net Margin	3.58%	7.8%	2%	8.96%	10.03%	16.71%	18.55%	15.98%	10.52%	2%
Debt / Equity	0.02x	0.16x	0.07x	0.02x	0.99x	0.23x	0.22x	0.19x	0.06x	0.18x
Interest Coverage	260.48x	70.42x	101.82x	149.14x	33.03x	21.47x	23.34x	16.67x	191.31x	0.06x
FCF Conversion	8.93x	3.46x	15.25x	4.63x	2.68x	1.42x	1.67x	2.54x	2.48x	19.81x
Revenue Growth	15.45%	25.12%	14.2%	-26.7%	6.73%	32.44%	-16.75%	-23.56%	3.71%	-10.86%

Revenue by Segment

	2016	2017	2018	2019	2020	2021	2022	2023	2024	2025
Administrative Fees	-	-	-	6.7M	-	572.7M	-	611.03M	620.83M	556.33M
Administrative Fees Growth	-	-	-	-	-	-	-	-	1.60%	-10.39%
Software Licenses	-	-	-	-	-	-	183.98M	-	1.13B	-
Software Licenses Growth	-	-	-	-	-	-	-	-	-	-
Product	-	-	-	-	244.52M	-	363.88M	-	213.72M	-
Product Growth	-	-	-	-	-	-	-	-	-	-
Service, Other	-	-	-	-	-	404.33M	-	-	-	-
Service, Other Growth	-	-	-	-	-	-	-	-	-	-
Service	-	-	-	-	188.28M	-	-	-	-	-
Service Growth	-	-	-	-	-	-	-	-	-	-
Performance Services	333.17M	353.38M	360.68M	-	-	-	-	-	-	-
Performance Services Growth	-	6.07%	2.06%	-	-	-	-	-	-	-
Supply Chain Services	-	-	11.45M	-	-	-	-	-	-	-
Supply Chain Services Growth	-	-	-	-	-	-	-	-	-	-

Frequently Asked Questions

Valuation & Price

Premier, Inc. (PINC) has a price-to-earnings (P/E) ratio of 128.5x. This suggests investors expect higher future growth.

Growth & Financials

Premier, Inc. (PINC) reported $1.00B in revenue for fiscal year 2025. This represents a 31% increase from $768.3M in 2012.

Premier, Inc. (PINC) saw revenue decline by 10.9% over the past year.

Premier, Inc. (PINC) reported a net loss of $24.3M for fiscal year 2025.

Dividend & Returns

Yes, Premier, Inc. (PINC) pays a dividend with a yield of 2.98%. This makes it attractive for income-focused investors.

Premier, Inc. (PINC) has a return on equity (ROE) of 1.2%. This is below average, suggesting room for improvement.

Premier, Inc. (PINC) generated $265.3M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

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