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, 2011.
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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 organization)
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(I.R.S. Employer Identification No.) |
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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
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Accelerated filer o
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Non-accelerated filer o
(Do not check if a smaller reporting company)
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Smaller reporting company o |
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, 2011:
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486,508,000 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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2011 |
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2010 |
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Assets |
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Current assets: |
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Cash and cash equivalents |
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$ |
1,062.6 |
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$ |
523.7 |
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Restricted cash and investments |
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19.9 |
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16.3 |
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Receivables, net |
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1,770.7 |
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1,720.9 |
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Inventories |
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340.2 |
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382.4 |
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Deferred taxes |
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45.0 |
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86.0 |
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Prepaid expenses |
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42.7 |
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177.6 |
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Other current assets |
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25.3 |
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34.4 |
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Total current assets |
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3,306.4 |
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2,941.3 |
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Property and equipment, net |
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388.8 |
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372.7 |
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Goodwill |
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5,485.4 |
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5,486.2 |
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Other intangible assets, net |
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1,665.8 |
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1,725.0 |
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Other assets |
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25.3 |
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32.6 |
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Total assets |
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$ |
10,871.7 |
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$ |
10,557.8 |
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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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$ |
2,710.9 |
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$ |
2,666.5 |
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Accounts payable |
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744.3 |
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656.7 |
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Accrued expenses |
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688.6 |
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593.9 |
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Current maturities of long-term debt |
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999.9 |
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0.1 |
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Total current liabilities |
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5,143.7 |
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3,917.2 |
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Long-term debt |
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2,989.3 |
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2,493.7 |
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Other liabilities |
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574.0 |
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540.3 |
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Total liabilities |
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8,707.0 |
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6,951.2 |
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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, $0.01 par
value per share; shares issued: 690,622,000 and 690,231,000,
respectively;
shares outstanding: 486,508,000 and 528,069,000, respectively |
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6.9 |
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6.9 |
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Additional paid-in capital |
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2,422.5 |
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2,354.4 |
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Accumulated other comprehensive income |
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15.6 |
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19.8 |
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Retained earnings |
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6,355.2 |
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5,369.8 |
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8,800.2 |
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7,750.9 |
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Common stock in treasury at cost, 204,114,000 and 162,162,000
shares, respectively |
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(6,635.5 |
) |
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(4,144.3 |
) |
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Total stockholders equity |
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2,164.7 |
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3,606.6 |
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Total liabilities and stockholders equity |
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$ |
10,871.7 |
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$ |
10,557.8 |
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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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2011 |
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2010 |
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2011 |
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2010 |
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Revenues 1 |
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$ |
11,571.0 |
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$ |
11,251.8 |
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$ |
34,026.9 |
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$ |
33,679.0 |
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Cost of revenues 1 |
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10,735.2 |
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10,487.7 |
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31,661.5 |
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31,494.2 |
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Gross profit |
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835.8 |
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764.1 |
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2,365.4 |
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2,184.8 |
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Selling, general and administrative |
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230.7 |
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236.1 |
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628.6 |
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671.8 |
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Operating income |
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605.1 |
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528.0 |
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1,736.8 |
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1,513.0 |
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Other (expense) income: |
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Interest income |
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5.9 |
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2.2 |
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7.8 |
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4.4 |
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Interest expense and other |
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(94.3 |
) |
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(42.2 |
) |
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(184.3 |
) |
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(127.0 |
) |
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(88.4 |
) |
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(40.0 |
) |
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(176.5 |
) |
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(122.6 |
) |
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Income before income taxes |
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516.7 |
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488.0 |
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1,560.3 |
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1,390.4 |
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Provision for income taxes |
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192.0 |
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180.9 |
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574.9 |
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515.4 |
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Net income from continuing operations |
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324.7 |
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307.1 |
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985.4 |
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875.0 |
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Net loss from discontinued
operations, net of tax |
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(5.6 |
) |
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(23.4 |
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Net income |
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$ |
324.7 |
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$ |
301.5 |
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$ |
985.4 |
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$ |
851.6 |
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Weighted average number of common
shares outstanding during the
period: |
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Basic |
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487.2 |
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531.7 |
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506.1 |
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541.9 |
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Diluted |
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490.8 |
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537.0 |
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510.3 |
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547.5 |
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Basic earnings (loss) per share: |
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Continuing operations |
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$ |
0.67 |
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$ |
0.58 |
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$ |
1.95 |
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$ |
1.61 |
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Discontinued operations |
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(0.01 |
) |
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(0.04 |
) |
Net earnings |
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0.67 |
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0.57 |
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1.95 |
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1.57 |
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Diluted earnings (loss) per share: |
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Continuing operations |
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$ |
0.66 |
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$ |
0.57 |
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$ |
1.93 |
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$ |
1.60 |
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Discontinued operations |
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(0.01 |
) |
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(0.04 |
) |
Net earnings |
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0.66 |
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0.56 |
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1.93 |
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1.56 |
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1 |
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Includes retail pharmacy co-payments of $1,390.4 million and $1,478.5 million for
the three months ended September 30, 2011 and 2010, respectively and $4,374.0 million and $4,688.4
million for the nine months ended September 30, 2011 and 2010, respectively. |
See accompanying Notes to Unaudited Consolidated Financial Statements
4
EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Changes in Stockholders Equity
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Number |
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of Shares |
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Amount |
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Accumulated |
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Additional |
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Other |
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Common |
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Common |
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Paid-in |
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Comprehensive |
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Retained |
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Treasury |
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(in millions) |
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Stock |
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Stock |
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Capital |
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Income |
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Earnings |
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Stock |
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Total |
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Balance at December 31, 2010 |
|
|
690.2 |
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$ |
6.9 |
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$ |
2,354.4 |
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|
$ |
19.8 |
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|
$ |
5,369.8 |
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$ |
(4,144.3 |
) |
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$ |
3,606.6 |
|
Comprehensive income: |
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Net income |
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|
985.4 |
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|
985.4 |
|
Other comprehensive
income: |
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Foreign currency
translation adjustment |
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(4.2 |
) |
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(4.2 |
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Comprehensive income |
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(4.2 |
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985.4 |
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|
981.2 |
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Treasury stock acquired |
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(2,515.7 |
) |
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(2,515.7 |
) |
Changes in stockholders
equity related to
employee stock plans |
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0.4 |
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68.1 |
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24.5 |
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|
92.6 |
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Balance at September 30, 2011 |
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|
690.6 |
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|
$ |
6.9 |
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|
$ |
2,422.5 |
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|
$ |
15.6 |
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|
$ |
6,355.2 |
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|
$ |
(6,635.5 |
) |
|
$ |
2,164.7 |
|
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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2011 |
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2010 |
|
Cash flows from operating activities: |
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Net income |
|
$ |
985.4 |
|
|
$ |
851.6 |
|
Net loss from discontinued operations, net of tax |
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|
|
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|
23.4 |
|
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Net income from continuing operations |
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|
985.4 |
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|
875.0 |
|
Adjustments to reconcile net income to net cash provided by
operating activities: |
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Depreciation and amortization |
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|
187.5 |
|
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|
180.9 |
|
Non-cash adjustments to net income |
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|
152.9 |
|
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|
140.7 |
|
Deferred financing fees |
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|
44.9 |
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|
4.1 |
|
Changes in operating assets and liabilities: |
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Accounts receivable |
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(58.1 |
) |
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|
706.6 |
|
Claims and rebates payable |
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|
44.4 |
|
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|
(253.2 |
) |
Other net changes in operating assets and liabilities |
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|
302.9 |
|
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|
175.6 |
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Net cash provided by operating activitiescontinuing operations |
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|
1,659.9 |
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|
1,829.7 |
|
Net cash provided by operating activitiesdiscontinued operations |
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|
12.3 |
|
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Net cash flows provided by operating activities |
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|
1,659.9 |
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|
1,842.0 |
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Cash flows from investing activities: |
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Purchases of property and equipment |
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|
(98.1 |
) |
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|
(84.6 |
) |
Other |
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|
8.5 |
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|
5.8 |
|
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|
Net cash used in investing activities continuing operations |
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|
(89.6 |
) |
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|
(78.8 |
) |
Net cash used in investing activities discontinued operations |
|
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(0.8 |
) |
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Net cash used in investing activities |
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|
(89.6 |
) |
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|
(79.6 |
) |
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Cash flows from financing activities: |
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Treasury stock acquired |
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|
(2,515.7 |
) |
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|
(1,276.2 |
) |
Proceeds from long-term debt, net of discounts |
|
|
1,494.0 |
|
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|
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|
Deferred financing fees |
|
|
(62.7 |
) |
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|
(3.9 |
) |
Net proceeds from employee stock plans |
|
|
28.9 |
|
|
|
19.3 |
|
Tax benefit relating to employee stock compensation |
|
|
27.3 |
|
|
|
32.9 |
|
Repayment of long-term debt |
|
|
(0.1 |
) |
|
|
(1,340.1 |
) |
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(1,028.3 |
) |
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|
(2,568.0 |
) |
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|
Effect of foreign currency translation adjustment |
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|
(3.1 |
) |
|
|
2.7 |
|
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|
Net increase (decrease) in cash and cash equivalents |
|
|
538.9 |
|
|
|
(802.9 |
) |
Cash and cash equivalents at beginning of period |
|
|
523.7 |
|
|
|
1,070.4 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period |
|
$ |
1,062.6 |
|
|
$ |
267.5 |
|
|
|
|
|
|
|
|
See accompanying Notes to Unaudited Consolidated Financial Statements
6
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, 2010. 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, 2010.
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, 2011, the unaudited consolidated statement of
operations for the three and nine months ended September 30, 2011 and 2010, the unaudited
consolidated statement of changes in stockholders equity for the nine months ended September 30,
2011, and the unaudited consolidated statement of cash flows for the nine months ended September
30, 2011 and 2010. Operating results for the three and nine months ended September 30, 2011 are
not necessarily indicative of the results that may be expected for the year ending December 31,
2011.
New Accounting Guidance. In September 2011, the Financial Accounting Standards Board (FASB)
issued authoritative guidance allowing entities testing goodwill for impairment to perform a
qualitative assessment to determine whether further impairment testing is necessary. If entities
determine, on the basis of qualitative factors, that it is more likely than not that a reporting
units fair value is greater than the carrying amount, a quantitative calculation may not be
needed. This update is effective for annual and interim goodwill impairment tests performed for
fiscal years beginning after December 15, 2011. We plan to early adopt the guidance as permitted
by the new standard in the fourth quarter of 2011. Adoption of the standard is not expected to
have a material impact on our financial position, results of operations, or cash flows.
In June 2011, the FASB issued authoritative guidance eliminating the option to report other
comprehensive income and its components in the statement of changes in equity. Under the new
guidance, an entity can elect to present items of net income and other comprehensive income in a
single continuous statement or in two separate but consecutive statements. This update is
effective for fiscal years, and interim periods within those fiscal years, beginning after December
15, 2011. Adoption of the standard will impact the presentation of certain information within the
financial statements, but is not expected to have an impact on our financial position, results of
operations, or cash flows.
In May 2011, the FASB issued authoritative guidance containing changes to certain aspects of
the measurement of fair value of assets and liabilities and requiring additional disclosures around
assets and liabilities measured at fair value using Level 3 inputs (see Note 2 below) as well as
disclosures about the use of nonfinancial assets measured or disclosed at fair value if their use
differs from their highest and best use. This statement is effective for financial statements
issued for annual periods beginning on or after December 15, 2011. Adoption of the standard is not
expected to have an impact on our financial position, results of operations, or cash flows.
Note 2 Fair value measurements
Accounting 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.
7
Financial assets accounted for at fair value on a recurring basis include cash equivalents of
$933.6 million and $426.3 million, restricted cash and investments of $19.9 million and $16.3
million, and trading securities (included in other assets) of $13.4 million and $13.5 million at
September 30, 2011 and December 31, 2010, respectively. These assets are carried at fair value
based on quoted prices in active markets 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, 2011 |
|
|
December 31, 2010 |
|
|
|
Carrying |
|
|
Fair |
|
|
Carrying |
|
|
Fair |
|
(in millions) |
|
Amount |
|
|
Value |
|
|
Amount |
|
|
Value |
|
|
3.125% senior notes
due 2016, net of
unamortized
discount |
|
$ |
1,494.4 |
|
|
$ |
1,492.1 |
|
|
$ |
|
|
|
$ |
|
|
5.25% senior notes
due 2012, net of
unamortized
discount |
|
|
999.8 |
|
|
|
1,027.5 |
|
|
|
999.6 |
|
|
|
1,056.0 |
|
6.25% senior notes
due 2014, net of
unamortized
discount |
|
|
997.6 |
|
|
|
1,095.2 |
|
|
|
996.9 |
|
|
|
1,116.0 |
|
7.25% senior notes
due 2019, net of
unamortized
discount |
|
|
497.2 |
|
|
|
607.6 |
|
|
|
497.1 |
|
|
|
586.3 |
|
|
|
|
Total |
|
$ |
3,989.0 |
|
|
$ |
4,222.4 |
|
|
$ |
2,493.6 |
|
|
$ |
2,758.3 |
|
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 Changes in business
On July 20, 2011, we entered into a definitive merger agreement (the Merger Agreement) with
Medco Health Solutions, Inc. (Medco). The Merger Agreement provides that, upon the terms and
subject to the conditions set forth in the Merger Agreement, Medco shareholders will receive total
consideration of $23.2 billion composed of $58.83 per share in cash and stock (valued based on the
closing price of our stock on September 30, 2011), including $28.80 in cash and 0.81 shares for
each Medco share owned. Upon closing of the transactions under the Merger Agreement (the
Transaction), our shareholders are expected to own approximately 60% of the combined company and
Medco shareholders are expected to own approximately 40%. The merger will combine the expertise of
two complementary pharmacy benefit managers to accelerate efforts to lower the cost of prescription
drugs and improve the quality of care. We anticipate the Transaction will close in the first half
of 2012. The Transaction is subject to regulatory clearance and Express Scripts and Medcos
shareholder approvals and other customary closing conditions. The Transaction will be accounted for
under the authoritative guidance for business combinations.
8
Consummation of the Transaction is subject to the expiration or termination of the waiting
period under the United States Hart-Scott-Rodino Antitrust
Improvements Act of 1976 (the HSR Act) and other
customary conditions, including (i) approval of the Merger Agreement by Medcos stockholders and
Express Scripts stockholders, (ii) the approval for listing on the Nasdaq Stock Market of the
common stock of a new parent company for Express Scripts and Medco (Parent), (iii) the absence of
any order prohibiting or restraining the merger, (iv) the effectiveness under the Securities Act of
1933 of a registration statement covering the shares of Parent common stock, (v) the receipt of
certain regulatory consents, (vi) subject to certain exceptions, the accuracy of Medcos and
Express Scripts representations and warranties in the Merger Agreement, (vii) performance by Medco
and Express Scripts of their respective obligations in the Merger Agreement, (viii) the absence of
certain governmental appeals, and (ix) the delivery of customary opinions from counsel to Medco and
Express Scripts to the effect that the Transaction will qualify as a tax-free exchange for federal
income tax purposes.
On September 2, 2011, Express Scripts and Medco each received a request for additional
information (a second request) from the U.S. Federal Trade Commission (the FTC) in connection
with the FTCs review of the merger. A second request was anticipated by the parties to the mergers
at the time of signing of the Merger Agreement. Issuance of the second request extends the waiting
period under the HSR Act until 30 days after both parties have substantially complied with the
requests, unless the waiting period is terminated sooner by the FTC. The companies have been
cooperating with the FTC staff since shortly after the announcement of the merger and intend to
continue to work cooperatively with the FTC staff in the review of the merger. Express Scripts
intends to respond to the second request as promptly as practicable. While we cannot specify how
long it will take to comply with the second request, we continue to anticipate the transactions
contemplated by the Merger Agreement will close in the first half of 2012.
Note 4 Discontinued Operations
During the second quarter of 2010, we concluded that our Phoenix Marketing Group (PMG) line
of business 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. Prior to being classified as a discontinued operation, PMG was included in our
Emerging Markets (EM) segment. PMG was headquartered in Lincoln Park, New Jersey and provided
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, cash flows of our discontinued
operations are segregated in our accompanying unaudited consolidated statements of cash flows. In
the third quarter of 2010, we completed the sale of PMG.
Certain information with respect to discontinued operations for the three and nine months
ended September 30, 2011 and 2010 is summarized below.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended, |
|
|
Nine Months Ended, |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
|
Revenues |
|
$ |
|
|
|
$ |
5.2 |
|
|
$ |
|
|
|
$ |
16.5 |
|
Net loss from discontinued operations, net of tax |
|
|
|
|
|
|
(5.6 |
) |
|
|
|
|
|
|
(23.4 |
) |
Income tax benefit from discontinued operations |
|
$ |
|
|
|
$ |
(2.5 |
) |
|
$ |
|
|
|
$ |
(12.9 |
) |
9
Note 5 Goodwill and other intangible assets
The following is a summary of our goodwill and other intangible assets for our two reportable
segments Pharmacy Benefit Management (PBM) and EM:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
September 30, 2011 |
|
|
December 31, 2010 |
|
|
|
Gross |
|
|
|
|
|
|
Net |
|
|
Gross |
|
|
|
|
|
|
Net |
|
|
|
Carrying |
|
|
Accumulated |
|
|
Carrying |
|
|
Carrying |
|
|
Accumulated |
|
|
Carrying |
|
(in millions) |
|
Amount |
|
|
Amortization |
|
|
Amount |
|
|
Amount |
|
|
Amortization |
|
|
Amount |
|
|
Goodwill |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM(1) |
|
$ |
5,512.3 |
|
|
$ |
(107.4 |
) |
|
$ |
5,404.9 |
|
|
$ |
5,513.1 |
|
|
$ |
(107.4 |
) |
|
$ |
5,405.7 |
|
EM(1) |
|
|
80.5 |
|
|
|
|
|
|
|
80.5 |
|
|
|
80.5 |
|
|
|
|
|
|
|
80.5 |
|
|
|
|
|
|
|
|
$ |
5,592.8 |
|
|
$ |
(107.4 |
) |
|
$ |
5,485.4 |
|
|
$ |
5,593.6 |
|
|
$ |
(107.4 |
) |
|
$ |
5,486.2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other intangible assets |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Customer contracts |
|
$ |
2,018.4 |
|
|
$ |
(457.5 |
) |
|
$ |
1,560.9 |
|
|
$ |
2,018.7 |
|
|
$ |
(346.4 |
) |
|
$ |
1,672.3 |
|
Other (2) |
|
|
96.7 |
|
|
|
(23.9 |
) |
|
|
72.8 |
|
|
|
20.8 |
|
|
|
(5.0 |
) |
|
|
15.8 |
|
|
|
|
|
|
|
|
|
2,115.1 |
|
|
|
(481.4 |
) |
|
|
1,633.7 |
|
|
|
2,039.5 |
|
|
|
(351.4 |
) |
|
|
1,688.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Customer relationships |
|
|
68.4 |
|
|
|
(37.0 |
) |
|
|
31.4 |
|
|
|
68.4 |
|
|
|
(32.2 |
) |
|
|
36.2 |
|
Other |
|
|
0.7 |
|
|
|
|
|
|
|
0.7 |
|
|
|
0.7 |
|
|
|
|
|
|
|
0.7 |
|
|
|
|
|
|
|
|
|
69.1 |
|
|
|
(37.0 |
) |
|
|
32.1 |
|
|
|
69.1 |
|
|
|
(32.2 |
) |
|
|
36.9 |
|
|
|
|
|
|
Total other intangible assets |
|
$ |
2,184.2 |
|
|
$ |
(518.4 |
) |
|
$ |
1,665.8 |
|
|
$ |
2,108.6 |
|
|
$ |
(383.6 |
) |
|
$ |
1,725.0 |
|
|
|
|
|
|
|
|
|
(1) |
|
As discussed in Note 11 Segment Information, during the third quarter of 2011 we
reorganized our FreedomFP line of business from our EM segment into our PBM segment. All
amounts at December 31, 2010 have been restated for comparability. |
|
(2) |
|
Changes in other intangible assets are a result of the capitalization of $65.0 million
of deferred financing fees related to the bridge facility during the third quarter of 2011
and the capitalization of $10.9 million of deferred financing fees related to the issuance
of the 2016 Senior Notes during the second quarter of 2011 (see Note 7 Financing). |
The aggregate amount of amortization expense of other intangible assets for our
continuing operations was $55.3 million and $40.1 million for the three months ended September 30,
2011 and 2010, respectively and $135.0 million and $120.1 million for the nine months ended
September 30, 2011 and 2010, respectively. In accordance with applicable accounting guidance,
amortization for customer contracts related to our agreement to provide PBM services to members of
the affiliated health plans of WellPoint has been included as an offset to revenues in the amount
of $28.5 million for the three months ended September 30, 2011 and 2010 and $85.5 million for the
nine months ended September 30, 2011 and 2010. The future aggregate amount of amortization expense
of other intangible assets for our continuing operations is expected to be approximately $197.8
million for 2011, $187.8 million for 2012, $159.1 million for 2013, $153.5 million for 2014 and
$135.3 million for 2015. The weighted average amortization period of intangible assets subject to
amortization is 14 years in total, and by major intangible class is 5 to 20 years for
customer-related intangibles and nine months to 10 years for other intangible assets.
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 |
|
|
Total |
|
|
Balance at December 31, 2010 |
|
$ |
5,405.7 |
|
|
$ |
80.5 |
|
|
$ |
5,486.2 |
|
Foreign currency translation |
|
|
(0.8 |
) |
|
|
|
|
|
|
(0.8 |
) |
|
|
|
|
|
|
|
|
|
|
Balance at September 30, 2011 |
|
$ |
5,404.9 |
|
|
$ |
80.5 |
|
|
$ |
5,485.4 |
|
|
|
|
|
|
|
|
|
|
|
10
Note 6 Earnings per share
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. All shares are calculated under
the treasury stock method. The following is the reconciliation between the number of weighted
average shares used in the basic and diluted EPS calculations for all periods:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2011(1) |
|
|
2010 |
|
|
2011(1) |
|
|
2010 |
|
|
Weighted average number of common shares
outstanding during the period Basic EPS(2) |
|
|
487.2 |
|
|
|
531.7 |
|
|
|
506.1 |
|
|
|
541.9 |
|
Dilutive common stock equivalents: (3) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding stock options, stock-settled stock
appreciation rights (SSRs), restricted stock units, and
executive deferred compensation units(2) |
|
|
3.6 |
|
|
|
5.3 |
|
|
|
4.2 |
|
|
|
5.6 |
|
|
|
|
Weighted average number of common shares
outstanding during the period Diluted EPS(2) |
|
|
490.8 |
|
|
|
537.0 |
|
|
|
510.3 |
|
|
|
547.5 |
|
|
|
|
|
|
|
(1) |
|
The decrease in weighted average number of common shares outstanding for the three and
nine months ended September 30, 2011 for Basic and Diluted EPS resulted from the 26.9
million treasury shares repurchased in the year ended December 31, 2010 and the 44.3
million treasury shares repurchased during the first nine months of 2011. |
|
(2) |
|
Excludes awards of 4.6 million and 2.6 million for the three months ended September
30, 2011 and 2010, respectively and 3.0 million for both the nine months ended September
30, 2011 and 2010, respectively. These were excluded because their effect was
anti-dilutive. |
|
(3) |
|
Dilutive common stock equivalents do not include the 1.8 million shares that we would
receive if the Accelerated Share Repurchase agreement discussed in Note 8 were settled as
of September 30, 2011. These were excluded because their effect was anti-dilutive. |
Note 7 Financing
Long-term debt consists of:
|
|
|
|
|
|
|
|
|
|
|
September 30, |
|
|
December 31, |
|
(in millions) |
|
2011 |
|
|
2010 |
|
|
3.125% senior notes due 2016, net of unamortized discount |
|
$ |
1,494.4 |
|
|
$ |
|
|
5.25% senior notes due 2012, net of unamortized discount |
|
|
999.8 |
|
|
|
999.6 |
|
6.25% senior notes due 2014, net of unamortized discount |
|
|
997.6 |
|
|
|
996.9 |
|
7.25% senior notes due 2019, net of unamortized discount |
|
|
497.2 |
|
|
|
497.1 |
|
Revolving credit facility due August 29, 2016 |
|
|
|
|
|
|
|
|
Revolving credit facility due August 13, 2013 |
|
|
|
|
|
|
|
|
Other |
|
|
0.2 |
|
|
|
0.2 |
|
|
|
|
Total debt |
|
|
3,989.2 |
|
|
|
2,493.8 |
|
|
|
|
|
|
|
|
|
|
Less current maturities |
|
|
999.9 |
|
|
|
0.1 |
|
|
|
|
Long-term debt |
|
$ |
2,989.3 |
|
|
$ |
2,493.7 |
|
|
|
|
11
BANK CREDIT FACILITIES
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 (none of which was
outstanding as of September 30, 2011) available for general corporate purposes. The credit
agreement requires us to pay interest periodically on the London Interbank Offered Rates (LIBOR)
or base rate options, plus a margin ranging 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 ranges from 0.20% to
0.30% depending on our consolidated leverage ratio.
On August 29, 2011, we entered into a credit agreement (the new credit agreement) with a
commercial bank syndicate providing for a five-year $4.0 billion term loan facility (the term
facility) and a $1.5 billion revolving loan facility (the new revolving facility). The term
facility will be available to pay a portion of the cash consideration in connection with entering
into a definitive merger agreement with Medco, as discussed in Note 3, to repay existing
indebtedness, and to pay related fees and expenses. The new revolving facility will be available
for general corporate purposes and will replace our existing $750.0 million credit facility upon
funding of the term facility. Any funding under the new credit agreement will occur concurrently
with the consummation of the Transaction, subject to customary closing conditions. The term
facility and the new revolving facility both mature on August 29, 2016. The term facility reduces
commitments under the bridge facility discussed below by $4.0 billion.
The new credit agreement requires us to pay interest at the LIBOR or adjusted base rate
options, plus a margin. The margin over LIBOR ranges from 1.25% to 1.75% for the term facility and
1.10% to 1.55% for the new revolving facility, and the margin over the base rate options ranges
from 0.25% to 0.75% for the term facility and 0.10% to 0.55% for the new revolving facility,
depending on our consolidated leverage ratio. Under the new credit agreement we are required to
pay commitment fees on the unused portion of the $1.5 billion new revolving facility. The
commitment fee ranges from 0.15% to 0.20% depending on our consolidated leverage ratio. Until the
funding date, we will also pay a ticking fee on the commitments under the term facility.
BRIDGE FACILITY
On August 5, 2011, we entered into a credit agreement with Credit Suisse AG, Cayman Islands
Branch, as administrative agent, Citibank, N.A., as syndication agent, and the other lenders and
agents named within the agreement. The credit agreement provides for a one-year unsecured $14.0
billion bridge term loan facility (the bridge facility). In the period leading up to the closing
of the merger, we may pursue other financing opportunities to replace all or portions of the bridge
facility, or, in the event that we draw upon the bridge facility, we may refinance all or a
portion of the bridge facility at a later date. The proceeds from these borrowings may be used to
pay a portion of the cash consideration to be paid in the merger and to pay related fees and
expenses.
The bridge facility requires us to pay interest at the greater of LIBOR or adjusted base rate
options, plus a margin. The margin over LIBOR ranges from 1.25% to 1.75%, and the margin over the
adjusted base rate options ranges from 0.25% to 0.75%, depending on our consolidated leverage
ratio. The margin will increase by 0.25% on the 90th day after the funding
date of the facility and by an additional 0.25% every 90 days thereafter. Until the funding date,
we will also pay a ticking fee on the commitments under the bridge facility.
12
SENIOR NOTES
On May 2, 2011, we issued $1.5 billion aggregate principal amount of 3.125% Senior Notes due
2016 (2016 Senior Notes). The 2016 Senior Notes require interest to be paid semi-annually on May
15 and November 15. We may redeem some or all of the 2016 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
(assuming a 360-day year consisting of twelve 30-day months) at the treasury rate plus 20 basis
points with respect to any 2016 Senior Notes being redeemed, plus in each case, unpaid interest on
the notes being redeemed accrued to the redemption date. The 2016 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. We used the net proceeds to repurchase treasury shares.
FINANCING COSTS
Financing costs of $65.0 million related to the bridge facility are being amortized over nine
months. An additional $26.0 million of financing costs related to the bridge facility were
expensed as a result of the new credit agreement, which reduced the commitments under the bridge
facility by $4.0 billion. Amortization of the $65.0 million deferred financing costs will be
accelerated in proportion to the amount by which alternative financing replaces the commitments
under the bridge facility. Financing costs of $10.9 million for the issuance of the 2016 Senior
Notes are being amortized over 5 years. These deferred financing costs are reflected in other
intangible assets, net in the accompanying unaudited consolidated balance sheet.
COVENANTS
Our bank financing arrangements contain covenants that restrict our ability to incur
additional indebtedness, create or permit liens on assets and engage in mergers or consolidations.
The covenants also include minimum interest coverage ratios and maximum leverage ratios. At
September 30, 2011, we believe we were in compliance in all material respects with all covenants
associated with our credit agreements.
Note 8 Common stock
On May 27, 2011, we entered into agreements to repurchase shares of our common stock for an
aggregate purchase price of $1,750.0 million under an Accelerated Share Repurchase (ASR) agreement.
The ASR agreement consists of two agreements, providing for the repurchase of shares of our
common stock worth $1.0 billion and $750.0 million, respectively. Upon payment of the purchase price
on May 27, 2011, we received 29.4 million shares of our common stock at a price of $59.53 per
share.
At the conclusion of the ASR program, we may receive additional shares, or we may be required
to pay additional cash or shares (at our option), based on the daily volume-weighted average price
of our common stock over a period beginning after the effective date of the ASR agreements and
ending on or before December 16, 2011, subject to extension in accordance with the terms of the
agreement. The agreement is subject to an accelerated settlement provision at the option of the
investment bank. If the mean daily volume-weighted average price of our common stock, less a
discount (the forward price), during the term of the ASR program falls below $59.53 per share,
the investment bank would be required to deliver additional shares to us. If the forward price
rises above $59.53 per share, we would be required to deliver cash or shares, at our option, to the
investment bank. During the third quarter of 2011, we settled the $1.0 billion portion of the ASR
agreement and received 1.9 million additional shares of our common stock at a final forward price
of $53.51 per share. Under the terms of the contract, the maximum number of shares that could be
received or delivered under the contracts is 58.8 million. As of September 30, 2011, based on the
daily volume-weighted average price of our common stock since the effective date of the agreements,
the investment banks would be required to deliver 1.8 million shares to us for the $750.0 million
portion
of the ASR agreement that has not yet been settled. These shares were not included in the
calculation of diluted weighted average common shares outstanding during the period because their
effect was anti-dilutive.
13
The ASR agreement is accounted for as an initial treasury stock transaction and a forward
stock purchase contract. The forward stock purchase contract is classified as an equity instrument
under applicable accounting guidance and was deemed to have a fair value of zero at the effective
date. The initial repurchase of shares resulted in an immediate reduction of the outstanding
shares used to calculate the weighted-average common shares outstanding for basic and diluted net
income per share on the effective date of the agreements. The 1.9 million shares received for the
settlement of the $1.0 billion portion of the ASR agreement reduced weighted-average common shares
outstanding for the third quarter of 2011.
In addition to the shares repurchased through the ASR, we repurchased 13.0 million shares
under our existing stock repurchase program using internally generated cash during the second
quarter of 2011 for $765.7 million. Repurchases during 2011 were financed primarily with the
proceeds from our 2016 Senior Notes discussed in Note 7, in addition to internally generated cash.
Additionally, during the second quarter of 2011, our Board of Directors approved an increase to our
stock repurchase program of 50 million shares.
Note 9 Stock-based compensation plans
In March 2011, the Board of Directors adopted the Express Scripts, Inc. 2011 Long-Term
Incentive Plan (the 2011 LTIP), which provides for the grant of various equity awards with
various terms to our officers, Board of Directors and key employees selected by the Compensation
Committee of the Board of Directors. The 2011 LTIP was approved by our stockholders in May 2011
and became effective June 1, 2011. Under the 2011 LTIP, we may issue stock options, stock-settled
stock appreciation rights (SSRs), restricted stock units, restricted stock awards, performance
share awards, and other types of awards. The maximum number of shares available for awards under
the 2011 LTIP is 30 million. The maximum term of stock options, SSRs, restricted stock and
performance shares granted under the 2011 LTIP is 10 years. Subsequent to the effective date of
the 2011 LTIP, no additional awards will be granted under the 2000 Long-Term Incentive Plan (2000
LTIP), which provided for the grant of various equity awards with various terms to our officers,
Board of Directors and key employees selected by the Compensation Committee of the Board of
Directors.
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. 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 2011, we granted 2,323,000
stock options with a weighted average fair market value of $17.71. The SSRs and stock options
granted under both the 2000 LTIP and 2011 LTIP have three-year graded vesting.
During the first nine months of 2011, we granted to certain officers and employees
approximately 259,000 restricted stock units and performance shares with a weighted average fair
market value of $56.53. The restricted stock units granted under both the 2000 LTIP and the 2011
LTIP 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 amount of
performance share grants is subject to a multiplier of 2.5 based on certain performance metrics.
During the first nine months of 2011, approximately 215,000 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 773,000 at September 30, 2011 and
950,000 at December 31, 2010.
We recognized stock-based compensation expense of $10.9 million and $13.1 million in the three
months ended September 30, 2011 and 2010, respectively and $36.2 million and $37.2 million in the
nine months ended September 30, 2011 and 2010, respectively. Unamortized stock-based compensation
as of September 30, 2011 was $32.9 million for stock options and SSRs and $18.0 million for
restricted stock and performance shares.
14
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, |
|
|
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
|
Expected life of option |
|
3-5 years |
|
3-5 years |
|
3-5 years |
|
3-5 years |
Risk-free interest rate |
|
|
0.3%-2.1 |
% |
|
|
0.8%-1.4 |
% |
|
|
0.3%-2.2 |
% |
|
|
0.8%-2.4 |
% |
Expected volatility of stock |
|
|
35%-39 |
% |
|
|
37%-41 |
% |
|
|
35%-39 |
% |
|
|
36%-41 |
% |
Expected dividend yield |
|
None |
|
None |
|
None |
|
None |
Note 10 Contingencies
We record self-insurance accruals based upon estimates of the aggregate liability of claim
costs in excess of our insurance coverage. Accruals 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 accounting guidance, if the range of
probable loss is broad, the liability accrued should be based on the lower end of the range.
In the ordinary course of business there have arisen various legal proceedings, investigations
or claims now pending against us or our subsidiaries. In accordance with applicable accounting
guidance, we record accruals for certain of our outstanding legal proceedings, investigations or
claims when it is probable that a liability will be incurred and the amount of loss can be
reasonably estimated. We evaluate, on a quarterly basis, developments in legal proceedings,
investigations or claims that could affect the amount of any accrual, as well as any developments
that would make a loss contingency both probable and reasonably estimable. We disclose the amount
of the accrual if the financial statements would be otherwise misleading, which was not the case
for the nine months ending September 30, 2011 and 2010.
When a loss contingency is not both probable and estimable, we do not establish an accrued
liability. However, if the loss (or an additional loss in excess of the accrual) is at least a
reasonable possibility and material, then we disclose an estimate of the possible loss or range of
loss, if such estimate can be made, or disclose that an estimate cannot be made.
The assessments of whether a loss is probable or a reasonable possibility, and whether the
loss or a range of loss is estimable, often involve a series of complex judgments about future
events. We are often unable to estimate a range of reasonably possible losses, particularly where
(i) the damages sought are substantial or indeterminate, (ii) the proceedings are in the early
stages, or (iii) the matters involve novel or unsettled legal theories or a large number of
parties. In such cases, there is considerable uncertainty regarding the timing or ultimate
resolution of such matters, including a possible eventual loss, fine, penalty or business impact,
if any. Accordingly, for many proceedings, we are currently unable to estimate the loss or a range
of possible loss. For a limited number of proceedings, we may be able to reasonably estimate the
possible range of loss in excess of any accruals. However, we believe that such matters,
individually and in the aggregate, when finally resolved, are not reasonably likely to have a
material adverse effect on our consolidated cash flow or financial condition. We also believe that
any amount that could be reasonably estimated in excess of accruals, if any, for such proceedings
is not material. However, an adverse resolution of one or more of such matters could have a
material adverse effect on our results of operations in a particular quarter or fiscal year.
15
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. During the
third quarter of 2011, we reorganized our FreedomFP line of business from our EM segment into our
PBM segment. Historical segment information has been retrospectively adjusted to reflect the
effect of this change. 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,
previously included in our EM segment, are reported as discontinued operations for all periods
presented in the accompanying unaudited consolidated statements of operations in accordance with
applicable accounting guidance.
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 and nine months ended September 30, 2011 and 2010.
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
|
EM |
|
|
Total |
|
|
For the three months ended September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
7,491.0 |
|
|
$ |
|
|
|
$ |
7,491.0 |
|
Home delivery and specialty revenues(2) |
|
|
3,678.4 |
|
|
|
|
|
|
|
3,678.4 |
|
Other revenues |
|
|
|
|
|
|
330.6 |
|
|
|
330.6 |
|
Service revenues |
|
|
65.7 |
|
|
|
5.3 |
|
|
|
71.0 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
11,235.1 |
|
|
|
335.9 |
|
|
|
11,571.0 |
|
Depreciation and amortization expense |
|
|
59.3 |
|
|
|
2.0 |
|
|
|
61.3 |
|
Operating income |
|
|
600.8 |
|
|
|
4.3 |
|
|
|
605.1 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
5.9 |
|
Interest expense and other |
|
|
|
|
|
|
|
|
|
|
(94.3 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
516.7 |
|
Capital expenditures |
|
|
42.8 |
|
|
|
1.2 |
|
|
|
44.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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) |
|
|
3,369.0 |
|
|
|
|
|
|
|
3,369.0 |
|
Other revenues |
|
|
|
|
|
|
326.3 |
|
|
|
326.3 |
|
Service revenues |
|
|
62.6 |
|
|
|
3.0 |
|
|
|
65.6 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
10,922.5 |
|
|
|
329.3 |
|
|
|
11,251.8 |
|
Depreciation and amortization expense |
|
|
59.8 |
|
|
|
1.9 |
|
|
|
61.7 |
|
Operating income |
|
|
525.5 |
|
|
|
2.5 |
|
|
|
528.0 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
2.2 |
|
Interest expense and other |
|
|
|
|
|
|
|
|
|
|
(42.2 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
488.0 |
|
Capital expenditures |
|
|
32.7 |
|
|
|
0.8 |
|
|
|
33.5 |
|
|
16
|
|
|
|
|
|
|
|
|
|
|
|
|
(in millions) |
|
PBM |
|
|
EM |
|
|
Total |
|
|
For the nine months ended September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
Product revenues: |
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
22,138.1 |
|
|
$ |
|
|
|
$ |
22,138.1 |
|
Home delivery and specialty revenues(2) |
|
|
10,715.6 |
|
|
|
|
|
|
|
10,715.6 |
|
Other revenues |
|
|
|
|
|
|
952.2 |
|
|
|
952.2 |
|
Service revenues |
|
|
205.1 |
|
|
|
15.9 |
|
|
|
221.0 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
33,058.8 |
|
|
|
968.1 |
|
|
|
34,026.9 |
|
Depreciation and amortization expense |
|
|
181.5 |
|
|
|
6.0 |
|
|
|
187.5 |
|
Operating income |
|
|
1,719.3 |
|
|
|
17.5 |
|
|
|
1,736.8 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
7.8 |
|
Interest expense and other |
|
|
|
|
|
|
|
|
|
|
(184.3 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
1,560.3 |
|
Capital expenditures |
|
|
95.6 |
|
|
|
2.5 |
|
|
|
98.1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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) |
|
|
9,990.0 |
|
|
|
|
|
|
|
9,990.0 |
|
Other revenues |
|
|
|
|
|
|
889.3 |
|
|
|
889.3 |
|
Service revenues |
|
|
194.3 |
|
|
|
9.0 |
|
|
|
203.3 |
|
|
|
|
|
|
|
|
|
|
|
Total revenues |
|
|
32,780.7 |
|
|
|
898.3 |
|
|
|
33,679.0 |
|
Depreciation and amortization expense |
|
|
175.1 |
|
|
|
5.8 |
|
|
|
180.9 |
|
Operating income |
|
|
1,505.6 |
|
|
|
7.4 |
|
|
|
1,513.0 |
|
Interest income |
|
|
|
|
|
|
|
|
|
|
4.4 |
|
Interest expense and other |
|
|
|
|
|
|
|
|
|
|
(127.0 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes |
|
|
|
|
|
|
|
|
|
|
1,390.4 |
|
Capital expenditures |
|
|
82.7 |
|
|
|
1.9 |
|
|
|
84.6 |
|
|
|
|
|
(1) |
|
Includes retail pharmacy co-payments of $1,390.4 million and $1,478.5 million for the
three months ended September 30, 2011 and 2010, respectively and $4,374.0 million and
$4,688.4 million for the nine months ended September 30, 2011 and 2010, 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 |
|
|
Total |
|
|
Total Assets |
|
|
|
|
|
|
|
|
|
|
|
|
As of September 30, 2011 |
|
$ |
10,401.3 |
|
|
$ |
470.4 |
|
|
$ |
10,871.7 |
|
|
As of December 31, 2010 |
|
$ |
10,155.1 |
|
|
$ |
402.7 |
|
|
$ |
10,557.8 |
|
PBM product revenues consist of revenues from the sale of prescription drugs by retail
pharmacies in our retail pharmacy networks, revenues from the dispensing of prescription drugs from
our home delivery pharmacies and distribution of certain fertility and specialty drugs. EM product
revenues consist of specialty distribution activities. PBM service revenues include administrative
fees associated with the administration of retail pharmacy networks contracted by certain clients,
informed decision counseling services, and specialty distribution services. EM service revenues
include revenues from healthcare card administration.
17
The following table shows the percentage of total revenue represented by our top five clients
and clients representing 10% or greater of our consolidated revenue for each respective period:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
|
WellPoint |
|
|
29.9 |
% |
|
|
29.4 |
% |
|
|
29.7 |
% |
|
|
28.7 |
% |
Department of Defense (DoD) |
|
|
21.3 |
% |
|
|
19.8 |
% |
|
|
21.2 |
% |
|
|
19.2 |
% |
Other |
|
|
6.2 |
% |
|
|
6.3 |
% |
|
|
6.2 |
% |
|
|
6.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Top five clients |
|
|
57.4 |
% |
|
|
55.5 |
% |
|
|
57.1 |
% |
|
|
54.3 |
% |
None of our other clients accounted for 10% or more of our consolidated revenues during the
three and nine months ended September 30, 2011 or 2010.
Revenues earned by our Canadian PBM totaled $15.8 million and $12.9 million for the three
months ended September 30, 2011 and 2010, respectively and $46.7 million and $37.9 million for the
nine months ended September 30, 2011 and 2010, respectively. All other revenues were earned in the
United States. Long-lived assets of our Canadian PBM (consisting primarily of fixed assets)
totaled $16.1 million and $16.7 million as of September 30, 2011 and December 31, 2010,
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. As discussed in
Note 4, PMG was sold effective September 17, 2010. The assets, liabilities, and operations from
PMG are included as discontinued operations in those of the non-guarantors for all periods
presented. 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. |
18
Condensed Consolidating Balance Sheet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
|
Non- |
|
|
|
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
|
Guarantors |
|
|
Guarantors |
|
|
Eliminations |
|
|
Consolidated |
|
|
As of September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
985.3 |
|
|
$ |
5.5 |
|
|
$ |
71.8 |
|
|
$ |
|
|
|
$ |
1,062.6 |
|
Restricted cash and investments |
|
|
4.0 |
|
|
|
11.3 |
|
|
|
4.6 |
|
|
|
|
|
|
|
19.9 |
|
Receivables, net |
|
|
1,178.0 |
|
|
|
562.0 |
|
|
|
30.7 |
|
|
|
|
|
|
|
1,770.7 |
|
Other current assets |
|
|
39.4 |
|
|
|
387.4 |
|
|
|
26.4 |
|
|
|
|
|
|
|
453.2 |
|
|
|
|
Total current assets |
|
|
2,206.7 |
|
|
|
966.2 |
|
|
|
133.5 |
|
|
|
|
|
|
|
3,306.4 |
|
|
|
|
Property and equipment, net |
|
|
254.6 |
|
|
|
119.0 |
|
|
|
15.2 |
|
|
|
|
|
|
|
388.8 |
|
Investments in subsidiaries |
|
|
6,678.3 |
|
|
|
|
|
|
|
|
|
|
|
(6,678.3 |
) |
|
|
|
|
Intercompany |
|
|
|
|
|
|
3,757.0 |
|
|
|
|
|
|
|
(3,757.0 |
) |
|
|
|
|
Goodwill |
|
|
2,921.4 |
|
|
|
2,538.8 |
|
|
|
25.2 |
|
|
|
|
|
|
|
5,485.4 |
|
Other intangible assets, net |
|
|
1,395.9 |
|
|
|
266.3 |
|
|
|
3.6 |
|
|
|
|
|
|
|
1,665.8 |
|
Other assets |
|
|
22.5 |
|
|
|
0.4 |
|
|
|
2.4 |
|
|
|
|
|
|
|
25.3 |
|
|
|
|
Total assets |
|
$ |
13,479.4 |
|
|
$ |
7,647.7 |
|
|
$ |
179.9 |
|
|
$ |
(10,435.3 |
) |
|
$ |
10,871.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims and rebates payable |
|
$ |
2,710.5 |
|
|
$ |
0.4 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
2,710.9 |
|
Accounts payable |
|
|
724.7 |
|
|
|
4.1 |
|
|
|
15.5 |
|
|
|
|
|
|
|
744.3 |
|
Accrued expenses |
|
|
177.2 |
|
|
|
478.4 |
|
|
|
33.0 |
|
|
|
|
|
|
|
688.6 |
|
Current maturities of long-term debt |
|
|
999.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
999.9 |
|
|
|
|
Total current liabilities |
|
|
4,612.3 |
|
|
|
482.9 |
|
|
|
48.5 |
|
|
|
|
|
|
|
5,143.7 |
|
|
|
|
Long-term debt |
|
|
2,989.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,989.3 |
|
Intercompany |
|
|
3,656.4 |
|
|
|
|
|
|
|
100.6 |
|
|
|
(3,757.0 |
) |
|
|
|
|
Other liabilities |
|
|
56.7 |
|
|
|
515.3 |
|
|
|
2.0 |
|
|
|
|
|
|
|
574.0 |
|
Stockholders equity |
|
|
2,164.7 |
|
|
|
6,649.5 |
|
|
|
28.8 |
|
|
|
(6,678.3 |
) |
|
|
2,164.7 |
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
13,479.4 |
|
|
$ |
7,647.7 |
|
|
$ |
179.9 |
|
|
$ |
(10,435.3 |
) |
|
$ |
10,871.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2010 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
456.7 |
|
|
$ |
9.0 |
|
|
$ |
58.0 |
|
|
$ |
|
|
|
$ |
523.7 |
|
Restricted cash and investments |
|
|
|
|
|
|
11.7 |
|
|
|
4.6 |
|
|
|
|
|
|
|
16.3 |
|
Receivables, net |
|
|
1,175.6 |
|
|
|
536.2 |
|
|
|
9.1 |
|
|
|
|
|
|
|
1,720.9 |
|
Other current assets |
|
|
249.0 |
|
|
|
396.0 |
|
|
|
35.4 |
|
|
|
|
|
|
|
680.4 |
|
|
|
|
Total current assets |
|
|
1,881.3 |
|
|
|
952.9 |
|
|
|
107.1 |
|
|
|
|
|
|
|
2,941.3 |
|
|
|
|
Property and equipment, net |
|
|
231.5 |
|
|
|
127.2 |
|
|
|
14.0 |
|
|
|
|
|
|
|
372.7 |
|
Investments in subsidiaries |
|
|
6,382.2 |
|
|
|
|
|
|
|
|
|
|
|
(6,382.2 |
) |
|
|
|
|
Intercompany |
|
|
|
|
|
|
3,214.0 |
|
|
|
|
|
|
|
(3,214.0 |
) |
|
|
|
|
Goodwill |
|
|
2,921.4 |
|
|
|
2,538.8 |
|
|
|
26.0 |
|
|
|
|
|
|
|
5,486.2 |
|
Other intangible assets, net |
|
|
1,426.2 |
|
|
|
294.8 |
|
|
|
4.0 |
|
|
|
|
|
|
|
1,725.0 |
|
Other assets |
|
|
20.6 |
|
|
|
10.1 |
|
|
|
1.9 |
|
|
|
|
|
|
|
32.6 |
|
|
|
|
Total assets |
|
$ |
12,863.2 |
|
|
$ |
7,137.8 |
|
|
$ |
153.0 |
|
|
$ |
(9,596.2 |
) |
|
$ |
10,557.8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims and rebates payable |
|
$ |
2,664.9 |
|
|
$ |
1.6 |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
2,666.5 |
|
Accounts payable |
|
|
634.4 |
|
|
|
17.7 |
|
|
|
4.6 |
|
|
|
|
|
|
|
656.7 |
|
Accrued expenses |
|
|
288.7 |
|
|
|
294.5 |
|
|
|
10.7 |
|
|
|
|
|
|
|
593.9 |
|
Current maturities of long-term debt |
|
|
|
|
|
|
0.1 |
|
|
|
|
|
|
|
|
|
|
|
0.1 |
|
|
|
|
Total current liabilities |
|
|
3,588.0 |
|
|
|
313.9 |
|
|
|
15.3 |
|
|
|
|
|
|
|
3,917.2 |
|
|
|
|
Long-term debt |
|
|
2,493.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,493.7 |
|
Intercompany |
|
|
3,094.8 |
|
|
|
|
|
|
|
119.2 |
|
|
|
(3,214.0 |
) |
|
|
|
|
Other liabilities |
|
|
80.1 |
|
|
|
455.5 |
|
|
|
4.7 |
|
|
|
|
|
|
|
540.3 |
|
Stockholders equity |
|
|
3,606.6 |
|
|
|
6,368.4 |
|
|
|
13.8 |
|
|
|
(6,382.2 |
) |
|
|
3,606.6 |
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
12,863.2 |
|
|
$ |
7,137.8 |
|
|
$ |
153.0 |
|
|
$ |
(9,596.2 |
) |
|
$ |
10,557.8 |
|
|
|
|
19
Condensed Consolidating Statement of Operations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
|
Non- |
|
|
|
|
|
|
|
(in millions) |
|
Scripts, Inc. |
|
|
Guarantors |
|
|
Guarantors |
|
|
Eliminations |
|
|
Consolidated |
|
|
For the three months ended September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
7,306.1 |
|
|
$ |
4,218.3 |
|
|
$ |
46.6 |
|
|
$ |
|
|
|
$ |
11,571.0 |
|
Operating expenses |
|
|
6,907.0 |
|
|
|
4,025.8 |
|
|
|
33.1 |
|
|
|
|
|
|
|
10,965.9 |
|
|
|
|
Operating income |
|
|
399.1 |
|
|
|
192.5 |
|
|
|
13.5 |
|
|
|
|
|
|
|
605.1 |
|
Interest
(expense) income, net |
|
|
(87.1 |
) |
|
|
(1.4 |
) |
|
|
0.1 |
|
|
|
|
|
|
|
(88.4 |
) |
|
|
|
Income before income taxes |
|
|
312.0 |
|
|
|
191.1 |
|
|
|
13.6 |
|
|
|
|
|
|
|
516.7 |
|
Provision for income taxes |
|
|
117.3 |
|
|
|
74.2 |
|
|
|
0.5 |
|
|
|
|
|
|
|
192.0 |
|
|
|
|
Net income from continuing operations |
|
|
194.7 |
|
|
|
116.9 |
|
|
|
13.1 |
|
|
|
|
|
|
|
324.7 |
|
Equity in earnings of subsidiaries |
|
|
130.0 |
|
|
|
|
|
|
|
|
|
|
|
(130.0 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
324.7 |
|
|
$ |
116.9 |
|
|
$ |
13.1 |
|
|
$ |
(130.0 |
) |
|
$ |
324.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 nine months ended September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
$ |
21,718.3 |
|
|
$ |
12,199.7 |
|
|
$ |
108.9 |
|
|
$ |
|
|
|
$ |
34,026.9 |
|
Operating expenses |
|
|
20,452.8 |
|
|
|
11,744.6 |
|
|
|
92.7 |
|
|
|
|
|
|
|
32,290.1 |
|
|
|
|
Operating income |
|
|
1,265.5 |
|
|
|
455.1 |
|
|
|
16.2 |
|
|
|
|
|
|
|
1,736.8 |
|
Interest (expense) income, net |
|
|
(172.5 |
) |
|
|
(4.4 |
) |
|
|
0.4 |
|
|
|
|
|
|
|
(176.5 |
) |
|
|
|
Income before income taxes |
|
|
1,093.0 |
|
|
|
450.7 |
|
|
|
16.6 |
|
|
|
|
|
|
|
1,560.3 |
|
Provision for income taxes |
|
|
400.8 |
|
|
|
170.2 |
|
|
|
3.9 |
|
|
|
|
|
|
|
574.9 |
|
|
|
|
Net income from continuing operations |
|
|
692.2 |
|
|
|
280.5 |
|
|
|
12.7 |
|
|
|
|
|
|
|
985.4 |
|
Equity in earnings of subsidiaries |
|
|
293.2 |
|
|
|
|
|
|
|
|
|
|
|
(293.2 |
) |
|
|
|
|
|
|
|
Net income (loss) |
|
$ |
985.4 |
|
|
$ |
280.5 |
|
|
$ |
12.7 |
|
|
$ |
(293.2 |
) |
|
$ |
985.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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 |
|
|
|
|
20
Condensed Consolidating Statement of Cash Flows
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Express |
|
|
|
|
|
|
Non- |
|
|
|
|
|
|
|
|
|
Scripts, Inc. |
|
|
Guarantors |
|
|
Guarantors |
|
|
Eliminations |
|
|
Consolidated |
|
|
For the nine months ended
September 30, 2011 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash flows provided by (used in)
operating activities |
|
$ |
1,377.2 |
|
|
$ |
552.3 |
|
|
$ |
23.6 |
|
|
$ |
(293.2 |
) |
|
$ |
1,659.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase of property and equipment |
|
|
(81.9 |
) |
|
|
(11.5 |
) |
|
|
(4.7 |
) |
|
|
|
|
|
|
(98.1 |
) |
Other |
|
|
|
|
|
|
(1.7 |
) |
|
|
10.2 |
|
|
|
|
|
|
|
8.5 |
|
|
|
|
Net cash
(used in) provided by investing activities |
|
|
(81.9 |
) |
|
|
(13.2 |
) |
|
|
5.5 |
|
|
|
|
|
|
|
(89.6 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Treasury stock acquired |
|
|
(2,515.7 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,515.7 |
) |
Proceeds from long-term debt, net of
discounts |
|
|
1,494.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,494.0 |
|
Deferred financing fees |
|
|
(62.7 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(62.7 |
) |
Net proceeds from employee stock plans |
|
|
28.9 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28.9 |
|
Tax benefit relating to employee stock
compensation |
|
|
27.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
27.3 |
|
Repayment of long-term debt |
|
|
(0.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(0.1 |
) |
Net transactions with parent |
|
|
261.6 |
|
|
|
(542.6 |
) |
|
|
(12.2 |
) |
|
|
293.2 |
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing
activities |
|
|
(766.7 |
) |
|
|
(542.6 |
) |
|
|
(12.2 |
) |
|
|
293.2 |
|
|
|
(1,028.3 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Effect of foreign currency
translation adjustment |
|
|
|
|
|
|
|
|
|
|
(3.1 |
) |
|
|
|
|
|
|
(3.1 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net increase (decrease) in cash and cash
equivalents |
|
|
528.6 |
|
|
|
(3.5 |
) |
|
|
13.8 |
|
|
|
|
|
|
|
538.9 |
|
Cash and cash equivalents at beginning of
period |
|
|
456.7 |
|
|
|
9.0 |
|
|
|
58.0 |
|
|
|
|
|
|
|
523.7 |
|
|
|
|
Cash and cash equivalents at end of period |
|
$ |
985.3 |
|
|
$ |
5.5 |
|
|
$ |
71.8 |
|
|
$ |
|
|
|
$ |
1,062.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
21
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 |
) |
Other |
|
|
12.7 |
|
|
|
(2.0 |
) |
|
|
(4.9 |
) |
|
|
|
|
|
|
5.8 |
|
|
|
|
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 |
|
|
|
|
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. Any number of factors could cause our actual results to differ materially
from those contemplated by any forward looking statements, including, but not limited to the
factors listed below:
STANDARD OPERATING FACTORS
|
|
|
our ability to remain profitable in a very competitive marketplace is dependent upon
our ability to attract and retain clients while maintaining our margins, to
differentiate our products and services from others in the marketplace, and to develop
and cross sell new products and services to our existing clients. |
|
|
|
|
our failure to anticipate and appropriately adapt to changes in the rapidly changing
healthcare industry. |
|
|
|
|
changes in applicable laws or regulations, or their interpretation or enforcement,
or the enactment of new laws or regulations, which apply to our business practices
(past, present or future) or require us to spend significant resources in order to
comply. |
|
|
|
|
changes to the healthcare industry designed to manage healthcare costs or alter
healthcare financing practices. |
|
|
|
|
changes relating to our participation in Medicare Part D, the loss of Medicare Part
D eligible members, or our failure to otherwise execute on our strategies related to
Medicare Part D. |
|
|
|
|
a failure in the security or stability of our technology infrastructure, or the
infrastructure of one or more of our key vendors, or a significant failure or
disruption in service within our operations or the operations of such vendors. |
|
|
|
|
our failure to effectively execute on strategic transactions, or to integrate or
achieve anticipated benefits from any acquired businesses. |
|
|
|
|
the termination, or an unfavorable modification, of our relationship with one or
more key pharmacy providers, or significant changes within the pharmacy provider
marketplace. |
|
|
|
|
the termination, or an unfavorable modification, of our relationship with one or
more key pharmaceutical manufacturers, or the significant reduction in payments made or
discounts provided by pharmaceutical manufacturers. |
|
|
|
|
changes in industry pricing benchmarks. |
|
|
|
|
results in pending and future litigation or other proceedings which would subject us
to significant monetary damages or penalties and/or require us to change our business
practices, or the costs incurred in connection with such proceedings. |
|
|
|
|
our failure to execute on, or other issues arising under, certain key client
contracts. |
|
|
|
|
the impact of our debt service obligations on the availability of funds for other
business purposes, and the terms and our required compliance with covenants relating to
our indebtedness. |
|
|
|
|
our failure to attract and retain talented employees, or to manage succession and
retention for our Chief Executive Officer or other key executives. |
23
|
|
|
other risks described from time to time in our filings with the SEC. |
TRANSACTION-RELATED FACTORS
|
|
|
uncertainty as to whether we will be able to consummate the transaction with Medco
Health Solutions, Inc. (Medco) on the terms set forth in the definitive merger agreement
entered into on July 20, 2011 (the Merger Agreement). |
|
|
|
|
the ability to obtain governmental approvals of the transaction with Medco. |
|
|
|
|
uncertainty as to the actual value of total consideration to be paid in the transaction
with Medco. |
|
|
|
|
failure to realize the anticipated benefits of the transaction, including as a result of
a delay in completing the transaction or a delay or difficulty in integrating the
businesses of Express Scripts and Medco. |
|
|
|
|
uncertainty as to the long-term value of Express Scripts Holding Company (currently
known as Aristotle Holding, Inc.) common shares. |
|
|
|
|
limitation on the ability of Express Scripts and Express Scripts Holding Company to
incur new debt in connection with the transaction. |
|
|
|
|
the expected amount and timing of cost savings and operating synergies. |
|
|
|
|
failure to receive the approval of the stockholders of either Express Scripts or Medco
for the transaction. |
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, 2010, filed with the SEC on February
16, 2011 and in Part II Item 1A Risk Factors of our Quarterly Reports on Form 10-Q for the
quarter ended March 31, 2011, filed April 25, 2011 and for the quarter ended June 30, 2011, filed
July 29, 2011, as well as Part II-Item 1A Risk
Factors of this Quarterly Report on Form 10-Q.
24
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 and fertility home delivery to patients, benefit plan design
consultation, drug utilization review, formulary management, drug data analysis services,
distribution of injectable drugs to patients 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 products and services including
distribution of pharmaceuticals and medical supplies to providers and clinics, healthcare account
administration and implementation of consumer-directed healthcare solutions. During the third
quarter of 2011 we reorganized our FreedomFP line of business from our EM segment into our PBM
segment.
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 and certain specialty distribution 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,
2011, respectively, and for the same periods of 2010.
PROPOSED MERGER TRANSACTION
On July 20, 2011, we entered into a definitive merger agreement (the Merger Agreement) with
Medco Health Solutions, Inc. (Medco). The Merger Agreement provides that, upon the terms and
subject to the conditions set forth in the Merger Agreement, Medco shareholders will receive total
consideration of $23.2 billion composed of $58.83 per share in cash and stock (valued based on the
closing price of our stock on September 30, 2011), including $28.80 in cash and 0.81 shares for
each Medco share owned. Upon closing of the transactions under the Merger Agreement (the
Transaction), our shareholders are expected to own approximately 60% of the combined company and
Medco shareholders are expected to own approximately 40%. The merger will combine the expertise of
two complementary pharmacy benefit managers to accelerate efforts to lower the cost of prescription
drugs and improve the quality of care. We anticipate the transaction will close in the first half
of 2012.
Medco and Express Scripts have agreed to convene meetings of their respective stockholders to
consider and vote upon approval of the Transaction. Express Scripts Board of Directors has
recommended that Express Scripts stockholders approve the Merger Agreement and applicable elements
of the Transaction.
Consummation of the Transaction is subject to the expiration or termination of the waiting
period under the United States Hart-Scott-Rodino Antitrust
Improvements Act of 1976 (the HSR Act) and other
customary conditions, including (i) approval of the Merger Agreement by Medcos stockholders and
Express Scripts stockholders, (ii) the approval for listing on the Nasdaq Stock Market of the
common stock of a new parent company for Express Scripts and Medco (Parent), (iii) the absence of
any order prohibiting or restraining the merger, (iv) the effectiveness under the Securities Act of
1933 of a registration statement covering the shares of Parent common stock, (v) the receipt of
certain regulatory consents, (vi) subject to certain exceptions, the accuracy of Medcos and
Express Scripts representations and warranties in the Merger Agreement, (vii) performance by Medco
and Express Scripts of their respective obligations in the Merger Agreement, (viii) the absence of
certain governmental appeals, and (ix) the delivery of customary opinions from counsel to Medco and
Express Scripts to the effect that the Transaction will qualify as a tax-free exchange for federal
income tax purposes.
On September 2, 2011, Express Scripts and Medco each received a request for additional
information (a second request) from the U.S. Federal Trade Commission (the FTC) in connection
with the FTCs review of the merger. A second request was anticipated by the parties to the mergers
at the time of signing of the Merger Agreement. Issuance of the second request extends the waiting
period under the HSR Act until 30 days after both parties have substantially complied with the
requests, unless the waiting period is terminated sooner by the FTC. The companies have been
cooperating with the FTC staff since shortly after the announcement of the merger and intend to
continue to work cooperatively with the FTC staff in the review of the merger. Express Scripts
intends to respond to the second request as promptly as practicable. While we cannot specify how
long it will take to comply with the second request, we continue to anticipate the transactions
contemplated by the Merger Agreement will close in the first half of 2012.
25
EXECUTIVE SUMMARY AND TREND FACTORS AFFECTING THE BUSINESS
Our results in the first nine months of 2011 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. We saw lower
claims volume than initially expected during the first nine months of 2011 due to a stagnant
macroeconomic environment which negatively impacted claims utilization and organic growth.
Offsetting these lower claims volumes, we benefited from better management of ingredient costs
through renegotiation of supplier contracts, increased competition among generic manufacturers, and
higher generic fill rate (74.0% compared to 71.2% in the same period of 2010). 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,
further increase the use of our home delivery and specialty pharmacy services and drive greater
adherence.
The positive trends we saw in recent quarters, including lower drug purchasing costs and
increased generic usage, are expected to continue to offset the negative impact of various
marketplace forces affecting pricing and plan structure and the current adverse economic
environment, among other factors, and thus continue to generate improvements in our results of
operations in the future. As the regulatory environment evolves, we will continue to make
significant investments designed to keep us ahead of the competition. These projects include
preparation for changes to the Health Insurance Portability and Accountability Act of 1996
(HIPAA), Medicare regulations and the Health Reform Laws. In addition, we are accelerating
spending on certain projects to complete them this year, in order to create additional capacity to
complete integration activities for the proposed merger with Medco next year.
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 that 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, 2010, filed with the SEC
on February 16, 2011.
CLIENTS
The following table shows the percentage of total revenue represented by our top five clients
and clients representing 10% or greater of our consolidated revenue for each respective period:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
WellPoint |
|
|
29.9 |
% |
|
|
29.4 |
% |
|
|
29.7 |
% |
|
|
28.7 |
% |
Department of Defense (DoD) |
|
|
21.3 |
% |
|
|
19.8 |
% |
|
|
21.2 |
% |
|
|
19.2 |
% |
Other |
|
|
6.2 |
% |
|
|
6.3 |
% |
|
|
6.2 |
% |
|
|
6.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
Top five clients |
|
|
57.4 |
% |
|
|
55.5 |
% |
|
|
57.1 |
% |
|
|
54.3 |
% |
None of our other clients accounted for 10% or more of our consolidated revenues during the
three and nine months ended September 30, 2011 or 2010.
26
RESULTS OF OPERATIONS
PBM OPERATING INCOME
During the third quarter of 2011, we reorganized our FreedomFP line of business from our EM
segment into our PBM segment. Historical segment information has been retrospectively adjusted to
reflect the effect of this change.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
|
Product revenues |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Network revenues(1) |
|
$ |
7,491.0 |
|
|
$ |
7,490.9 |
|
|
$ |
22,138.1 |
|
|
$ |
22,596.4 |
|
Home delivery and specialty
revenues(2) |
|
|
3,678.4 |
|
|
|
3,369.0 |
|
|
|
10,715.6 |
|
|
|
9,990.0 |
|
Service revenues |
|
|
65.7 |
|
|
|
62.6 |
|
|
|
205.1 |
|
|
|
194.3 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total PBM revenues |
|
|
11,235.1 |
|
|
|
10,922.5 |
|
|
|
33,058.8 |
|
|
|
32,780.7 |
|
Cost of PBM revenues(1) |
|
|
10,410.8 |
|
|
|
10,168.1 |
|
|
|
30,731.5 |
|
|
|
30,624.7 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM gross profit |
|
|
824.3 |
|
|
|
754.4 |
|
|
|
2,327.3 |
|
|
|
2,156.0 |
|
PBM SG&A expenses |
|
|
223.5 |
|
|
|
228.9 |
|
|
|
608.0 |
|
|
|
650.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
PBM operating income |
|
$ |
600.8 |
|
|
$ |
525.5 |
|
|
$ |
1,719.3 |
|
|
$ |
1,505.6 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Claims |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Network |
|
|
147.2 |
|
|
|
148.9 |
|
|
|
444.0 |
|
|
|
448.9 |
|
Home delivery and specialty(2) |
|
|
13.3 |
|
|
|
13.6 |
|
|
|
39.9 |
|
|
|
40.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total PBM Claims |
|
|
160.5 |
|
|
|
162.5 |
|
|
|
483.9 |
|
|
|
489.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total adjusted PBM Claims(3) |
|
|
184.8 |
|
|
|
186.9 |
|
|
|
556.6 |
|
|
|
562.6 |
|
|
|
|
(1) |
|
Includes retail pharmacy co-payments of $1,390.4 million and $1,478.5 million for the
three months ended September 30, 2011 and 2010, respectively, and $4,374.0 million and
$4,688.4 million for the nine months ended September 30, 2011 and 2010, 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 typically cover a time period 3 times longer than retail claims. |
Product Revenues for the three months ended September 30, 2011: Network pharmacy
revenues remained flat in the three months ended September 30, 2011 over the same period of 2010.
An increase due to inflation was offset by lower U.S. claims volume and the mix of prescriptions
processed at network pharmacies. Our network generic fill rate increased to 75.3% of total network
claims in the third quarter of 2011 as compared to 73.3% in the same period of 2010.
Network claims include U.S. and Canada claims. Network claims decreased slightly for the
three months ended September 30, 2011 compared to the same period of 2010. A decrease in U.S.
network claim volume was partially offset by an increase in Canadian claim volume. Revenue related
to Canadian claims represents administrative fees received for processing claims and is reflected
in service revenues.
Home delivery and specialty revenues increased $309.4 million, or 9.2%, in the three months
ended September 30, 2011 from the same period in 2010 due primarily to inflation. The increase was
partially offset by the impact of higher generic penetration. Our home delivery generic fill rate
increased to 63.0% of home delivery claims in the three months ended September 30, 2011 as compared
to 60.5% in the same period of 2010.
27
Product Revenues for the nine months ended September 30, 2011: Network pharmacy revenues
decreased by $458.3 million, or 2.0%, in the nine months ended September 30, 2011 over the same
period of 2010. Approximately $561.5 million of this decrease is due to lower U.S. claims volume.
The decrease is partially offset by the pricing impacts related to inflation. Our network generic
fill rate increased to 75.2% of total network claims in the first nine months of 2011 as compared
to 72.4% in the same period of 2010. Revenue for the nine months ended September 30, 2010 also
includes $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 and
in accordance with business combination accounting guidance the reversal of the accrual was
recorded in revenue upon amendment of the contract during the second quarter of 2010.
Network claims include U.S. and Canada claims. Network claims decreased slightly for the
first nine months of 2011 compared to the same period of 2010. A decrease in U.S. network claim
volume was partially offset by an increase in Canadian claim volume. Revenue related to Canadian
claims represents administrative fees received for processing claims and is reflected in service
revenues.
Home delivery and specialty revenues increased $725.6 million, or 7.3%, in the nine months
ended September 30, 2011 from the same period in 2010 due primarily to inflation. The increase is
partially offset by the impact of higher generic penetration. Our home delivery generic fill rate
increased to 62.5% of home delivery claims in the nine months ended September 30, 2011 as compared
to 60.0% in the same period of 2010.
Cost of PBM revenues increased $242.7 million, or 2.4%, and $106.8 million, or less than 1%,
in the three and nine months ended September 30, 2011, respectively, from the same periods of 2010.
The increase during the periods is due primarily to ingredient cost inflation partially offset by
a decreased volume and an increase in the generic fill rate. Additionally, included in cost of PBM
revenues for the three and nine months ended September 30, 2010 is $15.1 million and $62.7 million,
respectively, of integration costs related to the acquisition of NextRx. We do not expect any
charges in 2011 and beyond related to the integration of NextRx.
Our PBM gross profit increased $69.9 million, or 9.3%, and $171.3 million, or 7.9%, for the
three and nine months ended September 30, 2011, respectively, as compared to the same periods of
2010. Cost savings from the increase in the aggregate generic fill rate were partially offset by
the decrease in claims volume due to the adverse economic environment as described above.
Selling, general and administrative expense (SG&A) for our PBM segment for the three months
ended September 30, 2011 decreased by $5.4 million, or 2.4%, as compared to the same period of 2010
primarily as a result of decreases in management compensation as well as integration costs of $12.3
million during the third quarter of 2010 related to the acquisition of NextRx. The decrease is
partially offset by transaction costs of $20.3 million incurred during the third quarter of 2011
related to the Transaction.
SG&A for our PBM segment for the nine months ended September 30, 2011 decreased by $42.4
million, or 6.5%, as compared to the same period of 2010 primarily as a result of decreases in
management compensation as well as integration costs of $22.7 million during the first nine months
of 2010 related to the acquisition of NextRx. We do not expect any charges in 2011 and beyond
related to the integration of NextRx. The decrease is partially offset by transaction costs of
$20.3 million incurred during the first nine months of 2011 for the Transaction.
PBM operating income increased $75.3 million, or 14.3% and $213.7 million, or 14.2% for the
three and nine months ended September 30, 2011 as compared to the same periods of 2010, based on
the various factors described above.
28
EM OPERATING INCOME
During the third quarter of 2011, we reorganized our FreedomFP line of business from our EM
segment into our PBM segment. Historical segment information has been retrospectively adjusted to
reflect the effect of this change.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
(in millions) |
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010(1) |
|
|
Product revenues |
|
$ |
330.6 |
|
|
$ |
326.3 |
|
|
|
952.2 |
|
|
|
889.3 |
|
Service revenues |
|
|
5.3 |
|
|
|
3.0 |
|
|
|
15.9 |
|
|
|
9.0 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total EM revenues |
|
|
335.9 |
|
|
|
329.3 |
|
|
|
968.1 |
|
|
|
898.3 |
|
Cost of EM revenues |
|
|
324.4 |
|
|
|
319.6 |
|
|
|
930.0 |
|
|
|
869.5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM gross profit |
|
|
11.5 |
|
|
|
9.7 |
|
|
|
38.1 |
|
|
|
28.8 |
|
EM SG&A expenses |
|
|
7.2 |
|
|
|
7.2 |
|
|
|
20.6 |
|
|
|
21.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EM operating income |
|
$ |
4.3 |
|
|
$ |
2.5 |
|
|
|
17.5 |
|
|
|
7.4 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Our EM results for the nine months ended September 30, 2010 have been adjusted for the
discontinued operations of PMG. |
EM Continuing Operations: EM operating income increased by $1.8 million, or 72%, and
$10.1 million, or 136.5% for the three and nine months ended September 30, 2011 from the same
periods of 2010. The increase in operating income is due to an increase in volume across all lines
of business within the segment.
OTHER (EXPENSE) INCOME
Net interest expense and other increased $48.4 million and $53.9 million in the three and nine
months ended September 30, 2011 as compared to the same period of 2010. The increase is primarily
due to $42.0 million for financing fees related to the bridge facility and credit agreement entered
into during the third quarter of 2011 and interest expense related to the 2016 Senior Notes issued
during the second quarter of 2011, and, partially offset by the repayment during 2010 of amounts
outstanding under our prior credit facility.
PROVISION FOR INCOME TAXES
Our effective tax rate from continuing operations was 37.2% and 36.8% for the three and nine
months ended September 30, 2011, respectively, as compared to 37.1% for same periods of 2010
primarily due to changes in our unrecognized tax benefits and state apportionment.
NET LOSS FROM DISCONTINUED OPERATIONS, NET OF TAX
Net loss from discontinued operations, net of tax, was zero for the three and nine months
ended September 30, 2011 compared to a loss of $5.6 million and $23.4 million, respectively, during
the same periods of 2010. The loss on the sale of PMG (pre-tax) as well as other charges related
to discontinued operations totaled $8.3 million during the third quarter of 2010. The loss for the
nine months ended September 30, 2010 is due primarily to the impairment charge (pre-tax) of $28.2
million related to the discontinued operations of PMG.
NET INCOME AND EARNINGS PER SHARE
Net income for the three and nine months ended September 30, 2011 increased $23.2 million, or
7.7%, and $133.8 million, or 15.7%, respectively, over the same period of 2010 due to factors
discussed above.
29
Basic and diluted earnings per share increased 17.5% and 17.9%, respectively, for the three
months ended September 30, 2011 over the same period of 2010. For the nine months ended September
30, 2011, basic and diluted earnings per share increased 24.2% and 23.7%, respectively, over the
same period of 2010. The increase is primarily due to operating results and treasury share
repurchases during the second and third quarters of 2010 and the first nine months of 2011.
EBITDA
We have provided below a reconciliation of EBITDA from continuing operations to net income as
we believe it is the most directly comparable measure calculated under accounting principles
generally accepted in the United States:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
Nine Months Ended |
|
EBITDA from continuing operations(1) |
|
September 30, |
|
|
September 30, |
|
(in millions, except per claim data) |
|
2011 |
|
|
2010 |
|
|
2011 |
|
|
2010 |
|
|
Net income from continuing operations |
|
$ |
324.7 |
|
|
$ |
307.1 |
|
|
$ |
985.4 |
|
|
$ |
875.0 |
|
Income taxes |
|
|
192.0 |
|
|
|
180.9 |
|
|
|
574.9 |
|
|
|
515.4 |
|
Depreciation and amortization |
|
|
61.3 |
|
|
|
61.7 |
|
|
|
187.5 |
|
|
|
180.9 |
|
Interest expense, net |
|
|
88.4 |
|
|
|
40.0 |
|
|
|
176.5 |
|
|
|
122.6 |
|
|
|
|
EBITDA from continuing operations |
|
|
666.4 |
|
|
|
589.7 |
|
|
|
1,924.3 |
|
|
|
1,693.9 |
|
Adjustments to EBITDA from continuing operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Transaction-related costs |
|
|
20.3 |
|
|
|
|
|
|
|
20.3 |
|
|
|
|
|
Integration-related costs |
|
|
|
|
|
|
27.4 |
|
|
|
|
|
|
|
85.4 |
|
Benefit related to client contract amendment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(30.0 |
) |
|
|
|
Adjusted EBITDA from continuing operations |
|
|
686.7 |
|
|
|
617.1 |
|
|
|
1,944.6 |
|
|
|
1,749.3 |
|
Total adjusted claims |
|
|
184.8 |
|
|
|
186.9 |
|
|
|
556.6 |
|
|
|
562.6 |
|
|
|
|
Adjusted EBITDA per adjusted claim(2) |
|
$ |
3.72 |
|
|
$ |
3.30 |
|
|
$ |
3.49 |
|
|
$ |
3.11 |
|
|
|
|
(1) |
|
EBITDA from continuing operations is earnings before other income (expense), interest, taxes,
depreciation and amortization, or alternatively calculated as operating income plus
depreciation and amortization. EBITDA is presented because it is a widely accepted indicator
of a companys ability to service indebtedness and is frequently used to evaluate a companys
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. |
|
(2) |
|
Adjusted EBITDA per adjusted claim is a supplemental measurement used by analysts and
investors to help evaluate overall operating performance. We have calculated adjusted EBITDA
excluding certain charges recorded each year, as these charges are not considered an indicator
of ongoing company performance. Adjusted EBITDA per adjusted claim is calculated by dividing
adjusted EBITDA by the adjusted claim volume for the period. This measure is used as an
indicator of EBITDA performance on a per-unit basis. Adjusted EBITDA, and as a result, EBITDA
per adjusted claim, are affected by the changes in claim volumes between retail and
mail-order, the relative representation of brand-name, generic and specialty pharmacy drugs,
as well as the level of efficiency in the business. |
LIQUIDITY AND CAPITAL RESOURCES
OPERATING CASH FLOW, CAPITAL EXPENDITURES AND FINANCING
For the nine months ended September 30, 2011, net cash provided by operating activities
decreased $182.1 million to $1,659.9 million compared to the same period of 2010. Changes in
working capital resulted in cash inflows of $289.2 million in the nine months ended September 30,
2011 compared to a cash inflow of $629.0 million over the same period of 2010, resulting in a total
change of $339.8 million. The cash flow decrease was primarily related to the strong cash flow in
the first nine months of 2010 as a result of the collection of receivables
from pharmaceutical manufacturers and clients due to the acquisition of NextRx. This decrease
was offset by an
30
increase in net income from continuing operations of $110.4 million in the nine
months ended September 30, 2011 compared to the same period of 2010, as well as net inflows from
non-cash adjustments to net income related to deferred taxes of $23.1 million.
Net cash used in investing activities from continuing operations increased $10.8 million for
the nine months ended September 30, 2011 over the same period of 2010 primarily due to an increase
in capital expenditures of $13.5 million. Capital expenditures for the nine months ended September
30, 2011 include primarily infrastructure and technology upgrades. 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. We intend to continue to invest in
infrastructure and technology that we believe will provide efficiencies in operations, 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 decreased $1,539.7 million for the nine months ended
September 30, 2011 compared to the same period of 2010. Cash inflows include $1,494.0 million
related to the issuance of our 2016 Senior Notes. Additionally, the nine months ended September
30, 2010 included repayments of our term loans of $1,340.1 million, which were repaid in full
during the third quarter of 2010. Cash outflows were primarily due to repurchases of treasury
shares of $2,515.7 million in the first nine months of 2011 compared to $1,276.2 million during the
same period of 2010. Cash outflows also include $62.7 million of deferred financing fees related
to the issuance of our 2016 Senior Notes and the bridge facility and credit agreements entered into
during the first nine months of 2011, as discussed below.
We anticipate that our current cash balances, cash flows from operations, our revolving credit
facility, or the new revolving credit facility, as applicable, 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.
CHANGES IN BUSINESS
On July 20, 2011, we entered into the Merger Agreement with Medco, as discussed above. The
Merger Agreement provides that, upon the terms and subject to the conditions set forth in the
Merger Agreement, Medco shareholders will receive total consideration of $23.2 billion composed of
$58.83 per share in cash and stock (valued based on the closing price of our stock on September 30,
2011), including $28.80 in cash and 0.81 shares for each Medco share owned. Upon closing of the
Transaction, our shareholders are expected to own approximately 60% of the combined company and
Medco shareholders are expected to own approximately 40%. The merger will combine the expertise of
two complementary pharmacy benefit managers to accelerate efforts to lower the cost of prescription
drugs and improve the quality of care. As discussed below, we intend to finance all or a portion of the cash component of the merger consideration with
debt financing. We have obtained bridge financing in an amount which we believe would be
sufficient to allow us to complete the Transaction. In the period leading up to the closing of the
merger, we may pursue other financing opportunities to replace all or portions of the bridge
facility, or, in the event that we draw upon the bridge facility, we may refinance all or a
portion of the bridge facility at a later date. We anticipate the
transaction will close in the first
half of 2012. The merger is subject to regulatory clearance and Express Scripts and Medcos
shareholder approvals and other customary closing conditions. The Transaction will be accounted for
under the authoritative guidance for business combinations.
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 2011 or thereafter, other than the agreement
discussed above.
31
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 second quarter of 2011, our Board of Directors approved an increase to our stock repurchase
program in the amount of 50 million shares. During the nine months ended September 30, 2011, we
repurchased 13.0 million shares for $765.7 million under our stock repurchase program. An
additional 31.3 million shares were acquired under an Accelerated Share Repurchase (ASR)
agreement, discussed below. At September 30, 2011, there are 20.8 million shares remaining under
this program.
Additional share repurchases, if any, will be made in such amounts and at such times, from
time to time, as we deem appropriate based upon a variety of factors, including the share price,
corporate and regulatory requirements and prevailing market and business conditions. Further, any
such share repurchases may be made through market transactions, block trades, privately negotiated
transactions or other means or a combination of the aforementioned.
ACCELERATED SHARE REPURCHASE
On May 27, 2011, we entered into agreements to repurchase shares of our common stock for an
aggregate purchase price of $1,750.0 million under an Accelerated Share Repurchase (ASR) agreement.
The ASR agreement consists of two agreements, providing for the repurchase of shares of our
common stock worth $1.0 billion and $750.0 million, respectively. Upon payment of the purchase price
on May 27, 2011, we received 29.4 million shares of our common stock at a price of $59.53 per
share.
At the conclusion of the ASR program, we may receive additional shares, or we may be required
to pay additional cash or shares (at our option), based on the daily volume-weighted average price
of our common stock over a period beginning after the effective date of the ASR agreements and
ending on or before December 16, 2011, subject to extension in accordance with the terms of the
agreement. The agreement is subject to an accelerated settlement provision at the option of the
investment bank. If the mean daily volume-weighted average price of our common stock, less a
discount (the forward price), during the term of the ASR program falls below $59.53 per share,
the investment bank would be required to deliver additional shares to us. If the forward price
rises above $59.53 per share, we would be required to deliver cash or shares, at our option, to the
investment bank. During the third quarter of 2011, we settled the $1.0 billion portion of the ASR
agreement and received 1.9 million additional shares of our common stock at a final forward price
of $53.51 per share. Under the terms of the contract, the maximum number of shares that could be
received or delivered under the contracts is 58.8 million. As of September 30, 2011, based on the
daily volume-weighted average price of our common stock since the effective date of the agreements,
the investment banks would be required to deliver 1.8 million
shares to us for the $750.0 million
portion of the ASR agreement that has not yet been settled. These shares were not included in the
calculation of diluted weighted average common shares outstanding during the period because their
effect was anti-dilutive.
The ASR agreement is accounted for as an initial treasury stock transaction and a forward
stock purchase contract. The forward stock purchase contract is classified as an equity instrument
under applicable accounting guidance and was deemed to have a fair value of zero at the effective
date. The initial repurchase of shares resulted in an immediate reduction of the outstanding
shares used to calculate the weighted-average common shares outstanding for basic and diluted net
income per share on the effective date of the agreements. The 1.9 million shares received for the
settlement of the $1.0 billion portion of the ASR agreement reduced weighted-average common shares
outstanding for the third quarter of 2011.
In addition to the shares repurchased through the ASR, we repurchased 13.0 million shares
under our existing stock repurchase program using internally generated cash during the second
quarter of 2011 for $765.7 million. Repurchases during 2011 were financed primarily with the
proceeds from our 2016 Senior Notes discussed below, in addition to internally generated cash.
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BANK CREDIT FACILITIES
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 (none of which was
outstanding as of September 30, 2011) available for general corporate purposes. Our credit
agreement requires us to pay interest periodically on the London Interbank Offered Rates (LIBOR)
or base rate options, plus a margin ranging 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.
On August 29, 2011, we entered into a credit agreement (the new credit agreement) with a
commercial bank syndicate providing for a five-year $4.0 billion term loan facility (the term
facility) and a $1.5 billion revolving loan facility (the new revolving facility). The term
facility will be available to pay a portion of the cash consideration in connection with the
Transaction, to repay existing indebtedness, and to pay related fees and expenses. The new
revolving facility will be available for general corporate purposes and will replace our $750.0
million credit facility upon funding of the term facility. Any funding under the new credit
agreement will occur concurrently with the consummation of the Transaction, subject to customary
closing conditions. The term facility and new revolving facility both mature on August 29, 2016.
The term facility reduces commitments under the bridge facility discussed below by $4.0 billion.
The new credit agreement requires us to pay interest at the LIBOR or adjusted base rate
options, plus a margin. The margin over LIBOR ranges from 1.25% to 1.75% for the term facility and
1.10% to 1.55% for the new revolving facility, respectively, and the margin over the base rate
options ranges from 0.25% to 0.75% for the term facility and 0.10% to 0.55% for the new revolving
facility, depending on our consolidated leverage ratio. Under the new credit agreement we are
required to pay commitment fees on the unused portion of the $1.5 billion new revolving facility.
The commitment fee ranges from 0.15% to 0.20% depending on our consolidated leverage ratio. Until
the funding date, we will also pay a ticking fee on the commitments under the term facility.
Our credit agreements contain covenants that restrict our ability to incur additional
indebtedness, create or permit liens on assets and engage in mergers or consolidations. The
covenants under the new credit agreement exempt such agreed upon actions taken in connection with
the Transaction. The covenants also include minimum interest coverage ratios and maximum leverage
ratios. At September 30, 2011, we believe we were in compliance in all material respects with all
covenants associated with our credit agreements.
BRIDGE FACILITY
On August 5, 2011, we entered into a credit agreement with Credit Suisse AG, Cayman Islands
Branch, as administrative agent, Citibank, N.A., as syndication agent, and the other lenders and
agents named within the agreement. The credit agreement provides for a one-year unsecured $14.0
billion bridge term loan facility (the bridge facility). In the period leading up to the closing
of the merger, we may pursue other financing opportunities to replace all or portions of the bridge
facility, or, in the event that we draw upon the bridge facility, we may refinance all or a
portion of the bridge facility at a later date. The proceeds from these borrowings may be used to
pay a portion of the cash consideration to be paid in the merger and to pay related fees and
expenses.
The bridge facility requires us to pay interest at the greater of LIBOR or the adjusted base
rate options, plus a margin. The margin over LIBOR ranges from 1.25% to 1.75% and the margin over
the adjusted base rate options ranges from 0.25% to 0.75%, depending on our consolidated leverage
ratio. The margin will increase by 0.25% on the 90th day after the funding
date of the facility and by an additional 0.25% every 90 days thereafter. Until the funding date,
we will also pay a ticking fee on the commitments under the bridge facility. Financing costs of
$65.0 million related to the bridge facility are being amortized over nine months or the proportion
by which alternative financing replaces the commitments under the bridge facility. The capitalized
financing costs are reflected in other intangible assets, net in the accompanying unaudited
consolidated balance sheet. Additional financing costs of $26.0 million were expensed as a result
of the new credit agreement entered into on August 29, 2011, discussed above, which reduced the
commitments under the bridge facility by $4.0 billion.
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The bridge facility contains covenants that restrict our ability to incur additional
indebtedness, create or permit liens on assets and engage in mergers or consolidations other than
such agreed upon actions taken in connection with the Transaction. The covenants also include a
minimum interest coverage ratio and a maximum leverage ratio. At September 30, 2011, we believe we
were in compliance in all material respects with all covenants associated with the bridge facility.
SENIOR NOTES
On May 2, 2011, we issued $1.5 billion aggregate principal amount of 3.125% Senior Notes due
2016 (2016 Senior Notes). The 2016 Senior Notes require interest to be paid semi-annually on May
15 and November 15. We may redeem some or all of the 2016 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
(assuming a 360-day year consisting of twelve 30-day months) at the treasury rate plus 20 basis
points with respect to any 2016 Senior Notes being redeemed, plus in each case, unpaid interest on
the notes being redeemed accrued to the redemption date. The 2016 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.
Financing costs of $10.9 million for the issuance of the 2016 Senior Notes are being amortized
over 5 years and are reflected in other intangible assets, net in the accompanying unaudited
consolidated balance sheet. We used the net proceeds to repurchase treasury shares.
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.
These 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 these 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. These 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.
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.
OTHER MATTERS
In September 2011, the Financial Accounting Standards Board (FASB) issued authoritative
guidance allowing entities testing goodwill for impairment to perform a qualitative assessment to
determine whether further impairment testing is necessary. If entities determine, on the basis of
qualitative factors, that it is more likely than not that a reporting units fair value is greater
than the carrying amount, a quantitative calculation may not be needed. This update is effective
for annual and interim goodwill impairment tests performed for fiscal years beginning after
December 15, 2011. We plan to early adopt the guidance as permitted by the new standard in the
fourth quarter of 2011. Adoption of the standard is not expected to have a material impact on our
financial position, results of operations, or cash flows.
In June 2011, the FASB issued authoritative guidance eliminating the option to report other
comprehensive income and its components in the statement of changes in equity. Under the new
guidance, an entity can elect to present items of net income and other comprehensive income in a
single continuous statement or in two separate but consecutive statements. This update is
effective for fiscal years, and interim periods within those fiscal years, beginning after December
15, 2011. Adoption of the standard will impact the presentation of certain information
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within the financial statements, but is not expected to have an impact on our financial
position, results of operations, or cash flows.
In May 2011, the FASB issued authoritative guidance containing changes to certain aspects of
the measurement of fair value of assets and liabilities and requiring additional disclosures around
assets and liabilities measured at fair value using Level 3 inputs as well as disclosures about the
use of nonfinancial assets measured or disclosed at fair value if their use differs from their
highest and best use. This statement is effective for financial statements issued for annual
periods beginning on or after December 15, 2011. Adoption of the standard is not expected to have
an impact on our financial position, results of operations, or cash flows.
As previously noted in our Quarterly Report on Form 10-Q for the quarter ended June 30, 2011,
Walgreen Co., a member of certain of our pharmacy provider networks, announced on June 21, 2011,
its then current intention to no longer participate in such networks following the expiration of
our contract at the end of 2011. Contract negotiations with network pharmacy providers are part of
the normal course of our business, and we continue to be receptive to engaging in good faith
negotiations with Walgreens. Our retail networks consist of more than 60,000 pharmacy locations,
and we would satisfy all client guarantees for access even without Walgreens in our networks.
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.
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Item 3. |
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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, 2011, we had no obligations, net of cash, which were subject to
variable rates of interest under our credit agreements.
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Item 4. |
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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 quarter ended September 30, 2011, 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.
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PART II. OTHER INFORMATION
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Item 1. |
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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:
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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 October 4,
2011, in Washington Wholesalers Health and Welfare Fund v. Express Scripts, Inc., et
al., (Civil Action No. 4:06-CV-01007 for the United States District Court for the Eastern
District of Missouri) (filed June 30, 2006), New England Health Care Employees Welfare
Fund (Brown) v. Express Scripts, Inc., (Case No. 4:05-CV-1081, United States District
Court for the Eastern District of Missouri) (filed October 28, 2004), United Food and
Commercial Workers Health and Welfare Fund of Northeastern Pennsylvania (Kessler) v. Express
Scripts, Inc., (Civil Action No. 4:06-CV-01526 for the United States District Court for
the Eastern District of Missouri) (filed October 17, 2006), United Food and Commercial
Workers Unions and Participating Employers Health and Welfare Fund (Lowthers) v. Express
Scripts, Inc., (Civil Action No.: 4:06-CV-01541 for the United States District Court for
the Eastern District of Missouri) (filed October 20, 2006), Local 888 Health Fund (Bruny)
v. Express Scripts, Inc., (Civil Case No. 4:06-CV-01611 for the United States District
Court for the Eastern District of Missouri) (filed November 6, 2006), and Food Employers
Labor Relations Association and United Food and Commercial Workers Health and Welfare Fund
(Weiss) v. Express Scripts, Inc., (Civil Action No. 4:06-CV-01612 for the United States
District Court for the Eastern District of Missouri) (filed November 6, 2006), plaintiffs
voluntarily filed stipulations of dismissals with prejudice. There was no monetary
settlement. |
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Jerry Beeman, et al. v. Caremark, et al. (Case No. 021327, United States District
Court for the Central District of California). On December 12, 2002, several California
pharmacies filed a complaint as a putative class action against the Company and several other
pharmacy benefit management companies. The complaint alleges that defendants failed to comply
with statutory obligations under California Civil Code Section 2527 to provide California
clients with the results of a bi-annual survey of retail drug prices. On July 12, 2004, the
case was dismissed with prejudice on the grounds that plaintiffs lacked standing to bring the
lawsuit. On June 2, 2006, the U.S. Court of Appeals for the Ninth Circuit reversed the
district courts opinion on standing and remanded the case to the district court. Defendants
moved to dismiss on first amendment constitutionality grounds and the district court denied
that motion, which defendants appealed. On July 19, 2011, the Ninth Circuit affirmed the
district courts denial of defendants motion to dismiss. On August 16, 2011, the Company
filed a petition for rehearing en banc for the Ninth Circuits reconsideration of its ruling
on defendants motion to dismiss. |
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, 2010 and Item 1 Legal Proceedings
in our Quarterly Reports on Form 10-Q for the periods ended March 31, 2011 and June 30, 2011.
Several lawsuits have been filed by stockholders of Medco Health Solutions, Inc. (Medco)
challenging our proposed merger transaction with Medco since our announcement on July 21, 2011 that
we had entered into a definitive merger agreement. The complaints in the actions name as
defendants Medco and/or various members of Medcos board of directors as well as Express Scripts
and certain of our subsidiaries that are party to the merger
agreement. As of October 25, 2011, multiple complaints have been filed in the Court of
Chancery of the State of
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Delaware, in the United States District Court for the District of New
Jersey, and in the Superior Court of the State of New Jersey. The plaintiffs in the purported
class action complaints generally allege, among other things, that (i) the members of Medcos board
of directors breached their fiduciary duties to Medco and its stockholders by authorizing the
proposed merger and (ii) Express Scripts and three of our subsidiaries Plato Merger Sub, Inc.,
Aristotle Holding, Inc. and Aristotle Merger Sub, Inc. aided and abetted the alleged breaches of
fiduciary duty by Medco and its directors. The plaintiffs seek, among other things, to enjoin the
defendants from consummating the merger transaction on the agreed-upon terms, and unspecified
compensatory damages, together with the costs and disbursements of the action. A class has been
certified in the Court of Chancery of the State of Delaware. The cases filed in the Superior Court
of the State of New Jersey have been stayed. The Companys motion to dismiss was denied by the
United States District Court for the District of New Jersey.
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.
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Item 1A. Risk Factors
In addition to the risk factors set forth in Part I Item 1A Risk Factors of our Annual
Report on Form 10-K for the fiscal year ended December 31, 2010 (the 10-K) and Part II Item 1A
Risk Factors of our Quarterly Reports on Form 10-Q for the quarterly periods ended March 31,
2011 and June 30, 2011 (the 10-Qs), investors should consider the following risk factors arising
from our intention to combine with Medco Health Solutions, Inc. (Medco) through a series of
mergers with newly formed subsidiaries of the Company (the merger). On July 20, 2011, we entered
into a definitive merger agreement (the Merger Agreement) with Medco. As a result of the merger,
we and Medco would become wholly-owned subsidiaries of a new holding company. The risk factors
below should be read in conjunction with the risk factors set forth in the 10-K and 10-Qs and the
other information contained in this report as our business, financial condition or results of
operations could be adversely affected if any of these risks actually occur.
Consummation of the merger with Medco is subject to regulatory approval and certain conditions and
we cannot predict when or if such conditions will be satisfied or waived or if, in connection with
the receipt of necessary approvals, regulators will impose conditions on us that have an adverse
effect on our business.
Consummation of the merger with Medco is subject to regulatory approval and certain
conditions, including, among others:
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the approval of the stockholders of both our company and Medco; |
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the effectiveness of a registration statement covering the shares of common stock to be
issued to the stockholders of Medco; |
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the expiration or termination of the applicable waiting period under the
Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended and the receipt of
necessary governmental approvals; |
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the accuracy of the representations and warranties and compliance with the respective
covenants of the parties, subject to certain materiality qualifiers; |
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the absence of certain legal impediments; |
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the receipt by each party of an opinion from counsel as to the tax treatment of the
transaction; and |
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certain other customary conditions. |
We cannot provide any assurance that the merger will be completed, that there will not be a
delay in the completion of the merger or that all or any of the anticipated benefits of the merger
will be obtained. Any delay could also, among other things, result in additional transaction
costs, loss of revenue or other negative effects associated with uncertainty about completion of
the merger. In the event the Merger Agreement is terminated or the transaction is materially
delayed for any reason, the price of our common stock may be impacted. If the Merger Agreement is
terminated, we may incur substantial fees in connection with the termination of the transactions
and we will not recognize the anticipated benefits of the merger. Regulatory authorities reviewing
the merger may refuse to permit the merger or may impose restrictions or conditions on the merger
that may seriously harm the combined company if the merger is completed.
Our indebtedness following the completion of the merger with Medco will be substantial and will
effectively reduce the amount of funds available for other business purposes.
We currently expect to incur up to $14 billion of indebtedness to finance all or a portion of
the cash component of the merger consideration. Interest costs related to this debt or other debt
we may incur in connection with the merger will be substantial. Our new indebtedness may contain
negative or financial covenants that would limit our operational flexibility. Our increased level
of indebtedness could reduce funds available for additional acquisitions or other business
purposes, restrict our financial and operating flexibility or create competitive disadvantages
compared to other companies with lower debt levels. This in turn may reduce our flexibility in
responding to changes in our businesses and in our industry.
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The anticipated benefits of the merger with Medco may not be realized fully and may take longer to
realize than expected.
The success of the merger will depend, in part, on the combined companys ability to
successfully combine the businesses of Express Scripts and Medco, which currently operate as
independent public companies, and realize the anticipated benefits, including synergies, cost
savings, innovation and operational efficiencies, from the combination. If we are unable to
achieve these objectives within the anticipated time frame, or at all, the anticipated benefits may
not be realized fully or at all, or may take longer to realize than expected and the value of the
combined companys common stock may be harmed.
The merger involves the integration of Medcos businesses with our existing business, which is
a complex, costly and time-consuming process. We have not previously completed a transaction
comparable in size or scope to the proposed merger. The integration of two companies may result in
material challenges, including, without limitation:
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the diversion of managements attention from ongoing business concerns and performance
shortfalls at one or both of the companies as a result of the devotion of managements
attention to the merger; |
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managing a larger combined company; |
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maintaining employee morale and retaining key management and other employees; |
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integrating two unique corporate cultures, which may prove to be incompatible; |
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the possibility of faulty assumptions underlying expectations regarding the integration
process; |
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retaining existing clients and attracting new clients; |
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consolidating corporate and administrative infrastructures and eliminating duplicative
operations; |
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coordinating geographically separate organizations; |
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unanticipated issues in integrating information technology, communications and other
systems; |
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unanticipated changes in applicable laws and regulations; |
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managing tax costs or inefficiencies associated with integrating the operations of the
combined company; |
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unforeseen expenses or delays associated with the merger; and |
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making any necessary modifications to internal financial control standards to comply
with the Sarbanes-Oxley Act of 2002 and the rules and regulations promulgated thereunder. |
Many of these factors will be outside of our control and any one of them could result in
increased costs, decreases in the amount of expected revenues and diversion of managements time
and energy, which could materially impact our business, financial condition and results of
operations.
Due to legal restrictions, we and Medco have been able to conduct only limited planning
regarding the integration of the two companies following the merger and have not yet determined the
exact nature of how the businesses and operations of the two companies will be combined after the
merger. The actual integration may result in additional and unforeseen expenses, and the
anticipated benefits of the integration plan may not be realized.
Delays encountered in the integration process could have a material adverse effect on the
revenues, expenses, operating results and financial condition of the combined company. Although we
expect significant benefits, such as synergies, cost savings, innovation and operational
efficiencies, to result from the merger, there can be no assurance that the combined company will
realize any of these anticipated benefits.
Our financial results after the merger will depend on our ability to maintain our and Medcos
client relationships.
A substantial portion of each of our and Medcos revenues are received under long-term client
relationships. Our success following the merger will depend in part of our ability to maintain
these client relationships, including those of Medco. Medcos clients may have termination or
other rights that may be triggered by the merger, or these clients may decide not to renew their
existing relationships with Medco or, after the merger, with us. If Medco (prior to the completion
of the merger) and we (after the completion of the merger) are unable to
maintain these client relationships, our business, financial results and financial condition could
be adversely affected.
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We will incur significant transaction and merger-related costs in connection with the merger.
We will incur significant costs in connection with the integration process. The substantial
majority of these costs will be non-recurring expenses related to the merger, facilities and
systems consolidation costs. We may incur additional costs to maintain employee morale and to
retain key employees. We will also incur transaction fees and costs related to formulating
integration plans. Additional unanticipated costs may be incurred in the integration of Medcos
businesses. Although we expect that the elimination of duplicative costs, as well as the
realization of other efficiencies related to the integration of the businesses, should allow us to
more than offset incremental transaction and merger-related costs over time, this net benefit may
not be achieved in the near term, or at all.
Failure to complete the merger could impact our stock price and our future business and financial
results.
If the merger is not completed or our financing for the transaction becomes unavailable, our
ongoing business and financial results may be adversely affected and we will be subject to a number
of risks, including the following:
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depending on the reasons leading to such termination we could be liable to Medco for
substantial termination fees in connection with the termination of the Merger Agreement
and/or the reimbursement of certain of Medcos expenses; |
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we could be responsible for the transaction costs relating to the merger, whether or not
the merger is completed; |
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while the Merger Agreement is in force, we are subject to certain restrictions on the
conduct of our business, which may adversely affect our ability to execute certain of our
business strategies; and |
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matters relating to the merger (including integration planning) may require substantial
commitments of time and resources by our management, whether or not the merger is
completed, which could otherwise have been devoted to other opportunities that may have
been beneficial to us. |
In addition, if the merger is not completed, we may experience negative reactions from the
financial markets and from our clients and employees. We may also be subject to litigation related
to any failure to complete the merger or to enforcement proceedings commenced against us to perform
our obligations under the Merger Agreement. If the merger is not completed, these risks may
materialize and may adversely affect our business, financial results and financial condition, as
well as the price of our common stock.
If sufficient financing or other sources of capital are not available, we may be subject to
significant monetary or other damages under the Merger Agreement.
We intend to finance all or a portion of the cash component of the merger consideration with
debt financing. However, our ability to obtain financing is not a condition to closing under the
Merger Agreement. Even though we have obtained bridge financing in an amount which we believe
would be sufficient to allow us to complete the transaction, the consummation of the financing
pursuant to the bridge facility is subject to conditions that may not be satisfied at the closing
of the merger. If we are unable to obtain sufficient financing or other sources of capital, we may
be subject to significant monetary or other damages under the Merger Agreement as a result of our
breach.
The market price of our common stock may decline as a result of the merger with Medco.
The market price of the common stock of our company or the combined company may decline as a
result of the merger if, among other things, we are unable to achieve the expected growth in
earnings, or if the operational cost savings estimates in connection with the integration of
Medcos business with ours are not realized, or if the transaction costs related to the merger are
greater than expected, or if the financing related to the transaction is on unfavorable terms. The
market price also may decline if we do not achieve the perceived benefits of the merger as
rapidly or to the extent anticipated by financial or industry analysts or if the effect of the
merger on our financial results is not consistent with the expectations of financial or industry
analysts.
40
The merger will substantially reduce the percentage ownership interests of our current
stockholders; it may not be accretive and may cause dilution to our earnings per share, which may
negatively affect the market price of our common stock.
If the merger is completed we will pay approximately $23.2 billion and issue approximately
366.0 million shares of stock of the combined company to Medcos stockholders, and Medcos
stockholders are expected to hold approximately 40% of the common stock of the combined company
after the merger. We currently anticipate that the merger will be accretive to our earnings per
share. This expectation is based on preliminary estimates which may materially change. We could
also encounter additional transaction and integration-related costs or other factors such as the
failure to realize all of the benefits anticipated in the merger, or unforeseen liabilities or
other issues existing or arising with the business of Medco or otherwise resulting from the merger.
All of these factors could cause dilution to our earnings per share or decrease or delay the
expected accretive effect of the merger and cause a decrease in the price of our common stock.
We have also included below a revision to one of the General Risk Factors included in Item 1A
Risk Factors of our Annual Report on Form 10-K for the year ended December 31, 2010:
Pending and future litigation or other proceedings could subject us to significant monetary damages
or penalties and/or require us to change our business practices, either of which could have a
material adverse effect on our business operations and our financial results or condition.
We are subject to risks relating to litigation, regulatory proceedings, and other similar
actions in connection with our business operations, including the dispensing of pharmaceutical
products by our home delivery pharmacies, services rendered in connection with our disease
management offering, and our pharmaceutical services operations. A list of the significant
proceedings pending against us is included under Item 3Legal Proceedings of our Annual Report
on Form 10-K for the year ended December 31, 2010, and our Quarterly Reports on Form 10-Q for the
periods ended March 31, 2011 and June 30, 2011, including certain proceedings that purport to be
class action lawsuits. These proceedings seek unspecified monetary damages and/or injunctive
relief. While we believe these proceedings are without merit and intend to contest them vigorously,
we cannot predict with certainty the outcome of any such proceeding. If one or more of these
proceedings has an unfavorable outcome, we cannot provide any assurance that it would not have a
material adverse effect on our business and financial results, including our ability to attract and
retain clients as a result of the negative reputational impact of such an outcome. Further, while
certain costs are covered by insurance, we may incur uninsured costs that are material to our
financial performance in the defense of such proceedings.
Commercial liability insurance coverage continues to be difficult to obtain for companies in
our business sector which can cause unexpected volatility in premiums and/or retention requirements
dictated by insurance carriers. We have established certain self-insurance accruals to cover
anticipated losses within our retained liability for previously reported claims and the cost to
defend these claims. There can be no assurance that general, professional, managed care errors and
omissions, and/or other liability insurance coverage will be reasonably available in the future or
such insurance coverage, together with our self-insurance accruals, will be adequate to cover
future claims. A claim, or claims, in excess of our insurance coverage could have a material
adverse effect on our business and financial results.
41
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, 2011 (share data in millions):
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Total number of |
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shares purchased |
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as part of a |
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Maximum number of shares |
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Total number 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 |
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Period |
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purchased |
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per share |
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program |
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the program(1) |
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7/1/2011 7/31/2011 |
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$ |
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22.7 |
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8/1/2011 8/31/2011 |
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1.9 |
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53.51 |
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1.9 |
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20.8 |
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9/1/2011 9/30/2011 |
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20.8 |
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Third Quarter 2011 |
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1.9 |
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$ |
53.51 |
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1.9 |
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Total |
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(1) |
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During the second quarter of 2011, our Board of Directors approved an
increase to our stock repurchase program in the amount of 50 million shares. |
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 first nine months of 2011, we repurchased 13.0 million shares for $765.7 million. An additional
31.3 million shares were acquired under an Accelerated Share Repurchase (ASR) agreement during
the nine months ended September 30, 2011. Current year repurchases were funded through the issuance
of an aggregate principal amount of $1.5 billion 2016 Senior Notes and through internally generated
cash. As of September 30, 2011, there are 20.8 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.
42
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 25, 2011 |
By: |
/s/ George Paz
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George Paz, Chairman, President and Chief Executive Officer |
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Date: October 25, 2011 |
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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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 |
2.12
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Stock and Interest Purchase Agreement among the Company and
WellPoint, Inc., dated April 9, 2009, incorporated by reference to
Exhibit No. 2.1 to the Companys Current Report on Form 8-K filed
April 14, 2009. |
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2.22
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Agreement and Plan of Merger, dated as of July 20, 2011, by and among
the Company, Medco Health Solutions, Inc., Aristotle Holding, Inc.,
Aristotle Merger Sub, Inc. and Plato Merger Sub, Inc., incorporated
by reference to Exhibit 2.1 to the Companys Current Report on Form
8-K filed July 22, 2011 (the schedules have been omitted pursuant to
Item 601(b)(2) of Regulation S-K and will be furnished supplementally
to the SEC upon request). |
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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 3.1 to the Companys Current Report on Form 8-K
filed May 10, 2011. |
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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). |
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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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4.5
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Amendment No. 3 to the Rights Agreement between the Company and
American Stock Transfer & Trust Company as Rights Agent, dated as of
March 7, 2011, incorporated by reference to Exhibit No. 4.1 to the
Companys Current Report on Form 8-K filed March 8, 2011. |
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10.1
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Credit Agreement, dated as of August 5, 2011, among Express Scripts,
Inc., Aristotle Holding, Inc., Credit Suisse AG, Cayman Islands
Branch, as administrative agent, Citibank, N.A., as syndication
agent, and the other lenders and agents named therein, incorporated
by reference to Exhibit 10.1 to the Companys Current Report on Form
8-K filed August 9, 2011. |
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10.2
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Credit Agreement, dated as of August 29, 2011, among Express Scripts,
Inc., Aristotle Holding, Inc., Credit Suisse AG, Cayman Islands
Branch, as administrative agent, Citibank, N.A., as syndication
agent, and the other lenders and agents named therein, incorporated
by reference to Exhibit 10.1 to the Companys Current Report on Form
8-K filed August 30, 2011. |
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10.31
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Form of Stock Option Grant Notice used with respect to
grants of stock options by the Company under the
Express Scripts, Inc. 2011 Long-Term Incentive Plan. |
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10.41
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Form of Stock Option Grant Notice for Non-Employee
Directors used with respect to grants of stock
options by the Company under the Express Scripts,
Inc. 2011 Long-Term Incentive Plan. |
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10.51
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Form of Restricted Stock Unit Grant Notice used with
respect to grants of restricted stock units by the
Company under the Express Scripts, Inc. 2011
Long-Term Incentive Plan. |
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10.61
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Form of Restricted Stock Unit Grant Notice for
Non-Employee Directors used with respect to grants
of restricted stock units by the Company under the
Express Scripts, Inc. 2011 Long-Term Incentive Plan. |
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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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12.11
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Statement regarding computation of ratio of earnings to fixed charges. |
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Exhibit |
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Number |
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Exhibit |
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). |
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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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101.1
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XBRL Taxonomy Instance Document. |
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101.2
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XBRL Taxonomy Extension Schema Document. |
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101.3
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XBRL Taxonomy Extension Calculation Linkbase Document. |
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101.4
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XBRL Taxonomy Extension Definition Linkbase Document. |
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101.5
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XBRL Taxonomy Extension Label Linkbase Document. |
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101.6
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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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Each Agreement has been included to provide investors and security holders with information
regarding their respective terms. It is not intended to provide any other financial
information about the Company, any other party to the Agreement, or their respective
subsidiaries and affiliates. The representations and warranties in each Agreement are the
product of negotiations among the parties thereto and are for the sole benefit of such parties
in accordance with and subject to the terms of the respective Agreements, and are not
necessarily intended as characterizations of actual facts or circumstances as of the
respective date of each Agreement or as of any other date. In addition, the representations
and warranties in each Agreement may be subject to limitations agreed upon by the parties,
including being qualified by confidential disclosures made for the purposes of allocating
contractual risk between the parties to the Agreement, and may be subject to standards of
materiality applicable to the contracting parties that differ from those applicable to
investors. Moreover, information concerning the subject matter of the representations,
warranties and covenants may change after the date of each respective Agreement, which
subsequent information may or may not be fully reflected in public disclosures by the Company
and any other party thereto. |