EXPRESS SCRIPTS INC
8-K, 1998-05-05
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:   April 23, 1998


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



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

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 April 23, 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 April 23, 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:    May 4, 1998                   By:________________________
                                            Barrett A. Toan
                                            President and
                                            Chief Executive Officer

<PAGE>

                                  EXHIBIT INDEX

  Exhibit No.     Description

      99.1        Press release, dated April 23, 1998, by Express Scripts, Inc.




                                  EXHIBIT 99.1

                     EXPRESS SCRIPTS REPORTS STRONG GAINS IN
                      REVENUE AND INCOME FOR FIRST QUARTER

          NET INCOME UP 29.3 PERCENT ON REVENUE GROWTH OF 41.8 PERCENT

     ST.  LOUIS,  April 23,  1998--Express  Scripts,  Inc.  (NASDAQ:ESRX)  today
announced  that  revenues  for first  quarter 1998  increased  41.8 percent to a
record $371.4 million from $262.0 million for the period in 1997. Net income for
the first  quarter of 1998 rose 29.3  percent to $9.9  million from $7.6 million
the prior year and gained 28.3 percent on a diluted per share  basis,  rising to
59 cents from 46 cents.

     On April 1, Express Scripts completed the purchase of ValueRx, the pharmacy
benefit  management  (PBM)  business  of  Columbia/HCA  Healthcare  Corporation,
creating the largest PBM independent of drug manufacturer ownership.  Completing
this acquisition  expeditiously  has put Express Scripts on track to achieve the
benefits anticipated from the combination. A new organizational structure, which
includes many of ValueRx's key managers, was in place upon the completion of the
transaction. Express Scripts/ValueRx membership on a combined basis is estimated
at 22.0 million lives as of April 1, 1998.

     "With the acquisition  completed and an organizational  structure in place,
we will focus on client retention and sales,  while  integrating our contracting
processes and computer  systems," said Barrett Toan,  Express Scripts' president
and chief executive officer.

     Toan  outlined  Express  Scripts'  integration  goals for each of the final
three quarters of 1998, as follows:

     Second  quarter--Consolidation of executive, legal and other administrative
functions;  coordination  of the two  companies'  sales,  marketing and customer
service  strategies;  completion of the computer  systems  integration  plan for
finance, billing and remittances, receivables and all clinical functions

     Third  quarter--Combining  existing  contracts and  contracting  procedures
related to both suppliers and providers;  implementation of finance systems, and
the completion of the systems integration plan for all other systems,  including
knowledge systems,  claims adjudication and mail service systems;  consolidation
of financial operations

     Fourth  quarter--Introduction  of a new sales and marketing proposition for
enhanced PBM services; reduction of redundant computer platforms and systems

     According to Toan, the acquisition  should begin to add to operating profit
during the second quarter of this year,  however,  it is  anticipated  that this
profit will be offset by integration costs that will be incurred during 1998. It
is expected that the acquisition will not be dilutive to earnings in 1998.

     During the  quarter,  Express  Scripts  also  signed  the first  agreement,
covering 40,000 lives, to provide a sophisticated new health management product.
Express Scripts  integrates  comprehensive  medical claims  information from its
Practice Patterns Science (PPS) subsidiary to identify patients at high risk for
diseases  where  drug  therapy  is  a  significant  component,  then  implements
intervention  strategies  to improve  drug therapy  through an outbound  calling
program by the company's Express Health LineSM unit.

     "Express  Scripts' new program provides not only  state-of-the-art  disease
management  services to help improve patient care, but is the first to give plan
sponsors powerful tools to help them evaluate and manage disease patterns unique
to their populations," Toan explained.

     Express  Scripts'  other   complementary   healthcare  business  units  and
strategic  alliances  contributed to its performance during the first quarter of
1998. IVTx, the company's home infusion services  division,  posted record sales
and saw therapy days  increase by 32.0 percent.  Enrollment in Express  Scripts'
programs in Canada grew to 1.1 million lives.  Finally,  the company's  advanced
pharmacy  benefit  management  services  continued  to add lives,  with  Express
TherapeuticsSM  covering  1.1 million  lives and Express  PreferenceSM  reaching
total enrollment of 5.2 million as of April 1.

     The cost of revenues for the first quarter of 1998  increased  42.6 percent
to $338.5  million,  compared with $237.3  million for the first three months of
1997.  First  quarter SG&A expenses  increased  41.6 percent to $18.8 million in
1998 from $13.3 million in 1997, but remained flat at 5.1 percent of revenues.

     As of March 31,  1998,  Express  Scripts had $143.8  million in cash,  cash
equivalents and short-term  investments,  up 17.8 percent from $122.1 million at
the end of 1997 and 118.3  percent from March 31, 1997.  Shareholders  equity at
March 31, 1998 was $214.9  million,  an increase of 26.3 percent  compared  with
$171.1  million as of March 31, 1997. The ValueRx  acquisition,  which closed on
the  first  day of the  second  quarter  of this  year,  was  funded  in part by
approximately $100.0 million in cash and the remainder,  plus acquisition costs,
was financed  through a five-year bank facility.  The impact of the  acquisition
will be initially  reflected in Express Scripts' financial results in the second
quarter of 1998 and accounted for on a purchase basis.

     Express Scripts,  Inc. is a leading  specialty managed care company and the
largest independent  pharmacy benefit management (PBM) company in North America.
Following its recent  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 over $4.0 billion in annual drug spend.  The company
provides a full range of consultative PBM services,  including  pharmacy network
management,  mail  service and  formulary  management.  The company  also offers
disease management programs,  informed decision counseling services, medical and
drug data analysis services,  and infusion therapy services.  Express Scripts is
headquartered   in  St.  Louis,   and  has  additional   sites  in  Minneapolis;
Philadelphia;  Albuquerque, N.M.; Tempe, Ariz.; Troy, N.Y. and Farmington Hills,
Mich.  More  information  can be  found  at  HTTP://WWW.EXPRESS-SCRIPTS.COM  and
HTTP://WWW.VALUERX.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.  THESE  STATEMENTS  INVOLVE RISKS AND
UNCERTAINTIES   THAT  MAY  CAUSE  THE   COMPANY'S   ACTUAL   RESULTS  TO  DIFFER
SIGNIFICANTLY  FROM THOSE PROJECTED OR SUGGESTED.  FACTORS THAT MAY IMPACT THESE
FORWARD-LOOKING  STATEMENTS  INCLUDE:  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, LOSS OF CLIENTS
IN  THE  TRANSITION  PROCESS  AND  RISKS  INHERENT  IN  THE  ACQUIRED  ENTITIES'
OPERATIONS;   LOWER  THAN  EXPECTED   SALES  AND  REVENUE   GROWTH;   HEIGHTENED
COMPETITION;   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 OF  PROPOSAL  PROCESS;
ADVERSE RESULTS IN CERTAIN  LITIGATION AND REGULATORY  MATTERS;  THE ADOPTION OF
ADVERSE LEGISLATION OR A CHANGE IN THE INTERPRETATION OF EXISTING LEGISLATION OR
REGULATIONS;  RISKS  ASSOCIATED WITH THE DEVELOPMENT OF NEW PRODUCTS;  AND OTHER
RISKS  DESCRIBED  FROM TIME TO TIME IN THE  COMPANY'S  PUBLIC  FILINGS  WITH THE
SECURITIES AND EXCHANGE COMMISSION.

Financial tables follow:


<PAGE>

                              EXPRESS SCRIPTS, INC.
                             STATEMENT OF OPERATIONS
              (in thousands, except per share and percentage data)
                                   (unaudited)
<TABLE>
<CAPTION>
                                                Three Months Ended
                                                     March 31
                                          -------------------------------
                                              1998             1997            % Change
<S>                                           <C>               <C>                <C>   
                                          -------------    --------------    -------------
Net revenues                                  $371,362          $261,990           41.75%
                                          -------------    --------------
Cost and expenses:
     Cost of revenues                          338,492           237,298           42.64%
     Selling, general, & administrative         18,826            13,298           41.57%
                                          -------------    --------------
                                               357,318           250,596           42.59%
                                          -------------    --------------
Operating income                                14,044            11,394           23.26%
                                          -------------    --------------
Other income (expense):
     Interest income                             2,138             1,259           69.82%
     Interest expense                             (14)              (18)          -22.22%
                                          -------------    --------------
                                                 2,124             1,241           71.15%
                                          -------------    --------------
Income before income taxes                      16,168            12,635           27.96%
Provision for income taxes                       6,290             4,994           25.95%
                                          =============    ==============
Net income                                      $9,878            $7,641           29.28%
                                          =============    ==============

Basic earnings per share                         $0.60             $0.47           27.66%
                                          =============    ==============

Weighted average number of common
   shares outstanding during the period
   - Basic EPS                                  16,527            16,267            1.60%
                                          =============    ==============

Diluted earnings per share                       $0.59             $0.46           28.26%
                                          =============    ==============

Weighted average number of common
   shares outstanding during the period
   - Diluted EPS                                16,790            16,436            2.15%
                                          =============    ==============

</TABLE>

<PAGE>

<TABLE>
                              EXPRESS SCRIPTS, INC.
                                  BALANCE SHEET
                                ($ in thousands)
                                   (unaudited)

<CAPTION>
                                             March 31,    December 31,    March 31,
                                               1998          1997           1977
<S>                                            <C>            <C>           <C>    
                                          -------------   ------------   ----------
Assets
Current assets
     Cash and cash equivalents                 $84,556        $64,155       $11,034
     Short term investments                     59,272         57,938        54,837
     Receivables, net                          199,959        210,291       187,892
     Inventories                                26,721         28,935        27,658
     Deferred taxes and prepaid expenses         3,848          2,649         2,994
                                          -------------   ------------   -----------
         Total current assets                  374,356        363,968       284,415
                                          -------------   ------------   -----------

Property and equipment (net)                    27,850         26,821        25,777

Other assets                                    12,538         11,719        12,916

                                          =============   ============   ===========
Total assets                                  $414,744       $402,508      $323,108
                                          =============   ============   ===========

Liabilities and Stockholders' Equity

Current liabilities
     Claims payable                            $139,948       $153,051      $114,264
     Accounts payable                            23,849         17,979        16,841
     Accrued expenses                            35,327         26,876        20,347
                                       -----------------  -------------  ------------
         Total current liabilities              199,124        197,906       151,452
                                       -----------------  -------------  ------------

Deferred income taxes                               690            901         1,575

Total stockholders' equity                      214,930        203,701       170,081

                                       =================  =============  ============
Total liabilities and stockholders'
     equity                                    $414,744       $402,508      $323,108
                                       =================  =============  ============

</TABLE>

<PAGE>

<TABLE>
                              EXPRESS SCRIPTS, INC.
                               NON-FINANCIAL DATA
                     (in thousands, except percentage data)
                                   (unaudited)

<CAPTION>
                                                  Three Months Ended
                                                       March 31
                                         -------------------------------------
                                              1998                 1997           % Change
<S>                                               <C>              <C>             <C>   
                                         ----------------     ----------------  ------------
Pharmacy network claims processed                 19,028           17,021          11.79%

Mail pharmacy claims filled                        1,069              886          20.65%

Number of pharmacies in network                     50.1             48.5           3.30%

Drug spend                                      $678,263         $534,868          26.81%


</TABLE>



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