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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

-------------------

FORM 10-K

[X] Annual Report Pursuant to Section 13 or 15(d)
Of the Securities Exchange Act of 1934
For the Fiscal Year Ended December 31, 2003

OR

[_] Transition Report Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

Commission Registrant, State of Incorporation IRS Employer
File Number Address and Telephone Number Identification No.
- ----------- ---------------------------- ------------------
Pharmacy Buying Association, Inc. 43-1482785
(a Missouri Corporation)
1575 N. Universal Avenue, Ste 100
Kansas City, MO 64120
(816) 245-5700



Securities Registered Pursuant to Section 12(b) of the Act: Pharmacy Buying Association, Inc.: None

Securities Registered Pursuant to Section 12(g) of the Act: Pharmacy Buying Association, Inc.: Common
Stock $1.00 par value


Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or Section 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 if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of the registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of this Form 10-K or any
amendment to this Form 10-K. [ ]

Non-affiliates of Pharmacy Buying Association, Inc., as of December 31,
2003 held 5,928 shares of voting stock. The registrant's voting stock is not
traded on any public exchange. The aggregate market value of the registrant's
voting stock held by non-affiliates of the registrant (based upon the stated
value at December 31, 2003 and the assumption for this computation only that the
directors and executive officers of the registrant are affiliates) was
$3,461,952.

The number of shares of common stock of Pharmacy Buying Association, Inc.
outstanding as of December 31, 2003 was 6,920.



TABLE OF CONTENTS

PART I
ITEM PAGE
- ---- ----
1. Business 3
2. Properties 14
3. Legal Proceedings 14
4. Submission of Matters to a Vote of Security Holders 14

PART II
5. Market for Registrant's Common Equity and Related Stockholder
Matters 14
6. Selected Financial Data 15
7. Management's Discussion and Analysis of Financial Condition and
Results of Operations 18
7A. Quantitative and Qualitative Disclosures about Market Risks 23
8. Consolidated Financial Statements and Supplementary Data 24
9. Changes in and Disagreements with Accountants on Accounting and
Financial Disclosure 41

PART III
10. Directors and Executive Officers of the Registrant 41
11. Executive Compensation 43
12. Security Ownership of Certain Beneficial Owners and Management 45
13. Certain Relationships and Related Transactions 46

PART IV
14. Controls and Procedures 47
15. Exhibits, Financial Statement Schedules and Reports on Form 8-K 47
Signatures




ITEM 1. BUSINESS.

Overview

The registrant was formed in 1983 by a group of independent pharmacists
for the purpose of helping independent pharmacies compete with larger chain
pharmacies. Our basic philosophy and practice is to function as an
interdependent chain of independent pharmacies. To help us accomplish our goal,
we offer a variety of programs and services to assist independent pharmacists in
their practice.

We are a membership-based organization. Our operations are similar to a
cooperative in that our customers are our members and we pay rebates to members
based on each member's purchases and compliance with our programs. In order to
benefit from our products and services, all members must sign a membership
agreement with us and pay a monthly membership fee. In addition, members must
have an account established with one of our endorsed wholesaler-partners or
purchase a minimum amount from our distribution center. Our membership agreement
may be terminated at any time by us or the member. Members are not required to
purchase shares of our common stock in order to join or maintain membership with
us. As of December 31, 2003, approximately 54% of our members owned at least one
share of our common stock.

We have experienced substantial growth in revenues during the past several
years, primarily as a result of an increase in the amount of distribution sales
to our members and through the addition of new members. In 2003, we had revenues
of approximately $154.8 million and net income from operations of $1.5 million,
compared to revenues of $3.9 million and net income of $44,882 in 1997. During
this same period, our membership increased by approximately 500 independent
pharmacy members to approximately 1,100 members at the end of 2003. Our members
are located in 16 states, primarily in the midwestern United States, with
approximately 95% of our members' stores in Arkansas, Illinois, Iowa, Kansas,
Missouri, Nebraska, Oklahoma and Texas.

Our revenues have come from the following four sources:



Year ended December 31,
-----------------------
2003 2002 2001 2000
--------------------------------------------------------

Distribution Center 94.44% 92.66% 90.03% 79.08%
Participation programs and fees 1.68% 2.34% 3.75% 7.66%
Activity rebates and charges 3.80% 4.92% 6.17% 12.56%
Third party 0.08% 0.08% 0.05% 0.70%
--------------------------------------------------------
100.00% 100.00% 100.00% 100.00%
========================================================


No member/customer represented more than 8% of our total revenues during
the past fiscal year.

Pharmaceutical Industry

As a whole, the pharmaceutical industry, comprised of retail outlets,
wholesale distributors and drug manufacturers, has experienced substantial
growth over the past several years. According to Health and Human Services
Department estimates for 2003, total retail outlet sales of prescription drugs
is expected to be around $184.1 billion and $207.9 billion for 2004, compared to
$162.4 billion in 2002. In general we expect prescription drug spending growth
to decelerate from 2003 to 2005 but to still be the fastest growing health
sector. Drug spending growth seems to have peeked in 1999 at 19.7% and has since
slowed to 15.3% in 2002. We believe that much of the deceleration in total
spending over the next few years will be precipitated by an unusually large
number of blockbuster drugs losing their patent protection in 2004 and 2005.



In 2002, the overall, average estimated retail prescription cost was
$53.10 according to the National Association of Chain Drug Stores. Branded drugs
averaged $76.29 in 2002 versus $71.18 in 2001, and generic drugs averaged $22.79
versus $21.96 over the same periods. Of the average prescription cost of $53.10,
approximately 80% goes to the manufacturer with the remaining 20% split between
the retail pharmacy and the wholesale outlet.

For the foreseeable future, we anticipate the entire pharmaceutical
industry to continue to experience strong growth in the aggregate due to the
following principal reasons:

Aging of the population. According to the United States Census Bureau, the
number of individuals over the age of 50 in the United States is projected to
continue to grow. Current projections for the year 2020 are that there will be
approximately 115 million people over 50 living in the United States versus the
estimate of 76 million in 2000. This represents an increase from 27% of the
population in 2000 to 35% of the population in 2020. Based on our experience,
this demographic group represents the largest percentage of new prescriptions
filled and obtains more prescriptions per capita annually than any other age
group. According to Health and Human Services Department estimates, the percent
of Gross Domestic Product (GDP) expected to be spent on national healthcare in
general will be 15.3% in 2003. This percent is expected to rise to 18.4% by
2013. Much of this additional spending will be experienced as a result of the
increasing median age of the U.S. population.

Increased reliance on drugs and outpatient therapies. In response to
rising heath care costs, governmental and private payors have adopted
cost-containment measures that encourage the use of efficient drug therapies to
prevent or treat diseases. While a large amount of attention has been focused on
the overall increase in aggregate health care costs, we believe that drug
therapy has had a beneficial impact on overall health care costs by reducing
expensive surgeries and prolonged hospital stays.

Rising pharmaceutical costs. We believe that price increases for branded
pharmaceutical products by manufacturers will continue to equal or exceed the
overall increases in the Consumer Price Index. We further believe that the
primary reason for the sustained pace of the increase is due to the relatively
inelastic demand for branded pharmaceuticals in the face of higher prices
charged for patented drugs as manufacturers attempt to recoup costs associated
with the development, clinical testing and government approval of new products.
However, two factors mitigating the high inflationary tendencies of branded
drugs over the next few years are: 1) fewer new drug introductions; and 2) less
direct-to-consumer advertising. These two factors, partially behind drug price
increases, have begun to grow at much slower rates. We expect this to continue
for the next two to three years.

Introduction of new pharmaceutical products. While over the next few years
an unusually large number of blockbuster drugs will lose their patent
protection, over the longer term we believe that traditional research and
development, as well as the advent of new production and delivery methods, will
continue to generate new efficiencies in drug therapies and treatments. As the
demand for more of these types of innovations grows and as patents for these
drugs expire, drug manufacturers will continue to expend significant amounts of
capital in research, development and marketing of new drugs. We believe that
over the long term this will contribute to the continued expansion of the
industry.

Wholesale Pharmaceutical Industry

We expect wholesale distribution companies to increase their sales for the
foreseeable future. Based on our experience, the wholesale pharmaceutical
distribution industry continues to undergo substantial consolidation and the
number of our wholesalers have decreased in recent years. While the
pharmaceutical industry as a whole has undergone rapid expansion, the wholesale
distribution segment of the industry is seeing fewer, but larger players. This
decrease in wholesale outlets translates into fewer wholesale distributors
controlling larger segments of the wholesale distribution channel.



Independent Retail Pharmacy Industry

The retail pharmacy industry is comprised primarily of independent
pharmacies and chain pharmacies, including pharmacy departments of mass
merchandisers and supermarkets. Independent pharmacies are generally defined as
single-store pharmacies, independent chains or pharmacist-owned franchises. The
size of the independent retail pharmacy market in terms of prescriptions is
estimated to be $60.0 billion on a volume of 1.3 billion prescriptions, or 41%
of the total retail prescription marketplace in 2002. According to the National
Community Pharmacists Association (NCPA), there were approximately 23,552
independent pharmacies in the United States in 2002, or approximately 43% of the
nation's total number of pharmacies. While the number of independent pharmacies
has held relatively steady since 2000, the number of independent pharmacies
decreased by an average of 1,884 stores per year between 1990 and 1993, 1,407
stores per year between 1994 and 1996 and 451 stores per year between 1997 and
1999. Approximately 29% of independent store owner own more than one location.

Independent pharmacies are renown for their breadth and depth of services
offered and service levels rendered to their patient-consumers. For 2002,
approximately 88% of independent community pharmacies offer home delivery, 87%
allow their customers to charge prescriptions, 82% offer some kind of drug
compounding capabilities, 74% have dietary and nutritional assistance available,
68% offer access to certain durable medical equipment, and 37% offer health
screening services.

The retail pharmacy industry is intensely competitive. Both independent
and chain pharmacies compete on the basis of price, variety of product
offerings, attractive surroundings, quality of service and insurance coverage.
Independent pharmacies face intense competition with national chain drug stores,
pharmacy departments of mass merchandisers, supermarkets and discount stores and
mail order pharmacies. These competitors have financial and other resources,
including national or regional advertising, brand recognition, more purchasing
power and corporate backing, which are not typically enjoyed by independent
pharmacies. Because of the volume of products purchased and sold through chain
pharmacies, chain pharmacies have greater leverage to bargain with wholesalers
and manufacturers and to negotiate more favorable pricing and delivery terms.
Independent retail pharmacies do not have the leverage, acting alone, to obtain
the same pricing accommodations and service levels as larger chains.

In addition to competition with other pharmacies, the entire retail
pharmacy industry faces several other issues which affect our members,
including:

Changes in third-party reimbursement. Pharmaceutical sales (sales of
prescription medications) represent a growing percentage of sales for retail
pharmacies. Pharmaceutical sales typically have lower margins than non-pharmacy
sales and also are subject to increasing margin pressure, as managed care
organizations, state Medicaid programs, insurance companies, employers and other
third-party payors become more prevalent and continue to seek cost containment.
If the current Medicare reform remains virtually unchanged till full
implementation in 2006, pharmacies will likely be reimbursed for some
prescription drugs at prices lower than current retail prices. If third-party
payors - especially state Medicaid programs - reduce their reimbursement levels
or if Medicare covers prescription drugs at reimbursement levels lower than
current retail prices, margins on these sales would be further reduced, and the
profitability of the retail pharmacy industry could be adversely affected.

Limited supply of pharmacists. Our members believe there is a nationwide
shortage of licensed pharmacists. Our members must compete with chain store
pharmacies to attract licensed pharmacists. Chain store pharmacies generally
offer better compensation packages, training programs and other benefits to
attract, hire, and retain qualified pharmacists. Between 2002 and 2005 this
situation will exacerbate as the number of pharmacists is projected to increase
by less than 4%, while the number of prescriptions filled is expected to
increase by 26% over that time period.



Consolidation in the wholesale distribution industry. Since the number of
our pharmaceutical wholesalers have decreased in recent years, our member
pharmacies do not have as many options for filling their product and service
needs, and therefore reduced leverage in negotiating with wholesalers. We expect
this trend to continue in the future.

Strategy

Our business strategy is to be an "interdependent chain of independent
pharmacies" by providing our members with efficiencies and economies of scale
that they otherwise would not enjoy on their own. We bring value to our members
by:

o offering an assortment of pharmaceutical products and services that
assist our members in maximizing their margins;

o negotiating and managing various contracts on our members' behalf;

o development of a strategic alliance with an in-store computer
software manufacturer to leverage common information systems among
our members;

o providing superior levels of customer service; and

o marketing a brand identity that projects a "chain-like" image to our
members and our members' customers without members losing their
independent pharmacy identity.

We believe this strategy allows our pharmacy members to achieve greater
efficiencies and economies of scale, thereby reducing their expenses and
increasing their revenue and profitability. Further, we believe this strategy
helps close the gap between our members and national chain pharmacies by
enabling our members to become more competitive.

Over the past year we have been developing a new platform for our
marketplace offering emphasizing a rewards and incentive-based model. The new
platform rewards our members based on our members' participation in the
strategic initiatives of the Company. The member who largely participates in our
programs and more closely aligns with the long-term strategy of the Company will
enjoy lower fees and higher rewards. We believe that this model, as opposed to a
straight fee-for-service based model, propels and more closely mirrors our
vision of being an "interdependent chain of independent pharmacies." Our
offering is called TrueSTAR where the "STAR" is an acrostic that stands for
"Stewardship, Teamwork, Accountability, and Rewards." We believe that the
flexibility inherent in the TrueSTAR initiative will allow it to be our platform
for delivering various programs and services for the foreseeable future.

Acquisitions. In January 2001, we acquired substantially all of the assets
and business of Texas Pharmacy Co-op, Inc. ("TPC"), a pharmacy buying
association located in Texas, in exchange for 832 shares of our common stock and
the assumption of certain TPC liabilities by our wholly-owned subsidiary. As
part of the transaction, TPC distributed the 832 shares of common stock to its
shareholders (independent pharmacies) as part of a plan of liquidation. As a
result of the transaction with TPC, we added approximately 500 new members
located in Texas, and 288 new shareholders. We believe the transaction with TPC
has increased our negotiating leverage with vendors. We continue to seek new
acquisitions and other relationships that will bring strength to us, our
members, and our shareholders.

Management Information Systems. We have invested heavily in management
information systems to maximize efficiencies and provide our members with a more
efficient method of doing business. We have continually invested in advanced
management information systems and automated technology. Our management
information systems provide for, among other things, tracking of member
purchases, sales and invoicing. As a result, our cost of receiving and
processing orders has not increased



as rapidly as our sales volume. Our customized systems strengthen member
relationships by allowing members to lower their operating costs and by
providing the basis for a number of the value-added services we provide to our
members, including marketing data, inventory replenishment and computer price
updates.

Sales and Marketing. We employ Business Development Managers ("BDM") who
manage assigned geographic regions. The BDM is responsible for calling on our
membership base as well as any prospective pharmacy members within their
territory. Our BDMs receive thorough sales training as well as certain
incentives to focus on areas of selling that will increase our bottom-line as a
company. Our BDMs, who are trained to act as a consultant-partner with our
members, have a responsibility to educate our members on the programs and
services that we offer and how to implement those programs and services for
maximum return to the member. We emphasize frequent personal interaction between
our BDMs and members to maximize the business relationship with any one member.
We believe that our decentralized focus allows us to better manage and
facilitate growth within our membership organization. The BDMs are all educated
on current affairs and are quite knowledgeable about industry trends and
pharmacy practice.

Our Services

Distribution. Utilizing the chain-store model, in 1998 we opened our own
distribution center for the purpose of serving a portion of our members' product
needs. We buy and carry a limited selection of pharmaceutical products,
short-dated items, generic brand drugs, over-the-counter drugs and other related
products from several manufacturers and other vendors and distributors. We stock
these products in a 24,000 square foot warehouse we operate in Riverside,
Missouri. Products are sold to members and vendors pursuant to telephonic,
facsimile and internet orders and then delivered via third party carriers. We
take advantage of promotional programs offered by manufacturers and other
vendors, such as short-dated products, overstock specials and other
miscellaneous opportunities. These programs are of value to our members because
we can pass the savings on to our members. We must maintain a significant
quantity of inventory, however, to assure that members can obtain the products
we supply on a timely basis.

Purchasing Agent. We act as a group purchasing agent for our member
pharmacies. We negotiate on our members' behalf with vendors and our
wholesaler-partners for the purchase of pharmaceutical products. We currently
deal with four different wholesaler-partners and several vendors. We enter into
agreements with our wholesaler-partners to secure specified pricing for various
items carried by the wholesaler-partner. We believe we can obtain more
competitive product prices for our members by negotiating on behalf of our
entire membership base than if each member were to negotiate with such
wholesalers on its own. We believe this area of our business will become
increasingly important to our members as consolidation in the pharmaceutical
industry continues.

Third Party. Third-party payors, including pharmacy benefit managers,
insurance companies and claims processors, are an integral part of our members'
business because they affect the amount of reimbursement our members receive for
prescription drugs provided to their customers. As part of our ongoing service
to members, we review and enter into contracts with third-party payors on behalf
of our members. Members electing to become part of our third party network must
accept the endorsed third party payors' plans. We generally do not earn any
income on third party reimbursement arrangements.

Managed Care. Managed Care encompasses a wide variety of services and
activities. It is typically defined as an economic system of medical care
delivery that ensures the best use of all available resources to deliver quality
medical care to the patient. We have developed, using state-of-the-art
technology, a managed care program for our members focusing on negotiating with
self-funded clients access to a claims processing system that is available 24
hours a day, 7 days a week. In addition to our efforts with claims processing,
we have developed a comprehensive disease state management



program called Today's Care(R). This program can be implemented by any of our
stores that choose to participate and encompasses the treatment of diseases such
as asthma, diabetes, and high cholesterol.

Store Identity. We have developed a store identity program called
"TrueCare Pharmacy" to support our members. This program is designed to create a
"chain-like" image to customers yet allow our members to retain their own
independent identity. Signage and other advertising is available to all members.

Private Label. We have created a private label line of "TrueCare"
products comprised primarily of generic over-the-counter products and vitamins.
Our line of products is available only to our independent pharmacy members. Our
private label lines are sold through our distribution center and through our
endorsed wholesaler-partners.

Other Value Added Programs. Various other programs and services are
available to members through their affiliation with us. These programs and
services include:

o Calendar programs
o Cash Card Program
o Credit card processing
o General merchandise and greeting card programs
o Inventory services
o Innovative care involving disease management programs, such as
diabetes and asthma care and treatment
o Junior partnership with pharmacy students
o Recruitment and Placement services
o Switching services
o Worker's compensation program

Rebates to Members

Member rebates are typically accrued monthly each quarter and paid at the
end of the quarter. We pay quarterly rebates to our members based on the dollar
volume of each member's purchases of products supplied by us and/or our endorsed
wholesaler-partners. Rebate percentages vary among products and
wholesaler-partners. We receive rebates and administration fees from our
wholesaler-partners and other vendors that we allocate to our members after
reservation of amounts required to sustain operations. Members are not required
to own shares of our common stock in order to receive rebates.

Competition

There are numerous pharmacy buying groups operating in overlapping
geographic regions. Most of these competitors offer a similar range of products
and services at prices often comparable to ours. We seek to distinguish TrueCare
from our competitors by offering a chain-like atmosphere, including common
information systems and a distribution center, a higher level of customer
service and a broader range of services than our competitors, as well as a more
competitive pricing structure and more lucrative rebates. We believe that we
offer superior services and programs to our competitors due to our creative and
innovative approach to driving new and better solutions to the various issues
and challenges facing independent pharmacy.

In addition to competing for members with other buying groups, we face
potential competition from wholesalers that offer similar services to our
services. The wholesale distribution of pharmaceuticals is highly competitive
and dominated by national and regional distributors. Competitive factors include
price, delivery service, credit terms, breadth of product line, customer
support, merchandising and marketing programs. In apparent attempts to reduce
the need for organizations such



as ours, wholesalers in general have followed our lead by entering into market
offerings and areas of service that have traditionally been exclusively the
domain of companies such as ours. In recent years certain wholesalers have
started offering third party contracting, disease state management programs, and
innovative, technology-oriented ordering interfaces between themselves and
pharmacy software ordering system.

Our members compete directly with national pharmacy chains including Osco
Drug, Eckerd Drug and Walgreen Co., and pharmacy departments of mass
merchandisers and supermarkets such as Wal-Mart and Target. While this
competition increases the need and benefit of the Company and other buying
groups like the Company, our sales and membership will be adversely affected to
the extent our members are not able to compete effectively against these larger
chain pharmacies.

Regulatory Matters

We are subject to regulation by the Drug Enforcement Agency and various
state boards of pharmacy with respect to all pharmaceutical products and
controlled substances maintained at or distributed from our distribution center.
As a distributor of pharmaceuticals, we are required to register for and
maintain permits and to meet various security and operating standards of the
Drug Enforcement Agency and of each state in which we ship pharmaceuticals
products. We have received all necessary regulatory approvals and believe that
we are in substantial compliance with all applicable federal and state
distribution and storage requirements.

Health Information Practices

The Health Information Portability and Accountability Act of 1996
("HIPAA") and the regulations promulgated thereunder by the U.S. Department of
Health and Human Services set forth health information standards in order to
protect security and privacy in the exchange of individually identifiable health
information. Significant criminal and civil penalties may be imposed for
violation of these standards.

Employees

As of December 31, 2003, we had 47 full-time and two part-time employees,
including our four executive officers, 13 employees involved in sales and
marketing, 12 involved with distribution and 4 administrative employees. We are
not subject to any collective bargaining agreements and have not experienced any
work stoppages. We consider our relations with our employees to be good.

Risk Factors

Our business and financial condition involve numerous risks and
uncertainties, including the risks described below and elsewhere in this report.

We depend exclusively on the independent pharmacy market.

Our business depends entirely on the participation and purchases of our
independent retail pharmacy members. This market is subject to intense
competition from larger chain pharmacies, including pharmacy departments of mass
merchandisers, supermarkets, discount stores, and mail order pharmacies. Most of
these chain pharmacies have substantially greater financial and other resources
than our members and our company as a whole. Future consolidation in the retail
pharmacy industry, increased competition from larger chain pharmacies, changes
in third-party reimbursement or other events impacting independent pharmacies
could adversely affect demand for our products and services. Much of



our recent growth in revenues has occurred as a result of increased sales to our
members, the addition of new members through our field BDMs, and the addition of
new members through the acquisition of another buying association. To the extent
we are not able to access new markets and offer competitive prices and services
to our current members, our ability to expand and maintain our business and
customer base may be limited. Additionally, if our members and other independent
pharmacies are unable to effectively compete against chain pharmacies, our
existing membership, as well as the number of potential new members, will
decline.

We face substantial competition in our industry.

The drug purchasing and distribution business is highly competitive and we
expect such competition to remain intense. We compete primarily on the basis of
breadth of service and products, pricing and quality of services. We believe our
primary competitors among pharmacy buying groups are other buying associations
such as IPC, Pace, Servall and United. Many of these competitors are either
currently competing in or expanding into our primary markets in the midwestern
United States. In the drug distribution business we compete against regional and
national wholesalers, such as McKesson Corporation, Morris & Dickson Ltd., D & K
Healthcare, and ANDA. Many of these existing competitors, as well as potential
competitors, have larger marketing and sales organizations and product
offerings, as well as greater financial resources than we do. Our competitors
may offer services or products that are superior to or more price competitive
than our services and products. Our future success also depends on our ability
to enhance our existing services and to introduce new services and products that
will meet the requirements of our members in a changing marketplace. Our present
or future services may not satisfy the needs of our member pharmacies. If we are
unable to anticipate or respond adequately to our members' needs, we may lose
business and members. In addition, these competitive pressures or the cost of
providing increased services could cause a decline in our profit margins and the
amount of rebates we are able to distribute in the future.

A disruption in our relationship with our endorsed wholesaler-partners would
have a negative effect on our ability to attract and retain members.

In addition to supporting members through our distribution center, we
currently have agreements with four wholesaler-partners to support our members'
product needs. Wholesalers play an integral part of our members' business and
competitiveness because they directly affect the availability of product
inventory and profitability at each pharmacy store. Many members have
long-standing relationships with various wholesalers depending on their
geographic location. The wholesaler-partners we endorse serve a vast majority of
our members' product needs and, therefore, our relationship with these
wholesaler-partners is important to us. Our contracts with these
wholesaler-partners terminate in either 2004, 2005, 2007 or 2009. Although these
contracts automatically renew, there is always the possibility that either of us
may elect not to extend a contract. Certain of these contracts may be terminated
prior to their expiration date, at the election of the wholesaler-partner, for
an uncured, material breach of the contract. Any significant disruptions in our
relationships with one or more of our wholesaler-partners could make it
difficult for us to serve and retain members, resulting in loss of business that
would have a material adverse effect on our results of operations and financial
condition. If a wholesaler-partner should terminate its relationship with us,
our distribution center or other wholesaler-partners may not be able to make up
any product shortfalls resulting from such termination. Our members may also
continue their relationship with that wholesaler, either directly or through
another buying association.

Failure to manage growth could impair our business.

Our business has grown rapidly over the last five years. During that
period, we have significantly expanded our operations and increased our
membership by approximately 500 pharmacies. It is difficult to manage this rapid
growth, and our future success depends on our ability to implement and maintain:

o sales and marketing programs;



o customer support programs;

o technological support and appropriate levels of redundancy;

o retention and recruitment of new personnel; and

o operational and financial control systems.

If our business continues to grow at a rapid pace, we will need to
continue to improve our financial and managerial controls, reporting systems and
procedures and to expand the training of our work force. In particular, because
of our growth, we need to incur borrowings to finance our increase in accounts
receivable and to purchase greater amounts of inventory. In some instances our
payables are due before our inventory is sold and the accounts receivable are
collected. Our Company will require additional quality employees to maintain our
business, in particular to manage the flow of processing the sale of inventory
from our warehouse and distribution operations. Our inability or failure to
manage our growth effectively could decrease our profitability and strain our
resources, which would have a material adverse effect on our business.

We depend on our management team and the loss of their services could have a
material adverse effect on our business.

Our ability to successfully implement our business plan in a rapidly
evolving market requires an effective planning and management process. Our
future success depends to a significant extent on the skills, experience, and
efforts of key members of our management team. The loss of any or all of these
individuals could damage our business. We own and are the beneficiary of a life
insurance policy on the life of Mr. Nick Smock, our president and CEO, in the
amount of $1 million. We have an employment agreement with Mr. Smock that
terminates on December 31, 2005 and an employment agreement with Mr. Don Raby,
our vice president and CFO, that terminates on December 31, 2004; however,
either Messrs. Smock or Raby may terminate their agreements prior to that date
upon 60 days' written notice. All employees are subject to confidentiality,
non-competition, and non-solicitation agreements throughout the duration of
their employment.

Our members may terminate their membership at any time.

As is standard in our industry, our members can terminate their membership
agreements with us at any time. Accordingly, the number of pharmacies purchasing
products from or through us could decrease significantly at any time. If a large
number of our members withdraw from membership, this could have a material
adverse effect on our financial performance by reducing our sales and decreasing
our efficiencies and economies of scale.

Our primary mission is to improve the profitability and competitiveness of our
members and our actions or decisions may not always have a positive result on
our book value.

Our activities are intended to further the competitiveness of our pharmacy
members. Not all of our activities will have an immediately positive impact on
the book value of our common stock. In fact, some of our activities may cause
our book value to decline. Since not all of our members are shareholders and not
all of our shareholders are members, there may be a divergence in interests
between our shareholders and members. For example, we distribute a significant
portion of our profits to members in the form of rebates. While we believe the
distribution of rebates assists our members and provides an increased incentive
to maintain membership with us, the distribution of rebates lowers the book
value of our common stock and provides no direct benefit to non-member
shareholders. Distributing rebates also decreases the amount of cash available
for working capital.

Our operations may suffer if governmental regulations regarding pharmaceuticals
change.



The health care and pharmaceutical industry is highly regulated at the
local, state and federal level. Consequently, we are subject to the risk of
changes in various laws and regulations, which include the operating and
security standards of the United States Drug Enforcement Administration, various
state boards of pharmacy, and comparable agencies. These changes may affect our
operations, including how we distribute and store pharmaceutical products and
how our pharmacy members operate.

The changing healthcare environment may impact our revenue and income.

Our current services and products are intended to function within the
structure of the healthcare financing, reimbursement and rebate system currently
existing in the United States. In recent years, the healthcare industry has
undergone significant changes in an effort to reduce costs and government
spending. These changes include an increased reliance on managed care, cuts in
Medicare and state Medicaid funding, consolidation of competitors, suppliers and
customers. We expect the healthcare industry to continue to change significantly
in the future. Some of these potential changes, such as a reduction in
governmental support of healthcare services or adverse changes in legislation or
regulations governing prescription drug pricing, healthcare services or mandated
benefits, may cause healthcare industry participants to alter their behavior,
potentially negatively impacting our services and products. Changes in
pharmaceutical manufacturers' pricing or distribution policies could also
negatively impact our company.

We may engage in acquisition or merger transactions, which entail risks that
could harm our financial performance or book value.

As part of our business strategy, we may make acquisitions or merge with
other similar companies in the industry. Any future acquisitions or mergers
would be accompanied by the risks commonly encountered in these types of
transactions. These risks include:

o the possibility that our market-leading programs and services may be
adversely affected by less competitive and less aggressive offerings
of the target company;

o the difficulty associated with integrating the personnel, members
and operations of an acquired company;

o risks and liabilities associated with inadequate due diligence of,
or inaccurate representations and warranties by, an acquired
company;

o the potential disruption of our existing business; and

o adverse effects on our financial statements, including the
assumption of liabilities of acquired businesses.

If we make acquisitions or enter into mergers and any of these or other problems
materialize, these transactions could adversely affect our operations and
financial condition.

We rely on strategic relationships to generate revenue and create better
programs for our members.

We establish and maintain strategic relationships with drug manufacturers,
wholesalers and other companies. We believe these relationships are important to
our success and the success of our members because they enable us to

o extend the reach of our services and products to various
participants in the independent retail pharmacy industry;

o ensure a sufficient flow of products to our members at competitive
prices; and



o better control the security and confidentiality of our members'
information.

Our ability to bring value to our members is affected by our ability to develop
strategic relationships and to compete effectively in an industry that is
dominated by such relationships. Our business may be adversely affected if we
cannot establish or maintain those relationships. Examples of strategic
alliances include market share and similar programs, which entitle us and our
members to receive rebates from manufacturers. Many of these programs are
short-term incentives from our various manufacturers to encourage the purchase
of various products while other relationships are more permanent in nature, such
as direct purchasing accounts.

Performance or security problems with our systems could damage our business.

Our customer satisfaction and our business could be harmed if we or our
suppliers experience any system delays, failures or loss of data. We currently
process all of our customer transactions and data at our principal office in
Kansas City, Missouri, and do not utilize any other back up systems or duplicate
systems at a different location. Although we have safeguards for emergencies,
the occurrence of a major catastrophic event or other system failure at our
Kansas City, Missouri facility could interrupt data processing or result in a
loss of stored data. This could result in the loss or delays of information,
products or services to our members.

There is no trading market for our common stock and our bylaws impose
substantial limitations on shareholders' ability to transfer our common stock.

There is no trading market for our common stock, and no such market is
expected to develop. Shares may only be transferred to us, to our pharmacy
members or licensed pharmacists who own or are employed by a pharmacy member, or
to our employees. We do not have any obligation to repurchase our shares except
upon the death, incompetency or bankruptcy of a shareholder. The price we will
pay to repurchase our shares is set by our board of directors based on our book
value per share as of the end of each fiscal year. The board may choose to
forego adjustments or adjust the price based on more current financial
information if it deems advisable. Shares may not be pledged as security for any
loan. As a result of these restrictions, our shares are highly illiquid and
shareholders may not be able to sell our shares if they need to liquidate their
investment in our common stock.

In addition, we have registered under the Securities Exchange Act of 1934
and are placed under additional restrictions regarding selling shares of stock
to those who meet the requirements of share ownership.

It is unlikely we will pay dividends.

We have never declared or paid any cash dividends on our common stock. We
intend to distribute future earnings, if any, that may be generated from our
operations, after reserving amounts required to finance our operations and
expansion, to our members based on the amount of their purchases from us, our
endorsed wholesaler-partners and their participation in our programs, regardless
of whether members own any common stock or the number of shares they may own.
Currently, we do not plan to pay dividends to holders of our common stock. We
believe that we need to pay rebates from our profits to maintain and attract new
members.

Our shareholders have limited voting rights.

Pursuant to our bylaws, shareholders have one vote regardless of the number of
shares held by them. As such, a majority of our shareholders have the power to
elect directors and approve any other matters submitted for a shareholder vote
whether or not they own a majority of the shares outstanding. Because each
shareholder has the right to one vote regardless of the number of shares owned,
a shareholder having a significant amount of stock and having a significant
amount of equity in the company will have the same voting rights as a
shareholder with one share of stock and very little equity in the company. As a



result, shareholders who may different economic risks and objectives as a result
of the ownership of a different number of shares will have the same voting
rights.


ITEM 2. PROPERTIES.

We lease approximately 8,700 square feet for our executive office at 1575
N. Universal Avenue, Suite 100, Kansas City, Missouri, from an unaffiliated
third party. The term of the lease expires on December 31, 2006 and our annual
rental obligation for 2004 is projected to be approximately $108,000.

We lease approximately 24,000 square feet for our distribution facility in
Riverside, Missouri, from an unaffiliated third party. The warehouse lease
expires on August 31, 2004, and our annual rental obligation is approximately
$193,000. We are currently contemplating renewing this lease subject to certain
amendments. We believe our current available space will be sufficient for the
next 12 months.


ITEM 3. LEGAL PROCEEDINGS.

There currently are no pending legal proceedings against us which, if
determined adversely, would have a material effect on our business or financial
condition.


ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.

There were no matters submitted to a vote of security holders for the
quarter ended December 31, 2003.


PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER
MATTERS.

No Trading Market

Our common stock does not trade on any securities exchange or automated
quotation system, and there is no firm which makes a market in our common stock.
Pursuant to our bylaws, a shareholder may not sell or otherwise transfer his or
her common stock except to us, to one of our members (or a licensed pharmacist
employed by a member) or to one of our employees. While our bylaws permit our
board of directors to authorize persons other than the foregoing to own our
common stock, this has occurred only when a shareholder has retired or otherwise
voluntarily terminated membership and retained his or her shares. In that event,
we have a right to repurchase those shares.

In light of these restrictions and the lack of any market for our common
stock, shareholders are required to hold our common stock indefinitely and must
consider our shares an illiquid investment. We will not have any obligation to
purchase a shareholder's shares unless the shareholder's membership is
terminated due to death, incompetency or bankruptcy. In addition, we have a
right of first refusal to purchase any shares that a shareholder proposes to
transfer and a right of set-off against the shareholder's shares for any debts
owed by the shareholder to us.

Any shares purchased by us are purchased at the value set by our board of
directors, which is based on our per-share book value at the end of the previous
calendar year, or as of a more recent date if the board deems advisable.



In 2003, our stock ranged from a low of $567.00 per share at the beginning
of the year to $584.00 per share at the end of the year.

Shareholders

As of December 31, 2003, we had 556 shareholders of record.

Dividend Policy

We have not declared or paid any cash dividends on our shares of common
stock. We intend to distribute future earnings, if any, that may be generated
from our operations, after reserving amounts required to finance our operations
and expansion, to our members based on the amount of their purchases from us and
endorsed-wholesaler partners and their participation in our programs, regardless
of whether members own any common stock or the number of shares they may own.
Currently, we do not plan to pay dividends to holders of our common stock. We
believe that we need to pay rebates from our profits to maintain and attract new
members.

Equity Compensation Plan

As of December 31, 2003 we have no stock option or equity compensation
plan in place.


ITEM 6. SELECTED FINANCIAL DATA.


Selected Financial Data




The following selected financial data is qualified by reference to and
should be read in conjunction with our financial statements and the related
notes and other financial information included elsewhere in this Annual Report
and in the Managements' Discussion and Analysis of Financial Condition and
Results of Operations section of this report. The selected financial data have
been derived from our financial statements, which have been audited by
independent public accountants, as of the years ended December 31, 2003, 2002,
2001, 2000, 1999, and 1998. Our historical results are not necessarily
indicative of future operating results.

PHARMACY BUYING ASSOCIATION, INC.
d/b/a TrueCare Pharmacy



Year ended
December 31,
------------------------------------------------------------------------------------
2003 2002 2001 2000 1999 1998
---- ---- ---- ---- ---- ----

Revenues 154,836,641 137,001,822 90,414,670 22,005,359 9,367,882 4,352,293

Operating expenses 153,434,256 134,481,646 88,361,272 20,563,626 8,574,071 3,907,345

Operating income 1,402,385 2,520,176 2,053,398 1,441,733 793,811 444,948

Net income 824,956 1,541,664 1,310,328 987,371 494,727 275,698

Net income (loss) per share -
assuming full dilution 91.32 136.92 115.14 95.37 49.12 27.67

Weighted average shares
outstanding - assuming full
dilution(a) (b) 9,034 11,260 11,380 10,353 10,071 9,961


Balance Sheet: As of December 31
------------------------------------------------------------------------------------
2003 2002 2001 2000 1999 1998
---- ---- ---- ---- ---- ----

Cash -- -- 614,519 1,697,442 259,616 353,978
Accounts receivable, net 7,068,561 8,138,869 6,380,342 2,462,881 2,587,786 2,025,897
Inventories 10,220,377 8,185,885 4,672,273 3,418,236 1,196,862 99,769
Other assets 858,972 899,408 378,858 182,043 140,909 205,163
Property and equipment, net 333,746 453,109 597,722 414,123 213,424 178,840
------------------------------------------------------------------------------------
Total assets 18,481,656 17,677,271 12,643,714 8,174,725 4,398,597 2,863,647

Accounts payable 10,474,830 7,083,642 6,196,385 3,342,898 1,422,119 847,753
Other liabilities 2,931,680 3,952,920 1,127,844 1,386,829 858,246 503,676
Long-term debt, less current -- -- 18,336 25,457 12,459
Stockholders' equity 5,075,146 6,640,709 5,301,149 3,419,541 2,105,773 1,512,218
------------------------------------------------------------------------------------
Total liabilities and 18,481,656 17,677,271 12,643,714 8,174,725 4,398,597 2,863,647
stockholders' equity


(a) Share and per share amounts prior to 2002 have been adjusted for the
two-for-one stock split effected July 19, 2002.

(b) Share and per share amounts prior to 2001 have been adjusted for the
two-for-one stock split effected January 1, 2001.



Critical Accounting Policies

We view our critical accounting policies to be those policies which are
very important to the portrayal of our financial condition and results of
operations, and require management's most difficult, complex or subjective
judgments. The circumstances that make these judgments difficult or complex
relate to the need for management to make estimates about the effect of matters
that are inherently uncertain. We believe our critical accounting policies are
as follows:

Allowance for doubtful accounts. We are required to estimate the level of
accounts receivable recorded on our balance sheet which will ultimately
not be paid. Among other things, this assessment requires analysis of the
financial strength of our customers, which can be highly subjective,
particularly in the recent difficult general economic environment. Our
policy is to estimate bad debt expense based on prior experience
supplemented by a periodic customer specific review when needed. In 2003,
we reduced the allowance for doubtful accounts by $20,000. We will
continue to record bad debt expense based on prior experience supplemented
by a periodic customer specific review. If we over or under estimate the
level of accounts receivable that will not be paid, there may be a
material impact to our financial statements.

Accounts Receivable, Rebates Payable and Sales. We receive volume and
incentive rebates from vendors and pay volume rebates to our customers. We
also receive contractual price reductions from certain vendors, and
certain other sales related adjustments on a regular basis. The exact
level of these adjustments is not always immediately known and thus we
must record an estimate. Our estimates are based on historical experience
with similar programs and upon current data and reports that may be
available at the time, and since we have a relatively small customer base,
customer specific historical experience is often useful in determining the
estimated level of adjustments expected. If we over or under estimate the
level of accounts receivable, rebates payable or sales deductions, there
may be a material impact to our financial statements.

Inventory obsolescence. Our private label products have shelf lives
ranging from 18 to 36 months. We must estimate the amount of inventory
recorded on our balance sheet that will not be sold prior to expiration.
This estimate requires analysis of forecasted demand for our products, our
promotional focus, amounts of our products currently held by our customers
and the impact on our products of competing products. If we over or under
estimate the amount of inventory that will not be sold prior to
expiration, there may be a material impact to our financial statements.

Recent Accounting Pronouncements

In January 2003, the FASB issued FIN No. 46 "Consolidation of Variable
Interest Entities--an Interpretation of Accounting Research Bulletin No. 51".
FIN No. 46 addresses consolidation by business enterprises where equity
investors do not bear the residual economic risks and rewards. The underlying
principle behind FIN No. 46 is that if a business enterprise has the majority
financial interest in an entity, which is defined in FIN No. 46 as a variable
interest entity, the assets, liabilities and results of the activities of the
variable interest entity should be included in consolidated financial statements
with those of the business enterprise. In December 2003, the FASB issued Revised
FIN No. 46 to clarify certain aspects of FIN No. 46 including the determination
of who is the primary beneficiary of a variable interest entity. The Revised FIN
No. 46 postponed the effective date as to when companies are required to apply
the provisions of FIN No. 46 prospectively for all variable interest entities in
existence prior to January 31, 2003 until the first financial reporting period
that ends after March 15, 2004. However, for entities that are considered to be
special purpose entities, the effective date of FIN No. 46 is financial
reporting periods after December 15, 2003. The adoption of the provisions of FIN
No. 46 did not have a material effect on our financial position or results of
operations.



In April 2003, the FASB issued SFAS No. 149, "Amendment of Statement 133
on Derivative Instruments and Hedging Activities." SFAS No. 149 amends and
clarifies accounting for derivative instruments, including certain derivative
instruments embedded in other contracts, and for hedging activities under SFAS
133. In particular, this Statement clarifies under what circumstances a contract
with an initial net investment meets the characteristic of a derivative and when
a derivative contains a financing component that warrants special reporting in
the statement of cash flows. This statement is effective for contracts entered
into or modified after June 30, 2003 and its adoption did not have a material
impact on our financial condition or results of operations.

In May 2003, the FASB issued SFAS No. 150, "Accounting for Certain
Financial Instruments with Characteristics of both Liabilities and Equity." SFAS
150 establishes how an issuer classifies and measures certain financial
instruments with characteristics of both liabilities and equity. This statement
is effective for instruments entered into or modified after May 31, 2003, and
otherwise is effective at the beginning of the first interim period beginning
after June 15, 2003. As a result of concerns over implementation and measurement
issues, the FASB unanimously decided on October 29, 2003 to defer the
application of SFAS No. 150 to certain non-controlling interests of limited-life
entities that are consolidated in the financial statements. The adoption of SFAS
No. 150 did not have a material impact on our financial condition or results of
operations.

On December 17, 2003, the Securities and Exchange Commission issued
Staff Accounting Bulletin No. 104, "Revenue Recognition" (SAB 104). SAB 104
supersedes SAB 101, "Revenue Recognition in Financial Statements." SAB 104's
primary purpose is to rescind accounting guidance contained in SAB 101 related
to multiple element revenue arrangements. The adoption of SAB No. 104 did not
have a material impact on our consolidated financial position or results of
operations.

Inflation

We have experienced only moderate price increases under our agreements
with third-party vendors as a result of raw material and labor price increases.
We have generally passed these price increases along to our customers.

ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS.

The following discussion should be read in conjunction with the
Consolidated Financial Statements and Notes thereto of the Company included in
this Annual Report on Form 10-K. The forward-looking statements included in this
discussion and elsewhere in this Form 10-K involve risks and uncertainties,
including anticipated financial performance, business prospects, industry
trends, shareholder returns and other matters, which reflect management's best
judgment based on factors currently known. Actual results and experience could
differ materially from the anticipated results and other expectations expressed
in the Company's forward-looking statements as a result of a number of factors,
including but not limited to those discussed in this Item and in Item 1
"Business - Risk Factors".

Overview

We derive revenues from the following four sources:



Distribution Center. We sell pharmaceutical-related products to our
members through our own distribution facility located in Riverside, Missouri.

Activity Rebates and Charges. We receive rebates from pharmaceutical
manufacturers based on member purchases of the manufacturer's product from our
distribution center. In addition, each of our wholesaler-partner contracts
provides that the wholesaler-partner will pay us a rebate based on a percentage,
which varies by wholesaler-partner, of the dollar value of products purchased by
our members from the wholesaler-partner. We also receive rebates and fees from
other vendors and manufacturers through various company programs, such as our
cash card and drug formularies. These rebates and fees are typically paid to us
on either a quarterly or monthly basis.

Participation Programs and Fees. Our members pay us a monthly membership
fee in accordance with our membership agreement. In addition, we receive
administration fees from manufacturers and wholesaler-partners for maintenance
and facilitation of contracts with us and with our members. Our vendors and
members also pay a fee to attend our annual conference each summer.

Third Party Revenues. Revenues from our third party segment, shown net of
expenses for all reporting periods, are generated from claims costs of goods,
claims processing fees per paid claim charged to plan sponsors, and rebate
administration fees. A major portion of the revenue includes the claims costs of
goods that are collected from the plan sponsors in order to pay the
participating network provider. After payout of claims and expenses, there is
usually little or no net income generated from this revenue.

Our expenses are categorized as follows:

Distribution Center. Operating expenses associated with distribution are
primarily composed of direct cost of goods sold.

Activity Rebates. Rebates are composed of monies paid to members on a
quarterly basis for purchases through the distribution center, purchases made
under contract with wholesaler-partners, cash card claims, and rebates
attributable to fluctuations in the market share of certain pharmaceuticals.

Participation Program and Fees. Program costs and expenses are primarily
composed of expenses associated with the programs and services that we offer to
our members, including the costs of developing and marketing those services. In
addition, costs associated with our annual shareholders conference are included.

General and Administrative Expenses. General and administrative expenses
are typical operating expenses primarily composed of such items as salaries and
wages, insurance, freight and postage, office rent, travel, and other
miscellaneous expenses.

Results of Operation

The following discussion is based on our historical results of operations
for the years ending December 31, 2003, 2002, and 2001.



Comparison of Fiscal Years 2003 and 2002

Revenues

Total Revenues. For 2003, total revenues increased to $154.8 million from
$137.0 million in 2002, representing a 13% increase. The increase is primarily
attributable to an increase in the purchases made through our distribution
center by members. In addition, while the total number of orders through our
distribution center increased slightly, the average size of individual
distribution center orders increased by over 12%.

Distribution. Revenues from our distribution center increased to $146.2
million in 2003 compared to $126.9 million in 2002. This increase was primarily
due to a mild increase in our membership utilization of the distribution center
and additional product offerings leading to larger dollars per individual order.

Activity Rebates and Charges. Revenues from rebates and other charges
decreased to $5.9 million in 2003 from $6.7 million in 2002. The decrease is
partially attributable to a decrease in revenues generated by our cash card and
principally due to the loss of an endorsed wholesaler-partner half way through
the year.

Participation Programs and Fees. Revenues from participation and fee
programs dropped off by 23% in 2003 versus 2002. The drop from $3.2 million in
2002 to $2.6 million in 2003 followed the loss of an endorsed wholesaler-partner
half way through the year and the corresponding revenues from joint programs and
administrative fees.

Third Party. Revenues, shown net of expenses, from third party activities
held steady in 2003 at $117,000 versus $101,000 in 2002 reflecting relatively
few overall changes. However, we anticipate making minor marketplace moves in
2004 back into the managed care environment. This should precipitate higher
revenues in the coming year.

Cost of Revenues

Distribution Center. Costs of goods sold through the distribution center
increased from $123.4 million in 2002 to $142.2 million in 2003. The increase is
directly and proportionately due to the increase in distribution sales.

Activity Rebates. Costs of rebates to members decreased by 15% from 2003
to 2002. In 2003 our costs of rebate activity was $4.2 million compared to $4.9
million in 2002. The decrease is directly attributable to the loss of an
endorsed wholesaler-partner and the corresponding decline in monies paid out to
our membership pursuant to agreements with the former endorsed wholesaler.

Participation Programs and Fees. Costs associated with member programs and
services were $0.7 million in 2002 and $1.0 million in 2003. The increase is a
result of higher processing fees on our cash card claims as substantially more
claims were submitted under this program.

General and Administrative. General and administrative expenses increased
slightly to $6.0 million in 2003 from $5.5 million in 2002. The increase
principally resulted from ongoing costs associated with our registration as a
public company, higher total freight expense, expenses associated with an office
expansion, and common area maintenance charges. As a percentage of revenues,
general and administrative expenses decreased slightly to 3.9% in 2003 from 4.0%
in 2002. We anticipate lower general and administrative expenses in 2004 and
2005 due to various streamlining measures enacted in 2003 and the closing of our
Austin, Texas regional office late in the year.



Income from Operations. Income from operations decreased to $1.4 million
compared to $2.5 million for the previous fiscal year. As a percentage of total
revenues, income from operations decreased from 1.8% in 2002 to 0.9% in 2003.
The decrease in rate is attributable to a larger portion of our revenues arising
from the sale of lower margin pharmaceutical products, stiffer competition in
our geographic region leading to slight reductions in sales margins, and
relatively steady operating expenses in light of lower gross profit margins.

Income Taxes. Income taxes decreased by 44% in 2003 over 2002. Income tax
expense for 2003 was $0.6 million versus $1.0 million in 2002. The decrease
corresponds to a decrease in pre-tax income in 2003 versus 2002 of 45%.


Comparison of Fiscal Years 2002 and 2001

Revenues

Total Revenues. For 2002, total revenues increased to $137.0 million from
$90.4 million in 2001, representing a 52% increase. The increase is primarily
attributable to an increase in the purchases made through our distribution
center by members gained through the acquisition of TPC and through the general
addition of new members. In addition, the average size and quantity of
individual distribution center orders increased by over 25% each.

Distribution. Revenues from our distribution center increased to $126.9
million in 2002 compared to $81.4 million in 2001. This increase was primarily
due to a substantial increase in our membership utilization of the distribution
center and additional product offerings.

Activity Rebates and Charges. Revenues from rebates and other charges
increased to $6.7 million in 2002 from $5.6 million in 2001. The increase is
attributable to an increase in purchases through our distribution center and the
corresponding increase in manufacturer rebates.

Participation Programs and Fees. Revenues from participation and fee
programs held relatively steady from $3.4 million in 2001 to $3.2 million in
2002.

Third Party. Revenues, shown net of expenses, from third party activities
increased in 2002 to $101,000 from $46,000 in 2001. This minor increase is
attributable to a slow resurgence in managed care activities. This is a reversal
of an earlier decision to phase out our managed care business. We anticipate
increases in these types of activities in the future.

Cost of Revenues

Distribution Center. Costs of goods sold through the distribution center
increased from $79.3 million in 2001 to $123.4 million in 2002. The 56% increase
is directly due to the increase in distribution sales.

Activity Rebates. Costs of rebates to members increased by 56% from 2002
to 2001. In 2002 our costs of rebate activity was $4.9 million compared to $3.1
million in 2001. The increase is directly applicable to an increase in purchases
through our distribution center and to member purchases on contract with our
endorsed wholesaler-partners.



Participation Programs and Fees. Costs associated with member programs and
services were $0.7 million in 2002 and $0.7 million in 2001. This directly
follows the relatively flat revenue growth over the same period.

General and Administrative. General and administrative expenses increased
slightly to $5.5 million in 2002 from $5.2 million in 2001. The increase
primarily resulted from costs associated with our public registration. As a
percentage of revenues, general and administrative expenses decreased to 4.0% in
2002 from 5.7% in 2001.

Income from Operations. Income from operations increased to $2.5 million
compared to $2.1 million for the previous fiscal year. As a percentage of total
revenues, income from operations decreased from 2.3% in 2001 to 1.8% in 2002.
The decrease in rate is attributable to a larger portion of our revenues arising
from the sale of pharmaceutical products, which have lower margins than our
other sources of revenue, and to an increase in rebates paid to our members.

Income Taxes. Income taxes increased by 34% in 2002 over 2001. Income tax
expense for 2002 was $1.0 million versus $0.78 million in 2001. The increase
corresponds to an increase in pre-tax income in 2002 over 2001 of 24% and a
higher portion of revenues falling in a higher tax bracket.


Liquidity and Capital Resources

Our capital requirements relate primarily to working capital for
day-to-day operations, including general and administrative expenses,
maintenance of product inventory levels to fulfill our operating commitment to
our members and membership rebates. Historically, we have financed our cash
requirements from three primary sources: on-going operations, sales of our
common stock, and borrowings under our line of credit. However, we have not been
able to sell stock since January of 2001 due to restrictions placed on us by the
SEC and state securities agencies. Despite these restrictions, we have still
been able to adequately fund the companies capital requirements through cash
from on-going operations and occasional borrowings under our line of credit.

During fiscal 2003:

o Net cash provided by (used by) operations was $5.14 million,
compared to ($2.79) million for fiscal 2002, primarily due to a $2.7
million increase in cash from accounts receivable and a $1.5 million
increase in cash from inventory changes and $4.2 million provided by
additional accounts payable.

o Net cash provided by (used by) investing activities of ($0.09
million), compared to ($0.59 million) in 2002, was primarily
attributable to some minor purchases of property and equipment
during the year.

o Net cash provided by (used by) financing activities was ($5.0
million), compared to $2.77 million in 2002, primarily as a result
of the repayment of our year-end 2002 borrowing of $3 million
against our line of credit. In addition the repurchase of our common
stock into the treasury accounted for an addition $2 million use of
cash.

We have a $5 million line of credit and a $2 million additional seasonal
extension from November 1 through February 1 (the "Credit Agreement") with Bank
of America, N.A. that expires on



November 28, 2004. Borrowings under the Credit Agreement bear interest at the
lender's prime rate, which was 4.00% as of December 31, 2003. The Credit
Agreement imposes certain requirements on us, including the maintenance of a
minimum tangible net worth. We accessed our line of credit from time to time
during 2003. No monies were outstanding under the Credit Agreement as of
December 31, 2003. We anticipate renewing the credit agreement or obtaining a
new bank line of credit upon expiration of our current Credit Agreement.

Cash and cash equivalents as of December 31, 2003 were $0, with $1.1
million in checks outstanding, down from $0.3 million in outstanding checks and
$3.0 million borrowed against our line of credit, as of December 31, 2002. We
believe that our cash equivalents as of December 31, 2003, amounts available
under the Credit Agreement, and operating cash flows will be sufficient to meet
our anticipated debt service requirements, capital expenditure, and working
capital needs at least through the next 12 months. Currently, our anticipated
working capital expenditures are composed of ongoing day-to-day operations,
including normal general and administrative expenses, maintenance of adequate
inventory levels to satisfy our product orders, ongoing repurchases of our
current common stock, and income taxes. If sales through our distribution center
continue to grow, we will be using significant portions of our capital going
forward to support increased product inventory levels. Except as set forth
above, we do not currently anticipate incurring any expenses or capital
expenditures outside the ordinary course of business.


ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

We are exposed to market risks primarily from changes in U.S. interest
rates. We do not engage in financial transactions for trading or speculative
purposes.

The interest payable on our Credit Agreement is based on variable interest rates
and is therefore affected by changes in market interest rates. As of December
31, 2003, we did not have any monies outstanding under the Credit Agreement. To
the extent interest rates rise when we borrow money under the Credit Agreement,
our interest expense will increase.


ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA



PHARMACY BUYING ASSOCIATION, INC.
AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


CONTENTS

Independent auditors' report

Consolidated financial statements:

Consolidated balance sheets

Consolidated statements of income

Consolidated statements of changes in stockholders' equity

Consolidated statements of cash flows

Notes to consolidated financial statements




Independent Auditors' Report


Board of Directors
Pharmacy Buying Association, Inc. and Subsidiary
d/b/a TrueCare Pharmacy
Kansas City, Missouri

We have audited the accompanying consolidated balance sheets of Pharmacy Buying
Association, Inc. and subsidiary, d/b/a TrueCare Pharmacy, as of December 31,
2003 and 2002 and the related consolidated statements of income, changes in
stockholders' equity and cash flows for each of the three years in the period
ended December 31, 2003. These consolidated financial statements are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these consolidated financial statements based on our audits.

We conducted our audits in accordance with U.S. generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the consolidated financial statements are
free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the consolidated financial
statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present
fairly, in all material respects, the financial position of Pharmacy Buying
Association, Inc. and subsidiary, d/b/a TrueCare Pharmacy, as of December 31,
2003 and 2002, and the results of their operations and their cash flows for each
of the three years in the period ended December 31, 2003 in conformity with U.S.
generally accepted accounting principles.


HOUSE PARK & DOBRATZ, P.C.
Kansas City, Missouri
March 1, 2004




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

CONSOLIDATED BALANCE SHEETS - DECEMBER 31, 2003 and 2002

ASSETS (Note 6)


2003 2002
---- ----

Current assets:
Accounts receivable (Note 3) $ 7,068,561 $ 8,138,869
Inventories 10,220,377 8,185,885
Prepaid expenses 32,938 152,374
Deferred income taxes (Note 9) 79,000
----------- -----------
Total current assets 17,400,876 16,477,128

Investment 500,000 500,000

Property and equipment (Note 4) 333,746 453,109

Goodwill (Note 2) 229,144 229,144

Security deposit 17,890 17,890
----------- -----------

$18,481,656 $17,677,271
=========== ===========

LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
Checks written in excess of cash in bank $ 1,068,526 $ 321,386
Bank line of credit (Note 6) 3,000,000
Accounts payable 10,474,830 7,083,642
Accrued payroll 115,618 81,978
Obligation to acquire stock in treasury 341,640
Deferred revenue 1,308,160 282,200
Income taxes payable 85,736 159,356
Deferred income taxes (Note 9) 101,000
----------- -----------
Total current liabilities 13,394,510 11,029,562
----------- -----------

Deferred income taxes (Note 9) 12,000 7,000
----------- -----------

Commitments (Notes 7 and 10)

Stockholders' equity:
Common stock, $1 par; authorized 30,000 shares; issued and
outstanding 6,920 and 11,380 shares, respectively (Note 13) 6,920 11,380
Capital in excess of par value 1,468,255
Retained earnings 5,068,226 5,363,178
----------- -----------
5,075,146 6,842,813
Less 358 shares of common stock held in treasury at cost -- 202,104
----------- -----------
5,075,146 6,640,709
----------- -----------

$18,481,656 $17,677,271
=========== ===========



See notes to financial statements.



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

CONSOLIDATED STATEMENTS OF INCOME

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001



2003 2002 2001
---- ---- ----

Revenues:
Distribution center(1) $ 146,224,486 $ 126,947,341 $ 81,395,657
Participation programs and fees 2,610,240 3,208,080 3,394,742
Member activity rebates 5,884,452 6,744,860 5,578,007
Third party 117,463 101,541 46,264
------------- ------------- ------------
154,836,641 137,001,822 90,414,670
------------- ------------- ------------
Cost of revenues:
Distribution center 142,189,438 123,407,285 79,368,172
Participation programs and fees 988,172 700,084 693,992
Rebates to members 4,178,405 4,891,967 3,143,745
------------- ------------- ------------
147,356,015 128,999,336 83,205,909
------------- ------------- ------------

Gross profit 7,480,626 8,002,486 7,208,761
General and administrative expenses
(Notes 4, 5, 7 and 8) 6,078,241 5,482,310 5,155,363
------------- ------------- ------------

Income from operations 1,402,385 2,520,176 2,053,398
------------- ------------- ------------

Other income (expense):
Investment income 13,587 20,628 51,940
Recovery of bad debt 65,000
Gain on disposal of property and equipment 4,786
Interest expense (Note 6) (8,073) (27,182) (18,444)
------------- ------------- ------------
5,514 63,232 33,496
------------- ------------- ------------

Income before income taxes 1,407,899 2,583,408 2,086,894
Income taxes (Note 9) 582,943 1,041,744 776,566
------------- ------------- ------------

Net income $ 824,956 $ 1,541,664 $ 1,310,328
============= ============= ============

Earnings per common share:
Income available to common stockholders $ 824,956 $ 1,541,664 $ 1,310,328
Weighted average shares outstanding 9,034 11,260 11,380
------------- ------------- ------------

Basic earnings per share $ 91.32 $ 136.92 $ 115.14
============= ============= ============


(1) (including revenues generated from businesses owned by members of the
Board of Directors of $18,367,605, $17,378,723 and $11,614,995,
respectively)


See notes to financial statements.



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001



Capital
Common stock in excess Retained Treasury stock
Shares Amount of par value earnings Shares Amount
------ ------ ------------ -------- ------ ------


Balances, December 31, 2000 2,429 $ 2,429 $ 897,807 $ 2,519,305 -- $ --

Stock split in the form of a
stock dividend 2,429 2,429 (2,429)

Acquisition of entity (Note 2) 832 832 584,896

Stock registration fees (14,448)

Net income for the year 1,310,328
-------- --------- ------------- ------------ -------- -------------

Balances, December 31, 2001 5,690 5,690 1,468,255 3,827,204

Stock split in the form of a
stock dividend 5,690 5,690 (5,690)

Acquisition of common stock 358 $ 202,104

Net income for the year 1,541,664
-------- --------- ------------- ------------ -------- -------------

Balances, December 31, 2002 11,380 11,380 1,468,255 5,363,178 358 202,104

Acquisition of common stock 4,102 2,390,519

Cancellation of treasury stock (4,460) (4,460) (1,468,255) (1,119,908) (4,460) (2,592,623)

Net income for the year 824,956
-------- --------- ------------- ------------ -------- -------------

Balances, December 31, 2003 6,920 $ 6,920 $ -- $ 5,068,226 -- $ --
======== ========= ============= ============ ======== =============



See notes to financial statements.



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

CONSOLIDATED STATEMENTS OF CASH FLOWS

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001



2003 2002 2001
---- ---- ----

Cash flows from operating activities:
Net income $ 824,956 $ 1,541,664 $ 1,310,328
Adjustments to reconcile net income to net
cash provided (used) by operating activities:
Depreciation 212,546 241,318 193,535
Deferred income tax (175,000) (92,000) (285,000)
Gain on disposal of property and equipment (4,786)
Loss on investment in affiliate 100,000
Changes in operating assets and liabilities:
Accounts receivable 1,070,308 (1,758,527) (3,471,837)
Inventories (2,034,492) (3,513,612) (1,254,037)
Prepaid expenses 119,436 (19,090) (10,580)
Security deposit (1,460) (14,091)
Checks written in excess of cash in bank 747,140 321,386
Accounts payable 3,391,188 887,257 2,700,130
Accrued payroll 33,640 (104,844) 46,265
Deferred revenue 1,025,960 80,600 199,350
Income taxes payable (73,620) (372,649) (253,756)
-------------- -------------- --------------

Net cash provided (used) by
operating activities 5,142,062 (2,794,743) (739,693)
-------------- -------------- --------------

Cash flows from investing activities:
Proceeds from disposal of property and equipment 10,300
Purchase of property and equipment (93,183) (102,219) (350,051)
Purchase of investment (500,000)
-------------- -------------- --------------

Net cash used by investing activities (93,183) (591,919) (350,051)
-------------- -------------- --------------

Cash flows from financing activities:
Net borrowings (payments) on line of credit (3,000,000) 3,000,000
Acquisition of common stock (2,048,879) (202,104)
Offering costs (14,448)
Principal payments on long-term debt (25,753) (20,107)
-------------- -------------- --------------

Net cash provided (used) by
financing activities (5,048,879) 2,772,143 (34,555)
-------------- -------------- --------------

Net decrease in cash (614,519) (1,124,299)

Cash, beginning of year 614,519 1,697,442

Business acquisition 41,376
-------------- -------------- ------------

Cash, end of year $ -- $ -- $ 614,519
-------------- -------------- ------------


(continued)


PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001



2003 2002 2001
---- ---- ----

Supplemental disclosures of cash flow information:
Cash transactions during the year for:
Interest paid $ 19,229 $ 16,026 $ 18,444
=============== ============== ============

Income taxes paid $ 835,575 $ 1,610,557 $ 1,207,882
=============== ============== ============

Income tax refunds received $ 4,012 $ 104,164 $ 2,860
=============== ============== ============


Non-cash transactions:

During 2003, the Company called 2,960 shares of common stock at $584 per
share from stockholders who no longer met eligibility requirements, as set
forth in the Restated Articles of Incorporation. Of the called shares,
2,375 were tendered and purchased for $1,387,000. The remaining 585 called
shares have been recorded as an "obligation to acquire stock in treasury"
in the amount of $341,640. In addition, the Company acquired 1,142 shares
of common stock in 2003 for $661,879. Subsequent to recording the
obligation to acquire stock in treasury, the Company cancelled all
treasury shares.

During 2002, the Company declared a stock split in the form of a dividend
on 5,690 common shares.

During 2001, the Company purchased another company with 832 shares of
common stock valued at $585,728 (Note 2).


See notes to financial statements.



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


1. Organization and summary of significant accounting policies:

Organization:

Pharmacy Buying Association, Inc., d/b/a TrueCare Pharmacy (TrueCare),
was incorporated in Missouri on May 16, 1988.

Nature of operations and consolidation:

The financial statements have been prepared on the accrual basis of
accounting and include the accounts of Pharmacy Buying Association,
Inc., d/b/a TrueCare Pharmacy, and its wholly-owned subsidiary,
Pharmacy Consolidation Associates, Inc. (Note 2) (the Company). All
material intercompany transactions and account balances have been
eliminated.

The Company, on behalf of its members, negotiates generic and other
pharmaceutical pricing with pharmaceutical manufacturers and
wholesalers. These agreements provide for rebates to be paid based on
Company member purchases. Rebates are paid quarterly to members based
on their purchases from the Company's distribution center and their
purchases from pharmaceutical manufacturers. The Company's Pharmacist
Rebate Network (PRN) tracks the purchases of the Company's members from
pharmaceutical manufacturers and wholesalers to calculate the rebates
due to members.

TrueCare formerly administered non-risk managed care contracts with its
clients, for which it received transaction based fees under the managed
care agreements. During 2000, TrueCare contracted all of its managed
care activities to a third-party administrator. During 2001, TrueCare
administered managed care contracts for its wholly-owned subsidiary;
however, as of December 31, 2001, TrueCare contracted its subsidiary's
managed care activities to a third-party administrator as well.

Stockholders and per capita voting:

Only licensed pharmacists or entities that own an independent
pharmaceutical store and Company officers, directors and employees may
be stockholders of the Company. Each stockholder is entitled to one
vote regardless of the number of shares owned. There is no trading
market for the common stock.

Concentration of credit risk:

The Company's customers are primarily located in the midwestern and
south central United States. The Company performs ongoing credit
evaluations of its customers' financial condition and, generally,
requires no collateral from its customers.

TrueCare maintains its bank accounts with a single financial
institution. The bank balances frequently exceed FDIC insured amounts.




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


1. Organization and summary of significant accounting policies (continued):

Estimates and assumptions:

The preparation of financial statements in conformity with U.S.
generally accepted accounting principles 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.

Inventories:

Inventories are stated at the lower of cost (first-in, first-out
method) or market and consist of pharmaceuticals and related pharmacy
supplies.

Investment:

The Company purchased a $500,000 Missouri Higher Education Bond during
2002 at its face value. This marketable debt security is classified as
available for sale and is carried in the financial statements at cost
which approximates fair value. The bond matures in 2031.

Property and equipment and depreciation:

Property and equipment are stated at cost. Depreciation is provided by
both accelerated and straight-line methods over the estimated useful
lives of the related assets of three to seven years.

Maintenance and repairs are charged to expense as incurred; major
renewals and betterments are capitalized.

Goodwill:

Goodwill that arose in connection with the business acquisition on
January 2, 2001 (Note 2) was initially amortizable over forty years. In
accordance with Statement of Financial Accounting Standards No. 142,
amortization of this goodwill ceased in 2001 and the Company began
evaluating the goodwill for potential impairment on an annual basis.
Goodwill was not considered impaired in 2003 or 2002; therefore, no
impairment loss was recognized.

Deferred revenue:

Deferred revenue results from the advance collection of registration
fees related to the TrueCare annual stockholder meeting held each year.
Such deferred revenue is recognized as income when the stockholder
meeting occurs.

The Company offers its members the opportunity to pay their yearly dues
in advance at a reduced rate. These unearned dues are also included in
deferred revenue and are recognized as income ratably in the following
year.




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


1. Organization and summary of significant accounting policies (continued):

Deferred revenue (continued):

During 2003, the Company signed a two-year agreement with a national
wholesale pharmaceutical supplier (supplier). The Company agreed to
designate the supplier as a preferred supplier for the Company's
members. The supplier paid the Company a $1,000,000 administrative fee
as part of this agreement. If a certain number of Company members do
not begin using the supplier as their primary wholesaler during the
term of the agreement, the Company must repay a portion of the
administrative fee. No Company members converted to the supplier in
2003; therefore, the entire $1,000,000 administrative fee is included
in deferred revenue as of December 31, 2003.

Revenue recognition:

"Distribution center" sales are recognized when shipped. "Participation
programs and fees" include administrative fees from vendors and
membership fees, both of which are recognized monthly. "Member activity
rebates" are recognized as earned. "Third party" revenues include
transaction fees only and are recognized as claims are processed.

Income taxes:

Income taxes are provided for the tax effects of transactions reported
in the financial statements and consist of current taxes due plus
deferred taxes related to temporary differences between the recognition
of income and expenses for financial and income tax reporting. The
deferred taxes represent the future tax return consequences of those
differences, which will either be deductible or taxable when the assets
and liabilities are recovered or settled.

Keyman life insurance:

The Company owns a $1,000,000 term life insurance policy on the Chief
Executive Officer.

Reclassifications:

Certain prior year accounts have been reclassified to conform with
current year classifications.

2. Business acquisition:

Effective January 2, 2001, Pharmacy Consolidation Associates, Inc. (PCA),
a wholly-owned subsidiary of TrueCare, acquired substantially all the net
assets of Texas Pharmacy Co-op, Inc., d/b/a Legend Pharmacies (Legend).
Legend, a Texas Corporation, was a pharmaceutical buying group comprising
independent pharmacies located in Texas. Pursuant to the agreement and
plan of reorganization, TrueCare issued 832 common shares to Legend and
Legend subsequently dissolved and distributed to its shareholders one
TrueCare common share for each outstanding common share of Legend. The
acquisition was accounted for under the purchase method of accounting.




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


2. Business acquisition (continued):

The purchase price was allocated as follows:

Assets acquired:
Cash $ 41,376
Accounts receivable 445,624
Property and equipment, net 27,083
Prepaid expenses 43,000
------------
557,083
------------
Liabilities assumed:
Accounts payable 153,357
Income taxes payable 34,000
Capital lease obligation 13,142
------------
200,499
------------

Net assets acquired 356,584
Goodwill 229,144
------------

Purchase price $ 585,728
============

The purchase price was determined based on the book value, which was
considered the fair value, per common share of Pharmacy Buying
Association, Inc. determined December 31, 2000 as adjusted for the
January 4, 2001 stock split (832 shares x $704 per common share).

3. Accounts receivable:

2003 2002
---- ----

Membership $ 1,192,501 $ 1,531,471
Distribution center 6,091,060 6,801,398
--------------- --------------
7,283,561 8,332,869
Allowance for doubtful accounts (215,000) (194,000)
--------------- --------------

$ 7,068,561 $ 8,138,869
=============== ==============



2003 2002 2001
---- ---- ----

Allowance for doubtful accounts:
Balance at beginning of year $ 194,000 $ 194,000 $ 43,632
Charges to costs and expenses 70,090 80,343 327,713
Bad debts written off (49,090) (15,343) (177,345)
Recoveries (65,000)
------------ ------------ ------------

Balance at end of year $ 215,000 $ 194,000 $ 194,000
============ ============ ============




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001

4. Property and equipment:
2003 2002
---- ----
Furniture and fixtures $ 372,491 $ 298,809
Equipment 730,570 713,516
Software 402,809 400,362
--------------- --------------
1,505,870 1,412,687
Accumulated depreciation (1,172,124) (959,578)
--------------- --------------

$ 333,746 $ 453,109
=============== ==============

Depreciation expense, included in general and administrative expenses, was
$212,546, $241,318 and $193,535 for the years ended December 31, 2003,
2002 and 2001, respectively.

5. Investment in and advances to affiliate:

The Company owned 42.0% and 41.6% of DataRx Management, Incorporated
(DataRx) as of December 31, 2003 and 2002, respectively, as a result of
its direct investment in DataRx (in 2000) and its acquisition of Legend
(in 2001) (Note 2). DataRx performs the technological functions of
capturing and switching pharmaceutical claim data for its pharmacy
clients.

The Company is not involved in the management of DataRx, has no
representation on the DataRx Board of Directors, is not a guarantor of any
DataRx obligations, has no additional funding commitments, and has agreed
not to acquire additional stock above 50% of the outstanding stock of
DataRx. The Company accounts for its investment in DataRx on the equity
method.

The unaudited results of operations of DataRx for 2003 and 2002 reported
net income of approximately $120,000 in 2003 and a net loss of
approximately $100,000 in 2002. The Company fully reserved its investment
in ($100,000 in 2000) and advances to ($180,000 in 2001) DataRx by a
charge to general and administrative expense of $280,000 in 2001.

6. Bank line of credit:

The Company has a $7,000,000 bank line of credit. Interest is computed on
outstanding balances at prime (4.0% at December 31, 2003). There was no
amount outstanding at December 31, 2003; at December 31, 2002, $3,000,000
was outstanding on this line. The line is secured by substantially all the
assets of the Company.

As of February 2, 2004, the maximum amount available on this bank line of
credit was reduced to $5,000,000. The line matures on November 28, 2004.

All interest costs have been expensed.



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001

7. Leases:

The Company leases warehouse space, office space and equipment under
non-cancelable operating leases with terms ranging from two to five years.
The warehouse and office leases require the Company to pay taxes,
insurance and maintenance. Rent expense, included in general and
administrative expenses, for 2003, 2002 and 2001 was as follows:



2003 2002 2001
---- ---- ----

Warehouse $ 193,108 $ 193,573 $ 59,839
Office 132,837 134,899 119,981
Equipment 2,124 6,305 6,725
------------ ------------ ------------

$ 328,069 $ 334,777 $ 186,545
============ ============ ============


Future minimum payments for operating leases having terms of one year or
more are as follows:

Year ending
December 31, Amount
------------ ------

2004 $ 304,134
2005 111,540
2006 111,540
-----------

$ 527,214
===========

8. Profit sharing plan:

The Company has a profit sharing plan (the Plan) available to all
employees who meet the minimum service requirements. The Plan includes
salary deferral features described in Section 401(k) of the Internal
Revenue Code.

All administrative costs of the Plan, except investment fees, are paid by
the Company. Non-matching employer contributions are determined annually
and are at the discretion of the Board of Directors. The Plan provides for
elective participant contributions of up to 16% of annual compensation and
mandatory employer matching contributions of 50% of participant
contributions, up to 8% of annual compensation. Employer contributions to
the Plan for 2003, 2002 and 2001, included in general and administrative
expenses, were $25,868, $20,979 and $14,358, respectively. All
contributions, employer and employee, are 100% vested.




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001

9. Income taxes:

The provision for income taxes consists of:



2003 2002 2001
---- ---- ----

Current:
Federal $ 628,265 $ 918,368 $ 879,811
State and city 129,678 215,376 181,755
------------ -------------- ------------
757,943 1,133,744 1,061,566
Deferred (credit) (175,000) (92,000) (285,000)
------------ -------------- ------------

Income tax expense $ 582,943 $ 1,041,744 $ 776,566
============ ============== ============


The effective income tax rate differed from the statutory federal income
tax rate primarily due to the following:



2003 2002 2001
---- ---- ----

Statutory federal income tax rate 34.0% 34.0% 34.0%

Tax effect of:
State income taxes, net of federal benefit 5.0 5.0 5.0
Change in accounting method used for tax
from cash to accrual (1.0) (1.6)
Other temporary differences 2.4 2.3 (.2)
----- ------ -----

Effective income tax rate 41.4% 40.3% 37.2%
===== ====== =====


The tax effects of temporary differences that give rise to significant
portions of the deferred tax assets and liabilities are as follows:

2003 2002
---- ----
Deferred tax assets:
Current:
Allowance for uncollectible accounts $ 82,000 $ 74,000

Valuation allowance -- --
---------- ----------
82,000 74,000
---------- ----------

Deferred tax liabilities:
Current:
Section 481 adjustment resulting from
cash to accrual method change of
accounting for tax purposes 175,000

Section 481 adjustment resulting from
requirement to capitalize certain
expenses for tax purposes 3,000
---------- ----------

Net current deferred tax asset (liability) $ 79,000 $ (101,000)
========== ==========

Long-term:
Tax depreciation in excess of financial
reporting $ 7,000
==========

Tax amortization in excess of financial
reporting $ 12,000
==========



PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


10. Commitments and contingencies:

As consideration for the endorsement of an industry trade group, TrueCare
pays the trade group 1% of all TrueCare member contract purchases. The
agreement automatically renews at the same terms unless canceled within
180 days of expiration by either party. Trade group endorsement fees,
included in operating costs, were $149,763, $152,000 and $163,043 for the
years ended December 31, 2003, 2002 and 2001, respectively.

The Company has employment contracts with certain executives, which
provide for certain levels of severance in the event of termination
without cause or for certain change of control events, as defined.

The Company is involved with a routine legal proceeding incident to the
ordinary course of business. The proceeding is not expected to have a
material adverse effect on the consolidated financial statements.

11. Advertising costs:

The Company expenses advertising costs as incurred. Advertising expense,
included in operating costs, was $26,566, $55,704 and $100,722 for the
years ended December 31, 2003, 2002 and 2001, respectively.

12. Quarterly results of operations (unaudited):

The quarterly results of operations (unaudited) for 2003, 2002 and 2001
are as follows:



Quarter ended,
------------------------------------------------------------------
March 31 June 30 September 30 December 31
-------- ------- ------------ -----------

2003:
Revenues $ 39,108,496 $ 40,109,455 $ 38,148,653 $ 37,470,037
Gross profit 2,107,994 1,989,156 1,620,091 1,763,385
Net income 405,800 243,881 68,047 107,228
Basic earnings per share 36.37 23.59 9.16 15.21

2002:
Revenues $ 26,382,300 $ 33,699,291 $ 37,151,634 $ 39,768,597
Gross profit 1,793,426 2,312,190 2,083,527 1,813,343
Net income 260,186 709,179 304,812 267,487
Basic earnings per share 22.87 62.36 27.05 23.76

2001:
Revenues $ 14,916,803 $ 20,008,284 $ 28,394,499 $ 27,095,084
Gross profit 1,730,243 1,775,960 1,742,721 1,959,837
Net income 466,052 462,035 180,007 202,234
Basic earnings per share 40.95 40.60 15.82 17.77




PHARMACY BUYING ASSOCIATION, INC. AND SUBSIDIARY
D/B/A TRUECARE PHARMACY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

YEARS ENDED DECEMBER 31, 2003, 2002 AND 2001


13. Subsequent event:

The Company intends to submit to its stockholders a proposal to amend the
Company's Restated Articles of Incorporation, to effect a recapitalization
and reorganization of the Company involving:

(a) the conversion of common stock, $1.00 par value, into a
newly-authorized class of non-voting preferred stock, $10 par value,
at a ratio of five shares of common stock for one share of preferred
stock, and to provide for a cash payment in lieu of the issuance of
any fractional shares of preferred stock that would otherwise result
from the conversion, and

(b) the authorization of a new class of common stock, par value $0.01
per share, designated "Membership Common", ownership of which will
be incident to being a Member of the Company. A Member may only be a
natural person or an independent pharmacy, as defined. Membership
carries the right to buy goods and services from the Company.
Members may only buy one share of "Membership Common" at a price to
be determined by the Board of Directors.

The primary purposes behind the reorganization are to (i) align the
economic interests of the shareholders and members of the Company which
will allow the Board and management of the Company to fulfill their
fiduciary duties to the shareholders and members, (ii) eliminate the costs
associated with filing documents under the Exchange Act with the U.S.
Securities and Exchange Commission ("SEC"), (iii) transfer control of the
Company from the current shareholders to the Members of the Company, (iv)
reduce the costs of administering shareholder accounts and responding to
shareholder requests, (v) provide liquidity to shareholders holding less
than five (5) Pre-Conversion Shares of Common Stock, (vi) provide
liquidity to shareholders who own more than five (5) Pre-Conversion Shares
of Common Stock with regard to any fractional shares that would otherwise
result from the Conversion, and (vii) provide greater flexibility in the
management of the Company.



ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE.

Not applicable.


PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS.

Our board of directors currently consists of 12 members, all of whom are
pharmacists or pharmacy owners. Our directors own or operate member pharmacies
and are elected by the shareholders. None of our directors are employees of
TrueCare, although each of the directors transacts business with us as an owner
of one or more member pharmacies. See "Item 7. Certain Relationships and Related
Transactions."

Directors are divided into three classes. The appropriate class is elected
at each annual meeting of the shareholders. As a result of our transaction with
TPC, the size of our board was increased to 17 members in January 2001. During
2001, our board decided to reduce the size of the board to 12 members and
therefore no directors were elected to fill the five vacancies at the 2001
annual meeting of shareholders. Tammy Gray resigned from the board in May 2002.
At that time, the board decided to further reduce the size of the board to 11
members, and therefore Ms. Gray's position was not been filled. Nick Smock, our
President/CEO, had been appointed to the Board by the directors in 1999 pursuant
to our bylaws, but he resigned as a director in September 2002. Since he was
appointed due to his position as President, he was not replaced as a director.

In order to preserve the division of directors into three classes, the
board moved three directors into a third class, which directors were nominated
and elected for a two-year term at the 2002 annual meeting of shareholders, in
addition to the election of three directors for a three-year term.

In early 2003 the board decided to increase the size of the board to 13.
Nominations were requested from the membership of the company pursuant to the
by-laws and 3 nominees were added to the proxy ballot for the 2003 annual
meeting of the shareholders and duly approved by the shareholders, those
directors being Messrs. Scott Hartwig, Brian Bates, and Mike Bellesine. In
November 2003 Mr. Gary Foster resigned from the board at which time the board
decided to reduce the number of directors to 12, therefore Mr. Foster's position
was not replaced on the board.

Our executive officers are appointed by and serve at the discretion of our
board of directors. There are no family relationships between any of our
directors and/or any executive officers.

Set forth below is the name, age, position, term of office and a brief
account of the business experience, including principal occupation or position,
of each person who is a director or executive officer of the registrant.



Name Age Present Position Term Expires
---- --- ---------------- ------------

Michael Burns 37 Chairman, Director 2006
Nick Smock 45 President, CEO Not Applicable
Clark Balcom 36 Vice President, IT and Operations, COO Not Applicable
Donald Raby 34 Vice President Finance/HR, CFO, Treasurer, Not Applicable
Secretary
Gene Forrester 52 Director, Assistant Treasurer 2006
Steve Erickson 53 Director 2006
Charles M. Miller 51 Director 2004
John Raniero 46 Director 2004
Phillip Rozell 52 Director 2006






Quincy Stephenson 53 Vice Chairman, Director 2005
Carlos Solis 43 Director 2005
David Dubose 52 Director, Assistant Secretary 2005
Brian Bates 36 Director 2004
Mike Bellesine 49 Director 2006
Scott Hartwig 35 Director 2005


Michael Burns has served on our board and as Chairman since 1997. Mr.
Burns owns and operates Burns Pharmacy, Inc., which operates seven retail
pharmacies in Missouri and Kansas. Mr. Burns received his Bachelor of Science in
Pharmacy from the University of Kansas in 1989.

Nick Smock has served as our President since 1998 and as a director from
1999 to 2002, and as CFO and CEO from 1998 to 2002. Mr. Smock has been with
TrueCare since 1994 and prior to 1998 served as our Vice President and Director
of Contracts. He spent several years as a practicing pharmacist prior to coming
to TrueCare. Mr. Smock received his Bachelor of Science in Pharmacy from the
University of Missouri in 1983, his Masters of Business Administration in
Finance from the University of Missouri-Kansas City in 1990, and his Doctor of
Pharmacy from the University of Missouri-Kansas City in 2002.

Clark Balcom has served as our Vice President - Information Technology &
Operations since February 1996. In addition he was appointed Chief Operating
Officer in 2003. Prior to joining TrueCare, Mr. Balcom served as a Senior
Manager of Business and Technology Integration for Andersen Consulting (now
Accenture) and worked in the consumer products, transportation, healthcare and
financial services industries. Mr. Balcom received his Bachelors of Science in
Finance from Iowa State University in 1989.

Donald Raby became Vice President, Finance and Human Resources, Chief
Financial Officer (CFO), Treasurer and Secretary of the Company in September
2002. Mr. Raby received his Bachelors of Science in Accounting from William
Jewell College in 1996. He is a Certified Public Accountant (CPA) in the State
of Missouri, a member of the American Institute of Certified Public Accountants
(AICPA), and has worked in public accounting, tax, and litigation consulting, as
well as retail pharmacy and wholesale distribution environments.

Gene Forrester served on our board from 1989 to 1994 and was re-elected to
the board in 1997. Mr. Forrester served as Treasurer of the board from 1997 to
September 2002, when he became Assistant Treasurer of the Company. Mr. Forrester
is the owner of D&H Drug Stores located in Columbia, Missouri. Mr. Forrester
received his Bachelor of Science in Pharmacy from St. Louis College of Pharmacy
in 1974.

James (Steve) Erickson has served on our board since 1997. Mr. Erickson is
President of KCJSE d/b/a The Drug Store and Director of Pharmacy at the Cameron
Community Hospital, each located in Cameron Missouri. Mr. Erickson received his
Bachelor's of Science in Pharmacy from the University of Missouri-Kansas City in
1975.

Charles (Mike) Miller has served on our board since 1999. Mr. Miller is a
staff pharmacist and CEO of Miller Professional Pharmacy located in Platte City,
Missouri. Mr. Miller received his Bachelor of Science in Pharmacy from the
University of Missouri - Kansas City in 1975.

John Raniero has served on our board since 1999. Mr. Raniero is the vice
president of Goldsmith Pharmacy, located in St. Louis, Missouri. Mr. Raniero
received his Bachelor of Science in Pharmacy from the St. Louis College of
Pharmacy in 1980.

Phillip Rozell has served on our board since 2000. Mr. Rozell is president
and sole owner of R & R Medical, Inc., which owns one pharmacy in Missouri under
the name Family Pharmacy of Neosho and one pharmacy in Arkansas under the name
Southgate Pharmacy. Mr. Rozell received his Bachelor of



Science in Pharmacy from the University of Arkansas in 1974.

Quincy (Steve) Stephenson has served on our board since January 2001 and
previously served on the board of directors of Texas Pharmacy Co-op, Inc. Mr.
Stephenson is a pharmacist at S & R Pharmacy located in Kirbyville, Texas.

Carlos Solis has served on our board since January 2001 and previously
served on the board of directors of Texas Pharmacy Co-op, Inc. Mr. Solis is
President and sole owner of Ridgepoint Medical Pharmacy, LLC, d/b/a Ridgepoint
Medical Pharmacy located in McAllen, Texas.

David Dubose has served on our board since January 2001 and previously
served on the board of directors of Texas Pharmacy Co-op, Inc. Mr. Dubose also
served as Secretary of the board from January 2001 to September 2002, when he
became Assistant Secretary of the Company. Mr. Dubose is a pharmacist and owner
of Sholars Drug, located in Orange, Texas.

Brian Bates is the owner/pharmacist of Matthewson Drug Co., Inc. in
Marshall, Texas. Mr. Bates has served on the TrueCare Advisory Council since
2001. He received his Bachelor of Science in Pharmacy from the University of
Texas - Austin in 1990.

Mike Bellesine is President of Eldorado TrueCare Pharmacy in Eldorado,
Kansas. Mr. Bellesine received his Bachelor of Science in Pharmacy from the
University of Kansas in 1978. Mr. Bellesine has served on the TrueCare Advisory
Council since 2000.

Scott Hartwig is COO and CFO of Red Cross Pharmacy, Inc., a closely-held
family business which owns and operates nine retail pharmacies and a durable
medical equipment company in Missouri. Mr. Hartwig has served on the TrueCare
Advisory Council since 1999. He received his Bachelor of Science in Business
Administration from Central Missouri State University.

Except as described above, each of the directors and executive officers
has served in the principal occupation or position indicated above for at least
the past five years.

Board Committees

The board has two committees, a Compensation Committee and an Audit
Committee. The Compensation Committee makes recommendations to the entire board
concerning salaries and compensation for our officers and employees and is
comprised of Mike Burns, Steve Stephenson and John Raniero. The Audit Committee
monitors our financial reporting process, reviews and appraises the efforts of
our outside auditor and provides a direct link between the board, senior
management and our auditors. The Audit Committee is comprised of Mike Burns,
Mike Miller and Gene Forrester.


ITEM 11. EXECUTIVE COMPENSATION.

Director Compensation

Non-employee directors receive a fee of $400 per day for each board meeting
attended. In addition, Mike Burns receives an additional fee of $500 per month
for his services as board chairman and an additional $100 per day per meeting.
Directors also are reimbursed for their expenses, including meeting-related
travel and lodging at the meeting location.

Executive Officer Compensation

The following table provides certain historical, summary information
concerning compensation



paid by us to our President and each additional executive officer whose salary
and bonus exceeded an aggregate of $100,000 in the year ended December 31, 2003.

Summary Compensation Table



Annual Compensation
-------------------
All other
Name and Principal Position Year Salary Bonus Compensation(1)
--------------------------- ---- ------ ----- ---------------

Nick Smock.......................... 2003 $181,650 $36,000 $1,541
President/CEO 2002 $182,280 $30,000 $ 863
2001 $180,900 $30,000 $1,680

Clark Balcom........................ 2003 $155,785 $30,874 $1,761
Vice President - IT & Operations, 2002 $154,333 $26,000 $1,441
COO 2001 $150,850 $26,000 $1,680

Donald Raby......................... 2003 $88,486 $13,400 $1,346
Vice President - Finance/HR 2002 - - -
CFO 2001 - - -

Robert Breaman...................... 2003 $131,192 $26,000 $1,785
Vice President - Sales 2002 $123,809 $15,000 $ 639
2001 $100,355 $8,000 -


- ----------
(1) Consists of contributions made on behalf of the named executive officer to
The registrant's 401(k) Plan.


Employment Agreement

We have an employment agreement with Nick Smock pursuant to which Mr.
Smock acts as our President/CEO. The agreement expires on December 31, 2005, but
the board and Mr. Smock may renew or extend the term of the agreement for one or
more years. We can terminate the agreement prior to expiration for cause, upon
vote of at least 75% of the directors on our board and payment of 120 days'
salary to Mr. Smock. Mr. Smock also may terminate the agreement prior to
December 31, 2005 upon 60 days' written notice. During the period of his
employment, Mr. Smock will receive an annual salary of $180,000, as adjusted for
inflation based on the Consumer Price Index.

We also have an employment agreement with Don Raby pursuant to which Mr.
Raby acts as our Vice President, Finance and Human Resources and our Chief
Financial Officer. The agreement expires on December 31, 2004, but the board and
Mr. Raby may renew or extend the term of agreement for one or more years. We can
terminate the agreement prior to December 31, 2004 for cause upon vote of at
least 75% of the directors on our board and payment of 120 days' salary to Mr.
Raby. Mr. Raby also may terminate the agreement prior to December 31, 2004 upon
60 days' written notice.


ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.

The following table sets forth information regarding beneficial
ownership of our common stock



as of December 31, 2003 by:

o each of our directors;

o each of our named executive officers; and

o all of our directors and executive officers as a group.

No shareholder owns more than 7% of our outstanding common stock. We have no
options or warrants outstanding. Except as otherwise indicated, the shareholders
listed in the table have sole voting and investment powers with respect to the
shares indicated.



Number of Shares of
Common Stock Percent of Common Stock
Name and Address of Beneficial Owner (1) Beneficially Owned Outstanding
- ---------------------------------------- ------------------ -----------

Michael Burns........................... 204 2.9%
Nick Smock.............................. 1 *
Donald Raby............................. 1 *
Gene Forrester.......................... 88 1.3%
James Erickson.......................... 431 6.2%
Charles Miller.......................... 28 *
John Raniero............................ 64 *
Phil Rozell............................. 48 *
Brian Bates............................. 2 *
Quincy Stephenson....................... 20 *
Carlos Solis............................ 4 *
David Dubose............................ 20 *
Clark Balcom............................ 1 *
Mike Bellesine.......................... 76 1.1%
Scott Hartwig........................... 4 *
All of our directors and executive
officers as a group (14 persons)........ 992 14.3%


- ----------
* Less than 1%.

(1) The address for each of these shareholders is c/o Pharmacy Buying
Association, Inc., 1575 N. Universal Avenue, Suite 100, Kansas City,
Missouri 64120.


ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.

The directors or the independent pharmacies with which they are
affiliated, acting in their capacity as members of our buying association, have
purchased products and services from us on the same terms and conditions as
every other member, and can be expected to do so in the future.

Messrs. Stephenson, Solis and Dubose previously served on the board of
directors of TPC, and were elected to our board in January 2001 as part of the
transaction between the registrant and TPC.



PART IV

ITEM 14. CONTROLS AND PROCEDURES

(a) Evaluation of Disclosure Controls and Procedures

The term "disclosure controls and procedures" is defined in
Rules 13a-14(c) and 15d-14(c) of the Securities Exchange Act of 1934
(Exchange Act). These rules refer to the controls and other procedures of
a company that are designed to ensure that information required to be
disclosed by a company in the reports that it files under the Exchange Act
is recorded, processed, summarized and reported within required time
periods. Our Chief Executive Officer and our Chief Financial Officer (the
"Senior Reporting Officers") have evaluated the effectiveness of our
disclosure controls and procedures as of a date within 90 days before the
filing of this annual report (the "Evaluation Date"), and they have
concluded that, as of the Evaluation Date, such controls and procedures
were effective at ensuring that required information will be disclosed on
a timely basis in our reports filed under the Exchange Act.

(b) Changes in Internal Controls

We maintain a system of internal accounting controls that are
designed to provide reasonable assurance that our books and records
accurately reflect our transactions and that our established policies and
procedures are followed. For the year ended December 31, 2003, there were
no significant changes to our internal controls or in other factors that
could significantly affect our internal controls.


ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K.

(a) Exhibits:

--------------------------------------------------------------------------
Exhibit
Number Description of Document
--------------------------------------------------------------------------
2.1 Agreement and Plan of Reorganization among the registrant,
Texas Pharmacy Co-op, Inc. and Pharmacy Consolidation Corp.
dated November 3, 2000 (1)

3.1 Articles of Incorporation of the registrant (1)

3.2 Amendment to Articles of Incorporation of the registrant (1)

3.3 Second Amended and Restated Bylaws of the registrant (1)

4.1 Specimen Common Stock Certificate of the registrant (1)

4.2 Article VIII of the Second Amended and Restated Bylaws
of the registrant, which defines the rights of holders
of the securities being registered (included in Exhibit
3.3 above) (1)



10.1 Employment Agreements between the registrant and Nick Smock
and Don Raby dated November 10.1 29, 2000 and September 12,
2002, respectively (1)

10.2 Net Lease dated May 18, 2001 between the registrant and Bob
Campbell d/b/a Shady Properties (1)

10.3 Lease Agreement dated July 7, 1999 between the registrant
and Enterprise Properties, L.L.C. (1)

10.4 First Amendment to Lease dated April 4, 2000 between
registrant and Enterprise Properties, L.L.C. (1)

10.5 Improved Property Commercial Lease dated August 1, 2000
between Texas Pharmacy Co-op, Inc. and Carl A. Parker (1)

21.1 List of subsidiaries of the registrant (1)

23.1 Report of Independent Auditors, House Park & Dobratz, P.C.
(included in Item 8 above) (2)

99.1 Certification of CEO and CFO relating to Periodic Report
containing Financial Statements (2)


(1) Previously filed as an exhibit to the Form 10 Registration Statement
filed on April 30, 2002 (Commission File No. 000-49785).

(2) Filed herewith.



SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) 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, in the City of Kansas
City, State of Missouri, on March 30, 2004.

Pharmacy Buying Association, Inc.


By: /s/ Donald E. Raby II
----------------------------
Donald E. Raby II
Vice President
Chief Financial Officer


Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on
its behalf by the following persons in the capacities and on the dates
indicated.



Signature Capacity Date


/s/ Mike Burn
- -------------------------------
Michael Burns Chairman, Director March 30, 2004

/s/ Nick Smock
- -------------------------------
Nick Smock President, CEO March 30, 2004

/s/ Don Raby
- -------------------------------
Donald Raby Vice President, CFO March 30, 2004

/s/ Gene Forrester
- -------------------------------
Gene Forrester Director March 30, 2004

/s/ Steve Erickson
- -------------------------------
Steve Erickson Director March 30, 2004

/s/ Mike Miller
- -------------------------------
Mike Miller Director March 30, 2004

/s/ John Raniero
- -------------------------------
John Raniero Director March 30, 2004

/s/ Phil Rozell
- -------------------------------
Phil Rozell Director March 30, 2004

/s/ Quincy Stephenson
- -------------------------------
Quincy (Steve) Stephenson Vice Chairman, Director March 30, 2004

/s/ Carlos Solis
- -------------------------------
Carlos Solis Director March 30, 2004







/s/ David Dubose
- -------------------------------
David Dubose Director March 30, 2004

/s/ Brian Bates
- -------------------------------
Brian Bates Director March 30, 2004

/s/ Mike Bellesine
- -------------------------------
Mike Bellesine Director March 30, 2004

/s/ Scott Hartwig
Scott Hartwig Director March 30, 2004