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Premier Inc

Recommendation: Buy

Entry Date Symbol Recommendation Entry Price (USD) Target 1 (USD) Target 2 (USD) Holding Duration Potential Upside*
30 Apr, 25 PINC Buy USD 20.39 USD 21.41 USD 22.63 6 days 11.0%

*Potential Upside (%) indicates the expected percentage increase from the Entry Price to the Target 2 Price.

Fundamentals

  • Previous Close 23.10
  • Market Cap1988.96M
  • Volume367674
  • P/E Ratio27.90
  • Dividend Yield4.42%
  • EBITDA427.27M
  • Revenue TTM1336.46M
  • Revenue Per Share TTM11.39
  • Gross Profit TTM 896.29M
  • Diluted EPS TTM0.68

Data Powered by EOD Historical Data (“EODHD”).

Company Overview

Premier, 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; and STOCKD, an e-commerce platform, 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 was incorporated in 2013 and is based in Charlotte, North Carolina.

Key Positives

Shareholder Returns: A total of $592.1 million was returned to shareholders through $400 million in ASR and $192.1 million in market repurchases during the first half of fiscal 2025

Cash Flow Strength: Operating cash flow rose sharply to $193.7 million from just $15.5 million in the prior-year period

Key Negatives

Performance Services Weakness: Segment adjusted EBITDA in Performance Services dropped 71% to $9.1 million, reflecting substantial revenue and operational strain

Earnings Decline: Adjusted EBITDA declined 48% year-over-year in Q2 to $50.1 million, reflecting broad-based margin pressure

Key Investment Risks

Premier, Inc. faces heightened investor risk from declining profitability and revenue contraction in its Performance Services segment, compounded by one-time impairment charges and execution risks in its ongoing business divestitures.

Recommendation Summary

Technical Summary

Entry Price Support* Target 1 Target 2
20.39 18.76 21.41 22.63

Data Source: REFINITIV, Analysis: StockNextt

*Support can be considered as an indicative stop-loss, and if prices move below that level on closing basis individuals may evaluate exiting the position depending on their risk appetite, previous holdings, and other factors considered. The support and resistance levels may need to be re-evaluated within 4-6 weeks’ time frame depending on the stock price movements from the date of recommendation on the stock.

Key Reasons for Buy

Revenue Performance and Business Segmentation
For the fiscal second quarter ended December 31, 2024, Premier, Inc. reported total net revenue from continuing operations of $240.3 million, marking a 14% year-over-year decline from $279.9 million. When excluding the Contigo Health business, net revenue stood at $232.2 million, reflecting similar contraction. The Supply Chain Services segment generated $148.7 million in revenue, down 11% year-over-year, mainly due to a 13% drop in net administrative fees. However, revenue from software licenses and other services in this segment rose by 10% to $17.3 million.

Performance Services and Segment Challenges
Revenue from the Performance Services segment declined by 19% to $91.5 million, primarily driven by reduced demand in the consulting business and less favorable product mix in applied sciences. Excluding Contigo Health, segment revenue was $83.5 million. The Performance Services segment experienced a sharp 71% drop in adjusted EBITDA, from $31.2 million to $9.1 million, reflecting operational pressures within the division.

Profitability and Impairment Charges
Premier reported a GAAP net loss from continuing operations of $45.8 million, or $(0.60) per diluted share, compared to net income of $50.4 million, or $0.43 per diluted share, in the prior-year quarter. This significant decline was largely due to a $126.8 million impairment charge to goodwill related to the data and technology business within the Performance Services segment. The loss was somewhat offset by a $17.6 million cash distribution from a minority investment and lower SG&A expenses excluding the impairment.

Non-GAAP Earnings and Cash Flow
Adjusted EBITDA for the quarter declined 48% year-over-year to $50.1 million, with a slightly better performance excluding Contigo Health at $52.1 million. Adjusted net income fell 61% to $23.8 million, and adjusted EPS dropped to $0.25 from $0.51 in the prior-year period. Adjusted EPS excluding Contigo Health was $0.27. Despite weaker earnings, the company generated $193.7 million in net cash from operating activities during the first six months of fiscal 2025 and reported free cash flow of $73.9 million, up from $40.7 million in the prior-year period.

Updated Fiscal 2025 Guidance
Premier reaffirmed the midpoints for its fiscal 2025 revenue and adjusted EBITDA guidance excluding Contigo Health, while increasing its adjusted EPS midpoint by $0.08 to reflect the favorable impact of share repurchases. The Supply Chain Services revenue guidance midpoint was raised by $25 million, while the midpoint for Performance Services revenue excluding Contigo Health was reduced by $25 million. The company introduced new guidance metrics for adjusted net income ($119–$129 million) and diluted weighted average shares (94–96 million).

Shareholder Returns and Liquidity Management
Premier actively returned capital to shareholders through its $1 billion share repurchase authorization. In the first half of fiscal 2025, it completed a $400 million accelerated share repurchase (ASR) program, acquiring 19.9 million shares. An additional $192.1 million worth of shares were repurchased in open market transactions. The company also paid $42.4 million in dividends and declared a quarterly dividend of $0.21 per share payable in March 2025. As of December 31, 2024, cash and cash equivalents stood at $85.9 million, with $100 million drawn on its revolving credit facility.

Considering recent key business, financial updates, current trading levels, and key business risks, a ‘Buy’ recommendation has been given on Premier, Inc (NASDAQ: PINC) at the closing market price of USD 20.39, as on April 29, 2025.

Key Financials in Pictures

Income Statement

Balance Sheet

Change in Cash

Total Operating Cash

Dividends Paid

Data Powered by EOD Historical Data (“EODHD”).

Peer Comparison

Sector: Healthcare Industry: Health Information Services

Company Change (USD) Price (USD) Trailing PE (x) Forward PE (x) Price Sales TTM (x) Price to Book Value (x) Enterprise Value to Revenue (x) Enterprise Value to EBITDA (x)
PINC
Premier Inc
0.17 0.76% 23.27 27.90 9.28 1.92 1.06 1.77 6.22
GEHC
GE HealthCare Technologies Inc.
-1.58 2.20% 70.27 22.91 20.12 2.01 5.52 2.39 13.30
VEEV
Veeva Systems Inc Class A
-4.5 1.87% 236.28 54.61 33.22 12.83 6.73 11.14 58.84
MTHRF
M3 Inc
- -% 12.95 29.72 25.00 0.05 4.38 0.04 0.12
MTHRY
M3 Inc
-0.05 0.73% 6.78 31.84 26.25 0.05 4.60 0.04 0.12

Data Powered by EOD Historical Data (“EODHD”).

Disclosures:

Related Risks: This report may be looked at from high-risk perspective and recommendations are provided are for a short duration. Recommendations provided in this report are solely based on technical parameters, and the fundamental performance of the stocks has not been considered in the decision-making process. Other factors which could impact the stock prices include market risks, regulatory risks, interest rates risks, currency risks, social and political instability risks etc.

Note 1: Past performance is not a reliable indicator of future performance.

Note 2: The reference date for all price data, currency, technical indicators, support, and resistance levels is April 29,2025. The reference data in this report has been partly sourced from REFINITIV.

Technical Indicators Defined: -

Support: A level at which the stock prices tend to find support if they are falling, and a downtrend may take a pause backed by demand or buying interest. Support 1 refers to the nearby support level for the stock and if the price breaches the level, then Support 2 may act as the crucial support level for the stock.
Target: A level at which the stock prices tend to find resistance when they are rising, and an uptrend may take a pause due to profit booking or selling interest. Target 1 refers to the nearby resistance level for the stock and if the price surpasses the level, then Target 2 may act as the crucial resistance level for the stock.
Stop-loss: It is a level to protect further losses in case of unfavourable movement in the stock prices.

Disclaimer :
This report has been issued by StockNextt which has an Ontario Business Identification Number 1000958347 and British Columbia registration Number FM1051529 is a trade name under Kalkine Canada Advisory Services Inc. having Business Number 761925130BC0001. Kalkine Canada Advisory Services Inc. and StockNextt are collectively referred to as “StockNextt”, “we”, “us”, and “our”. The website https://stocknextt.com and associated pages are published by StockNextt. The information in this report and on the StockNextt website has been prepared from a wide variety of sources, which StockNextt, to the best of its knowledge and belief, considers accurate. StcokNextt has made every effort to ensure the reliability of information contained in its reports, newsletters, and websites. All information represents our views at the date of publication and may change without notice. The information in this report does not constitute an offer to sell securities or other financial products or a solicitation of an offer to buy securities or other financial products. Our reports contain general recommendations for investing in securities and other financial products. StockNextt does not offer financial advice based upon your personal financial situation or goals, and we shall not be held liable for any investment or trading losses you may incur by using the opinions expressed in our reports, publications, market updates, news alerts and corporate profiles. StockNextt does not intend to exclude any liability which it is not permitted to exclude under applicable law or regulation. StockNextt’s general advice does not in any way endorse or recommend individuals, investment products or services for your personal financial situation. You should discuss your portfolios and the risk tolerance level appropriate for your personal financial situation, with a professional authorised financial planner and adviser. You should be aware that the value of any investment and the income from it can go down as well as up and you may not get back the amount invested. Please also read our Terms and conditions for further information. Employees and/or associates of StockNextt and its related entities may hold an interest in the securities or other financial products covered in this report or on the StockNextt website. Any such employees and associates are required to comply with certain safeguards, procedures and disclosures as required by law.

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