EXPRESS SCRIPTS INC
8-K, 2000-04-24
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:   April 19, 2000


                              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)



13900 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 19, 2000, 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 19, 2000, by Express
               Scripts, Inc.


                                    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 21, 2000          By:  /s/ Barrett A. Toan
                                 Barrett A. Toan
                                 President and Chief Executive Officer


                                  EXHIBIT INDEX




   Exhibit No.     Description

      99.1 Press release, dated April 19, 2000, by Express Scripts, Inc.



                                  EXHIBIT 99.1

     Express  Scripts First Quarter Net Income Up 58 Percent;  Diluted EPS Rises
38 Percent Cash Flow from Operations Grows to $61 Million

     ST. LOUIS,  April 19,  2000--Express  Scripts,  Inc. (NASD: ESRX) announced
first quarter 2000 net income of $21.4  million,  or 55 cents per diluted share.
This is a 58 percent increase in net income and a 38 percent increase in diluted
earnings  per share  compared  with  $13.5  million,  or 40 cents,  in the first
quarter of 1999.

     During the quarter,  Express  Scripts  generated $60.7 million in cash flow
from  operations,  compared with the use of ($3.8)  million in cash for the same
period of 1999.  Approximately  $30  million of the  increase  in cash flow from
operations was due to the reduction in inventory balances, which the company had
increased  during the fourth quarter of 1999 to address the potential for higher
year-end demand in its mail pharmacies related to members' Y2K concerns.

     "Our  strong  first  quarter  performance  continues  our  track  record of
earnings  growth," stated Barrett Toan,  president and chief executive  officer.
"We're particularly  pleased to report strong cash flow, which positions us well
to continue to effectively execute our business and financial  strategies." As a
result of strong cash flow from operations, the company prepaid $30.0 million in
debt and  repurchased  543,000  shares  of its  Class A Common  Stock  for $20.9
million during the first quarter.

     Express Scripts reached several company milestones,  including being ranked
for the first time among the  nation's  top 500  companies by Fortune and Forbes
magazines.  In the Fortune 500, the company ranked #371, based on revenues.  The
Forbes 500 ranked Express Scripts #353 in sales and #498 in profits. In January,
Express  Scripts  was  also  named a Forbes  Platinum  400  company,  based on a
combination of total return on capital, cash flow per share, and growth in sales
and net income.

     "We're pleased to be included in these rankings based on our  performance,"
stated  Toan.  "We  consider  the  rankings  to be  significant,  but even  more
important  is our goal of  delivering  value to our  clients and  employing  our
capital to build economic profit."

Strong Operating Results

     In the first  quarter of 2000,  revenues  were $1.5  billion,  a 64 percent
increase  over  $899.1  million  in the same  period of 1999.  The  year-to-year
increase is due to higher  utilization;  higher drug costs;  the  acquisition of
Diversified Pharmaceutical Services (DPS), which was completed on April 1, 1999;
and the conversion of DPS clients to the Express Scripts networks.

     Gross profit increased 77 percent to $133.2 million in the first quarter of
2000 from $75.4 million for the comparable period of 1999. Selling,  general and
administrative  expenses (SG&A),  excluding depreciation and amortization,  were
$65.1  million,  a 62 percent  increase over the $40.2 million  reported for the
comparable  period of 1999.  These increases are consistent with the increase in
revenues.

Network Claims and Mail Pharmacy Volumes Contribute To Growth

     Pharmacy  network  claims  processed  increased to 59.4 million  during the
first quarter of 2000,  excluding 20.6 million from the United  HealthCare (UHC)
contract, a 65 percent increase when compared with the first quarter a year ago,
prior to the DPS acquisition.  Mail pharmacy  prescriptions  filled increased to
3.5 million  during the first  quarter of 2000, a 54 percent  increase  compared
with the first quarter a year ago, due primarily to internal growth. As of April
1, 2000, Express Scripts served  approximately  38.5 million members,  excluding
the 9.5 million members served under the UHC contract.

     "We expect mail pharmacy  services will continue to be an important  growth
area as our clients seek additional  value and consumers  become more accustomed
to using the mail and Internet  for routine  prescription  filling,"  said Toan.
"Our association  with  PlanetRx.com,  our exclusive  Internet  pharmacy,  is an
important component of this strategy."

Integration Supports Increased Services Expansion and Efficiency

     During the first quarter, an additional 1.3 million Express Scripts members
began utilizing expanded services. This service expansion includes programs that
provide  for more  advanced  formulary  management  and the  addition of mail or
network service where only one of these services had been used previously.

     New sales during the quarter include a contract Express Scripts signed with
Humana  Inc.  (NYSE:  HUM)  to  provide  Practice  Patterns  Science's  advanced
decision-support technology for Humana's nearly six million members. The program
is intended to enhance  Humana's  population  health program and provide network
information systems capabilities.

     Further  enhancing the integration of sales and customer  service,  Express
Scripts  eliminated  one of its claims  processing  platforms  at the end of the
first quarter,  consistent with the company's plan to consolidate and streamline
computer systems. "These positive results will facilitate further integration as
the company  moves  forward with  consolidation  of the three  remaining  claims
processing platforms," said Toan.

     Express  Scripts,  Inc. is the nation's  leading  independent  full-service
pharmacy benefit  management (PBM) 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 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   development  of  data   warehouses  to  combine   medical  claims  and
prescription  drug  claims,  disease  management  support  services  and outcome
assessments  through the  company's  Health  Management  Services  division  and
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 Express
Scripts  Infusion  Services  subsidiary and  distribution  services  through its
Specialty  Distribution  subsidiary.  Express  Scripts is  headquartered  in St.
Louis,      Missouri.      More      information     can     be     found     at
http://www.express-scripts.com, which includes expanded investor information and
resources.

SAFE HARBOR STATEMENT

     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. Actual results may differ significantly
from those  projected or suggested in any  forward-looking  statements.  Factors
that may impact these forward-looking statements include but are not limited to:
(i) risks associated with successfully  completing its Internet  strategy;  (ii)
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;  (iii) risks associated with obtaining  financing
and  capital;  (iv) risks  associated  with our  ability to manage  growth;  (v)
competition,  including  price  competition,  competition  in  the  bidding  and
proposal  process  and our  ability to  consummate  contract  negotiations  with
prospective clients; (vi) the possible termination of contracts with certain key
clients or providers;  (vii) the possible  termination of contracts with certain
pharmaceutical  manufacturers,  changes in  pricing,  discount,  rebate or other
practices of pharmaceutical manufacturers; (viii) adverse results in litigation;
(ix) 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;  (x) developments in the healthcare industry,  including the impact
of increases  in  healthcare  costs,  changes in drug  utilization  patterns and
introductions of new drugs; (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

<TABLE>

                              EXPRESS SCRIPTS, INC.

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

<CAPTION>
                                                                 Three Months Ended
                                                                      March 31,

                                                      2000              1999         % Change
<S>                                                 <C>                  <C>              <C>
Revenues                                        $     1,476,259    $       899,087         64.2%

Cost and expenses:
   Cost of revenues(1)                                1,343,063            823,647          63.1%
   Selling, general and administrative(2)                84,121             46,440          81.1%
                                                      1,427,184            870,087          64.0%
Operating income                                         49,075             29,000          69.2%
Interest income (expense):
   Interest income                                        1,381              1,393          -0.9%
   Interest expense                                     (14,201)            (6,222)        128.2%
                                                        (12,820)            (4,829)        165.5%
Income before income taxes                               36,255             24,171          50.0%
Provision for income taxes                               14,823             10,628          39.5%
Net income                                      $        21,432    $        13,543          58.3%

Basic earnings per share                        $          0.56    $          0.41          36.6%

Weighted average number of common shares
   outstanding during the period - basic                 38,540             33,211          16.0%

Diluted earnings per share                      $          0.55    $          0.40          37.5%

Weighted average number of common shares
   outstanding during the period - diluted               39,206             34,154          14.8%

EBITDA(3)                                       $        70,642    $        37,487          88.4%

<FN>

     (1) Includes  depreciation and amortization  expense of $2,577, and $2,265,
respectively.

      (2) Includes depreciation and amortization expense of $18,990, and
$6,222,   respectively.

     (3)  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.

</FN>
</TABLE>


<TABLE>
                              EXPRESS SCRIPTS, INC.

<CAPTION>

                             Unaudited Balance Sheet
                                 (in thousands)

                                                    March 31,            December 31,
                                                      2000                   1999
<S>                                             <C>                        <C>
ASSETS
Current assets
     Cash and cash equivalents                  $      131,547             $       132,630
     Receivables, net                                  720,587                     783,086
     Inventories                                        77,426                     113,248
     Deferred taxes                                     26,400                      32,248
     Prepaid expenses                                    3,504                       5,143
         Total current assets                          959,464                   1,066,355

Property and equipment, net                            104,216                      97,573
Investment in marketable securities                     82,961                     150,365
Goodwill, net                                          970,081                     982,496
Other intangible assets, net                           176,348                     183,420
Other assets                                             7,993                       7,102

Total assets                                    $    2,301,063             $     2,487,311

LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
     Claims and rebate payable                  $      779,444             $       850,630
     Current portion of long-term debt                       -                           -
     Accounts payable                                   98,047                     112,731
     Accrued expenses                                  126,879                     136,997
         Total current liabilities                   1,004,370                   1,100,358

Long-term debt                                         605,839                     635,873
Other long-term liabilities                             31,918                      51,598
     Total liabilities                               1,642,127                   1,787,829

Total stockholders' equity                             658,936                     699,482

Total liabilities and stockholders' equity      $    2,301,063             $     2,487,311

</TABLE>


<TABLE>

                              EXPRESS SCRIPTS, INC.

                        Unaudited Statement of Cash Flows
                                 (in thousands)
<CAPTION>

                                                        Three Months Ended
                                                             March 31,
                                                      2000              1999
<S>                                             <C>                <C>
Cash flow from operating activities:
   net income                                   $       21,432     $       13,543
Adjustments to reconcile net income to
   net cash provided by operating activities:
     Depreciation and amortization                      22,153              8,685
     Other                                              17,091            (26,036)
Net cash provided by (used in) operating
   activities                                           60,676             (3,808)

Cash flows from investing and financing activities:
     Purchase of property and equipment                (11,723)            (5,677)
     Repayment of long-term debt                       (30,000)                  -
     Repurchase of Class A Common Stock                (20,910)                  -
     Other                                                 874              2,734
Net cash (used in) investing and
   financing activities                                (61,759)            (2,943)

Net (decrease) in cash and cash equivalents             (1,083)            (6,751)

Cash and cash equivalents at beginning
   of period                                           132,630            122,589

Cash and cash equivalents at end
   of period                                    $      131,547     $      115,838


</TABLE>


<TABLE>

                              EXPRESS SCRIPTS, INC.

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


                                                                 Three Months Ended
                                                                      March 31,
                                                     2000(1)            1999             % Change

<S>                                             <C>                <C>                      <C>
Drug spending                                   $    2,582,901     $    1,450,481           78.1%

Pharmacy network claims processed                       59,414             36,028           64.9%

Mail pharmacy prescriptions filled                       3,515              2,279           54.2%

</TABLE>


<TABLE>

<CAPTION>

                                         Selected Ratio Analysis

                                                 Actual          Pro Forma(7)

<S>                                              <C>                <C>
Net debt to EBITDA ratio(2)                        2.0x               1.7x
Interest coverage ratio(2) (4)                     3.6x               4.4x
Debt to enterprise value(3)                       27.2%              27.2%
Net debt to net capitalization(3)                 41.9%              41.9%
Cash value per share(5)                           $3.41              $3.41
Book value per share (6)                         $17.10             $17.10

<FN>

     (1) Drug spending and pharmacy network claims  processed  exclude UHC. Drug
spending and pharmacy network claims processed for UHC were $908,909 and 20,604,
respectively.

     (2) Uses financial  information for the twelve months ended March 31, 2000.

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

     (4)  Represents  EBITDA  divided by interest  expense for the twelve months
ended March 31, 2000.

     (5) Represents cash divided by 38,542 shares outstanding at March 31, 2000.

     (6) Represents stockholders' equity divided by 38,542 shares outstanding at
March 31, 2000.

     (7) Pro  Forma  excludes  non-recurring  charges,  the  gain on the sale of
assets and the  extraordinary  loss on early  retirement of debt.  Also, the Pro
Forma  assumes the  company's  5,175 common stock  offering and $250,000  Senior
Notes offering occurred on April 1, 1999.

</FN>
</TABLE>


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