-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, U59EP5YvTjAAxquFZ823GA/G+rVPCgIlePtzP9OQRnK3jy2aLmdS8hx3wMgVPukW FKiIi/fKb0fYbk+MfddP/w== 0000885721-04-000123.txt : 20040429 0000885721-04-000123.hdr.sgml : 20040429 20040428181013 ACCESSION NUMBER: 0000885721-04-000123 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20040331 ITEM INFORMATION: ITEM INFORMATION: Other events ITEM INFORMATION: Financial statements and exhibits FILED AS OF DATE: 20040429 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXPRESS SCRIPTS INC CENTRAL INDEX KEY: 0000885721 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 431420563 STATE OF INCORPORATION: DE FISCAL YEAR END: 1202 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-20199 FILM NUMBER: 04761888 BUSINESS ADDRESS: STREET 1: 13900 REIVERPORT DRIVE CITY: MARYLAND HEIGHTS STATE: MO ZIP: 63043 BUSINESS PHONE: 3147701666 MAIL ADDRESS: STREET 1: 13900 REIVERPORT DRIVE CITY: MARYLAND HEIGHTS STATE: MO ZIP: 63043 8-K 1 q1-04earnings8k.htm 1ST QUARTER 2004 EARNINGS
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


FORM 8-K

Current Report

Pursuant to Section 13 or 15(d) of
The Securities Exchange Act of 1934

Date of Report: April 28, 2004

Express Scripts, Inc.

(Exact Name of Registrant as specified in its Charter)

Delaware 0-20199 43-1420563



(State or other jurisdiction of
corporation)
(Commission File No.)
 
(IRS Employer
Identification No.)


13900 Riverport Drive, Maryland Heights, Missouri 63043


(Address of Principal Executive Offices) (Zip Code)



Registrant's telephone number, including area code:           (314) 770-1666                                                            




(Former name or former address, if changed since last report)


Item 5.      Other Events

                    On April 28, 2004, Express Scripts, Inc. (the "Company") issued a press release. Selected unaudited financial information included in such press release is attached hereto as Exhibit 99.1 and incorported herein by reference.

                    

Item 7.      Financial Statements, Pro Forma Financial Information and Exhibits

                   (c)   The following Exhibit is filed as part of this report on Form 8-K:

                           Exhibit 99.1     Selected unaudited financial information from the Company’s press release
                    dated April 28, 2004.

Item 12.      Results of Operations and Financial Conditions

                   The following information is furnished under Item 12 of this report on Form 8-K:

                   The Company’s entire April 28, 2004 press release is attached hereto as Exhibit 99.2 and incorporated herein by reference.





SIGNATURE

                   Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

EXPRESS SCRIPTS, INC.




Date: April 28, 2004 By:       /s/ Barrett A. Toan      
Barrett A. Toan
Chairman and Chief Executive Officer







EXHIBIT INDEX

Exhibit No.

Description

99.1 Unaudited Financial Information, dated April 28, 2004
99.2 Press release, dated April 28, 2004
EX-99 2 q1-04financials.htm FINANCIALS

Exhibit 99.1



EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Operations

Three Months Ended
March 31,
(in thousands, except share data) 2004 2003



Revenues 1
    $ 3,627,815   $ 3,223,981  
Cost of revenues 1    3,406,028    3,014,368  


   Gross profit    221,787    209,613  
Selling, general and administrative    95,244    101,786  


Operating income    126,543    107,827  


Other (expense) income:  
   Undistributed loss from joint venture    (1,340 )  (1,539 )
   Interest income    824    868  
   Interest expense    (12,710 )  (10,702 )


     (13,226 )  (11,373 )


Income before income taxes    113,317    96,454  
Provision for income taxes    43,354    36,805  


Income before cumulative effect of accounting change    69,963    59,649  
Cumulative effect of accounting change, net of tax    -    (1,028 )


Net income   $ 69,963   $ 58,621  


Basic earnings per share:  
   Before cumulative effect of accounting change   $ 0.90   $ 0.77  
   Cumulative effect of accounting change    -    (0.01 )


   Net income   $ 0.90   $ 0.76  


Weighted average number of common shares  
   outstanding during the period - Basic EPS    77,333    77,547  


Diluted earnings per share:  
   Before cumulative effect of accounting change   $ 0.89   $ 0.75  
   Cumulative effect of accounting change    -    (0.01 )


   Net income   $ 0.89   $ 0.74  


Weighted average number of common shares  
   outstanding during the period - Diluted EPS    78,571    79,075  


1 Excludes estimated retail pharmacy co-payments of $1,400,225 and $1,333,683, respectively. These are amounts we instructed retail pharmacies to collect from members. We have no information regarding actual co-payments collected.

EXPRESS SCRIPTS, INC.
Unaudited Consolidated Balance Sheet

(in thousands, except share data) March 31,
2004
December 31,
2003


Assets            
Current assets:  
   Cash and cash equivalents   $ 300,857   $ 396,040  
   Receivables, net    1,092,043    1,011,154  
   Inventories    128,603    116,375  
   Deferred taxes    17,156    15,346  
   Prepaid expenses and other current assets    23,287    21,220  


        Total current assets    1,561,946    1,560,135  
Property and equipment, net    177,783    177,312  
Goodwill, net    1,699,010    1,421,493  
Other intangible assets, net    259,056    232,059  
Other assets    21,847    18,175  


        Total assets   $ 3,719,642   $ 3,409,174  


Liabilities and Stockholders' Equity  
Current liabilities:  
   Claims and rebates payable   $ 1,224,384   $ 1,178,321  
   Accounts payable    253,999    232,290  
   Accrued expenses    216,549    215,797  
   Current maturities of long-term debt    22,084    -  


        Total current liabilities    1,717,016    1,626,408  
Long-term debt    582,947    455,018  
Other liabilities    141,422    133,755  


        Total liabilities    2,441,385    2,215,181  


Stockholders' equity:  
   Preferred stock, $0.01 par value per share, 5,000,000 shares authorized,  
      and no shares issued and outstanding    -    -  
   Common Stock, $0.01 par value per share, 181,000,000 shares  
      authorized, and 79,786,000 and 79,795,000 shares issued and  
      outstanding, respectively    797    798  
   Additional paid-in capital    476,707    484,663  
   Unearned compensation under employee compensation plans    (22,728 )  (23,302 )
   Accumulated other comprehensive income    3,655    3,638  
   Retained earnings    934,513    864,550  


     1,392,944    1,330,347  
   Common Stock in treasury at cost, 1,855,000 and 2,223,000  
      shares, respectively    (114,687 )  (136,354 )


        Total stockholders' equity    1,278,257    1,193,993  


        Total liabilities and stockholders' equity   $ 3,719,642   $ 3,409,174  





EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Cash Flows

Three Months Ended
March 31,
(in thousands) 2004 2003


Cash flows from operating activities:            
   Net income   $ 69,963   $ 58,621  
   Adjustments to reconcile net income to net cash  
      provided by operating activities excluding
      the effect of the acquisition:
  
        Depreciation and amortization    15,705    13,163  
        Non-cash adjustments to net income    21,764    11,629  
        Net changes in operating assets and liabilities    (9,647 )  11,023  


Net cash provided by operating activities    97,785    94,436  


Cash flows from investing activities:  
   Purchases of property and equipment    (7,739 )  (9,195 )
   Acquisition, net of cash acquired, and investment in joint venture    (331,810 )  2,804  
   Other    (905 )  7  


Net cash used in investing activities    (340,454 )  (6,384 )


Cash flows from financing activities:  
   Proceeds from long-term debt    675,000    -  
   Repayment of long-term debt    (525,000 )  (25,000 )
   Treasury stock acquired    (9,891 )  -  
   Deferred financing fees    (6,029 )  -  
   Net proceeds from employee stock plans    13,541    1,939  


Net cash provided by (used in) financing activities    147,621    (23,061 )


Effect of foreign currency translation adjustment    (135 )  896  


Net (decrease) increase in cash and cash equivalents    (95,183 )  65,887  
Cash and cash equivalents at beginning of period    396,040    190,654  


Cash and cash equivalents at end of period   $ 300,857   $ 256,541  


EX-99 3 q1-04pressrelease.htm PRESS RELEASE

Exhibit 99.2







Contact:
Edward Stiften, Chief Financial Officer
David Myers, Vice President Investor Relations
(314) 702-7173
investor.relations@express-scripts.com


Express Scripts Reports Strong First Quarter Earnings
Record Level of Mail and Generic Drug Utilization

ST.  LOUIS,  April 28, 2004—Express Scripts, Inc. (Nasdaq: ESRX) announced first quarter net income of $70.0 million, or $0.89 per diluted share, a 20 percent increase over $0.74 per diluted share reported for the same quarter of 2003. The Company generated $97.8 million of cash flow from operations in the first quarter compared with $94.4 million in the same quarter last year.

        “We are pleased by our strong start in 2004, and our outlook for the future,” stated Barrett Toan, chairman and chief executive officer. “The record level of mail and generic utilization this quarter demonstrates the increased demand for our PBM tools, which help clients reduce their drug trend. Members covered by step therapy programs have more than doubled from last year to over 10 million, and clients implementing these programs experience, on average, a two percent increase in generic utilization. Our business model aligns our interests with our clients and members, and we benefit when our members use more generics, choose preferred lower-cost brand drugs and take advantage of our cost-effective mail services.”

        “This quarter, we also completed the acquisition of CuraScript, which is providing immediate benefits by improving the quality and affordability of specialty drug therapy for clients and patients.”

Strong Operating Results

        Revenues for the first quarter of 2004 were $3.6 billion, a 13 percent increase over the same quarter last year due to drug price inflation, the acquisition of CuraScript, and increased prescriptions managed by Express Scripts on an adjusted basis. Increased use of lower-cost generic drugs (approximately 49 percent of total prescriptions compared to 47 percent last year), and increased member co-payments to retail network pharmacies, which the Company does not record as revenue, partially offset these increases.

        Mail pharmacy prescriptions increased 25 percent to 9.3 million during the first quarter of 2004 from 7.4 million last year. Mail claims as a percentage of total adjusted claims grew to 23 percent from 19 percent for the same period last year. In addition to distributing a record number of mail prescriptions, Express Scripts attained a 97 percent beneficiary satisfaction rating from the Department of Defense (“DoD”) for the TRICARE mail program, representing the third consecutive quarter of earning an incentive payment under this contract.

        Retail network claims processed in the first quarter were 93.5 million, a 3 percent reduction from 96.7 million last year; however, with the growth in mail pharmacy services, total adjusted claims increased 2 percent over last year. Express Scripts experienced strong sales for 2004 business, and the net new business will begin during the second quarter with the addition of some large accounts including the TRICARE Retail Pharmacy program. Effective June 1, 2004, Express Scripts will provide access to a retail pharmacy network, prior authorization services, beneficiary communication materials and a call center to handle beneficiary inquiries for approximately 2.5 million DoD beneficiaries who currently utilize the retail pharmacy benefit.

        “Also, beginning May 3rd, we begin enrollment in the Pharmacy Care Alliance Medicare discount card program, which we are sponsoring with the National Association of Chain Drug Stores,” added Toan. “We look forward to making the use of prescription drugs safer and more affordable for America’s seniors.”

        Gross profit per adjusted claim for the first quarter was $1.82, an increase from $1.75 reported for the same quarter last year. Selling, general and administrative expenses of $95.2 million decreased 6 percent from $101.8 million for the first quarter of 2003. As a result, operating income was $126.5 million, an increase of 17 percent over the first quarter of 2003, and EBITDA per adjusted claim was $1.16 compared to $1.01 last year.

        During the quarter, the Company refinanced its existing credit facility with a new $800 million financing package with favorable rates, and flexible, limited covenants. In conjunction with the refinancing, the Company recorded additional interest expense of $3.6 million ($2.2 million net of tax), or $0.03 per diluted share, reflecting the write-off of deferred financing fees. In addition, in conjunction with the early termination of a client in 2001, the Company received a termination payment in the first quarter of $5.5 million ($3.4 million net of tax), or $0.04 per diluted share.

2004 Earnings Guidance

        The Company believes its financial performance will continue to benefit from increased membership, growth in mail and retail prescriptions beginning in the second quarter, further increases in generic utilization, improved formulary compliance with preferred, lower-cost brands, growth in its specialty PBM offering, increased productivity, and capital structure improvements. Based on these strong fundamentals, Express Scripts believes that its 2004 diluted earnings per share will increase 20 percent to 25 percent over 2003, excluding charges the Company incurred in the first quarter and anticipates incurring in the second quarter for the early retirement of debt, and the termination payment discussed above.

        On April 19, 2004 Express Scripts sent a Notice of Redemption to the holders of the Company’s 9 5/8% Series B Senior Notes (“Notes”) due June 15, 2009, and will redeem the $204.5 million outstanding principal amount of the Notes on June 15, 2004 at a redemption price equal to 104.8125% of the principal amount of the Notes together with accrued interest. The Company will record additional interest expense of $12.2 million ($7.6 million net of tax) in the second quarter as a result of the redemption of this debt.

Express Scripts Receives National Recognition

        Express Scripts made its first appearance on the BusinessWeek Top 50, which ranks the best-performing companies in the S&P 500. According to BusinessWeek, the Top 50 represents, “a ranking on companies that symbolize the best in Corporate America, both in operational performance and in their ability to convert that success into lucrative gains for shareholders.”

        Fortune magazine has designated Express Scripts as one of America’s most-admired companies in 2004, placing the Company fifth among the top 10 healthcare companies. The ranking is based on eight key attributes including innovation, employee talent, use of corporate assets, social responsibility, quality of management, financial soundness, long term investment, and quality of products and services.

        Express Scripts, Inc. is one of the largest PBM companies in North America providing PBM services to over 50 million members through facilities in thirteen states and Canada. Express Scripts serves thousands of client groups, including managed care organizations, insurance carriers, third-party administrators, government-sponsored benefit plans, employers, and union-sponsored benefit plans.

        Express Scripts provides integrated PBM services, including network pharmacy claims processing, mail pharmacy services, benefit design consultation, drug utilization review, formulary management, disease management, medical and drug data analysis services, and medical information management services. The Company also provides distribution services for specialty pharmaceuticals. Express Scripts is headquartered in St. Louis, Missouri. More information can be found at http://www.express-scripts.com, which includes expanded investor information and resources.

SAFE HARBOR STATEMENT

        This press release contains forward-looking statements, including, but not limited to, statements related to the Company’s plans, objectives, expectations (financial and otherwise) or intentions. Actual results may differ significantly from those projected or suggested in any forward-looking statements. Factors that may impact these forward-looking statements include but are not limited to:

risks associated with our acquisitions (including our acquisition of CuraScript) which include integration risks and costs, risks of client retention and repricing of client contracts, and risks associated with the operations of acquired businesses
risks associated with our ability to maintain growth rates, or to control operating or capital costs
continued pressure on margins resulting from client demands for lower prices, enhanced service offerings and/or higher service levels, and the possible termination of, or unfavorable modification to, contracts with keyclients or providers
competition in the PBM industry, and our ability to consummate contract negotiations with prospective clients, as well as competition from new competitors offering services that may in whole or in part replace services that we now provide to our customers
adverse results in regulatory matters, the adoption of new legislation or regulations (including increased costs associated with compliance with new laws and regulations, such as privacy regulations under the Health Insurance Portability and Accountability Act (“HIPAA”)), more aggressive enforcement of existing legislation or regulations, or a change in the interpretation of existing legislation or regulations
adverse results in litigation, including a number of pending class action cases that challenge certain of our business practices
risks arising from investigations of certain PBM practices and pharmaceutical pricing, marketing and distribution practices currently being conducted by the U.S. Attorney offices in Philadelphia and Boston and other regulatory agencies including the Department of Labor
increased compliance risks relating to our contracts with the DoD TRICARE Plan and various state governments and agencies
the possible loss, or adverse modification of the terms, of relationships with pharmaceutical manufacturers, or changes in pricing, discount or other practices of pharmaceutical manufacturers
risks associated with the use and protection of the intellectual property we use in our business
risks associated with our leverage and debt service obligations, including the effect of certain covenants in our borrowing agreements
risks associated with our ability to continue to develop new products, services and delivery channels
general developments in the health care industry, including the impact of increases in health care costs, changes in drug utilization and cost patterns and introductions of new drugs
uncertainties regarding the implementation and the ultimate terms of proposed government initiatives, including the Medicare prescription drug benefit
increase in credit risk relative to our clients due to adverse economic trends
risks associated with our inability to attract and retain qualified personnel
other risks described from time to time in our filings with the SEC

We do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.

FINANCIAL TABLES FOLLOW



EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Operations

Three Months Ended
March 31,
(in thousands, except share data) 2004 2003



Revenues 1
    $ 3,627,815   $ 3,223,981  
Cost of revenues 1    3,406,028    3,014,368  


   Gross profit    221,787    209,613  
Selling, general and administrative    95,244    101,786  


Operating income    126,543    107,827  


Other (expense) income:  
   Undistributed loss from joint venture    (1,340 )  (1,539 )
   Interest income    824    868  
   Interest expense    (12,710 )  (10,702 )


     (13,226 )  (11,373 )


Income before income taxes    113,317    96,454  
Provision for income taxes    43,354    36,805  


Income before cumulative effect of accounting change    69,963    59,649  
Cumulative effect of accounting change, net of tax    -    (1,028 )


Net income   $ 69,963   $ 58,621  


Basic earnings per share:  
   Before cumulative effect of accounting change   $ 0.90   $ 0.77  
   Cumulative effect of accounting change    -    (0.01 )


   Net income   $ 0.90   $ 0.76  


Weighted average number of common shares  
   outstanding during the period - Basic EPS    77,333    77,547  


Diluted earnings per share:  
   Before cumulative effect of accounting change   $ 0.89   $ 0.75  
   Cumulative effect of accounting change    -    (0.01 )


   Net income   $ 0.89   $ 0.74  


Weighted average number of common shares  
   outstanding during the period - Diluted EPS    78,571    79,075  


1 Excludes estimated retail pharmacy co-payments of $1,400,225 and $1,333,683, respectively. These are amounts we instructed retail pharmacies to collect from members. We have no information regarding actual co-payments collected.

EXPRESS SCRIPTS, INC.
Unaudited Consolidated Balance Sheet

(in thousands, except share data) March 31,
2004
December 31,
2003


Assets            
Current assets:  
   Cash and cash equivalents   $ 300,857   $ 396,040  
   Receivables, net    1,092,043    1,011,154  
   Inventories    128,603    116,375  
   Deferred taxes    17,156    15,346  
   Prepaid expenses and other current assets    23,287    21,220  


        Total current assets    1,561,946    1,560,135  
Property and equipment, net    177,783    177,312  
Goodwill, net    1,699,010    1,421,493  
Other intangible assets, net    259,056    232,059  
Other assets    21,847    18,175  


        Total assets   $ 3,719,642   $ 3,409,174  


Liabilities and Stockholders' Equity  
Current liabilities:  
   Claims and rebates payable   $ 1,224,384   $ 1,178,321  
   Accounts payable    253,999    232,290  
   Accrued expenses    216,549    215,797  
   Current maturities of long-term debt    22,084    -  


        Total current liabilities    1,717,016    1,626,408  
Long-term debt    582,947    455,018  
Other liabilities    141,422    133,755  


        Total liabilities    2,441,385    2,215,181  


Stockholders' equity:  
   Preferred stock, $0.01 par value per share, 5,000,000 shares authorized,  
      and no shares issued and outstanding    -    -  
   Common Stock, $0.01 par value per share, 181,000,000 shares  
      authorized, and 79,786,000 and 79,795,000 shares issued and  
      outstanding, respectively    797    798  
   Additional paid-in capital    476,707    484,663  
   Unearned compensation under employee compensation plans    (22,728 )  (23,302 )
   Accumulated other comprehensive income    3,655    3,638  
   Retained earnings    934,513    864,550  


     1,392,944    1,330,347  
   Common Stock in treasury at cost, 1,855,000 and 2,223,000  
      shares, respectively    (114,687 )  (136,354 )


        Total stockholders' equity    1,278,257    1,193,993  


        Total liabilities and stockholders' equity   $ 3,719,642   $ 3,409,174  




EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Cash Flows

Three Months Ended
March 31,
(in thousands) 2004 2003


Cash flows from operating activities:            
   Net income   $ 69,963   $ 58,621  
   Adjustments to reconcile net income to net cash  
      provided by operating activities excluding
      the effect of the acquisition:
  
        Depreciation and amortization    15,705    13,163  
        Non-cash adjustments to net income    21,764    11,629  
        Net changes in operating assets and liabilities    (9,647 )  11,023  


Net cash provided by operating activities    97,785    94,436  


Cash flows from investing activities:  
   Purchases of property and equipment    (7,739 )  (9,195 )
   Acquisition, net of cash acquired, and investment in joint venture    (331,810 )  2,804  
   Other    (905 )  7  


Net cash used in investing activities    (340,454 )  (6,384 )


Cash flows from financing activities:  
   Proceeds from long-term debt    675,000    -  
   Repayment of long-term debt    (525,000 )  (25,000 )
   Treasury stock acquired    (9,891 )  -  
   Deferred financing fees    (6,029 )  -  
   Net proceeds from employee stock plans    13,541    1,939  


Net cash provided by (used in) financing activities    147,621    (23,061 )


Effect of foreign currency translation adjustment    (135 )  896  


Net (decrease) increase in cash and cash equivalents    (95,183 )  65,887  
Cash and cash equivalents at beginning of period    396,040    190,654  


Cash and cash equivalents at end of period   $ 300,857   $ 256,541  


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


3 months
ended
03/31/2004

3 months
ended
12/31/2003

3 months
ended
09/30/2003

3 months
ended
06/30/2003

3 months
ended
03/31/2003

 Revenue Detail                        
 Network revenues   $ 2,337,254   $ 2,344,426   $ 2,201,301   $ 2,303,311   $ 2,188,208  
 Mail revenues    1,213,080    1,067,299    984,468    964,119    972,255  
 Services revenues    21,963    21,358    14,922    17,787    18,811  





  PBM revenues    3,572,297    3,433,083    3,200,691    3,285,217    3,179,274  





 Services revenues    27,555    26,941    26,082    28,637    27,793  
 Other revenues    27,963    27,713    21,829    20,343    16,914  





  Non-PBM revenues    55,518    54,654    47,911    48,980    44,707  





 Total revenues   $ 3,627,815   $ 3,487,737   $ 3,248,602   $ 3,334,197   $ 3,223,981  





 Per Claim   
 Network revenue/claim   $ 24.99   $ 24.47   $ 24.34   $ 23.99   $ 22.64  
 Mail revenue/claim   $ 130.93   $ 123.76   $ 120.70   $ 118.65 (1) $ 130.84  





 Claims Detail   
 Network (2)    93,517    95,808    90,427    96,025    96,667  
 Mail    9,265    8,624    8,156    8,126    7,431  





   Total PBM claims    102,782    104,432    98,583    104,151    104,098  
 Non-PBM claims (3)    793    859    896    966    889  





   Total claims    103,575    105,291    99,479    105,117    104,987  





   Adjusted claims (4)    122,105    122,539    115,791    121,369    119,849  





 Margin Analysis   
 Gross profit margin    6.1 %  6.7 %  6.4 %  6.5 %  6.5 %
 EBITDA margin (5)    3.9 %  3.8 %  3.9 %  3.7 %  3.8 %
 
Per Adjusted Claim
  
 Gross profit   $ 1.82   $ 1.90   $ 1.79   $ 1.79   $ 1.75  
 EBITDA (5)   $ 1.16   $ 1.08   $ 1.09   $ 1.02   $ 1.01  

      See Notes to Unaudited Operating Statistics



Selected Ratio Analysis
Table 2


As of
03/31/2004

As of
12/31/2003

As of
09/30/2003

As of
06/30/2003

As of
03/31/2003

Debt to EBITDA ratio (6)     1.2x   0.9x   0.9x   1.0x   1.2x  
EBITDA interest coverage (7)   12.1x  12.1x  11.0x  9.8x  10.1x 
Operating cash flow interest coverage (8)   10.6x  11.0x  9.4x  7.2x  10.7x 
Debt to capitalization (9)   32.1  27.6  27.9  29.7  33.6 

EXPRESS SCRIPTS, INC.

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

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

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

    (3)        Non-PBM claims represent the distribution of pharmaceuticals through Patient Assistance Programs and the distribution of pharmaceuticasl where we have been selected by the pharmaceutical manufacturer as part of a limited distribution network.

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

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

3 months ended
March 31,

2004
2003
 Net income     $ 69,963   $ 58,621  
   Income taxes    43,354    36,805  
   Depreciation and amortization *    15,705    13,163  
   Interest expense, net    11,886    9,834  
   Undistributed loss from joint venture    1,340    1,539  
   Cumulative effect of accounting change, net of tax    -    1,028  


 EBITDA    142,248    120,990  
   Current income taxes    (36,388 )  (30,850 )
   Interest expense less amortization    (7,837 )  (9,116 )
   Undistributed loss from joint venture    (1,340 )  (1,539 )
   Other adjustments to reconcile net income  
     to net cash provided by operating activities    1,102    14,951  


 Net cash provided by operating activities   $ 97,785   $ 94,436  


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

* Includes depreciation and amortization expense of:
    Gross profit     $ 5,992   $ 5,146  
   Selling, general and administrative    9,713    8,017  


       $ 15,705   $ 13,163  


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

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

    (8)        Represents Operating Cash Flow for the twelve months ended divided by interest for the twelve months ended. For the first quarter of 2004 and second quarter of 2003, this ratio was negatively impacted by the non-recurring charges to interest expense of $3.6 million and $5.0 million, respectively, which pertains to the early retirement of debt.

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

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