Shares of Premier Inc. (PINC) plummeted 5.81% in pre-market trading on Tuesday following the release of its fiscal fourth-quarter results and full-year 2026 guidance. The healthcare improvement company reported a significant decline in both earnings and revenue, while also providing a disappointing outlook for the coming fiscal year.

For the quarter ended June 30, Premier reported adjusted earnings of $0.43 per share, down from $0.61 in the same period last year, representing a 30% decrease. While this figure beat analyst expectations of $0.34 per share, the company's revenue fell sharply by 25% to $262.86 million. Despite surpassing the Wall Street consensus of $247.68 million, the substantial year-over-year decline raised concerns among investors.

Adding to the pressure on the stock, Premier's fiscal year 2026 guidance fell short of market expectations. The company projected adjusted earnings per share between $1.33 and $1.43, below the analyst consensus of $1.40. Additionally, Premier forecasted total net revenue, excluding Contigo Health, in the range of $940 million to $1 billion for the upcoming fiscal year. These projections, coupled with the weak Q4 performance, appear to have triggered the significant pre-market sell-off as investors reassess the company's growth prospects and financial health.