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Express Scripts Reports Record Third Quarter Earnings; Strong Cash Flow from Operations of $161 Million.


Business Editors

ST. LOUIS--(BUSINESS WIRE)--Oct. 29, 2003

Express Scripts, Inc. (Nasdaq: ESRX) announced third quarter net income of $64.5 million, or $0.81 per diluted di·lute  
tr.v. di·lut·ed, di·lut·ing, di·lutes
1. To make thinner or less concentrated by adding a liquid such as water.

2. To lessen the force, strength, purity, or brilliance of, especially by admixture.
 share, an increase of 21 percent over $0.67 per diluted share reported for the same quarter of 2002.

The Company generated $160.8 million of cash flow from operations Cash flow from operations

A firm's net cash inflow resulting directly from its regular operations (disregarding extraordinary items such as the sale of fixed assets or transaction costs associated with issuing securities), calculated as the sum of net income plus noncash expenses
 in the third quarter compared with $91.4 million in the same quarter last year. This increase in cash flow reflects improved operating results and working capital management, including improved inventory management resulting from implementing a new wholesale purchasing agreement. During the third quarter, the Company repurchased 530,000 shares of common stock for $33.8 million and repaid $25.0 million of debt.

"While the PBM PBM - play by mail. See play by electronic mail.  competitive landscape continues to evolve Evolve may refer to several terms:
  • Evolve, as in Evolution.
  • Evolve Cars, an after-market manufacturer of sport-parts for Volvo cars.
, the one thing that has remained constant is our focus on making prescription drugs prescription drug Prescription medication Pharmacology An FDA-approved drug which must, by federal law or regulation, be dispensed only pursuant to a prescription–eg, finished dose form and active ingredients subject to the provisos of the Federal Food, Drug,  safer and more affordable," stated Barrett Barrett (sometimes spelled Barret or Barratt) is a surname that has been associated with several different people, places and organisations:

Barrett is a popular surname in south and west Ireland.
 Toan, chairman and chief executive officer. "We have revitalized re·vi·tal·ize  
tr.v. re·vi·tal·ized, re·vi·tal·iz·ing, re·vi·tal·iz·es
To impart new life or vigor to: plans to revitalize inner-city neighborhoods; tried to revitalize a flagging economy.
 our business model in 2003 to ensure that our clients understand that our interests are unequivocally aligned with theirs. This revitalization re·vi·tal·ize  
tr.v. re·vi·tal·ized, re·vi·tal·iz·ing, re·vi·tal·iz·es
To impart new life or vigor to: plans to revitalize inner-city neighborhoods; tried to revitalize a flagging economy.
 resulted in Express Scripts no longer accepting pharmaceutical manufacturer funding for programs promoting the use of specific drugs. This revitalization differentiates our business model in the marketplace, and positions Express Scripts as a leader with the most value to offer to plan sponsors and their members."

"The Express Scripts business model has resulted in reduced gross profit and selling, general and administrative expenses this year attributable attributable

emanating from or pertaining to attribute.


attributable proportion
see attributable risk (below).

attributable risk
 to the elimination of this pharmaceutical manufacturer funding. However, we believe our business strategy will yield long-term Long-term

Three or more years. In the context of accounting, more than 1 year.


long-term

1. Of or relating to a gain or loss in the value of a security that has been held over a specific length of time. Compare short-term.
 benefits, clearly differentiating Express Scripts from the competition, which has already allowed us to gain market share. Express Scripts' Client Pledge A Bailment or delivery of Personal Property to a creditor as security for a debt or for the performance of an act.

Sometimes called bailment, pledges are a form of security to assure that a person will repay a debt or perform an act under contract.
, issued earlier this year, underlines our commitment to aggressively promote the use of generic drugs generic drug, a drug sold or prescribed under the nonproprietary name of its active ingredients or under a generally descriptive name rather than under a brand or trade name. , support the use of clinically appropriate lower-cost brand-name drugs Noun 1. brand-name drug - a drug that has a trade name and is protected by a patent (can be produced and sold only by the company holding the patent)
proprietary drug

drug - a substance that is used as a medicine or narcotic
, and never recommend switching a member to a higher cost drug."

"In addition to our business model, our industry-leading generic Generic

Describes the characteristics and/or experience of the total universe of a coupon of MBS sector type; that is, in contrast to a specific pool or collateral group, as in a specific CMO issue.
 utilization utilization,
n 1. the extent to which a given group uses a particular service in a specified period. Although usually expressed as the number of services used per year per 100 or per 1000 persons eligible for the service, utilization rates may be
 rate, superior formulary formulary /for·mu·lary/ (for´mu-lar?e) a collection of recipes, formulas, and prescriptions.

National Formulary  see under N.


for·mu·lar·y
n.
 management of low-cost brand drugs, and highly-efficient, cost-effective cost-effective,
n the minimal expenditure of dollars, time, and other elements necessary to achieve the health care result deemed necessary and appropriate.
 mail pharmacy pharmacy, art of compounding and dispensing drugs and medication. The term is also applied to an establishment used for such purposes. Until modern times medication was prepared and dispensed by the physician himself. In the 18th cent.  services are also strong competitive differentiators, and reflect the alignment Alignment is the adjustment of an object in relation with other objects, or a static orientation of some object or set of objects in relation to others.
  • An alignment of megaliths: see stone row.
 of our interests with our plan sponsors and their members."

Strong Operating Results

Revenues for the third quarter of 2003 were $3.2 billion, a 2 percent increase over the same quarter last year. This year-to-year increase is due primarily to drug price inflation and increased sales of prescription drugs. Lower-cost generic drugs represented over 47 percent of total prescriptions compared to 45 percent last year, which resulted in slower revenue growth due to the significant differential between the price of generic and brand drugs. Increased member co-payments also moderated revenue growth because the Company does not record co-payments made to retail pharmacies This article is a list of major pharmacies (also known as chemists and drugstores) by country. Australia
Pharmacies in Australia are mostly independently-owned by pharmacists, often operated as franchises of retail brands offered by the three major
 as revenue.

Mail pharmacy prescriptions increased to 8.2 million during the third quarter of 2003, a 16 percent increase compared with the same quarter last year. Mail claims as a percentage of total adjusted claims grew to 21 percent from 19 percent for the same period last year.

"We have taken our business model to the specialty drug space to help our clients manage the costs and benefits associated with high-cost biotech bi·o·tech  
n. Informal
Biotechnology.


biotech
Noun

short for biotechnology

Noun 1.
 and injectable in·ject·a·ble
adj.
Capable of being injected. Used of a drug.

n.
A drug or medicine that can be injected.
 drugs, with growing results," added Toan. The Company's specialty PBM business, which it offers to its PBM clients, is client-centric, and its claims are included in the PBM mail order and network claims. "Our goal is to provide the same type of value in specialty pharmacy that we provide in the PBM arena," noted Toan. Specialty distribution service ("SDS 1. (company) SDS - Scientific Data Systems.
2. (tool) SDS - Schema Definition Set.
") claims, which include products targeted to specific physicians or patient populations, increased to 0.9 million, a 13 percent increase over last year's third quarter.

Retail network claims processed in the third quarter were 90.4 million, a 2 percent increase over the third quarter of 2002. Network claims were adversely impacted by normal seasonal utilization patterns and client-specific situations. One client, emerging from bankruptcy bankruptcy, in law, settlement of the liabilities of a person or organization wholly or partially unable to meet financial obligations. The purposes are to distribute, through a court-appointed receiver, the bankrupt's assets equitably among creditors and, in most , discontinued dis·con·tin·ue  
v. dis·con·tin·ued, dis·con·tin·u·ing, dis·con·tin·ues

v.tr.
1. To stop doing or providing (something); end or abandon:
 providing retiree benefits, one client was lost through a competitive bidding Competitive bidding

A securities offering process in which securities firms submit competing bids to the issuer for the securities the issuer wishes to sell.


competitive bidding

1.
 process, and a one-year adj. 1. completing its life cycle within a year.

Adj. 1. one-year - completing its life cycle within a year; "a border of annual flowering plants"
annual

phytology, botany - the branch of biology that studies plants
 contract with a state agency expired ex·pire  
v. ex·pired, ex·pir·ing, ex·pires

v.intr.
1. To come to an end; terminate: My membership in the club has expired.

2.
, as expected, allowing the state to process claims in the future.

"Based on net new business wins to date for 2004, and the underlying fundamentals of our business, we expect revenue growth next year to exceed $1.3 billion, excluding approximately ap·prox·i·mate  
adj.
1. Almost exact or correct: the approximate time of the accident.

2.
 $0.8 billion of retail drug costs for the Department of Defense ("DoD") TRICARE Retail Pharmacy program," noted Toan.

Gross profit per adjusted claim was $1.79, consistent with the second quarter of 2003. The decrease in gross profit compared to the same quarter of 2002 is partially due to the phase out of pharmaceutical manufacturer support of drug-specific therapy substitution Substitution
Arsinoë

put her own son in place of Orestes; her son was killed and Orestes was saved. [Gk. Myth.: Zimmerman, 32]

Barabbas

robber freed in Christ’s stead. [N.T.: Matthew 27:15–18; Swed. Lit.
 programs. This reduced gross profit by approximately $8 million from the same period last year. In addition, gross profit continued to be negatively impacted by costs related to the operation of duplicate DUPLICATE. The double of anything.
     2. It is usually applied to agreements, letters, receipts, and the like, when two originals are made of either of them. Each copy has the same effect.
 mail order facilities located in Tempe, Arizona Tempe (pronounced /tɛm.'piː/) is a city in Maricopa County, Arizona, USA, with a population of 169,712 according to 2006 Census Bureau estimates. . The operation of duplicate facilities during the start-up Start-up

The earliest stage of a new business venture.
 phase was driven by our commitment to deliver the highest service standards to our clients, which also contributed to Express Scripts' strong selling season. The Company expects to integrate these facilities during 2004. "The increasing use of mail pharmacy, generic drugs and our specialty distribution services offer particularly good opportunities to generate savings for our clients on prescription drug spending and stronger operating performance for our company," noted Toan.

Selling, general and administrative ("SGA SGA
abbr.
small for gestational age


Small-for-gestational-age (SGA)
A term used to describe newborns who are below the 10th percentile in height or weight for their estimated gestational age.
") expenses decreased to $93.3 million from $112.2 million for the same quarter last year due to realizing the benefits resulting from the integration of previous acquisitions, and lower SGA expenses needed to support the drug-specific therapy substitution programs that were phased out. In addition, the decrease resulted from lower bad debt expense and contributions made to the Express Scripts Foundation last year. As a result, operating income Operating Income

The profit realized from a business' own operations.

Notes:
This would not include income from things such as investments in other firms. Also referred to as operating profit or recurring profit.
 for the third quarter increased 14 percent to $113.5 million, from $99.3 million in the third quarter of 2002. EBITDA (Earnings Before Interest, Taxes, Depreciation and Amortization) A metric used to show a company's profitability, but not its cash flow. EBITDA became popular in the 1980s to show the potential profitability of leveraged buyouts, but has become  per adjusted claim was $1.09, compared to $1.00 for the same quarter last year.

2003 and 2004 Outlook

Express Scripts is enjoying a strong selling season for 2004. In addition, 10 of Express Scripts' top 50 clients were up for renewal effective January January: see month.  2004, and the Company was successful in renewing re·new  
v. re·newed, re·new·ing, re·news

v.tr.
1. To make new or as if new again; restore: renewed the antique chair.

2.
 100 percent of this business. Based on net new business wins to date, and the underlying fundamentals of the business, the Company expects revenue growth next year to exceed $1.3 billion, excluding approximately $0.8 billion of retail drug costs for the DoD TRICARE Retail Pharmacy program discussed below. New business wins have come from all segments including state governments, self-funded employer groups employer group Association of employers Managed care An entity with a current group benefits agreement in effect with a health plan to provide covered health care services to its employee-subscribers and eligible dependents. , Blue Cross Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross.  plans, large health maintenance organizations, health insurers, third party administrators, and union-sponsored benefit plans.

As mentioned above, Express Scripts was awarded the largest competitively-bid contract of the year with the DoD for the TRICARE Retail Pharmacy ("TRRx TRRx TRICARE Retail Pharmacy (US DoD) ") program to provide retail pharmacy services for the approximate ap·prox·i·mate
v.
To bring together, as cut edges of tissue.

adj.
1. Relating to the contact surfaces, either proximal or distal, of two adjacent teeth; proximate.

2. Close together.
 2.5 million DoD beneficiaries that use the retail pharmacy benefit. Express Scripts will process over 30 million additional retail network prescriptions in the first full year of this contract. "This program complements our mail contract with the DoD, and we are proud to serve our armed forces in making prescription drugs safer and more affordable," said Toan.

In addition to this growth in membership, the Company's financial performance will continue to benefit from increased mail and generic utilization, improved formulary compliance with low-cost brands, increased productivity, growth in specialty distribution and capital structure improvements. Based on these strong fundamentals, the Company believes its 2003 diluted earnings per share diluted earnings per share

An earnings measure calculated by dividing net income less preferred stock dividends for a period by the average number of shares of common stock that would be outstanding if all convertible securities were converted into shares of
, including the $0.04 per share charge incurred in the second quarter resulting from the early retirement of debt, will be between $3.14 and $3.16. While Express Scripts has not completed its selling season for 2004, the Company believes its 2004 diluted earnings per share will increase 20 percent to 25 percent over 2003, excluding any charges associated with the early retirement of debt. The Company is evaluating refinancing Refinancing

An extension and/or increase in amount of existing debt.
 alternatives for its existing bank credit facility and optional redemption of the Senior Notes, which are first callable Callable

Applies mainly to convertible securities. Redeemable by the issuer before the scheduled maturity under specific conditions and at a stated price, which usually begins at a premium to par and declines annually.
 in June June: see month.  2004.

Express Scripts Recognized for Consistent Financial Performance

At the close of trading on September September: see month.  25, 2003, Express Scripts was added to the S&P 500 Index, which includes 500 leading companies in leading industries of the U.S. economy. "We are pleased that S&P has included Express Scripts in this world-renowned world-re·nowned
adj.
Widely known and acclaimed.
 index, which recognizes our strength, stability and market position in the health care sector," noted Toan.

Express Scripts placed 68th overall in the ranking of the 100 fastest-growing companies in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  published by Fortune Magazine, in the September 1, 2003 issue. The ranking was based on earnings growth, revenue growth, and total investment returns over the last three years.

Other Matters

The Securities and Exchange Commission ("SEC") previously announced plans to review prior filings of each of the Fortune 500 companies. The Company previously announced it had received a comment letter from the SEC with respect to its Annual Report on Form 10-K Form 10-K

A report required by the SEC from exchange-listed companies that provides for annual disclosure of certain financial information.


Form 10-K

See 10-K.
 for 2001 and subsequent quarterly reports on Form 10-Q Form 10-Q

See 10-Q.
. Most issues raised by the SEC relate to disclosure and reclassification Reclassification

The process of changing the class of mutual funds once certain requirements have been met. These requirements are generally placed on load mutual funds. Reclassification is not considered to be a taxable event.
 matters, including whether the pharmacy benefit management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims.  ("PBM") business should be comprised of two separate segments or a single segment representing an integrated product. None of these issues would affect Express Scripts' consolidated con·sol·i·date  
v. con·sol·i·dat·ed, con·sol·i·dat·ing, con·sol·i·dates

v.tr.
1. To unite into one system or whole; combine:
 results of operations, which include gross profit and net income, or the consolidated balance sheet consolidated balance sheet

A balance sheet in which assets and liabilities of a parent company and its controlled subsidiaries are combined, thereby presenting balance sheet items for the parent and its subsidiaries as if they were a single firm.
 and consolidated statement of cash flows. An additional issue raised in the SEC comment letter is whether the Company should include in revenue co-payments paid by clients' members to retail network pharmacies with respect to prescriptions filled in one of the Company's retail networks. The Company does not include such co-payments in revenue or cost of revenue. If the Company is required to include retail co-payments in revenue and cost of revenue, it would result in an increase in reported revenue and cost of revenue for the nine months ended September 30, 2003 and 2002 of approximately 23 percent to 29 percent (excluding member co-payments on plans wherein where·in  
adv.
In what way; how: Wherein have we sinned?

conj.
1. In which location; where: the country wherein those people live.

2.
 the Company does not include ingredient
This article is about ingredients in general. There is also an American soul and R&B group called The Main Ingredient.


An ingredient is something that forms part of a mixture (in a general sense).
 costs in revenue). Thus, Express Scripts' consolidated results of operations, which include gross profit and net income, and the consolidated balance sheet and consolidated statement of cash flows would not be affected. The Company is in discussions with the SEC about the issues raised in the comment letter.

Express Scripts, Inc. is one of the largest PBM companies in North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere.  providing PBM services to over 50 million members through facilities in eight states and Canada Canada (kăn`ədə), independent nation (2001 pop. 30,007,094), 3,851,787 sq mi (9,976,128 sq km), N North America. Canada occupies all of North America N of the United States (and E of Alaska) except for Greenland and the French islands of . Express Scripts serves thousands of client groups, including managed care organizations, insurance carriers, third-party administrators, employers and union-sponsored benefit plans.

Express Scripts provides integrated PBM services, including network pharmacy claims processing, mail pharmacy services, benefit design consultation, drug utilization review drug utilization review Health insurance A study of drug prescriptions to evaluate appropriateness and cost-effectiveness of drug therapy , formulary management, disease management, medical and drug data analysis services, and medical information management services. The Company also provides distribution services for specialty pharmaceuticals through its Specialty Distribution. Express Scripts is headquartered in St. Louis Louis, titular duke of Burgundy
Louis, 1682–1712, titular duke of Burgundy; grandson of King Louis XIV of France. He became heir to the throne on the death (1711) of his father, Louis the Great Dauphin.
, Missouri Missouri, state, United States
Missouri (mĭzr`ē, –ə), one of the midwestern states of the United States.
. More information can be found at http://www.express-scripts.com, which includes expanded investor information and resources.

SAFE HARBOR Safe Harbor

1. A legal provision to reduce or eliminate liability as long as good faith is demonstrated.

2. A form of shark repellent implemented by a target company acquiring a business that is so poorly regulated that the target itself is less attractive.
 STATEMENT

This press release contains forward-looking statements forward-looking statement

A projected financial statement based on management expectations. A forward-looking statement involves risks with regard to the accuracy of assumptions underlying the projections.
, including, but not limited to, statements related to the Company's plans, objectives, expectations (financial and otherwise) or intentions. Actual results may differ significantly from those projected or suggested in any forward-looking statements. Factors that may impact these forward-looking statements include but are not limited to:

-- risks associated with our ability to maintain our historic

growth rates Growth Rates

The compounded annualized rate of growth of a company's revenues, earnings, dividends, or other figures.

Notes:
Remember, historically high growth rates don't always mean a high rate of growth looking into the future.
, or to control operating or capital costs

-- continued pressure on margins resulting from client demands

for lower prices, enhanced service Enhanced service is service offered over commercial carrier transmission facilities used in interstate communications, that employs computer processing applications that act on the format, content, code, protocol, or similar aspects of the subscriber's transmitted information;  offerings and/or and/or  
conj.
Used to indicate that either or both of the items connected by it are involved.

Usage Note: And/or is widely used in legal and business writing.
 higher

service levels, and the possible termination of, or

unfavorable modification to, contracts with key clients or

providers

-- competition and continuing consolidation in the PBM industry,

and our ability to consummate To carry into completion; to fulfill; to accomplish.

A Common-Law Marriage is consummated when the parties live in a manner intended to bring about public recognition of their relationship as Husband and Wife.
 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

-- risks associated with adverse economic conditions, which may

result in lower membership growth in existing clients or in

lower rates of utilization of prescription drugs

-- adverse results in regulatory reg·u·late  
tr.v. reg·u·lat·ed, reg·u·lat·ing, reg·u·lates
1. To control or direct according to rule, principle, or law.

2.
 matters, the adoption of new

legislation or regulations, more aggressive enforcement of

existing legislation or regulations, or a change in the

interpretation of existing legislation or regulations

(including, without limitation, the Compliance Guidance for

Pharmaceutical Manufacturers issued by the Office of Inspector

General of Health and Human Services Noun 1. Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979
Department of Health and Human Services, HHS
 relating to relating to relate prepconcernant

relating to relate prepbezüglich +gen, mit Bezug auf +acc 
 the Federal

Medicare/Medicaid Anti-Kickback Statute statute, in law, a formal, written enactment by the authorized powers of a state. The term is usually not applied to a written constitution but is restricted to the enactments of a legislature. ).

-- risks associated with the operations of acquired businesses,

including integration risks and costs, risks of client

retention and repricing Repricing

To change the price of an asset. In derivatives, it sometimes refers to the exchange of options of with different strike prices.


repricing 
 of client contracts

-- increased compliance risks relating to our contracts with the

Department of Defense TRICARE Plan and various state

governments

-- risks arising from investigations of certain PBM practices and

pharmaceutical pricing, marketing and distribution practices

currently being conducted by the U.S. Attorney offices in

Philadelphia Philadelphia, ancient cities
Philadelphia, name of several ancient cities. One was in Lydia, W Asia Minor (now W Turkey). At the foot of Mt. Tmolus and near the location of modern Alaşehir, it was founded in the 2d cent. B.C.
 and Boston Boston, town, England
Boston, town (1991 pop. 26,495), E central England, on the Witham River. Boston's fame as a port dates from the 13th cent., when it was a Hanseatic port trading wool and wine. Having recovered from a decline in the 18th and 19th cent.
, the Attorney General of the State of

New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
, and other regulatory agencies regulatory agency

Independent government commission charged by the legislature with setting and enforcing standards for specific industries in the private sector. The concept was invented by the U.S.
 

-- the possible loss, or adverse modification of the terms, of

relationships with pharmaceutical manufacturers, or changes in

pricing, discount or other practices of pharmaceutical

manufacturers

-- adverse results in litigation An action brought in court to enforce a particular right. The act or process of bringing a lawsuit in and of itself; a judicial contest; any dispute.

When a person begins a civil lawsuit, the person enters into a process called litigation.
, including a number of purported pur·port·ed  
adj.
Assumed to be such; supposed: the purported author of the story.



pur·ported·ly adv.
 

class action cases challenging aspects of our business

practices

-- risks associated with the use and protection of the

intellectual property we use in our business

-- risks associated with our leverage and debt service

obligations, including the effect of certain covenants in our

borrowing agreements

-- risks associated with our ability to continue to develop new

products, services and delivery channels

-- general developments in the health care industry, including

the impact of increases in health care costs, changes in drug

utilization and cost patterns, introductions of new drugs and

conversion of prescription drugs to non-prescription (or

over-the-counter) status

-- uncertainties regarding the implementation and the ultimate

terms of proposed government initiatives, including a Medicare Medicare, national health insurance program in the United States for persons aged 65 and over and the disabled. It was established in 1965 with passage of the Social Security Amendments and is now run by the Centers for Medicare and Medicaid Services.  

prescription drug benefit

-- increase in credit risk relative to our clients due to adverse

economic trends

-- risks associated with our inability to attract and retain

qualified personnel

-- other risks described from time to time in our filings with

the SEC

We do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances CIRCUMSTANCES, evidence. The particulars which accompany a fact.
     2. The facts proved are either possible or impossible, ordinary and probable, or extraordinary and improbable, recent or ancient; they may have happened near us, or afar off; they are public or
 after the date hereof here·of  
adv.
Of this.


hereof
Adverb

Formal or law of or concerning this

Adv. 1. hereof - of or concerning this; "the twigs hereof are physic"
 or to reflect the occurrence of unanticipated events.

FINANCIAL TABLES FOLLOW


                         EXPRESS SCRIPTS, INC.
            Unaudited Consolidated Statement of Operations
                 (in thousands, except per share data)

                         Three months ended       Nine months ended
                            September  30,          September  30,
                          2003         2002       2003         2002
                        ----------  ----------  ----------  ----------

Revenues               $3,248,602  $3,187,458  $9,806,780  $8,906,004
Cost of revenues        3,041,825   2,975,996   9,173,155   8,307,781
                        ----------  ----------  ----------  ----------
   Gross profit           206,777     211,462     633,625     598,223
Selling, general and
 administrative            93,286     112,162     302,027     329,860
                        ----------  ----------  ----------  ----------
Operating income          113,491      99,300     331,598     268,363
                        ----------  ----------  ----------  ----------
Other (expense) income:
   Undistributed loss
    from joint venture     (1,436)     (1,224)     (4,520)     (3,294)
   Interest income            756       1,391       2,345       3,770
   Interest expense        (8,430)    (12,555)    (33,172)    (32,337)
                        ----------  ----------  ----------  ----------
                           (9,110)    (12,388)    (35,347)    (31,861)
                        ----------  ----------  ----------  ----------
Income before income
 taxes                    104,381      86,912     296,251     236,502
Provision for income
 taxes                     39,839      33,470     113,054      90,391
                        ----------  ----------  ----------  ----------
Income before
 cumulative effect of
 accounting change         64,542      53,442     183,197     146,111
Cumulative effect of
 accounting change,
 net of tax                     -           -      (1,028)          -
                        ----------  ----------  ----------  ----------
Net income             $   64,542  $   53,442  $  182,169  $  146,111
                        ==========  ==========  ==========  ==========

Basic earnings per
 share:
   Before cumulative
    effect of accounting
    change              $     0.82  $     0.69  $     2.34  $     1.87
   Cumulative effect of
    accounting change            -           -       (0.01)          -
                        ----------  ----------  ----------  ----------
   Net income          $     0.82  $     0.69  $     2.33  $     1.87
                        ==========  ==========  ==========  ==========

Weighted average
 number of common
 shares outstanding
 during the
 period - Basic EPS        78,666      77,829      78,197      77,962
                        ==========  ==========  ==========  ==========

Diluted earnings per
 share:
   Before cumulative
    effect of accounting
    change             $     0.81  $     0.67  $     2.30  $     1.83
   Cumulative effect of
    accounting change           -           -       (0.01)          -
                        ----------  ----------  ----------  ----------
   Net income          $     0.81  $     0.67  $     2.29  $     1.83
                        ==========  ==========  ==========  ==========

Weighted average number
 of common shares
 outstanding during the
 period - Diluted EPS      80,023      79,449      79,401      79,786
                       ==========  ==========  ==========  ==========


                         EXPRESS SCRIPTS, INC.
                 Unaudited Consolidated Balance Sheet
                   (in thousands, except share data)

                                            September 30, December 31,
                                                 2003          2002
                                              ----------    ----------
Assets
Current assets:
  Cash and cash equivalents                  $  292,310    $  190,654
  Receivables, net                              983,193       988,544
  Inventories                                   130,113       160,483
  Deferred taxes                                 14,979        25,686
  Prepaid expenses and other current assets      24,646        28,454
                                              ----------    ----------
   Total current assets                       1,445,241     1,393,821
Property and equipment, net                     173,116       168,973
Goodwill, net                                 1,420,582     1,378,436
Other intangible assets, net                    235,762       251,111
Other assets                                     20,090        14,651
                                              ----------    ----------
   Total assets                              $3,294,791    $3,206,992
                                              ==========    ==========

Liabilities and Stockholders' Equity
Current liabilities:
  Claims and rebate payable                  $1,155,195    $1,084,906
  Accounts payable                              196,211       255,245
  Accrued expenses                              185,583       200,356
  Current maturities of long-term debt                -         3,250
                                              ----------    ----------
   Total current liabilities                  1,536,989     1,543,757
Long-term debt                                  455,089       562,556
Other liabilities                               124,460        97,824
                                              ----------    ----------
   Total liabilities                          2,116,538     2,204,137

Stockholders' equity:
  Preferred stock, $0.01 par value per share,
   5,000,000 shares authorized, and no
   shares issued and outstanding                      -             -
  Common stock, $0.01 par value per share,
   181,000,000 shares authorized, and
   79,777,000 and 79,834,000 shares issued
   and outstanding, respectively                    797           798
  Additional paid-in capital                    482,754       503,746
  Unearned compensation under employee
   compensation plans                           (25,413)       (8,179)
  Accumulated other comprehensive income          1,744        (4,422)
  Retained earnings                             797,119       614,950
                                              ----------    ----------
                                              1,257,001     1,106,893
Common Stock in treasury at cost,
 1,234,000 and 1,963,000 shares,
 respectively                                   (78,748)     (104,038)
                                              ----------    ----------
   Total stockholders' equity                 1,178,253     1,002,855
                                              ----------    ----------
   Total liabilities and stockholders'
    equity                                   $3,294,791    $3,206,992
                                              ==========   ==========


                         EXPRESS SCRIPTS, INC.
       Unaudited Condensed Consolidated Statement of Cash Flows
                            (in thousands)

                                                   Nine months ended
                                                     September 30,
                                                    2003       2002
                                                  ---------  ---------
 Cash flow from operating activities:
 Net income                                      $ 182,169  $ 146,111
 Adjustments to reconcile net income to net cash
  provided by operating activities:
   Depreciation and amortization                    39,687     62,975
   Non-cash adjustments to net income               65,548     54,625
   Net changes in operating assets and liabilities  (6,008)    23,253
                                                  ---------  ---------
 Net cash provided by operating activities         281,396    286,964
                                                  ---------  ---------

 Cash flows from investing activities:
   Purchases of property and equipment             (32,012)   (32,472)
   Acquisitions and joint venture                    3,560   (497,229)
   Other                                                15        655
                                                  ---------  ---------
 Net cash used in investing activities             (28,437)  (529,046)
                                                  ---------  ---------

 Cash flows from financing activities:
   Proceeds from long-term debt                     50,000    425,000
   Repayment of long-term debt                    (160,430)  (150,000)
   Treasury stock acquired                         (79,073)   (66,840)
   Net proceeds from employee stock plans           35,908     21,700
   Other                                                 -     (3,885)
                                                  ---------  ---------
 Net cash (used in) provided by financing
  activities                                      (153,595)   225,975
                                                  ---------  ---------

 Effect of foreign currency translation
  adjustment                                         2,292        (10)
                                                  ---------  ---------

 Net increase (decrease) in cash and cash
  equivalents                                      101,656    (16,117)
 Cash and cash equivalents at beginning of period  190,654    177,715
                                                  ---------  ---------
 Cash and cash equivalents at end of period      $ 292,310  $ 161,598
                                                  =========  =========



                         EXPRESS SCRIPTS, INC.
                                Table 1
                    Unaudited Operating Statistics
                   (in thousands, except per claim)


                                 3 months    3 months      3 months
                                   ended       ended         ended
                                 9/30/2003   6/30/2003     3/31/2003
                                 ----------  ----------    ----------
 Revenue Detail
 --------------
 Network revenues               $2,201,301  $2,303,311    $2,188,208
 Mail revenues                     969,170     951,473       961,273
 Services revenues                  14,922      17,787        18,811
                                 ----------  ----------    ----------
   PBM revenues                  3,185,393   3,272,571     3,168,292
                                 ----------  ----------    ----------

 Services revenues                  26,082      28,637        27,793
 Other revenues                     37,127      32,989        27,896
                                 ----------  ----------    ----------
   Non-PBM revenues                 63,209      61,626        55,689
                                 ----------  ----------    ----------
 Total revenues (1)             $3,248,602  $3,334,197    $3,223,981
                                 ==========  ==========    ==========

 Per Claim
 ---------
 Network revenue/claim          $    24.34  $    23.99    $    22.64
 Mail revenue/claim             $   118.83  $   117.09 (2)$   129.36

 Claims Detail
 -------------
 Network (3)                        90,427      96,025        96,667
 SDS                                   896         966           889
 Mail                                8,156       8,126         7,431
                                 ----------  ----------    ----------
 Total claims                       99,479     105,117       104,987
                                 ==========  ==========    ==========
 Adjusted claims (4)               115,791     121,369       119,849
                                 ==========  ==========    ==========

 Margin Analysis
 ---------------
 Gross profit margin                   6.4%        6.5%          6.5%
 EBITDA margin                         3.9%        3.7%          3.8%

 Per Adjusted Claim
 ------------------
 Gross profit                   $     1.79  $     1.79    $     1.75
 EBITDA (5)                     $     1.09  $     1.02    $     1.01


                                               3 months     3 months
                                                 ended       ended
                                              12/31/2002   9/30/2002
                                              -----------  ----------
 Revenue Detail
 --------------
 Network revenues                            $ 2,314,967  $2,180,451
 Mail revenues                                   976,268     941,259
 Services revenues                                24,500      22,150
                                              -----------  ----------
   PBM revenues                                3,315,735   3,143,860
                                              -----------  ----------

 Services revenues                                27,071      24,432
 Other revenues                                   21,703      19,166
                                              -----------  ----------
   Non-PBM revenues                               48,774      43,598
                                              -----------  ----------
 Total revenues (1)                          $ 3,364,509  $3,187,458
                                              ===========  ==========

 Per Claim
 ---------
 Network revenue/claim                       $     24.55  $    24.54
 Mail revenue/claim                          $    136.96  $   133.78

 Claims Detail
 -------------
 Network (3)                                      94,289      88,869
 SDS                                                 863         794
 Mail                                              7,128       7,036
                                              -----------  ----------
 Total claims                                    102,280      96,699
                                              ===========  ==========
 Adjusted claims (4)                             116,536     110,771
                                              ===========  ==========

 Margin Analysis
 ---------------
 Gross profit margin                                 6.7%        6.6%
 EBITDA margin                                       3.6%        3.5%

 Per Adjusted Claim
 ------------------
 Gross profit                                $      1.93  $     1.91
 EBITDA (5)                                  $      1.05  $     1.00


 See Notes to Unaudited Operating Statistics


                        Selected Ratio Analysis
                                Table 2

                                        As of      As of      As of
                                      9/30/2003  6/30/2003  3/31/2003
                                      ---------- ---------- ----------

 Debt to EBITDA ratio (6)                   0.9x       1.0x       1.2x
 EBITDA interest coverage (7)              11.0x       9.8x      10.1x
 Operating cash flow interest               9.4x       7.2x      10.7x
  coverage (8)
 Debt to capitalization (9)                27.9%      29.7%      33.6%


                                                    As of      As of
                                                 12/31/2002 9/30/2002
                                                 ---------- ----------

  Debt to EBITDA ratio (6)                              1.2x      1.5x
  EBITDA interest coverage (7)                         10.3x     10.3x
  Operating cash flow interest
   coverage (8)                                         9.7x      9.9x
  Debt to capitalization (9)                           36.1%     39.0%


                         EXPRESS SCRIPTS, INC.

  Notes to Unaudited Operating Statistics and Selected Ratio Analysis
                            (in thousands)


(1)  During 2002, we early adopted EITF No. 02-16, "Accounting by a
 Reseller for Cash Consideration Received from a Vendor." EITF 02-16
 requires any consideration received from a vendor to be characterized
 as a reduction of cost of revenues. As a result, revenues and cost of
 revenues have been reduced by the gross amount of rebates and
 administrative fees received from pharmaceutical manufacturers for
 collecting, processing and reporting drug utilization data, for
 monitoring formulary compliance, and for calculating and distributing
 rebates to those of our clients for whom our PBM services includes
 the claim processing function.  Our client's portion, a majority of
 such amounts, will continue to be classified as a reduction of
 revenues.  Our consolidated gross profit was not impacted as a result
 of this adoption. The amount of the reduction in revenues and cost of
 revenues is as follows:

4th Quarter 2002  3rd Quarter 2002  2nd Quarter 2002  1st Quarter 2002
   $ 244,970         $ 238,740         $ 235,113         $ 198,048


 (2)  The decrease in mail revenue per claim beginning in the second
  quarter of 2003 as compared to the first quarter of 2003 reflects
  the Department of Defense ("DoD") TRICARE Management Activity mail
  contract in which we earn a fee per prescription filled by our mail
  order facility.  Revenues and cost of revenues do not include
  ingredient costs.

 (3)  Network claims exclude drug formulary only claims where we only
  administer the clients formulary and approximately 0.5 million
  manual claims per quarter.

 (4)  Adjusted claims represent network claims and specialty
  distribution claims plus mail claims, which are multiplied by 3, as
  mail claims are typically 90 day claims and network claims are
  generally 30 day claims.

 (5)  The following is a reconciliation of EBITDA to net income and to
  net cash provided by operating activities as the Company believes
  they are the most directly comparable measure calculated under
  Generally Accepted Accounting Principles:


                               3 months ended      9 months ended
                                September 30,       September 30,
                            ------------------- --------------------
                               2003      2002      2003      2002
                             --------  --------  --------  --------
 Net income                 $ 64,542  $ 53,442  $182,169  $146,111
   Income taxes               39,839    33,470   113,054    90,391
   Depreciation and
    amortization (a)          13,294    12,012    39,687    62,975 (b)
   Interest expense, net       7,674    11,164    30,827    28,567
   Undistributed loss from
    joint venture              1,436     1,224     4,520     3,294
   Cumulative effect of
    accounting change, net
    of tax                         -         -     1,028         -
                             --------  --------  --------  --------
 EBITDA                      126,785   111,312   371,285   331,338
   Current income taxes      (23,752)  (20,103)  (78,858)  (71,617)
   Interest expense less
    amortization              (7,288)   (8,937)  (28,208)  (25,204)
   Undistributed loss from
    joint venture             (1,436)   (1,224)   (4,520)   (3,294)
   Other adjustments to
    reconcile net income
    to net cash provided by
    operating activities      66,489    10,402    21,697    55,741
                             --------  --------  --------  --------
 Net cash provided by
  operating activities      $160,798  $ 91,450  $281,396  $286,964
                             ========  ========  ========  ========


 EBITDA is earnings before other income (expense), interest, taxes,
 depreciation and amortization, or operating income plus depreciation
 and amortization.  EBITDA is presented because it is a widely
 accepted indicator of a company's ability to service indebtedness and
 is frequently used to evaluate a company's performance.  EBITDA,
 however, should not be considered as an alternative to net income, as
 a measure of operating performance, as an alternative to cash flow,
 as a measure of liquidity or as a substitute for any other measure
 computed in accordance with accounting principles generally accepted
 in the United States. In addition, our definition and calculation of
 EBITDA may not be comparable to that used by other companies.


 (a)  Includes depreciation and amortization expense of:

 Gross profit                      $ 5,145  $ 4,505  $15,556  $19,165
 Selling, general and
  administrative                     8,149    7,507   24,131   43,810
                                    -------  -------  -------  -------
                                   $13,294  $12,012  $39,687  $62,975
                                    =======  =======  =======  =======

 (b)  Includes additional depreciation of approximately $23,000 for
  the 9 months ended September 30, 2002 resulting from shortening
  estimated useful lives on certain assets associated with legacy
  information systems.


 (6) Represents debt as of the balance sheet date divided by EBITDA
  for the twelve months ended.

 (7) Represents EBITDA for the twelve months ended divided by interest
  for the twelve months ended.

 (8) Represents Operating Cash Flow  for the twelve months ended
  divided by interest for the twelve months ended.  For the second
  quarter of 2003, this ratio was negatively impacted by the non-
  recurring charges to interest expense of $5.0 million which pertains
  to the early retirement of debt.

 (9) Represents debt divided by the total of debt and stockholders
  equity.

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