e10vq
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
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þ |
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended September 30, 2010.
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o |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to .
Commission File Number: 0-20199
EXPRESS SCRIPTS, INC.
(Exact name of registrant as specified in its charter)
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Delaware
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43-1420563 |
(State or other jurisdiction of incorporation or
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(I.R.S. Employer Identification No.) |
organization) |
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One Express Way, St. Louis, MO
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63121 |
(Address of principal executive offices)
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(Zip Code) |
Registrants telephone number, including area code: (314) 996-0900
Indicate by check mark whether the registrant (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the registrant has submitted electronically and posted on its
corporate Web site, if any, every Interactive Data File required to be submitted and posted
pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months
(or for such shorter period that the registrant was required to submit and post such files). Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated
filer, a non-accelerated filer, or a smaller reporting company. See the definitions of large
accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the
Exchange Act.:
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Large accelerated filer þ | |
Accelerated filer o | |
Non-accelerated filer o | |
Smaller reporting company o |
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(Do not check if a smaller reporting company) |
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Indicate by check mark whether the registrant is a shell company (as defined in Rule
12b-2 of the Exchange Act). Yes o No þ
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Common stock outstanding as of September 30, 2010: |
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526,211,000 Shares |
EXPRESS SCRIPTS, INC.
INDEX
2
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
EXPRESS SCRIPTS, INC.
Unaudited Consolidated Balance Sheet
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September 30, |
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December 31, |
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(in millions, except share data) |
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2010 |
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2009 |
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Assets |
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Current assets: |
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Cash and cash equivalents |
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$ |
267.5 |
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$ |
1,070.4 |
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Restricted cash and investments |
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10.9 |
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9.1 |
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Receivables, net |
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1,795.5 |
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2,516.4 |
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Inventories |
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315.8 |
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313.0 |
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Deferred taxes |
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119.2 |
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135.0 |
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Prepaid expenses and other current assets |
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45.1 |
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94.2 |
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Current assets of discontinued operations |
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5.4 |
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Total current assets |
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2,554.0 |
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4,143.5 |
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Property and equipment, net |
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353.7 |
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347.1 |
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Goodwill |
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5,490.7 |
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5,497.1 |
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Other intangible assets, net |
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1,764.5 |
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1,880.8 |
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Other assets |
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31.8 |
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31.7 |
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Noncurrent assets of discontinued operations |
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31.0 |
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Total assets |
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$ |
10,194.7 |
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$ |
11,931.2 |
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Liabilities and Stockholders Equity |
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Current liabilities: |
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Claims and rebates payable |
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$ |
2,597.5 |
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$ |
2,850.7 |
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Accounts payable |
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686.1 |
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706.4 |
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Accrued expenses |
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682.9 |
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549.2 |
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Current maturities of long-term debt |
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0.1 |
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1,340.1 |
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Current liabilities of discontinued operations |
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10.4 |
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Total current liabilities |
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3,966.6 |
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5,456.8 |
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Long-term debt |
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2,493.4 |
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2,492.5 |
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Other liabilities |
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514.7 |
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430.1 |
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Total liabilities |
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6,974.7 |
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8,379.4 |
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Stockholders Equity: |
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Preferred stock, 5,000,000 shares authorized, $0.01 par
value per share; and no shares issued and outstanding |
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Common stock, 1,000,000,000 shares authorized, $0.01 par
value per share; shares issued: 690,243,000 and 345,279,000,
respectively;
shares outstanding: 526,211,000 and 275,007,000, respectively |
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6.9 |
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3.5 |
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Additional paid-in capital |
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2,314.3 |
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2,260.0 |
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Accumulated other comprehensive income |
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17.4 |
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14.1 |
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Retained earnings |
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5,040.2 |
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4,188.6 |
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7,378.8 |
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6,466.2 |
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Common stock in treasury at cost, 164,032,000 and 70,272,000
shares, respectively |
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(4,158.8 |
) |
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(2,914.4 |
) |
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Total stockholders equity |
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3,220.0 |
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3,551.8 |
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Total liabilities and stockholders equity |
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$ |
10,194.7 |
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$ |
11,931.2 |
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See accompanying Notes to Unaudited Consolidated Financial Statements
3
EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Operations
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Three Months Ended |
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Nine Months Ended |
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September 30, |
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September 30, |
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(in millions, except per share data) |
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2010 |
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2009 |
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2010 |
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2009 |
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Revenues 1 |
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$ |
11,251.8 |
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$ |
5,613.0 |
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$ |
33,679.0 |
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$ |
16,525.3 |
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Cost of revenues 1 |
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10,487.7 |
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5,001.9 |
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31,494.2 |
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14,789.0 |
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Gross profit |
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764.1 |
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611.1 |
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2,184.8 |
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1,736.3 |
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Selling, general and administrative |
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236.1 |
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252.7 |
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671.8 |
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642.4 |
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Operating income |
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528.0 |
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358.4 |
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1,513.0 |
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1,093.9 |
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Other (expense) income: |
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Interest income |
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2.2 |
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2.0 |
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4.4 |
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4.1 |
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Interest expense |
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(42.2 |
) |
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(48.0 |
) |
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(127.0 |
) |
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(142.7 |
) |
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(40.0 |
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(46.0 |
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(122.6 |
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(138.6 |
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Income before income taxes |
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488.0 |
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312.4 |
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1,390.4 |
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955.3 |
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Provision for income taxes |
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180.9 |
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115.6 |
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515.4 |
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351.8 |
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Net income from continuing operations |
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307.1 |
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196.8 |
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875.0 |
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603.5 |
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Net (loss) income from discontinued
operations, net of tax |
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(5.6 |
) |
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0.8 |
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(23.4 |
) |
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0.8 |
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Net income |
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$ |
301.5 |
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$ |
197.6 |
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$ |
851.6 |
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$ |
604.3 |
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Weighted average number of common
shares outstanding during the
period: |
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Basic |
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531.7 |
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549.0 |
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541.9 |
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519.4 |
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Diluted |
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537.0 |
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554.4 |
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547.5 |
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524.2 |
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Basic earnings per share: |
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Continuing operations |
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$ |
0.58 |
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$ |
0.36 |
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$ |
1.61 |
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$ |
1.16 |
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Discontinued operations |
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(0.01 |
) |
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(0.04 |
) |
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Net earnings |
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0.57 |
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0.36 |
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1.57 |
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1.16 |
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Diluted earnings per share: |
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Continuing operations |
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$ |
0.57 |
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$ |
0.35 |
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$ |
1.60 |
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$ |
1.15 |
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Discontinued operations |
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(0.01 |
) |
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(0.04 |
) |
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Net earnings |
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0.56 |
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0.36 |
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1.56 |
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1.15 |
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1 |
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Includes retail pharmacy co-payments of $1,478.5 million and $708.4 million for
the three months ended September 30, 2010 and 2009, respectively and $4,688.4 million and $2,252.2
million for the nine months ended September 30, 2010 and 2009, respectively. |
See accompanying Notes to Unaudited Consolidated Financial Statements
4
EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Changes in Stockholders Equity
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Number |
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of Shares |
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Amount |
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Accumulated |
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Additional |
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Other |
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Common |
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Common |
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Paid-in |
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Comprehensive |
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Retained |
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Treasury |
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(in millions) |
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Stock |
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Stock |
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Capital |
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Income |
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Earnings |
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Stock |
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Total |
|
Balance at December 31, 2009 |
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|
345.3 |
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$ |
3.5 |
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$ |
2,260.0 |
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$ |
14.1 |
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$ |
4,188.6 |
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$ |
(2,914.4 |
) |
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$ |
3,551.8 |
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Comprehensive income: |
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Net income |
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851.6 |
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|
851.6 |
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Other comprehensive
income: |
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Foreign currency
translation adjustment |
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3.3 |
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3.3 |
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Comprehensive income |
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3.3 |
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851.6 |
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854.9 |
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Stock split in form of
dividend |
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345.1 |
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3.4 |
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(3.4 |
) |
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Treasury stock acquired |
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(1,276.2 |
) |
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(1,276.2 |
) |
Changes in stockholders
equity related to
employee stock plans |
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(0.2 |
) |
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57.7 |
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31.8 |
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89.5 |
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Balance at September 30, 2010 |
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690.2 |
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$ |
6.9 |
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|
$ |
2,314.3 |
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|
$ |
17.4 |
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|
$ |
5,040.2 |
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|
$ |
(4,158.8 |
) |
|
$ |
3,220.0 |
|
See accompanying Notes to Unaudited Consolidated Financial Statements
5
EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Cash Flows
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Nine Months Ended |
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September 30, |
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(in millions) |
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2010 |
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|
2009 |
|
Cash flows from operating activities: |
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Net income |
|
$ |
851.6 |
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$ |
604.3 |
|
Net loss (income) from discontinued operations, net of tax |
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|
23.4 |
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(0.8 |
) |
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Net income from continuing operations |
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|
875.0 |
|
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|
603.5 |
|
Adjustments to reconcile net income to net cash provided by
operating activities: |
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Depreciation and amortization |
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|
180.9 |
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|
70.9 |
|
Non-cash adjustments to net income |
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|
140.7 |
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|
77.1 |
|
Deferred financing fees |
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4.1 |
|
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|
59.0 |
|
Changes in operating assets and liabilities: |
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Accounts receivable |
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|
706.6 |
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|
(108.3 |
) |
Claims and rebates payable |
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(253.2 |
) |
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|
20.2 |
|
Other net changes in operating assets and liabilities |
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|
175.6 |
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|
186.2 |
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Net cash provided by operating activitiescontinuing operations |
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|
1,829.7 |
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|
908.6 |
|
Net cash provided by operating activitiesdiscontinued operations |
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12.3 |
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|
17.9 |
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Net cash flows provided by operating activities |
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1,842.0 |
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|
926.5 |
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Cash flows from investing activities: |
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Purchases of property and equipment |
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(84.6 |
) |
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(89.5 |
) |
Purchase of short-term investments |
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(10.0 |
) |
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(1,198.9 |
) |
Other |
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|
15.8 |
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5.4 |
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Net cash used in investing activities continuing operations |
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|
(78.8 |
) |
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|
(1,283.0 |
) |
Net cash used in investing activities discontinued operations |
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(0.8 |
) |
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|
(1.0 |
) |
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Net cash used in investing activities |
|
|
(79.6 |
) |
|
|
(1,284.0 |
) |
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|
Cash flows from financing activities: |
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|
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|
|
|
Repayment of long-term debt |
|
|
(1,340.1 |
) |
|
|
(240.1 |
) |
Treasury stock acquired |
|
|
(1,276.2 |
) |
|
|
|
|
Tax benefit relating to employee stock compensation |
|
|
32.9 |
|
|
|
7.7 |
|
Net proceeds from employee stock plans |
|
|
19.3 |
|
|
|
7.1 |
|
Deferred financing fees |
|
|
(3.9 |
) |
|
|
(69.5 |
) |
Proceeds on long-term debt, net of discounts |
|
|
|
|
|
|
2,491.6 |
|
Net proceeds from stock issuance |
|
|
|
|
|
|
1,569.1 |
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing activities |
|
|
(2,568.0 |
) |
|
|
3,765.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of foreign currency translation adjustment |
|
|
2.7 |
|
|
|
3.3 |
|
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents |
|
|
(802.9 |
) |
|
|
3,411.7 |
|
Cash and cash equivalents at beginning of period |
|
|
1,070.4 |
|
|
|
530.7 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period |
|
$ |
267.5 |
|
|
$ |
3,942.4 |
|
|
|
|
|
|
|
|
See accompanying Notes to Unaudited Consolidated Financial Statements
6
R
EXPRESS SCRIPTS, INC.
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
Note 1 Summary of significant accounting policies
Our significant accounting policies, normally included in financial statements prepared in
conformity with generally accepted accounting principles, have been omitted from this Form 10-Q
pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). However,
we believe the disclosures contained in this Form 10-Q are adequate to fairly state the information
when read in conjunction with the notes to the consolidated financial statements included in our
Annual Report on Form 10-K for the year ended December 31, 2009. For a full description of our
accounting policies, refer to the Notes to Consolidated Financial Statements included in our Annual
Report on Form 10-K for the year ended December 31, 2009.
We believe the accompanying unaudited consolidated financial statements reflect all
adjustments (consisting of only normal recurring adjustments) necessary to state fairly the
Unaudited Consolidated Balance Sheet at September 30, 2010, the Unaudited Consolidated Statement of
Operations for the three months and nine months ended September 30, 2010 and 2009, the Unaudited
Consolidated Statement of Changes in Stockholders Equity for the nine months ended September 30,
2010, and the Unaudited Consolidated Statement of Cash Flows for the nine months ended September
30, 2010 and 2009. Operating results for the three months and nine months ended September 30, 2010
are not necessarily indicative of the results that may be expected for the year ending December 31,
2010.
Note 2 Fair value measurements
Financial Accounting Standards Board (FASB) guidance regarding fair value measurement
establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair
value. These tiers include: Level 1, defined as observable inputs such as quoted prices in active
markets for identical assets or liabilities; Level 2, defined as inputs other than quoted prices
for similar assets and liabilities in active markets that are either directly or indirectly
observable; and Level 3, defined as unobservable inputs for which little or no market data exists,
therefore requiring an entity to develop its own assumptions.
Financial assets accounted for at fair value on a recurring basis include cash equivalents of
$174.6 million and $909.8 million, restricted cash and investments of $10.9 million and $9.1
million, and trading securities (included in other assets) of $12.5 million and $11.4 million at
September 30, 2010 and December 31, 2009, respectively. These assets are carried at fair value
based on quoted market prices for identical securities (Level 1 inputs). Cash equivalents include
investments in AAA-rated money market mutual funds with maturities of less than 90 days.
The carrying value of cash and cash equivalents, accounts receivable, claims and rebates
payable, and accounts payable approximated fair values due to the short-term maturities of these
instruments. The fair value, which approximates the carrying value, of our bank credit facility
was estimated using either quoted market prices or the current rates offered to us for debt with
similar maturity. The carrying values and the fair values of our senior notes are shown in the
following table:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2010 |
|
December 31, 2009 |
|
|
Carrying |
|
Fair |
|
Carrying |
|
Fair |
(in millions) |
|
Amount |
|
Value |
|
Amount |
|
Value |
|
5.25% senior notes
due 2012, net of
unamortized
discount |
|
$ |
999.6 |
|
|
$ |
1,067.5 |
|
|
$ |
999.4 |
|
|
$ |
1,068.6 |
|
6.25% senior notes
due 2014, net of
unamortized
discount |
|
|
996.7 |
|
|
|
1,148.4 |
|
|
|
996.1 |
|
|
|
1,095.7 |
|
7.25% senior notes
due 2019, net of
unamortized
discount |
|
|
497.0 |
|
|
|
628.9 |
|
|
|
496.8 |
|
|
|
591.6 |
|
|
|
|
Total |
|
$ |
2,493.3 |
|
|
$ |
2,844.8 |
|
|
$ |
2,492.3 |
|
|
$ |
2,755.9 |
|
7
The fair values of our senior notes were estimated based on quoted prices in active markets
for identical securities (Level 1 inputs). In determining the fair value of liabilities, we took
into consideration the risk of nonperformance. Nonperformance risk refers to the risk that the
obligation will not be fulfilled and affects the value at which the liability would be transferred
to a market participant. This risk did not have a material impact on the fair value of our
liabilities.
Note 3 Acquisition (reflecting the two-for-one stock split effective June 8, 2010)
On December 1, 2009, we completed the purchase of 100% of the shares and equity interests of
certain subsidiaries of WellPoint, Inc. (WellPoint) that provide pharmacy benefit management
services (NextRx or the NextRx PBM Business), in exchange for total consideration of $4.675
billion paid in cash. The working capital adjustment was finalized during the second quarter of
2010 and reduced the purchase price by $8.3 million, resulting in a final purchase price of $4.667
billion. The NextRx PBM Business is a national provider of PBM services, and we believe the
acquisition will enhance our ability to achieve cost savings, innovations, and operational
efficiencies which will benefit our customers and stockholders. The purchase price was primarily
funded through a $2.5 billion underwritten public offering of senior notes completed on June 9,
2009, resulting in net proceeds of $2,478.3 million, and a public offering of 52.9 million shares
of common stock completed June 10, 2009, resulting in net proceeds of $1,569.1 million. This
acquisition is reported as part of our pharmacy benefit management (PBM) segment.
The parties have agreed to make an election under Section 338(h)(10) of the Internal Revenue
Code with respect to the transaction which results in the goodwill and other intangibles generated
being tax deductible over 15 years. We estimate the value of such election to us to be between $800
million and $1.2 billion dependent upon the discount factor and tax rate assumed. This benefit
will be realized over the 15 year period as the goodwill and other intangibles are amortized and
deducted for tax purposes. There was no separate asset related to this tax benefit recorded in our
consolidated financial statements upon close of the acquisition as the tax basis of these assets
was equal to their book basis. Additionally, at the closing of the acquisition, we entered into a
10-year contract with WellPoint (the PBM agreement) under which we will provide pharmacy benefits
management services to WellPoint and its designated affiliates which were previously provided by
NextRx. The services provided under the PBM agreement include retail network pharmacy management,
home delivery and specialty pharmacy services, drug formulary management, claims adjudication and
other services consistent with those provided to other PBM clients. These services are provided to
HMOs, health insurers, third-party administrators, employers, union-sponsored benefit plans,
workers compensation plans and government health programs, which is consistent with our current
customer base.
The following unaudited pro forma information presents a summary of our combined results of
operations and those of the NextRx PBM Business for the three and nine months ended September 30,
2009 as if the acquisition and financing transactions had occurred at January 1, 2009, along with
certain pro forma adjustments to give effect to amortization of other intangible assets, interest
expense on acquisition debt and other adjustments. This information is presented with actual
results from the three and nine months ended September 30, 2010 for comparative purposes. The
following pro forma financial information is not necessarily indicative of the results of
operations as they would have been had the transactions been effected on the assumed date, nor is
it necessarily an indication of trends in future results for a number of reasons, including but not
limited to, differences between the assumptions used to prepare the pro forma information, cost
savings from operating efficiencies, potential synergies, and the impact of incremental costs
incurred in integrating the NextRx PBM Business:
8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Nine Months Ended |
|
|
September 30, |
|
September 30, |
(in millions, except per share data) |
|
2010 |
|
2009 |
|
2010 |
|
2009 |
|
Total revenues |
|
$ |
11,251.8 |
|
|
$ |
9,457.1 |
|
|
$ |
33,679.0 |
|
|
$ |
28,264.6 |
|
Net income from continuing operations |
|
|
307.1 |
|
|
|
256.5 |
|
|
|
875.0 |
|
|
|
745.3 |
|
Basic earnings per share from
continuing operations |
|
|
0.58 |
|
|
|
0.47 |
|
|
|
1.61 |
|
|
|
1.36 |
|
Diluted earnings per share from
continuing operations |
|
$ |
0.57 |
|
|
$ |
0.47 |
|
|
$ |
1.60 |
|
|
$ |
1.35 |
|
The purchase price has been preliminarily allocated based upon the estimated fair value of net
assets acquired and liabilities assumed at the date of the acquisition. Because information may
become available within the measurement period (one year from the date of acquisition) that
indicates a potential change to these valuations, the purchase price allocation is subject to
change. The Company expects to finalize the allocation of the purchase price during the fourth
quarter of 2010. The components of the preliminary purchase price allocation for NextRx are as
follows:
|
|
|
|
|
Allocation of Purchase Price (in millions): |
|
|
|
|
|
Current assets |
|
$ |
937.0 |
|
Property and equipment |
|
|
42.7 |
|
Acquired intangible assets |
|
|
1,585.0 |
|
Goodwill |
|
|
2,679.9 |
|
Liabilities assumed |
|
|
(577.9 |
) |
|
|
|
|
Total |
|
$ |
4,666.7 |
|
|
|
|
|
The values of the tangible net assets in the above table are representative of the fair values
of those assets and liabilities. The current assets of $937.0 million are primarily comprised of
pharmaceutical manufacturer rebate receivables, which have historically experienced better
collection rates than other customer trade receivables. As a result, the allowance for doubtful
accounts related to these receivables is lower than our book of business average. The liabilities
assumed of $577.9 million are primarily comprised of rebates payable to clients.
A portion of the excess of purchase price over tangible net assets acquired has been
preliminarily allocated to intangible assets consisting of customer contracts in the amount of
$1,585.0 million. These assets are included in other intangible assets, net on the unaudited
consolidated balance sheet. The excess of purchase price over tangible net assets and identified
intangible assets acquired has been preliminarily allocated to goodwill in the amount of $2,679.9
million. The goodwill is the residual value after identified assets are separately valued and
represents the result of expected buyer-specific synergies derived from our ability to drive growth
in generic and mail order utilization, supply chain savings from both drug manufacturers and the
retail network, and the tax benefits derived from the Section 338(h)(10) election under the
Internal Revenue Code.
During the second quarter of 2010, we recorded a pre-tax benefit of $30.0 million related to
the amendment of a client contract which relieved us of certain contractual guarantees. This
amount was originally accrued in the NextRx opening balance sheet. In accordance with business
combination accounting guidance, the reversal of the accrual was recorded in revenue, since it
relates to client guarantees, upon amendment of the contract during the second quarter of 2010.
Note 4 Discontinued Operations
In the third quarter of 2010, we completed the sale of our Phoenix Marketing Group (PMG)
line of business. The loss on the sale as well as other charges related to discontinued operations
during the third quarter of 2010 totaled $8.3 million. These charges are included in the Net
(loss) income from discontinued operations, net of tax line item in the accompanying unaudited
consolidated statement of operations for the three and nine months
9
ended September 30, 2010. The purchase price is subject to a working capital adjustment, which is
expected to be finalized in the fourth quarter of 2010 and is not expected to be material.
During the second quarter of 2010, we concluded that PMG was no longer core to our future
operations and committed to a plan to dispose of the business. As a result, PMG was classified as
a discontinued operation beginning in the second quarter of 2010, and an impairment charge of $28.2
million was recorded to reflect goodwill and intangible asset impairment and the subsequent
write-down of PMG assets to fair market value. The impairment charge is included in the Net
(loss) income from discontinued operations, net of tax line item in the accompanying unaudited
consolidated statement of operations for the nine months ended September 30, 2010.
Prior to being classified as a discontinued operation, PMG was included in our Emerging
Markets (EM) segment. PMG is headquartered in Lincoln Park, New Jersey and provides outsourced
distribution and verification services to pharmaceutical manufacturers. The results of operations
for PMG are reported as discontinued operations for all periods presented in the accompanying
unaudited consolidated statements of operations in accordance with applicable accounting guidance.
Additionally, for all periods presented, assets and liabilities of the discontinued operations are
segregated in the accompanying unaudited consolidated balance sheets, and cash flows of our
discontinued operations are segregated in our accompanying unaudited consolidated statement of cash
flows.
Certain information with respect to the discontinued operations for the three and nine months
ended September 30, 2010 and 2009 is summarized below. Certain activity related to the winding
down of working capital balances of our infusion pharmacy line of business (IP), which was sold
in 2008, is included in the information for the three months and nine months ended September 30,
2009.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended, |
|
Nine Months Ended, |
|
|
September 30, |
|
September 30, |
(in millions) |
|
2010 |
|
2009 |
|
2010 |
|
2009 |
|
Revenues |
|
$ |
5.2 |
|
|
$ |
6.4 |
|
|
$ |
16.5 |
|
|
$ |
20.2 |
|
Net (loss) income from discontinued operations, net of tax |
|
|
(5.6 |
) |
|
|
0.8 |
|
|
|
(23.4 |
) |
|
|
0.8 |
|
Income tax (benefit) expense from discontinued operations |
|
$ |
(2.5 |
) |
|
$ |
0.4 |
|
|
$ |
(12.9 |
) |
|
$ |
0.4 |
|
Note 5 Goodwill and other intangible assets
The following is a summary of our goodwill and other intangible assets for our two reportable
segments PBM and EM (excludes discontinued operations of PMG):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2010 |
|
December 31, 2009 |
|
|
Gross |
|
|
|
|
|
Net |
|
Gross |
|
|
|
|
|
Net |
|
|
Carrying |
|
Accumulated |
|
Carrying |
|
Carrying |
|
Accumulated |
|
Carrying |
(in millions) |
|
Amount |
|
Amortization |
|
Amount |
|
Amount |
|
Amortization |
|
Amount |
|
Goodwill |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM |
|
$ |
5,465.8 |
|
|
$ |
(107.4 |
) |
|
$ |
5,358.4 |
|
|
$ |
5,472.1 |
|
|
$ |
(107.3 |
) |
|
$ |
5,364.8 |
|
EM |
|
|
132.3 |
|
|
|
|
|
|
|
132.3 |
|
|
|
132.3 |
|
|
|
|
|
|
|
132.3 |
|
|
|
|
|
|
|
|
$ |
5,598.1 |
|
|
$ |
(107.4 |
) |
|
$ |
5,490.7 |
|
|
$ |
5,604.4 |
|
|
$ |
(107.3 |
) |
|
$ |
5,497.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other intangible assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Customer contracts |
|
$ |
2,018.4 |
|
|
$ |
(309.2 |
) |
|
$ |
1,709.2 |
|
|
$ |
2,018.3 |
|
|
$ |
(197.8 |
) |
|
$ |
1,820.5 |
|
Other |
|
|
20.8 |
|
|
|
(3.9 |
) |
|
|
16.9 |
|
|
|
27.9 |
|
|
|
(10.9 |
) |
|
|
17.0 |
|
|
|
|
|
|
|
|
|
2,039.2 |
|
|
|
(313.1 |
) |
|
|
1,726.1 |
|
|
|
2,046.2 |
|
|
|
(208.7 |
) |
|
|
1,837.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Customer relationships |
|
|
68.4 |
|
|
|
(30.7 |
) |
|
|
37.7 |
|
|
|
68.4 |
|
|
|
(25.8 |
) |
|
|
42.6 |
|
Other |
|
|
0.7 |
|
|
|
|
|
|
|
0.7 |
|
|
|
0.7 |
|
|
|
|
|
|
|
0.7 |
|
|
|
|
|
|
|
|
|
69.1 |
|
|
|
(30.7 |
) |
|
|
38.4 |
|
|
|
69.1 |
|
|
|
(25.8 |
) |
|
|
43.3 |
|
|
|
|
|
|
Total other intangible assets |
|
$ |
2,108.3 |
|
|
$ |
(343.8 |
) |
|
$ |
1,764.5 |
|
|
$ |
2,115.3 |
|
|
$ |
(234.5 |
) |
|
$ |
1,880.8 |
|
|
|
|
|
|
10
The aggregate amount of amortization expense of other intangible assets for our
continuing operations was $40.1 million and $10.2 million for the three months ended September 30,
2010 and 2009, respectively and $120.1 million and $28.5 million for the nine months ended
September 30, 2010 and 2009, respectively. In accordance with applicable accounting guidance,
amortization for customer contracts related to the PBM agreement has been included as an offset to
revenues in the amount of $28.5 million and $85.5 million for the three and nine months ended
September 30, 2010, respectively. The future aggregate amount of amortization expense of other
intangible assets for our continuing operations is expected to be approximately $159.9 million for
2010, $158.8 million for 2011, $158.1 million for 2012, $156.9 million for 2013, and $151.3 million
for 2014. The weighted average amortization period of intangible assets subject to amortization is
15 years in total, and by major intangible class is 5 to 20 years for customer-related intangibles
and 3 to 10 years for other intangible assets.
The change in the gross carrying amount and accumulated amortization for PBM other intangible
assets is the result of the write-off of $11.0 million of deferred financing fees related to the
credit facility terminated during the quarter and the capitalization of $3.9 million of deferred
financing fees related to the new credit facility (see Note 7).
A summary of the change in the net carrying value of goodwill by business segment is shown in
the following table:
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
|
EM(1) |
|
|
Total |
|
|
Balance at December 31, 2009 |
|
$ |
5,364.8 |
|
|
$ |
132.3 |
|
|
$ |
5,497.1 |
|
Adjustment to purchase price
allocation(2) |
|
|
(6.8 |
) |
|
|
|
|
|
|
(6.8 |
) |
Foreign currency translation and other |
|
|
0.4 |
|
|
|
|
|
|
|
0.4 |
|
|
|
|
|
|
|
|
|
|
|
Balance at September 30, 2010 |
|
$ |
5,358.4 |
|
|
$ |
132.3 |
|
|
$ |
5,490.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Excludes discontinued operations of PMG. |
|
(2) |
|
Represents adjustments to preliminary purchase price upon settlement of working
capital adjustment. |
See Note 3 for further information on goodwill related to recent acquisitions.
As discussed in Note 4, our PMG line of business was classified as a discontinued operation
during the second quarter of 2010 and we completed the sale of the business during the third
quarter of 2010. In connection with the classification of PMG as a discontinued operation, we
revised our impairment model based on the intent to dispose of the business. The revised change in
model indicated impairment in the total amount of $28.2 million during the second quarter of 2010,
the majority of which reflects the PMG goodwill and intangible asset impairment and the subsequent
write-down of PMG assets to fair market value. The impairment charge is included in the Net
(loss) income from discontinued operations, net of tax line item in the accompanying unaudited
consolidated statement of operations.
Note 6 Earnings per share (reflecting the two-for-one stock split effective June 8, 2010)
Basic earnings per share (EPS) is computed using the weighted average number of common
shares outstanding during the period. Diluted EPS is computed in the same manner as basic earnings
per share but adds the number of additional common shares that would have been outstanding for the
period if the dilutive potential common shares had been issued. The following is the
reconciliation between the number of weighted average shares used in the basic and diluted EPS
calculations for all periods:
11
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Nine Months Ended |
|
|
September 30, |
|
September 30, |
(in millions) |
|
2010(1) |
|
2009 |
|
2010(2) |
|
2009 |
|
Weighted average number of common shares
outstanding during the period Basic EPS(3) |
|
|
531.7 |
|
|
|
549.0 |
|
|
|
541.9 |
|
|
|
519.4 |
|
Dilutive common stock equivalents: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding stock options, stock-settled stock appreciation
rights (SSRs), restricted stock units, and executive
deferred compensation units(3) |
|
|
5.3 |
|
|
|
5.4 |
|
|
|
5.6 |
|
|
|
4.8 |
|
|
|
|
Weighted average number of common shares
outstanding during the period Diluted EPS(3) |
|
|
537.0 |
|
|
|
554.4 |
|
|
|
547.5 |
|
|
|
524.2 |
|
|
|
|
|
|
|
(1) |
|
The decrease in weighted average number of common shares outstanding for the three
months ended September 30, 2010 for Basic and Diluted EPS resulted from the repurchase of
26.9 million treasury shares in the nine months ended September 30, 2010. |
|
(2) |
|
The increase in weighted average number of common shares outstanding for the nine
months ended September 30, 2010 for Basic and Diluted EPS resulted from the 52.9 million
shares issued in the common stock offering on June 10, 2009 (see Note 8). The increase
was partially offset by the 26.9 million treasury shares repurchased in the nine months
ended September 30, 2010. |
|
(3) |
|
Excludes awards of 2.6 million and 1.0 million for the three months ended September
30, 2010 and 2009, respectively and 3.0 million and 4.2 million for the nine months ended
September 30, 2010 and 2009, respectively. These were excluded because their effect was
anti-dilutive. |
The above shares are all calculated under the treasury stock method.
Note 7 Financing
Long-term debt consists of:
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
December 31, |
(in millions) |
|
2010 |
|
2009 |
|
5.25% senior notes due 2012, net of
unamortized discount |
|
$ |
999.6 |
|
|
$ |
999.4 |
|
6.25% senior notes due 2014, net of
unamortized discount |
|
|
996.7 |
|
|
|
996.1 |
|
7.25% senior notes due 2019, net of
unamortized discount |
|
|
497.0 |
|
|
|
496.8 |
|
Term A loans due October 14, 2010 |
|
|
|
|
|
|
540.0 |
|
Term-1 loans due October 14, 2010 |
|
|
|
|
|
|
800.0 |
|
Revolving credit facility due August 13, 2013 |
|
|
|
|
|
|
|
|
Other |
|
|
0.2 |
|
|
|
0.3 |
|
|
|
|
Total debt |
|
|
2,493.5 |
|
|
|
3,832.6 |
|
|
|
|
|
|
|
|
|
|
Less current maturities |
|
|
0.1 |
|
|
|
1,340.1 |
|
|
|
|
Long-term debt |
|
$ |
2,493.4 |
|
|
$ |
2,492.5 |
|
|
|
|
On August 13, 2010, we entered into a credit agreement with a commercial bank syndicate
providing for a three-year revolving credit facility of $750.0 million. In connection with
entering into the credit agreement, we terminated in full the revolving facility under our prior
credit agreement, entered into October 14, 2005 and due October 14, 2010. There was no outstanding
balance in our prior revolving credit facility upon termination.
During the third quarter of 2010, we repaid the Term A and Term-1 loans in full. We made
total Term loan payments of $1,340.0 million during the nine months ended September 30, 2010. At
September 30, 2010, our credit agreement consists of a $750.0 million revolving credit facility
(none of which was outstanding as of September 30, 2010) available for general corporate purposes.
12
The new credit agreement requires us to pay interest periodically on the London Interbank
Offered Rates (LIBOR) or base rate options, plus a margin. The margin over LIBOR will range from
1.55% to 1.95%,
depending on our consolidated leverage ratio. Under the credit agreement we are required to
pay commitment fees on the unused portion of the $750.0 million revolving credit facility. The
commitment fee will range from 0.20% to 0.30% depending on our
consolidated leverage ratio. Financing costs of $3.9 million related to the new credit facility are being amortized
over three years and are reflected in other intangible assets, net in the accompanying unaudited
consolidated balance sheet.
The credit agreement contains covenants which limit our ability to incur additional
indebtedness, create or permit liens on assets, and engage in mergers, consolidations, or
disposals. The covenants also include a minimum interest coverage ratio and a maximum leverage
ratio. At September 30, 2010, we believe we were in compliance in all material respects with all
covenants associated with our new credit agreement.
Note 8 Common stock (reflecting the two-for-one stock split effective June 8, 2010)
On May 5, 2010, we announced a two-for-one stock split for stockholders of record on May 21,
2010 effective June 8, 2010. The split was effected in the form of a dividend by issuance of one
additional share of common stock for each share of common stock outstanding. The earnings per share
and the weighted average number of shares outstanding for basic and diluted earnings per share for
each period have been adjusted for the stock split.
On June 10, 2009, we completed a public offering of 52.9 million shares of common stock, which
includes 6.9 million shares sold as a result of the underwriters exercise of their overallotment
option in full at closing, at a price of $30.50 per share. The sale resulted in net proceeds of
$1,569.1 million after giving effect to the underwriting discount and issuance costs of $44.4
million. We used the net proceeds for the acquisition of WellPoints NextRx PBM Business (see Note
3).
Note 9 Stock-based compensation plans (reflecting the two-for-one stock split effective June
8, 2010)
Under our stock-based compensation plans, we have issued stock options, SSRs, restricted stock
awards, restricted stock units, and performance share awards. Awards are typically settled using
treasury shares. The maximum contractual term of stock options and SSRs granted under the 2000
Long Term Incentive Plan (LTIP) is 10 years. Due to the nature of the awards, we use the same
valuation methods and accounting treatments for SSRs and stock options. During the first nine
months of 2010, we granted 2,480,000 stock options with a weighted average fair market value of
$15.96. The SSRs and stock options have three-year graded vesting.
During the first nine months of 2010, we granted to certain officers and employees
approximately 276,000 restricted stock units and performance shares with a weighted average fair
market value of $49.59. The restricted stock units have three-year graded vesting and the
performance shares cliff vest at the end of the three years. The number of performance shares that
ultimately vest is dependent upon achieving specific performance targets. Prior to vesting, these
shares are subject to forfeiture to us without consideration upon termination of employment under
certain circumstances. The original value of the performance share grants is subject to a
multiplier of 2.5 based on certain performance metrics. During the first nine months of 2010,
approximately 213,000 additional performance shares were granted to certain officers for exceeding
certain performance metrics. The total number of non-vested restricted stock and performance share
awards was 995,000 at September 30, 2010 and 1,200,000 at December 31, 2009.
We recognized stock-based compensation expense of $13.1 million and $11.2 million in the three
months ended September 30, 2010 and 2009, respectively and $37.2 million and $33.5 million in the
nine months ended September 30, 2010 and 2009, respectively. Unamortized stock-based compensation as of
September 30, 2010 was $31.9 million for stock options and SSRs and $20.7 million for restricted
stock and performance shares.
13
The fair value of options and SSRs granted is estimated on the date of grant using a
Black-Scholes multiple option-pricing model with the following weighted average assumptions:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
Nine Months Ended |
|
|
September 30, |
|
September 30, |
|
|
2010 |
|
2009(1) |
|
2010 |
|
2009 |
|
Expected life of option |
|
3-5 years |
|
|
|
3-5 years |
|
3-5 years |
Risk-free interest rate |
|
0.8%-1.4% |
|
|
|
0.8%-2.4% |
|
1.3%-2.4% |
Expected volatility of stock |
|
37%-41% |
|
|
|
36%-41% |
|
35%-39% |
Expected dividend yield |
|
None |
|
|
|
None |
|
None |
|
|
|
(1) |
|
No options or SSRs were granted during the three months ended September 30, 2009. |
Note 10 Contingencies
We accrue self-insurance reserves based upon estimates of the aggregate liability of claim
costs in excess of our insurance coverage. Reserves are estimated using certain actuarial
assumptions followed in the insurance industry and our historical experience. The majority of
these claims are legal claims and our liability estimate is primarily related to the cost to defend
these claims. We do not accrue for settlements, judgments, monetary fines or penalties until such
amounts are probable and estimable. Under authoritative FASB guidance, if the range of possible
loss is broad, the liability accrued should be based on the lower end of the range. We received a
$15 million insurance recovery in the second quarter of 2009, included in selling, general and
administrative expense (SG&A), for previously incurred litigation costs. We accrued $35.0
million in the third quarter of 2009 related to the settlement of a lawsuit brought against us and
one of our subsidiaries by Aetna, Inc., which settlement resulted in the dismissal of the case by
the court on October 22, 2009.
In the ordinary course of business there have arisen various legal proceedings, investigations
or claims now pending against us or our subsidiaries. The effect of these actions on future
financial results is not subject to reasonable estimation because considerable uncertainty exists
about the outcomes.
While we believe our services and business practices are in compliance with applicable laws,
rules and regulations in all material respects, we cannot predict the outcome of any such legal
proceedings, investigations or claims at this time. An unfavorable outcome in one or more of these
matters could result in the imposition of judgments, monetary fines or penalties, or injunctive or
administrative remedies. We can give no assurance that such judgments, fines and remedies, and
future costs associated with any such matters, would not have a material adverse effect on our
financial condition, our consolidated results of operations or our consolidated cash flows.
14
Note 11 Segment information
We report segments on the basis of services offered and have determined we have two reportable
segments: PBM and EM. Our domestic and Canadian PBM operating segments have similar
characteristics and as such have been aggregated into a single PBM reporting segment. As described
in Note 4, our PMG line of business was classified as a discontinued operation in the second
quarter of 2010. The results of operations for PMG are reported as discontinued operations for all
periods presented in the accompanying unaudited consolidated statements of operations in accordance
with applicable accounting guidance. PMG was previously included in our EM segment.
Operating income is the measure used by our chief operating decision maker to assess the
performance of each of our operating segments. The following table presents information about our
reportable segments for the three months and nine months ended September 30, 2010 and 2009.
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
|
EM |
|
|
Total |
|
|
For the three months ended September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
7,490.9 |
|
|
$ |
|
|
|
$ |
7,490.9 |
|
Home delivery and specialty revenues(2) |
|
|
3,316.1 |
|
|
|
|
|
|
|
3,316.1 |
|
Other revenues |
|
|
|
|
|
|
379.2 |
|
|
|
379.2 |
|
Service revenues |
|
|
62.6 |
|
|
|
3.0 |
|
|
|
65.6 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
10,869.6 |
|
|
|
382.2 |
|
|
|
11,251.8 |
|
Depreciation and amortization expense |
|
|
59.7 |
|
|
|
2.0 |
|
|
|
61.7 |
|
Operating income |
|
|
523.8 |
|
|
|
4.2 |
|
|
|
528.0 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
2.2 |
|
Interest expense |
|
|
|
|
|
|
|
|
|
|
(42.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
488.0 |
|
Capital expenditures |
|
|
32.5 |
|
|
|
1.0 |
|
|
|
33.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the three months ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
3,288.8 |
|
|
$ |
|
|
|
$ |
3,288.8 |
|
Home delivery and specialty revenues(2) |
|
|
1,915.1 |
|
|
|
|
|
|
|
1,915.1 |
|
Other revenues |
|
|
|
|
|
|
339.3 |
|
|
|
339.3 |
|
Service revenues |
|
|
67.1 |
|
|
|
2.7 |
|
|
|
69.8 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
5,271.0 |
|
|
|
342.0 |
|
|
|
5,613.0 |
|
Depreciation and amortization expense |
|
|
20.9 |
|
|
|
2.2 |
|
|
|
23.1 |
|
Operating income |
|
|
354.8 |
|
|
|
3.6 |
|
|
|
358.4 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
2.0 |
|
Interest expense |
|
|
|
|
|
|
|
|
|
|
(48.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
312.4 |
|
Capital expenditures |
|
|
57.3 |
|
|
|
0.6 |
|
|
|
57.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the nine months ended September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
22,596.4 |
|
|
$ |
|
|
|
$ |
22,596.4 |
|
Home delivery and specialty revenues(2) |
|
|
9,841.9 |
|
|
|
|
|
|
|
9,841.9 |
|
Other revenues |
|
|
|
|
|
|
1,037.4 |
|
|
|
1,037.4 |
|
Service revenues |
|
|
194.3 |
|
|
|
9.0 |
|
|
|
203.3 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
32,632.6 |
|
|
|
1,046.4 |
|
|
|
33,679.0 |
|
Depreciation and amortization expense |
|
|
174.9 |
|
|
|
6.0 |
|
|
|
180.9 |
|
Operating income |
|
|
1,499.8 |
|
|
|
13.2 |
|
|
|
1,513.0 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
4.4 |
|
Interest expense |
|
|
|
|
|
|
|
|
|
|
(127.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
1,390.4 |
|
Capital expenditures |
|
|
82.3 |
|
|
|
2.3 |
|
|
|
84.6 |
|
|
15
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
|
EM |
|
|
Total |
|
|
For the nine months ended September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
9,772.3 |
|
|
$ |
|
|
|
$ |
9,772.3 |
|
Home delivery and specialty revenues(2) |
|
|
5,599.8 |
|
|
|
|
|
|
|
5,599.8 |
|
Other revenues |
|
|
|
|
|
|
942.9 |
|
|
|
942.9 |
|
Service revenues |
|
|
200.8 |
|
|
|
9.5 |
|
|
|
210.3 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
15,572.9 |
|
|
|
952.4 |
|
|
|
16,525.3 |
|
Depreciation and amortization expense |
|
|
64.3 |
|
|
|
6.6 |
|
|
|
70.9 |
|
Operating income |
|
|
1,083.5 |
|
|
|
10.4 |
|
|
|
1,093.9 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
4.1 |
|
Interest expense |
|
|
|
|
|
|
|
|
|
|
(142.7 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
955.3 |
|
Capital expenditures |
|
|
88.3 |
|
|
|
1.2 |
|
|
|
89.5 |
|
|
|
|
|
(1) |
|
Includes retail pharmacy co-payments of $1,478.5 million and $708.4 million for the
three months ended September 30, 2010 and 2009, respectively and $4,688.4 million and
$2,252.2 million for the nine months ended September 30, 2010 and 2009, respectively. |
|
(2) |
|
Includes home delivery, specialty and other including: (a) drugs distributed
through patient assistance programs and (b) drugs we distribute to other PBMs clients
under limited distribution contracts with pharmaceutical manufacturers. |
The following table presents balance sheet information about our reportable segments:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
EM |
|
DISC OP |
|
Total |
|
As of September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets |
|
$ |
9,659.7 |
|
|
$ |
535.0 |
|
|
$ |
|
|
|
$ |
10,194.7 |
|
Investment in equity method investees |
|
|
4.3 |
|
|
|
|
|
|
|
|
|
|
|
4.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets |
|
$ |
11,560.3 |
|
|
$ |
334.5 |
|
|
$ |
36.4 |
|
|
$ |
11,931.2 |
|
Investment in equity method investees |
|
|
4.1 |
|
|
|
|
|
|
|
|
|
|
|
4.1 |
|
PBM product revenue consists of revenues from the sale of prescription drugs by retail
pharmacies in our retail pharmacy networks and revenues from the dispensing of prescription drugs
from our home delivery and specialty pharmacies. EM product revenues consist of distribution of
certain fertility drugs and revenues from drug distribution services.
PBM service revenue includes administrative fees associated with the administration of retail
pharmacy networks contracted by certain clients, market research programs, informed decision
counseling services, and specialty distribution services. EM service revenue includes revenues
from accountability services and healthcare account administration.
For the three and nine months ended September 30, 2010, our top five clients collectively
represented 55.5% and 54.3% of revenues, respectively. For the three months ended September 30,
2010, our two largest clients, WellPoint and the Department of Defense (DoD), represented 29.4%
and 19.8% of revenues, respectively. Additionally, for the nine months ended September 30, 2010,
WellPoint and the DoD represented 28.7% and 19.2% of revenues, respectively. None of our other
clients accounted for 10% or more of our consolidated revenues during the three and nine months
ended September 30, 2010. No clients accounted for 10% or more of our consolidated revenues over
the same periods of 2009.
16
Revenues earned by our Canadian PBM totaled $12.9 million and $11.6 million for the three
months ended September 30, 2010 and 2009, respectively, and $37.9 million and $34.7 million for the
nine months ended September 30, 2010 and 2009, respectively. All other revenues were earned in the
United States. Long-lived assets of our Canadian PBM (consisting primarily of fixed assets)
totaled $15.8 million and $15.2 million as of September 30, 2010 and December 31, 2009,
respectively. All other long-lived assets are domiciled in the United States.
Note 12 Condensed consolidating financial information
Our senior notes are jointly and severally and fully and unconditionally guaranteed by our
100% owned domestic subsidiaries, other than certain regulated subsidiaries including Express
Scripts Insurance Company. The following condensed consolidating financial information has been
prepared in accordance with the requirements for presentation of such information. Effective June
30, 2008, IP was sold, and effective September 17, 2010, PMG was sold. The assets, liabilities,
and operations from IP and PMG are included as discontinued operations in those of the
non-guarantors. Subsequent to the acquisition of NextRx on December 1, 2009, the assets,
liabilities and operations of the 100% owned domestic subsidiaries have been included in those of
the guarantors. Certain amounts from prior periods have been reclassified to conform to current
period presentation. The following presents the condensed consolidating financial information
separately for:
|
(i) |
|
Express Scripts, Inc. (the Parent Company), the issuer of the guaranteed obligations; |
|
|
(ii) |
|
Guarantor subsidiaries, on a combined basis, as specified in the indentures related to Express Scripts
obligations under the notes; |
|
|
(iii) |
|
Non-guarantor subsidiaries, on a combined basis; |
|
|
(iv) |
|
Consolidating entries and eliminations representing adjustments to (a) eliminate
intercompany transactions between or among the Parent Company, the guarantor subsidiaries and the non-guarantor
subsidiaries, (b) eliminate the investments in our subsidiaries and (c) record consolidating entries; and |
|
|
(v) |
|
Express Scripts, Inc. and subsidiaries on a consolidated basis. |
Condensed Consolidating Balance Sheet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
As of September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
194.2 |
|
|
$ |
8.1 |
|
|
$ |
65.2 |
|
|
$ |
|
|
|
$ |
267.5 |
|
Restricted cash and investments |
|
|
|
|
|
|
9.3 |
|
|
|
1.6 |
|
|
|
|
|
|
|
10.9 |
|
Receivables, net |
|
|
1,252.6 |
|
|
|
534.3 |
|
|
|
8.6 |
|
|
|
|
|
|
|
1,795.5 |
|
Other current assets |
|
|
66.1 |
|
|
|
400.7 |
|
|
|
13.3 |
|
|
|
|
|
|
|
480.1 |
|
|
|
|
Total current assets |
|
|
1,512.9 |
|
|
|
952.4 |
|
|
|
88.7 |
|
|
|
|
|
|
|
2,554.0 |
|
|
|
|
Property and equipment, net |
|
|
247.4 |
|
|
|
94.8 |
|
|
|
11.5 |
|
|
|
|
|
|
|
353.7 |
|
Investments in subsidiaries |
|
|
6,191.1 |
|
|
|
|
|
|
|
|
|
|
|
(6,191.1 |
) |
|
|
|
|
Intercompany |
|
|
|
|
|
|
3,185.2 |
|
|
|
|
|
|
|
(3,185.2 |
) |
|
|
|
|
Goodwill |
|
|
2,932.4 |
|
|
|
2,533.1 |
|
|
|
25.2 |
|
|
|
|
|
|
|
5,490.7 |
|
Other intangible assets, net |
|
|
1,456.4 |
|
|
|
304.1 |
|
|
|
4.0 |
|
|
|
|
|
|
|
1,764.5 |
|
Other assets |
|
|
24.6 |
|
|
|
5.3 |
|
|
|
1.9 |
|
|
|
|
|
|
|
31.8 |
|
|
|
|
Total assets |
|
$ |
12,364.8 |
|
|
$ |
7,074.9 |
|
|
$ |
131.3 |
|
|
$ |
(9,376.3 |
) |
|
$ |
10,194.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims and rebates payable |
|
$ |
2,582.5 |
|
|
$ |
15.0 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
2,597.5 |
|
Accounts payable |
|
|
659.6 |
|
|
|
23.1 |
|
|
|
3.4 |
|
|
|
|
|
|
|
686.1 |
|
Accrued expenses |
|
|
239.0 |
|
|
|
433.4 |
|
|
|
10.5 |
|
|
|
|
|
|
|
682.9 |
|
Current maturities of long-term debt |
|
|
0.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.1 |
|
|
|
|
Total current liabilities |
|
|
3,481.2 |
|
|
|
471.5 |
|
|
|
13.9 |
|
|
|
|
|
|
|
3,966.6 |
|
|
|
|
Long-term debt |
|
|
2,493.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,493.4 |
|
Intercompany |
|
|
3,081.5 |
|
|
|
|
|
|
|
103.7 |
|
|
|
(3,185.2 |
) |
|
|
|
|
Other liabilities |
|
|
88.7 |
|
|
|
421.4 |
|
|
|
4.6 |
|
|
|
|
|
|
|
514.7 |
|
Stockholders equity |
|
|
3,220.0 |
|
|
|
6,182.0 |
|
|
|
9.1 |
|
|
|
(6,191.1 |
) |
|
|
3,220.0 |
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
12,364.8 |
|
|
$ |
7,074.9 |
|
|
$ |
131.3 |
|
|
$ |
(9,376.3 |
) |
|
$ |
10,194.7 |
|
|
|
|
17
Condensed Consolidating Balance Sheet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
As of December 31, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
1,005.0 |
|
|
$ |
10.0 |
|
|
$ |
55.4 |
|
|
$ |
|
|
|
$ |
1,070.4 |
|
Restricted cash and investments |
|
|
|
|
|
|
7.5 |
|
|
|
1.6 |
|
|
|
|
|
|
|
9.1 |
|
Receivables, net |
|
|
1,179.8 |
|
|
|
1,326.7 |
|
|
|
9.9 |
|
|
|
|
|
|
|
2,516.4 |
|
Other current assets |
|
|
196.0 |
|
|
|
340.6 |
|
|
|
5.6 |
|
|
|
|
|
|
|
542.2 |
|
Current assets of discontinued operations |
|
|
|
|
|
|
|
|
|
|
5.4 |
|
|
|
|
|
|
|
5.4 |
|
|
|
|
Total current assets |
|
|
2,380.8 |
|
|
|
1,684.8 |
|
|
|
77.9 |
|
|
|
|
|
|
|
4,143.5 |
|
|
|
|
Property and equipment, net |
|
|
239.6 |
|
|
|
96.5 |
|
|
|
11.0 |
|
|
|
|
|
|
|
347.1 |
|
Investments in subsidiaries |
|
|
5,970.2 |
|
|
|
|
|
|
|
|
|
|
|
(5,970.2 |
) |
|
|
|
|
Intercompany |
|
|
|
|
|
|
2,500.2 |
|
|
|
|
|
|
|
(2,500.2 |
) |
|
|
|
|
Goodwill |
|
|
2,939.2 |
|
|
|
2,533.1 |
|
|
|
24.8 |
|
|
|
|
|
|
|
5,497.1 |
|
Other intangible assets, net |
|
|
1,543.9 |
|
|
|
332.6 |
|
|
|
4.3 |
|
|
|
|
|
|
|
1,880.8 |
|
Other assets |
|
|
21.3 |
|
|
|
8.5 |
|
|
|
1.9 |
|
|
|
|
|
|
|
31.7 |
|
Non-current assets of discontinued operations |
|
|
|
|
|
|
|
|
|
|
31.0 |
|
|
|
|
|
|
|
31.0 |
|
|
|
|
Total assets |
|
$ |
13,095.0 |
|
|
$ |
7,155.7 |
|
|
$ |
150.9 |
|
|
$ |
(8,470.4 |
) |
|
$ |
11,931.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims and rebates payable |
|
$ |
2,264.3 |
|
|
$ |
586.4 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
2,850.7 |
|
Accounts payable |
|
|
674.4 |
|
|
|
29.0 |
|
|
|
3.0 |
|
|
|
|
|
|
|
706.4 |
|
Accrued expenses |
|
|
312.7 |
|
|
|
225.2 |
|
|
|
11.3 |
|
|
|
|
|
|
|
549.2 |
|
Current maturities of long-term debt |
|
|
1,340.0 |
|
|
|
0.1 |
|
|
|
|
|
|
|
|
|
|
|
1,340.1 |
|
Current liabilities of discontinued operations |
|
|
|
|
|
|
|
|
|
|
10.4 |
|
|
|
|
|
|
|
10.4 |
|
|
|
|
Total current liabilities |
|
|
4,591.4 |
|
|
|
840.7 |
|
|
|
24.7 |
|
|
|
|
|
|
|
5,456.8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Long-term debt |
|
|
2,492.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,492.5 |
|
Intercompany |
|
|
2,387.2 |
|
|
|
|
|
|
|
113.0 |
|
|
|
(2,500.2 |
) |
|
|
|
|
Other liabilities |
|
|
72.1 |
|
|
|
356.3 |
|
|
|
1.7 |
|
|
|
|
|
|
|
430.1 |
|
Stockholders equity |
|
|
3,551.8 |
|
|
|
5,958.7 |
|
|
|
11.5 |
|
|
|
(5,970.2 |
) |
|
|
3,551.8 |
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
13,095.0 |
|
|
$ |
7,155.7 |
|
|
$ |
150.9 |
|
|
$ |
(8,470.4 |
) |
|
$ |
11,931.2 |
|
|
|
|
18
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
For the three months ended
September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
7,387.7 |
|
|
$ |
3,840.8 |
|
|
$ |
23.3 |
|
|
$ |
|
|
|
$ |
11,251.8 |
|
Operating expenses |
|
|
7,027.3 |
|
|
|
3,675.3 |
|
|
|
21.2 |
|
|
|
|
|
|
|
10,723.8 |
|
|
|
|
Operating income |
|
|
360.4 |
|
|
|
165.5 |
|
|
|
2.1 |
|
|
|
|
|
|
|
528.0 |
|
Interest expense, net |
|
|
(38.2 |
) |
|
|
(1.8 |
) |
|
|
|
|
|
|
|
|
|
|
(40.0 |
) |
|
|
|
Income before income taxes |
|
|
322.2 |
|
|
|
163.7 |
|
|
|
2.1 |
|
|
|
|
|
|
|
488.0 |
|
Provision for income taxes |
|
|
117.5 |
|
|
|
62.0 |
|
|
|
1.4 |
|
|
|
|
|
|
|
180.9 |
|
|
|
|
Net income from continuing operations |
|
|
204.7 |
|
|
|
101.7 |
|
|
|
0.7 |
|
|
|
|
|
|
|
307.1 |
|
Net loss from discontinued
operations, net of tax |
|
|
|
|
|
|
|
|
|
|
(5.6 |
) |
|
|
|
|
|
|
(5.6 |
) |
Equity in earnings of subsidiaries |
|
|
96.8 |
|
|
|
|
|
|
|
|
|
|
|
(96.8 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
301.5 |
|
|
$ |
101.7 |
|
|
$ |
(4.9 |
) |
|
$ |
(96.8 |
) |
|
$ |
301.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the three months ended
September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
3,197.1 |
|
|
$ |
2,397.6 |
|
|
$ |
18.3 |
|
|
$ |
|
|
|
$ |
5,613.0 |
|
Operating expenses |
|
|
2,931.1 |
|
|
|
2,308.4 |
|
|
|
15.1 |
|
|
|
|
|
|
|
5,254.6 |
|
|
|
|
Operating income |
|
|
266.0 |
|
|
|
89.2 |
|
|
|
3.2 |
|
|
|
|
|
|
|
358.4 |
|
Interest expense, net |
|
|
(43.4 |
) |
|
|
(1.8 |
) |
|
|
(0.8 |
) |
|
|
|
|
|
|
(46.0 |
) |
|
|
|
Income before income taxes |
|
|
222.6 |
|
|
|
87.4 |
|
|
|
2.4 |
|
|
|
|
|
|
|
312.4 |
|
Provision for income taxes |
|
|
82.8 |
|
|
|
31.6 |
|
|
|
1.2 |
|
|
|
|
|
|
|
115.6 |
|
|
|
|
Net income from continuing operations |
|
|
139.8 |
|
|
|
55.8 |
|
|
|
1.2 |
|
|
|
|
|
|
|
196.8 |
|
Net income from discontinued
operations, net of tax |
|
|
|
|
|
|
|
|
|
|
0.8 |
|
|
|
|
|
|
|
0.8 |
|
Equity in earnings of subsidiaries |
|
|
57.8 |
|
|
|
|
|
|
|
|
|
|
|
(57.8 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
197.6 |
|
|
$ |
55.8 |
|
|
$ |
2.0 |
|
|
$ |
(57.8 |
) |
|
$ |
197.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the nine months ended September 30,
2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
22,249.4 |
|
|
$ |
11,363.6 |
|
|
$ |
66.0 |
|
|
$ |
|
|
|
$ |
33,679.0 |
|
Operating expenses |
|
|
21,129.9 |
|
|
|
10,968.5 |
|
|
|
67.6 |
|
|
|
|
|
|
|
32,166.0 |
|
|
|
|
Operating income (loss) |
|
|
1,119.5 |
|
|
|
395.1 |
|
|
|
(1.6 |
) |
|
|
|
|
|
|
1,513.0 |
|
Interest (expense) income, net |
|
|
(117.9 |
) |
|
|
(4.8 |
) |
|
|
0.1 |
|
|
|
|
|
|
|
(122.6 |
) |
|
|
|
Income (loss) before income taxes |
|
|
1,001.6 |
|
|
|
390.3 |
|
|
|
(1.5 |
) |
|
|
|
|
|
|
1,390.4 |
|
Provision for income taxes |
|
|
369.2 |
|
|
|
145.1 |
|
|
|
1.1 |
|
|
|
|
|
|
|
515.4 |
|
|
|
|
Net income (loss) from continuing
operations |
|
|
632.4 |
|
|
|
245.2 |
|
|
|
(2.6 |
) |
|
|
|
|
|
|
875.0 |
|
Net loss from discontinued
operations, net of tax |
|
|
|
|
|
|
|
|
|
|
(23.4 |
) |
|
|
|
|
|
|
(23.4 |
) |
Equity in earnings of subsidiaries |
|
|
219.2 |
|
|
|
|
|
|
|
|
|
|
|
(219.2 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
851.6 |
|
|
$ |
245.2 |
|
|
$ |
(26.0 |
) |
|
$ |
(219.2 |
) |
|
$ |
851.6 |
|
|
|
|
19
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
For the nine months ended September 30,
2009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
9,514.6 |
|
|
$ |
6,956.7 |
|
|
$ |
54.0 |
|
|
$ |
|
|
|
$ |
16,525.3 |
|
Operating expenses |
|
|
8,792.2 |
|
|
|
6,592.7 |
|
|
|
46.5 |
|
|
|
|
|
|
|
15,431.4 |
|
|
|
|
Operating income |
|
|
722.4 |
|
|
|
364.0 |
|
|
|
7.5 |
|
|
|
|
|
|
|
1,093.9 |
|
Interest expense, net |
|
|
(130.8 |
) |
|
|
(5.6 |
) |
|
|
(2.2 |
) |
|
|
|
|
|
|
(138.6 |
) |
|
|
|
Income before income taxes |
|
|
591.6 |
|
|
|
358.4 |
|
|
|
5.3 |
|
|
|
|
|
|
|
955.3 |
|
Provision for income taxes |
|
|
218.2 |
|
|
|
131.0 |
|
|
|
2.6 |
|
|
|
|
|
|
|
351.8 |
|
|
|
|
Net income from continuing operations |
|
|
373.4 |
|
|
|
227.4 |
|
|
|
2.7 |
|
|
|
|
|
|
|
603.5 |
|
Net income from discontinued
operations, net of tax |
|
|
|
|
|
|
|
|
|
|
0.8 |
|
|
|
|
|
|
|
0.8 |
|
Equity in earnings of subsidiaries |
|
|
230.9 |
|
|
|
|
|
|
|
|
|
|
|
(230.9 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
604.3 |
|
|
$ |
227.4 |
|
|
$ |
3.5 |
|
|
$ |
(230.9 |
) |
|
$ |
604.3 |
|
|
|
|
20
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
|
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
For the nine months ended
September 30, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash flows provided by (used in)
operating activities |
|
$ |
1,323.5 |
|
|
$ |
733.9 |
|
|
$ |
3.8 |
|
|
$ |
(219.2 |
) |
|
$ |
1,842.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase of property and equipment |
|
|
(55.4 |
) |
|
|
(27.1 |
) |
|
|
(2.1 |
) |
|
|
|
|
|
|
(84.6 |
) |
Purchase of short-term investments |
|
|
|
|
|
|
|
|
|
|
(10.0 |
) |
|
|
|
|
|
|
(10.0 |
) |
Other |
|
|
12.7 |
|
|
|
(2.0 |
) |
|
|
5.1 |
|
|
|
|
|
|
|
15.8 |
|
|
|
|
Net cash used in investing activities
continuing operations |
|
|
(42.7 |
) |
|
|
(29.1 |
) |
|
|
(7.0 |
) |
|
|
|
|
|
|
(78.8 |
) |
Net cash used in investing activities
discontinued operations |
|
|
|
|
|
|
|
|
|
|
(0.8 |
) |
|
|
|
|
|
|
(0.8 |
) |
|
|
|
Net cash used in investing activities |
|
|
(42.7 |
) |
|
|
(29.1 |
) |
|
|
(7.8 |
) |
|
|
|
|
|
|
(79.6 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Repayment of long-term debt |
|
|
(1,340.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,340.1 |
) |
Treasury stock acquired |
|
|
(1,276.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,276.2 |
) |
Tax benefit relating to employee stock
compensation |
|
|
32.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
32.9 |
|
Net proceeds from employee stock plans |
|
|
19.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
19.3 |
|
Deferred financing fees |
|
|
(3.9 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(3.9 |
) |
Net transactions with parent |
|
|
476.4 |
|
|
|
(706.7 |
) |
|
|
11.1 |
|
|
|
219.2 |
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing
activities |
|
|
(2,091.6 |
) |
|
|
(706.7 |
) |
|
|
11.1 |
|
|
|
219.2 |
|
|
|
(2,568.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of foreign currency
translation adjustment |
|
|
|
|
|
|
|
|
|
|
2.7 |
|
|
|
|
|
|
|
2.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash
equivalents |
|
|
(810.8 |
) |
|
|
(1.9 |
) |
|
|
9.8 |
|
|
|
|
|
|
|
(802.9 |
) |
Cash and cash equivalents at beginning
of period |
|
|
1,005.0 |
|
|
|
10.0 |
|
|
|
55.4 |
|
|
|
|
|
|
|
1,070.4 |
|
|
|
|
Cash and cash equivalents at end of
period |
|
$ |
194.2 |
|
|
$ |
8.1 |
|
|
$ |
65.2 |
|
|
$ |
|
|
|
$ |
267.5 |
|
|
|
|
21
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
Non- |
|
|
|
|
|
|
Scripts, Inc. |
|
Guarantors |
|
Guarantors |
|
Eliminations |
|
Consolidated |
|
For the nine months ended
September 30, 2009 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash flows provided by (used in)
operating activities |
|
$ |
790.5 |
|
|
$ |
358.0 |
|
|
$ |
8.9 |
|
|
$ |
(230.9 |
) |
|
$ |
926.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase of short-term investments |
|
|
(1,198.9 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1,198.9 |
) |
Purchase of property and equipment |
|
|
(78.8 |
) |
|
|
(7.7 |
) |
|
|
(3.0 |
) |
|
|
|
|
|
|
(89.5 |
) |
Other |
|
|
5.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5.4 |
|
|
|
|
Net cash used in investing activities
continuing operations |
|
|
(1,272.3 |
) |
|
|
(7.7 |
) |
|
|
(3.0 |
) |
|
|
|
|
|
|
(1,283.0 |
) |
Net cash used in investing activities
discontinued operations |
|
|
|
|
|
|
|
|
|
|
(1.0 |
) |
|
|
|
|
|
|
(1.0 |
) |
|
|
|
Net cash used in investing activities |
|
|
(1,272.3 |
) |
|
|
(7.7 |
) |
|
|
(4.0 |
) |
|
|
|
|
|
|
(1,284.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Proceeds on long-term debt, net of
discounts |
|
|
2,491.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,491.6 |
|
Net proceeds from stock issuance |
|
|
1,569.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,569.1 |
|
Repayment of long-term debt |
|
|
(240.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(240.1 |
) |
Deferred financing fees |
|
|
(69.5 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(69.5 |
) |
Tax benefit relating to employee stock
compensation |
|
|
7.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7.7 |
|
Net proceeds from employee stock plans |
|
|
7.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7.1 |
|
Net transactions with parent |
|
|
117.2 |
|
|
|
(349.8 |
) |
|
|
1.7 |
|
|
|
230.9 |
|
|
|
|
|
|
|
|
Net cash provided by (used in) financing
activities |
|
|
3,883.1 |
|
|
|
(349.8 |
) |
|
|
1.7 |
|
|
|
230.9 |
|
|
|
3,765.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of foreign currency
translation adjustment |
|
|
|
|
|
|
|
|
|
|
3.3 |
|
|
|
|
|
|
|
3.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase in cash and cash equivalents |
|
|
3,401.3 |
|
|
|
0.5 |
|
|
|
9.9 |
|
|
|
|
|
|
|
3,411.7 |
|
Cash and cash equivalents at beginning
of period |
|
|
488.1 |
|
|
|
8.9 |
|
|
|
33.7 |
|
|
|
|
|
|
|
530.7 |
|
|
|
|
Cash and cash equivalents at end of
period |
|
$ |
3,889.4 |
|
|
$ |
9.4 |
|
|
$ |
43.6 |
|
|
$ |
|
|
|
$ |
3,942.4 |
|
|
|
|
22
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
Information we have included or incorporated by reference in this Quarterly Report on Form
10-Q, and information which may be contained in our other filings with the Securities and Exchange
Commission (the SEC) and our press releases or other public statements, contain or may contain
forward-looking statements. These forward-looking statements include, among others, statements of
our plans, objectives, expectations (financial or otherwise) or intentions.
Our forward-looking statements involve risks and uncertainties. Our actual results may differ
significantly from those projected or suggested in any forward-looking statements. We do not
undertake any obligation to release publicly any revisions to such forward-looking statements to
reflect events or circumstances occurring after the date hereof or to reflect the occurrence of
unanticipated events. Factors which might cause such a difference to occur include, but are not
limited to:
|
|
|
uncertainties associated with our acquisitions, which include integration risks and
costs, uncertainties associated with client retention and repricing of client contracts,
uncertainties associated with the operations of acquired businesses, and rationalization of
our footprint |
|
|
|
|
results in regulatory matters, the adoption of new legislation or regulations (including
new healthcare reform proposals and increased costs associated with compliance with new
laws and regulations), more aggressive enforcement of existing legislation or regulations,
or a change in the interpretation of existing legislation or regulations |
|
|
|
|
continued pressure on margins resulting from client demands for lower prices or
different pricing approaches, enhanced service offerings and/or higher service levels |
|
|
|
|
competition in the PBM industry, and our ability to consummate contract negotiations
with prospective clients, as well as competition from new competitors offering services
that may in whole or in part replace services that we now provide to our customers |
|
|
|
|
the possible loss, or adverse modification of the terms, of contracts with pharmacies in
our retail pharmacy network |
|
|
|
|
the possible termination or nonrenewal of, or unfavorable modification to, contracts
with key clients or providers, some of which could have a material impact on our financial
results |
|
|
|
|
costs and uncertainties of adverse results in litigation, including a number of pending
class action cases that challenge certain of our business practices |
|
|
|
|
our leverage and debt service obligations, including the effect of certain covenants in
our borrowing agreements, access to capital and increases in interest rates |
|
|
|
|
our ability to maintain growth rates, or to control operating or capital costs,
including the impact of declines in prescription drug utilization resulting from the
current economic environment |
|
|
|
|
changes and other uncertainties related to industry pricing benchmarks, which could have
the effect of reducing prices and margins, or which could otherwise create turbulence
within the industry |
|
|
|
|
increased compliance risk relating to our contracts with the Department of Defense
(DoD) TRICARE Management Activity and various state governments and agencies |
|
|
|
|
uncertainties and risks regarding the Medicare Part D prescription drug benefit,
including the financial impact to us to the extent we participate in the program on a
risk-bearing basis, uncertainties of client or member losses to other providers under
Medicare Part D, implementation of regulations that adversely affect our profitability or
cash flow, and increased regulatory risk |
|
|
|
|
the possible loss, or adverse modification of the terms, of relationships with
pharmaceutical manufacturers or distributors, or changes in pricing, discount or other
practices of pharmaceutical manufacturers or interruption of the supply of any
pharmaceutical products |
|
|
|
|
in connection with our specialty pharmacy business, the possible loss, or adverse
modification of the terms of our contracts with a limited number of biopharmaceutical
companies from whom we acquire specialty pharmaceuticals |
|
|
|
|
the use and protection of the intellectual property, data, and tangible assets that we
use in our business, the misuse of our data by others, or infringement or alleged
infringement by us of intellectual property claimed by others |
23
|
|
|
general developments in the health care industry, including the impact of increases in
health care costs, government programs to control health care costs, changes in drug
utilization and cost patterns and introductions of new drugs |
|
|
|
|
increase in credit risk relative to our clients due to adverse economic trends or other
factors |
|
|
|
|
other risks described from time to time in our filings with the SEC |
See the more comprehensive description of risk factors under the captions Forward Looking
Statements and Associated Risks contained in Item 1 Business and Item 1A Risk Factors of
our Annual Report on Form 10-K for the year ended December 31, 2009, filed with the SEC on February
24, 2010.
OVERVIEW
As one of the largest full-service pharmacy benefit management (PBM) companies in North
America, we provide healthcare management and administration services on behalf of our clients,
which include health maintenance organizations, health insurers, third-party administrators,
employers, union-sponsored benefit plans, workers compensation plans, and government health
programs. Our integrated PBM services include network claims processing, home delivery services,
patient care and direct specialty home delivery to patients, benefit design consultation, drug
utilization review, formulary management, drug data analysis services, distribution of injectable
drugs to patient homes and physicians offices, bio-pharma services, and fulfillment of
prescriptions to low-income patients through manufacturer-sponsored patient assistance programs.
Through our Emerging Markets (EM) segment, we provide services including: distribution of
pharmaceuticals and medical supplies to providers and clinics, fertility services to providers and
patients, and healthcare account administration and implementation of consumer-directed healthcare
solutions.
Revenue generated by our segments can be classified as either tangible product revenue or
service revenue. We earn tangible product revenue from the sale of prescription drugs by retail
pharmacies in our retail pharmacy networks and from dispensing prescription drugs from our home
delivery and specialty pharmacies. Service revenue includes administrative fees associated with
the administration of retail pharmacy networks contracted by certain clients, medication counseling
services, certain specialty distribution services and accountability services. Tangible product
revenue generated by our PBM and EM segments represented 99.4% of revenues for the three and nine
months ended September 30, 2010, and 98.8% and 98.7% for the three and nine months ending September
30, 2009, respectively.
EXECUTIVE SUMMARY AND TREND FACTORS AFFECTING THE BUSINESS
Our results in the first nine months of 2010 reflect the successful execution of our business
model, which emphasizes the alignment of our financial interests with those of our clients through
greater use of generics and low-cost brands, home delivery and specialty pharmacy. In the first
nine months of 2010, we benefited from better management of ingredient costs through renegotiation
of supplier contracts, increased competition among generic manufacturers, higher generic fill rate
(71.2% compared to 67.9% in the same period of 2009) and other actions which helped to reduce
ingredient costs. In addition, through the research performed by us and guided by our
Consumerology® Advisory Board, we are providing our clients with additional tools designed to
generate higher generic fill rates and further increase the use of our home delivery and specialty
pharmacy services and drive greater adherence.
While we believe we are well positioned from a business and financial perspective, we are
subject to the current adverse economic environment. These conditions could affect our business in
a number of direct and indirect ways.
We believe the purchase of the shares and equity interests of certain subsidiaries of
WellPoint that provide pharmacy benefit management services (NextRx, or the NextRx PBM
Business), as well as the positive trends in gross profit we saw in the first nine months of 2010
should continue to generate improvements in our results of operations in the future. We benefited
from lower drug purchasing costs and increased generic usage which we believe should continue to
offset the negative impact of various economic and marketplace forces affecting pricing and plan
structure.
24
CRITICAL ACCOUNTING POLICIES
The preparation of financial statements in conformity with accounting principles generally
accepted in the United States requires management to make estimates and assumptions which affect
the reported amounts of assets and liabilities at the date of the financial statements and the
reported amounts of revenues and expenses during the reporting period. Our estimates and
assumptions are based upon a combination of historical information and various other assumptions
believed to be reasonable under the particular circumstances. Actual results may differ from our
estimates. For a full description of our critical accounting policies, please refer to the
Managements Discussion and Analysis of Financial Condition and Results of Operations Critical
Accounting Policies included in our Annual Report on Form 10-K for the year ended December 31,
2009, filed with the SEC on February 24, 2010.
GOODWILL AND INTANGIBLES
During 2009, the valuations of two reporting units in our EM segment yielded fair values which
were less than 20% in excess of their carrying value. We concluded that no impairment existed
since the fair value of these reporting units exceeded their carrying value. As of September 30,
2010, the total assets, which include goodwill and the intangible assets, of these two reporting
units were approximately $428.6 million and $29.7 million, respectively. Through the third quarter
of 2010, there have been no events or circumstances relative to these reporting units that would
require a re-evaluation of the fair value of the EM segment assets as compared to the carrying
values. The fair value of both reporting units was determined using the income approach whereby
estimated future discounted cash flows are used to develop fair value.
CLIENTS
We entered into new long-term contracts with WellPoint and the DoD in the fourth quarter of
2009. As a result, we have a higher concentration of revenues among these clients in the first
nine months of 2010. For the three and nine months ended September 30, 2010, our top five clients
collectively represented 55.5% and 54.3% of revenues, respectively. For the three months ended
September 30, 2010, our two largest clients, WellPoint and the DoD, represented approximately
$3,303.5 million and $2,233.0 million, or 29.4% and 19.8% of revenues, respectively. Additionally,
for the nine months ended September 30, 2010, WellPoint and the DoD represented $9,664.9 million
and $6,480.2 million, or 28.7% and 19.2% of revenues, respectively. None of our other clients
accounted for 10% or more of our consolidated revenues during the three and nine months ended
September 30, 2010. No clients accounted for 10% or more of our consolidated revenues over the
same periods of 2009.
RESULTS OF OPERATIONS
PBM OPERATING INCOME
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2010 |
|
|
2009 |
|
|
2010 |
|
|
2009 |
|
|
Product revenues |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
7,490.9 |
|
|
$ |
3,288.8 |
|
|
$ |
22,596.4 |
|
|
$ |
9,772.3 |
|
Home delivery and specialty
revenues(2) |
|
|
3,316.1 |
|
|
|
1,915.1 |
|
|
|
9,841.9 |
|
|
|
5,599.8 |
|
Service revenues |
|
|
62.6 |
|
|
|
67.1 |
|
|
|
194.3 |
|
|
|
200.8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total PBM revenues |
|
|
10,869.6 |
|
|
|
5,271.0 |
|
|
|
32,632.6 |
|
|
|
15,572.9 |
|
Cost of PBM revenues(1) |
|
|
10,118.5 |
|
|
|
4,672.8 |
|
|
|
30,487.0 |
|
|
|
13,875.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM gross profit |
|
|
751.1 |
|
|
|
598.2 |
|
|
|
2,145.6 |
|
|
|
1,697.7 |
|
PBM SG&A expenses |
|
|
227.3 |
|
|
|
243.4 |
|
|
|
645.8 |
|
|
|
614.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM operating income |
|
$ |
523.8 |
|
|
$ |
354.8 |
|
|
$ |
1,499.8 |
|
|
$ |
1,083.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
25
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2010 |
|
|
2009 |
|
|
2010 |
|
|
2009 |
|
|
Network |
|
|
148.9 |
|
|
|
95.2 |
|
|
|
448.9 |
|
|
|
284.1 |
|
Home delivery and specialty(2) |
|
|
13.5 |
|
|
|
11.1 |
|
|
|
40.2 |
|
|
|
32.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total PBM Claims |
|
|
162.4 |
|
|
|
106.3 |
|
|
|
489.1 |
|
|
|
316.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total adjusted PBM Claims(3) |
|
|
186.8 |
|
|
|
126.3 |
|
|
|
562.3 |
|
|
|
375.8 |
|
|
|
|
(1) |
|
Includes retail pharmacy co-payments of $1,478.5 million and $708.4 million for the
three months ended September 30, 2010 and 2009, respectively, and $4,688.4 million and
$2,252.2 million for the nine months ended September 30, 2010 and 2009, respectively. |
|
(2) |
|
Includes home delivery, specialty and other including: (a) drugs distributed through
patient assistance programs and (b) drugs we distribute to other PBMs clients under
limited distribution contracts with pharmaceutical manufacturers. |
|
(3) |
|
Total adjusted claims reflect home delivery claims multiplied by 3, as home delivery
claims are typically 90 day claims. |
Product Revenues for the three months ended September 30, 2010: Network pharmacy
revenues increased by $4,202.1 million, or 127.8%, in the three months ended September 30, 2010
over the same period of 2009. Home delivery and specialty revenues increased $1,401.0 million, or
73.2%, in the three months ended September 30, 2010 from the same period in 2009. Approximately
$5,844.6 million of the total product revenue increase is due to the increase in volume resulting
from the acquisition of NextRx and the new contract with the DoD. The new contract with the DoD
results in utilization of the gross basis of accounting, under which the ingredient cost and member
co-payments are included in revenues and cost of revenues. These increases were partially offset
by the impact of higher generic penetration. Our network generic fill rate increased to 73.3% of
total network claims in the third quarter of 2010 as compared to 69.6% in the same period of 2009.
Additionally, our home delivery generic fill rate increased to 60.5% of home delivery claims in the
three months ended September 30, 2010 as compared to 58.3% in the same period of 2009.
Product Revenues for the nine months ended September 30, 2010: Network pharmacy revenues
increased by $12,824.1 million, or 131.2%, in the nine months ended September 30, 2010 over the
same period of 2009. Home delivery and specialty revenues increased $4,242.1 million, or 75.8%, in
the nine months ended September 30, 2010 from the same period in 2009. Approximately $16,895.0
million of the total product revenue increase is due to the increase in volume mostly due to the
acquisition of NextRx and the new contract with the DoD. The new contract with the DoD results in
utilization of the gross basis of accounting, under which the ingredient cost and member
co-payments are included in revenues and cost of revenues. Additionally included as revenue is
$30.0 million recorded in the second quarter of 2010 related to the amendment of a client contract
which relieved us of certain contractual guarantees. These increases were partially offset by the
impact of higher generic penetration. Our network generic fill rate increased to 72.4% of total
network claims in the first nine months of 2010 as compared to 69.2% in the same period of 2009.
Additionally, our home delivery generic fill rate increased to 60.0% of home delivery claims in the
nine months ended September 30, 2010 as compared to 57.5% in the same period of 2009.
Cost of PBM revenues increased $5,445.7 million, or 116.5%, and $16,611.8 million, or 119.7%,
in the three and nine months ended September 30, 2010, respectively, from the same periods of 2009
due primarily to the acquisition of NextRx and the new contract with the DoD, as previously
discussed.
Our PBM gross profit increased $152.9 million, or 25.6%, and $447.9 million or 26.4%, for the
three and nine months ended September 30, 2010, respectively, as compared to the same periods of
2009. The acquisition of NextRx as well as better management of ingredient costs and client cost
savings from the increase in the aggregate generic fill rate were partially offset by margin
pressures arising from ingredient cost inflation and the current competitive environment. Gross
profit margin decreased to 6.9% from 11.3% and to 6.6% from 10.9% in the three and nine months
ended September 30, 2010 over the same periods of 2009, respectively. This is primarily due to the
new contract with the DoD which is accounted for on a gross basis as well as the acquisition of
NextRx. However, we expect margins to improve as we continue to integrate NextRx into our core
business and achieve synergies.
26
Selling, general and administrative expense (SG&A) for our PBM segment for the three months
ended September 30, 2010 decreased by $16.1 million, or 6.6%, as compared to the same period of
2009 primarily as a result of the following factors:
|
|
|
Expenses of $35.0 million relating to an accrual for the settlement of a legal
matter recorded in the third quarter of 2009 (see Note 10 Contingencies for
further discussion), and |
|
|
|
|
Transaction costs of $9.6 million incurred in the third quarter of 2009 related
to the NextRx acquisition. |
|
|
|
|
These decreases were offset by integration costs of $12.3 million incurred in
the third quarter of 2010 related to the acquisition of NextRx, and |
|
|
|
|
Increases in employee compensation due to growth mostly as a result of the
acquisition of NextRx. |
SG&A for our PBM segment for the nine months ended September 30, 2010 increased by $31.6
million, or 5.1%, as compared to the same period of 2009 primarily as a result of the following
factors:
|
|
|
Integration costs of $22.7 million incurred in the first nine months of 2010
related to the acquisition of NextRx, |
|
|
|
|
A benefit of $15.0 million in the second quarter of 2009 related to an insurance
recovery for previously incurred litigation costs, and |
|
|
|
|
Increases in employee compensation due to growth mostly as a result of the
acquisition of NextRx. |
|
|
|
|
These increases were partially offset by a decrease due to expenses of $35.0
million relating to an accrual for the settlement of a legal matter recorded in the
third quarter of 2009, and |
|
|
|
|
Transaction costs of $21.3 million incurred in the second and third quarters of
2009 related to the NextRx acquisition. |
PBM operating income increased $169.0 million, or 47.6%, and $416.3 million, or 38.4%, for the
three and nine months ended September 30, 2010, respectively, as compared to the same periods of
2009, based on the various factors described above.
EM OPERATING INCOME
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2010 |
|
|
2009 |
|
|
2010 |
|
|
2009 |
|
|
Product revenues |
|
$ |
379.2 |
|
|
$ |
339.3 |
|
|
$ |
1,037.4 |
|
|
$ |
942.9 |
|
Service revenues |
|
|
3.0 |
|
|
|
2.7 |
|
|
|
9.0 |
|
|
|
9.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total EM revenues |
|
|
382.2 |
|
|
|
342.0 |
|
|
|
1,046.4 |
|
|
|
952.4 |
|
Cost of EM revenues |
|
|
369.2 |
|
|
|
329.1 |
|
|
|
1,007.2 |
|
|
|
913.8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM gross profit |
|
|
13.0 |
|
|
|
12.9 |
|
|
|
39.2 |
|
|
|
38.6 |
|
EM SG&A expenses |
|
|
8.8 |
|
|
|
9.3 |
|
|
|
26.0 |
|
|
|
28.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM operating income |
|
$ |
4.2 |
|
|
$ |
3.6 |
|
|
$ |
13.2 |
|
|
$ |
10.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Our EM results for the three and nine months ended September 30, 2010 and 2009 have been
adjusted for the discontinued operations of PMG, which was formerly part of our EM segment.
EM Continuing Operations: EM operating income increased by $0.6 million, or 16.7%, and $2.8
million, or 26.9%, for the three and nine months ended
September 30, 2010, respectively, from the same periods of
2009. The increase in operating income is due to an increase in volume in certain segments of our
distribution line of business. This was partially offset by increases in EM cost of revenues
primarily due to increases in volume and cost inflation in our distribution line of business.
Additionally, efforts to control cost within our EM segment resulted in a decrease in SG&A.
27
OTHER (EXPENSE) INCOME
Net interest expense decreased $6.0 million and $16.0 million in the three and nine months
ended September 30, 2010 as compared to the same periods in 2009. The decrease for the three
months ended September 30, 2010 is primarily due to lower weighted average interest rate on our
credit facility during the quarter as well as lower debt outstanding on our credit facility (see
Note 7 Financing). The decrease for the nine months ended September 30, 2010 is primarily due
to fees of $58.4 million we incurred in the second quarter of 2009 related to the termination of
the bridge loan for the financing of the NextRx acquisition, lower weighted average interest rate
and lower debt outstanding on our credit facility, partially offset by interest expense on the
Senior Notes (see Liquidity and Capital Resources).
PROVISION FOR INCOME TAXES
Our effective tax rate from continuing operations was 37.1% for the three and nine months
ended September 30, 2010, as compared to 37.0% and 36.8% for the same periods of 2009 primarily due
to increased state income tax liability from the acquisition of NextRx.
NET LOSS FROM DISCONTINUED OPERATIONS, NET OF TAX
Net loss from discontinued operations, net of tax, increased $6.4 million for the three months
ended September 30, 2010 compared to the same period of 2009. This increase is primarily due to
charges recorded upon sale of our PMG line of business in the third quarter of 2010. Net loss from
discontinued operations, net of tax, increased $24.2 million for the nine months ended September
30, 2010 compared to the same period of 2009. This is primarily attributable to the impairment
charge of $28.2 million recorded in the second quarter of 2010, as discussed in Note 4, in addition
to the charges recorded upon the sale of PMG in the third quarter of 2010.
NET INCOME AND EARNINGS PER SHARE
Net income for the three and nine months ended September 30, 2010 increased $103.9 million, or
52.6%, and $247.3 million, or 40.9%, respectively, over the same periods of 2009 due to factors
discussed above.
On May 5, 2010, we announced a two-for-one stock split for stockholders of record on May 21,
2010 effective June 8, 2010. The split was effected in the form of a dividend by issuance of one
additional share of common stock for each share of common stock outstanding. The earnings per share
and the weighted average number of shares outstanding for basic and diluted earnings per share for
each period have been adjusted for the stock split.
Basic and diluted earnings per share increased 58.3% and 55.6%, respectively, for the three
months ended September 30, 2010 over the same period of 2009. For the nine months ended September
30, 2010, basic and diluted earnings per share increased 35.3% and 35.7%, respectively, over the
same period of 2009. The increase is primarily due to operating results, partially offset by an
increase in shares outstanding as a result of the public offering in June 2009 (see Note 8). This
increase in shares outstanding is partially offset by treasury share repurchases of 16.4 million
and 26.9 million shares during the three and nine months ended September 30, 2010, respectively.
LIQUIDITY AND CAPITAL RESOURCES
OPERATING CASH FLOW, CAPITAL EXPENDITURES AND FINANCING (reflecting the two-for-one stock split
effective June 8, 2010)
For the nine months ended September 30, 2010, net cash provided by continuing operations
increased $921.1 million to $1,829.7 million compared to the same period of 2009. Changes in
operating cash flows were positively impacted by the following factors:
28
|
|
|
Changes in working capital resulted in cash inflow of $629.0 million in the nine
months ended September 30, 2010 compared to a cash inflow of $98.1 million over the
same period of 2009. The cash flow increase was primarily related to the collection of
receivables from pharmaceutical manufacturers and clients due to the acquisition of
NextRx. Offsetting these net cash inflows are net cash outflows for claims and rebates
payable due to the timing of invoices and payments. |
|
|
|
|
Net income from continuing operations increased $271.5 million in the nine months
ended September 30, 2010 compared to the same period of 2009. |
|
|
|
|
Depreciation and amortization included in net income in the nine months ended
September 30, 2010 is $110.0 million higher than the same period of 2009 due primarily
to amortization of the customer contracts related to the PBM agreement with WellPoint. |
|
|
|
|
The deferred tax provision increased $55.0 million in the nine months ended
September 30, 2010 compared to the same period of 2009 reflecting a net change in
taxable temporary differences primarily attributable to tax deductible goodwill
associated with the NextRx acquisition. |
Net cash used in investing activities decreased $1,204.4 million for the nine months ended
September 30, 2010 over the same period of 2009 primarily due to the 2009 purchase of short-term
investments with certain proceeds from the issuance of common stock and Senior Notes described
below. Our capital expenditures for the nine months ended September 30, 2010 decreased $4.9 million
compared to the same period of 2009. Capital expenditures for the nine months ended September 30,
2010 include $30.4 million related to our Technology & Innovation Center, which opened in the
second quarter of 2010. This increase is offset by expenditures related to technology
infrastructure during the nine months ended September 30, 2009. We intend to continue to invest in
infrastructure and technology that we believe will provide efficiencies in operations and
facilitate growth and enhance the service we provide to our clients. Anticipated capital
expenditures will be funded primarily from operating cash flow or, to the extent necessary, with
borrowings under our revolving credit facility, discussed below.
Net cash used in financing activities was $2,568.0 million for the nine months ended September
30, 2010 compared to net cash provided of $3,765.9 million in the same period of 2009. During the
nine months ended September 30, 2010, we repurchased 26.9 million treasury shares for $1,276.2
million. Additionally, we repaid in full our Term 1 and Term A loans, resulting in total repayments
on long term debt of $1,340.1 million during the nine months ended September 30, 2010 as compared
to $240.1 million for the same period of 2009. On June 9, 2009, we issued Senior Notes resulting in
net proceeds of $2,478.3 million which includes original issue discount of $8.4 million and
financing costs of $13.3 million. In addition, on June 10, 2009, we completed a public offering of
52.9 million shares of common stock which resulted in net proceeds of $1,569.1 million after giving
effect to the underwriting discount and issuance costs of $44.4 million. We used the net proceeds
to finance a portion of the purchase price for the acquisition of NextRx. Offsetting these proceeds
were financing fees of $56.3 million for the committed credit facility.
We anticipate that our current cash balances, cash flows from operations and our revolving
credit facility will be sufficient to meet our cash needs and make scheduled payments for our
contractual obligations and current capital commitments. However, if needs arise, we may decide to
secure external capital to provide additional liquidity. New sources of liquidity may include
additional lines of credit, term loans, or issuance of notes or common stock, all of which are
allowable, with certain limitations, under our existing credit agreement.
ACQUISITIONS (reflecting the two-for-one stock split effective June 8, 2010)
On December 1, 2009, we completed the purchase of the NextRx PBM Business, in exchange for total
consideration of $4.675 billion paid in cash. The working capital adjustment was finalized during
the second quarter of 2010 and reduced the purchase price by $8.3 million, resulting in a final
purchase price of $4.667 billion. The NextRx PBM Business is a national provider of PBM services,
and we believe the acquisition will enhance our ability to achieve cost savings, innovations, and
operational efficiencies which will benefit our customers and stockholders. The purchase price was
primarily funded through a $2.5 billion underwritten public offering of senior notes completed on
June 9, 2009 resulting in net proceeds of $2,478.3 million, and a public offering of 52.9 million
shares of common stock completed June 10, 2009 resulting in net proceeds of $1,569.1 million. This
acquisition is reported as part of our PBM segment (see Note 3).
29
We regularly review potential acquisitions and affiliation opportunities. We believe
available cash resources, bank financing or the issuance of additional common stock could be used
to finance future acquisitions or affiliations. There can be no assurance we will make new
acquisitions or establish new affiliations in 2010 or thereafter.
STOCK REPURCHASE PROGRAM
We have a stock repurchase program, originally announced on October 25, 1996. Treasury shares
are carried at first in, first out cost. There is no limit on the duration of the program. During
the three months ended September 30, 2010, we repurchased 16.4 million treasury shares for $747.5
million. During the nine months ended September 30, 2010, we repurchased 26.9 million treasury
shares for $1,276.2 million. Current year repurchases were funded through internally generated
cash. At September 30, 2010, there are 15.1 million shares remaining under this program. Additional share repurchases,
if any, will be made in such amounts and at such times as we deem appropriate based upon prevailing
market and business conditions and other factors.
BANK CREDIT FACILITY
On August 13, 2010, we entered into a credit agreement with a commercial bank syndicate
providing for a three-year revolving credit facility of $750.0 million. In connection with
entering into the credit agreement, we terminated in full the revolving facility under our prior
credit agreement, entered into October 14, 2005 and due October 14, 2010. There was no outstanding
balance in our prior revolving credit facility upon termination.
During the third quarter of 2010, we repaid the Term A and Term-1 loans in full. We made
total Term loan payments of $1,340.0 million during the nine months ended September 30, 2010. At
September 30, 2010, our credit agreement consists of a $750.0 million revolving credit facility
(none of which was outstanding as of September 30, 2010) available for general corporate purposes.
The new credit agreement requires us to pay interest periodically on the London Interbank
Offered Rates (LIBOR) or base rate options, plus a margin. The margin over LIBOR will range from
1.55% to 1.95%, depending on our consolidated leverage ratio. Under the credit agreement we are
required to pay commitment fees on the unused portion of the $750.0 million revolving credit
facility. The commitment fee will range from 0.20% to 0.30% depending on our consolidated leverage
ratio. Financing costs of $3.9 million related to the new credit agreement are
being amortized over three years and are reflected in other intangible assets, net in the unaudited
consolidated balance sheet.
The credit agreement contains covenants which limit our ability to incur additional
indebtedness, create or permit liens on assets, and engage in mergers, consolidations, or
disposals. The covenants also include a minimum interest coverage ratio and a maximum leverage
ratio. At September 30, 2010, we believe we were in compliance in all material respects with all
covenants associated with our new credit agreement.
SENIOR NOTES
On June 9, 2009, we issued $2.5 billion of senior notes, including $1.0 billion aggregate
principal amount of 5.25% senior notes due 2012; $1.0 billion aggregate principal amount of 6.25%
senior notes due 2014 and $500 million aggregate principal amount of 7.25% senior notes due 2019.
The senior notes require interest to be paid semi-annually on June 15 and December 15.
We may redeem some or all of each series of senior notes prior to maturity at a price equal to the
greater of (1) 100% of the aggregate principal amount of any notes being redeemed, plus accrued and
unpaid interest; or (2) the sum of the present values of the remaining scheduled payments of
principal and interest on the notes being redeemed, not including unpaid interest accrued to the
redemption date, discounted to the redemption date on a semiannual basis at the treasury rate plus
50 basis points with respect to any 2012 notes, 2014 notes and 2019 notes being redeemed, plus in
each case, unpaid interest on the notes being redeemed accrued to the redemption date. The senior
notes are jointly and severally and fully and unconditionally guaranteed on a senior basis by most
of our current and future 100% owned domestic subsidiaries.
30
Financing costs of $13.3 million are being amortized over an average weighted period of 5.2
years and are reflected in other intangible assets, net in the unaudited consolidated balance
sheet. We used the net proceeds for the acquisition of WellPoints NextRx PBM Business.
COMMON STOCK (reflecting the two-for-one stock split effective June 8, 2010)
One May 5, 2010, we announced a two-for-one stock split for stockholders of record on May 21,
2010 effective June 8, 2010. The split was effected in the form of a dividend by issuance of one
additional share of common stock for each share of common stock outstanding. The earnings per share
and the weighted average number of shares outstanding for basic and diluted earnings per share for
each period have been adjusted for the stock split.
On June 10, 2009, we completed a public offering of 52.9 million shares of common stock,
which includes 6.9 million shares sold as a result of the underwriters exercise of their
overallotment option in full at closing, at a price of $30.50 per share. The sale resulted in net
proceeds of $1,569.1 million after giving effect to the underwriting discount and issuance costs of
$44.4 million. We used the net proceeds for the acquisition of WellPoints NextRx PBM Business.
IMPACT OF INFLATION
Changes in prices charged by manufacturers and wholesalers for pharmaceuticals affect our
revenues and cost of revenues. Most of our contracts provide that we bill clients based on a
generally recognized price index for pharmaceuticals.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
We are exposed to market risk from changes in interest rates related to debt outstanding under
our credit agreement. Our earnings are subject to change as a result of movements in market
interest rates. At September 30, 2010, we had no obligations, net of cash, which were subject to
variable rates of interest under our credit agreement.
Item 4. Controls and Procedures
We maintain a comprehensive set of disclosure controls and procedures (as defined in Rules
13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934 (Exchange Act)) designed to
provide reasonable assurance that information required to be disclosed in our filings under the
Exchange Act is recorded, processed, summarized and reported accurately and within the time periods
specified in the SECs rules and forms. Under the supervision and with the participation of our
management, including our Chairman, President and Chief Executive Officer and our Executive Vice
President and Chief Financial Officer, we have evaluated the effectiveness of the design and
operation of our disclosure controls and procedures as of the end of the period covered by this
report. Based upon this evaluation, the Chairman, President and Chief Executive Officer and the
Executive Vice President and Chief Financial Officer concluded that the design and operation of
these disclosure controls and procedures are effective in providing reasonable assurance of the
achievement of the objectives described above.
During the third quarter ended September 30, 2010, there was no change in our internal control
over financial reporting that has materially affected, or is reasonably likely to materially
affect, our internal control over financial reporting.
31
PART II. OTHER INFORMATION
Item 1. Legal Proceedings
We and/or our subsidiaries are defendants in a number of lawsuits. Each case seeks damages in
an unspecified amount. We cannot ascertain with any certainty at this time the monetary damages or
injunctive relief that any of the plaintiffs may seek to recover. We also cannot provide any
assurance that the outcome of any of these matters, or some number of them in the aggregate, will
not be materially adverse to our financial condition, consolidated results of operations, cash
flows or business prospects. In addition, the expenses of defending these cases may have a
material adverse effect on our financial results.
The following developments have occurred since the filing of our last Form 10-Q.
|
|
|
Multi-District Litigation As previously disclosed, on April 29, 2005, the
Judicial Panel on Multi-District Litigation transferred a number of cases to the Eastern
District of Missouri for coordinated or consolidated pretrial proceedings. On July 2,
2010, ESI filed a motion for partial summary judgment as to certain
non-ERISA claims being made in various cases. Another case, Fidelity Insurance Company, et al. v. Express Scripts, Inc., et
al. (Case No. 4:03-CV-1521-HEA, United States District Court for the Eastern District of
Missouri) (filed March 20, 2003), was recently set for trial on July 11, 2011. |
|
|
|
|
In re Express Scripts Securities Litigation (Case No. 4:04-CV-1009, United
States District Court for the Eastern District of Missouri). On September 13, 2005,
plaintiffs filed an amended complaint alleging that Express Scripts and certain of our
officers (collectively, the Defendants) violated federal securities laws. On June 30,
2010, the Court granted Defendants motion to dismiss and dismissed the action.
Plaintiffs filed a notice of appeal on July 29, 2010, then filed a stipulation for
dismissal with prejudice on August 26, 2010. |
|
|
|
|
Inola Drug, Inc. v. Express Scripts, Inc. (Case No. 06-CV-117-TCK-SAJ, United
States District Court for the Northern District of Oklahoma; Case No. 09-5094, United
States Court of Appeals for the Tenth Circuit) (filed February 22, 2006). On August 4,
2010, the Tenth Circuit granted ESIs motion to dismiss the appeal. |
Additional information regarding such matters is contained in Item 3 Legal Proceedings in
our Annual Report on Form 10-K for the year ended December 31, 2009, and in Item 1 Legal
Proceedings in our Quarterly Report on Form 10-Q for the quarterly period ending
June 30, 2010.
In addition, in the ordinary course of our business there have arisen various legal
proceedings, investigations or claims now pending against our subsidiaries and us. The effect of
these actions on future financial results is not subject to reasonable estimation because
considerable uncertainty exists about the outcomes. Where insurance coverage is not available for
such claims, or in our judgment, is not cost-effective, we maintain self-insurance reserves to
reduce our exposure to future legal costs, settlements and judgments related to uninsured claims.
Our self-insured reserves are based upon estimates of the aggregate liability for the costs of
uninsured claims incurred and the retained portion of insured claims using certain actuarial
assumptions followed in the insurance industry and our historical experience. It is not possible
to predict with certainty the outcome of these claims, and we can give no assurance that any losses
in excess of our insurance and any self-insurance reserves will not be material.
32
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
The following is a summary of our stock repurchasing activity during the three months ended
September 30, 2010 (share data in millions):
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Total number of |
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shares purchased |
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Maximum number |
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Total number |
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as part of a |
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of shares |
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of |
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Average |
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publicly |
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that may yet be |
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shares |
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price paid |
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announced |
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purchased under |
Period |
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purchased |
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per share |
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program |
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the program |
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7/1/2010 -- 7/31/2010 |
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$ |
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31.5 |
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8/1/2010 -- 8/31/2010 |
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16.4 |
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45.65 |
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16.4 |
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15.1 |
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9/1/2010 -- 9/30/2010 |
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15.1 |
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Third Quarter 2010 Total |
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16.4 |
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$ |
45.65 |
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16.4 |
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We have a stock repurchase program, originally announced on October 25, 1996. Treasury shares
are carried at first in, first out cost. There is no limit on the duration of the program. During
the three months ended September 30, 2010, we repurchased 16.4 million treasury shares for $747.5
million. Current year repurchases were funded through internally generated cash. As of September
30, 2010, there are 15.1 million shares remaining under this program. Additional share
repurchases, if any, will be made in such amounts and at such times as we deem appropriate based
upon prevailing market and business conditions and other factors.
Item 6. Exhibits
(a) See Index to Exhibits below.
33
SIGNATURES
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 thereunto duly authorized.
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EXPRESS SCRIPTS, INC.
(Registrant)
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Date: October 27, 2010 |
By: |
/s/ George Paz
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George Paz, Chairman, President and Chief Executive
Officer |
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Date: October 27, 2010 |
By: |
/s/ Jeffrey Hall
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Jeffrey Hall, Executive Vice President and |
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Chief Financial Officer |
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34
INDEX TO EXHIBITS
(Express Scripts, Inc. Commission File Number 0-20199)
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Exhibit |
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Number |
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Exhibit |
2.1
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Stock and Interest Purchase Agreement dated April 9,
2009 between the Company and WellPoint, Inc.,
incorporated by reference to Exhibit 2.1 to the
Companys Current Report on Form 8-K filed April 14,
2009. |
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3.1
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Amended and Restated Certificate of Incorporation of the
Company, incorporated by reference to Exhibit 3.1 to the
Companys Annual Report on Form 10-K for the year ending
December 31, 2009 filed February 24, 2010. |
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3.2
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Third Amended and Restated Bylaws, as amended,
incorporated by reference to Exhibit 3.2 to the
Companys Quarterly Report on Form 10-Q for the
quarterly period ended March 31, 2010 filed April 28,
2010. |
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4.1
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Form of Certificate for Common Stock, incorporated by
reference to Exhibit No. 4.1 to the Companys
Registration Statement on Form S-1 filed June 9, 1992
(No. 33-46974) (the Registration Statement). |
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4.2
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Rights Agreement dated as of July 25, 2001 between the
Company and American Stock Transfer & Trust Company, as
Rights Agent, which includes the Certificate of
Designations for the Series A Junior Participating
Preferred Stock as Exhibit A, the Form of Right
Certificate as Exhibit B and the Summary of Rights to
Purchase Preferred Shares as Exhibit C, incorporated by
reference to Exhibit No. 4.1 to the Companys Current
Report on Form 8-K filed July 31, 2001 (the Rights
Agreement). |
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4.3
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Amendment No. 1 to the Rights Agreement between the
Company and American Stock Transfer & Trust Company, as
Rights Agent, dated May 25, 2005, incorporated by
reference to Exhibit No. 10.1 to the Companys Current
Report on Form 8-K filed May 31, 2005. |
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4.4
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Amendment No. 2 to the Rights Agreement between the
Company and American Stock Transfer & Trust Company, as
Rights Agent, dated December 18, 2009, incorporated by
reference to Exhibit No. 10.1 to the Companys Current
Report on Form 8-K filed December 18, 2009. |
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10.1
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Credit Agreement, dated as of August 13, 2010, among
Express Scripts, Inc., Credit Suisse AG, Cayman Islands
Branch, as administrative agent, The Bank of
Tokyo-Mitsubishi UFJ, Ltd. and Morgan Stanley Senior
Funding, Inc., as co-syndication agents, Citibank, N.A.,
JPMorgan Chase Bank, N.A. and Wells Fargo Bank, N.A., as
co-documentation agents and the lenders named therein,
incorporated by reference to Exhibit 10.1 to the
Companys Current Report on Form 8-K filed August 19,
2010. |
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10.21
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Amendment No. 1 to the Pharmacy Benefits Management
Services Agreement dated August 20, 2010 (effective as
of January 1, 2010) between the Company, on behalf of
itself and its subsidiaries, and WellPoint, Inc., on
behalf of itself and certain designated affiliates. |
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11.1
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Statement regarding computation of earnings per share.
(See Note 6 to the unaudited consolidated financial
statements.) |
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31.11
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Certification by George Paz, as Chairman, President and
Chief Executive Officer of Express Scripts, Inc.,
pursuant to Exchange Act Rule 13a-14(a). |
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31.21
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Certification by Jeffrey Hall, as Executive Vice
President and Chief Financial Officer of Express
Scripts, Inc., pursuant to Exchange Act Rule 13a-14(a). |
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32.11
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Certification by George Paz, as Chairman, President and
Chief Executive Officer of Express Scripts, Inc.,
pursuant to 18 U.S.C. § 1350 and Exchange Act Rule
13a-14(b). |
35
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Exhibit |
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Number |
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Exhibit |
32.21
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Certification by Jeffrey Hall, as Executive Vice
President and Chief Financial Officer of Express
Scripts, Inc., pursuant to 18 U.S.C. § 1350 and Exchange
Act Rule 13a-14(b). |
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101.12
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XBRL Taxonomy Instance Document. |
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101.22
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XBRL Taxonomy Extension Schema Document. |
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101.32
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XBRL Taxonomy Extension Calculation Linkbase Document. |
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101.42
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XBRL Taxonomy Extension Definition Linkbase Document. |
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101.52
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XBRL Taxonomy Extension Label Linkbase Document. |
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101.62
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XBRL Taxonomy Extension Presentation Linkbase Document. |
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1 |
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Filed herein. |
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2 |
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Furnished, not filed. |
36