EXPRESS SCRIPTS INC
8-K, 1999-02-24
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:   February 16, 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 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 February 16, 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  February 16, 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:    February 23, 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 February 16, 1999, by Express Scripts, Inc.



                                  EXHIBIT 99.1

               EXPRESS SCRIPTS FOURTH QUARTER EPS RISES 30 PERCENT
        VALUERX INTEGRATION GOALS ACHIEVED AS COMPANY PREPARES TO ADD DPS

     ST. LOUIS,  FEBRUARY 16,  1999--Express  Scripts,  Inc. (NASD:  ESRX) today
reported  that  fourth  quarter  1998 net income  grew by 31.8  percent to $11.9
million from $9.0 million in the fourth  quarter of 1997, and earnings per share
rose 29.6 percent,  to 35 cents per share from 27 cents per share,  on a diluted
basis.

     For the year ended December 31, 1998,  Express Scripts earned $43.7 million
or $1.30 per share on a diluted basis, excluding a previously announced one time
charge related to the  restructuring  of its managed vision  business.  Compared
with  $33.4  million  or $1.01  per  share  on a  diluted  basis  in 1997,  this
represents  an annual  increase of 30.8 percent in net income and a 28.7 percent
increase in diluted earnings per share.

     The  operations of ValueRx and internal  growth fueled  increases in fourth
quarter  operating  income,  which more than doubled to $26.6 million from $13.0
million in the same period of 1997.

     Operating  income  for the year 1998 was  $89.2  million,  an 82.7  percent
increase over $48.9 million in 1997. Through year-end 1998, the contributions to
operating  income by ValueRx  following  its  acquisition  on April 1, 1998 were
partially offset by planned integration costs.

     On February 9, 1999, the company  announced that it had signed a definitive
agreement  to  acquire  Diversified   Pharmaceutical  Services,  Inc.  (DPS),  a
subsidiary  of  SmithKline   Beecham  (NYSE:  SBH).  Express  Scripts  will  pay
SmithKline  $700 million in cash.  The  transaction  will be accounted  for as a
purchase and is anticipated to be non-dilutive to Express  Scripts'  earnings in
1999, and accretive to earnings thereafter.

     "We are pleased to announce strong 1998 earnings growth consistent with our
past years' performance, following last week's announcement that we are going to
purchase DPS," said Barrett Toan,  Express Scripts president and chief executive
officer. "The addition of DPS to the Express Scripts / ValueRx family solidifies
our position in the top ranks of the pharmacy benefits management industry.  The
acquisition  allows us to be an even more  responsive  partner  to our  clients,
provides a greater value to members and opens the door to  additional  marketing
opportunities."

     The  combination  of Express  Scripts  and DPS  creates  the third  largest
pharmacy  benefit  manager in the U.S.,  managing nearly $10.0 billion in annual
drug spending, and the largest PBM independent of pharmaceutical manufacturer or
drug store chain ownership.  DPS currently  provides pharmacy benefit management
services  to  approximately  23.5  million  members,  of which 10.5  million are
members of  UnitedHealth  Group (UHG) plans served under a contract that expires
in May, 2000. Upon  consummation of this transaction and prior to the expiration
of the UHG contract,  Express Scripts will provide pharmacy  benefit  management
services to more than 47 million members.

     "Having achieved our targeted  integration  goals to date with ValueRx,  we
look  forward to  bringing  DPS on board.  We hope to complete  the  transaction
during the second  quarter of 1998. The ValueRx and DPS  acquisitions  represent
key drivers as we execute our four point growth strategy:  creating new sales to
new  clients;  selling  new  products to existing  customers;  making  strategic
acquisitions and alliances; and achieving operating economies," Toan said.

INTEGRATION  GOALS  ACHIEVED  

     Integration  of Express  Scripts  and  ValueRx  computer  applications  and
consolidation  of computer  platform goals for the fourth quarter have been met,
and the  company  introduced  a new sales and  marketing  program  for  enhanced
integrated  PBM  services.  The  company's  pharmacy  networks,   call  centers,
organization  charts and employee  benefit  programs  have all been merged,  and
information  systems  integration  completed  during the quarter  enables common
processing of all claims.

     "The  acquisition of ValueRx  brought  important  system  components to the
company and we are  continuing  to work on the  integration  of all our computer
processes to enhance our current capabilities.  Our original systems integration
plan,  which was a 24 month plan,  is on track and  positions us to evaluate and
integrate  attractive aspects of the DPS information system in a timely manner,"
said Toan.

     "Moving into 1999, we have  inaugurated  a new sales and marketing  program
for enhanced  PBM  services,"  Toan said.  "The  program  showcases  how Express
Scripts / ValueRx,  as a  consultative  partner,  applies its  industry  leading
clinical pharmacy  expertise and technology focused customer service to help our
clients meet the challenges of rising drug costs and usage.  The strong clinical
systems  and  services  provided  by  DPS  will  further  strengthen  the  value
proposition we offer to our customers and members."

ENROLLMENT SHOWS SOLID GROWTH

     Reflecting the addition of new plans at January 1, 1999, membership grew to
23.5 million,  a net increase of approximately  700,000 pharmacy benefit covered
lives over 22.8 million on October 1, 1998.

     Among the larger  groups  added in the fourth  quarter of 1998 were 640,000
Canadian Inuits and Indians  enrolled as of December 1, 1998. This increased the
company's business in its Canadian unit, ESI Canada, by more than 65 percent.

     Additionally,  the  company  was  recently  informed  of the renewal of its
contract to serve the State of New York Empire Plan  Prescription  Drug  Program
through a subcontracting relationship with CIGNA HealthCare, which was effective
January 1, 1999,  for five years.  This plan  represents  approximately  700,000
lives served from Express  Scripts' Troy,  New York,  facility and is one of the
company's largest clients.

     On February 1, 1999, the company announced a three-and-a-half-year contract
with Blue  Cross and Blue  Shield of  Massachusetts  (BCBSMA)  which  will cover
approximately 1.2 million members to be implemented during 1999. As part of this
relationship,  Express  Scripts / ValueRx will provide  retail and mail pharmacy
services,  claims  processing,  clinical  management  support and other  related
services.

ADVANCED PHARMACY BENEFIT PROGRAMS ADD VALUE

     As part of its fully integrated PBM services, the company continues to
offer clients advanced pharmacy benefits and clinical management expertise
through Express TherapeuticsSM, Express PreferenceSM, and Practice Patterns
Science programs, as well as non-PBM services such as infusion therapy services,
sold through the company's home infusion therapy subsidiary, IVTx, Inc. The
advanced PBM services continue to contribute to the company's fully-integrated
PBM revenue, while infusion therapy services continue to contribute to the
company's overall revenue. The inclusion of ValueRx and future DPS book of
business, enhances the company's ability to provide fully-integrated PBM
services, as well as its non-PBM services.

REVENUES AND CASH FLOWS CONTINUE SOLID GROWTH

     In the fourth  quarter of 1998, net revenues were $838.8  million,  a 140.9
percent  increase over $348.2  million in the same period of 1997.  For the year
1998, net revenues,  which include the contributions  from ValueRx in the second
through fourth quarters,  were $2.8 billion,  a 129.6 percent increase from $1.2
billion in 1997.

     The cost of revenues for the fourth quarter of 1998 increased 142.4 percent
to $764.4 million,  compared with $315.4 million for the fourth quarter of 1997.
For the year  1998,  the cost of  revenues  was $2.6  billion,  a 131.0  percent
increase compared with $1.1 billion in 1997.

     Continued  strong positive cash flows resulted in cash and cash equivalents
of $122.6  million at December 31, 1998,  a 21.3  percent  increase  from $101.1
million at September 30, 1998.

     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.   Express  Scripts  currently  manages   approximately  $5.0  billion  in
annualized drug spending.

     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 Pattern
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;  Troy, New York; and Farmington Hills,  Michigan.  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.  Certain factors  relating to the announced  acquisition of DPS 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;  and risks  inherent in  refinancing  the bridge loan  facility that is
anticipated to be used to finance the acquisition.

     Other  general  factors  that may impact these  forward-looking  statements
include  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 and proposal
process;  adverse results in certain  litigation and regulatory  matters;  lower
than expected sales and revenue growth; the adoption of adverse legislation or a
change in the  interpretation  of existing  legislation  or  regulations;  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  public 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

<TABLE>
                              EXPRESS SCRIPTS, INC.
                             STATEMENT OF OPERATIONS
              (IN THOUSANDS, EXCEPT PER SHARE AND PERCENTAGE DATA)

<CAPTION>
                                             THREE MONTHS ENDED                         TWELVE MONTHS ENDED
                                                DECEMBER 31,                                DECEMBER 31,
                                           ------------------------                  ---------------------------
                                              1998         1997          % Change        1998           1997       % Change
<S>                                          <C>          <C>            <C>           <C>           <C>            <C>    
                                           -----------   ----------                  -------------   -----------

Net revenues                                 $838,784     $348,192       140.90%       $2,824,872    $1,230,634     129.55%
                                           -----------   ----------                  -------------   -----------

Cost and expenses:
  Cost of revenues                            764,403      315,373       142.38%        2,584,997     1,119,167     130.98%
  Selling, general & administrative            47,745       19,828       140.80%          148,990        62,617     137.94%
  Corporate restructuring expenses                  -            -            nm            1,651                        nm
                                                                                                              -
                                           -----------   ----------                  -------------   -----------
                                              812,148      335,201       142.29%        2,735,638     1,181,784     131.48%
                                           -----------   ----------                  -------------   -----------
Operating income                               26,636       12,991       105.03%           89,234        48,850      82.67%
                                           -----------   ----------                  -------------   -----------
Other income (expense):
  Interest income                               1,553        1,910       -18.69%            7,236         6,081      18.99%
  Interest expense                            (6,437)        (160)            nm         (20,230)         (225)          nm
                                           -----------   ----------                  -------------   -----------
                                              (4,884)        1,750      -379.09%         (12,994)         5,856    -321.89%
                                           -----------   ----------                  -------------   -----------
Income before income taxes                     21,752       14,741        47.56%           76,240        54,706      39.36%
Provision for income taxes                      9,828        5,697        72.51%           33,566        21,277      57.76%
                                           ===========   ==========                  =============   ===========
Net income                                    $11,924       $9,044        31.84%          $42,674       $33,429      27.66%
                                           ===========   ==========                  =============   ===========

Basic earnings per share                        $0.36        $0.27        33.33%            $1.29         $1.02      26.47%
                                           ===========   ==========                  =============   ===========

Weighted average number of common shares
outstanding during the period - Basic EPS     33,145       32,978         0.51%           33,105        32,713       1.20%
                                           ===========   ==========                  =============   ===========

Diluted earnings per share                      $0.35        $0.27        29.63%            $1.27         $1.01      25.74%
                                           ===========   ==========                  =============   ===========

Weighted average number of common shares
outstanding during the period - Diluted EPS    33,887       33,412         1.42%           33,698        33,122       1.74%
                                           ===========   ==========                  =============   ===========
</TABLE>

nm -  Not meaningful


<TABLE> 
                              NON-FINANCIAL DATA
                     (IN THOUSANDS, EXCEPT PERCENTAGE DATA)
                                   (UNAUDITED)
<CAPTION>

                                             THREE MONTHS ENDED                         TWELVE MONTHS ENDED
                                                DECEMBER 31,                                DECEMBER 31,
                                           ------------------------                  ---------------------------
                                              1998         1997          % Change        1998           1997       % Change
<S>                                            <C>          <C>             <C>         <C>            <C>           <C>   
                                           -----------   ----------    ---------------------------   ----------- --------------
Pharmacy network claims processed              32,951       20,206          63.08%      113,177        73,164        54.69%

Mail pharmacy claims filled                     2,159        1,034         108.80%        7,426         3,899        90.46%

Number of pharmacies in network                                                            52.4          50.2         4.38%

Pharmacy benefit covered lives                                                           22,900        12,600        80.95%

Drug spending                              $1,357,824     $727,890          86.54%   $4,495,088    $2,486,380        80.79%

</TABLE>

                             SELECTED RATIO ANALYSIS

   Debt to EBITDA Ratio                      2.7 1
   Interest Coverage Ratio                   4.9 1
   Debt to Enterprise Value                13.8% 2
   Cash Value per Share                    $3.65 2
   Book Value per Share                    $7.42 2

1    Annualized utilizing financial information subsequent to the purchase of
     ValueRx on April 1, 1998, excluding the Corporate - restructuring expenses.
2    Based on financial information as of December 31, 1998.
  
<PAGE>


<TABLE>
                              EXPRESS SCRIPTS, INC.
                                  BALANCE SHEET
                                 (IN THOUSANDS)

<CAPTION>

                                                 DECEMBER 31,         DECEMBER 31,
                                                     1998                 1997
<S>                                                    <C>                  <C>    
                                                ----------------     ---------------
Assets
      Current assets
         Cash and cash equivalents                     $122,589             $64,155
         Short term investments                                              57,938
                                                              -
         Receivables, net                               433,006             210,291
         Inventories                                     55,634              28,935
         Deferred taxes and prepaid expenses             45,678               2,649
                                                ----------------     ---------------
             Total current assets                       656,907             363,968
                                                ----------------     ---------------

      Property and equipment (net)                       77,499              26,821
      Goodwill (net)                                    305,163
                                                                                251
      Other assets                                       78,892              11,468

                                                ================     ===============
      Total assets                                   $1,118,461            $402,508
                                                ================     ===============

Liabilities and Stockholders' Equity
      Current liabilities
         Current portion long term debt                 $54,000                   $
                                                                                  -
         Claims payable
                                                        291,178             153,051
         Accounts payable                                60,247              17,979
         Accrued expenses                               156,871              26,876
                                                ----------------     ---------------
             Total current liabilities                  562,296             197,906

      Long term debt                                    306,000
                                                                                  -
      Other liabilities                                     471                 901
                                                ----------------     ---------------
      Total liabilities                                 868,767             198,807
                                                ----------------     ---------------

      Total stockholders' equity                        249,694             203,701

                                                ================     ===============
      Total liabilities and stockholders'            $1,118,461            $402,508
      equity
                                                ================     ===============

</TABLE>



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