EXPRESS SCRIPTS INC
8-K, 2000-02-10
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 9, 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)

Item 5.  Other Events

     On February 9, 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 February 9, 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: February 10, 2000             By:  /s/ Barrett A. Toan
                                        Barrett A. Toan
                                        President and Chief Executive Officer


                                  EXHIBIT INDEX


   Exhibit No.  Description

      99.1 Press release, dated February 9, 2000, by Express Scripts, Inc.


                     EXPRESS SCRIPTS ANNOUNCES 65% INCREASE
                     IN FOURTH QUARTER PRO FORMA NET INCOME

     ST. LOUIS,  February 9, 2000--Express  Scripts, Inc. (NASD: ESRX) announced
pro forma  fourth  quarter  1999 net  income of $19.6  million,  or 50 cents per
diluted share, and year-to-date  1999 pro forma net income of $67.3 million,  or
$1.77 per diluted share.  This compares with net income of $11.9 million,  or 35
cents per diluted share,  in the fourth quarter of 1998 and pro forma net income
of $43.7  million,  or $1.30 per diluted  share,  in the year ended December 31,
1998. Pro forma net income in 1999 and 1998 excludes one-time,  non-recurring or
extraordinary gains and charges.  Pro forma net income in 1999 also assumes that
the Company's equity and debt offering  occurred on April 1, 1999. Net income on
a reported basis was $119.3 million,  or $3.03 per diluted share, for the fourth
quarter of 1999 and $150.2  million,  or $4.06 per diluted share,  for the year,
and includes a $182.9 million one-time pre-tax gain related to the PlanetRx.com,
Inc.  (PlanetRx)  transaction,  compared to $42.7 million,  or $1.27 per diluted
share, for 1998. Earnings before interest,  taxes, depreciation and amortization
(EBITDA) for the fourth quarter 1999 on a pro forma basis totaled $69.7 million,
a 98 percent  increase  over the $35.2  million  reported in the same quarter of
1998.

     "We are very pleased with our fourth  quarter and 1999  results,  which are
our best ever. We are also very  confident  that recent events have put us in an
excellent position for continued strong financial performance.  We are beginning
the new  millennium  having  added a million new members,  expanded  services to
approximately 4.5 million existing  membership,  increased mail pharmacy volumes
significantly, and initiated work under an innovative distribution contract with
Bayer through our Specialty  Distribution Services division," said Barrett Toan,
president and chief executive officer.

     "In 2000, we believe our historical pro forma net income growth rate can be
sustained  due  to the  underlying  trends  and  opportunities  inherent  in the
business,   including  the  addition  of  new  members,  increased  utilization,
inflation and drug mix changes,  cross-selling of services to existing  clients,
expansion of other business lines such as specialty  distribution and reductions
in interest expense," Toan said.


STRONG OPERATING RESULTS

     In the fourth quarter of 1999, net revenues were $1.3 billion, a 56 percent
increase over $838.8 million in the same period of 1998.  Gross profit increased
81 percent to $134.5  million in the fourth  quarter of 1999 from $74.4  million
for the comparable  period of 1998. The increase in gross profit better reflects
the impact of the DPS  acquisition  since DPS  recognizes  revenues  and cost of
revenue on a net basis.  This means that the ingredient  cost of the drug is not
included in revenues or cost of revenues.  Selling,  general and  administrative
expenses (SG&A), excluding depreciation and amortization,  were $67.4 million, a
63 percent increase over the $41.4 million reported for the comparable period of
1998.  The increase in SG&A expense is primarily due to the  acquisition of DPS,
which  was  completed  on  April  1,  1999,  planned  integration  costs,  costs
associated with the Company's execution of its Internet strategy, the rollout of
the  Company's  new  branding  program and new product  development.  The strong
fourth  quarter  results  are due to higher  utilization  by members in both the
network  and mail  services,  a portion of which may have been  attributable  to
year-end buying motivated by members' concerns over potential Y2K problems.

     On October  13,  1999,  the  Company  acquired a 19.9%  ownership  stake in
PlanetRx in a noncash transaction, and PlanetRx assumed stock options granted to
certain  yourPharmacy.com  employees.  In connection with this transaction,  the
Company recorded a pre-tax gain of $182.9 million and pre-tax stock compensation
expense of $19.5 million.  These amounts were determined using the $16 per share
PlanetRx initial offering price.  During the fourth quarter of 1999, the Company
recorded  $3.8 million of fees from  PlanetRx.  These fees were used to fund our
internet strategy.

     In  addition,  in the  fourth  quarter  of 1999 the  Company  recorded  net
non-recurring  charges of $1.3  million  related to  outsourcing  the  Company's
computer  operations  to EDS and  restructuring  the  operations of its Practice
Patterns Science subsidiary. These charges were partially offset by the reversal
of a portion of the  restructuring  charge  taken in the second  quarter of 1999
related to the consolidation of the Company's two Minneapolis facilities.

     For the year ended December 31, 1999, net revenues  increased 52 percent to
$4.3  billion,  which  includes net  revenues of DPS since April 1, 1999.  Gross
profit  increased  to $461.2  million  from  $239.9  million  for the year ended
December 31, 1999, or 92 percent.  SG&A  expenses,  excluding  depreciation  and
amortization, were $231.5 million, a 78 percent increase over the $130.1 million
reported  for 1998.  EBITDA,  on a pro forma basis,  increased  104 percent from
$117.3 million in the year ended December 31, 1998 to $238.9 million in the year
ended December 31, 1999.


CLAIMS AND MEMBERS

     As of January 1, 2000, Express Scripts served 38.5 million members, up from
37.5 million  members in the third quarter,  excluding about 9.5 million members
served under the United Healthcare (UHC) contract. The Company is implementing a
transition  program  leading to the UHC  contract  expiration  in May 2000.  New
members  added during the first quarter 2000 will be larger than usual because a
number of new groups  will be  implemented  in the first  quarter due to certain
clients postponing implementations until after January 1, due to Y2K concerns.

     "The service expansion to 4.5 million  additional  members testifies to the
success of our integration efforts following the April 1999 acquisition of DPS,"
said Toan.  The  service  expansion  includes  programs  that  provide  for more
advanced formulary management.  Also included is the addition of mail or network
service where only one or the other had been used previously.

     The Specialty  Distribution  Services division contract with Bayer involves
the  development and  implementation  of an innovative  distribution  system for
Prolastin(R),  for which  demand is greater than  supply.  Working  closely with
patient  support  groups to ensure  fairness in  distribution,  Express  Scripts
fulfills the role of the sole service,  distribution and reimbursement agent for
Bayer.

CASH FLOW

     For the year ended,  cash flow from operations was $214.1  million.  Due to
new banking relationships,  the Company recorded a one-time increase in the cash
balance of $113.7 million. On a comparable basis, assuming the one-time increase
in cash occurred in the third quarter of 1999, cash flow from operations for the
fourth  quarter of 1999 was $33.9  million.  The fourth  quarter  cash flow from
operations  was  reduced by an  increase  of  approximately  $30  million in the
inventory  balance which the Company made to address  potential  higher year-end
demand in its mail pharmacies due to members' Y2K concerns.  The Company expects
to reduce the inventory balances during the first half of 2000.

     As a result of  strong  operating  cash  flows,  the  Company  reduced  the
outstanding  balance of its revolving credit agreement using $40 million of cash
in the fourth quarter of 1999 and $30 million of cash in January 2000.

     The Company expects continued  positive cash flow and no material effect on
earnings during  transition of the  approximately  9.5 million members of UHC to
another pharmacy  benefit  management  company during 2000.  Express Scripts has
negotiated an orderly,  phased  transition to begin in June and continue for the
balance of 2000. This will allow for both uninterrupted services for UHC members
and a reduction in the impact on cash flow from operations for Express Scripts.

     Due to the timing of cash  receipts  and payments  under the UHC  contract,
cash flow from  operations  will be  reduced  temporarily  by an  estimated  $20
million  during the third  quarter and will return to normal  levels  during the
fourth  quarter of 2000.  As  announced  at the time of the DPS  acquisition,  a
portion of the purchase  price of DPS was  allocated to the UHC contract and has
been amortized during the life of the UHC contract.

     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 provider profiling and outcome assessments through the 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.  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


                 Express Scripts Reports Fourth Quarter Earnings

<TABLE>
<CAPTION>
                              EXPRESS SCRIPTS, INC.

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

                               Three Months Ended
                                   December 31
                                                                                                               Pro Forma to
                                                    Actual          Pro Forma       Actual                        Actual
                                                    1999                1999 (1)     1998          % Change     % Change
<S>                                                 <C>            <C>               <C>             <C>           <C>
                                                  ------------     ----------      ----------     ---------     --------
Net revenues                                        $1,308,772     $1,308,772        $838,784        56.0%         56.0%
                                                  ------------     ----------       ---------
Cost and expenses:
  Cost of revenues (2)                               1,174,282      1,174,282         764,403        53.6%         53.6%
  Selling, general and administrative (3)               87,096         87,096          47,745        82.4%         82.4%
  Non-recurring charges                                 20,821              -               -           nm            nm
                                                   -----------    -----------      ----------
                                                     1,282,199      1,261,378         812,148        57.9%         55.3%
                                                   -----------    -----------      ----------
Operating income                                       26,573          47,394          26,636       (0.2%)         77.9%
                                                   -----------    -----------      ----------
Other income (expense):
  Gain on sale of assets                               182,930              -               -           nm            nm
  Interest income                                        1,861          1,861           1,553        19.8%         19.8%
  Interest expense                                    (14,764)       (14,764)         (6,437)       129.4%        129.4%
                                                 -------------     ----------      ----------
                                                       170,027       (12,903)         (4,884)     3,581.3%        164.2%
                                                 -------------     ----------      ----------
Income before income taxes                             196,600         34,491          21,752       803.8%         58.6%
Provision for income taxes                              77,341         14,856           9,828       686.9%         51.2%
                                                 -------------     ----------      ----------
Net income                                            $119,259        $19,635         $11,924       900.2%         64.7%
                                                 =============     ==========      ==========

Basic earnings per share                                 $3.10          $0.51           $0.36       761.1%         41.7%
                                                 =============     ==========      ==========
Weighted average number of common shares
  outstanding during the period - basic                 38,532         38,532          33,145        16.3%         16.3%
                                                 =============     ==========      ==========

Diluted earnings per share                               $3.03          $0.50           $0.35       765.7%         42.9%
                                                 =============     ==========      ==========
Weighted average number of common shares
  outstanding during the period - diluted               39,403         39,403          33,887        16.3%         16.3%
                                                 =============     ==========      ==========

EBITDA (4)                                             $48,925        $69,746         $35,237        38.8%         97.9%
                                                 =============     ==========      ==========
nm - not meaningful
<FN>
     (1) Pro Forma  excludes  non-recurring  charges and gain on sale of assets.

     (2) Includes  depreciation and amortization  expense of $2,675,  $2,675 and
$2,238,  respectively.

     (3) Includes depreciation and amortization expense of $19,677,  $19,677 and
$6,363,   respectively.

     (4)  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>
<CAPTION>
                              EXPRESS SCRIPTS, INC.

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

                                   Year Ended
                                   December 31

                                                                                                                Pro Forma to
                                                      Actual       Pro Forma        Actual                        Actual
                                                       1999         1999 (1)         1998         % Change       % Change
<S>                                                 <C>            <C>             <C>               <C>          <C>
                                                    ----------    -----------      ----------     ---------       --------
Net revenues                                        $4,288,104     $4,288,104      $2,824,872        51.8%        51.8%
                                                    ----------    -----------      ----------
Cost and expenses:
  Cost of revenues (2)                               3,826,905      3,826,905       2,584,997        48.0%        48.0%
  Selling, general and administrative (3)              294,194        294,194         148,990        97.4%        97.4%
  Non-recurring charges                                 30,221              -           1,651     1,730.5%          nm
                                                    ----------    -----------      ----------
                                                     4,151,320      4,121,099       2,735,638        51.7%        50.6%
                                                    ----------    -----------      ----------
Operating income                                       136,784        167,005          89,234        53.3%        87.2%
                                                    ----------    -----------      ----------

Other income (expense):
  Gain on sale of assets                               182,930              -               -           nm          nm
  Interest income                                        5,762          5,762           7,236      (20.4%)      (20.4%)
  Interest expense                                    (60,010)       (53,849)        (20,230)       196.6%       166.2%
                                                    ----------    -----------     -----------
                                                       128,682       (48,087)        (12,994)     1,090.3%       270.1%
                                                    ----------    -----------     -----------
Income before income taxes                             265,466        118,918          76,240       248.2%        56.0%
Provision for income taxes                             108,098         51,592          33,566       222.0%        53.7%
                                                    ----------    -----------     -----------
Income before extraordinary item                       157,368         67,326          42,674       268.8%        57.8%
Extraordinary loss on early retirement
  of debt, net of taxes of $4,492                        7,150              -               -           nm           -
                                                   -----------    -----------     -----------
Net income                                            $150,218        $67,326         $42,674       252.0%        57.8%
                                                   ===========    ===========     ===========

Basic earnings per share:
  Before extraordinary item                              $4.36          $1.81           $1.29       238.0%        40.3%
  Extraordinary loss on early retirement
    of debt                                               0.20              -               -           nm            -
                                                   -----------    -----------    ------------
  Net income                                             $4.16          $1.81           $1.29       222.5%        40.3%
                                                   ===========    ===========    ============

Weighted average number of common shares
  outstanding during the period - basic                 36,095         37,187          33,105         9.0%        12.3%
                                                   ===========   ============    ============

Diluted earnings per share:
  Before extraordinary item                              $4.25          $1.77           $1.27       234.6%        39.4%
  Extraordinary loss on early retirement
    of debt                                               0.19              -              -            nm            -
                                                   -----------   ------------    ------------
  Net income                                             $4.06          $1.77           $1.27       219.7%        39.4%
                                                   ===========   ============    ============

Weighted average number of common shares
  outstanding during the period - diluted               37,033         38,125          33,698         9.9%        13.1%
                                                  ============   ============     ===========

EBITDA (4)                                            $208,651       $238,872        $115,683        80.4%       106.5%
                                                  ============   ============     ===========
nm - not meaningful
<FN>

     (1) Pro Forma excludes  non-recurring  charges,  gain on 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.

     (2) Includes  depreciation and amortization  expense of $9,216,  $9,216 and
$7,575,  respectively.

     (3) Includes depreciation and amortization expense of $62,651,  $62,651 and
$18,874,   respectively.

     (4)  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>
<CAPTION>

                              EXPRESS SCRIPTS, INC.

                             Unaudited Balance Sheet
                                 (in thousands)

                                                     December 31,           December 31,
                                                          1999                   1998
<S>                                                      <C>                    <C>
                                                     --------------       ---------------
ASSETS
Current assets
     Cash and cash equivalents                            $132,630              $122,589
     Receivables, net                                      783,086               433,006
     Inventories                                           113,248                55,634
     Deferred taxes                                         32,248                41,011
     Prepaid expenses                                        5,143                 4,667
                                                      ------------         -------------
         Total current assets                            1,066,355               656,907

Property and equipment, net                                 97,573                77,499
Investment in PlanetRx                                     150,365
Goodwill, net 982,496                                      282,163
Other intangible assets, net                               183,420                65,765
Other assets                                                 7,102                13,127
                                                      ------------         -------------

Total assets                                            $2,487,311            $1,095,461
                                                      ============         =============
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
     Current portion of long-term debt            $              -               $54,000
     Claims and rebate payable                             850,630               338,251
     Accounts payable                                      112,731                60,247
     Accrued expenses                                      136,997                86,798
                                                      ------------          ------------
         Total current liabilities                       1,100,358               539,296

Long-term debt                                             635,873               306,000
Other long-term liabilities                                 51,598                   471
                                                      ------------          ------------
     Total liabilities                                   1,787,829               845,767

Total stockholders' equity                                 699,482               249,694
                                                      ------------          ------------

Total liabilities and stockholders' equity              $2,487,311            $1,095,461
                                                      ============           ============

</TABLE>

<TABLE>
<CAPTION>
                              EXPRESS SCRIPTS, INC.

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

                                                              Three Months Ended
                                                                  December 31
                                                    ----------------------------------------
                                                            1999  (1)            1998               % Change
<S>                                                     <C>                   <C>                     <C>
                                                    -------------------  -------------------      ----------
Drug spending                                           $2,663,853            $1,357,824              96.2%

Pharmacy network claims processed                           63,759                32,951              93.5%

Mail pharmacy prescriptions filled                           3,180                 2,159              47.3%


</TABLE>

<TABLE>
<CAPTION>

                                                                              Year Ended

                                                                    December 31
                                                     ---------------------------------------
                                                           1999 (1)               1998              % Change
                                                     ----------------       ----------------      ----------
<S>                                                     <C>                   <C>                     <C>
Drug spending                                           $8,738,648            $4,495,088              94.4%

Pharmacy network claims processed                          211,808               113,177              87.1%

Mail pharmacy prescriptions filled                          10,608                 7,426              42.8%

</TABLE>

<TABLE>
<CAPTION>

                            Selected Ratio Analysis

                                                 Actual           Pro Forma

<S>                                              <C>                  <C>
  Net debt to EBITDA ratio (2) (7)                2.2x                 1.9x
  Interest coverage ratio (2) (4) (7)             3.2x                 4.2x
  Debt to enterprise value (3)                   20.5%                20.5%
  Net debt to net capitalization (3)             41.8%                41.8%
  Cash value per share (5)                       $3.44                $3.44
  Book value per share  (6)                     $18.15               $18.15

<FN>
     (1) Drug spending and pharmacy network claims  processed  excludes UHC. For
the three months and year ended  December 31, 1999,  drug  spending and pharmacy
network claims processed for UHC were $866,004 and $2,421,741, respectively, and
21,546 and 62,101, respectively.

     (2)  Annualized  using  financial  information  for the nine  months  ended
December 31, 1999.

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

     (4) Represent EBITDA divided by interest expense.

     (5)  Represents  cash divided by 38,536 shares  outstanding at December 31,
1999

     (6) Represents stockholders' equity divided by 38,536 shares outstanding at
December 31, 1999.

     (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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