CURATIVE HEALTH SERVICES INC
10-Q, 1999-11-15
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 September 30, 1999

                                             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 (631) 232-7000
                           -------------------------------------

    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 November 1, 1999 there were 10,090,110  shares of the Registrant's  Common
Stock, $.01 par value, outstanding.

                                       1
<PAGE>



                       Curative Health Services, Inc. and Subsidiary

                                           INDEX


Part I            Financial Information                                 Page No.

Item 1            Condensed Consolidated Financial Statements:

            Condensed Consolidated Statements of Operations
                  Three and Nine Months ended September 30, 1999 and 1998      3

            Condensed Consolidated Balance Sheets
                  September 30, 1999 and December 31, 1998                     4

            Condensed Consolidated Statements of Cash Flows
                  Nine Months ended September 30, 1999 and 1998                5

            Notes to Condensed Consolidated Financial Statements               6

Item 2            Management's Discussion and Analysis of Financial Condition
                  and Results of Operations                                    8

Item 3            Quantitative and Qualitative Disclosures About Market Risk  12



Part II           Other Information                                     Page No.

Item 1            Legal Proceedings                                           14

Item 6            Exhibits and Reports on Form 8-K                            14

                  Signatures                                                  15

                                       2
<PAGE>

Part I.  Financial Information

Item 1.  Condensed Consolidated Financial Statements

                  Curative Health Services, Inc. and Subsidiary

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

<TABLE>
<CAPTION>
                                                       Three Months Ended   Nine Months Ended
                                                       --------------------------------------
                                                         September 30,        September 30,
                                                         ----------------------------------
                                                          1999     1998      1999      1998
                                                          ---------------------------------

<S>                                                      <C>      <C>       <C>       <C>
Revenues                                                 $25,979  $26,722   $76,842   $77,271

Costs and operating expenses:

          Cost of sales and services                      15,717   14,409    45,280    41,731
          Selling, general and administrative              7,150    5,944    19,652    17,530
                                                           -----    -----    ------    ------


               Total costs and operating expenses         22,867   20,353    64,932    59,261
                                                          ------   ------    ------    ------


Income from operations                                     3,112    6,369    11,910    18,010

Interest income                                              469      687     1,504     1,951
                                                             ---      ---     -----     -----

Income before taxes                                        3,581    7,056    13,414    19,961

Income taxes                                               1,380    2,664     5,082     7,496
                                                           -----    -----     -----     -----

Net income                                                $2,201   $4,392    $8,332   $12,465
                                                          ======   ======    ======   =======

Net income per common share, basic                          $.22     $.34      $.78      $.98
                                                            ====     ====      ====      ====

Net income per common share, diluted                        $.22     $.34      $.77      $.95
                                                            ====     ====      ====      ====

Weighted average common shares, basic                     10,090   12,741    10,679    12,686
                                                          ======   ======    ======    ======

Weighted average common shares, diluted                   10,121   13,041    10,847    13,080
                                                          ======   ======    ======    ======
</TABLE>

                                       3
<PAGE>


                  Curative Health Services, Inc. and Subsidiary

                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                 (In thousands)

                                           September 30, 1999  December 31, 1998
                                                   (Unaudited)
                                           -------------------------------------
ASSETS

Cash and cash equivalents                              $12,933           $24,222
Marketable securities held-to-maturity                  30,675            45,830
Accounts receivable, net                                21,488            19,871
Deferred tax assets                                      1,042             1,042
Prepaids and other current assets                        1,312             1,179
                                                         -----             -----
            Total current assets                        67,450            92,144

Property and equipment, net                             12,523            13,366
Other assets                                             4,236             3,611
                                                         -----             -----

            Total assets                               $84,209          $109,121
                                                       =======          ========

LIABILITIES AND STOCKHOLDERS' EQUITY

Accounts payable                                       $12,700           $13,497
Accrued liabilities                                      2,068             2,221
Current portion capital lease obligations                    -                 7
                                                       -------           -------
             Total current liabilities                  14,768            15,725

Stockholders' equity

           Common stock                                    100               127
           Additional paid in capital                   46,739            79,000
           Retained earnings                            22,602            14,269
                                                        ------            ------

             Total stockholders' equity                 69,441            93,396
                                                        ------            ------


Total liabilities and stockholder's equity             $84,209          $109,121
                                                       =======          ========

                                       4
<PAGE>


                  Curative Health Services, Inc. and Subsidiary

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (In thousands)
                                   (Unaudited)
<TABLE>
<CAPTION>
                                                               Nine Months Ended September 30,
                                                               -------------------------------
                                                                       1999           1998
                                                                       ----           ----
OPERATING ACTIVITIES:
<S>                                                                 <C>            <C>
Net income                                                          $  8,332       $ 12,465
Adjustments to reconcile net income to net
      cash provided by operating activities:

      Equity in operations of investee                                   408              -
      Depreciation and amortization                                    2,983          2,194
      Changes in operating assets and liabilities                     (2,772)        (2,560)
                                                                      -------        -------
NET CASH PROVIDED BY OPERATING ACTIVITIES                              8,951         12,099

INVESTING ACTIVITIES:

Investment in Accordant Health Services, Inc.                         (1,000)        (2,000)
Purchase of property and equipment                                    (2,101)        (5,888)
Sales (Purchases) of marketable securities                            15,155        (31,095)
                                                                      ------        --------
NET CASH PROVIDED BY(USED IN)  INVESTING ACTIVITIES                   12,054        (38,983)

FINANCING ACTIVITIES:

Stock repurchases                                                    (32,320)             -
Proceeds from exercise of stock options                                   33          1,863
Principal payments on loans and capital lease obligations                 (7)           (30)
                                                                     --------         ------
NET CASH (USED IN)PROVIDED BY FINANCING ACTIVITIES                   (32,294)         1,833

DECREASE  IN CASH AND CASH EQUIVALENTS                               (11,289)       (25,051)
Cash and cash equivalents at beginning of period                      24,222         39,746

CASH AND CASH EQUIVALENTS AT END OF PERIOD                          $ 12,933       $ 14,695
                                                                    ========       ========

SUPPLEMENTARY CASH FLOW INFORMATION:

 Interest paid                                                      $      0       $      3
                                                                           =              =
</TABLE>

                                       5
<PAGE>


                  Curative Health Services, Inc. and Subsidiary

              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, 1998 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 nine months ended  September 30, 1999 are not  necessarily  indicative of
   the results to be expected  for the entire  fiscal year ending  December  31,
   1999.


Note 2.  Net Income per Common 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.
   The following table sets forth the computation of basic and diluted  earnings
   per share (in thousands):


                                        Three Month Ended      Nine Months Ended
                                          September 30,          September 30,
                                            1999     1998          1999    1998
                                        ----------------------------------------
        Weighted average shares, basic    10,090   12,741        10,679  12,686

        Effect of diluted stock options       31      300           168     394
                                              --      ---           ---     ---

        Weighted average shares, diluted  10,121   13,041        10,847  13,080
                                          ======   ======        ======  ======



Note 3. Legal Proceedings

   On April 7,  1999 the  Company  announced  that it had  received  a  document
   subpoena  from the  Office of  Inspector  General of the U.S.  Department  of
   Health and Human Services, Region II (New York, NY). The subpoena directs the
   Company to produce a broad  range of  documents  from  January 1, 1993 to the
   present  relating to various areas  including,  among others,  the Wound Care
   Centers,  wound care treatment programs and general business  practices.  The
   subpoena  states that it has been delivered in connection with a "Health Care
   Investigation".  The Company is complying with the subpoena and is furnishing
   the requested documents.

                                       6
<PAGE>

   On April 12, 1999 the Company  announced that a press release from the United
   States Department of Justice was released on Friday,  April 9, 1999, alleging
   that the Company made improper  charges to Columbia/HCA  hospitals as well as
   other hospitals.  The Company has obtained a copy of the complaint filed by a
   "whistleblower"  relator  under the Federal  civil False Claims Act. The case
   has  been  filed  as  United  States  ex  rel.  Joseph  "Mickey"  Parslow  v.
   Columbia/HCA  Healthcare Corporation and Curative Health Services,  Inc., and
   has  been  assigned  civil  case  number  98-1260-civ-T-23F,  in the  Federal
   District Court for the Middle District of Florida, Tampa Division. An amended
   complaint, originally anticipated to be filed by August 6, 1999, was extended
   until  October 22, 1999.  The  Department  of Justice  contacted the Company,
   through  its  outside  legal  counsel,   seeking  an  additional  four  month
   extension.  The Company has agreed to an extension and anticipates  receiving
   the amended complaint on or before February 18, 2000.

   The  "whistleblower's"  complaint  alleges that:  the Company's  charges were
   excessive; the Company shifted costs from non-allowable services to allowable
   services;  included charges for advertising  costs that were not allowable to
   the hospital claiming  reimbursement from the Medicare program;  and violated
   the "anti-kickback"  statute because a portion of the Company's fee was based
   on the number of new patients  seen in the Wound Care Centers  managed by the
   Company.   The  Company  disagrees  with  these   characterizations   of  its
   contractual  arrangements,  its  services,  and the fees it charges for those
   services.

   The Company does not believe that it "refers,  recommends  or arranges" for a
   hospital's services in exchange for kickbacks. The Company also believes that
   its charges are fair market  value for the  services  that it  furnishes,  as
   supported  by the  fact  that  more  than 170  hospitals  have  entered  into
   contracts  with the Company for its services in managing  Wound Care Centers.
   The Company's charges cover not only direct costs for management services but
   also the Company's intellectual  property,  which includes a unique data base
   and  clinical  pathways  that have proven  effective  in healing  intractable
   wounds in more than 80 percent of the patients that have completed treatment.
   These are patients who otherwise would likely have had to have amputations or
   other invasive,  expensive,  and possibly disabling or disfiguring  services.
   The Company has expended  millions of dollars in developing  and  maintaining
   its clinical pathways,  and also in training  physicians and other clinicians
   in its clinical pathways.

   The Company  notes that the  contracts  challenged  in the  "whistleblower's"
   civil suit are contracts  that its hospital  customers  have  generally  been
   required  to furnish  to  Medicare  auditors  as part of annual  cost  report
   filings.  In  hundreds  of  instances,  the  Company's  fees to its  hospital
   customers have been allowed in full,  sometimes after a detailed  audit.  The
   Company,  itself,  is neither a provider nor a supplier  participating in the
   Medicare program and does not receive payments from the Medicare program.

   The Company has a formal compliance program and management  believes that the
   Company is in material  compliance with applicable laws and ethical  business
   practices.  In the  conduct of its  business,  the  Company has relied on the
   advice and guidance of nationally  recognized  law firms in  structuring  its
   business  relationships with its hospitals.  In this pending litigation,  the
   Company intends to defend itself vigorously.

   Subsequent to the disclosure of the Justice  Department  action,  the Company
   and, in some cases,  certain of its officers and directors were named in four
   shareholder  lawsuits  filed in the  United  States  District  Court  for the
   Eastern  District of New York. The lawsuits allege generally that the Company
   and its officers violated federal securities laws by disseminating materially
   false and misleading  statements and failing to disclose material information
   relating  to  the  contractual  relationships  with  Columbia/HCA  Healthcare
   Corporation and other hospitals, and certain purported  misrepresentations in
   connection  therewith.  The suits seek to recover  unspecified  damages  from
   defendants.  The Company  denies the  allegations  and intends to  vigorously
   defend the suits.

                                       7
<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 third  quarter of fiscal  year 1999
decreased  2.8  percent to  $25,979,000  compared to  $26,722,000  for the third
quarter of the prior fiscal year.  During the third  quarter of 1999 the Company
opened 2 new  Wound  Care  Centers , closed 2 and  signed 5 new  contracts.  The
Company  ended the third  quarter 1999 with 8 Wound Care Centers  contracted  to
open.  The Company  operated 160 hospital based Wound Care Centers at the end of
the third quarter 1999 compared to 152 at the end of the third quarter 1998. The
revenue decrease for the third quarter 1999 is attributable to the renegotiation
of several existing contracts which resulted in reduced revenues to the Company,
including 24 with Columbia/HCA  Healthcare  Corporation,  contract terminations,
and a  reduction  in  Procuren  revenues  as the result of a decline in Procuren
patients. At any time during the year, 10 percent to 20 percent of the Company's
contracts  are being  re-negotiated  with the client  hospital  for a variety of
contractual terms or issues.  Historically,  some contracts have expired without
renewal and others have been  terminated  by the Company or the client  hospital
for various reasons prior to their scheduled expiration. Hospitals are currently
facing  financial  challenges  associated with lower occupancy rates and reduced
revenue  streams  due to pricing  pressures  from third  party  payors.  Program
terminations  by  client  hospitals  have  been  effected  for such  reasons  as
financial  restructuring,  layoffs,  bankruptcies or even hospital closings. The
termination or non-renewal of a material  number of management  contracts  could
result in a continued  decline in the  Company's  revenue.  As the result of the
recent legal action against the Company,  further unanticipated  terminations or
non-renewals  may take place.  Additionally,  new business  development has been
slower  than  normal  given the legal  uncertainties  facing  the  Company.  Any
inability  of the Company to develop new Wound Care  Centers  could  further the
revenue decline.  The Company has a number of initiatives to counter the decline
in revenue,  although  there can be no assurance  that the  initiatives  will be
successful.  Total new  patients  increased  4 percent  from 15,551 in the third
quarter of 1998 to 16,225 for the same period in 1999.  The total  number of new
patients receiving Procuren(R) therapy decreased from 2,047 in the third quarter
of 1998 to 1,359 in the  third  quarter  of 1999.  The  percentage  of  patients
receiving  Procuren(R)  therapy  decreased during the third quarter of 1999 to 8
percent  from 13 percent for the same period in 1998.  For the first nine months
of 1999  revenues  totalled  $76,842,000  compared to  $77,271,000  for the same
period in 1998  representing  flat year over year growth.  The lack of growth in
revenues for the nine months ended  September  30, 1999 is  attributable  to the
renegotiations of contracts,  contract  terminations and a reduction in Procuren
revenues as the result of a decline in Procuren patients. During the nine months
ended  September  30, 1999 the Company  opened 22 new Wound Care Centers and had
contract  terminations  at 16  existing  Wound  Care  Centers.  The 16  contract
terminations  included 8  Columbia/HCA  Wound Care  Centers.  Additionally,  one
contract  terminated  prior to opening.  The Company signed contracts for 13 new
Wound Care  Centers for the nine months  ended  September  30,  1999.  Total new
patients to the wound care  facilities  for the first nine months of 1999,  were
46,706 compared to 44,066 for the same period in 1998, an increase of 6 percent.
The total number of new patients receiving Procuren therapy decreased 26 percent
to 4,665 in the first nine months of 1999 from 6,298 in the first nine months of
1998. The Company  believes that this decrease is attributable 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),  a lack of  available  reimbursement  for  Medicare  patients,  the
inability of hospitals to assume  collection risks due to financial  constraints
and  increased  competition  from other  wound  healing  products.  The  Company
anticipates that the percentage of patients receiving  Procuren(R) will continue
to decline gradually in the future.

                                       8
<PAGE>

Costs of Product Sales and Services. Costs of product sales and services for the
third quarter  increased  from  $14,409,000  in 1998 to  $15,717,000 in 1999, an
increase of 9 percent and for the first nine months of 1999 totalled $45,280,000
compared to $41,731,000  for the same period in 1998. For the third quarter 1999
the increase is  attributable  to  additional  clinical  staffing and  operating
expenses  of  approximately   $792,000  associated  with  the  operation  of  10
additional  under  arrangement  Wound Care  Centers at the end of the quarter of
1999 as compared  with the same  period in 1998,  and an increase of $367,000 of
clinical and  staffing  expenses at existing  under  arrangement  centers.  As a
percentage  of  revenues,  costs of  product  sales and  services  for the third
quarter of 1999 was 60 percent  compared  to 54 percent  for the same  period in
1998.  The six percent  increase is attributed to the lower revenue and negative
same store sales  growth  which  decreased  margins and created an  inability to
leverage  expenses  over a broader  revenue  base.  For the first nine months of
1999,  cost of product sales and services  increased 8 percent.  The increase is
attributable  to  additional  staffing and operating  expenses of  approximately
$2,958,000  associated with the operation of 32 additional Wound Care Centers at
the end of the third  quarter  1999,  offset by  $2,522,000  associated  with 24
closed centers.  Further, the operating Wound Care Centers include 10 additional
under arrangement Wound Care Centers at which the services component of costs is
higher  than at the  Company's  other  centers  due to the  additional  clinical
staffing and expenses that these models require. As compared with the first nine
months of 1998,  the higher  services  components  at these  centers  along with
existing under  arrangement  centers accounted for $3,302,000 of the increase in
product costs and services for the first nine months of 1999.

Selling,  General  and  Administrative.   Selling,  general  and  administrative
expenses for the third quarter  increased from  $5,944,000 in 1998 to $7,150,000
in 1999,  an  increase  of 20  percent  and for the  first  nine  months of 1999
increased 12 percent to $19,652,000  compared to $17,530,000 for the same period
in 1998.  The increases for both the third quarter and nine months are primarily
attributable to legal and other costs of approximately  $750,000 and $1,500,000,
respectfully,  related  to the  Department  of  Justice  action,  the  Office of
Inspector General's document subpoena and shareholder class action lawsuits. The
Company expects to continue to incur  significant  legal and other related costs
until the  aforementioned  actions are  resolved.  As a percentage  of revenues,
selling,  general  and  administrative  expenses  were 28  percent  in the third
quarter of 1999  compared to 22 percent in the third quarter of 1998 and for the
nine months were 26 percent compared to 23 percent for the same period in 1998.

Net Income.  Net income was  $2,201,000  or $0.22 per diluted share in the third
quarter of 1999  compared to  $4,392,000 or $0.34 per diluted share in the third
quarter of 1998,  and for the first nine  months of 1999 net income was $.77 per
diluted  share  compared to $.95 per diluted  share for the same period in 1998.
The decrease in earnings for the third  quarter and first nine months of 1999 is
attributable  to a reduced revenue base which impacted wound care center margins
and the additional unanticipated legal and other costs.

Liquidity and Capital Resources.

Working  capital  was $52.7  million at  September  30,  1999  compared to $76.4
million at December  31,  1998.  Total cash,  cash  equivalents  and  marketable
securities  held-to-maturity  as of September 30, 1999 was $43.6 million and was
invested  primarily in highly  liquid money market funds,  commercial  paper and
government securities. The Company's cash and cash equivalents declined from $70
million at December 31, 1998 to $43.6 million at September 30, 1999. The decline
is primarily  attributable  to the use of $32 million for the  repurchase of 2.7
million  shares of the Company's  common stock during the first quarter of 1999.
The ratio of current  assets to current  liabilities  was 5.9:1 at December  31,
1998 and 4.6:1 at September 30, 1999. The Company's  decrease in working capital
and current ratio is primarily attributable to the stock repurchase.

                                       9
<PAGE>


Cash flows  provided by  operations  for the first nine  months of 1999  totaled
$8,951,000  which was primarily  attributable  to the net income for the period.
Cash flows  provided  by  investing  activities  totaled  $12,054,000  which was
primarily  attributable  to sales of  marketable  securities  to fund the  stock
repurchase.  Cash flows used in financing  activities totaled  $32,294,000 which
was primarily attributable to the repurchase of shares.

For the first nine months of 1999,  the Company  experienced  a  $1,617,000  net
increase in accounts  receivable  and an increase in the average  number of days
receivables outstanding to 74 days as of September 30, 1999 compared to 66 as of
December 31, 1998, due to financial and cash flow constraints  being experienced
at some hospitals.  Further, the Company's accounts payable and accrued expenses
decreased $950,000 as of September 30, 1999 compared to December 31, 1998.

The Company's  longer term cash  requirements  include  working  capital for the
expansion of its wound care business.  Other cash  requirements  are anticipated
for capital  expenditures  in the normal course of business,  the acquisition of
software, computers and equipment related to the Company's upgrade of management
information  systems,  and the  repurchase of Company  stock.  Additionally  the
Company  expects to incur  significant  legal costs related to the Department of
Justice action and  shareholder  class action lawsuits filed against the Company
during April 1999 (See Legal  Proceedings,  Part II Item 1). The Company expects
that based on its current business plan, its existing cash, cash equivalents and
marketable  securities  will be sufficient to satisfy its working  capital needs
for the  foreseeable  future.  The effects of  inflation  and  foreign  currency
translation risks are considered immaterial.

Year 2000 Compliance

Many currently  installed computer systems and software are coded to accept only
two-digit  entries in the date code fields.  These date code fields will need to
accept  four-digit  entries to distinguish  21st century dates from 20th century
dates. This problem could result in system failures or  miscalculations  causing
disruptions of business operations  (including,  among other things, a temporary
inability  to process  transactions,  send  invoices or engage in other  similar
business activities.) As a result, many companies' computer systems and software
will  need to be  upgraded  or  replaced  in  order to  comply  with  Year  2000
requirements. The potential global impact of the Year 2000 problem is not known,
and, if not corrected in a timely manner,  could affect the Company and the U.S.
and world economy generally.

The Company has formed a project team  (consisting of  representatives  from its
information  technology,  finance,  manufacturing,  sales,  marketing  and legal
departments)  to address  other  internal  and external  Year 2000  issues.  The
Company's internal financial, manufacturing and other computer systems are being
reviewed to assess and remediate Year 2000 problems. The Company's assessment of
internal  systems includes its information  technology  ("IT") as well as non-IT
systems (which systems contain  embedded  technology in manufacturing or process
control equipment  containing  microprocessors or other similar circuitry).  The
Company's  Year  2000  compliance   program   includes  the  following   phases:
identifying  systems  that  need  to  be  modified  or  replaced;  carrying  out
remediation  work to modify  existing  systems or convert  to new  systems;  and
conducting  validation testing of systems and applications to ensure compliance.
For  its  significant  IT and non IT  systems  the  Company  has  completed  the
remediation phase of this program.

                                       10
<PAGE>

During 1997 and 1998 the  Company  was  implementing  a  management  information
technology plan which included  developing and acquiring new software as well as
acquiring  and  replacing  hardware.  The  cost of this  management  information
technology plan was  approximately $7 million.  Since the Company has replaced a
significant  portion of its  financial and  operational  systems in the last few
years,  management  believes that the new  equipment and software  substantially
addresses  Year 2000  issues.  The Company  has  modified  some of its  existing
hardware and software in order for its computer systems to function  properly in
the Year 2000 and  thereafter.  The Company  estimates that it will complete the
validation phase of its Year 2000 compliance  program for all of its significant
internal systems during the fourth quarter of fiscal year 1999.

In addition,  the Company is requesting assurances from its major suppliers that
they are  addressing  the Year 2000  issue and that  products  purchased  by the
Company from such suppliers will function properly in the year 2000. The Company
has made  inquiry and  continues  to follow up with its  hospital  customers  to
assess Year 2000  compliance.  These  actions are intended to help  mitigate the
possible external impact of the Year 2000 problem.  However, it is impossible to
fully assess the potential  consequences in the event service interruptions from
suppliers   occur  or  in  the  event  that  there  are   disruptions   in  such
infrastructure areas as utilities, communications,  transportation,  banking and
government.

The  Company  has  no  way  of  assuring  and  it is  unknown  whether  computer
applications  of contract  hospital  clients,  Medicare and other payors will be
year 2000  compliant.  The  Company has not  determined  the extent to which any
disruption  in the  billing  practices  of its  hospital  clients or the payment
practices of Medicare or other payors to the hospital clients caused by the year
2000 issues will affect the Company's  operations.  However, any such disruption
in the billing or reimbursement process could have substantial adverse impact on
Medicare or Medicaid  payments to the  hospitals  and, in turn,  payments to the
Company.  Any such  disruption  could have a material  adverse  effect  upon the
Company's business, financial condition and results of operations.

The Company  expects the total cost  associated  with  resolving  the  Company's
internal Year 2000 issues will not be material including replacing non-complaint
internal systems.  These costs will be primarily incurred during the fiscal year
1999 and be charged to expense as incurred. The Company's estimates of Year 2000
costs are based on numerous assumptions,  and there can be no assurance that the
estimates are correct or that actual costs will not be  materially  greater than
anticipated.

Based on its  assessments to date,  the Company  believes it will not experience
any  material  disruption  as  a  result  of  Year  2000  problems  in  internal
manufacturing   processes,   information  processing  or  interface  with  major
customers,  or with processing orders and billing.  However, if certain critical
third-party providers,  such as those providers supplying electricity,  water or
telephone service, experience difficulties resulting in disruption of service to
the Company,  a shutdown of the Company's  operations  at individual  facilities
could occur for the duration of the  disruption.  The Company has not identified
issues requiring the development of a contingency plan to provide for continuity
of processing in such event of various problem scenarios, but it will assess the
need to develop such a plan based on the outcome of its validation  phase of its
Year 2000  compliance  program and the results of surveying its major  suppliers
and customers. Assuming no major disruption in service from utility companies or
other critical third-party providers,  the Company believes that it will be able
to manage its total Year 2000  transition  without  any  material  effect on the
Company's  results of  operations  or financial  condition.  Because of the many
uncertainties  associated  with Year 2000  compliance  issues,  and  because the
Company's  assessment  is  necessarily  based on  information  from third  party
vendors and suppliers,  there can be no assurance that the Company's  assessment
is correct or as to the  materiality or effect of any failure of such assessment
to be correct.

                                       11
<PAGE>

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,
terminations  or non-renewal  of a material  number of contracts or inability to
obtain new  contracts,  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, uncertainties relating to
the U. S.  Department  of Justice  action and related  shareholder  class action
lawsuits  filed in April  1999 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.

Item 3.     Quantitative and Qualitative Disclosures About Market Risk

The  Company  does not have  operations  subject  to risks of  material  foreign
currency  fluctuations,  nor does it use derivative financial instruments in its
operations or  investment  portfolios.  The Company  places its  investments  in
instruments  that  meet high  credit  quality  standards,  as  specified  in the
Company's investment policy guidelines. The Company does not expect any material
loss with  respect to its  investment  portfolio  or  exposure  to market  risks
associated with interest rates.

                                       12
<PAGE>

                  Curative Health Services, Inc. and Subsidiary


Part II.  Other Information

Item 1. Legal Proceedings

      In Item 1 of Part II of its Form  10-Q for the  quarter  ended  March  31,
1999,  the  Company  announced  that a press  release  from  the  United  States
Department  of Justice was  released  alleging  that the Company  made  improper
charges to Columbia/HCA hospitals as well as other hospitals and the filing of a
complaint
against the Company  entitled United States ex rel.  Joseph "Mickey"  Parslow v.
Columbia/HCA  Healthcare  Corporation  and  Curative  Health  Services,  Inc. An
amended  complaint,  originally  anticipated  to be filed by August 6, 1999, was
extended  until  October 22,  1999.  The  Department  of Justice  contacted  the
Company,  through its outside legal  counsel,  seeking an additional  four month
extension.  The Company has agreed to an extension and anticipates receiving the
amended complaint on or before February 18, 2000. For further  information,  see
the Company's Form 10-Q for the quarter ended March 31, and June 30, 1999.


Item 6.  Exhibits and Reports on Form 8-K

(a)   Exhibit 27.  Financial Data Schedule

(b)   Reports on Form 8-K filed during the quarter ended September 30, 1999

           (i)  There were no reports on form 8-K filed during the quarter.

                                       13
<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:  November 15, 1999

                                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)

                                       14
<PAGE>


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