UNIQUELY POSITIONED FOR THE FUTURE

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1 UNIQUELY POSITIONED FOR THE FUTURE

2 Dear fellow stockholders, teammates & friends: We are pleased to report that fiscal 2017 marked our fourth consecutive year of strong and consistent growth as a public company. As one of the nation s leading healthcare improvement companies, we strengthened and expanded our core offerings through both internal development and acquisitions, and we delivered financial growth through our highly differentiated business model, diverse revenue drivers and deep and strategic relationships with our member health systems. We believe our comprehensive offering and member alignment allow us to deliver a total value proposition that is unmatched in today s marketplace. In fiscal 2017, Premier continued to expand our member base and grow our business. We ended the year with approximately 3,900 hospitals and health systems and approximately 150,000 other providers and organizations. We increased supply chain spend running through our group purchasing contracts to more than $56 billion, up from $48 billion for the prior year. We also achieved a 99% retention rate in our group purchasing business and a 95% SaaS institutional renewal rate in our Performance Services Segment, both improvements from the prior year. Financially, we delivered 25% year-over-year growth in consolidated net revenue, 14% growth in non-gaap adjusted EBITDA and a 17% increase in non-gaap adjusted fully distributed earnings per share. We also continued to maintain a strong and flexible balance sheet and generated non-gaap free cash flow of $216.5 million, an increase of 13% from a year ago.* Looking at our capital deployment strategy, we invested in organic development and acquisitions that are strategically aligned with our objectives of helping health systems better manage costs, improve quality and safety and continue to prepare for a value-based healthcare environment. We also settled a portion of our quarterly member owner class B unit exchange for cash. We completed two acquisitions, an alternate site group purchasing business and a specialty pharmacy. Our product introductions included the PremierConnect Clinician Performance Management platform, which further evolves our comprehensive quality offering to allow providers to now track system-wide clinician performance across the entire care continuum. We also launched our PremierConnect Service Line Analytics solution that integrates supply chain and pharmaceutical spend, utilization and clinical outcomes data for efficient, evidence-based care delivery decisions. Looking ahead, we continue to work hand-in-hand as a trusted partner with healthcare providers on their transformative journey to high-quality, cost-effective healthcare. We believe Premier remains well positioned to continue to deliver long-term growth and stockholder value as we pursue our mission to improve the health of our communities. On behalf of our board of directors, management team and employees, thank you for your continued support. Sincerely, Richard J. Statuto Chairman of the Board of Directors Susan D. DeVore President and Chief Executive Officer

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139 * Certain statements made in the letter on the inside front cover of this report are forward-looking statements and may involve known and unknown risks, uncertainties and other factors that may cause the actual results of Premier, Inc. 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. More information on potential risks and other factors that could affect Premier s financial results is included in the accompanying 2017 Annual Report on Form 10-K. 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. The letter on the inside front cover of this report refers to certain non-gaap financial measures used by Premier. Premier s 2017 Annual Report on Form 10-K provides further explanation and disclosure regarding Premier s use of non-gaap financial measures and should be closely read.

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