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8-K - FORM 8-K - CATALYST HEALTH SOLUTIONS, INC.d8k.htm
EX-99.3 - UNAUDITED FINANCIAL STATEMENTS OF FUTURESCRIPTS, LLC - CATALYST HEALTH SOLUTIONS, INC.dex993.htm
EX-99.4 - UNAUDITED FINANCIAL STATEMENTS OF FUTURESCRIPTS SECURE, LLC - CATALYST HEALTH SOLUTIONS, INC.dex994.htm
EX-15.1 - LETTER OF AWARENESS FROM DELOITTE & TOUCHE, LLP - CATALYST HEALTH SOLUTIONS, INC.dex151.htm
EX-23.2 - CONSENT OF DELOITTE & TOUCHE LLP - CATALYST HEALTH SOLUTIONS, INC.dex232.htm
EX-23.1 - CONSENT OF DELOITTE & TOUCHE LLP - CATALYST HEALTH SOLUTIONS, INC.dex231.htm
EX-99.1 - AUDITED FINANCIAL STATEMENTS OF FUTURESCRIPTS, LLC - CATALYST HEALTH SOLUTIONS, INC.dex991.htm
EX-15.2 - LETTER OF AWARENESS FROM DELOITTE & TOUCHE, LLP - CATALYST HEALTH SOLUTIONS, INC.dex152.htm
EX-99.5 - UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION OF THE COMPANY - CATALYST HEALTH SOLUTIONS, INC.dex995.htm

Exhibit 99.2

FutureScripts Secure, LLC

Financial Statements as of and for the

Year Ended December 31, 2009,

and Independent Auditors’ Report


FUTURESCRIPTS SECURE, LLC

TABLE OF CONTENTS

 

     Page

INDEPENDENT AUDITORS’ REPORT

   1

FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2009:

  

Balance Sheet

   2

Statement of Operations

   3

Changes in Member’s Deficit

   4

Statement of Cash Flows

   5

Notes to Financial Statements

   6–9


LOGO      

Deloitte & Touche LLP

1700 Market Street

Philadelphia, PA 19103-3984

USA

     
     
     

Tel: +1 215 246 2300

Fax: +1 215 569 2441

www.deloitte.com

INDEPENDENT AUDITORS’ REPORT

To the Board of Directors of

FutureScripts Secure, LLC

Philadelphia, Pennsylvania

We have audited the accompanying balance sheet of FutureScripts Secure, LLC (the “Company”) as of December 31, 2009, and the related statements of operation, changes in member’s deficit, and cash flows for the year then ended. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audit.

We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

In our opinion, such financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2009, and the results of its operations and its cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America.

LOGO

September 10, 2010

 

     

Member of

Deloitte Touche Tohmatsu

     


FutureScripts Secure, LLC

BALANCE SHEET

AS OF DECEMBER 31, 2009

 

ASSETS

  

Current assets:

  

Cash and cash equivalents

   $ 153,341   

Receivables:

  

Pharmacy payments receivable

     5,238,802   

Rebate receivables

     3,554,742   
        

Total receivables

     8,793,544   
        

Due from affiliates

     186,549   

Prepaid expense

     16,250   
        

TOTAL ASSETS

   $ 9,149,684   
        

LIABILITIES AND MEMBER’S DEFICIT

  

Liabilities:

  

Current liabilities:

  

Due to affiliates

   $ 101,214   

Affiliate loan payable

     2,153,000   

Pharmacy payment payable

     4,514,661   

Rebates payable

     6,022,795   

Other liabilities

     487,187   
        

Total liabilities

     13,278,857   
        

Contingencies (Note 5)

  

Member’s deficit:

  

Paid-in capital

     3,508,000   

Accumulated deficit

     (7,637,173
        

Total member’s deficit

     (4,129,173
        

TOTAL LIABILITIES AND MEMBER’S DEFICIT

   $ 9,149,684   
        

See notes to financial statements.

 

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FutureScripts Secure, LLC

STATEMENT OF OPERATIONS

FOR THE YEAR ENDED DECEMBER 31, 2009

 

REVENUE:

  

Product revenue

   $ 160,358,966   

Cost of brand drug rebates

     (12,570,309
        

Net product revenue

     147,788,657   
        

Network service fees

     126,400   

Service fees

     3,767,546   
        

Total revenue

     151,682,603   
        

OPERATING EXPENSES:

  

Cost of product revenue

     160,960,051   

Brand drug rebates

     (13,111,791
        

Net cost of product revenue

     147,848,260   

Marketing, general and administrative

     5,227,273   

Restructuring costs

     13,591   
        

Total operating expenses

     153,089,124   
        

Interest income

     4,029   

Interest expense

     (4,161
        

Loss — before income tax benefit

     (1,406,653

Income tax benefit

     492,000   
        

Net loss

   $ (914,653
        

See notes to financial statements.

 

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FutureScripts Secure, LLC

STATEMENT OF CHANGES IN MEMBER’S DEFICIT

FOR THE YEAR ENDED DECEMBER 31, 2009

 

Beginning balance

   $ (2,722,520

Tax allocation settlement (Note 3)

     (492,000

Net loss

     (914,653
        

Ending balance

   $ (4,129,173
        

See notes to financial statements.

 

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FutureScripts Secure, LLC

STATEMENT OF CASH FLOWS

FOR THE YEAR ENDED DECEMBER 31, 2009

 

OPERATING ACTIVITIES:

  

Net loss

   $ (914,653

Adjustments to reconcile net loss to net cash used in operating activities:

  

Increase (decrease) due to change in:

  

Receivables

     313,440   

Prepaid expenses

     111,375   

Due to/from affiliates — net

     (5,736,364

Income taxes receivable

     (492,000

Pharmacy payment payable

     (364,258

Rebates payable

     431,310   

Other liabilities

     (304,280
        

Net cash used in operating activities

     (6,955,430
        

FINANCING ACTIVITIES:

  

Proceeds from affiliate loan borrowings

     13,993,000   

Repayment of affiliate loans

     (11,840,000
        

Net cash provided by financing activities

     2,153,000   
        

NET CHANGE IN CASH AND CASH EQUIVALENTS

     (4,802,430

CASH AND CASH EQUIVALENTS:

  

Beginning of year

     4,955,771   
        

End of year

   $ 153,341   
        

Supplemental disclosure of cash flow information:

  

Cash paid during the year for interest

   $ 4,161   
        

See notes to financial statements.

 

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FUTURESCRIPTS SECURE, LLC

NOTES TO FINANCIAL STATEMENTS

AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2009

 

1. ORGANIZATION AND OPERATIONS

Business — FutureScripts Secure, LLC (the “Company”), formed in 2006 and a wholly owned subsidiary of QCC Insurance Company (QCC), which is an indirect wholly owned subsidiary of Independence Blue Cross (IBC), provides pharmacy benefit management (PBM) services to Medicare members of affiliated customers. Services offered by the Company include mail service pharmacy and administrative services that include claims processing, benefit design consultation, drug utilization review, formulary management, and medical and drug data analysis services. The Company provides prescription services through its mail service pharmacy and a nationwide network of retail pharmacies.

The accompanying financial statements may not be indicative of the Company’s future performance and do not necessarily reflect what its financial position, results of operations, and cash flows would have been during the period presented had the Company operated as an independent company, unaffiliated with IBC and its affiliates. The Company’s historical financial statements include all revenues, costs, assets and liabilities directly attributable to the Company. In addition, certain expenses reflected in the financial statements include allocations of corporate expenses from IBC and its affiliates. Management believes such allocations are reasonable; however, they may not be indicative of the actual expenses that would have been incurred had the Company been operating as an unaffiliated company for the period presented (see Note 4). On August 4, 2010, an agreement to sell the Company was announced (see Note 7).

 

2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation — The financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (GAAP).

Cash and Cash Equivalents — Cash and cash equivalents are defined as all highly liquid investments with an original maturity of three months or less.

Concentrations of Credit Risk — Financial instruments that potentially subject the Company to concentrations of credit risk consist primarily of receivables for manufacturers rebates, receivables for administrative service revenue (for prescription claims processing), and for reimbursement of prescription drug costs that are paid to network pharmacies. The administrative service receivables and prescription drug costs are 100% with IBC and its affiliates. The Company has not experienced significant losses related to receivables in the past. The Company’s collection experience indicates limited loss exposure due to the nature of the benefits involved and the necessity of benefit continuity for plan sponsor employees.

Fair Value of Financial Instruments — The Company’s balance sheet primarily includes the following financial instruments: cash, receivables, pharmacy claims and rebates payable, accrued liabilities, and due to/from affiliates (including affiliate loans). Because of the relatively short period of time between origination of the instruments and their expected realization, the Company believes the carrying amounts of assets and liabilities in the financial statements approximates the fair values of these financial instruments.

Receivables — Receivables are comprised of rebate amounts due from pharmaceutical manufacturers or third party intermediaries and accounts receivable from customers. Based on the Company’s revenue recognition and rebate accounting policies discussed below, certain rebates are estimated and unbilled at the end of the period. Receivables for rebates are calculated monthly based on an estimate of rebatable prescriptions and the rebate per prescription. These estimates are adjusted to actual over the following months when the number of rebatable prescriptions and the rebate per prescription has been finalized and the manufacturers or third party intermediaries are billed for the rebates and the manufacturers or third party intermediaries complete their own assessment of the Company’s submission. The allowance for receivables is determined based on historical write-off experience.

Pharmacy payments receivables are recorded for amounts due from customers for actual approved and processed claims. Pharmacy payments receivables include amounts due from customers for prescription drug claims approved and processed by our network of pharmacies on behalf of the customer and for administrative service fees for claims processing, formulary design and management, and other PBM services.

Pension and Other Postretirement Benefits — Pension expense related to the Company’s participation in the defined benefit pension plan of IBC is recorded based on actuarially determined net periodic pension costs using a year-end measurement date. The actuarial cost method used is the projected unit credit method. The Company is allocated its share of the annual pension cost by IBC based upon the Company’s proportionate share of total employee salary expense. Benefits are based on the employee’s years of service and compensation during the years preceding retirement.

 

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Health care and life insurance benefits are also provided for retirees. The Company recognizes, as a liability, the actuarial present value of postretirement benefits expected to be paid to employees. The related expense reflects benefits attributed to services rendered by eligible employees during the period and interest on the liability.

Due To/From Affiliates — Due to/from affiliates primarily consists of balance due to or from affiliates for shared services and accrued interest on affiliate loan balances (see Note 4).

Revenue Recognition — The Company’s net revenues are comprised primarily of product net revenues and are derived principally from the sale of prescription drugs through our networks of contractually affiliated and independent retail pharmacies and through our mail-order pharmacy, and are recorded net of certain discounts and rebates payable to customers and members.

Product Revenue — The Company recognizes revenue from its mail services pharmacy, excluding co-payments received from members of the customers they serve; when prescriptions are shipped. Products sold through the mail service pharmacy include oral, specialty, and over-the-counter (OTC) medications. Product revenues are also derived from products sold through a contracted network of retail pharmacies, excluding the member’s applicable co-payments. Collection of co-payments from members is the responsibility of the pharmacies. The Company evaluates customer contracts using the indicators of ASC Topic No. 605-45-1, Revenue Recognition Principal-Agent Considerations (formerly Emerging Issues Tax Force Issue No. 99-19, Reporting Revenue Gross as a Principal versus Net as an Agent) to determine whether the Company acts as a principal or as an agent in the fulfillment of prescriptions through the retail pharmacy network. The Company acts as a principal in all its transactions with customers and revenues are recognized at the prescription price (ingredient cost plus dispensing fee) negotiated with customers, as well as the Company’s administrative fees (“Gross Reporting”). Gross reporting is appropriate because the Company (a) has separate contractual relationships with customers and with pharmacies, (b) is obligated by its retail service contracts with network pharmacy providers to pay their network pharmacy providers for benefits provided to its customers, whether or not the Company is paid, (c) determines which drugs will be included in the formulary listings, (d) selects which retail pharmacies will be included in the network offered to plan sponsors’ members, (e) is responsible to validate and economically manage a claim through its claims adjudication process, (f) commits to set prescription prices for the pharmacy, including instructing the pharmacy as to how that price is to be settled (co-payment requirements), (g) manages the overall prescription drug relationship with the patients, who are members of customers’ plan, and (h) has credit risk for the price due from the customer. These revenues are recognized as the claims are adjudicated, which occurs at the point-of-sale using an on-line claims processing system. Payments made to the network pharmacy providers under the retail service contracts are recorded as Cost of product revenue. During 2009, the Company recorded network retail pharmacy revenues and mail service pharmacy revenues totaling $160,358,966 under the gross revenue basis.

Network Service Fees — The Company earns a processing/general transmission fee from in network pharmacies. The fees are based on processed claims for a particular network pharmacy and range from $.03 to $.10 per processed claim. Network service fees earned in 2009 totaled $126,400.

Service Fees — The Company charges its customers for administrative services which include claims processing, formulary design and management, and other PBM services. Service fees are calculated on a per claim basis and are invoiced each claim cycle to the customers. Service fees are recognized when a prescription claim is adjudicated (reviewed and approved). Service fees earned in 2009 totaled $3,767,546.

Rebate Accounting — The Company receives brand drug rebates and administrative fees from pharmaceutical manufacturers (i.e. access rebates and rebates based on market share percentages). Rebates are recognized as they are earned in accordance with the contractual agreements. The Company estimates fees receivable from pharmaceutical manufacturers and the related rebates payable to its customers on a monthly basis based on historical data. Amounts are subject to final settlement with the contracted party. Based on contractual agreements between the Company and its customers, in most instances, 95% of the manufacturer rebate is transferred to the Company’s customers and the remaining 5% is retained by the Company. Brand drug rebates totaling $13,111,791 were earned during 2009 and are included in brand drug rebates in the statement of operations.

Rebates earned under arrangements with drug manufacturers or third party intermediaries are a reduction of Cost of product revenue expenses and the portion of such rebates due to customers is a reduction of Product revenue. Estimated fees receivable from pharmaceutical manufacturers and the related rebates payable to customers are recorded when the company determines them to be realizable and realization is not dependent upon future pharmaceutical sales. Estimates are revised once the actual rebateable prescriptions are calculated and rebates are billed to the manufacturer. Payments of rebates to customers are generally made subsequent to the Company’s receipt of the rebate payments from the pharmaceutical manufacturers. As the Company assumes pricing risk, rebates are recorded using the gross reporting method.

Cost of Product Revenue — The Company has a contractual obligation to pay its network pharmacy providers for benefits provided to its members. Cost of product revenue includes prescription drug costs and other direct costs associated with dispensing prescriptions. Prescription drugs and supplies are obtained by the contracted pharmacies directly from the manufacturers or wholesale distributors. The Company does not maintain an inventory supply of prescription drugs.

Interest Income / Expense — Interest income earned on cash and cash equivalents is recorded as Interest income in the statement of operations. Interest expense includes interest incurred on amounts borrowed from affiliates (see Note 4).

 

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Use of Estimates — The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Recent Accounting Pronouncements — In June 2009, the FASB issued the Accounting Standards Codification (the “ASC”) to serve as the single source of authoritative GAAP. The Company adopted the ASC on December 31, 2009. Since the new standard did not change U.S. GAAP, there was no change to the Company’s financial statements other than to update all references to U.S. GAAP to be in conformity with the ASC.

In May 2009, the FASB issued ASC 855, Subsequent Events, (formerly SFAS 165, Subsequent Events), to establish principles and requirements for events occurring after the balance sheet date but before financial statements are issued or available to be issued. ASC 855 provides guidance to determine the period through which an entity should evaluate events or transactions that may require disclosure, the circumstances under which an entity should recognize such events or transactions and the related disclosures for such events or transactions. ASC 855 did not result in significant changes in the evaluation and disclosure of subsequent events as it is establishing principles that are consistent with current generally accepted auditing standards. ASC 855 is effective for periods ending after June 15, 2009 and has been adopted by the Company for the year ended December 31, 2009 (see Note 7).

 

3. INCOME TAXES

The Company is a single member Limited Liability Company and is classified as a disregarded entity for federal, state and local income tax purposes. In accordance with ASC 740, Income Taxes, the Company is not jointly and severally liable for the current and deferred income taxes of its owner. The Company is included in the income tax return of its taxable owner, QCC Insurance Company. In accordance with ASC 740, as the Company is a subsidiary of a taxable entity and in order to satisfy reporting requirements of the purchaser (see Note 7), income taxes have been allocated to the Company’s financial statements. There is no intention by QCC to collect from or pay to the Company any current tax balances calculated as a result of this allocation. Therefore, the settlement of such balances has been treated as a non-cash equity transaction within these financial statements.

The income tax benefit for the year ended December 31, 2009 is as follows:

 

Federal:

  

Current income tax benefit

   $ (492,000
        

The expected and actual federal income tax benefit is 35% of the losses for the year ended December 31, 2009.

There are no deferred tax assets or liabilities at December 31, 2009. No interest or penalties have been recognized.

The Company does not believe it is reasonably possible that the amount of the unrecognized tax benefit with respect to certain of our unrecognized tax positions will increase or decrease significantly during the next 12 months.

The Company is included in its owner’s federal tax return which has been examined by the Internal Revenue Service (IRS) through the year 2006. The returns for the years 2007, 2008, and 2009 are subject to examination by the IRS, generally for three years after they are filed. The Company’s state and local tax returns are included in its owner’s tax returns for 2006, 2007, 2008, and 2009 which are subject to examination by the taxing authorities, generally for three years after they are filed.

 

4. TRANSACTIONS WITH PARENT AND AFFILIATES

The Company receives a variety of operational and administrative services from IBC and its affiliates. The Company receives charges based on allocations using actual costs and assumptions that management believes are reasonable. The amounts charged for these services to the Company totaled $1,596,121 in 2009 and are included in Marketing, general, and administrative expenses in the statement of operations.

The Company provides PBM services to its affiliates. These services include mail service pharmacy and administrative services that include claims processing, benefit design consultation, drug utilization review, formulary management, and medical and drug data analysis services.

The Company also acts as a third-party administrator for its affiliates. The Company collects prescription drug costs from its affiliates for prescriptions filled within the Company’s pharmacy network and distributes these proceeds to the pharmacies for the affiliates. In addition, the Company collects rebates and passes the proceeds through to its affiliates. As the Company did not provide services to any unaffiliated customers during 2009, all Product revenue and Service fees recorded in the statement of operations are for services provided by the Company to IBC and its affiliates.

The Company participates in a short term intercompany loan program with other participating affiliates. Funds are loaned to other affiliates or borrowed from affiliates based on the working capital needs of the affiliate companies. Interest accrues at a

 

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rate equal to the daily rate payable by commercial banks on overnight investments. Affiliate loan balances are typically settled monthly as funds become available and all loan balances are payable in full within three days of the lender providing the borrower with a written demand for repayment or otherwise no later than one year. At December 31, 2009, the Company maintained affiliate loan borrowings totaling $2,153,000. During the year ended December 31, 2009, the Company recognized interest expense on borrowings totaling $4,161. The Company did not provide any loans to affiliates during 2009.

QCC has issued a guarantee to the Company relative to the issuance of capital contributions as necessary to continue to fund the business operations of the Company through the earlier of June 30, 2011 or the date of the closing of the sale agreement (see Note 7).

The Company participates in the group employee benefit plans of IBC for health, life, and disability benefits. Group employee benefit plan expenses for these benefits incurred by the Company were $118,186 for the year ended December 31, 2009. Such costs are included in Marketing, general and administrative expenses in the statement of operations.

The Company also participates in IBC’s noncontributory defined pension plan of all its employees hired prior to January 1, 2000. The benefits are based upon years of service and the employee’s final compensation. For those employees hired on or after January 1, 2000, benefits are calculated on a cash basis formula. Amounts charged to the Company for pension cost in 2009 totaled $58,244 and are included in Marketing, general and administrative expenses in the statement of operations.

 

5. CONTINGENCIES

Litigation — In the course of ordinary business, the Company is involved in and is subject to contractual disputes and other uncertainties. In the opinion of management, after consultation with legal counsel, the ultimate disposition of these matters will not have a material adverse effect on the Company’s financial condition or results of operations.

 

6. RESTRUCTURING COSTS

In July 2009, to meet its goal of aligning its cost structure with its membership outlook for 2010 and forward, IBC introduced an initiative to reduce its administrative costs. In August 2009, IBC announced a voluntary early retirement program to associates that met certain age and years of service criteria. The total cost of the program allocated to the Company was $13,591. These costs are included in Restructuring costs in the 2009 statement of operations.

 

7. SUBSEQUENT EVENTS

On August 4, 2010, the Company’s ultimate parent, Independence Blue Cross, announced a definitive equity interest sale agreement to sell all of the Company’s issued and outstanding interest to Catalyst Health Solutions, Inc. (Catalyst) in exchange for cash. The transaction is expected to close in 2010 subject to customary closing conditions and the expiration of the waiting period under antitrust provisions. Following the close of the transaction, Catalyst will provide PBM services to IBC and its affiliates under the terms of a new 10 year contract.

The Company has evaluated subsequent events through September 10, 2010, the date these financial statements were issued. Except as identified above, no material subsequent events have occurred since December 31, 2009 that required recognition or disclosure in these financial statements.

* * * * * *

 

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