EXPRESS SCRIPTS INC
8-K, 1999-05-13
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 21, 1999



                              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
   corporation)                                                  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 April 21, 1999, 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 21, 1999, 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 13, 1999           By:  /s/ Barrett A. Toan
                                 Barrett A. Toan
                                 President and Chief Executive Officer


<PAGE>


                                  EXHIBIT INDEX


   Exhibit No.     Description

      99.1 Press release, dated April 21, 1999, by Express Scripts, Inc.



                                  EXHIBIT 99.1

             EXPRESS SCRIPTS' FIRST QUARTER EPS INCREASES 38 PERCENT
 Acquisitions and Effective Integration Efforts Continue to Fuel Earnings Growth

     ST.  LOUIS,  April 21,  1999--Express  Scripts,  Inc.  (NASD:  ESRX)  today
reported net income of $13.5  million for the three months ended March 31, 1999,
a 37 percent  increase over $9.9 million in the same period of 1998. The company
earned 40 cents per share on a diluted  basis,  a 38 percent  increase  compared
with 29 cents per share on a diluted basis in the same period of 1998.

     In the first  quarter of 1999,  net  revenues  were $899.1  million,  a 142
percent  increase  over  $371.4  million  in the same  period of 1998.  Cost and
expenses for the first quarter of 1999 increased 144 percent to $870.1  million,
compared  with  $357.3  million  in the same  period of 1998.  Operating  income
increased by 107 percent to $29.0  million from $14.0 million in the same period
of 1998.  Growth in both  revenues and expenses  was due to the  acquisition  of
ValueRx on April 1, 1998,  and  internal  growth,  offset to a degree by planned
integration costs.

     "We are pleased to announce 38 percent  growth in net income per share on a
diluted basis for the first quarter,  which  demonstrates  our ability to manage
our core business effectively," said Barrett Toan, Express Scripts president and
chief  executive  officer.  "At the same  time,  we have  advanced  a number  of
important  strategic  initiatives,  reinforcing  our  commitment to leverage our
expertise and maximize new opportunities.

     "The growth in revenue and our earnings  improvement reflect the successful
progress of the integration of ValueRx into Express Scripts.  We will be focused
toward  driving the  benefits  of top line  revenue  growth to earnings  through
economies of scale and operating synergies."

     During the first quarter of 1999,  Express Scripts  successfully  converted
600,000 lives from its Tandem claims processing system to its Vnet system.  This
systems conversion is part of the plan to reduce the number of claims processing
systems from the three platforms ValueRx had to one system by year-end.

     The  number  of  pharmacy  benefit  covered  lives at March 31,  1999,  was
approximately  23 million  compared with  approximately 12 million at the end of
the first quarter of 1998,  immediately prior to the acquisition of ValueRx, and
approximately 23 million at year-end 1998.

     On April 1, 1999,  the company  completed the  acquisition  of  Diversified
Pharmaceutical  Services,  Inc. (DPS), a subsidiary of SmithKline Beecham (NYSE:
SBH).  Express Scripts paid SmithKline $700 million in cash in the  transaction,
which was accounted for as a purchase.  The acquisition,  including  transaction
costs and the  refinancing  of the company's  existing debt, was funded with $48
million from the company's cash, a $150 million bridge facility and $890 million
from a $1.05 billion senior credit  facility.  The acquisition is anticipated to
be  non-dilutive  to Express  Scripts'  recurring  operating  earnings  in 1999.
Express  Scripts plans to use the net proceeds of its pending stock  offering to
reduce indebtedness incurred in connection with the acquisition.

     "Completing the acquisition of DPS - exactly one year after the acquisition
of  ValueRx  -  solidly  positions  Express  Scripts  at  the  forefront  of the
industry," Toan stated.  "Our  integration plan for DPS will follow a systematic
process  similar to our  approach  with  ValueRx,  allowing us to  leverage  the
strengths of our combined organization to benefit our customers."

     Integration goals for the DPS acquisition include:

o      Second quarter - Ensure service continuity and client satisfaction
       through  the  retention  of  employees  and client  communication;
       finalize plans to integrate  service delivery and site operations,
       including call center, mail service,  and account set-up;  combine
       the sales, clinical and corporate  administrative  functions,  and
       produce a detailed  financial  plan  incorporating  1999 financial
       goals at the operating unit level.

o      Third  quarter  -  Combine  existing   contracts  and  contracting
       procedures   related  to  both  suppliers  and  providers;   begin
       consolidation of administrative  and operations  functions between
       the former ValueRx and DPS staff in  Minneapolis  and complete the
       integration  of  the  financial  reporting  systems;   market  the
       strengths  of  the  combined  organization;   combine  the  rebate
       processing  information  systems; and integrate the DPS mail order
       volume into current mail order locations.


o      Fourth  quarter  -  Establish  a  combined   enterprise-wide  data
       warehouse and add  enhancements to the claims  processing  system;
       expand virtual call center  connectivity to improve  response time
       and service among call center sites;  introduce best practices for
       business processes and operations;  consolidate  benefit offerings
       for all employees for January 1, 2000, and expand the virtual call
       center to include the two DPS call centers.

     On March 29, 1999,  the company  announced  the  formation of a subsidiary,
YourPharmacy.com,  Inc., to launch two Internet sites that will offer  consumers
reliable drug information and convenient  online shopping.  Express Scripts will
use  its  expertise  to  deliver  these  services  through  DrugDigest.org.  and
YourPharmacy.com, which the company plans to launch this summer.

     "These Internet  initiatives are consistent with Express Scripts'  approach
with customers as a consultative partner, applying our industry leading clinical
pharmacy  expertise  and  customer  service  technology  in new  markets to help
clients and members  meet the  challenges  of rising drug costs and usage," Toan
said.  "In  addition,  the Express  Scripts  Internet  strategy will help reduce
operating costs by using Internet  transactions,  such as mail order refills, to
replace more expensive manual activity."

     Express  Scripts,  Inc., is the nation's leading  independent  full-service
pharmacy benefit  management (PBM) and specialty  managed care company.  Through
facilities in seven states and Canada,  the company serves  thousands of clients
throughout  North  America,  including  managed  care  organizations,  insurance
carriers,  third-party  administrators,  employers and  union-sponsored  benefit
plans.

     The company  provides  fully-integrated  PBM  services,  including  network
claims processing,  mail-order pharmacy services,  benefit design  consultation,
drug utilization review, formulary management,  disease management,  medical and
drug data analysis services,  medical  information  management  services,  which
include  provider  profiling  and  outcome  assessments,  through  its  Practice
Patterns Science,  Inc.  subsidiary,  and informed decision  counseling services
through its Express Health Line SM division.  The company also provides  non-PBM
services,  including  infusion  therapy services through its IVTx subsidiary and
distribution services through its Specialty Distribution division.

     Express Scripts is headquartered in St. Louis,  Missouri and has additional
major sites in Minneapolis, Minnesota; Bensalem, Pennsylvania;  Albuquerque, New
Mexico;  Tempe,  Arizona;  and Troy, New York. More  information can be found at
http://www.express-scripts.com.

     A registration  statement relating to the sale of 4,500,000 shares of Class
A Common  Stock of  Express  Scripts  has been  filed  with the  Securities  and
Exchange  Commission but has not yet become effective.  These securities may not
be sold nor may  offers to buy be  accepted  prior to the time the  registration
statement becomes effective.  This news release shall not constitute an offer to
sell or the solicitation of an offer to buy nor shall there be any sale of these
securities  in any State in which  such  offer,  solicitation  or sale  would be
unlawful prior to registration or qualification under the securities laws of any
such State.

     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. Certain factors relating to the acquisition of DPS discussed in this
press release that might cause such a difference to occur  include,  but are not
limited  to, the loss of major  clients of DPS,  including  UnitedHealth  Group,
whose  contract  expires in May, 2000 and which  accounts for  approximately  44
percent of DPS's total membership; higher than expected costs in integrating and
operating  the combined  company;  risks  inherent in  refinancing a bridge loan
facility used to finance a portion of the acquisition  price; and the failure to
consummate the proposed common stock offering.

     Other  general  factors  that may impact these  forward-looking  statements
include but are not limited to: (i) risks  associated with the  consummation and
financing of acquisitions,  including the ability to successfully  integrate the
operations of acquired businesses with our existing operations, client retention
issues,  and risks  inherent in the  acquired  entities  operations;  (ii) risks
associated with obtaining financing and capital; (iii) risks associated with our
ability  to  manage  growth;  (iv)  competition,  including  price  competition,
competition  in the bidding and proposal  process and our ability to  consummate
contract  negotiations with prospective clients; (v) the possible termination of
contacts with certain key clients or providers; (vi) the possible termination of
contracts  with  certain  pharmaceutical  manufacturers,   changes  in  pricing,
discount,  rebate or other  practices  of  pharmaceutical  manufacturers;  (vii)
adverse results in litigation; (viii) adverse results in regulatory matters, the
adoption of adverse legislation or regulations,  more aggressive  enforcement of
existing  legislation  or  regulations,  or a change  in the  interpretation  of
existing  legislation  or  regulations;  (ix)  developments  in  the  healthcare
industry, including the impact of increases in healthcare costs, changes in drug
utilization  patterns and  introductions of new drugs; (x) risks associated with
the "Year 2000" issue;  (xi) dependence on key members of management;  (xii) our
relationship  with New York  Life  Insurance  Company,  which  possesses  voting
control of the Company;  (xiii) other risks  described  from time to time in our
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.

                        Unaudited Statement of Operations
              (in thousands, except per share and percentage data)

<TABLE>
<CAPTION>

                                                             Three Months Ended
                                                                   March 31,          
                                                           1999                  1998                    % Change
                                                       ------------          ------------                 --------
<S>                                                      <C>                   <C>                      <C>   

Net revenues                                             $ 899,087             $ 371,362                142.1%
                                                         ---------             ---------

Cost and expenses:
  Cost of revenues                                         823,647               338,492                143.3%
  Selling, general and administrative                       46,440                18,826                146.7%
                                                       -----------          ------------
                                                           870,087               357,318                143.5%
                                                        ----------           -----------
Operating income                                            29,000                14,044                106.5%

Interest income (expense):
  Interest income                                            1,393                 2,138                -34.8%
  Interest expense                                         (6,222)                  (14)                    nm
                                                       -----------        --------------
                                                           (4,829)                 2,124               -327.4%
                                                       -----------         -------------
Income before income taxes                                  24,171                16,168                 49.5%
Provision for income taxes                                  10,628                 6,290                 69.0%
                                                       -----------         -------------
Net income                                                 $13,543                $9,878                 37.1%
                                                        ==========          ============

Basic earnings per share                                     $0.41                 $0.30                 36.7%
                                                      ============         =============

Weighted average number of common shares
  outstanding during the period - basic                     33,211                33,053                  0.5%
                                                       ===========          ============

Diluted earnings per share                                   $0.40                 $0.29                 37.9%
                                                      ============         =============

Weighted average number of common shares
  outstanding during the period - diluted                   34,154                33,579                  1.7%
                                                       ===========          ============
</TABLE>

nm - not meaningful

<PAGE>


                              EXPRESS SCRIPTS, INC.

                             Unaudited Balance Sheet
                                 (in thousands)

<TABLE>
<CAPTION>

                                                      March 31,             December 31,                 March 31,
                                                        1999                    1998                        1998   
                                                -------------------     -------------------           -------------
<S>                                                     <C>                   <C>                   <C>       
ASSETS
Current assets
     Cash and cash equivalents                          $  115,838            $  122,589            $   84,556
     Short-term investments                                                                             59,272
     Receivables, net                                      446,453               433,006               199,959
     Inventories                                            55,234                55,634                26,721
     Deferred taxes                                         41,841                41,011                 2,303
     Prepaid expenses                                        3,761                 4,667                 1,545
                                                     -------------          ------------          ------------
         Total current assets                              663,127               656,907               374,356

Property and equipment, net                                 73,346                77,499                27,850
Goodwill, net                                              268,081               282,163                   251
Other assets                                                92,396                78,892                12,287
                                                      ------------          ------------          ------------

Total assets                                            $1,096,950            $1,095,461            $  414,744
                                                      ============          ============          ============

LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
     Current portion of long-term debt                $     54,000          $     54,000       $             -
     Claims and rebate payable                             331,525               338,251               153,551
     Accounts payable                                       65,715                60,247                23,849
     Accrued expenses                                       71,666                86,798                21,724
                                                       -----------           -----------          ------------
         Total current liabilities                         522,906               539,296               199,124

Long-term debt                                             306,000               306,000                     -
Other long-term liabilities                                    502                   471                   690
                                                    --------------        --------------          ------------
Total liabilities                                          829,408               845,767               199,814

Total stockholders' equity                                 267,542               249,694               214,930
                                                       -----------           -----------             ---------

Total liabilities and stockholders' equity              $1,096,950            $1,095,461             $ 414,744
                                                        ==========            ==========             =========
</TABLE>


<PAGE>


                              EXPRESS SCRIPTS, INC.

                          Unaudited Non-Financial Data
                     (in thousands, except percentage data)
<TABLE>
<CAPTION>


                                                               Three Months Ended
                                                                     March 31,      
                                                     --------------------------------------
                                                           1999                  1998             % Change
                                                     ---------------        ---------------       --------
<S>                                                     <C>                   <C>                   <C>   
Drug spending                                           $1,450,481            $  678,263            113.9%

Pharmacy network claims processed                           36,028                19,028             89.3%

Mail pharmacy prescriptions filled                           2,279                 1,069            113.2%

EBITDA (1)                                            $     37,520           $    16,440            128.2%


</TABLE>


                             Selected Ratio Analysis

          Debt to EBITDA ratio                            2.4    (2)
          Interest coverage ratio                         6.0    (2)
          Debt to enterprise value                       11.1%   (3)
          Cash value per share                           $3.43   (3)
          Book value per share                           $7.93   (3)

(1) EBITDA is earnings before  interest,  taxes,  depreciation  and amortization
(operating  income plus  depreciation  and  amortization).  EBITDA is  presented
because it is a widely  accepted  indicator of a company's  ability to incur and
service  indebtedness.   EBITDA,   however,  should  not  be  considered  as  an
alternative  to  net  income  as  a  measure  of  operating  performance  or  an
alternative to cash flow as a measure of liquidity.  In addition, our definition
of EBITDA may not be comparable to that reported by other companies.

(2) Annualized.

(3) Based on financial information as of March 31, 1999.



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