CURATIVE HEALTH SERVICES INC
10-Q, 1999-05-17
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, 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 (516) 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 May 1, 1999 there were 10,088,510 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, 1999 and 1998                   3

            Condensed Consolidated Balance Sheets
                  March 31, 1999 and December 31, 1998                         4

            Condensed Consolidated Statements of Cash Flows
                  Three Months ended March 31, 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                                          7

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                                  15

            Signatures                                                        16


                                       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,
                                                           1999           1998
                                                           ----           ----

Revenues                                                  $25,243        $24,513

Cost and Expenses:

      Cost of product sales and services                   14,074         13,245
      Selling, general and administrative                   5,714          5,671
                                                            -----          -----
            Total costs and operating expenses             19,788         18,916

Income from operations                                      5,455          5,597

Interest income                                               645            599

Income before income taxes                                  6,100          6,196

Income taxes                                                2,288          2,319

Net income                                                $ 3,812        $ 3,877
                                                            =====          =====

Net income per common share, basic                        $   .32        $   .31
                                                              ===            ===
Net income per common share, diluted                      $   .31        $   .29
                                                              ===            ===

Weighted average common shares, basic                      11,873         12,601
                                                           ======         ======

Weighted average common shares, diluted                    12,133         13,152
                                                           ======         ======


                                       3
                            (See accompanying notes)
<PAGE>

                 Curative Health Services, Inc. and Subsidiaries

                      CONDENSED CONSOLIDATED BALANCE SHEETS
                                 (In thousands)


                                              March 31, 1999   December 31, 1998
                                              (Unaudited)
ASSETS

Cash and cash equivalents                          $  6,596         $  24,222
Marketable securities held-to-maturity               33,383            45,830
Accounts receivable, net                             19,195            19,871
Deferred tax assets                                   1,042             1,042
Prepaids and other current assets                     1,044             1,179
                                                      -----             -----
      Total current assets                           61,260            92,144

Property and equipment, net                          13,460            13,366
Other assets                                          3,568             3,611
                                                      -----             -----
     Total assets                                 $  78,288         $ 109,121
                                                     ======           =======

LIABILITIES AND STOCKHOLDERS' EQUITY

Accounts payable                                  $  12,459         $  13,497
Accrued liabilities                                     912             2,221
Current lease obligations                                 -                 7
                                                     ------            ------
      Total current liabilities                      13,371            15,725

Stockholders' equity

      Common stock                                      100               127
      Additional paid in capital                     46,734            79,000
      Retained earnings                              18,083            14,269
                                                     ------            ------
            Total stockholders' equity               64,917            93,396
                                                     ------            ------

     Total liabilities and stockholders' equity   $  78,288         $ 109,121
                                                     ======           =======


                                       4
                            (See accompanying notes)
<PAGE>



                 Curative Health Services, Inc. and Subsidiaries

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

                                                    Three Months Ended March 31,

                                                            1999            1998
                                                            ----            ----
OPERATING ACTIVITIES:

Net income                                              $  3,812       $  3,877
Adjustments to reconcile net income to net
      cash provided by operating activities:

      Equity in operations of investee                        85              -
      Depreciation and amortization                        1,004            700
      Changes in operating assets and liabilities         (1,590)        (1,875)
                                                         -------         ------

NET CASH PROVIDED BY OPERATING ACTIVITIES                  3,311          2,702

INVESTING ACTIVITIES:

Purchase of property and equipment                        (1,085)        (1,781)
Sales (Purchases) of marketable securities                12,446        (15,981)
                                                          ------        -------

NET CASH PROVIDED BY(USED IN) INVESTING ACTIVITIES        11,361        (17,762)

FINANCING ACTIVITIES:

Stock repurchases                                        (32,320)             -
Proceeds from exercise of stock options                       29          1,051
Principal payments on loans and capital lease obligations     (7)           (10)


NET CASH (USED IN)PROVIDED BY FINANCING ACTIVITIES       (32,298)         1,041

(DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS         (17,626)       (14,019)
Cash and cash equivalents at beginning of period          24,222         39,746

CASH AND CASH EQUIVALENTS AT END OF PERIOD             $   6,596      $  25,727
                                                           =====         ======

SUPPLEMENTARY CASH FLOW INFORMATION:

Interest paid                                          $      0       $       2
                                                            ===             ===

                                       5
                            (See accompanying notes)
<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, 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 three months ended March 31, 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:

                                                      1999        1998
                                                      ------------------
            Weighted average shares, basic            11,873      12,601
            Effect of diluted stock options              260         551
                                                         ---         ---
            Weighted average shares, diluted          12,133      13,152
                                                      ======      ======

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".

   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
   "whistlerblower"  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.

                                       6
<PAGE>

   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"  statue 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 been required to furnish
   to Medicare  auditors  each year 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  were named in four  shareholder
   lawsuits, namely:

      Ernest Hack versus Curative Health Services, Inc et al.

      Scott Thompson versus Curative Health Services, Inc et al.

      Tirdad V. Zarookian versus Curative Health Services, Inc et al.

      William Nolan versus Curative Health Services, Inc et al.

                                       7
<PAGE>

   All suits were  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.  The  suits  seek to  recover  unspecified
   damages from  defendants.  The Company denies the  allegations and intends to
   vigorously defend the suits.

                                       8
<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 1999
increased 3 percent to $25,243,000 compared to $24,513,000 for the first quarter
of the prior fiscal year. The revenue  increase is attributable to the operation
of 160 wound care  centers at the end of the first  quarter of 1999  compared to
135 at the end of the first quarter of 1998 and a 2 percent increase in revenues
at existing  centers related to higher patient  volumes.  The Company's  revenue
growth  declined to 3% in the first quarter of 1999 compared to 25% for the same
quarter in 1998.  The  decline is  primarily  attributable  to the closing of 17
Wound Care Centers and the modification of contractual  terms of certain renewed
contracts.  At any time during the year,  10 percent to 15 percent of  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   currently  face
financially  challenging  times.  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  growth.  As the result of the recent legal action  against the Company,
further unanticipated terminations or non-renewals may take place. Additionally,
new business development may be slower than normal given the legal uncertainties
facing the  Company.  Any  inability  of the  Company to develop  new Wound Care
Centers could further  deteriorate  revenue growth.  The Company has a number of
initiatives  to counter the decline of growth in revenue,  although there can be
no  assurance  that the  initiatives  will be  successful.  Total  new  patients
increased 10 percent from 13,519 in the first  quarter of 1998 to 14,905 for the
same period in 1999.  The total  number of new  patients  receiving  Procuren(R)
therapy  decreased from 2,081 in the first quarter of 1998 to 1,670 in the first
quarter of 1999.  The  percentage  of  patients  receiving  Procuren(R)  therapy
decreased during the first quarter of 1999 to 11 percent from 15 percent for the
same period in 1998.  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  $13,245,000  in 1998 to  $14,074,000 in 1999, an
increase of 6 percent.  The increase is attributable to additional  staffing and
operating expenses of approximately  $1,137,000 associated with the operation of
25  additional  wound care centers at the end of the first  quarter of 1999,  as
well as increased volume at existing wound care facilities.  Additionally, these
25 centers  included 17 additional  under-arrangement  Wound Care  Centers(R) 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  quarter  of 1998,  the  higher  services
components at these centers accounted for an additional $762,000 of the increase
in product  costs and services for the first quarter of 1999. As a percentage of
revenues,  costs of product sales and services for the first quarter of 1999 was
56 percent  compared to 54 percent for the same period in 1998.  The two percent
increase is  attributed  to the slowing of revenue and existing same store sales
growth which decreased  margins and the Company's  ability to leverage  expenses
over a broader revenue base.

                                       9
<PAGE>

Selling,  General  and  Administrative.   Selling,  general  and  administrative
expenses for the first quarter  increased from  $5,671,000 in 1998 to $5,714,000
in 1999 an increase of 1 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 23 percent in the first quarter of 1998
and 1999.

Net Income. Net income was $3,877,000 or $0.29 per share in the first quarter of
1998 compared to $3,812,000 or $0.31 per share in the first quarter of 1999. The
decrease in earnings  of $65,000  for the three  months  ended March 31, 1999 as
compared to March 31, 1998 is attributable to the declining revenue growth which
impacted wound care center margins.

Liquidity and Capital Resources.

Working capital was $47.9 million at March 31, 1999 compared to $76.4 million at
December  31, 1998.  Total cash,  cash  equivalents  and  marketable  securities
held-to-maturity as of March 31, 1999 was $40 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 $40 million at March 31, 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 March
31,  1999.  The  Company's  decrease in working  capital  and  current  ratio is
primarily attributable to the stock repurchase.

Cash flows  provided by  operations  for the first three  months of 1999 totaled
$3,311,000  primarily  attributable to the net income for the period. Cash flows
used in investing activities totaled $11,361,000 primarily attributable to sales
of  marketable  securities  to fund the stock  repurchase.  Cash  flows  used in
financing   activities  totaled  $32,298,000   primarily   attributable  to  the
repurchase of shares.

For the first three  months of 1999,  the  Company  experienced  a $676,000  net
decrease in accounts  receivable  and an increase in the average  number of days
receivables  outstanding  to 68 days as of March 31,  1999  compared to 66 as of
December 31, 1998. Further,  the Company's accounts payable and accrued expenses
decreased $2,347,000 as of March 31, 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 current working capital
needs.  The effects of  inflation  and foreign  currency  translation  risks are
considered immaterial.

                                       10
<PAGE>

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 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 is  currently  in the  remediation  phase of this
program.

      The amount of  remediation  work required to address Year 2000 problems is
not expected to be extensive.  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. However, the Company  will be
required to modify 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 its Year 2000 compliance program for all
of its  significant  internal  systems no later than the third 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.  Also,
contacts are being made with the Company's  major  customers.  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.

                                       11
<PAGE>

      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.  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 yet
developed 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.


      The Company has completed a review of its material  computer  applications
and believes it has  identified  and  scheduled  necessary  corrections  for its
computer applications.  Corrections are currently being made and are expected to
be  substantially  implemented by the third quarter of the fiscal year 1999. The
Company  expects that the total cost associated with these revisions will not be
material. These costs will be primarily incurred during the fiscal year 1999 and
be charged to expense as incurred.  The Company  believes that by completing its
planned  corrections  to its  computer  applications,  the Year 2000  issue with
respect to the Company's systems can be mitigated.  However, if such corrections
cannot be completed on a timely basis, the Year 2000 issue could have a material
adverse  impact on the Company's  business,  financial  condition and results of
operations.  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.

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,  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.

                                       12
<PAGE>

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.

                                       13
<PAGE>

               Curative Health Services, Inc. and Subsidiaries


Part II.  Other Information

Item 1. 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".

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
"whistlerblower"  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.

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"  statue  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 been required to furnish to
Medicare  auditors each year 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.

                                       14
<PAGE>

Subsequent to the disclosure of the Justice  Department action, the Company and,
in some cases, certain of its officers were named in four shareholder  lawsuits,
namely:

      Ernest Hack versus Curative Health Services, Inc et al.

      Scott Thompson versus Curative Health Services, Inc et al.

      Tirdad V. Zarookian versus Curative Health Services, Inc et al.

      William Nolan versus Curative Health Services, Inc et al.


All suits  were  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.  The suits seek to recover  unspecified  damages from the defendants.
The Company denies the allegations and intends to vigorously defend the suits.

Item 6.  Exhibits and Reports on Form 8-K

(a)   Exhibits

      27 Financial Data Schedule.

(b)   Forms 8-K

      Form 8-K dated February 18, 1999,  reporting  under Item 5 on management's
      quarterly telephone conference with analysts and investors.

                                       15
<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 17, 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)



                                       16
<PAGE>


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