EXPRESS SCRIPTS INC
8-K, 1998-10-29
SPECIALTY OUTPATIENT FACILITIES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 8-K

                                 Current Report


                       Pursuant to Section 13 or 15(d) of
                       The Securities Exchange Act of 1934


Date of Report:   October 21, 1998



                              Express Scripts, Inc.
- -------------------------------------------------------------------------------
             (Exact Name of Registrant as specified in its Charter)


       Delaware                    0-20199                        43-1420563
- -------------------------------------------------------------------------------
(State or other jurisdiction  (Commission File No.)        (I.R.S. Employer 
       of corporation)                                      Identification No.)


14000 Riverport Drive, Maryland Heights, Missouri                     63043
- -------------------------------------------------------------------------------
(Address of Principal Executive Offices)                            (Zip Code)


Registrant's telephone number, including area code:      (314) 770-1666
                                                     --------------------------


- -------------------------------------------------------------------------------
          (Former name or former address, if changed since last report)


<PAGE>

Item 5.  Other Events

     On October 21, 1998,  Express Scripts,  Inc. issued a press release, a copy
of which is  attached  hereto  as  Exhibit  99.1,  and  incorporated  herein  by
reference.


Item 7.  Financial Statements, Pro Forma Financial Information and Exhibits

    (c)      The following exhibit is filed as part of this report on Form 8-K:

             Exhibit 99.1 Press release, dated October 21, 1998, by Express
Scripts, Inc.

<PAGE>

                                    SIGNATURE


     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 hereunto duly authorized.


                                          EXPRESS SCRIPTS, INC.



Date:    October 23, 1998                 By:  /s/ Barrett A. Toan
                                               Barrett A. Toan
                                               President and 
                                               Chief Executive Officer

<PAGE>

                                  EXHIBIT INDEX


EXHIBIT NO.    DESCRIPTION

   99.1        Press release, dated October 21, 1998, by Express Scripts, Inc.


                                  EXHIBIT 99.1

                EXPRESS SCRIPTS REPORTS CONTINUED STRONG REVENUE
                                AND INCOME GROWTH
               Net Income Increased 31 Percent In Third Quarter;
                     ValueRx Integration Continues On Track

     ST. LOUIS,  October 21,  1998--Express  Scripts,  Inc.  (NASD:  ESRX) today
reported net income grew by 31.2  percent to $11.3  million from $8.6 million in
the prior year, and rose 28.9 percent on a diluted per share basis,  to 67 cents
from 52 cents. The company's third quarter 1998 revenue  increased 152.3 percent
to $807.3 million compared with $319.9 million for the same period one year ago.

     While  contributions  from the  acquisition of ValueRx,  completed April 1,
1998, were primarily responsible for the significant increase in revenues during
the third quarter of 1998, the company also  experienced  continued  growth from
its  existing  base of  business  compared  to the third  quarter  of 1997.  The
operations  of ValueRx also had a positive  impact on  operating  income for the
quarter,  although  planned  integration  costs partially  offset this operating
income.

     "We were pleased to generate net income growth  exceeding 30 percent in the
third  quarter of 1998 over the same  period  last  year,"  said  Barrett  Toan,
Express Scripts president and chief executive officer. "We are also pleased that
the integration of Express Scripts' and ValueRx's  operations  continues to move
forward  following  the plan we set forth in April.  We have been  successful in
achieving our integration goals while maintaining a non-dilutive earnings stream
and positive cash flow."

     Net membership as of Oct. 1, 1998, is  approximately  22.8 million members,
an increase of 100,000  members  from the  previous  quarter  end. As part of an
ongoing  process to evaluate  the  profitability  of its client base and improve
margins where  appropriate,  which was begun by ValueRx prior to the acquisition
and  continued  by  the  combined  company  after  the  effective  date  of  the
acquisition,  a  number  of  clients  with  a  total  of  500,000  members  have
terminated.  Countering  these losses were additional sales resulting in 600,000
new members.

     Toan said the company has met all of its third quarter  integration  goals.
Specifically,  the company has:  combined  existing  contracts  and  contracting
procedures  related  to both  suppliers  and  providers;  implemented  financial
reporting  systems  and  completed  a  systems  integration  plan for all  other
systems,  including  knowledge  systems,  claims  adjudication  and mail service
systems; and consolidated financial operations.

     Fourth quarter goals remain  unchanged,  said Toan,  with the foremost goal
being  implementation  of a new sales and  marketing  program for  enhanced  PBM
services.  Express Scripts also is on track to integrate  computer platforms and
systems applications.

     Express  Scripts  continued  to  receive  positive  contributions  from its
advanced pharmacy benefits programs,  such as Express TherapeuticsSM and Express
PreferenceSM,  as well as its  other  complementary  healthcare  business  units
including  IVTx,  the company's  home infusion  therapy  division,  in the third
quarter of 1998. The Practice Patterns Science subsidiary  continued to increase
its registry database business.

     The cost of revenues for the third quarter of 1998 increased  153.3 percent
to $738.5  million,  compared with $291.6 million for the third quarter of 1997.
Third  quarter SG&A  expenses  increased  173.9 percent to $43.2 million in 1998
from  $15.8  million  for the same  period  in  1997.  That  increase  reflected
additional  expenses  related to the ongoing  operations of ValueRx,  as well as
costs  associated with the integration of the two companies and  amortization of
intangible  assets.  As a  percentage  of  revenues,  SG&A  expenses,  excluding
amortization  of $3.2 million of intangible  assets,  remained  consistent  with
those reported during the same period of the prior year.

     The company's  positive cash flows  continued to improve since the April 1,
1998,  acquisition of ValueRx.  As of Sept. 30, 1998,  Express Scripts had cash,
cash  equivalents and short-term  investments of $101.1 million,  a 23.4 percent
increase from June 30, 1998.  Shareholders' equity at the end of the quarter was
$236.9 million,  an increase of 16.3 percent  compared with $203.7 million as of
Dec. 31. 1997.

     For the first nine months of 1998, excluding the one-time pre-tax charge of
$1.7 million or 6 cents per share taken in the second quarter of 1998 related to
the  restructuring  of the company's  managed vision  business,  Express Scripts
reported net income of $31.7 million,  an increase of 29.9 percent compared with
$24.4  million in the first nine  months of last  year.  On a diluted  per share
basis,  net income through Sept.  30, 1998, was $1.89,  up 27.7 percent from the
$1.48 per  share  reported  for the same  period in 1997.  Net  revenues,  which
include the contributions  from the ValueRx  acquisition in the second and third
quarters,  grew by 125.1 percent to $1.99 billion in the nine months ended Sept.
30, 1998, from $882.4 million in 1997.

     On Oct. 12, 1998,  Express Scripts  announced a two-for-one  stock split of
its  Class A and Class B common  stock,  to be  effected  in the form of a stock
dividend. The stock split is for shareholders of record as of Oct. 20, 1998, and
will be effective on or about Oct. 30, 1998.

     Express  Scripts,  Inc. is a leading  specialty  managed  care  company and
believes it is the largest independent  full-service pharmacy benefit management
(PBM)  company in North  America.  Following  its  acquisition  of ValueRx,  the
company  serves  thousands of clients,  including  managed  care  organizations,
insurance carriers,  third-party  administrators,  employers and union-sponsored
benefit  plans.  Together,  Express  Scripts and  ValueRx  manage more than $4.0
billion in annual drug spend.  The company provides a full range of consultative
PBM services,  including pharmacy network  management,  mail service,  formulary
management,  disease management and medical and drug data analysis services. The
company also provides medical  information  management  services,  which include
provider  profiling  and  outcomes  assessments,  informed  decision  counseling
services and infusion therapy services.  Express Scripts is headquartered in St.
Louis, and has additional major sites in Minneapolis; Bensalem, PA; Albuquerque,
NM; Tempe, AZ; Troy, NY; and Farmington Hills, MI. More information can be found
at HTTP://WWW.EXPRESS-SCRIPTS.COM.

     This press release contains forward-looking statements,  including, but not
limited to, statements related to the company's plans, objectives,  expectations
(financial and otherwise) or intentions. The company's actual results may differ
significantly   from  those  projected  or  suggested  in  any   forward-looking
statements. Factors that might cause such a difference to occur include, but are
not  limited  to:  risks  associated  with  the  consummation  of  acquisitions,
including  the ability to  successfully  integrate  the  operations  of acquired
businesses with the existing operations of the company and risks inherent in the
acquired entities operations; heightened competition,  including increased price
competition  in  the  pharmacy  benefit   management   business;   the  possible
termination  of the company's  contracts  with certain key clients or providers;
changes in pricing or discount  practices of pharmaceutical  manufacturers;  the
ability of the company to  consummate  contract  negotiations  with  prospective
clients;  competition in the bidding and proposal  process;  adverse  results in
certain litigation and regulatory  matters;  the adoption of adverse legislation
or  regulations  or a change in the  interpretation  of existing  legislation or
regulations;  the  impact of  increases  in health  care  costs and  utilization
patterns;   risks  associated  with  the  development  of  new  products;  risks
associated  with the "Year 2000" issue,  including the ability of the company to
successfully  convert its information systems and its  non-information  systems,
and the ability of its  vendors/trading  partners to successfully  convert their
systems,  to  accommodate  dates  beyond  December  31,  1999;  and other  risks
described  from time to time in the company's  filings with the  Securities  and
Exchange  Commission.  The company does not undertake any  obligation to release
publicly any revisions to such  forward-looking  statements to reflect events or
circumstances   after  the  date  hereof  or  to  reflect  the   occurrence   of
unanticipated events.

Financial tables follow.


<PAGE>



                              EXPRESS SCRIPTS, INC.
<TABLE>

                                  Balance Sheet
                                ($ in thousands)
                                   (Unaudited)

<CAPTION>
                                                   SEPTEMBER 30         DECEMBER 31       SEPTEMBER 30
                                                       1998                 1997               1997
<S>                                                      <C>                  <C>                   <C>    
                                                -----------------     ---------------    ------------------
Assets
      Current assets
         Cash and cash equivalents                       $101,100             $64,155               $45,742
         Short term investments                                                57,938                57,172
                                                                -
         Receivables, net                                 391,299             210,291               202,624
         Inventories                                       42,344              28,935                20,758
         Deferred taxes and prepaid expenses               50,303               2,649                 3,066
                                                 -----------------     ---------------    ------------------
             Total current assets                         585,046             363,968               329,362
                                                 -----------------     ---------------    ------------------

      Property and equipment (net)                         75,392              26,821                26,797
      Goodwill (net)                                      307,781                                       261
                                                                                  251
      Other assets                                         87,459              11,468                12,014
                                                 =================     ===============    ==================
      Total assets                                     $1,055,678            $402,508              $368,434
                                                 =================     ===============    ==================

Liabilities and Stockholders' Equity
      Current liabilities
         Current portion long term debt                  $ 27,000            $      -              $     - 
         Claims payable                                   238,767             153,051               132,492
         Accounts payable                                  52,253              17,979                20,267
         Accrued expenses                                 166,536              26,876                21,554
                                                 -----------------     ---------------    ------------------
             Total current liabilities                    484,556             197,906               174,313

      Long term debt                                      333,000                   -                     -
      Other long term liabilities                           1,199                 901                 1,180
                                                 -----------------     ---------------    ------------------
      Total liabilities                                   818,755             198,807               175,493
                                                 -----------------     ---------------    ------------------

      Total stockholders' equity                          236,923             203,701               192,941

                                                 =================     ===============    ==================
      Total liabilities and stockholders' equity       $1,055,678            $402,508              $368,434
                                                 =================     ===============    ==================
</TABLE>

<PAGE>

                              EXPRESS SCRIPTS, INC.

<TABLE>
                             STATEMENT OF OPERATIONS
              (IN THOUSANDS, EXCEPT PER SHARE AND PERCENTAGE DATA)
                                   (UNAUDITED)
<CAPTION>

                                              THREE MONTHS ENDED                        NINE MONTHS ENDED
                                                SEPTEMBER 30                               SEPTEMBER 30
                                          --------------------------               ---------------------------
                                              1998         1997         % Change        1998           1997        % Change
<S>                                           <C>          <C>            <C>          <C>             <C>           <C>    
                                          --------------------------  ------------ ----------------------------  --------------

Net revenues                                  $807,319     $319,937       152.34%      $1,986,087      $882,442      125.07%
                                          ------------- ------------               --------------- -------------

Cost and expenses:
  Cost of revenues                             738,544      291,590       153.28%       1,820,593       803,794      126.50%
  Selling, general & administrative             43,153       15,758       173.85%         101,245        42,789      136.61%
  Corporate restructuring expenses                   -            -            nm           1,651             -           nm
                                          ------------- ------------               --------------- -------------
                                               781,697      307,348       154.34%       1,923,489       846,583      127.21%
                                          ------------- ------------               --------------- -------------
Operating income                                25,622       12,589       103.53%          62,598        35,859       74.57%
                                          ------------- ------------               --------------- -------------
Other income (expense):
  Interest income                                1,794        1,609        11.50%           5,683         4,171       36.25%
  Interest expense                             (6,912)         (29)            nm        (13,793)          (65)           nm
                                          ------------- ------------               --------------- -------------
                                               (5,118)        1,580      -423.92%         (8,110)         4,106     -297.52%
                                          ------------- ------------               --------------- -------------
Income before income taxes                      20,504       14,169        44.71%          54,488        39,965       36.34%
Provision for income taxes                       9,201        5,556        65.60%          23,738        15,580       52.36%
                                          ------------- ------------               --------------- -------------
Net income                                     $11,303       $8,613        31.23%         $30,750       $24,385       26.10%
                                          ============= ============               =============== =============

Basic earnings per share                         $0.68        $0.53        28.30%           $1.86         $1.49       24.83%
                                          ============= ============               =============== =============

Weighted average number of common shares out-
  standing during the period - Basic EPS        16,561       16,400         0.98%          16,546        16,312        1.43%
                                          ============= ============               =============== =============

Diluted earnings per share                       $0.67        $0.52        28.85%           $1.83         $1.48       23.65%
                                          ============= ============               =============== =============

Weighted average number of common shares out-
  standing during the period - Diluted          16,841       16,593         1.49%          16,817        16,503        1.90%
EPS
                                          ============= ============               =============== =============

</TABLE>

nm -  Not meaningful

<TABLE>

                               NON-FINANCIAL DATA
                     (IN THOUSANDS, EXCEPT PERCENTAGE DATA)

<CAPTION>
                                            THREE MONTHS ENDED                          NINE MONTHS ENDED
                                                SEPTEMBER 30                               SEPTEMBER 30
                                          -------------------------                ------------------------------------------
                                              1998         1997         % Change        1998           1997        % Change
<S>                                             <C>          <C>           <C>             <C>           <C>          <C>   
                                          -------------------------   ------------ -----------------------------  -----------
Pharmacy network claims processed               30,556       18,160        68.26%          80,226        52,958       51.49%

Mail pharmacy claims filled
                                                 2,091        1,021       104.80%           5,267         2,865       83.84%

Number of pharmacies in network                                                              51.4          50.3        2.19%

Pharmacy benefit covered lives                                                             22,800        12,200       86.89%
                                                                                           
Drug spend                                   1,261,364      630,162       100.17%       3,137,264     1,758,490       78.41%


</TABLE>

                             SELECTED RATIO ANALYSIS

    EBITDA to Debt Ratio                                   2.7 1
    Interest Coverage Ratio                                4.7 1
    Debt to Enterprise Value                             20.7% 2
    Cash Value per Share                                 $6.02 2
    Book Value per Share                                $14.10 2

1 - Annualized utilizing financial information subsequent to the
    purchase of Value RX on April 1, 1998, excluding the Corporate
    restructuring expenses.
2 - Based on financial information as of Sept. 30, 1998.





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