CURATIVE HEALTH SERVICES INC
10-Q, 1998-05-15
SPECIALTY OUTPATIENT FACILITIES, NEC
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                             ----------------------

                                    FORM 10Q

                             ----------------------


(Mark One)

   X       Quarterly report pursuant to Section 13 or 15(d) of the Securities 
- -------    Exchange Act of 1934

For the quarterly period ended March 31, 1998

                                       OR

          Transition report pursuant to Section 13 or 15(d) of the Securities 
- -------   Exchange Act of 1934 


                       Commission File Number: 000-19370

                         Curative Health Services, Inc.
             (Exact name of registrant as specified in its charter)

                              MINNESOTA 41-1503914
                (State or other jurisdiction of (I.R.S. Employer
              incorporation or organization) Identification Number)

                                150 Motor Parkway
                            Hauppauge, NY 11788-5108
                    (Address of principal executive offices)
                         Telephone Number (516) 232-7000

      Former Address: 14 Research Way; Box 9052, E. Setauket, NY 11733-9052
      ---------------------------------------------------------------------

     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 ______

As of May 1, 1998 there were 12,707,638 shares of the Registrant's Common Stock,
$.01 par value, outstanding.


                                       1
<PAGE>


                 Curative Health Services, Inc. and Subsidiaries

                                      INDEX


Part I         Financial Information                                    Page No.

Item 1         Condensed Consolidated Financial Statements:

               Condensed Consolidated Statements of Operations
                      Three Months ended March 31, 1998 and 1997               3

               Condensed Consolidated Balance Sheets
                      March 31, 1998 and December 31, 1997                     4

               Condensed Consolidated Statements of Cash Flows
                      Three Months ended March 31, 1998 and 1997               5

               Notes to Condensed Consolidated Financial Statements            6

Item 2         Management's Discussion and Analysis of Financial Condition
                      and Results of Operations                                7


Part II        Other Information                                        Page No.

Item 6         Exhibits and Reports on Form 8-K                                9

               Signatures                                                     10


                                       2
<PAGE>
                           

Part I.  Financial Information

Item 1.  Condensed Consolidated Financial Statements

                 Curative Health Services, Inc. and Subsidiaries

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                      (In thousands, except per share data)
                                   (Unaudited)


                                                    Three Months Ended March 31,

                                                                1998        1997
                                                                ----        ----

Revenues ...............................................     $24,513     $19,654

Cost and Expenses:
        Cost of product sales and services .............      13,245      10,858
        Selling, general and administrative ............       5,671       5,064
                                                             -------     -------
               Total costs and operating expenses ......      18,916      15,922
                                                             -------     -------

Income from operations .................................       5,597       3,732

Interest income ........................................         599         576


Income before income taxes .............................       6,196       4,308

Income taxes ...........................................       2,319         643
                                                             -------     -------

Net income .............................................     $ 3,877     $ 3,665
                                                             =======     =======

Net income per common share, basic .....................     $   .31     $   .29
                                                             =======     =======

Net income per common share, diluted ...................     $   .29     $   .28
                                                             =======     =======

Weighted average common shares, basic ..................      12,601      12,560
                                                             =======     =======

Weighted average common shares, diluted ................      13,152      12,945
                                                             =======     =======

                             See accompanying notes
                                       3
<PAGE>


                 Curative Health Services, Inc. and Subsidiaries

                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                 (In thousands)
<TABLE>
<CAPTION>

                                                                 March 31, 1998       December 31, 1997
                                                                    (Unaudited)
<S>                                                                    <C>                     <C>
Cash and cash equivalents ........................................     $ 25,727                $ 39,746
Marketable securities held-to-maturity ...........................       34,788                  18,807
Accounts receivable, net .........................................       16,721                  14,211
Deferred tax assets ..............................................        1,235                   1,235
Prepaids and other current assets ................................          905                     924
                                                                       --------                --------
        Total current assets .....................................       79,376                  74,923

Property and equipment, net ......................................       10,362                   9,268
Other assets .....................................................          735                     748
                                                                       --------                --------

        Total assets .............................................     $ 90,473                $ 84,939
                                                                       ========                ========

LIABILITIES AND STOCKHOLDERS' EQUITY

Accounts payable .................................................     $ 11,363                $  8,846
Accrued liabilities ..............................................        1,553                   3,454
Current lease obligations ........................................           37                      40
                                                                       --------                --------
        Total current liabilities ................................       12,953                  12,340

Capital lease obligations ........................................           --                       7

Stockholders' equity

        Common stock .............................................          126                     125
        Additional paid in capital ...............................       76,285                  75,235
        Retained earnings (deficit) ..............................        1,109                  (2,768)
                                                                       --------                --------
               Total stockholders' equity ........................       77,520                  72,592
                                                                       --------                --------

        Total liabilities and stockholders' equity ...............     $ 90,473                $ 84,939
                                                                       ========                ========
</TABLE>

                             See accompanying notes
                                       4
<PAGE>



                 Curative Health Services, Inc. and Subsidiaries

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (In thousands)
                                   (Unaudited)

                                                    Three Months Ended March 31,

                                                                1998       1997
                                                            --------   --------
OPERATING ACTIVITIES:

Net income ..............................................   $  3,877   $  3,665
Adjustments to reconcile net income to net
cash provided by operating activities:

        Depreciation and amortization ...................        700        405
        Changes in operating assets and liabilities .....     (1,875)    (1,087)
                                                            --------    --------
NET CASH PROVIDED BY OPERATING ACTIVITIES ...............      2,702      2,983

INVESTING ACTIVITIES:

Purchase of property and equipment ......................     (1,781)      (740)
(Purchases) sales of marketable securities ..............    (15,981)     5,624
                                                            --------   --------
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES .....    (17,762)     4,884

FINANCING ACTIVITIES:

Proceeds from exercise of stock options .................      1,051        568
Principal payments on loans and capital lease obligations        (10)     1,043)
                                                            --------   --------
NET CASH PROVIDED BY (USED IN) FINANCING ACTIVITIES .....      1,041       (475)

(DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS ........    (14,019)     7,392
Cash and cash equivalents at beginning of period ........     39,746      5,226
                                                            --------   --------

CASH AND CASH EQUIVALENTS AT END OF PERIOD ..............   $ 25,727   $ 12,618
                                                            ========   ========

SUPPLEMENTARY CASH FLOW INFORMATION:

Interest paid ...........................................   $      1   $     13
                                                            ========   ========

                             See accompanying notes
                                       5
<PAGE>



                 Curative Health Services, Inc. and Subsidiaries

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


Note 1.  Basis of Presentation

    The condensed  consolidated  financial  statements are unaudited and reflect
    all adjustments (consisting only of normal recurring adjustments) which are,
    in the  opinion of  management,  necessary  for a fair  presentation  of the
    financial  position  and  operating  results  for the interim  periods.  The
    condensed  consolidated  financial  statements should be read in conjunction
    with the consolidated  financial  statements for the year ended December 31,
    1997 and notes thereto contained in the Company's Annual Report on Form 10-K
    filed with the Securities and Exchange Commission. The results of operations
    for the three months ended March 31, 1998 are not necessarily  indicative of
    the results to be expected  for the entire  fiscal year ending  December 31,
    1998.


Note 2.  Net Income per Common Share

    In 1997, the Financial  Accounting Standards Board ("FASB") issued Statement
    No. 128, "Earnings Per Share".  FASB 128 replaced the calculation of primary
    and fully  diluted  earnings  per share with basic and diluted  earnings per
    share.  Net income per common  share,  basic is computed by dividing the net
    income by the weighted  average  number of common  shares  outstanding.  Net
    income per common  share,  diluted is computed by dividing net income by the
    weighted  average number of shares  outstanding  plus dilutive  common share
    equivalents.  All earnings  per share  amounts for the 1997 period have been
    restated to conform to FASB 128 requirements. The following table sets forth
    the computation of basic and diluted earnings per share:

                                                        1998          1997
                                                        ------------------

               Weighted average shares, basic         12,601        12,560
               Effect of dilutive stock options          551           385
                                                         ---           ---
               Weighted average shares, diluted       13,152        12,945
                                                      ======        ======

                                       6
<PAGE>


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

Results of Operations

Revenues.  The  Company's  revenues  for the first  quarter of fiscal  year 1998
increased  25 percent to  $24,513,000,  compared  to  $19,654,000  for the first
quarter of the prior fiscal year. The revenue  increase is  attributable  to the
operation of 151 wound care  facilities  at the end of the first quarter of 1998
compared  to 128 at the  end of the  first  quarter  of  1997  and a 12  percent
increase  in revenues at existing  centers  related to higher  patient  volumes.
Total new patients increased 19 percent from 11,373 in the first quarter of 1997
to  13,519  for the same  period  in 1998.  The  total  number  of new  patients
receiving  Procuren(R)  therapy  increased  3  percent  from  2,019 in the first
quarter  of 1997 to 2,081  in the  first  quarter  of 1998.  The  percentage  of
patients  receiving  Procuren(R)  therapy  decreased during the first quarter of
1998 to 15 percent  from 18 percent  for the same  period in 1997.  The  Company
believes  that this  decrease is  attributable  primarily  to an increase in the
percentage of less severe  chronic  wounds being treated at the Company's  Wound
Care Centers(R),  for which physicians are less likely to prescribe Procuren(R),
as well as a lack of available  reimbursement for Medicare patients. The Company
believes  that this shift in the severity of the wounds  treated at a Wound Care
Center(R)  occurs as the  local  medical  community  becomes  familiar  with the
services  offered by the Wound  Care  Center(R)  and  refers a broader  range of
chronic wound patients to the Wound Care  Center(R) for  treatment.  The Company
anticipates that the percentage of patients receiving  Procuren(R) will continue
to decline gradually in the future.

Costs of Product Sales and Services. Costs of product sales and services for the
first quarter  increased  from  $10,858,000  in 1997 to  $13,245,000 in 1998, an
increase of 22 percent.  The increase is attributable to additional staffing and
operating expenses of approximately  $1,368,000 associated with the operation of
23 additional  wound care facilities at the end of the first quarter of 1998, as
well as increased volume at existing wound care facilities.  Additionally, these
23 facilities included 16 additional  under-arrangement Wound Care Centers(R) at
which the  services  component  of costs is higher than at the  Company's  other
facilities  due to the  additional  clinical  staffing and  expenses  that these
models require.  As compared with the first quarter of 1997, the higher services
components  at these  facilities  accounted  for an  additional  $838,000 of the
increase  in product  costs and  services  for the first  quarter of 1998.  As a
percentage  of  revenues,  costs of  product  sales and  services  for the first
quarter of 1998 was 54 percent  compared  to 55 percent  for the same  period in
1997. The one percent improvement is attributed to the ability of the Company to
obtain  leverage by spreading the costs of its overhead  over a broader  revenue
base and the improvement of margins at its  free-standing  Wound Care Centers(R)
in the first quarter of 1998 as compared to the same period in 1997.

Selling,  General  and  Administrative.   Selling,  general  and  administrative
expenses for the first quarter  increased from  $5,064,000 in 1997 to $5,671,000
in 1998, an increase of 12 percent. The increase is attributable to the staffing
and  operating  expenses  associated  with the growth in the wound care business
particularly related to field support departments  including clinical operations
and  management  information  systems.  As a percentage  of  revenues,  selling,
general and administrative expenses were 26 percent in the first quarter of 1997
compared  with 23  percent  in the  first  quarter  of  1998.  The  decrease  is
attributable  to the ability of the Company to obtain  leverage by spreading the
costs of its overhead structure over a broader revenue base.

Net Income.  Net income improved from $3,665,000 or $0.28 per share in the first
quarter of 1997 to  $3,877,000  or $0.29 per share in the first quarter of 1998.
The  increase in earnings of $212,000  for the three months ended March 31, 1998
as compared to March 31, 1997 is primarily  attributable  to an  improvement  in
operating  margins  associated with the revenue growth  particularly  related to
existing  wound care centers and economies of scale  achieved from market growth
offset by an  increase  in income  taxes as the result of higher  effective  tax
rates  in  1998.  Effective  tax  rates  are  higher  in  1998  due to the  full
utilization of net operating loss carryforwards in 1997.


                                       7
<PAGE>


Liquidity and Capital Resources.  Working capital was $66.4 million at March 31,
1998  compared  to  $62.6  million  at  December  31,  1997.  Total  cash,  cash
equivalents and marketable securities  held-to-maturity as of March 31, 1998 was
$60.5  million and was invested  primarily in highly  liquid money market funds,
commercial  paper and  government  securities.  The ratio of  current  assets to
current  liabilities  was 6.1:1 at  December  31, 1997 and March 31,  1998.  The
Company's  increase  in working  capital is  primarily  attributable  to the net
income for the three months.

Cash flows  provided by  operations  for the first three  months of 1998 totaled
$2,702,000  primarily  attributable to the net income for the period. Cash flows
used in investing  activities  totaled  $17,762,000  primarily  attributable  to
purchases of marketable securities.  Cash flows provided by financing activities
totaled $1,041,000 primarily attributable to proceeds from the exercise of stock
options.

For the first three months of 1998,  the Company  experienced  a $2,510,000  net
increase in accounts receivable primarily due to the increase in revenues and an
increase in the average number of days receivables  outstanding to 59 days as of
March 31, 1998  compared to 54 as of December 31, 1997.  Further,  the Company's
accounts  payable and accrued expenses  increased  $616,000 as of March 31, 1998
compared to December 31, 1997.

The Company's  longer term cash  requirements  include  working  capital for the
further  expansion  of its wound  care  business.  Other cash  requirements  are
anticipated  for capital  expenditures  in the normal course of business and the
acquisition  of  software,  computers  and  equipment  related to the  Company's
upgrade of management information systems. The Company expects that based on its
current business plan, its existing cash  equivalents and marketable  securities
will be sufficient to satisfy its current working capital needs.  The effects of
inflation and foreign currency translation risks are considered immaterial.

Cautionary Statements

This report contains  forward-looking  statements  within the meaning of Section
27A of the Securities Act of 1933, as amended, and Section 21E of the Securities
Exchange Act of 1934, as amended.  These statements include statements regarding
intent, belief or current expectations of the Company and its management.  These
forward-looking  statements are not guarantees of future performance and involve
a number of risks and uncertainties  that may cause the Company's actual results
to differ  materially from the results  discussed in these  statements.  Factors
that might cause such  differences  include,  but are not limited to, changes in
the  Company's  level of  business  with  Columbia/HCA  Healthcare  Corporation,
changes in the  government  regulations  relating  to the  Company's  wound care
operations  or  Procuren(R),   uncertainties  relating  to  health  care  reform
initiatives,  changes in the availability of third party  reimbursements for the
Company's product and services,  and the other risks and uncertainties  detailed
throughout  this report and from time to time in the Company's  filings with the
Securities and Exchange Commission.


                                       8
<PAGE>

                 Curative Health Services, Inc. and Subsidiaries


Part II.  Other Information

Item 6.  Exhibits and Reports on Form 8-K

        (a)Exhibit  10.45  Employment  Agreement  dated as of  November 2, 1987,
           between William C. Tella and the Company.

           Exhibit 10.45.1 Amendment of Employment dated December 17, 1997,
           between William C. Tella and the Company.

           Exhibit 27 Financial Data Schedule.

        (c)No reports on Form 8-K filed during the quarter ended March 31, 1998.


                                       9
<PAGE>

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.

Dated:  May 14, 1998

                         Curative Health Services, Inc.
                        (Registrant)


                         John Vakoutis
                         President and Chief Executive Officer


                         John C. Prior
                         Chief Financial Officer
                        (Principal Financial and Accounting Officer)

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.

Dated:  May 14, 1998

                         Curative Health Services, Inc.
                        (Registrant)

                        /s/  John Vakoutis
                        ---------------------------------------------
                             John Vakoutis
                             President and Chief Executive Officer


                       /s/  John C. Prior
                       -----------------------------------------------
                            John C. Prior
                            Chief Financial Officer
                           (Principal Financial and Accounting Officer)


                                       10
<PAGE>



                                                                  EXHIBIT  10.45

                              EMPLOYMENT AGREEMENT

        This Agreement,  made and entered into as of the Second day of November,
1987,  by and between  William  Tella,  as  individual  resident of  Minneapolis
(hereinafter  referred  to as  "Employee"),  and  CURATECH,  INC.,  a  Minnesota
corporation (hereinafter referred to as the "Company").

        WITNESSETH:

        WHEREAS,  The Company desires to employ Employee to render services for,
and on behalf of,  the  Company  on the terms and  conditions  set forth in this
Agreement,  and  Employee  desires to be retained and employed by the Company on
such terms and conditions.

        NOW,  THEREFORE,  in  consideration  of the  premises  and of the mutual
covenants and agreements contained herein, the parties agree as follows:

        1.  Employment.  The  Company  hereby  employs  Employee  as a Marketing
Manager  and  Employee  hereby  accepts  such  employment  and agrees to perform
services  for the  Company  upon the  terms  and  conditions  set  forth in this
Agreement.  In such capacity,  Employee  shall devote his full time,  attention,
energy  and  skill to the  business  of the  Company  during  such  hours as are
reasonably  necessary for him to perform and fulfill his obligations  under this
Agreement,  and he shall  render  such  services  and  assume  and  perform  the
responsibilities  and duties set forth on  Exhibit A attached  hereto,  and such
other reasonable  responsibilities and duties as shall be specified from time to
time by the Company's Board of Directors.

        2. Term.  The term of this  Agreement  shall  commence  effective  as of
November 2, 1987,  and shall  continue  until  November 2, 1988,  unless earlier
terminated  in  accordance  with  Section  6 of this  Agreement.  The  term  may
thereafter be extended by mutual agreement of the parties.

        3. Compensation.  As compensation for Employee's services rendered under
this Agreement, the Company shall pay to Employee the following:

        (a)Annual  Salary.  The Company shall pay Employee an annual  salary of
        Fifty-Seven Thousand Five Hundred Dollars ($57,500).

        (b)Incentive  Compensation.  In  addition  to the annual  salary paid to
        Employee  pursuant to Section 3 (a), the Company shall review employee's
        performance and  compensation  under this agreement and if determined by
        the Company in its sole discretion shall pay to employee a cash bonus to
        reflect  the success of the  Company,  Employee's  contribution  to such
        success, the effects of inflation, and other similar factors.

        (c)Stock  Options.  Within  sixty  (60)  days  after  the  date  of this
        Agreement,  the Company  agrees to grant  Employee one  Incentive  Stock
        Option for the  purchase of 1200 of the  Company's  common  shares at an
        exercise  price equal to the fair  market  value of such shares and upon
        such other terms and  conditions  as are set  determined by the Board of
        Directors of the Company in their sole and absolute discretion.

        (d)Compensation Adjustments; Withholdings.

           (i) At least once each year  during the term of this  Agreement,  the
           Company shall review  Employee's  performance and compensation  under
           this  Agreement,  and if  determined  by the  Company in its sole and
           absolute discretion,  shall adjust Employee's  compensation hereunder
           to reflect the success of the  Company,  Employee's  contribution  to
           such success, the effects of inflation and other similar factors.

           (ii) Except as otherwise  provided herein,  all compensation shall be
           prorated  according  to the number of days in such year during  which
           this Agreement is in effect.

           (iii)  All  compensation  shall be  payable  in  accordance  with the
           Company's  regular  payroll  procedures,  and shall be subject to all
           required and authorized withholdings.

        4.  Expenses.  Employee  shall  be  reimbursed  by the  Company  for all
reasonable out-of-pocket travel, entertainment and other business expenses which
are incurred in connection with the performance of his duties  hereunder  during
the term of this Agreement. Employee shall keep detailed and accurate records of
expenses incurred in connection with the performance of his duties hereunder and
reimbursement  therefore  shall be in accordance with policies and procedures to
be established from time to time by the Company's Board of Directors.

        5. Fringe  Benefits.  Employee  shall be entitled  to all  benefits  and
privileges  customarily  accorded executive officers of the Company,  including,
but not limited to,  annual  vacation time of two (2) weeks for the first twelve
(12) month period during the term of this Agreement and three (3) weeks for each
twelve  (12)  month  period  thereafter,  holidays,  sick pay,  group  term life
insurance, medical insurance,  long-term disability income protection insurance,
and other  general  employee  benefits and  privileges  in  accordance  with the
customs and practices  established  by the Company's  Board of Directors as they
may change from time to time.

        6.  Termination.  This  Agreement and the rights and  obligations of the
Company and Employee under this Agreement, except for the covenants set forth in
Section  7,  may be  terminated  by  either  Employee  or the  Company  upon the
occurrence of any of the following events:

        (a)In the event of Employee's death; or

        (b)In the event  the  Company  gives  Employee  a written  notice of its
        desire to terminate his employment under this Agreement that specifies a
        date for  termination  of  employment  that is at least ninety (90) days
        from and after the date of delivery of such notice to Employee; or

        (c)In  the event  Employee  gives  the  Company a written  notice of his
        desire to terminate his employment under this Agreement that specifies a
        date for  termination  of  employment  that is at least ninety (90) days
        from and after the date of delivery of such notice to the Company.

        7. Employee Covenants.

        (a)Trade Secrets and Confidential  Information.  Employee agrees that he
        shall,  during  the  course  of this  employment  and  thereafter,  hold
        inviolate and keep secret all documents,  materials, knowledge, or other
        confidential  business or technical information of any nature whatsoever
        disclosed  to or  developed by him or to which he had access as a result
        of   his   employment   (hereinafter   referred   to  as   "Confidential
        Information"). Such Confidential Information shall include technical and
        business information,  including but not limited to inventions, research
        and development,  engineering,  products, designs, manufacture, methods,
        systems,  improvements,  trade secrets, formulas, processes,  marketing,
        merchandising, selling, licensing, servicing, customer lists, records or
        financial  information,  manuals  or  Company  strategy  concerning  its
        business,  strategy or policies.  Employee agrees that all  Confidential
        Information  shall remain the sole and absolute property of the Company.
        During the course of his employment,  Employee shall not use,  disclose,
        disseminate,   publish,  reproduce  or  otherwise  make  available  such
        Confidential  Information  to any  person,  firm,  corporation  or other
        entity,  except for the purpose of conducting  business on behalf of the
        Company.  Following  termination  of his  employment  with the  Company,
        Employee shall not use,  disclose,  disseminate,  publish,  reproduce or
        otherwise make available  such  Confidential  Information to any person,
        firm,  corporation or other entity.  Upon termination of this employment
        with the Company, Employee will leave with or deliver to the Company all
        records and any  compositions,  articles,  devices,  equipment and other
        items which disclose or embody  Confidential  Information  including all
        copies or specimens  thereof,  whether prepared by him or by others. The
        foregoing  restrictions on disclosure of Confidential  Information shall
        apply so long as the  information  has not properly come into the public
        domain through no action of the Employee.

        (b)Transfer  of  Inventions.   Employee,  for  himself,  his  heirs  and
        representatives,  will promptly communicate and disclose to the Company,
        and upon request  will,  without  additional  compensation,  execute all
        papers  reasonably  necessary to assign to the Company or the  Company's
        nominees,   free  of  encumbrance  or   restrictions,   all  inventions,
        discoveries,  improvements,  whether  patentable  or not,  conceived  or
        originated by Employee  solely or jointly with others,  at the Company's
        expense or at Company's  facilities,  or at the Company's request, or in
        the  course  of the term of this  Agreement,  or based on  knowledge  or
        information  obtained  during  the  term  of  the  Agreement.  All  such
        assignments  shall  include  the patent  rights in this and all  foreign
        countries. This Section 7 (b) shall not apply to any invention for which
        no equipment,  supplies,  facility,  or trade secret  information of the
        Company was used and which was developed entirely on Employee's own time
        and (i) which  does not  relate  (1)  directly  to the  business  of the
        Company  or (2) to the  Company's  actual  or  demonstrably  anticipated
        research  or  development,  or (ii) which does not result  from any work
        performed by Employee for the Company.

        (c)Exclusivity   of   Employment.   During  the  period  of   Employee's
        employment,  except  as  otherwise  may  be  approved  by the  Board  of
        Directors of the Company,  Employee's services shall be exclusive to the
        Company during  ordinary  working hours or at such other times as may be
        required by the  Company.  Employee  shall not  directly  or  indirectly
        engage in any  activity  competitive  with or adverse  to the  Company's
        business  or  welfare  or  render  a  material  level of  services  of a
        business, professional or commercial nature to any other person or firm,
        whether for compensation or otherwise.

        (d)Covenant Not to Compete.  Employee agrees to be bound and abide by 
        the  following covenant not to compete;

           (i) Term and Scope.  During his employment with the Company and for a
           period of one (1) year after  termination  of this  Agreement for any
           reason,  Employee  will not render to any  Conflicting  Organization,
           services, directly or indirectly, anywhere in the world in connection
           with any Conflicting Product.

           (ii)  Definitions.  For purposes of this  Employment  Agreement,  the
           following terms shall have the following meanings:

                 "Conflicting  Product:  means any  product,  method or process,
                 system or service of any person or organization  other than the
                 Company,   in  existence  or  under  development  at  the  time
                 Employee's employment with the Company terminates, which is the
                 same as or similar  to or  competes  with a product,  method or
                 process, system or service of or provided by the Company or any
                 of its affiliates or about which Employee acquires Confidential
                 Information.

                 "Conflicting  Organization"  means any  person or  organization
                 which is engaged in or about to become engaged in,  research on
                 or development,  production,  marketing,  licensing, selling or
                 servicing of a Conflicting Product.

        (e)Judicial  Action.  Employee and Company  agree that, if the period of
        time or the scope of the  restrictive  covenants  contained in Section 7
        shall be adjudged unreasonable in any Court proceeding,  then the period
        of time  and/or  scope  shall  be  reduced  accordingly,  so  that  such
        covenants  may be  enforced in such scope and during such period of time
        as is judged by the Court to be reasonable.  In the event of a breach or
        violation  of the  Section 7 by  Employee,  the parties  agree that,  in
        addition  to all  other  remedies,  the  Company  shall be  entitled  to
        equitable relief in any Court of competent  jurisdiction,  including the
        right to obtain injunctive relief for specific performance, and Employee
        hereby agrees and  acknowledges  that the Company has no adequate remedy
        at law for the breach of the covenants contained herein.

        (f)Disclosure  to Prospective  Employers.  Employee will disclose to any
        prospective employer,  prior to accepting  employment,  the existence of
        this  Section 7 of this  Agreement  and will  provide  such  prospective
        employer with a copy of this Section 7.

        8.  Entire  Agreement.  This  Agreement  contains  the entire  agreement
between the parties  relating to the  employment  of Employee by the Company and
supersedes all prior  agreements and  understandings,  whether  written or oral,
between the parties relating to such  employment,  and this Agreement may not be
amended or changed except in a writing  executed by both parties and attached to
this Agreement.

        9. Assignment. None of the rights or obligations of either party to this
Agreement is assignable.

      10.  Governing Law. This Agreement has been entered into by the parties in
the State of New York and shall be construed and enforced in accordance with the
laws of that state.

      11.  Notices.  Any notice  required  or  permitted  to be given under this
Agreement  shall be deemed to have been  delivered on the date following the day
the notice is deposited  in the United  States  mail,  certified or  registered,
postage prepaid, return receipt requested, and addressed as follows:

If to Employee:       William Clark Tella
                      235 East Viking Drive, #249
                      St. Paul, MN 55117

or such other  address  Employee  elects by giving to the  Company not less than
thirty (30) days advance written notice.

If to the Company:    CuraTech, Inc.
                      300 Vanderbilt Motor Parkway; Suite 100
                      Hauppauge, New York 11788

or such other address as the Company  elects by giving to Employee not less than
thirty (30) days advance written notice.

        IN WITNESS  WHEREOF,  the parties hereto have executed this Agreement as
of the day and year first above written.

                       
                       -------------------------------------
                       
                       -------------------------------------
                       CURATECH, INC.

                       By __________________________________
                       Its _________________________________



                       /s/  Russell B. Whitman
                       -------------------------------------
                       Russell B. Whitman  
                       President and Chief Executive Officer


                       /s/  William C. Tella                       
                       -------------------------------------
                       William C. Tella 
                       Marketing Manager  


                                                                EXHIBIT  10.45.1

                          AMENDED EMPLOYMENT AGREEMENT

        This  amended  agreement  ("Agreement")  is effective as of December 17,
1997  ("Effective  Date") and is  between  Curative  Health  Services,  Inc.,  a
Minnesota  Corporation  located  a 14  Research  Way,  East  Setauket,  NY 11733
("Company") and William Tella, Vice President,  Corporate Development,  Curative
Health Services, Inc. ("Executive").

        WHEREAS,  Executive  and Company  entered into an  employment  agreement
dated as of November 2, 1987 ("Original Agreement") which Original Agreement has
been extended by mutual agreement  through the Effective Date of this Agreement;
and

        WHEREAS,  Company  seeks to amend the  Original  Agreement  to establish
terms  governing  Executive's  severance  from Company  should his employment be
terminated for any reason; and

        WHEREAS,  Company  and  Executive  want  the  terms  and  conditions  of
Executive's termination of employment to be governed by this Agreement;

        NOW THEREFORE,  in  consideration  of the promises and mutual  covenants
herein  contained,  intending to be legally bound,  Company and Executive hereby
agree as follows:

Article I. Sections 1, 3, 4, and 5 of the Original  Agreement are hereby deleted
in their entirety and replaced with the following Section 1:

1.  Employment.  Executive  shall be  employed  by  Company  as Vice  President,
    Corporate Development which employment shall be governed by the policies and
    standard  procedures  applicable  to all other  executives  and employees of
    Company  including,   but  not  limited  to,  those  policies  and  standard
    procedures  governing  compensation,  stock  options,  expenses,  and fringe
    benefits, as they may be amended from time to time.

Article  II.  Section  2 of the  Original  Agreement  is hereby  deleted  in its
entirety and replaced with the following Section 2:

2.  Term.  The term of this  Agreement  shall be one (1) year  commencing on the
    Effective  Date  unless  sooner  terminated  pursuant  to  Section  3 of the
    Agreement;   provided,  however,  that  it  shall  automatically  renew  for
    additional  one (1) year periods  unless  either party gives the other party
    notice of  non-renewal  at least  three (3)  months  prior to the end of the
    first or subsequent renewal terms.

Article  III.  Section 6 of the  Original  Agreement  is hereby  deleted  in its
entirety and replaced with the following Section 3:

3.  Termination  of  Employment.  Subject to the notice and other  provisions of
    this  Agreement,  Company  shall  have the  right to  terminate  Executive's
    employment and Executive  shall have the right to resign at any time for any
    reason or for no stated reason.

        (a)    Termination for Cause; Resignation.

        (i)    If  Executive's  employment is terminated by Company for Cause or
               if Executive resigns from his employment, Executive shall have no
               right under this Agreement to receive any  compensation  or other
               benefits otherwise provided by this Agreement.

        (ii)   Termination for "Cause" shall mean  termination of Executive's  
               employment  with  Company  because of (A) his  refusal  (other 
               than by reason of incapacity  because  of  physical  or mental  
               illness)  to  perform  his  duties hereunder,  (B) the commission
               by Executive of a felony or the  perpetration  by Executive  of a
               dishonest  act or fraud  against  Company or any  affiliate  of
               Company, (C) any act or omission by Executive which is the result
               of Executive's willful  misconduct or gross  negligence and 
               which, in the good faith opinion of Company, is injurious in any
               material way to the financial condition,  business,or  reputation
               of  Company  or its  affiliates,  or (D) a  material  breach  by
               Executive of this Agreement.

        (b)    Involuntary Termination.

        (i)    If,  prior  to the  expiration  of the  Term,  Company terminates
               Executive's employment  for any reason other than for  Disability
               or Cause ("Involuntary Termination")  or  Company  exercises  its
               right not to renew this Agreement, Company shall pay to Executive
               his salary prorated on a monthly basis, at the rate in effect on 
               the date of Involuntary  Termination  ("Severance Payments") for
               the  nine  month  period  beginning  immediately  following  the
               date of Involuntary Termination or non-renewal
               ("Severance Period").  Severance Payments shall be paid in 
               payroll  installments  in  accordance  with the Company's payroll
               practices then in effect;  provided,  however,  that Company, in
               its sole discretion, may at any time during the Severance  Period
               pay to Executive the then remaining portion of Severance Payments
               due during the Severance Period in a cash lump sum.

        (ii)   In the event of Involuntary Termination, Executive shall continue
               to  participate  on the same  terms and  conditions  as in effect
               immediately  prior  to the  date of  Involuntary  Termination  in
               Company's  health,  medical,  and dental plans until the last day
               Company is obligated  to make  Severance  Payments in  accordance
               with Section 3(b)(i) above.

        (iii)  In the  event  of  Executive's  death  prior  to  the  end of the
               Severance Period,  Severance  Payments shall cease as of the date
               of death.

        (iv)   If,  following  Involuntary  Termination,   Executive  materially
               breaches the provisions of Section 4 of this Agreement, Executive
               shall  not be  eligible,  as of the date of the  breach,  for the
               payments and benefits  described in Section 3 and any obligations
               of Company for such payments and benefits shall thereupon cease.

        (c)  Termination  because  of  Disability.  In the event of  Executive's
Disability,  Company  shall be  entitled to  terminate  his  employment.  Should
Company terminate  Executive's  employment because of Disability,  Company shall
continue to pay  Executive  his annual salary until the earliest to occur of (i)
the end of the nine-month  period  following the date of  termination,  (ii) the
date of Executive's death, or (iii) the first day on which Executive is entitled
to benefits under Company's long term  disability  plan. As used in this Section
3(c),  the term  "Disability"  shall mean a physical or mental  incapacity  that
substantially  prevents  Executive  from  performing his duties  hereunder,  has
continued  for at least 180 days,  and can  reasonably  be  expected to continue
indefinitely.  Any dispute about whether or not Executive is disabled within the
meaning of this Section shall be resolved by a physician reasonably satisfactory
to Executive and Company, and the determination of such physician shall be final
and binding upon both Executive and Company.

        (d) Death.  No  Severance  Payments or other  benefits  shall be payable
pursuant to this Agreement following the date of Executive's death.

Article  IV.  Section  7 of the  Original  Agreement  is hereby  deleted  in its
entirety and replaced with the following Section 4:

4.  Protection of Company's Interests.

        (a) No  Competing  Employment.  For so long as  Executive is employed by
Company  and  continuing  for two  years  after  termination  of  employment  or
resignation ("Restricted Period"), Executive shall not, unless he receives prior
written consent from Company, directly or indirectly own an interest in, manage,
operate,  join, control,  lend money or render financial or other assistance to,
or  participate  in or be  connected  with  as an  officer,  employee,  partner,
stockholder,   consultant  or  otherwise  any  individual,   partnership,  firm,
corporation or other business organization or entity that competes with Company;
provided,  however,  that this  Section  4(a)  shall not  proscribe  Executive's
ownership, either directly or indirectly, of less that five percent of any class
of securities  which are listed on a national  securities  exchange or quoted on
the  automated  quotation  system  of the  National  Association  of  Securities
Dealers, Inc.

        (b) No Interference.  During the Restricted Period, Executive shall not,
whether  for his  own  account  or for  the  account  of any  other  individual,
partnership,  firm,  corporation  or other  business  organization  (other  than
Company),  intentionally  solicit,  endeavor  to entice  away from  Company,  or
otherwise  interfere  with the  relationship  of Company  with any person who is
employed by or otherwise  engaged to perform  services for Company or any person
or entity who is, or was,  within the then most recent  twelve-month  period,  a
customer, client, or supplier of Company.

        (c) Secrecy.  Executive recognizes that the services he will perform are
special,  unique,  and  extraordinary  because as part of his  employment he may
acquire  confidential  information  and trade  secrets  about the  operation  of
Company or its  affiliates,  the use or  disclosure of which could cause Company
substantial  loss or damage which could not be readily  calculated and for which
no remedy  at law would be  adequate.  Accordingly,  Executive  shall not at any
time,  except in performance of his obligations to Company or with prior written
consent of Company,  directly or indirectly disclose to any person any secret or
confidential information.  "Confidential  Information" means any information not
previously  disclosed  to the public by  Company's  management  about  Company's
products, facilities,  business practices, trade secrets, intellectual property,
systems, procedures, manuals, confidential reports, price lists, customer lists,
financial information, and business plans, prospects, or opportunities.

        (d) Exclusive Property. All Confidential Information is and shall remain
the  exclusive  property of Company.  Upon  termination  of  employment  or upon
request of Company at any time,  Executive shall promptly deliver to Company and
shall not,  without consent of Company,  retain copies of any written  materials
not  previously  made  available to the public or records and documents  made by
Executive or coming into his possession and relating to the business of Company;
provided,  however,  that subsequent to any  termination,  Company shall provide
Executive  with copies of any  documents  which are  requested by Executive  and
necessary for him to comply with any  applicable law or the terms and conditions
of the Agreement.

        (e)  Enforcement.  Should  the  period  of  time  or  the  scope  of the
restrictive  covenants  set forth above be adjudged  unreasonable  in a judicial
proceeding,  then  the  period  of time or the  scope or both  shall be  reduced
accordingly, so that the covenants may be enforced in such scope and during such
period of time as are  judged by the court to be  reasonable.  Should  Executive
breach or violate this  Agreement,  in addition to all other  remedies,  Company
shall be entitled to equitable  relief in any court of  competent  jurisdiction,
including the right to obtain  injunctive  relief for specific  performance,  it
being  covenanted  hereby that  Company  has no  adequate  remedy at law for the
breach of the covenants contained herein.

               (f) Execution of Release.  In  consideration of and as a specific
condition for receipt of Severance  Payments and other benefits pursuant to this
Agreement,   Executive  shall  execute  a  release  releasing  Company  and  its
employees, officers, and directors from and against any loss, damages, causes of
action or other liability arising out of Executive's employment by Company.

Article  V.  Sections  8, 9, 10,  and 11 of the  Original  Agreement  are hereby
deleted in their entirety and replaced with the following Section 5:

5.  General Provisions.

     (a)  Tax   Withholding.   Payments  to  Executive   for  all   compensation
contemplated   by  this  Agreement  shall  be  subject  to  all  applicable  tax
withholding.

        (b)  Notices.  Notice  by  either  party  shall be given in  writing  by
personal delivery or certified mail, return receipt requested,  or if to Company
by facsimile to the applicable address set forth below:

        (i)    To Company:                 Mr. Allan L. Keysor
                                           General Counsel
                                           Curative Health Services, Inc.
                                           14 Research Way
                                           East Setauket, NY  11733

        (ii)   To Executive:               Mr. William Tella
                                           Vice President, Corporate Development
                                           Curative Health Services, Inc.
                                           14 Research Way
                                           East Setauket, NY  11733

or to such other persons or addresses either party may specify to the other in 
writing.

        (c)  Assignment/Amendment.  This  Agreement  shall  not be  assigned  by
Executive,  and any  attempted  assignment  or  delegation  in violation of this
provision shall be void. Subject to the preceding sentence, this Agreement shall
be binding upon the parties hereto and their respective heirs,  successors,  and
assigns.  This  Agreement may not be amended,  modified,  or canceled  except by
written Agreement between Executive and Company.

        (d)  Severability.  If any  term  or  provision  of  this  Agreement  is
determined  to be  invalid  or  unenforceable  in a final  court or  arbitration
proceeding, (i) the remaining terms and provisions shall be unimpaired and, (ii)
the invalid or  unenforceable  term or provision  shall be deemed  replaced by a
term or provision that is valid and  enforceable and comes closest to expressing
the intention of the invalid or unenforceable term or provision.

        (e) Governing Law. This Agreement  shall be governed by and construed in
accordance  with the laws of the State of New York without  regard to any choice
or conflicts of law provisions.

        (f) Entire Agreement. This Agreement sets forth the entire agreement and
understanding  of the parties  with  respect to the matters  covered  hereby and
supersedes all prior agreements and  understandings  of the parties with respect
to the subject matter hereof.

        IN WITNESS WHEREOF,  the parties have executed this Agreement  effective
as of the day and year first written above.


                         CURATIVE HEALTH SERVICES, INC.

                         By:_________________________________________
                         Name:  John Vakoutis
                         Title: President and Chief Executive Officer


                         EXECUTIVE


                         --------------------------------------------
                         Name:  William Tella



                         /s/  John Vakoutis
                         --------------------------------------------
                         John Vakoutis  
                         President and Chief Executive Officer


                         /s/  William C. Tella                       
                         --------------------------------------------
                         William C. Tella 
                         Vice President, Corporate Development  




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<ARTICLE>                     5
   
<MULTIPLIER>                  1,000
       
<S>                                                  <C>             <C>
<PERIOD-TYPE>                                        3-MOS           3-MOS
<FISCAL-YEAR-END>                                    DEC-31-1998     DEC-31-1997
<PERIOD-START>                                       JAN-01-1998     JAN-01-1997
<PERIOD-END>                                         MAR-31-1998     MAR-31-1997
<CASH>                                               25,727          12,618
<SECURITIES>                                         34,788          32,213
<RECEIVABLES>                                        16,721          11,601
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<INVENTORY>                                               0               0
<CURRENT-ASSETS>                                     79,376          57,171
<PP&E>                                               17,897          10,380
<DEPRECIATION>                                        7,535           5,278
<TOTAL-ASSETS>                                       90,473          63,060
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                                     0               0
                                               0               0
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<SALES>                                              24,513          19,654
<TOTAL-REVENUES>                                     24,513          19,654
<CGS>                                                13,245          10,858
<TOTAL-COSTS>                                        18,916          15,922
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<INCOME-PRETAX>                                       6,196           4,308
<INCOME-TAX>                                          2,319             643
<INCOME-CONTINUING>                                   3,877           3,665
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<CHANGES>                                                 0               0
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