DIAGNOSTEK INC
10-K405/A, 1995-06-28
HOSPITAL & MEDICAL SERVICE PLANS
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549
                              --------------------
                                  FORM 10-K/A
                              --------------------

[X]  ANNUAL REPORT  PURSUANT TO SECTION 13 OR 15(D) OF THE  SECURITIES  EXCHANGE
     ACT OF 1934 (FEE REQUIRED)

                    For the fiscal year ended March 31,1995
                                       OR

[ ]  TRANSITION  REPORT  PURSUANT  TO SECTION  13 OR 15(D) OF THE  SECURITIES
     EXCHANGE  REPORT OF 1934 (NO FEE REQUIRED) 

         For the transition period from _____________ to _____________

                         Commission file number 1-10610
                             ----------------------
                                DIAGNOSTEK, INC.
            --------------------------------------------------------
             (Exact name of registrant as specified in its charter)

         DELAWARE                                            85-0312837
         (State or other jurisdiction of                    (I.R.S. Employer
          incorporation or organization)                     Identification No.)

          4500 Alexander Blvd. NE,                           87107
          Albuquerque, New Mexico                            (ZIP  Code)
          (Address of principal executive offices)

              Registrant's telephone number, including area code:
                                 (505) 345-8080
       -----------------------------------------------------------------

Securities registered pursuant to Section 12(b) of the Act:  
                          Common Stock, $.01 par value
                             (Title of each class)

Securities registered pursuant to Section 12(g) of the Act: None

     Indicate  by check mark  whether the  registrant  (1) has filed all reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934  during  the  preceding  12 months  (or for such  shorter  period  that the
registrant was required to file such reports),  and (2) has been subject to such
filing requirements for the past 90 days.

                                  YES x NO ___

     Indicate by check mark if disclosure of delinquent  filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated  by  reference in Part III of this Form 10-K or any  amendments  to
this Form 10-K. __X__

     The aggregate market value of the  registrant's  voting stock (based on the
closing  sale  price of the  registrant's  Common  Stock  on the New York  Stock
Exchange,  and for the purposes of this computation only, on the assumption that
all of the registrant's directors and executive officers are affiliates) held by
non-affiliates of the registrant was approximately $389,716,000 on June 5, 1995.

     The number of shares of Common  Stock,  $.01 par value,  outstanding  as of
June 5, 1995 was 24,273,146.

                      DOCUMENTS INCORPORATED BY REFERENCE
                                      None



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<PAGE>

Item 7. Management's  Discussion and Analysis of Financial Condition and Results
of Operations

     Diagnostek's  industry  segments  are  described  in Part I, Item 1 of this
report.  Financial  highlights  and industry  segment data are  displayed in the
following table:

Results of Operations
Financial Highlights
(dollars in millions, except per share amounts)

<TABLE>
<CAPTION>
                                                                                          Years ended March 31,
                                                                                    1995         1994         1993
<S>                                                                           <C>            <C>            <C>
                     Integrated pharmacy service
                        Revenues                                                    $540.1       $326.4        $240.5
                        Operating income                                              28.7         15.1           4.0

                     Managed care pharmacy service
                        Revenues                                                    $125.6       $153.5        $132.9
                        Operating income                                              (2.7)         9.2           6.5

                     Corporate and Other
                        Revenues                                                      $5.1         $5.8          $7.6
                        Operating income                                             (10.2)        (8.8)         (4.4)

                     Total Diagnostek
                        Revenues                                                    $670.8       $485.7        $381.0
                        Operating income                                              15.8         15.5           6.1
                        Net earnings                                                  11.0          4.6           2.8
                        Net earnings per share                                       $0.44        $0.19         $0.12
</TABLE>

Consolidated Operations

Fiscal year 1995 compared with fiscal year 1994

     During the fiscal year ended March 31, 1995, the Company actively  marketed
its new  RxChoice(c)  product  and  entered new  product  niches  including  the
providing  of  services to the Federal  and state  pharmacy  benefit  management
programs.   Lives  covered  under  integrated  pharmacy  services  increased  to
approximately  16 million from the 13 million  reported at fiscal year end 1994.
The early  termination  of its contracts  with CIGNA,  partly offset these sales
gains.

     Volume  increases were coupled with expansion of physical  capabilities and
operational  reorganizations.  Perform's  Scottsdale,  Arizona  operations  were
consolidated at the Company's Albuquerque headquarters facility. Plant expansion
of the Albuquerque  headquarters  was completed and  Diagnostek's  new "A-frame"
robotic dispensing technology successfully  installed.  In addition,  Diagnostek
significantly  expanded its clinical and customer service  departments to ensure
the Company's ability to provide the highest quality of service to its clients.

     Consolidated  revenues  totaled  $670.8  million for fiscal  year 1995,  an
increase  of  $185.1   million  or  38%  from  fiscal  1994.  The  increase  was
attributable  primarily to the  expansion of the Company's  integrated  pharmacy
service  business ($213.7 million) due partly to the full year operations of the
Company's retail  operations (Note 3 to the Notes to the Consolidated  Financial
Statements  related  to the  Perform  acquisition  in  October  1993) and higher
volume; offset partly by decreases ($27.9 million) in the Company's managed care
pharmacy service business  attributable  mainly to the early  termination of the
Company's contracts with CIGNA Health Plan of Arizona, Inc. ("CIGNA").

     Consolidated  operating  income  totaled  $15.8 million for fiscal 1995, an
increase  of $0.3  million or 2% from fiscal  1994.  The  increase in  operating
income was  attributable  primarily to higher product margins ($20.6 million) in
the  Company's  integrated  pharmacy  service  operations  due  mainly  to lower
pharmaceutical  acquisition costs;  offset by losses associated with the managed
care business' New Jersey contract ($12.6 million,  including  estimated  future
losses over the three year contract  term of $9.6  million,  note 13 to Notes to
Consolidated  Financial  Statements),  and  higher  general  and  administrative
expenses   ($7.5   million)  and   selling/marketing   expenses  ($1.3  million)
attributable  mainly to the Company's expanded service  capabilities and selling
programs.

<PAGE>


     Consolidated  net earnings  totaled $11.0  million,  or $0.44 per share for
fiscal  1995,  an  increase  of $6.4  million  (139%),  or $0.25 per share.  The
increase  in  net  earnings  was  attributable  primarily  to  operating  income
improvement,  offset by losses on the New Jersey  contract ($12.6 million pretax
or $0.31 per share after tax), and lack of counterpart to prior year shareholder
litigation  settlement costs ($12.0 million pretax or $0.31 per share after tax)
incurred in fiscal 1994. Excluding non-recurring fiscal 1995 New Jersey contract
losses and non-recurring  fiscal 1994 shareholder  litigation  settlement costs,
fiscal  1995 net  earnings  would  have been  $18.7  million  or $0.75 per share
compared with $12.5 million or $0.50 per share in fiscal 1994.

Fiscal year 1994 compared with fiscal year 1993

     During fiscal 1994, the Company  diversified  its product lines to position
itself as a full-service, integrated supplier in the pharmacy benefit management
industry.  During May 1993, the Company  introduced its  RxChoice(c)  integrated
retail/mail   pharmacy   benefit   product,   marking   its   entry   into   the
employer/organization sponsor market, and, during October 1993, acquired Perform
Cost  Management  Services,  Inc.  to  provide  immediate  access to its  retail
pharmacy network and claims pricing capabilities. Through acquisition of certain
assets and contracts of Chronitech  (Note 3 to Notes to  Consolidated  Financial
Statements)  during  October 1993,  the Company  entered the specialty  pharmacy
markets  targeting  certain  disease-state  populations,  including the HIV/AIDS
community. 

     Consolidated  revenues  totaled  $485.7  million for fiscal  year 1994,  an
increase  of  $104.7   million  or  27%  from  fiscal  1993.  The  increase  was
attributable  primarily to the  expansion of the Company's  integrated  pharmacy
service  business ($85.9  million)  related mainly to the acquisition of Perform
and internal  growth  ($20.6  million) in the  Company's  managed care  pharmacy
service business.

     Consolidated  operating  income  totaled  $15.5 million for fiscal 1994, an
increase of $9.4  million or 154% from fiscal  1993.  The  increase in operating
income was  attributable  primarily to higher product margins ($10.1 million) in
the  Company's  integrated  pharmacy  service  operations  due  mainly  to lower
pharmaceutical  acquisition  costs and  volume  increases  in the  managed  care
business  ($3.5  million) and lack of  counterpart to higher than customary 1993
provisions for bad debts ($4.8  million);  offset partly by increases in general
and  administrative   expenses  ($4.2  million)  attributable  to  higher  costs
associated in part with the Company's 1993  acquisitions  and higher selling and
marketing  expenses ($2.6 million) relating primarily to the introduction of the
Company's RxChoice(c) and CapRx(c) products.

     Consolidated  net  earnings  totaled $4.6  million,  or $0.19 per share for
fiscal 1994, an increase of $1.8 million (65%), or $0.07 per share. The increase
in net earnings was attributable  primarily to operating income  improvement and
lack of counterpart to prior year costs ($6.8 million  pretax)  associated  with
the aborted  merger with Medco  Containment  Services Inc.  (Note 12 to Notes to
Consolidated Financial Statements) offset by shareholder settlement costs ($12.0
million pretax or $0.31 per share after tax) incurred in fiscal 1994.  Excluding
non-recurring merger and settlement costs in the current and prior fiscal years,
net  earnings  would have been $12.5  million or $0.50 per share in fiscal  1994
compared with $6.8 million or $0.28 per share in fiscal 1993.

Integrated Pharmacy Service Operations

Fiscal year 1995 compared with fiscal 1994

     Integrated pharmacy service revenues totaled $540.1 million for fiscal year
1995,  an increase of $213.7  million or 65% from fiscal 1994.  The increase was
attributable  primarily to the Company's  entry into the retail  pharmacy market
with the acquisition of Perform during October 1993 and the growth of the number
of benefit plan participants  ("covered lives") under management.  Approximately
12.9 million retail  prescription claims were adjudicated during fiscal 1995, an
increase of 8.9 million  from fiscal 1994.  Fiscal 1995 mail order  prescription
volume increased by 12% to 3,546,000 prescriptions due primarily to increases in
number of eligible plan participants (12.0 million mail service covered lives at
March 31, 1995 compared with 11.0 million at March 31, 1994).

     Integrated  pharmacy  service  operating  income  totaled $28.7 million for
fiscal 1995,  an increase of $13.6  million or 90% from fiscal  1994.  Operating
income  increase was  attributable  primarily to higher  product  margins ($20.6
million)  attributable  primarily to improved formulary  agreements and contract
pricing from  pharmaceutical  suppliers  (offsetting drug cost  inflation),  and
retail and mail service claim volume increases;  offset partly by higher general
and administrative ($5.8 million) and selling and marketing costs ($1.2 million)
attributable mainly to expansion of physical plant and client-support  services,
respectively.

     In November 1994, the Company  entered into a one year agreement  (with two
one year  options) with the U.S.  Department of Defense  ("DOD") to provide mail
pharmacy services to CHAMPUS beneficiaries.  The DOD request for proposal stated
that the respondent should assume that there would be

<PAGE>


approximately 2.0 million  prescriptions  filled annually under the contract and
the Company used this figure to  anticipate  the revenues to be generated  under
the contract.  The Company  commenced  providing  services under the contract in
November,  1994. The volume of  prescriptions  filled under this contract has to
date  grown  to  approximately  28,000  prescriptions  per  month.  Because  the
prescription  volume to date under the CHAMPUS contract is  substantially  lower
than the assumed number provided by DOD in its request for proposal, the Company
expects that the revenues  under this contract will be  substantially  less than
anticipated  based on DOD's  assumptions.  Revenues  under the CHAMPUS  contract
increased from less than $100,000 in November 1994 to approximately $1.0 million
in May 1995 with total  revenues  of  approximately  $3.8  million for the first
seven  months of  operations  under the  contract.  Since it is not  possible to
predict the number of  prescriptions  that will be filled  under the contract in
the future,  no assurance can be given as to the amount of revenues that will be
realized by the Company under the CHAMPUS contract.

Fiscal year 1994 compared with fiscal 1993

     Integrated pharmacy service revenues totaled $326.4 million for fiscal year
1994,  an increase of $85.9  million or 36% from fiscal  1993.  The increase was
attributable  primarily to the Company's  entry into the retail  pharmacy market
with  the  acquisition  of  Perform  during  October  1993.   Perform  processed
approximately 4.0 million  prescription claims from its acquisition to March 31,
1994. Mail order prescription volume increased by 2% to 3,164,000  prescriptions
despite the loss of a major  customer  which  represented  approximately  13% of
prior year volume. Volume increases were primarily  attributable to increases in
the number of eligible plan  participants  (11.0 million  covered lives compared
with 7.7 million at March 31, 1993). Price per prescription remained about equal
with prior year levels as drug supplier price increases  (approximately 7%) were
offset by increased  lower priced generic product  substitutions  which resulted
mainly from client sponsor benefit plan design changes.

     Integrated  pharmacy  service  operating  income  totaled $15.1 million for
fiscal 1994, an increase of $11.1 million or 278% from fiscal 1993. The increase
in operating income was  attributable  primarily to higher profit margins ($10.1
million) related to improved purchasing from pharmaceutical suppliers and volume
increases,  lack of counterpart to prior year bad debt provisions ($4.7 million)
in  excess  of  customary   levels;   offset   partly  by  higher   general  and
administrative  costs ($1.8 million)  related partly to the Perform  acquisition
and  selling  and  marketing  costs ($1.6  million)  attributable  mainly to the
introduction of the RxChoice(c) product.

Managed Care Pharmacy Service Operations

Fiscal year 1995 compared with fiscal year 1994

     Managed care pharmacy  service  revenues  totaled $125.6 million for fiscal
year 1995, a decrease of $27.9 million or 18% from fiscal 1994  primarily due to
the early  termination of the Company's CIGNA contracts  ($37.4 million decrease
from  fiscal  1994) in  September  of 1994.  Excluding  this  contract,  revenue
increased $17.3 million due to internal growth and new client contracts;  offset
partly by terminated or unrenewed contracts ($7.8 million).

     Managed care pharmacy  service  operating income totaled ($2.7) million for
fiscal 1995, a decrease of $11.9 million or 129% from fiscal 1994.  The decrease
in operating  income was  attributable  primarily to losses  associated with the
Company's unit dose dispensing contract with the State of New Jersey implemented
February 1, 1995 ($12.6  million,  including  estimated  future  losses over the
three  year  contract  term of $9.6  million,  Note 13 to Notes to  Consolidated
Financial Statements).

Fiscal year 1994 compared with fiscal year 1993

     Managed care pharmacy  service  revenues  totaled $153.5 million for fiscal
year 1994, an increase of $20.6 million or 16% from fiscal 1993 primarily due to
increases ($20.2 million) from the CIGNA contract,  which was implemented during
mid-fiscal  1993.  Excluding this contract,  revenue  decrease was  attributable
primarily to terminated or unrenewed contracts ($6.3 million) offset by internal
growth and new client contracts ($4.2 million).

     Managed care pharmacy  service  operating  income  totaled $9.2 million for
fiscal 1994,  an increase of $2.7 million or 42% from fiscal 1993.  The increase
in operating income was  attributable  primarily to higher volume ($1.5 million)
and improved profit margins ($2.0 million),  offset partly by increased  selling
and marketing costs ($0.7 million).

Impact of Suppliers and Inflation

     The Company,  has contracts  with over 51,000 retail  pharmacies to provide
point-of-service  retail  prescription  dispensing  in support of the  Company's
RxChoice (c) integrated  product line.  These  contracts  generally  provide for
reimbursement  to the  contracted  retail  pharmacy  at  prices  specified  as a
discount to published average wholesale product cost.

     The Company  also stocks over 4,500 brand name and generic  medications  at
its mail pharmacy service dispensing  facilities,  in varying dosages and dosage
forms. Prescription requests for unstocked items are obtained, as required, from
wholesalers.

<PAGE>


     Diagnostek  purchases   pharmaceuticals  directly  from  manufacturers  and
wholesalers,  generally  in high  volume and at a discount,  resulting  in lower
costs than  available to smaller  purchasers.  The Company is not dependent upon
any one supplier.

     The Company receives a significant  amount of rebates based on the purchase
of  pharmaceuticals  from  numerous  suppliers.   These  rebates  are  generally
contractually  due the Company based on the purchase of specified  volume levels
of various name brand  pharmaceuticals,  changes in relative  market  share,  or
through the placement of certain  pharmaceuticals  on a drug formulary.  At this
time, rebate practices are being reviewed within the pharmaceutical  industry as
they relate to overall pricing strategies. The Company continues to aggressively
negotiate  rebate  agreements  and believes that any change in rebate  practices
would be part of changes in overall  pharmaceutical  pricing  methods.  Any such
change could have a material adverse effect on the Company's operating margin.

     The Company, in certain of its managed care pharmacy  contracts,  purchases
pharmaceutical  products  on behalf of its  customers  utilizing  its  customers
purchase agreements with suppliers. Under the terms of its mail service contract
with the Department of Defense ("DoD") in support of CHAMPUS benefit programs in
six  states,  the  Company  also  purchases  pharmaceutical  products  for  mail
distribution to eligible beneficiaries utilizing Government contract prices.

     Availability and price of pharmaceuticals are subject to market conditions.
Cost  increases can affect the Company's  cost of sales;  however,  increases in
purchased drug costs are, in the case of certain managed care pharmacy contracts
and for the vast majority of integrated pharmacy service contracts,  recoverable
from clients under periodic rate adjustment  contractual  clauses. To the extent
that the Company has entered  risk/reward  ("capitated")  contracts based on the
Company's  ability  to control  pharmaceutical  dispensing  patterns,  operating
results  could  be  affected  to  a  greater  degree  by  drug  cost  inflation.
Historically,  inflation has not materially affected the Company.  During fiscal
1996 and future periods,  a significant number of patents protecting high volume
brand medications are scheduled to expire which could result in the availability
of lower cost  generic  equivalent  products.  The Company has not  forecast the
impact  that might  result  from the  introduction  of these  generic  products,
however, pharmaceutical costs might decrease in future periods.

Financial resources and liquidity

     Diagnostek's  working capital and liquidity  requirements  for its existing
operations have been met mainly from cash flows generated from operations.

     Cash flows from operations for fiscal year 1995 totaled ($1.6)  million,  a
decrease of $17.7 million from 1994. The decrease was attributable  primarily to
payment of  shareholder  litigation  settlement  costs  accrued in fiscal  1994,
increased   receivables   associated  with  higher  claims  volumes  and  higher
inventories,  offset partly by increased net earnings. At March 31, 1995, market
value of marketable  securities  totaled $59.2 million.  The Company  intends to
utilize  these  securities  to  fund  working  capital  growth  (including  that
associated  with further  expansion  of  Diagnostek's  RxChoice(c)  and CapRx(c)
products),   expand  its  existing  operating  facilities  and  equipment,   and
potentially to fund future acquisitions,  or retire debt. There are currently no
acquisitions pending. Under terms of its Agreement and Plan of Merger with Value
Health, Inc. dated March 27, 1995, as amended on June 4, 1995, the Company shall
not make any investments in non-investment grade securities exceeding $1,000,000
or  sell at a loss  of  greater  than  $50,000  any  debt  securities  held  for
investment purposes.

     Diagnostek's  capital  expenditures  totaled  $9.1 million for fiscal 1995,
compared  with $5.4  million and $2.0  million for 1994 and 1993,  respectively.
Expansion of the  Albuquerque  facility  totaled $5.5  million,  including  $3.7
million  which had been  expended at March 31, 1994.  The Company also  utilizes
leases and other third party financing to fund certain equipment acquisitions.

     The Company has a $30 million term loan, with outstanding principal balance
of $12.0 million at March 31, 1995,  from  Metropolitan  Life Insurance  Company
("Metropolitan"),  which  bears  interest  at a fixed  annual  rate  of  10.02%.
Principal repayments of $6.0 million per year are payable each December.  During
fiscal year 1995, $6.0 million principal was repaid. The Company expects to make
scheduled principal payments from operating cash flows.

     During  December 1994 the Company  established  a $25.0  million  revolving
credit line with Bank of America Illinois NA. The agreement has a two year term,
with two one year renewal  periods and requires a 0.25% annual  facility fee and
requires interest payments on borrowings at the prime rate or 0.375% over LIBOR.
Amounts  outstanding  under this  agreement  totaled  $10.0 million at March 31,
1995.

     The Company  has  purchased  insurance  policies,  customary  in the retail
pharmacy industry,  including product liability  coverage,  of a type and amount
which  management  deems  adequate.  The  Company is not  licensed  to  practice
medicine and, as a result, is unable to obtain medical malpractice coverage. The
Company requires all users (including  radiologists,  hospitals,  or health care
providers) of its owned

<PAGE>


medical imaging facility to both maintain adequate medical malpractice liability
coverage and  indemnify  the Company  against all claims that may arise from the
use of its equipment.  Diagnostek  also  maintains  various forms of traditional
business liability coverage.

<PAGE>


                                   SIGNATURES

     Pursuant  to the  requirements  of  Section  13 or 15(d) of the  Securities
Exchange  Act of 1934,  Diagnostek,  Inc.  has duly caused this  Amendment to be
signed in its behalf by the undersigned,  thereunto duly authorized, in the City
of Albuquerque and State of New Mexico on the 28th day of June, 1995

                                            DIAGNOSTEK, INC.


                                         \s\ Nunzio P. DeSantis  
                                         Nunzio P. DeSantis
                                         Chairman of the Board of Directors,
                                         Chief Executive Officer and Director


Pursuant  to the  requirements  of the  Securities  Exchange  Act of 1934,  this
Amendment  has been  signed  below by the  following  persons  on  behalf of the
registrant in the capacities on the 28th day of June, 1995:


\s\ Julius Golden                       \s\ Nunzio P. DeSantis
    Julius Golden                           Nunzio P. DeSantis
    Director                                Chairman of the Board
                                            of Directors,
                                            Chief Executive Officer, and 
                                            Director


\s\ Miles M. Stuchin                    \s\ William A. Barron
    Miles M. Stuchin                        William A. Barron
    Director                                President, Chief Operating  Officer



\s\ E. Gerald Riesenbach   
    E. Gerald Riesenbach                    Courtlandt G. Miller
    Director                                Executive Vice President
                                            General Counsel, Director and 
                                            Secretary



                                        \s\ Andrew P. Masetti
    David G. Devereaux                      Andrew P. Masetti
    Director                                Executive Vice President,
                                            Chief Financial Officer



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