EX-99.5 7 c51648exv99w5.htm EX-99.5: UNAUDITED COMBINED FINANCIAL STATEMENTS EX-99.5
Exhibit 99.5
C o m b i n e d F i n a n c i a l
S t a t e m e n t s ( U n a u d i t e d )
Pharmacy Benefit Management Business of WellPoint, Inc.
Three Months Ended March 31, 2009 and 2008

 


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Financial Statements
Three Months Ended March 31, 2009 and 2008
(Unaudited)
Contents
         
Unaudited Combined Financial Statements
       
 
       
Unaudited Combined Balance Sheets
    1  
Unaudited Combined Statements of Income
    2  
Unaudited Combined Statements of Cash Flows
    3  
Unaudited Combined Statements of Parent Company’s Net Investment
    4  
Notes to Unaudited Combined Financial Statements
    5  

 


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Balance Sheets
(Unaudited)
(In Thousands)
                 
    March 31
    2009   2008
     
Assets
               
Current assets:
               
Cash and cash equivalents
  $ 6,659     $ 14,602  
Rebates receivable, net
    749,597       674,356  
Other receivables, net
    78,720       101,988  
Drug inventories
    61,057       52,374  
Receivable from related parties
    519,117       300,201  
Deferred tax assets, net
    20,077       14,446  
Prepaid expenses
    2,189       1,605  
     
 
               
Total current assets
    1,437,416       1,159,572  
Property and equipment, net
    59,054       44,553  
Goodwill
    165,072       166,195  
Other intangible assets
    127,583       135,662  
Other noncurrent assets
    567       303  
     
 
               
Total assets
  $ 1,789,692     $ 1,506,285  
     
 
               
Liabilities and parent company’s net investment
               
Liabilities
               
Current liabilities:
               
Rebates payable:
               
Rebates payable to related parties
  $ 630,103     $ 530,556  
Rebates payable to unrelated parties
    87,895       68,911  
     
 
               
Total rebates payable
    717,998       599,467  
Claims and drugs payable
    90,910       65,243  
Unearned income
    10,796       5,899  
Unearned discounts, current portion
    1,380       1,365  
Income taxes payable
    149,341       88,669  
Other current liabilities
    56,680       76,467  
     
 
               
Total current liabilities
    1,027,105       837,110  
Unearned discounts
    592       1,312  
Deferred tax liability, net
    53,517       52,309  
Other noncurrent liabilities
    2,905       2,005  
     
 
               
Total liabilities
    1,084,119       892,736  
 
               
Total parent company’s net investment
    705,573       613,549  
     
 
               
Total liabilities and parent company’s net investment
  $ 1,789,692     $ 1,506,285  
     
See accompanying notes.

1


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Income
(Unaudited)
(In Thousands)
                 
    Three Months Ended March 31
    2009   2008
     
Revenues
               
Retail pharmacy revenue
  $ 3,571,671     $ 3,629,425  
Mail order revenue
    705,863       627,082  
Administrative fees
    39,805       37,582  
     
 
               
Total operating revenue
    4,317,339       4,294,089  
Other revenue
    96       599  
     
 
               
Total revenues
    4,317,435       4,294,688  
 
               
Expenses
               
Cost of drugs
    4,107,176       4,109,286  
General and administrative expense
    108,706       94,413  
Amortization of other intangible assets
    1,977       2,100  
     
 
               
Total expenses
    4,217,859       4,205,799  
     
 
               
Income before income tax expense
    99,576       88,889  
Income tax expense
    33,150       32,214  
     
 
               
Net income
  $ 66,426     $ 56,675  
     
See accompanying notes.

2


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Cash Flows
(Unaudited)
(In Thousands)
                 
    Three Months Ended March 31  
    2009     2008  
     
Operating activities
               
Net income
  $ 66,426     $ 56,675  
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
               
Depreciation
    1,774       1,528  
Amortization
    2,993       2,531  
Deferred income taxes
    (1,580 )     5,611  
Changes in operating assets and liabilities:
               
Accounts receivable, net
    (37,413 )     (105,435 )
Drug inventories
    8,116       (2,470 )
Receivable from related parties
    (58,546 )     (90,172 )
Prepaid expenses and other assets
    (173 )     338  
Rebates payable
    76,542       34,372  
Claims and drugs payable
    (22,953 )     (7,559 )
Unearned income
    3,902       340  
Unearned discounts
    (345 )     (300 )
Income taxes payable
    34,069       18,965  
Other liabilities
    (67,334 )     (78,717 )
     
 
               
Net cash provided by (used in) operating activities
    5,478       (164,293 )
 
               
Investing activities
               
Purchases of property and equipment
    (5,626 )     (7,348 )
     
 
               
Net cash used in investing activities
    (5,626 )     (7,348 )
     
 
               
Net change in cash and cash equivalents
    (148 )     (171,641 )
Cash and cash equivalents at beginning of period
    6,807       186,243  
     
 
               
Cash and cash equivalents at March 31
  $ 6,659     $ 14,602  
 
           
See accompanying notes.

3


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Combined Statements of Parent Company’s Net Investment
(Unaudited)
(In Thousands)
         
    Total Parent  
    Company’s Net  
    Investment  
January 1, 2008
  $ 556,874  
Net income
    56,675  
 
     
 
       
March 31, 2008
  $ 613,549  
 
     
 
       
January 1, 2009
  $ 639,147  
Net income
    66,426  
 
     
 
       
March 31, 2009
  $ 705,573  
 
     
See accompanying notes.

4


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements
(Unaudited)
March 31, 2009
(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 unaudited combined financial statements refer to WellPoint’s combined PBM operations.
The accompanying unaudited 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 WellPoint’s consolidated subsidiaries.
The unaudited combined financial statements are prepared in conformity with U.S. generally accepted accounting principles, or GAAP, for interim reporting. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments, including normal recurring adjustments, necessary for a fair statement of the unaudited combined financial statements as of and for the three months ended March 31, 2009 and 2008 have been recorded. The results of operations for the three months ended March 31, 2009 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2009. These unaudited combined financial statements should be read in conjunction with our audited combined financial statements for the year ended December 31, 2008. Significant intercompany accounts and transactions within the PBM business have been eliminated. Transactions between the PBM business and WellPoint have been included in the unaudited combined financial statements. Parent Company’s 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 stockholder’s equity.

5


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements (continued)
(Unaudited)
1. Basis of Presentation (continued)
On April 9, 2009, WellPoint signed a definitive agreement to sell its PBM business to Express Scripts, Inc., or Express. The accompanying unaudited 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 of and for the three months ended March 31, 2009 and 2008. 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 unaudited combined financial statements. Accordingly, the accompanying unaudited 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 unaudited combined financial statements may not necessarily be indicative of future results of the PBM business.
Whenever possible, the direct costs associated with the PBM business are reflected in the unaudited 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 5, Related-Party Transactions, for further discussion of allocated costs.
2. Income Taxes
During the three months ended March 31, 2009 and 2008, we recognized income tax expense of $33,150 and $32,214, respectively, which represents effective tax rates of 33.3% and 36.2%, respectively. The 290 basis point decrease in the effective tax rate in 2009 was primarily due to a third-party court decision which entitled us to a state tax refund, which we received in the first quarter of 2009.

6


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements (continued)
(Unaudited)
3. Fair Value
Assets and liabilities recorded at fair value in the unaudited 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 Statement of Financial Accounting Standards No. 157, Fair Value Measurements, in our unaudited combined balance sheets is cash equivalents. Money market funds that are classified as cash equivalents in our unaudited 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.
4. Other Current Liabilities
Other current liabilities include $27,623, and $52,719 at March 31, 2009 and 2008, respectively, for outstanding checks not yet presented to our bank.
5. Related-Party Transactions
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 unaudited combined financial statements, revenues from affiliated health plans are based on internal rates that, in management’s judgment, reflect a reasonable and consistent profit margin and which have been used historically by WellPoint in its internal management and segment reporting of the PBM business. This approach increased income before income tax expense by $46,807 and $35,644 for the three months ended March 31, 2009 and 2008, respectively. These adjustments are reflected as intercompany transactions. The cumulative impact of these and other carve-out adjustments in the amount of $352,389 and $143,861 at March 31, 2009 and 2008, respectively, are recognized in receivable from related parties. WellPoint is required to settle this receivable in connection with provisions contained in the definitive agreement with Express.

7


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements (continued)
(Unaudited)
5. Related-Party Transactions (continued)
We provide integrated PBM services to affiliated companies. We recorded revenues for PBM services provided to affiliates of $3,767,143 and $3,719,646 in the three months ended March 31, 2009 and 2008, respectively. This includes co-payment revenue associated with retail pharmacy revenues of $782,046 and $795,614 in the three months ended March 31, 2009 and 2008, respectively.
We reimburse affiliated companies for certain administrative services provided to us. Administrative expenses charged by affiliated companies were $18,113 and $18,937 in the three months ended March 31, 2009 and 2008, respectively, which are included in general and administrative expense in the unaudited combined statements of income.
PBM business associates participate in WellPoint sponsored defined benefit pension plans and postretirement benefit plans. 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 $1,539 and $1,516 in the three months ended March 31, 2009 and 2008, respectively, which are recorded in general and administrative expenses in our unaudited 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, which 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 WellPoint’s 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. During the three months ended March 31, 2009 and 2008, we recorded share-based compensation expense of $812 and $1,002, respectively, via an allocation from WellPoint.
We did not pay any distributions to WellPoint and/or certain of its consolidated subsidiaries during the three months ended March 31, 2009 and 2008, respectively.

8


 

Pharmacy Benefit Management Business of WellPoint, Inc.
Notes to Combined Financial Statements (continued)
(Unaudited)
6. 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.

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