Attached files
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8-K/A - FORM 8-K/A - EXPRESS SCRIPTS INC | c55924e8vkza.htm |
EX-99.3 - EX-99.3 - EXPRESS SCRIPTS INC | c55924exv99w3.htm |
EX-23.1 - EX-23.1 - EXPRESS SCRIPTS INC | c55924exv23w1.htm |
EX-99.4 - EX-99.4 - EXPRESS SCRIPTS INC | c55924exv99w4.htm |
Exhibit
99.2
Combined Financial Statements
Pharmacy Benefit Management Business of WellPoint, Inc.
Years Ended December 31, 2008, 2007 and 2006
With Report of Independent Registered Public Accounting Firm
Years Ended December 31, 2008, 2007 and 2006
With Report of Independent Registered Public Accounting Firm
Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Financial Statements
Years Ended December 31, 2008, 2007 and 2006
Contents
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Ernst & Young LLP 111 Monument Circle, Suite 2600 P.O. Box 44972 Indianapolis, Indiana 46204-2094 Fax: 317 681 7216 www.ey.com |
Report of Independent Registered Public Accounting Firm
The Parent Company
Pharmacy Benefit Management Business of WellPoint, Inc.
Pharmacy Benefit Management Business of WellPoint, Inc.
We have audited the accompanying combined balance sheets of the Pharmacy Benefit Management
Business of WellPoint, Inc. (the Company), as of December 31, 2008, 2007 and 2006, and the
related combined statements of income, cash flows and parent companys net investment for each of
the three years in the period ended December 31, 2008. These financial statements are the
responsibility of the Companys management. Our responsibility is to express an opinion on these
financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight
Board (United States). Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement. We
were not engaged to perform an audit of the Companys internal control over financial reporting.
Our audits included consideration of internal control over financial reporting as a basis for
designing audit procedures that are appropriate in the circumstances, but not for the purpose of
expressing an opinion on the effectiveness of the Companys internal control over financial
reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test
basis, evidence supporting the amounts and disclosures in the financial statements, assessing the
accounting principles used and significant estimates made by management, and evaluating the overall
financial statement presentation. We believe that our audits provide a reasonable basis for our
opinion.
In our opinion, the combined financial statements referred to above present fairly, in all material
respects, the financial position of the Pharmacy Benefit Management Business of WellPoint, Inc. at
December 31, 2008, 2007 and 2006, and the results of its operations and its cash flows for the
years then ended in conformity with U.S. generally accepted accounting principles.
/s/ Ernst & Young LLP
May 5, 2009
1
Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Balance Sheets
(In thousands)
December 31 | ||||||||||||
2008 | 2007 | 2006 | ||||||||||
Assets |
||||||||||||
Current assets: |
||||||||||||
Cash and cash equivalents |
$ | 6,807 | $ | 186,243 | $ | 17,085 | ||||||
Rebates receivable, net |
705,905 | 596,932 | 559,703 | |||||||||
Other receivables, net |
84,999 | 73,977 | 70,354 | |||||||||
Drug inventories |
69,173 | 49,904 | 30,035 | |||||||||
Receivable from related parties |
460,571 | 210,029 | 334,648 | |||||||||
Deferred tax assets, net |
19,767 | 19,507 | 23,307 | |||||||||
Prepaid expenses |
1,990 | 1,949 | 1,868 | |||||||||
Total current assets |
1,349,212 | 1,138,541 | 1,037,000 | |||||||||
Property and equipment, net |
56,218 | 39,164 | 17,774 | |||||||||
Goodwill |
165,072 | 166,195 | 167,793 | |||||||||
Other intangible assets |
129,560 | 137,762 | 146,617 | |||||||||
Other noncurrent assets |
593 | 297 | 286 | |||||||||
Total assets |
$ | 1,700,655 | $ | 1,481,959 | $ | 1,369,470 | ||||||
Liabilities and parent companys net investment |
||||||||||||
Liabilities |
||||||||||||
Current liabilities: |
||||||||||||
Rebates payable: |
||||||||||||
Rebates payable to related parties |
$ | 559,908 | $ | 499,428 | $ | 446,394 | ||||||
Rebates payable to unrelated parties |
81,548 | 65,667 | 71,332 | |||||||||
Total rebates payable |
641,456 | 565,095 | 517,726 | |||||||||
Claims and drugs payable |
113,863 | 72,802 | 70,657 | |||||||||
Unearned income |
6,894 | 5,559 | 2,123 | |||||||||
Unearned discounts, current portion |
1,380 | 1,200 | 1,200 | |||||||||
Income taxes payable |
115,272 | 69,704 | 37,748 | |||||||||
Other current liabilities |
124,326 | 155,493 | 166,374 | |||||||||
Total current liabilities |
1,003,191 | 869,853 | 795,828 | |||||||||
Unearned discounts |
937 | 1,777 | 2,977 | |||||||||
Deferred tax liability, net |
54,787 | 51,759 | 55,300 | |||||||||
Other noncurrent liabilities |
2,593 | 1,696 | | |||||||||
Total liabilities |
1,061,508 | 925,085 | 854,105 | |||||||||
Total parent companys net investment |
639,147 | 556,874 | 515,365 | |||||||||
Total liabilities and parent companys net
investment |
$ | 1,700,655 | $ | 1,481,959 | $ | 1,369,470 | ||||||
See accompanying notes.
2
Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Income
(In thousands)
Years ended December 31 | ||||||||||||
2008 | 2007 | 2006 | ||||||||||
Revenues |
||||||||||||
Retail pharmacy revenue |
$ | 14,405,784 | $ | 12,859,892 | $ | 12,130,743 | ||||||
Mail order revenue |
2,610,503 | 2,309,166 | 2,035,709 | |||||||||
Administrative fees |
160,530 | 136,051 | 126,853 | |||||||||
Total operating revenue |
17,176,817 | 15,305,109 | 14,293,305 | |||||||||
Net investment income |
1,280 | 3,180 | 9,248 | |||||||||
Total revenues |
17,178,097 | 15,308,289 | 14,302,553 | |||||||||
Expenses |
||||||||||||
Cost of drugs |
16,408,091 | 14,660,554 | 13,742,880 | |||||||||
General and administrative expense |
409,640 | 343,988 | 296,815 | |||||||||
Amortization of other intangible assets |
8,202 | 8,855 | 9,311 | |||||||||
Total expenses |
16,825,933 | 15,013,397 | 14,049,006 | |||||||||
Income before income tax expense |
352,164 | 294,892 | 253,547 | |||||||||
Income tax expense |
124,891 | 103,383 | 91,924 | |||||||||
Net income |
$ | 227,273 | $ | 191,509 | $ | 161,623 | ||||||
See accompanying notes.
3
Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Cash Flows
(In thousands)
Years ended December 31 | ||||||||||||
2008 | 2007 | 2006 | ||||||||||
Operating activities |
||||||||||||
Net income |
$ | 227,273 | $ | 191,509 | $ | 161,623 | ||||||
Adjustments to reconcile net income to net cash
(used in) provided by operating activities: |
||||||||||||
Depreciation |
6,515 | 5,466 | 4,343 | |||||||||
Amortization |
10,174 | 10,912 | 12,069 | |||||||||
Deferred income taxes |
2,768 | 259 | (7,160 | ) | ||||||||
Changes in operating assets and liabilities: |
||||||||||||
Accounts receivable, net |
(119,995 | ) | (40,852 | ) | (119,272 | ) | ||||||
Drug inventories |
(19,269 | ) | (19,869 | ) | (8,171 | ) | ||||||
Due from affiliates |
(249,419 | ) | 126,217 | (230,239 | ) | |||||||
Prepaid expenses and other assets |
(337 | ) | (92 | ) | (1,418 | ) | ||||||
Rebates payable |
76,361 | 47,369 | 108,353 | |||||||||
Claims payable |
41,061 | 2,145 | 19,884 | |||||||||
Unearned income |
1,335 | 3,436 | 944 | |||||||||
Unearned discounts |
(660 | ) | (1,200 | ) | (1,200 | ) | ||||||
Income taxes payable |
45,568 | 31,956 | 20,580 | |||||||||
Other liabilities |
(30,270 | ) | (9,185 | ) | 11,298 | |||||||
Net cash (used in) provided by operating activities |
(8,895 | ) | 348,071 | (28,366 | ) | |||||||
Investing activities |
||||||||||||
Purchases of property and equipment |
(25,541 | ) | (28,913 | ) | (5,894 | ) | ||||||
Net cash used in investing activities |
(25,541 | ) | (28,913 | ) | (5,894 | ) | ||||||
Financing activities |
||||||||||||
Distributions to parent company |
(145,000 | ) | (150,000 | ) | (65,000 | ) | ||||||
Net cash used in financing activities |
(145,000 | ) | (150,000 | ) | (65,000 | ) | ||||||
Net change in cash and cash equivalents |
(179,436 | ) | 169,158 | (99,260 | ) | |||||||
Cash and cash equivalents at beginning of year |
186,243 | 17,085 | 116,345 | |||||||||
Cash and cash equivalents at end of year |
$ | 6,807 | $ | 186,243 | $ | 17,085 | ||||||
See accompanying notes.
4
Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Parent Companys Net Investment
(In thousands)
Total Parent | ||||
Companys Net | ||||
Investment | ||||
January 1, 2006 |
$ | 418,742 | ||
Net income |
161,623 | |||
Distributions to parent company |
(65,000 | ) | ||
December 31, 2006 |
515,365 | |||
Net income |
191,509 | |||
Distributions to parent company |
(150,000 | ) | ||
December 31, 2007 |
556,874 | |||
Net income |
227,273 | |||
Distributions to parent company |
(145,000 | ) | ||
December 31, 2008 |
$ | 639,147 | ||
See accompanying notes.
5
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
1. Basis of Presentation
The Pharmacy Benefit Management business, or PBM business, of WellPoint, Inc., or WellPoint,
provides integrated PBM services to affiliated WellPoint health plans as well as to unaffiliated
health insurers and third-party administrators. PBM services include retail pharmacy network
development and management; retail network claims processing; mail order pharmacy services;
formulary development and management; distribution of specialty drugs; and rebate negotiation and
management.
References to the terms we, us, our or the PBM business used throughout these notes to
financial statements refer to WellPoints combined PBM operations.
The accompanying combined financial statements are presented on a carve-out basis and reflect the
assets, liabilities, revenues and expenses that were directly attributable to the PBM business, and
include the accounts of the legal entities of NextRx, LLC, NextRx, Inc. and NextRx Services, Inc.,
each of which is ultimately wholly owned by WellPoint and is directly wholly owned by certain of
WellPoints consolidated subsidiaries.
The combined financial statements are prepared in conformity with U.S. generally accepted
accounting principles, or GAAP. Significant intercompany accounts and transactions within the PBM
business have been eliminated. Transactions between the PBM business and WellPoint have been
included in the combined financial statements. Parent Companys Net Investment represents the
interest of WellPoint in the net carrying value of the assets and liabilities of the PBM business
and is presented in lieu of stockholders equity.
On April 9, 2009, WellPoint signed a definitive agreement to sell its PBM business to Express
Scripts, Inc., or Express. The accompanying combined financial statements have been prepared as a
requirement of that definitive agreement, and represent the financial condition, results of
operations and cash flows of our PBM business. As the PBM business represents operations of
subsidiaries of WellPoint, in accordance with normal operating policies of WellPoint, certain
shared services and corporate costs have been allocated to the PBM business in these combined
financial statements. Accordingly, the accompanying combined financial statements may not
necessarily reflect the financial condition, results of operations and cash flows of the PBM
business as if it had operated as a stand-alone entity. In addition, the combined financial
statements may not necessarily be indicative of future results of the PBM business.
6
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
1. Basis of Presentation (continued)
Whenever possible, the direct costs associated with the PBM business are reflected in the combined
financial statements. In addition, as discussed in the preceding paragraph, certain costs are
allocated to the PBM business by WellPoint. Such allocations include employee costs of shared
service personnel, WellPoint management, lease costs, share-based compensation, enterprise wide
information technology and eBusiness support, public relations and actuarial services. These costs
approximate the actual cost of providing these services and are allocated based on pharmacy
membership or employee headcount, and management of the PBM business believes the allocations are
reasonable. See Note 7, Related-Party Transactions, for further discussion of allocated costs.
2. Significant Accounting Policies
Use of Estimates
The preparation of the combined financial statements in conformity with GAAP requires management to
make estimates and assumptions that affect the amounts reported in the combined financial
statements and accompanying notes. Actual results could differ from those estimates.
Concentrations of Business Risk
We have an agreement with a primary pharmaceutical wholesaler. Under this agreement, we purchase
prescription drugs for our specialty drug and mail order businesses from this wholesaler, which
represented approximately 91%, 94% and 97% of our total drug purchases in 2008, 2007 and 2006,
respectively.
Revenue Recognition
Revenues are earned by dispensing mail order or specialty drug prescriptions, by processing claims
for prescriptions filled by network retail pharmacies, and by providing services to drug
manufacturers, including administration of rebate programs and establishment of formulary drug
listings. All of these activities are based on contractual arrangements. We evaluate client
contracts using guidance provided by Emerging Issues Task Force No. 99-19, Reporting Gross Revenue
as a Principal vs. Net as an Agent, or EITF 99-19, to determine if we act as a principal or agent
in our activities with network retail pharmacies. When we have a contractual obligation to health
plans or their members to pay network retail pharmacies, we act as a principal and
7
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
report our revenue gross to reflect the cost of the prescription drugs (including member
co-payments) as well as administrative fees. Indicators of a principal relationship include
separate contractual relationships with members and pharmacies, responsibility to confirm member
eligibility, manage a pharmacy claim through the dispensing process and accepting credit risk for
amounts due from health plans or members. An amount corresponding with the gross revenue
recognized is also reported in cost of drugs.
We have agreements with affiliated WellPoint health plans to provide PBM products and services to
the health plans members. The financial provisions in these agreements vary and range from
reimbursements at cost to reimbursements at cost plus a profit margin. For purposes of these
combined financial statements, revenues from affiliated health plans are based on internal rates
that, in managements judgment, reflect a reasonable and consistent profit margin and which have
been used historically by WellPoint in their internal management and segment reporting of the PBM
business. This approach increased income before income tax expense and receivable from related
parties by $149,132, $95,828 and $63,273 in 2008, 2007 and 2006, respectively.
Retail Pharmacy Revenues
Revenues from processing claims for prescription drug orders filled by network retail pharmacies
are recorded gross as retail pharmacy revenue. These revenues are recognized when the prescription
is filled at the pharmacy and we have processed the corresponding payment to the pharmacy. Rebates
associated with our retail pharmacy services that are retained by the PBM business are recognized
as a reduction of cost of drugs.
Mail Order Revenues
Revenues from dispensing mail order and specialty drug prescriptions are recorded when we ship
prescription drug orders. At the time of shipment, the earnings process is complete, the obligation
of our customer to pay for the drug is fixed, and, due to the nature of the product, the member may
not return the drugs or receive a refund. Rebates associated with our mail order pharmacy services
that are retained by the PBM business are recognized as a reduction of cost of drugs.
Administrative Fees
We recognize administrative fees for services performed in processing a clients pharmacy claims
and for rebate retention and administration.
8
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
Administrative fees from processing claims filled by network retail pharmacies for 2008, 2007 and
2006 were $155,244, $128,689 and $120,052, respectively. The administrative fee is earned for
services rendered in the course of processing the claim, including confirming member eligibility,
performing drug utilization and interaction review, performing clinical review and intervention,
communicating plan provisions to the pharmacy, directing payment to the pharmacy, and billing
affiliated and other health plans served. We recognize revenue and accounts receivable as claims
are processed.
Administrative fees from rebate retention and administration were $5,286, $7,362 and $6,801 for
2008, 2007 and 2006, respectively. Revenues for administration of rebate programs are recorded as
administrative fee revenue when prescription drug orders are dispensed and the corresponding claims
are processed.
Rebates
Rebates earned and the associated receivable from drug manufacturers are estimated quarterly based
on the number of prescriptions subject to rebates and the rebate per prescription. Estimated
rebates and accounts receivable are adjusted to actual when the number of prescriptions subject to
rebates and rebate per prescription has been determined and the billings to the drug manufacturers
have been completed. Unbilled rebates are estimated and accrued at the end of each reporting
period. Included in rebates receivable at December 31, 2008, 2007 and 2006, are unbilled
receivables of $389,652, $319,964 and $290,078, respectively.
We record a portion of rebates earned as payable to the health plans served at the time unbilled
rebates receivable are recorded. The amounts due to the health plans served are estimated based on
agreed-upon sharing percentages and the estimate of rebates receivable (both billed and unbilled)
from the drug manufacturers. These estimates are adjusted to actual when amounts are received from
manufacturers.
Receivables
Receivables include rebates receivable and other receivables. Rebates receivable are uncollected
amounts due from drug manufacturers for rebates and other administrative fees. Other receivables
include amounts due from customers for mail order and specialty drug prescriptions filled and
reimbursement of retail claims processed. The rebates and other receivables are recorded net of an
allowance for uncollectible amounts of $48,170, $59,262 and $46,832 at
9
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
December 31, 2008, 2007 and 2006, respectively. The allowance for doubtful accounts is based on
historical collection trends as well as managements judgment regarding the ability to collect
specific rebate accounts and the potential for rebate audit adjustments.
Intercompany Transactions
Intercompany transactions between the PBM business and WellPoint have been included in these
combined financial statements, and the effect of future settlement of these intercompany
transactions is reflected in the combined balance sheets as receivable from related parties.
Included in receivable from related parties at December 31, 2008, 2007 and 2006, are $239,935,
$131,697 and $50,544, respectively, principally related to adjustments to revenues from affiliated
health plans. These adjustments are reflected as intercompany transactions. WellPoint is required
to settle this receivable in connection with provisions contained in the definitive agreement with
Express.
The PBM business maintains certain cash accounts; however, the PBM business participates in
WellPoints centralized cash management system, whereby, cash is moved between WellPoint and the
PBM business to meet liquidity needs. WellPoint generally reflects payments to or from the PBM
business as intercompany transactions and does not distinguish these payments as capital
contributed or distributed. Similarly, since none of WellPoints debt at the corporate level is
specifically used for the PBM business, none of WellPoints debt has been allocated to the PBM
business combined balance sheets and WellPoint did not charge or allocate interest to the PBM
business for the periods presented. See Note 7, Related-Party Transactions, for analysis of the
intercompany transactions with related parties.
Cost of Drugs and Unearned Discounts
Cost of drugs includes the cost of pharmaceuticals dispensed through the mail order and specialty
drug pharmacy, net of purchase discounts earned and the gross-up of prescriptions filled by network
retail pharmacies, net of the associated rebates earned.
In June 2005, we executed a multi-year purchasing contract with our primary pharmaceutical
wholesaler resulting in advance purchase discounts of $6,000. In connection with this contract, we
received cash of $6,000 which represented advance purchase discounts. In addition, upon successful
completion of the original agreement, we were to receive a discount of $1,500. In
10
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
April 2008, we executed an amended multi-year purchasing contract with the same primary
pharmaceutical wholesaler. The amendment extended the term of the agreement to December 2011.
Under the terms of the amended agreement, we received the agreement completion discount of $1,500,
of which $825 had been earned as of the date of execution of the amended contract, while $675 was
unearned. In the event that the contract is terminated by us, we would be obligated to refund a
portion of the cash consideration based on the amount of time remaining on the contract.
Accordingly, the advance payment of purchase discounts has been recorded as an unearned discount on
the combined balance sheets and is recognized as a reduction of cost of drugs over the term of the
contract. During 2008, 2007 and 2006, we amortized $1,335, $1,200 and $1,200 against cost of drugs
related to the unearned discounts. The remaining unearned discount at December 31, 2008, is $1,777
and will be earned through July 2010. The remaining unearned discount on the amended contract at
December 31, 2008, is $540 and will be earned through December 2011.
Cash Equivalents
Cash equivalents primarily consist of highly rated money market funds with maturities of three
months or less.
In September 2006, the Financial Accounting Standards Board (FASB) issued Statement of Financial
Accounting Standards (FAS) No. 157, Fair Value Measurements, or FAS 157. FAS 157 does not
require any new fair value measurements; rather, it defines fair value, establishes a framework for
measuring fair value in accordance with existing GAAP and expands disclosures about fair value
measurements. We adopted FAS 157 on January 1, 2008. The adoption of FAS 157 did not have an
impact on our financial position or operating results. Assets and liabilities recorded at fair
value in the combined balance sheets are categorized based upon the level of judgment associated
with the inputs used to measure their fair value. The only balance subject to FAS 157 in our
combined balance sheets is cash equivalents. Money market funds that are classified as cash
equivalents in our combined balance sheets are purchased daily at par value with specified yield
rates. Due to the high ratings and short-term nature of the funds, we consider all cash
equivalents as Level I inputs.
Drug Inventories
Drug inventories consist of purchased pharmaceuticals and medical supplies for use in our specialty
drug and mail order business that are stated at the lower of cost (using first-in, first-out
method) or market.
11
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
Goodwill and Other Intangible Assets
We follow guidance provided by FAS No. 141, Business Combinations, or FAS 141, and FAS 142,
Goodwill and Other Intangible Assets, or FAS 142. FAS 141 requires business combinations to be
accounted for using the purchase method of accounting and it also specifies the types of acquired
intangible assets that are required to be recognized and reported separately from goodwill.
Goodwill represents the excess of the cost of acquisition over the fair value of net assets
acquired. Other intangible assets represent the values assigned to subscriber bases and
trademarks. Values for goodwill and other intangible assets were determined based on the relative
fair value of the components of the businesses acquired.
Under FAS 142, goodwill and other intangible assets with indefinite lives are not amortized but are
tested for impairment at least annually. Our impairment tests require us to make assumptions and
judgments regarding the estimated fair value of the underlying business, including goodwill and
other intangible assets with indefinite lives.
Property and Equipment
Property and equipment is recorded at cost, net of accumulated depreciation. Depreciation is
computed principally by the straight-line method over the estimated useful lives ranging from 15 to
39 years for buildings and improvements, three to seven years for furniture and equipment and three
to five years for computer software.
Claims and Drugs Payable
Claims and drugs payable include amounts due to network retail pharmacies for filling prescription
drug orders and are recorded as liabilities when claims are processed.
Other Liabilities
Other liabilities include $84,169, $133,032 and $127,085 at December 31, 2008, 2007 and 2006 for
outstanding checks not yet presented to our bank.
12
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
2. Significant Accounting Policies (continued)
Income Taxes
We are included in WellPoints consolidated federal income tax return. Pursuant to a tax-sharing
agreement, or the Agreement, with WellPoint, we pay taxes to WellPoint as though we filed a
separate income tax return. Also, pursuant to the Agreement, WellPoint reimburses us for tax
benefits in the period in which it is able to utilize such tax benefits on its consolidated income
tax return. Accordingly, amounts shown in the combined balance sheets for income taxes payable
represent amounts that are payable to WellPoint.
We account for income taxes under the liability method. Under this method, deferred income tax
assets and liabilities are recognized for temporary differences between the financial statement and
tax return bases of assets and liabilities based on enacted tax rates.
In July 2006, FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes an
interpretation of FASB Statement No. 109 (FIN 48), was issued. Among other things, FIN 48 creates
a model to address uncertainty in tax positions and clarifies the accounting for income taxes by
prescribing a minimum recognition threshold, which all income tax positions must achieve before
being recognized in the financial statements. In addition, FIN 48 requires expanded annual
disclosures, including a rollforward of the beginning and ending aggregate unrecognized tax
benefits as well as specific detail related to tax uncertainties for which it is reasonably
possible the amount of unrecognized tax benefit will significantly increase or decrease within
twelve months. FIN 48 was effective for us on January 1, 2007. The adoption of FIN 48 did not have
an impact on our financial position or operating results.
13
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
3. Goodwill and Other Intangible Assets
A summary of the change in the carrying amount of goodwill for 2008, 2007 and 2006 is as follows:
Total | ||||
Balance as of January 1, 2006 |
$ | 167,793 | ||
Purchase price allocation adjustments |
| |||
Balance as of December 31, 2006 |
167,793 | |||
Purchase price allocation adjustments |
(1,598 | ) | ||
Balance as of December 31, 2007 |
166,195 | |||
Purchase price allocation adjustments |
(1,123 | ) | ||
Balance as of December 31, 2008 |
$ | 165,072 | ||
For a period of time after the consummation of a merger or acquisition, the initial fair values
allocated to net assets acquired may be subject to change as these fair value estimates are
refined. Changes in these fair value estimates are recorded as adjustments to goodwill. In
accordance with FAS 141, subsequent to the purchase allocation period, additional changes to fair
value of net assets acquired are recorded in current operations, except for certain adjustments
related to income taxes, employee termination and other exit activities, which continue to be
adjusted to goodwill.
Goodwill adjustments for 2008 and 2007 included reductions of $1,123 and $1,195, respectively, for
tax refunds and audit adjustments related to prior years. Goodwill adjustments in 2007 include
$377 for the tax benefit on the exercise of stock options issued as part of prior acquisitions and
$26 for other audit adjustments.
14
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
3. Goodwill and Other Intangible Assets (continued)
The components of other intangible assets as of December 31 are as follows:
2008 | ||||||||||||
Gross | Net | |||||||||||
Carrying | Accumulated | Carrying | ||||||||||
Amount | Amortization | Amount | ||||||||||
Intangible assets with finite lives: |
||||||||||||
Subscriber base |
$ | 103,794 | $ | (37,234 | ) | $ | 66,560 | |||||
Intangible assets with indefinite
life: |
||||||||||||
Trademarks |
63,000 | | 63,000 | |||||||||
Other intangible assets |
$ | 166,794 | $ | (37,234 | ) | $ | 129,560 | |||||
2007 | ||||||||||||
Gross | Net | |||||||||||
Carrying | Accumulated | Carrying | ||||||||||
Amount | Amortization | Amount | ||||||||||
Intangible assets with finite lives: |
||||||||||||
Subscriber base |
$ | 103,794 | $ | (29,032 | ) | $ | 74,762 | |||||
Intangible assets with indefinite
life: |
||||||||||||
Trademarks |
63,000 | | 63,000 | |||||||||
Other intangible assets |
$ | 166,794 | $ | (29,032 | ) | $ | 137,762 | |||||
2006 | ||||||||||||
Gross | Net | |||||||||||
Carrying | Accumulated | Carrying | ||||||||||
Amount | Amortization | Amount | ||||||||||
Intangible assets with finite lives: |
||||||||||||
Subscriber base |
$ | 103,794 | $ | (20,177 | ) | $ | 83,617 | |||||
Intangible assets with indefinite
life: |
||||||||||||
Trademarks |
63,000 | | 63,000 | |||||||||
Other intangible assets |
$ | 166,794 | $ | (20,177 | ) | $ | 146,617 | |||||
Amortization expense for identifiable intangible assets during 2008, 2007 and 2006 was $8,202,
$8,855 and $9,311, respectively.
15
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
3. Goodwill and Other Intangible Assets (continued)
As required by FAS 142, we completed our annual impairment tests of existing goodwill and other
intangible assets with indefinite lives during the fourth quarters of 2008, 2007 and 2006. These
tests involved the use of estimates related to the fair value of the PBM business and require a
significant degree of management judgment and the use of subjective assumptions. No impairments
were recognized during 2008, 2007 or 2006 as a result of our annual impairment tests.
As of December 31, 2008, future amortization expense for our intangible assets with finite lives
for each of the five years ending December 31 is estimated as follows: 2009, $7,866; 2010, $7,372;
2011, $6,878; 2012, $6,384; and 2013, $5,890.
4. Property and Equipment
A summary of property and equipment at December 31 is as follows:
2008 | 2007 | 2006 | ||||||||||
Land and improvements |
$ | 970 | $ | 970 | $ | 970 | ||||||
Building and components |
7,594 | 7,585 | 7,456 | |||||||||
Data processing equipment, furniture and other equipment |
51,816 | 35,444 | 23,370 | |||||||||
Computer software, purchased and internally developed |
28,954 | 20,055 | 14,086 | |||||||||
Leasehold improvements |
12,589 | 11,971 | 1,123 | |||||||||
101,923 | 76,025 | 47,005 | ||||||||||
Accumulated depreciation and amortization |
(45,705 | ) | (36,861 | ) | (29,231 | ) | ||||||
Property and equipment, net |
$ | 56,218 | $ | 39,164 | $ | 17,774 | ||||||
Depreciation expense for 2008, 2007 and 2006 was $6,515, $5,466 and $4,343, respectively.
Amortization expense on computer software, both purchased and internally developed, for 2008, 2007
and 2006 was $1,972, $2,057 and $2,758. Capitalized costs related to the internal development of
software of $16,559, $8,495 and $3,596 at December 31, 2008, 2007 and 2006, respectively, are
reported with computer software.
16
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
5. Operating Leases
We lease office space using noncancelable operating leases. At December 31, 2008, future lease
payments for operating leases with initial or remaining noncancelable terms of one year or more
consisted of the following:
2009 |
$ | 4,248 | ||
2010 |
4,980 | |||
2011 |
4,341 | |||
2012 |
3,817 | |||
2013 |
3,256 | |||
Thereafter |
11,410 | |||
Total minimum payments required |
$ | 32,052 | ||
Lease expense for 2008, 2007 and 2006 was $3,073, $2,757 and $226, respectively.
6. Income Taxes
The components of deferred income taxes at December 31 are as follows:
2008 | 2007 | 2006 | ||||||||||
Deferred tax assets relating to: |
||||||||||||
Accrued expenses |
$ | 4,028 | $ | 2,218 | $ | 8,058 | ||||||
Bad debt reserves |
16,985 | 17,200 | 17,586 | |||||||||
State income tax |
3,213 | 3,774 | 3,255 | |||||||||
Other |
667 | 484 | 92 | |||||||||
Total deferred tax assets |
24,893 | 23,676 | 28,991 | |||||||||
Valuation allowance |
| | | |||||||||
Total deferred tax assets, net of valuation allowance |
24,893 | 23,676 | 28,991 | |||||||||
Deferred tax liabilities relating to: |
||||||||||||
Depreciation and amortization |
(664 | ) | (1,603 | ) | (1,327 | ) | ||||||
Trademarks and software development |
(58,733 | ) | (53,209 | ) | (58,208 | ) | ||||||
Other |
(516 | ) | (1,116 | ) | (1,449 | ) | ||||||
Total deferred tax liabilities |
(59,913 | ) | (55,928 | ) | (60,984 | ) | ||||||
Net deferred tax liability |
$ | (35,020 | ) | $ | (32,252 | ) | $ | (31,993 | ) | |||
Deferred tax asset current |
$ | 19,767 | $ | 19,507 | $ | 23,307 | ||||||
Deferred tax liability noncurrent |
(54,787 | ) | (51,759 | ) | (55,300 | ) | ||||||
Net deferred tax liability |
$ | (35,020 | ) | $ | (32,252 | ) | $ | (31,993 | ) | |||
17
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
6. Income Taxes (continued)
Components of the provision for income taxes for the years ended December 31 consist of the
following:
2008 | 2007 | 2006 | ||||||||||
Current tax expense: |
||||||||||||
Federal |
$ | 121,793 | $ | 100,883 | $ | 96,455 | ||||||
State and local |
406 | 2,317 | 4,473 | |||||||||
Total current tax expense |
122,199 | 103,200 | 100,928 | |||||||||
Deferred tax expense (benefit) |
2,692 | 183 | (9,004 | ) | ||||||||
Total income tax expense |
$ | 124,891 | $ | 103,383 | $ | 91,924 | ||||||
A reconciliation of income tax expense recorded in the combined statements of income and amounts
computed at the statutory federal income tax rate for the years ended December 31 is as follows:
2008 | 2007 | 2006 | ||||||||||||||||||||||
Amount | Percent | Amount | Percent | Amount | Percent | |||||||||||||||||||
Amount at statutory rate |
$ | 123,257 | 35.0 | % | $ | 103,212 | 35.0 | % | $ | 88,742 | 35.0 | % | ||||||||||||
State and local income taxes,
net of federal tax benefit |
891 | 0.3 | 882 | 0.3 | 2,907 | 1.2 | ||||||||||||||||||
Other, net |
743 | 0.2 | (711 | ) | (0.2 | ) | 275 | 0.1 | ||||||||||||||||
Total income tax expense |
$ | 124,891 | 35.5 | % | $ | 103,383 | 35.1 | % | $ | 91,924 | 36.3 | % | ||||||||||||
We paid cash totaling $76,395, $69,454 and $81,359 to WellPoint for federal income taxes during the
years ended December 31, 2008, 2007 and 2006, respectively. At December 31, 2008, we had no unused
federal tax net operating loss carryforwards.
7. Related-Party Transactions
We provide integrated PBM services to affiliated companies. We recorded revenues for PBM services
provided to affiliates of $14,807,248, $13,408,972 and $12,351,408 in 2008, 2007 and 2006,
respectively. This includes co-payment revenue associated with retail pharmacy revenues of
$2,899,967, $2,937,585 and $2,846,510 in 2008, 2007 and 2006, respectively.
18
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
7. Related-Party Transactions (continued)
We reimburse affiliated companies for certain administrative services provided to us as described
in Note 1. Administrative expenses charged by affiliated companies were $75,356, $48,041 and
$44,031 in 2008, 2007 and 2006, respectively, which is included in general and administrative
expense in the combined statements of income.
PBM business associates participate in WellPoint sponsored defined benefit pension plans and
postretirement benefit plans. We account for certain costs related to the defined benefit pension
and post retirement benefit plans as a participant in a multi-employer plan in accordance with FAS
No. 87, Employers Accounting for Pensions and FAS No. 106, Employers Accounting for
Postretirement Benefits Other Than Pensions. Total costs for these plans are determined by
actuarial valuation and the PBM business is allocated costs for these plans from WellPoint.
PBM business associates also participate in WellPoint sponsored defined contribution pension plans
and related costs are allocated to the PBM business based on headcount.
We were allocated costs related to these employee benefits of $6,184, $6,767 and $6,482 in 2008,
2007 and 2006, respectively, which are recorded in general and administrative expenses in our
combined statements of income. The PBM business will not assume any portion of the defined benefit
pension or postretirement benefit plan obligations or plan assets nor will any of the WellPoint
benefit plans the PBM business participates in transfer to the PBM business upon its sale.
We participate in the WellPoint Management and Key Associate Stock Plan, which provides WellPoint
restricted stock and stock options to select key associates as a reward for performance and
contribution. In addition, certain PBM business associates participate in WellPoints Employee
Stock Purchase Plan, which allows for the purchase of WellPoint common stock at a discount.
WellPoint accounts for all share-based compensation plans in accordance with FAS No. 123 (revised
December 2004), Share-Based Payment. In 2008, 2007 and 2006, we received share-based compensation
expense of $5,282, $11,588 and $11,404, respectively, via an allocation from WellPoint.
We paid distributions of $145,000, $150,000 and $65,000 to WellPoint and/or certain of its
consolidated subsidiaries during the years ended December 31, 2008, 2007 and 2006, respectively.
19
Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
December 31, 2008
(In thousands)
(In thousands)
8. Commitments and Contingencies
We are involved in pending and threatened litigation of the character incidental to the business
transacted and are, from time to time, involved as a party in various governmental and
administrative proceedings. We believe that any liability that may result from any one of these
actions is unlikely to have a material adverse effect on our financial position or results of
operations.
20