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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 10-Q


X
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 2003.

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)

Delaware 43-1420563
(State of Incorporation) (I.R.S. employer identification no.)

13900 Riverport Dr., Maryland Heights, Missouri

63043
(Address of principal executive offices) (Zip Code)

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





        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   X         No ___

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).
Yes  X        No ___

Common stock outstanding as of April 30, 2003:                                                            78,074,507 Shares



EXPRESS SCRIPTS, INC.

INDEX

Part I Financial Information

Item 1.

Financial Statements (unaudited)

a)

Unaudited Consolidated Balance Sheet

b)

Unaudited Consolidated Statement of Operations

c)

Unaudited Consolidated Statement of Changes
in Stockholders' Equity


d)

Unaudited Consolidated Statement of Cash Flows

e)

Notes to Unaudited Consolidated Financial Statements

Item 2.

Management's Discussion and Analysis of Financial
Condition and Results of Operations


Item 3.

Quantitative and Qualitative Disclosures About
Market Risk


Item 4.

Controls and Procedures

Part II Other Information

Item 1.

Legal Proceedings

Item 2.

Changes in Securities and Use of Proceeds - (Not Applicable)

Item 3.

Defaults Upon Senior Securities - (Not Applicable)

Item 4.

Submission of Matters to a Vote of Security Holders - (Not Applicable)

Item 5.

Other Information - (Not Applicable)

Item 6.

Exhibits and Reports on Form 8-K

Signatures

Index to Exhibits



PART I. FINANCIAL INFORMATION


Item 1.       Financial Statements

EXPRESS SCRIPTS, INC.
Unaudited Consolidated Balance Sheet

March 31, December 31,
(in thousands, except share data) 2003 2002


Assets            
Current assets:  
   Cash and cash equivalents   $ 256,541   $ 190,654  
   Receivables, net    1,020,219    988,544  
   Inventories    197,251    160,483  
   Deferred taxes    25,693    25,686  
   Prepaid expenses and other current assets    41,369    28,454  


        Total current assets    1,541,073    1,393,821  
Property and equipment, net    170,011    168,973  
Goodwill, net    1,379,489    1,378,436  
Other intangible assets, net    247,506    251,111  
Other assets    16,208    14,651  


        Total assets   $ 3,354,287   $ 3,206,992  


Liabilities and Stockholders’ Equity  
Current liabilities:  
   Claims and rebates payable   $ 1,231,241   $ 1,084,906  
   Accounts payable    206,336    255,245  
   Accrued expenses    203,443    200,356  
   Current maturities of long-term debt    -    3,250  


        Total current liabilities    1,641,020    1,543,757  
Long-term debt    540,729    562,556  
Other liabilities    104,259    97,824  


        Total liabilities    2,286,008    2,204,137  


Stockholders’ equity:  
   Preferred stock, $0.01 par value per share, 5,000,000 shares   
      authorized, and no shares issued and outstanding    -    -  
   Common Stock, $0.01 par value per share, 181,000,000 shares  
      authorized, and 79,784,000 and 79,834,000 shares issued and  
      outstanding, respectively    797    798  
   Additional paid-in capital    498,315    503,746  
   Unearned compensation under employee compensation plans    (7,157 )  (8,179 )
   Accumulated other comprehensive income    (2,131 )  (4,422 )
   Retained earnings    673,571    614,950  


     1,163,395    1,106,893  
   Common Stock in treasury at cost, 1,794,000 and 1,963,000  
      shares, respectively    (95,116 )  (104,038 )


        Total stockholders’ equity    1,068,279    1,002,855  


        Total liabilities and stockholders’ equity   $ 3,354,287   $ 3,206,992  


See accompanying Notes to Unaudited Consolidated Financial Statements


EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Operations

Three Months Ended
March 31,
(in thousands, except per share data) 2003 2002


Revenues     $ 3,223,981   $ 2,551,022  
Cost of revenues    3,014,368    2,376,365  


   Gross profit    209,613    174,657  
Selling, general and administrative    101,786    96,387  


Operating income    107,827    78,270  


Other (expense) income:  
   Undistributed loss from joint venture    (1,539 )  (1,037 )
   Interest income    868    1,060  
   Interest expense    (10,702 )  (8,128 )


     (11,373 )  (8,105 )


Income before income taxes    96,454    70,165  
Provision for income taxes    36,805    26,196  


Income before cumulative effect of accounting change    59,649    43,969  
Cumulative effect of accounting change, net of tax    (1,028 )  -  


Net income   $ 58,621   $ 43,969  


Basic earnings per share:  
   Before cumulative effect of accounting change   $ 0.77   $ 0.57  
   Cumulative effect of accounting change    (0.01 )  -  


   Net income   $0.76   $0.57  


Weighted average number of common shares  
   Outstanding during the period - Basic EPS    77,547    77,686  


Diluted earnings per share:  
   Before cumulative effect of accounting change   $ 0.75   $ 0.55  
   Cumulative effect of accounting change    (0.01 )  -  


   Net income   $ 0.74   $ 0.55  


Weighted average number of common shares  
   Outstanding during the period - Diluted EPS    79,075    79,575  


See accompanying Notes to Unaudited Consolidated Financial Statements


EXPRESS SCRIPTS, INC.

Unaudited Consolidated Statement of Changes in Stockholders’ Equity

Number
of
Shares

Amount
(in thousands)
Common
Stock

Common
Stock

Additional
Paid-in
Capital

Unearned
Compensation
Under Employee
Compensation
Plans

Accumulated
Other
Comprehensive
Income

Retained
Earnings

Treasury
Stock

Total
Balance at December 31, 2002      79,834   $ 798   $ 503,746   $ (8,179 ) $ (4,422 ) $ 614,950   $ (104,038 ) $1,002,855  








  Comprehensive income:  
    Net income    -    -    -    -    -    58,621   -   58,621  
    Other comprehensive income:  
     Foreign currency  
      translation adjustment    -    -    -    -    1,913    -   -    1,913
     Realized and unrealized gains  
      on derivative financial  
       instruments, net of taxes    -    -    -    -    378    -    -   378  








  Comprehensive income    -    -    -    -    2,291    58,621   -   60,912  
  Changes in stockholders's equity  
    realted to employee stock plans    (50)    (1)    (5,431)    1,022    -    -   8,922   4,512  








Balance at March 31, 2003    79,784   $ 797   $ 498,315   $ (7,157 ) $ (2,131 ) $ 673,571   $ (95,116 ) $ 1,068,279








See accompanying Notes to Unaudited Consolidated Financial Statements


EXPRESS SCRIPTS, INC.
Unaudited Consolidated Statement of Cash Flows

Three Months Ended
March 31,
(in thousands) 2003 2002


Cash flows from operating activities:            
   Net income   $ 58,621   $ 43,969  
   Adjustments to reconcile net income to net cash  
      provided by operating activities:  
        Depreciation and amortization    13,163    28,153  
        Non-cash adjustments to net income    11,629    16,330  
        Net changes in operating assets and liabilities    11,023    (63,653 )


Net cash provided by operating activities    94,436    24,799  


Cash flows from investing activities:  
   Purchases of property and equipment    (9,195 )  (9,262 )
   Acquisitions, net of cash acquired, and investment in joint venture    2,804    (32,934 )
   Other    7    5  


Net cash used in investing activities    (6,384 )  (42,191 )


Cash flows from financing activities:  
   Repayment of long-term debt    (25,000 )  -  
   Treasury stock acquired    -    (13,598 )
   Net proceeds from employee stock plans    1,939    12,176  
   Other    -    (316 )


Net cash used in financing activities    (23,061 )  (1,738 )


Effect of foreign currency translation adjustment    896    99  


Net increase (decrease) in cash and cash equivalents    65,887    (19,031 )
Cash and cash equivalents at beginning of period    190,654    177,715  


Cash and cash equivalents at end of period   $ 256,541   $ 158,684  


See accompanying Notes to Unaudited Consolidated Financial Statements


EXPRESS SCRIPTS, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

Note 1 – Summary of significant accounting policies

        Certain of our significant accounting policies are described below. Other financial statement note disclosures, 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. However, we believe the disclosures contained in this Form 10-Q are adequate to make the information presented not misleading 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, 2002 filed with the Securities and Exchange Commission on April 1, 2003. For a full description of our accounting policies, please refer to the Notes to Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 2002.

        We believe the accompanying unaudited consolidated financial statements reflect all adjustments (consisting of only normal recurring adjustments) necessary to present fairly the Unaudited Consolidated Balance Sheet at March 31, 2003, the Unaudited Consolidated Statement of Operations for the three months ended March 31, 2003 and 2002, the Unaudited Consolidated Statement of Changes in Stockholders’ Equity for the three months ended March 31, 2003, and the Unaudited Consolidated Statement of Cash Flows for the three months ended March 31, 2003 and 2002. Operating results for the three months ended March 31, 2003 are not necessarily indicative of the results that may be expected for the year ended December 31, 2003.

REVENUE RECOGNITION

        Revenues from our pharmacy benefit management (“PBM”) segment are earned by dispensing prescriptions from our mail pharmacies, processing claims for prescriptions filled by retail pharmacies in our nationwide network, and by providing services to drug manufacturers, including administration of rebate and discount programs.

        Revenues from dispensing prescriptions from our mail pharmacies, which include the co-payment received from our members, are recorded when the prescription is shipped. At the time of shipment our earnings process is complete; the obligation of our customer to pay for the drugs is fixed, and due to the nature of the product, the member may not return the drugs nor receive a refund.

        Revenues related to the sale of prescription drugs by retail pharmacies in our nationwide network consist of the amount (less the co-payment) the client has contracted to pay us for the dispensing of such drugs together with any associated administrative fees. These revenues are recognized when the claim is processed. When we independently have a contractual obligation to pay our network pharmacy providers for benefits provided to our clients’ members, we act as a principal in the arrangement and we include the total payments we have contracted to receive from these clients as revenue, and payments to the network pharmacy providers as cost of revenue in compliance with Emerging Issues Task Force (“EITF”) Issue No. 99-19, “Reporting Gross Revenue as a Principal vs. Net as an Agent.” When a prescription is presented by a member to a retail pharmacy within our network, we are solely responsible for confirming member eligibility, performing drug utilization review, reviewing for drug-to-drug interactions, performing clinical intervention, which may involve a call to the member’s physician, communicating plan provisions to the pharmacy, directing payment to the pharmacy and billing the client for the amount they are contractually obligated to pay us for the prescription dispensed, as specified within our client contracts. We also provide benefit design and formulary consultation services to clients. We have separately negotiated contractual relationships with our clients and with network pharmacies, and under our contracts with pharmacies we assume the credit risk of our clients’ ability to pay for drugs dispensed by these pharmacies to clients’ members. Our clients are not obligated to pay the pharmacies as we are primarily obligated to pay retail pharmacies in our network the contractually agreed upon amount for the prescription dispensed as specified within our provider contracts. In addition, under many of our client contracts, we may realize a positive or negative margin represented by the difference between the separately negotiated ingredient costs we will receive from our clients and negotiated ingredient costs we will pay to our network pharmacies. These factors indicate we are a principal as defined by EITF 99-19 and as such we record ingredient cost charged to clients in revenue and the corresponding ingredient cost paid to network pharmacies in cost of reveneus. In retail pharmacy transactions, amounts paid to pharmacies and amounts charged to clients are always exclusive of the applicable member co-payment. Under our pharmacy agreements, the pharmacy is solely obligated to collect the co-payment from the member. Under our client contracts, we do not assume liability for the member co-payment in retail pharmacy transactions. As such, we do not include member co-payments to retail pharmacies in revenue or cost of revenue.

        If we merely administer a client’s network pharmacy contracts to which we are not a party and under which we do not assume credit risk, we record only our administrative or dispensing fees as revenue. For these clients, we earn an administrative fee for collecting payments from the client and remitting the corresponding amount to the pharmacies in the client’s network. In these transactions we act as a conduit for the client. Because we are not the principal in these transactions, drug ingredient cost is not included in our revenues or in our cost of revenues.

        We bill clients based on a predetermined billing schedule. At the end of a period, any unbilled revenues related to the sale of prescription drugs by retail pharmacies are estimated based on the amount we will pay to the pharmacies and historical gross margin. Those amounts due from our clients are recorded as revenue as they are contractually due to us for past transactions. Minor adjustments are made to these estimated revenues to reflect actual billings at the time clients are billed.

        We administer two rebate programs through which we receive rebates and administrative fees from pharmaceutical manufacturers. When we earn rebates and administrative fees in conjunction with formulary management services, but do not process the underlying claims, we record rebates received from manufacturers, net of the portion payable to customers, in revenue. When we provide formulary management services to a client in conjunction with claims processing, we record rebates and administrative fees received from manufacturers as a reduction of cost of revenues and the portion of the rebate payable to customers is treated as a reduction of revenue.

        We record rebate amounts payable to clients when the prescriptions covered under contractual agreements with the manufacturers are dispensed; these amounts are not dependent upon future pharmaceutical sales. With respect to rebates based on actual market share performance, we estimate the portion of rebates payable to clients on a quarterly basis based on historical sharing percentages and our estimate of rebates receivable from pharmaceutical manufacturers. These estimates are adjusted to actual when amounts are received from manufacturers and the portion payable to clients is paid. With respect to rebates that are not based on market share performance, no estimation is required because the client portion is determinable when the drug is dispensed. We share all or a contractually agreed upon portion of rebates with clients (see further discussion under “— Cost of Revenues”).

        Certain implementation and other fees paid to clients upon the initiation of a contractual agreement are considered an integral part of overall contract pricing and are recorded as a reduction of revenue. Where they are refundable upon cancellation, these payments are capitalized and amortized as a reduction of revenue on a straight-line basis over the life of the contract.

        Revenues from our non-PBM segment are derived from specialty distribution services, sample fulfillment and sample accountability services and through June 12, 2001, infusion services. Revenues earned by our specialty distribution subsidiary (“SDS”) include administrative fees received from pharmaceutical manufacturers for dispensing or distributing of consigned pharmaceuticals requiring special handling or packaging. We also administer sample card programs for certain manufacturers and include the ingredient costs of those drug samples dispensed from retail pharmacies in our SDS revenues, and the associated costs for these sample card programs in cost of revenues. Because manufacturers are independently obligated to pay us and we have an independent contractual obligation to pay our network pharmacy providers for free samples dispensed to patients under sample card programs, we include the total payments from these manufacturers (including ingredient costs) as revenue, and payments to the network pharmacy provider as cost of revenue. These transactions require us to assume credit r