CAPSTONE PHARMACY SERVICES INC
10-Q, 1996-05-15
DRUGS, PROPRIETARIES & DRUGGISTS' SUNDRIES
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<PAGE>   1

                                   Form 10-Q

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

[X]        QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

              For the quarterly period ended    March 31, 1996
                                                --------------
                                       OR

[ ]     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                        SECURITIES EXCHANGE ACT OF 1934

For the transition period from                    to
                               ------------------    ------------------

                       Commission file number  0-20606  
                                               -------

                        CAPSTONE PHARMACY SERVICES, INC.
             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                                                     <C>
         Delaware                                                          11-2310352
(State or other jurisdiction of                                           (IRS Employer
 incorporation or organization)                                         identification No.)

2930 Washington Boulevard, Baltimore, MD                                     21230-1197
    (Address of principal executive offices)                                 (Zip Code)
</TABLE>


Registrants's telephone number, including area code:  (410) 646-7373

                                      None
- --------------------------------------------------------------------------------
Former name, former address, and former fiscal year, if changed since last
report.

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 the number of shares outstanding of each of the issuer's classes of
common stock, as of the close of the latest practicable date.

<TABLE>
<S>                                                <C>         
           Class                                        Outstanding at May 10, 1996     
- ----------------------------                       ------------------------------------

Common Stock, $.01 Par Value                                15,364,540
                                                                      
</TABLE>
<PAGE>   2



               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES

                                     INDEX


<TABLE>
<S>                                                                                                                <C>
PART I.          FINANCIAL INFORMATION

Item 1.          Unaudited Consolidated Financial Statements

                 Consolidated Balance Sheets as of
                 March 31, 1996 and December 31, 1995                                                                 1-2

                 Consolidated Statements of Operations for the
                 three months ended March 31, 1996 and 1995                                                             3

                 Consolidated Statement of Changes in
                 Stockholders' Equity for the three months
                 ended March 31, 1996                                                                                   4

                 Consolidated Statements of Cash Flows for the
                 three months ended March 31, 1996 and 1995                                                             5

                 Notes to Unaudited Consolidated Financial Statements                                                 6-9

Item 2.          Management's Discussion and Analysis of Financial
                 Condition and Results of Operations                                                                10-13


PART II.   OTHER INFORMATION

Item 1.          Legal Proceedings                                                                                     14

Item 2.          Changes in Securities                                                                                 14

Item 3.          Defaults Upon Senior Securities                                                                       14

Item 4.          Submission of Matters to a Vote of Security Holders                                                   14

Item 5.          Other Information                                                                                     14

Item 6.          Exhibits and Reports on Form 8-K                                                                      14



SIGNATURES                                                                                                             15

INDEX  OF  EXHIBITS                                                                                                    16
                                                                                                                         
</TABLE>
<PAGE>   3
Part 1.  Financial Information
Item 1.  Financial Statements

               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                  AS OF MARCH 31, 1996 AND DECEMBER 31, 1995

                                     ASSETS

<TABLE>
<CAPTION>
                                                                         March 31,
                                                                           1996         December 31,
                                                                       (Unaudited)          1995
                                                                   ---------------    -----------------
<S>                                                                <C>               <C>
Current assets:
  Cash and cash equivalents                                        $     1,275,941    $      2,763,416
  Accounts receivable, net of allowance for doubtful
    accounts of  $1,721,000  as of March 31,  1996
    and $1,294,000 as of December 31, 1995                              20,107,211          12,646,087
  Inventories                                                            7,237,284           5,023,008
  Refundable income taxes                                                   44,955             828,628
  Prepaid expenses and other current assets                                689,379             688,549
                                                                   ---------------    ---------------- 
                                                                        29,354,770          21,949,688
                                                                   ---------------    ---------------- 
Equipment and leasehold improvements, net                                3,790,858           2,692,298
                                                                   ---------------    ----------------
Other assets:
  Notes receivable, less current portion                                    89,404              77,289
  Advances to affiliates                                                         -           2,242,841
  Security deposits and other assets                                       623,140             587,915
  Goodwill, net of accumulated amortization of
    $1,791,000 as of March 31, 1996 and
    $1,554,000 as of December 31, 1995                                  33,706,625          14,580,564
                                                                   ---------------    ----------------
                                                                        34,419,169          17,488,609
                                                                   ---------------    ----------------
                       Total assets                                $    67,564,797    $     42,130,595
                                                                   ===============    ================
</TABLE>




       The accompanying notes are an integral part of these consolidated
                             financial statements.

                                      -1-

<PAGE>   4


               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                  AS OF MARCH 31, 1996 AND DECEMBER 31, 1995

                     LIABILITIES AND STOCKHOLDERS'  EQUITY

<TABLE>
<CAPTION>
                                                                       March 31,
                                                                         1996             December 31,
                                                                      (Unaudited)             1995
                                                                   ---------------    ----------------
<S>                                                                <C>                <C>
Current liabilities:
  Accounts payable                                                 $     4,065,506    $      4,671,435
  Accrued expenses and other current liabilities                         2,205,548           1,465,837
  Current portion of long-term debt                                      2,186,302           4,222,608
  Current portion of non-compete agreements                                200,000             200,000
  Accrued restructuring charges                                            595,411             575,349
                                                                   ---------------    ---------------- 
                                                                         9,252,767          11,135,229
                                                                   ---------------    ---------------- 
Deferred income taxes                                                      542,787             542,787
Non-compete agreements, net of current portion                             400,000             400,000
Long-term debt, net of current portion                                  24,969,411           2,692,202
Long-term portion of accrued restructuring charges                         374,830             520,640
                                                                   ---------------    ----------------
                                                                        26,287,028           4,155,629
                                                                   ---------------    ----------------
Stockholders' equity:
  Common stock:  $.01 par value; 30,000,000 shares
      authorized at March 31, 1996 and December 31,
     1995;  14,663,002  shares issued and 14,324,540
     shares outstanding as of March 31, 1996  and
     13,610,810  shares issued and outstanding as of
     December 31, 1995                                                     143,245             136,108
  Capital in excess of par                                              43,876,845          38,985,006
  Accumulated deficit                                                  (11,995,088)        (12,281,377)
                                                                   ---------------    ----------------
                                                                        32,025,002          26,839,737
                                                                   ---------------    ----------------
                       Total liabilities and stockholders' equity  $    67,564,797    $     42,130,595
                                                                   ===============    ================
</TABLE>





  The accompanying notes are an integral part of these consolidated financial
                                  statements.

                                      -2-

<PAGE>   5


               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF OPERATIONS
               For the Three Months Ended March 31, 1996 and 1995


<TABLE>
<CAPTION>
                                                         Three months ended March 31,
                                                         ----------------------------
                                                             1996            1995
                                                          -----------    -----------
<S>                                                       <C>            <C>                     
Net sales                                                 $22,027,865    $10,950,534
Cost of sales                                              13,575,566      6,974,972
                                                          -----------    -----------
        Gross profit                                        8,452,299      3,975,562
                                                          -----------    -----------
Operating expenses:
  Selling, general and administrative expenses              7,277,293      4,060,639
  Depreciation and amortization                               569,057        287,121
  Restructuring charges                                             -      2,069,432
                                                          -----------    -----------
        Total operating expenses                            7,846,350      6,417,192
                                                          -----------    -----------

          Income (loss) from operations                       605,949     (2,441,630)
                                                          -----------    -----------
Non-operating expense (income):
  Interest expense, net                                       263,188        212,063
  Other income, net                                           (46,528)       (55,932)
                                                          -----------    -----------
        Total non-operating expense, net                      216,660        156,131
                                                          -----------    -----------
          Income (loss)  before income taxes
          and discontinued operations                         389,289     (2,597,761)
Provision (benefit) for income taxes                          103,000       (118,845)
                                                          -----------    -----------
          Income (loss) from continuing operations            286,289     (2,478,916)

Discontinued operations:
   Loss  from operations of discontinued business
   segments                                                         -       (268,041)               

   Loss on disposal of business segments, net                       -       (503,067)               
                                                          -----------    -----------
           Net income (loss)                              $   286,289    $(3,250,024)               
                                                          ===========    ===========
Earnings per share data:
Primary
    Continuing operations                                 $      0.02    $     (0.30)
    Discontinued operations                                      0.00          (0.10)
                                                          -----------    -----------
           Net  income  (loss)                            $      0.02    $     (0.40)
                                                          ===========    ===========
Fully diluted
    Continuing operations                                 $      0.02    $     (0.30)
    Discontinued operations                                      0.00          (0.10)
                                                          -----------    -----------
           Net  income  (loss)                            $      0.02    $     (0.40)
                                                          ===========    ===========

Weighted average number of  common  shares outstanding:

Primary                                                    16,592,126      8,111,210
                                                          ===========    ===========
Fully diluted                                              16,692,186      8,111,210
                                                          ===========    ===========

</TABLE>


            The accompanying notes are an integral part of these consolidated
                            financial statements.

                                     -3-
<PAGE>   6



               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
           CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
                   For the Three Months Ended March 31, 1996


<TABLE>
<CAPTION>
                                                                                                          
                                                        Common stock           Capital                    
                                                        ------------          in excess     Accumulated   
                                                   Shares         Amount     of par value     deficit         Total
                                                 ----------  -------------  ------------- --------------  -------------
<S>                                              <C>         <C>            <C>           <C>             <C>
Balance,  December 31, 1995                      13,610,810  $     136,108  $ 38,985,006  $  (12,281,377) $  26,839,737

   Common stock issued in connection
   with acquisition                               1,007,692         10,077     7,169,729               -      7,179,806

   Common stock held in escrow                     (338,462)        (3,385)   (2,408,157)              -     (2,411,542)

   Common stock issued in connection
   with the exercise of stock options                44,500            445       130,267               -        130,712

   Net income for the three months                                                     
   ended March 31, 1996                                   -              -             -         286,289        286,289
                                                 ----------  -------------  ------------  --------------  -------------
Balance,  March 31, 1996                         14,324,540  $     143,245  $ 43,876,845  $  (11,995,088) $  32,025,002
                                                 ==========  =============  ============  ==============  =============
</TABLE>





  The accompanying notes are an integral part of this consolidated financial
                                  statement.

                                      -4-


<PAGE>   7



               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
               For the Three Months Ended March 31, 1996 and 1995


<TABLE>
<CAPTION>
                                                                      Three months ended March 31,
                                                                     -----------------------------
                                                                         1996           1995
                                                                     ------------  ---------------
<S>                                                                  <C>           <C>                
Cash flows from (to) operating activities:
  Net income (loss)                                                  $    286,289  $   (3,250,024)
  Adjustments to reconcile net income (loss) to net cash
   (used in) provided by operating activities:
    Depreciation and amortization                                         569,057         287,121
    Loss on disposal of business segments                                       -         503,067
    Change in assets and liabilities, net of effects from
     acquisition/disposal of businesses:
      (Increase) decrease in accounts receivable                         (787,308)      2,062,040
      (Increase) decrease in inventories                                 (491,121)        631,211
      Decrease in prepaid expenses and
         other current assets                                             769,865         126,907
      Increase in other assets                                             (9,759)       (114,185)
      Decrease in accounts payable                                     (2,515,923)       (699,968)
      Decrease in pre-acquisition advances to affiliates, net            (427,086)              -
      Increase  (decrease) in accrued expenses and
         other current liabilities                                        560,585        (217,845)
      (Decrease) increase in accrued restructuring charges               (125,748)      1,191,023
                                                                     ------------  -------------- 
   Net cash (used in) provided by operating activities                 (2,171,149)        519,347
                                                                     ------------  -------------- 
Cash flows from (to) investing activities:
  Purchase of equipment and leasehold improvements                       (328,652)        (53,215)
  Acquisitions, net of cash acquired                                  (17,048,672)              -
  Repayments of notes receivable                                           32,973         100,310
                                                                     ------------  --------------
   Net cash (used in) provided by investing activities                (17,344,351)         47,095
                                                                     ------------  --------------
Cash flows from (to) financing activities:
  Loan proceeds from Creditanstalt                                     20,483,000               -     
  Repayment of subsidiary pre-acquisition indebtedness                 (1,800,000)              -     
  Proceeds from exercise of stock options                                 130,712          63,500
  Repayments of long-term debt, net                                      (717,144)       (514,188)
  Principal payments of capital lease obligations                         (68,543)        (40,754)
                                                                     ------------  --------------
   Net cash provided by (used in) financing activities                 18,028,025        (491,442)
                                                                     ------------  --------------
Net (decrease) increase in cash and cash equivalents                   (1,487,475)         75,000
Cash and cash equivalents, beginning of period                          2,763,416          25,000
                                                                     ------------  --------------
Cash and cash equivalents, end of period                             $  1,275,941  $      100,000
                                                                     ============  ==============
Supplemental Disclosure of Cash Flows Information
   Cash paid for:
       Interest                                                      $     82,671  $      182,400
                                                                     ============  ==============
       Taxes                                                         $     68,296  $       88,711
                                                                     ============  ==============

</TABLE>                                                             


  The accompanying notes are an integral part of these consolidated financial
                                  statements.

                                     -5-

<PAGE>   8

               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
              NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                MARCH  31, 1996

1.       ORGANIZATION AND BUSINESS:

         Capstone Pharmacy Services, Inc. (formerly known as Choice Drug
         Systems, Inc.), a Delaware corporation, together with its wholly-owned
         subsidiaries (the "Company") is principally engaged in the business of
         providing pharmaceuticals and related services to long-term care
         facilities, correctional institutions, hospitals and health
         maintenance organizations.  The Company's long-term care and health
         maintenance organization customers are primarily located in New York,
         New Jersey, Maryland, Pennsylvania, Delaware and Illinois, while the
         Company's hospital and correctional facility customers are located
         throughout the United States.

         On August 28, 1995, the Company changed its state of incorporation
         from New York to Delaware.  Effective October 2, 1995, the Company
         changed its name from Choice Drug Systems, Inc. to Capstone Pharmacy
         Services, Inc.  Additionally, effective December 31, 1995, the Company
         changed its year-end from February 28 to December 31.

2.       INCOME (LOSS) PER SHARE:

         Net loss per common share for the three months ended March 31, 1995
         was computed by dividing the net loss by the weighted average number
         of common shares outstanding.  For the three months ended March 31,
         1996, primary and fully diluted earnings per common share were
         computed by dividing net income by the weighted average number of
         shares of common stock and common stock equivalents outstanding.  The
         amount of common stock equivalents outstanding was computed using the
         treasury stock method.

3.       BASIS OF PRESENTATION:

         The interim condensed consolidated financial statements of the Company
         for the three months ended March 31, 1996 and 1995 included herein
         have been prepared by the Company, without audit, pursuant to the
         rules and regulations of the Securities and Exchange Commission.
         Certain information and footnote disclosures normally included in
         financial statements prepared in accordance with generally accepted
         accounting principles have been condensed or omitted pursuant to such
         rules and regulations.  In the opinion of management, the accompanying
         unaudited interim consolidated financial statements reflect all
         adjustments necessary to present fairly the financial position of the
         Company at March 31, 1996  and the results of its operations and its
         cash flows for the three months  ended March 31, 1996 and 1995.

         The results of operations for the three months ended March 31, 1996
         are not necessarily indicative of the results to be expected for the
         full year. These interim condensed  consolidated financial statements
         should be read in conjunction with the audited financial statements
         and notes thereto included in the Company's Annual Report on Form 10-K
         as filed with the Securities and Exchange Commission for the ten
         months ended December 31, 1995.   The balance sheet at December 31,
         1995 has been derived from the audited financial statements at that
         date.





                                       6
<PAGE>   9

               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
              NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                  (CONTINUED)

         The Company has restated its previously reported fiscal 1995 quarterly
         results of operations to provide comparable 1995 calendar quarter data
         to the results of operations presented during 1996.  This restatement,
         presented initially for the three months ended March 31, 1995,
         required certain adjustments and reclassifications to conform 1995
         monthly and quarterly amounts and their presentation to those used in
         the 1996 quarterly periods.

4.       ACQUISITIONS:

         In May 1995, the Company acquired Premier Pharmacy, Inc. ("Premier"),
         an institutional pharmacy, for a purchase price of $4.25 million in
         cash.  Premier's operations generate annualized revenues of
         approximately $24.0 million, primarily from pharmacy services provided
         to long-term care facilities and hospitals located in the New York
         metropolitan area and the southeastern United States.

         During January 1996, the Company acquired Geri-Care Systems, Inc. and
         its affiliate Scripts & Things, Inc.  ("Geri-Care") a Brooklyn, New
         York based provider of institutional pharmacy services.  Geri-Care
         generates annualized revenues of approximately $7.0 million from
         institutional pharmacy services primarily in the New York metropolitan
         area.  The Agreement and Plan of Merger between the selling
         shareholders of Geri-Care and the Company provides for, among other
         things, the future payment of additional shares (338,462) of the
         Company's common stock based on certain circumstances defined in the
         agreement.  At closing, the additional shares were issued and placed
         into an escrow account and have been accounted for as a reduction of
         outstanding shares in the accompanying consolidated balance sheets.

         In February 1996, the Company acquired IMD Corporation ("IMD"), a
         Chicago, Illinois based provider of institutional pharmacy services.
         The purchase price was approximately $15.5 million in cash.   IMD's
         operations generate annualized revenues of approximately $18.0
         million, primarily from nursing homes located in the Chicago
         metropolitan area.

         The Premier, Geri-Care, and IMD acquisitions have been accounted for
         under the purchase method of accounting with the assets and
         liabilities of the acquired companies recorded at their estimated fair
         market values at the dates of acquisition.  Goodwill, representing the
         excess of acquisition cost over the fair market value of the net
         assets acquired, is amortized over 40 years.





                                       7
<PAGE>   10

               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
              NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                  (CONTINUED)

5.       ACQUISITION PRO FORMA FINANCIAL STATEMENTS:

         The results of operations of acquired businesses are included in the
         Company's consolidated results from the date of acquisition. Had the
         acquisition of Premier and the private placement funding for this
         acquisition (Note 7) and the acquisition of Geri-Care and IMD and the
         bank borrowings used to fund the IMD acquisition (Note 6) occurred on
         January 1, 1995, management estimates that the unaudited pro forma
         results of operations for the three months ended March 31, 1996 and
         1995 ($000 omitted) would have been:

<TABLE>
<CAPTION>
                                                                             Three Months Ended March 31,
                                                                             ----------------------------
                                                                           1996                        1995
                                                                           ----                        ----
         <S>                                                            <C>                          <C>
         Net sales                                                      $    26,386                  $ 23,656
         Cost of sales                                                       16,060                    14,423
                                                                        -----------                  --------
                 Gross profit                                                10,326                     9,233
         Operating expenses including interest and taxes                      9,671                     9,548
                                                                        -----------                  --------
         Income (loss) from continuing operations                               655                      (315)
         Restructuring charges                                                    -                     2,069
         Discontinued operations                                                  -                       771
                                                                        -----------                  --------

                 Net income (loss)                                      $       655                  $ (3,155)
                                                                        ===========                  ======== 

                 Net income (loss) per common share                     $       .04                  $   (.34)
                                                                        ===========                  ========    
</TABLE>

         These pro forma operating results reflect certain adjustments,
         including amortization of goodwill acquired, incremental interest
         expense  and related income tax effects.  The pro forma results are
         not necessarily indicative of the operating results that would have
         occurred had the Premier, Geri-Care and IMD acquisitions been
         consummated on January 1, 1995, nor are they necessarily indicative of
         future results.

6.       CREDIT FACILITY:

         The Company maintains a Line of Credit and a term loan facility (the
         "Term Loan") with CreditAnstalt-Bankverein under which borrowings of
         up to $15.0 million on the Line of Credit and up to $10.0 on the Term
         Loan are available.  Borrowings under the agreement are secured by
         substantially all of the assets of the Company.  Amounts available to
         be borrowed under this agreement are based upon levels of accounts
         receivable and inventory.  The Line of Credit bears interest at prime
         plus .25% and the Term Loan bears interest at the prevailing LIBOR
         rate plus 1.25%.  Borrowings under both facilities are subject to
         other provisions and covenants, all as defined by the underlying
         agreement.  One such provision resulted in the increase of available
         borrowings under the Line of Credit and Term Loan to $21.0 million and
         $14.0 million, respectively, following completion of the April 18,
         1996 private placement, more fully described in Note 7.





                                       8
<PAGE>   11

               CAPSTONE PHARMACY SERVICES, INC. AND SUBSIDIARIES
              NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

                                 (CONTINUED)
7.       PRIVATE PLACEMENTS:

         On December 16, 1994, the Company entered into a Stock Purchase
         Agreement with Counsel Corporation, an Ontario corporation
         ("Counsel"), pursuant to which Counsel acquired 2,000,000 shares of
         the Company's common stock for net proceeds of approximately
         $7,191,000.  Counsel was also granted two three-year warrants, the
         first of which grants Counsel the right to purchase up to 1,000,000
         shares of the Company's common stock at the exercise price of $4.50
         per share, and the second of which grants Counsel the right to acquire
         up to 800,000 shares of the Company's common stock at the exercise
         price of $5.50 per share.

         On May 22, 1995, the Company completed a private offering of 1,600,000
         units (the "Units").  Each Unit consisted of one share of Common
         Stock, a three-year warrant to acquire 0.5 shares of Common Stock at
         the exercise price of $4.50 per share, and a three-year warrant to
         acquire 0.4 shares of Common Stock at the exercise price of $5.50 per
         share.  Investors were granted registration rights with respect to
         both the Common Stock included in the Units and the Common Stock
         underlying the related warrants.  The offering of Units raised
         proceeds of approximately $5,760,000, net of related expenses at a
         price of $3.65 per Unit.  The proceeds of the private placement were
         used in part to fund the acquisition of Premier.

         On August 29, 1995, the Company completed a private placement of its
         common stock.  This offering consisted of 3,500,000 shares at a price
         of $4.38 per share.  The net proceeds of this offering were
         $15,080,000, net of related expenses including placement commissions.
         There were no warrants issued in connection with this second private
         placement.

         On April 18, 1996, the Company completed a private placement of its
         common stock.  This offering consisted of 1,035,000 shares at a price
         of $8.50 per share.  The net proceeds of this offering, $8,370,000
         net of related expenses including placement commissions, increased the
         Company's net worth so that its tangible net worth meets the
         requirements of the Nasdaq stock market.  There were no warrants
         issued in connection with this third private placement.

8.       RESTRUCTURING:

         During February 1995, the Company adopted a formal plan of corporate
         restructuring in order to realign and consolidate businesses,
         concentrate resources, and better position itself to achieve its
         strategic growth objectives.  This plan included the sale of the
         Company's medical/surgical supply operations and the closing of the
         Company's long-term care pharmacy operation located in Missouri.

9.       DISCONTINUED OPERATIONS:

         In connection with the adoption of a formal restructuring plan (Note
         8), the Company decided to discontinue the operations of its mail
         order pharmacy subsidiary and to sell the assets of its computer
         software division.

         On June 30, 1995, the Company sold the assets of its computer software
         division and closed its mail order pharmacy business, effective July
         31, 1995.





                                       9
<PAGE>   12





ITEM 2.  Management's Discussion and Analysis of Financial Condition and
         Results of Operations

General Overview and Status of the Company:

The Company, during the three months ended March 31, 1995, implemented a
corporate restructuring plan.  Key elements of the plan included concentrating
the Company's operating and marketing focus on its core business lines - -
long-term care pharmacy and correctional pharmacy services.  The Company has as
part of this plan raised additional private equity, which has enabled it to
reduce debt and initiate a merger and acquisition program intended to further
its overall strategy of becoming a low-cost, high quality provider of pharmacy
services for a broad range of institutional clients.  At the same time, the
Company has worked to sell or close non-core and unprofitable business
segments.

In addition, the Company has continued steps previously initiated to reduce
both operating and overhead costs through the consolidation and streamlining of
operations and corporate functions.  Partially offsetting the improved results
of operations were increased legal and other costs associated with the ongoing
implementation of the Company's restructuring plan.

Cost of goods sold are being reduced as a result of the Company's continued
focus on its purchasing activities to improve primary wholesaler discounts and
achieve price advantages.  Increased purchasing volume, lower inventory levels
relative to sales volume and the reconfiguring of operations are the key
elements of the Company's success in reducing cost of sales.  The Company
continues to pursue the plans initiated during the first quarter of 1995 to
improve purchasing efficiency and inventory cost control.

The Company has continued its efforts to consolidate regional pharmacy
operations in the northeast United States and to expand its operations into
other major metropolitan markets.  The Company completed the acquisitions of
PremierPharmacy, Inc. in May 1995; Geri-Care Systems, Inc. in January 1996; and
IMD Corporation in February 1996.





                                       10
<PAGE>   13

                   RESULTS OF OPERATIONS, THREE MONTHS ENDED
                     MARCH 31, 1996 COMPARED WITH THE THREE
                          MONTHS ENDED MARCH 31, 1995

NET SALES:

         Net sales increased to $22,027,865 from $10,950,534, an increase of
         $11,077,331 or 101.2%.  Of this increase, approximately $10,640,000 was
         attributable to the acquisitions of  Premier, Geri-Care, and IMD.  Net
         sales on a comparable Company basis increased by approximately
         $1,482,000 or 13.5%, after giving effect to the elimination of
         medical/surgical sales which were included in the prior period and the
         increase in sales to correctional facilities during the first quarter
         of 1996.

COST OF SALES:

         Cost of sales includes the cost of pharmaceuticals sold to patients
         and institutions.  Cost of sales increased to $13,575,566 from
         $6,974,972, an increase of $6,600,594 or 94.6%.  Of this increase,
         approximately $6,431,000 or 97.4% was attributable to acquisitions and
         the remainder resulted from increased sales volumes.

SELLING AND ADMINISTRATIVE EXPENSES:

         Selling and administrative expenses, excluding depreciation and
         amortization of goodwill, increased by $3,216,564 from $4,060,639 to
         7,277,293 or 79.2%.  Of this increase, approximately $3,398,000 was
         attributable to acquisitions.  On a comparable company basis, selling
         and administrative expenses decreased by approximately $181,000, or
         4.5%, as the result of the Company's continued cost containment
         efforts.

DEPRECIATION AND AMORTIZATION:

         Depreciation and amortization increased by $281,936, or 98.2% compared
         to the same period in the prior year.  Of this increase, $153,898, or
         54.6%, is attributable to depreciation which relates to acquisitions.
         Amortization of goodwill increased by approximately $156,000 in the
         current period as a result of acquisitions.

INTEREST EXPENSE:

         Net interest expense increased by $51,125, or 24.1%, compared to the
         same period in the prior year.  This increase results from the
         increase in bank debt which was incurred in connection with the
         acquisition of IMD.

INCOME TAXES:

         Income taxes consist of accruals and adjustments for state and local
         income taxes based upon apportioned state taxable income.  The Federal
         income tax provision has been reduced to zero by the anticipated
         utilization of net operating loss carry forwards.





                                       11
<PAGE>   14

                   RESULTS OF OPERATIONS, THREE MONTHS ENDED
                     MARCH 31, 1996 COMPARED WITH THE THREE
                          MONTHS ENDED MARCH 31, 1995
                                  (Continued)

NET INCOME (LOSS):

         Net income for the three months ended March 31, 1996 was $286,289
         compared to a net loss of $3,250,024 for the comparable period of the
         prior year.  This change is primarily attributable to restructuring
         charges in the amount of $2,069,432 recorded during the prior period
         and the loss from operations of discontinued business segments and the
         loss on disposal of business segments aggregating $771,108 which are
         included in the prior period.  Excluding the restructuring charges
         discussed above, income from operations increased by $978,147 to
         $605,949 for the three months ended March 31, 1996.





                                       12
<PAGE>   15

                   LIQUIDITY, CAPITAL RESOURCES AND CASH FLOW
                       THREE MONTHS ENDED MARCH 31, 1996

         The Company's net cash used in operating activities was $2,171,149 for
         the three months ended March 31, 1996 compared to the $519,347 net
         cash provided by operating activities for the three months ended
         March 31, 1995.  Cash used in operating activities for the three
         months ended March 31, 1996 resulted from increases in accounts
         receivable and inventories, the reduction of accounts payable, accrued
         expenses and other long term liabilities, partially offset by the
         decrease in prepaid expenses and other current assets.

         Net cash used in investing activities was $17,344,351 for the three
         months ended March 31, 1996 compared to $47,095 net cash provided by
         investing activities for the prior period.  Of the first quarter 1996
         amount, $17,048,672 was attributable to the acquisitions of Geri-Care
         and of IMD.

         Cash provided by financing activities was $18,028,025 for the three
         months ended March 31, 1996 compared to the $491,442 of cash used in
         financing activities for the prior period.  During the period ended
         March 31, 1996, the Company borrowed $20,483,000 from CreditAnstalt as
         a source of funding for the acquisitions.  A portion of these borrowed
         funds, $1,800,000, were used to repay certain pre-acquisition
         indebtedness of one of the acquired companies.

         Working capital increased to $20,102,003 at March 31, 1996 from
         $10,814,459 at December 31, 1995.  Generally, such changes result from
         long-term acquisition financing and the impact on the balance sheet of
         assets acquired and liabilities assumed.

         The Company's current ratio at March 31, 1996 was 3.17:1, compared to
         1.97:1 at December 31, 1995.
 




                                       13
<PAGE>   16



PART II.     OTHER INFORMATION


Item 1       Legal Proceedings

             Not Applicable

Item 2       Changes in Securities

             Not Applicable


Item 3       Defaults Upon Senior Securities

             Not Applicable


Item 4       Submission of Matters to a Vote of Security Holders.

             Not Applicable


Item 5       Other Information

             Not Applicable


Item 6       Exhibits and Reports on Form 8-K

             a)      The exhibits filed as a part of this Report are listed in
                     the Exhibit Index immediately following the signature page.

             b)      Reports on Form 8-K filed in the first three months of 
                     1996.

             Date Filed                   Report Name
             ----------                   -----------

             1/08/96     Current Report on Form 8-K dated December 31, 1995  
             3/08/96     Current Report on Form 8-K/A dated December 31, 1995
             3/15/96     Current Report on Form 8-K dated February 29, 1996  
             3/20/96     Current Report on Form 8-K dated March 20, 1996     





                                       14
<PAGE>   17

                                        


                                   SIGNATURES


         Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.



                                        CAPSTONE PHARMACY SERVICES, INC.
                                        --------------------------------
                                                   (Registrant)




Dated:  May 15, 1996                    By:    /S/ Donald W. Hughes           
                                               -------------------------------
                                                       Donald W. Hughes
                                                       Vice President and
                                                       Chief Financial Officer





                                       15
<PAGE>   18




                               INDEX OF EXHIBITS

<TABLE>
<CAPTION>
Exhibit
Number                                Description
- ------                                -----------
   <S>           <C>
    2.1          Asset Purchase Agreement dated February 29, 1996, by and among IMD Corporation, Dennis Ruben, the
                 Trust, Illinois Pharmacy Acquisition Co. and Capstone Pharmacy Services, Inc. (incorporated by
                 reference to Exhibit 2 to Form 8-K dated February 29, 1996.)

    3.1          Certificate of Incorporation of Choice Drug Systems, Inc. (incorporated by reference to Exhibit 3.1 to
                 Form 10Q for period ending August 30, 1995.)

    3.2          Certificate of Ownership and Merger Merging Choice Mergeco, Inc. into Choice Drug Systems, Inc.
                 (incorporated by reference to Exhibit 3.2 to form 10Q for period ending August 30, 1995).

    3.3          Bylaws of Choice Drug Systems, Inc. (Incorporated by reference to Exhibit 3.3 to Form 10Q for period
                 ending August 30, 1995.)

   10.1          Form of Second Amendment to Registration Rights Agreement dated March 20, 1996.

   10.2          Form of Third Amendment to Registration Rights Agreement dated April 11, 1996.

   10.3          Form of Registration Rights Agreement dated April 17, 1996.

   27            Financial Data Schedule.  (for SEC use only)

</TABLE>




                                       16

<PAGE>   1
                                                                EXHIBIT 10.1


                         REGISTRATION RIGHTS AGREEMENT

         THIS REGISTRATION RIGHTS AGREEMENT (the "Agreement") is made and
entered into as of April ___, 1996, by and among CAPSTONE PHARMACY SERVICES,
INC., a Delaware corporation, and the parties named on Schedule I attached
hereto (each a "Holder" and, collectively, the "Holders").

                                    RECITALS

         The Holders propose to acquire up to 3,000,000 shares (the "Shares")
of the Company's common stock, par value $.01 per share (the "Common Stock"),
upon the terms set forth in those certain Subscription Agreements dated as of
the date hereof between the Company and each of the respective Holders (each, a
"Subscription Agreement" and collectively, the "Agreements").

         In order to induce Holders to purchase the Shares and in satisfaction
of a condition to the obligations of the Holders under the Subscription
Agreements, the Company has agreed to provide the registration rights set forth
in this Agreement.

1. Piggyback Registrations.

         (a) Right to Piggyback. If, at any time after 90 days after the date
hereof, the Company proposes to register any of its securities under the
Securities Act of 1933, as amended (the "Securities Act") and the registration
form to be used may be used for the registration of Shares (a "Piggyback
Registration" and the rights to such registration "Piggyback Registration
Rights"), the Company will give prompt written notice (in any event at least 30
days in advance) to all Holders of its intention to effect such a registration
and will include in such registration all Shares with respect to which the
Company has received written requests for inclusion therein within 15 days
after the receipt of the Company's notice.

         (b) Piggyback Expenses. The expenses incurred in connection with such
registration by the Holders will be paid by the Company in all Piggyback
Registrations.

         (c) Priority on Primary Registrations. If a Piggyback






<PAGE>   2

Registration is, in whole or in part, an underwritten primary registration on
behalf of the Company, and the managing underwriters advise the Company in
writing that in their opinion the number of securities requested to be included
in such registration exceeds the number of piggyback shares which can be sold
in such offering, the Company will include in such registration (i) first, the
shares of Common Stock the Company proposes to sell, (ii) second, the shares of
Common Stock proposed to be sold by holders thereof who have registration
rights pursuant to the Registration Rights Agreement dated December 16, 1994,
as amended, or the Registration Rights Agreement dated May 22, 1995, as amended
(such holders hereinafter referred to as the "Existing Holders"), (iii) third,
the Shares requested to be included in such registration, pro rata among the
Holders of such Shares on the basis of the number of Shares requested to be
included by such Holders, and (iv) fourth, other shares of Common Stock
requested to be included in such registration.

         (d) Priority on Secondary Registration.

         (i) If the Holders exercise their Piggyback Registration Rights in
connection with a registration statement filed in response to the exercise of
Demand Registration Rights (as defined below) by the Existing Holders, and the
managing underwriters advise the Company in writing that in their opinion the
number of securities requested to be included in such registration exceeds the
number which can be sold in such offering, the Company will include in such
registration (i) first, the shares of Common Stock requested to be included by
the Existing Holders (ii) second, the Shares requested to be included in such
registration, pro rata among the Holders of such Shares on the basis of the
number of Shares requested to be included by such Holders, and (iii) third,
other securities requested to be included in such registration.

         (ii) If the Existing Holders exercise their Piggyback Registration
Rights in connection with a registration statement filed in response to the
exercise of Demand Registration Rights by the Holders, and the managing
underwriters advise the Company in writing that, in their option, the number of
securities requested to be included in such registration exceeds the number






                                       2
<PAGE>   3

which can be sold in such offering, the Company will, subject to the rights of
the Existing Holders under paragraph 2(c) hereof, include in such registration
statement (i) first, the Shares, (ii) second, the shares of Common Stock
requested to be included by the Existing Holders, and (iii) third, other
securities requested to be included in such registration.

2. Demand Registration.

         (a) Registration. At any time after December 16, 1996, the Holders of
not less than one-half of the Shares (as defined in Section 8(a) below)
previously not registered pursuant to Section 1 may request one registration
under the Securities Act of all or part of their Registrable Securities on Form
S-1 under the Securities Act or any other permitted registration form ("Demand
Registration" and the right to such registration "Demand Registration Rights")
for which the Company will pay all Registration Expenses (as defined Section 5
below), in the event that not all Shares were previously registered pursuant to
a Piggyback Registration. A registration will not count as a Demand
Registration until it has become effective.

         (b) Priority on Demand Registrations. If, at any time after December
16, 1996, the Company receives a request by the Holders for a Demand
Registration, within five days after the receipt thereof the Company will (i)
give written notice of such request to all Holders and Existing Holders
previously not registered and (ii) include in such Demand Registration all
shares of Common Stock with respect to which the Company has received written
requests for inclusion therein within 15 days after the receipt of the
Company's notice. If the managing underwriter of any Demand Registration
advises the Company in writing that in its opinion the number of Shares and
other securities requested to be included exceeds the number of Shares and
other securities which can be sold in such offering, the Company will include
in such registration prior to the inclusion of any securities which are not
Shares, the number of Shares requested to be included which in the opinion of
such underwriter can be sold, pro rata among the respective Holders on the
basis of their relative shares of Shares requested to be included. Any persons
other than Holders who participate in the Demand Registration must pay their
share of the Registration Expenses as provided in Section 5.






                                       3
<PAGE>   4


         (c) Priority on Demand Registrations with respect to Existing Holders.
If, during the period after the Company has received a request by the Holders
for a Demand Registration and 15 days after the Holders and Existing Holders
have received the Company's notice described in the first sentence of Section
2(b) above, the Company receives a request by the Existing Holders for a Demand
Registration, then the Holders agree that the Company may file a registration
statement in response to the request by the Existing Holders in lieu of filing
a registration statement in response to the request by the Holders. The Holders
will have Piggyback Registration Rights in connection with such Demand
Registration in accordance with Section l(d)(i) hereof.

         (d) Selection of Underwriters. The Company will have the right to
decide if a Demand Registration shall be underwritten and to select the
investment banker(s) and manager(s) to manage or administer any offering
pursuant to a Demand Registration. Notwithstanding the foregoing, the Company's
unwillingness or inability to select such banker or manager shall not limit the
Company's obligation to proceed with a requested Demand Registration.

         (e) Other Registration Rights. Except as provided in this Agreement,
the Company will not grant to any persons the right to request the Company to
register any equity securities of the Company, or any securities convertible or
exchangeable into or exercisable for such securities on terms that are superior
to or pari passu with the rights granted herein, without the written consent of
the holders of at least two-thirds of the Shares.

         (f) The Registration Expenses of the Holders will be paid by the
Company in Demand Registration.

3. Holdback Agreements.

         (a) Each Holder agrees not to effect any public sale or distribution
of equity securities of the Company, or any securities convertible into or
exchangeable or exercisable for such securities, during the seven days prior to
and the 180 day period beginning on the effective date of any underwritten
Piggyback Registration or any underwritten Demand Registration in which Shares
are included (except as part of such underwritten






                                       4
<PAGE>   5

registration), unless the underwriters managing the registered public offering
otherwise agree.

4. Registration Procedures. Whenever the Holders have requested that any Shares
be registered pursuant to the Agreement, the Company will use its best efforts
to effect the registration and the sale of such Shares in accordance with the
intended method of disposition thereof, and pursuant thereto the Company will
as expeditiously as possible:

         (a) prepare and file with the Securities and Exchange Commission (the
"SEC") a registration statement with respect to such Shares and use its best
efforts to cause such registration statement to become effective (provided that
before filing a registration statement or prospectus or any amendments or
supplements thereto, the Company will furnish to a single law firm selected by
the Holders of a majority of the Shares covered by such registration statement
copies of all such documents proposed to be filed, which documents will be
subject to the reasonable review of such counsel which review will be limited
to information concerning the Holders and their plans of distribution and other
issues reasonably related to the Holders as Selling Shareholders);

         (b) prepare and file with the SEC such amendments and supplements to
such registration statement and the prospectus used in connection therewith as
may be necessary to keep such registration statement effective for a period of
not less than six months and comply with the provisions of the Securities Act
with respect to the disposition of all securities covered by such registration
statement during such period in accordance with the intended methods of
disposition by the Holders thereof set forth in such registration statement;

         (c) furnish to each Holder of Shares such number of copies of such
registration statement, each amendment and supplement thereto, the prospectus
included in such registration statement (including each preliminary prospectus)
and such other documents as such Holder may reasonably request in order to
facilitate the disposition of the Shares owned by such Holder;

         (d) use its best efforts to register or qualify such Shares






                                       5
<PAGE>   6

under such other securities or blue sky laws of such jurisdiction as any Holder
reasonably requests and do any and all other acts and things which may be
reasonably necessary or advisable to enable such Holder to consummate the
disposition in such jurisdictions of the Shares owned by such Holder (provided
that the Company will not be required to (i) qualify generally to do business
in any jurisdiction where it would not otherwise be required to qualify but for
this subparagraph, (ii) subject itself to taxation in any such jurisdiction or
(iii) consent to general service of process in any such jurisdiction);

         (e) notify each Holder of such Shares, at any time when a prospectus
relating thereto is required to be delivered under the Securities Act, of the
happening of any event as a result of which the prospectus included in such
registration statement contains an untrue statement of a material fact or omits
any fact necessary to make the statements therein not misleading, and, at the
request of any such Holder, the Company will prepare a supplement or amendment
to such prospectus so that, as thereafter delivered to the purchasers of such
Shares, such prospectus will not contain an untrue statement of a material fact
or omit to state any fact necessary to make the statements therein not
misleading.

         (f) cause all such Shares to be listed on each securities exchange on
which similar securities issued by the Company are then listed;

         (g) provide a transfer agent and registrar for all such Shares not
later than the effective date of such registration statement;

         (h) enter into such customary agreements (including underwriting
agreements in customary form) and take all such other actions as the holders of
a majority of the Shares being sold or the underwriters, if any, reasonably
request in order to expedite or facilitate the disposition of such Shares
(including, without limitation, effecting a stock split or a combination of
shares);

         (i) make available for inspection by any seller of Shares, any
underwriter participating in any disposition pursuant to such






                                       6
<PAGE>   7

registration statement, and any attorney, accountant or other agent retained by
any such seller or underwriter, all financial and other records, pertinent
corporate documents and properties of the Company, and cause the Company's
officers, directors, employees and independent accountants to supply all
information reasonably requested by any such seller, underwriter, attorney,
accountant or agent in connection with such registration statement; and

         (j) obtain a comfort letter from the Company's independent public
accountants in customary form and covering such matters of the type customarily
covered by comfort letters as the holders of a majority of the Shares being
sold reasonably request (provided that such Shares constitute at least 10% of
the securities covered by such registration statement).

5. Registration Expenses.

         (a) All expenses incident to the Company's performance under this
Agreement, including without limitation all registration and filing fees, fees
and expenses of compliance with securities or blue sky laws, printing expenses,
messenger and delivery expenses, and fees and disbursements of counsel for the
Company and all independent certified public accountants, underwriters
(excluding discounts and commissions, which are the responsibility of the
seller) and other persons retained by the Company (all such expenses being
herein called "Registration Expenses"), will be borne as provided in this
Agreement, except that the Company will, in any event, pay its internal
expenses (including, without limitation, all salaries and expenses of its
officers and employees performing legal or accounting duties), the expense of
any annual audit or quarterly review, the expense of any liability insurance
and the expenses and fees for listing the securities to be registered on each
securities exchange on which similar securities issued by the Company are then
listed.

6. Indemnification.

         (a) The Company agrees to indemnify, to the extent permitted by law,
each Holder, its officers, directors and employees and each person who controls
such holder (within the meaning of the Securities Act) against all losses,
claims, damages, liabilities






                                       7
<PAGE>   8

and expenses caused by any untrue or alleged untrue statement of material fact
contained in any registration statement, prospectus or preliminary prospectus
or any amendment thereof or supplement thereto or any omission or alleged
omission of a material fact required to be stated therein or necessary to make
the statements therein not misleading, except insofar as the same are caused by
or contained in any information furnished in writing to the Company by such
Holder expressly for use therein or by such Holder's failure to deliver a copy
of the registration statement or prospectus or any amendments or supplements
thereto after the Company has furnished such Holder with a sufficient number of
copies of the same. In connection with an underwritten offering, the Company
will indemnify such underwriters, their officers, directors and employees and
each person who controls such underwriters (within the meaning of the
Securities Act) to the same extent as provided above with respect to the
indemnification of the Holders. Notwithstanding the foregoing, to the extent
that the provisions on indemnification and contribution contained in any such
underwriting agreement are in conflict with the foregoing provisions, the
provisions in the underwriting agreement shall control.

         (b) In connection with any registration statement in which a Holder is
participating, each such Holder will furnish to the Company in writing such
information and affidavits as the Company reasonably requests for use in
connection with any such registration statement or prospectus and, to the
extent permitted by law, will indemnify the Company, its directors, officers
and employees and each person who controls the Company (within the meaning of
the Securities Act) against any loss, claims, damages, liabilities and expenses
resulting from any untrue or alleged untrue statement of material fact
contained in the registration statement, prospectus or preliminary prospectus
or any amendment thereof or supplement thereto or any omission or alleged
omission of a material fact required to be stated therein or necessary to make
the statements therein not misleading, but only to the extent that such untrue
statement or omission is contained in any information or affidavit so furnished
in writing by such holder expressly for use herein.

         (c) Any person entitled to indemnification hereunder will (i) give
prompt written notice to the indemnifying party of any






                                       8
<PAGE>   9

claim with respect to which it seeks indemnification and (ii) unless in such
indemnified party's reasonable judgment a conflict of interest between such
indemnified and indemnifying parties may exist with respect to such claim,
permit such indemnifying party to assume the defense of such claim with counsel
reasonably satisfactory to the indemnified party. If such defense, is assumed,
the indemnifying party will not be subject to any liability for any settlement
made by the indemnified party without its consent (but such consent will not be
unreasonably withheld). An indemnifying party who is not entitled to, or elects
not to, assume the defense of a claim will not be obligated to pay the fees and
expenses of more than one counsel for all parties indemnified by such
indemnifying party with respect to such claim, unless in the reasonable
judgment of any indemnified party a conflict of interest may exist between such
indemnified party and any other of such indemnified parties with respect to
such claim.

7. Participation in Underwritten Registrations. No person may participate in
any registration hereunder which includes an underwritten offering unless such
person (i) agrees to sell such person's securities on the basis provided in any
underwriting arrangements approved by the person entitled hereunder to approve
such arrangements and (ii) completes and executes all questionnaires, power of
attorney, indemnities, underwriting agreements and other documents required
under the terms of such underwriting arrangements.

8. Miscellaneous.

         (a) No Inconsistent Agreements. The Company will not hereafter enter
into any agreement with respect to its securities which are superior to the
rights granted to the Holders in this Agreement.

         (b) Adjustments Affecting Registrable Securities. The Company will not
take any action, or permit any change to occur, with respect to its securities
which would materially and adversely affect the ability of the holders of
Shares to include such Shares in a registration undertaken pursuant to this
Agreement or which would materially and adversely affect the marketability of
such Shares in any such registration (including,






                                       9
<PAGE>   10

without limitation, effecting a stock split or a combination of shares).

         (c) Remedies. Any person having rights under any provision of this
Agreement will be entitled to enforce such rights specifically, to recover
damages caused by reason or any breach of any provision of this Agreement and
to exercise all other rights granted by law.

         (d) Amendments and Waivers. Except as otherwise provided herein, the
provisions of this Agreement may be amended and the Company may take any action
herein prohibited, or omit to perform any act herein required to be performed
by it, only if the Company has obtained the written consent of holders of at
least two-thirds of the Shares.

         (e) Successors and Assigns. All covenants and agreements in this
Agreement by or on behalf of any of the parties hereto will bind and inure to
the benefit of the respective successors and assigns of the parties hereto
whether or not any express assignment has been made, the provisions of this
Agreement which are for the benefit of purchasers or Holders of are also for
the benefit of, and enforceable by, any subsequent Holder, provided that the
Company is given written notice at the time of or within a reasonable time
after said assignment, stating the name and address of the assignee or holder
and identifying the securities with respect to which such registration rights
are being assigned, and provided further, that the assignee or Holder of such
rights assumes the obligations of such Holder under this Agreement.

         (f) Severability. Whenever possible, each provision of this Agreement
will be interpreted in such manner as to be effective and valid under
applicable law, but if any provision of this Agreement is held to be prohibited
by or invalid under applicable law, such provision will be effective only to
the extent of such prohibition or invalidity, without invalidating the
remainder of this Agreement.

         (g) Counterparts. This Agreement may be executed simultaneously in two
or more counterparts, any one of which need not contain the signature of more
than one party, but all such






                                       10
<PAGE>   11

counterparts taken together will constitute one and the same Agreement.

         (h) Descriptive Headings. The descriptive headings of this Agreement
are inserted for convenience only and do not constitute a part of this
Agreement.

         (i) Governing Law. The construction, validity and interpretation of
this Agreement and the exhibits and schedules hereto will be governed by the
internal law, and not the law of conflicts, of the State of New York.

         (j) Notices. All notices, demands or other communications to be given
or delivered under or by reason of the provisions of this Agreement will be in
writing and will be deemed to have been given when delivered personally or
mailed by certified or registered mail, return receipt requested and postage
prepaid, to the recipient. Such notices, demands and other communications will
be sent to each other Holder at the address provided by such Holder and to
Company at the address indicated below:

                          Capstone Pharmacy Services, Inc.
                          2930 Washington Boulevard
                          Baltimore, Maryland 21230

                          With a copy mailed to:

                          Harwell Howard Hyne Gabbert & Manner, P.C.
                          1800 First American Center
                          315 Deaderick Street
                          Nashville, Tennessee 37238
                          Attention: Mark Manner, Esq.






                                       11
<PAGE>   12

or to such other address or to the attention of such other person as the
recipient party has specified by prior written notice to the sending party.

IN WITNESS WHEREOF, the Company has executed this Agreement as of April ___,
1996.

                                        CAPSTONE PHARMACY SERVICES, INC.

                                                   By: ________________________

                                                   Its: ________________________






                                       12
<PAGE>   13

                                        Schedule 1






                                       13
<PAGE>   14

                                                                       Exhibit B






                                       14

<PAGE>   1
                                                                EXHIBIT 10.2


                                SECOND AMENDMENT

                                       TO

                         REGISTRATION RIGHTS AGREEMENT

         This Second Amendment (the "Second Amendment") to Registration Rights
Agreement is entered into as of March 20, 1996 among Capstone Pharmacy
Services, Inc., f/k/a Choice Drug Systems, Inc. (the "Company"), the new
investors listed on the signature page hereto (the "Additional Investors") and
the Initial Investors and Secondary Investors, to amend that certain
Registration Rights Agreement dated May 22, 1995 by and among the Company and
the Initial Investors (the "Original Agreement"), as previously amended by that
certain Amendment to Registration Rights Agreement (the "First Amendment")
dated August 29, 1995 by and among the Company, the Initial Investors and
Secondary Investors as, (the Original Agreement, as amended by the First
Amendment is hereby referred to as the  "Registration Rights Agreement").
Terms used but not defined herein shall have the meaning set forth in the
Registration Rights Agreement.

         WHEREAS, the Company the Initial Investors, and the Secondary
Investors have entered into the above-referenced Registration Rights Agreement;
and

         WHEREAS, the Registration Rights Agreement currently provides that
under certain circumstances the Company may grant registration rights that are
pari passu to the rights originally granted in the Registration Rights
Agreement with respect to up to 300,000 shares of common stock; and

         WHEREAS, in connection with an acquisition, the Company desires to
offer to the Additional Investors demand and piggyback registration rights with
respect to an aggregate of 1,007,692 shares of common stock comparable to those
provided to the Initial Investors and Secondary Investors pursuant to the
Registration Rights Agreement; and

         WHEREAS, Initial Investors and Secondary Investors holding at least
two-thirds of the securities which are subject to the Registration Rights
Agreement are being asked to consent to this Amendment.

         NOW, THEREFORE, to induce the Additional Investors to participate in
the acquisition transaction and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the parties agree to
amend the Registration Rights Agreement as follows:

         1.      The first sentence of the Registration Rights Agreement shall
be deleted in its entirety and substituted with the following:






<PAGE>   2

                 This REGISTRATION RIGHTS AGREEMENT is made as of May
                 22, 1995 among Choice Drug Systems, Inc. (the "Company"),
                 Counsel Corporation and the other investors  (collectively,
                 the "Initial Investors"), who participated in the Company's
                 offering of units consisting of common stock and Warrants
                 which closed on May 22, 1995 (the "Unit Offering"), the
                 investors (collectively, the "Secondary Investors") who
                 participated in the Company's offering of common stock which
                 closed on August 29, 1995 (the "Common Offering") and the
                 selling shareholders (the "Additional Investors") who
                 participated in the acquisition by the Company of Geri-Care
                 Systems, Inc. and Scripts & Things, Inc. pursuant to that
                 certain Agreement and Plan of Merger effective as of September
                 30, 1995 (the "Merger").

         2.      The second recital of the Registration Rights Agreement is
hereby deleted in its entirety and substituted with the following:

                 WHEREAS, in connection with the Unit Offering, the Common
                 Offering and the Merger, the Company desires to offer to
                 Counsel, the Initial Investors, the Secondary Investors and
                 the Additional Investors comparable (but not identical)
                 registration rights similar to those set forth in the 1994
                 Agreement; and

         3.      The fifth paragraph of the Registration Rights Agreement is
hereby deleted in its entirety and substituted with the following:

                 NOW, THEREFORE, to induce Counsel to terminate the 1994
                 Agreement, to induce the Initial Investors to participate in
                 the Unit Offering, to induce the Secondary Investors to
                 participate in the Common Offering and to induce the
                 Additional Investors to participate in the Merger, the Company
                 has agreed to provide the various registration rights set
                 forth in this Agreement and the Holders have agreed to accept
                 the same, all subject to the terms and conditions set forth
                 herein.

         4.      Paragraph 1(a) of the Registration Rights Agreement which
contains the definition of the term "Registrable Securities" shall be deleted
in its entirety and substituted with the following:

                 (a)      The term "Registrable Securities" means (i) the
                 Shares of the Company's common stock issued to, and issued
                 upon exercise of the Warrants held by, Counsel pursuant to the
                 1994 Stock Purchase Agreement or by persons to whom Counsel
                 has transferred any of said shares in a transaction not






<PAGE>   3

                 involving any public offering, (ii) the Stock and shares of
                 the Company's common stock issued upon exercise of the
                 Warrants held by the Initial Investors pursuant to the Unit
                 Offering or by persons to whom the Initial Investors have
                 transferred any of said stock in a transaction not involving
                 any public offering, (iii) the stock held by the Secondary
                 Investors pursuant to the Common Offering or by persons to
                 whom the Secondary Investors have transferred any of said
                 stock in a transaction not involving any public offering, (iv)
                 the Shares of the Company's common stock issued to the
                 Additional Investors in connection with the Merger such shares
                 to be evidenced by certificates containing the legend set
                 forth in Section 10(k) hereof, and (v) any securities issued
                 or issuable with respect to the securities referred to in
                 clauses (i), (ii), (iii) or (iv) above by way of a stock
                 dividend or stock split or in connection with a combination of
                 shares, recapitalization, merger, consolidation or other
                 reorganization.

         5.      Paragraph 1(b) of the Registration Rights Agreement which
contains the definition the term "Holders" shall be deleted in its entirety and
substituted with the following:

                 (b)      The term "Holders" means Counsel, the Initial
                 Investors, the Secondary Investors, the Additional Investors
                 and any of their respective permitted successors and assigns.
                 The term "Initial Holders" means Counsel, the Initial
                 Investors, any of their respective permitted successors and
                 assigns; the term "Secondary Holders" means the Secondary
                 Investors and any of their respective permitted successors and
                 assigns; and the term "Additional Holders" means the
                 Additional Investors and any of their respective permitted
                 successors and assigns.

         6.      Paragraph 1(c) of the Registration Rights Agreement which
contains the definition of the term "Investors" shall be deleted in its
entirety and substituted with the following:

                 (c)      The term "Investors" means the Initial Investors
                 (including Counsel), the Secondary Investors and the
                 Additional Investors.

         7.      Paragraph 2(c) of the Registration Rights Agreement will be
amended by deleting that portion of the paragraph beginning with clause (ii)
and substituting in its stead the following:






<PAGE>   4

                 (ii) second, the Registrable Securities requested to be
                 included in such registration, pro rata among the Initial
                 Holders of such Registrable Securities on the basis of the
                 number of shares requested to be included by such Initial
                 Holders, (iii) third, the Registrable Securities requested to
                 be included in such registration, pro rata among the Secondary
                 Holders of such Registrable Securities on the basis of the
                 number of shares requested to be included by such Secondary
                 Holders, (iv) fourth, the Registrable Securities requested to
                 be included in such registration, pro rata among the
                 Additional Holders of such Registrable Securities on the basis
                 of the number of shares requested to be included by such
                 Additional Holders, and (v) fifth other securities requested
                 to be included in such registration.

         8.      Paragraph 2(d) of the Registration Rights Agreement will be
amended by deleting that portion of the paragraph beginning with clause (i) and
substituting in its stead the following:

                 (i) first, the Registrable Securities requested to be included
                 in such registration, pro rata among the Initial Holders of
                 such securities on the basis of the number of securities
                 requested to be included by such Initial Holders, (ii) second,
                 the Registrable Securities requested to be included in such
                 registration, pro rata among the Secondary Holders of such
                 securities on the basis of the number of securities requested
                 to be included by such Secondary Holders, (iii) third, the
                 Registrable Securities requested to be included in such
                 registration, pro rata among the Additional Holders of such
                 securities on the basis of the number of securities requested
                 to be included by such Additional Holders, (iv) fourth, other
                 securities requested to be included in such registration, and
                 (v) fifth, the securities the Company proposes to sell.

         9.      Paragraph 3(e) of the Registration Rights Agreement shall be
deleted in its entirety and replaced with the following:

                 (e) Other Registration Rights.  Except as provided in this
                 Agreement, the Company will not grant to any persons the right
                 to request the Company to register any equity securities of
                 the Company, or any securities convertible or exchangeable
                 into or exercisable for such securities on terms that are
                 superior or pari passu to the rights granted herein, without
                 the written consent of the Holders of at least two-thirds of
                 the Registrable Securities.






<PAGE>   5

         10.     Except as specifically amended by this Amendment, the
Registration Rights Agreement and its provisions shall remain in full force and
effect.  This Amendment may  be executed in any number of counterparts, each of
which when so executed and delivered will be deemed an original, but all such
counterparts together shall constitute but one and the same instrument.

         11.     This Amendment shall be effective upon its execution by
Initial Investors and Secondary Investors holding at least two-thirds of the
securities that were subject to the Registration Rights Agreement as of August
29, 1995.

         IN WITNESS WHEREOF, the Company and the Investors have caused this
Amendment to be entered into and effected as of March 15, 1996.

                                   CAPSTONE PHARMACY SERVICES, INC.
                                   
                                   By:                                    
                                            ----------------------------------
                                   
                                   Title:                                 
                                            ----------------------------------
                                   
                                   
                                   ADDITIONAL INVESTORS
                                   
                                   
                                                                          
                                   -------------------------------------------
                                   Signature
                                                                          
                                   -------------------------------------------
                                   Name (Type or Print)
                                   Address:                               
                                            ----------------------------------
                                                                          
                                   -------------------------------------------
                                   
                                                                          
                                   -------------------------------------------
                                   Social Security or FEIN Number:        
                                                                     ---------
                                   
                                   
                                                                          
                                   -------------------------------------------
                                   
                                   Signature
                                                                          
                                   -------------------------------------------
                                   Name (Type or Print)
                                   Address:                               
                                            ----------------------------------
                                                                          
                                   -------------------------------------------
                                   
                                                                          
                                   -------------------------------------------
                                   Social Security or FEIN Number:        
                                                                     ---------






<PAGE>   6


                                   INITIAL AND SECONDARY INVESTORS
                                   
                                                                              
                                   -------------------------------------------
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                                                              
                                   -------------------------------------------
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                                                              
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                                                              
                                   -------------------------------------------
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                                                              
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                                                              
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   Social Security or FEIN Number:            
                                                                     ---------





<PAGE>   7





                                   -------------------------------------------
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                                                              
                                   -------------------------------------------
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                                                              
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                                                              
                                   -------------------------------------------
                                   Social Security or FEIN Number:            
                                                                     ---------
                                                                              
                                                                              
                                                                              
                                   -------------------------------------------
                                   Signature                                  
                                                                              
                                   -------------------------------------------
                                   Name (Type or Print)                       
                                   Address:                                   
                                            ----------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   -------------------------------------------
                                                                              
                                   Social Security or FEIN Number:            
                                                                     ---------







<PAGE>   1
                                                                EXHIBIT 10.3


                                THIRD AMENDMENT

                                       TO

                         REGISTRATION RIGHTS AGREEMENT


         This THIRD AMENDMENT TO REGISTRATION RIGHTS AGREEMENT (this "Third
Amendment") is entered into as of April 11, 1996 by and among Capstone Pharmacy
Services, Inc., f/k/a Choice Drug Systems, Inc. (the "Company"), the Initial
Investors, the Secondary Investors and the Additional Investors  to amend that
certain Registration Rights Agreement dated May 22, 1995 by and among the
Company and the Initial Investors, as amended (the "Registration Rights
Agreement").  Terms used but not defined herein shall have the meaning set
forth in the Registration Rights Agreement.

         WHEREAS, the Company is currently making a private placement of up to
3,000,000 shares of common stock (the "Private Offering") to certain investors,
and in connection therewith the Company desires to allow the exercise by the
Initial Investors, the Secondary Investors and the Additional Investors of
their demand rights at an earlier date, and to have such Investors waive the
six-month restriction period on certain registrations set forth in Section
2(e); and

         WHEREAS, the Initial Investors, the Secondary Investors and the
Additional Investors holding at least two- thirds of the securities that are
subject to the Registration Rights Agreement are being asked to consent to this
Third Amendment.

         NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties agree to amend the
Registration Rights Agreement as follows:

         1.      Paragraph 2(e) of the Registration Rights Agreement (captioned
"Other Registrations") shall be deleted in its entirety.

         2.      Paragraph 3(a) of the Registration Rights Agreement shall be
amended by deleting the date "December 16, 1996" and substituting the date
"October 15, 1996".

         3.      Except as specifically amended by this Third Amendment, the
Registration Rights Agreement and its provisions shall remain in full force and
effect.  This Third Amendment may be executed in any number of counterparts,
each of which when so





                                 Page 1 of 2
<PAGE>   2

executed and delivered shall be deemed an original, but all such counterparts
together shall constitute but one and the same instrument.

         4.      This Third Amendment shall be effective upon its execution by
the Initial Investors, the Secondary Investors and the Additional Investors
holding at least two-thirds of the securities that are subject to the
Registration Rights Agreement.

         IN WITNESS WHEREOF, the Company and the Investors have caused this
Amendment to be entered into and effective as of the date first above written.

                                   CAPSTONE PHARMACY SERVICES, INC.
                                   
                                   
                                   
                                   By:                                      
                                            --------------------------------
                                                                            
                                   Title:                                   
                                            --------------------------------
                                                                            
                                                                            
                                   Signature of Investor and Printed Name   
                                                                            
                                                                            
                                                                            
                                                                            
                                   -----------------------------------------
                                   Signature                                
                                                                            
                                   -----------------------------------------
                                   Name (Type or Print)                     
                                   Address:                                 
                                            --------------------------------
                                                                            
                                   -----------------------------------------
                                                                            
                                   -----------------------------------------
                                   Social Security or FEIN Number:          
                                                                     -------





                                 Page 2 of 2

<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM FORM 10-Q
AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FORM 10-Q.
</LEGEND>
<MULTIPLIER> 1,000
<CURRENCY> U.S. DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-START>                             JAN-01-1996
<PERIOD-END>                               MAR-31-1996
<EXCHANGE-RATE>                                      1
<CASH>                                           1,276
<SECURITIES>                                         0
<RECEIVABLES>                                   21,828
<ALLOWANCES>                                     1,721
<INVENTORY>                                      7,237
<CURRENT-ASSETS>                                29,355
<PP&E>                                           9,084
<DEPRECIATION>                                   5,293
<TOTAL-ASSETS>                                  67,565
<CURRENT-LIABILITIES>                            9,253
<BONDS>                                         26,287
                                0
                                          0
<COMMON>                                           143
<OTHER-SE>                                      31,882
<TOTAL-LIABILITY-AND-EQUITY>                    67,565
<SALES>                                         22,028
<TOTAL-REVENUES>                                     0
<CGS>                                           13,576
<TOTAL-COSTS>                                        0
<OTHER-EXPENSES>                                 7,658
<LOSS-PROVISION>                                   142
<INTEREST-EXPENSE>                                 263
<INCOME-PRETAX>                                    389
<INCOME-TAX>                                       103
<INCOME-CONTINUING>                                286
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                       286
<EPS-PRIMARY>                                      .02
<EPS-DILUTED>                                      .02
        

</TABLE>


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