EXPRESS SCRIPTS INC
8-K, 1998-04-14
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 (Date of earliest event reported):  April 1, 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 2.  Acquisition or Disposition of Assets.

     On April 1, 1998, Express Scripts,  Inc. ("Express  Scripts") completed its
acquisition of ValueRx from Columbia/HCA  Healthcare  Corporation  ("Columbia").
The  transaction  was  consummated  pursuant  to the  terms of a Stock  Purchase
Agreement (the "Stock Purchase  Agreement") among Columbia,  VH Holdings,  Inc.,
Galen Holdings,  Inc., and Express Scripts dated February 19, 1998,  pursuant to
which Express  Scripts  acquired all of the  outstanding  capital stock of Value
Health, Inc. and Managed  Prescription  Network,  Inc., the sole assets of which
are various  subsidiaries each now or formerly conducting business as a pharmacy
benefit  management  ("PBM") company  (collectively,  the "Acquired  Entities"),
including ValueRx Pharmacy Program, Inc. for approximately $445 million in cash,
said amount being subject to adjustment  based on the amount of working  capital
and certain balance sheet reserves of the acquired entities at closing,  and the
amount of certain employee obligations, as per the Stock Purchase Agreement. The
acquisition will be accounted for under the purchase method of accounting.

     The Company  used  approximately  $100 million of its own cash and financed
the remainder of the purchase price and related acquisition costs through a five
year credit facility agented by Bankers Trust Company.

     A copy of the Stock  Purchase  Agreement  was  filed  with a Form 8-K dated
February 19, 1998,  as Exhibit 2.1 thereto.  An amendment to the Stock  Purchase
Agreement is filed as Exhibit 2.1 hereto.


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

     (a) Financial Statements of Businesses  Acquired.  The financial statements
required by this item will be filed by amendment on or before June 15, 1998.

     (b) Pro Forma Financial  Information.  The pro forma financial  information
required by this item will be filed by amendment on or before June 15, 1998.

     (c) Exhibits.  The  following  exhibits are filed as part of this report on
Form 8-K:

     Exhibit  2.1  First  Amendment  to Stock  Purchase  Agreement  by and among
Columbia/HCA Healthcare Corporation, VH Holdings, Inc., Galen Holdings, Inc. and
Express  Scripts,  Inc.,  dated as of March 31, 1998, and related  Exhibits (all
Exhibits  are omitted from this  filing,  but will be filed with the  Commission
supplementally upon request).

     Exhibit 99.1 Press release, dated April 1, 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:    April 10, 1998                By: /S/ BARRETT A. TOAN
                                           -------------------
                                           Barrett A. Toan
                                           President and Chief Executive Officer

<PAGE>
                                  EXHIBIT INDEX


EXHIBIT NO.     DESCRIPTION

   2.1          First Amendment to Stock Purchase Agreement by and among
                Columbia/HCA Healthcare Corporation, VH Holdings, Inc., Galen
                Holdings, Inc. and Express Scripts, Inc., dated as of March
                31, 1998, and related Exhibits (all Exhibits are omitted from
                this filing, but will be filed with the Commission
                supplementally upon request).

  99.1         Press release, dated April 1, 1998, by Express Scripts, Inc.



                                  EXHIBIT 99.1

                      EXPRESS SCRIPTS COMPLETES ACQUISITION
                          OF VALUERX FROM COLUMBIA/HCA

     ST.  LOUIS,  April  1,  1998--Express  Scripts,  Inc.  (NASDAQ:ESRX)  today
announced  that it has completed the  acquisition  of ValueRx from  Columbia/HCA
Healthcare  Corporation  approximately  six weeks after  signing the  definitive
acquisition  agreement.  The purchase makes Express Scripts the nation's largest
pharmacy benefit manager not controlled by a drug manufacturer.

     "We are pleased that we have been able to move the  acquisition  of ValueRx
forward expeditiously,  putting Express Scripts on track to achieve the benefits
we  expect to gain from the  combination,"  said  Barrett  Toan,  the  company's
president and chief executive officer.  "The retention of key ValueRx staff will
enhance our ability to deliver the industry's leading  consultative and clinical
services.

     "This  acquisition  provides Express Scripts with additional  resources and
expertise,  which will allow us to better  serve our clients  and  competitively
pursue new business in all segments of the market," he added.  "We will identify
and implement the best  practices  from both  companies to benefit our customers
and position us for future success."

     With the acquisition,  Express  Scripts'  pharmacy network claims processed
will  increase  by  approximately  75  percent  and mail  service  prescriptions
processed annually will double.  Combined revenues for the two companies in 1997
were more than $2.7 billion and total managed annual prescription drug spend was
more than $4.0 billion.

     Of the approximate $445 million purchase price for ValueRx, Express Scripts
paid roughly $100 million from its own funds and the remainder, plus acquisition
costs,  was financed  through a five-year bank facility agented by Bankers Trust
Company. As stated previously, the company anticipates that the combination will
not be dilutive to earnings  per share in 1998 and will be accretive to earnings
per share in 1999.

     Express Scripts,  Inc. is a leading  specialty managed care company and one
of the largest full-service pharmacy benefit management (PBM) companies in North
America. The company serves thousands of clients that include health maintenance
organizations (HMOs), health insurers, third-party administrators, employers and
union  sponsored  benefit plans.  The company is  independent of  pharmaceutical
manufacturer ownership.  Express Scripts' PBM services are provided through more
than 50,000  retail  pharmacies,  representing  more than 98 percent of all U.S.
retail  pharmacies,  and two mail service  centers.  The company provides a full
range  of  PBM  services,   including  network  claims  processing,  mail  order
processing,  benefit design consultation,  drug utilization review and formulary
management.  The company also provides  disease  management  programs,  informed
decision  counseling  services,  medical and drug data  analysis  services,  and
infusion therapy  services.  Express Scripts is headquartered in St. Louis. More
information    can    be    found    on    the    company's    Web    site    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.  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.



                                   EXHIBIT 2.1


                   FIRST AMENDMENT TO STOCK PURCHASE AGREEMENT


     This FIRST AMENDMENT TO STOCK PURCHASE AGREEMENT (this "Amendment") is made
and entered  into as of March 31,  1998,  by and among  COLUMBIA/HCA  HEALTHCARE
CORPORATION,  a Delaware corporation  ("Columbia"),  VH HOLDINGS, INC., a Nevada
corporation   ("Holdings"),   GALEN  HOLDINGS,   INC.,  a  Delaware  corporation
("Galen"), and EXPRESS SCRIPTS, INC., a Delaware corporation ("Purchaser").

                                    RECITALS:

     WHEREAS,  the parties  hereto have entered into that certain Stock Purchase
Agreement, dated as of February 19, 1998 (the "Original Agreement"); and

     WHEREAS, the parties wish to amend the Original Agreement;

     NOW,  THEREFORE,  in  consideration of the foregoing  premises,  the mutual
covenants  and  agreements  set  forth  herein,  and  other  good  and  valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereby agree as follows.

     1. DEFINITIONS.

     (a)  Capitalized  terms used herein but not otherwise  defined herein shall
have the meanings ascribed to such terms in the Original Agreement.

     (b) As used herein,  the following terms shall have the meanings  indicated
below, and where  appropriate  shall include the singular and plural of the term
defined:

     "Agreement" shall mean the Original Agreement as amended by this Amendment.

     "Amendment" shall mean this First Amendment to Stock Purchase Agreement.

     "Original  Agreement"  shall mean that certain  Stock  Purchase  Agreement,
dated as of February 19, 1998, by and among the parties to this Amendment.

     2.  AMENDMENT.  The Original  Agreement is hereby  amended in the following
respects:

     (a) Schedule  2.2(i) to the Original  Agreement is hereby amended by adding
the following  corporations to such schedule:  MedManagement  Holdings,  Inc., a
Nevada corporation, and Value Health Holdings, Inc., a Nevada corporation.

     (b) Section 3.1(b) of the Original Agreement is hereby deleted and replaced
in its entirety with the following Sections 3.1(b) and (c):

     "(b) Holdings is a corporation duly organized, validly existing and in good
standing  under  the Laws of the State of  Nevada.  Holdings  is a  wholly-owned
subsidiary of Columbia.

     (c) Galen is a corporation  duly  organized,  validly  existing and in good
standing  under  the Laws of the  State  of  Delaware.  Galen is a  wholly-owned
subsidiary of Columbia."

     Additionally, all references in the Original Agreement to Galen as a Nevada
corporation are changed to reflect that Galen is a Delaware corporation.

     (c) Section 9.4(a) of the Original Agreement is hereby deleted and replaced
in its entirety with the following Section 9.4(a):

     "(a) LIABILITY THRESHOLDS.  Notwithstanding  anything in this Article IX to
the contrary,  no  indemnified  Damages with respect to Claims  arising out of a
breach of Sellers' representations and warranties (other than Claims arising out
of a breach of the Title  Representations,  as such term is  defined  in Section
9.4(c)(i),  to which the Liability  Threshold  shall not apply) shall be payable
pursuant to this Article IX unless and until the aggregate amount of indemnified
Damages  asserted  against  Sellers  under this  Article IX with respect to such
Claims  equals or  exceeds  $2,600,000  (the  "LIABILITY  THRESHOLD").  Once the
Liability  Threshold for such Claims has been reached,  the Indemnitee  shall be
entitled to the benefit of the  indemnity  under this Article IX for such Claims
to the extent of any and all Damages  above the  Liability  Threshold;  provided
that the maximum amount of Damages for which Sellers shall be  responsible  with
respect to Claims  arising  out of  breaches  of  Sellers'  representations  and
warranties (including breaches of the Title  Representations) shall be an amount
equal  to  the  Purchase  Price.  For  purposes  of  calculating  the  Liability
Threshold,  Damages with respect to Claims  arising out of a breach of the Title
Representations  shall not be  counted  in  determining  whether  the  Liability
Threshold has been reached."

     (d) Section  9.4(c)(i)  of the  Original  Agreement  is hereby  deleted and
replaced in its entirety with the following Section 9.4(c)(i):

     "(i) The  representations  and warranties set forth in this Agreement shall
survive the Closing and shall expire  eighteen  months after the Effective Time;
provided  that  the   representations  and  warranties  set  forth  in  Sections
3.2(a)(iii),    3.2(a)(iv),   3.2(b)(iii),   3.2(b)(iv),   3.3(d)   and   3.3(e)
(collectively,  the "Title Representations") shall survive without limitation as
to time.  Except  with  respect  to the  Title  Representations,  no  claim  for
indemnification  arising out of a breach of such  representations and warranties
may be brought after that time."

     (e) Schedule 3.3 to the Original  Agreement is hereby  deleted and replaced
in its entirety with the form of Schedule 3.3 attached hereto as EXHIBIT A.

     (f)  Schedule  3.9 is hereby  amended  by adding  the  following  under the
heading "Pending Lawsuits Handled by Value Rx":


MATTER                    VENUE                TYPE         SUMMARY
- -------------------------------------------------------------------------------
Sunergeo, Inc. v.        District Court of     Breach of    Complaint filed
Health Care Services,    Harris County,        Contract     3/12/98, not served,
Inc. and ValueRx, Inc.   Texas                              alleging that 
                                                            ValueRx breached a
                                                            Prescription
                                                            Agreement by failing
                                                            to make payments due
                                                            February 10, 1998
                                                            and March 10, 1998

     (g) Schedule 3.10 is hereby  amended by adding the following as paragraph 2
thereof:

     "2. See Schedule 3.9  regarding  allegations  by  Sunergeo,  Inc.  that the
Company is in breach of a Prescription Agreement, dated August 26, 1992, between
Sunergeo and Health Care Services, Inc."

     (h)  Schedule  3.12(d) to the Original  Agreement is hereby  amended by (i)
changing  the  reference  to  "Schedule  3.12(b)" in such  schedule to "Schedule
3.12(d)," and (ii) attaching to such schedule the letters dated January 9, 1998,
and February 4, 1998 that are referred to in such schedule  (copies of which are
attached to this Amendment as EXHIBIT B).

     3. ADDITIONAL AGREEMENTS.

     (a) Notwithstanding the provisions of Section 2.4, the Effective Time shall
be 12:01 a.m., April 1, 1998.

     (b)  Columbia  shall  use all  reasonable  efforts  to assist  in:  (i) the
reinstatement  of ValueRx of Iowa,  Inc. as a corporation in good standing under
the laws of the State of Illinois as promptly as practicable; and (ii) obtaining
evidence of good  standing  and payment of franchise  taxes by the  corporations
identified in Exhibit C in the jurisdictions therein specified.

     4. MISCELLANEOUS.

     (a)  Except as  otherwise  specifically  set forth in this  Amendment,  the
Original  Agreement  remains in full  force and  effect,  without  modification,
amendment or change.

     (b) The  respective  representations  of the  parties set forth in Sections
3.4, 3.5, 4.2 and 4.3 of the Original Agreement shall apply to this Amendment.

     IN WITNESS  WHEREOF,  the parties have caused this First Amendment to Stock
Purchase Agreement to be executed as of the date first above written.

                                           COLUMBIA/HCA HEALTHCARE CORPORATION
     
                                            By:  /S/ V. CARL GEORGE
                                            Name:  V. CARL GEORGE
                                            Title:  VICE PRESIDENT

                                            VH HOLDINGS, INC.

                                            By:  /S/ V. CARL GEORGE
                                            Name:  V. CARL GEORGE
                                            Title:  VICE PRESIDENT

                                            GALEN HOLDINGS, INC.

                                            By:  /S/ V. CARL GEORGE
                                            Name:  V. CARL GEORGE
                                            Title:  VICE PRESIDENT

                                            EXPRESS SCRIPTS, INC.

                                            By:  /S/ GEORGE PAZ
                                            Name: GEORGE PAZ
                                            Title: SENIOR VICE PRESIDENT AND CFO

<PAGE>

       List of Exhibits to the First Amendment to Stock Purchase Agreement

     1. Exhibit A -  Replacement  Schedule 3.3 to the Stock  Purchase  Agreement
listing all Value Health Subsidiaries.

     2.  Exhibit B - Two letters from Allen  Buckley of Troutman  Sanders LLP to
the Internal Revenue Service regarding the Value Health, Inc. Retirement Savings
Plan

     3. Exhibit C - Listing of various Value Health, Inc. subsidiaries and their
respective jurisdiction of incorporation.



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