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CVS HEALTH Corp 10-Q 2011

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 

FORM 10-Q

 

Quarterly Report Pursuant to Section 13 or 15(d) of the

Securities Exchange Act of 1934

 

For the Quarterly Period Ended June 30, 2011

 

Commission File Number 001-01011

 

 

CVS CAREMARK CORPORATION

(Exact name of registrant as specified in its charter)

 

 

Delaware

 

05-0494040

(State of Incorporation)

 

(I.R.S. Employer Identification Number)

 

One CVS Drive, Woonsocket, Rhode Island 02895

(Address of principal executive offices)

 

Telephone:  (401) 765-1500

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes[X] No [   ]

 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes [X] No [   ]

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer.  See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check One):

 

Large accelerated filer [X]

Accelerated filer [   ]

Non-accelerated filer [   ] (Do not check if a smaller reporting company)

Smaller Reporting Company [   ]

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes [  ] No [X]

 

Common Stock, $0.01 par value, issued and outstanding at July 29, 2011:

 

1,344,841,045 shares

 

 



 

INDEX

 

 

 

Page

Part I

 

 

 

 

 

Item 1.

Financial Statements

 

 

 

 

 

 

 

Condensed Consolidated Statements of Income (Unaudited) -
Three and Six Months Ended June 30, 2011 and 2010

 

3

 

 

 

 

 

Condensed Consolidated Balance Sheets (Unaudited) -
As of June 30, 2011 and December 31, 2010

 

4

 

 

 

 

 

Condensed Consolidated Statements of Cash Flows (Unaudited) -
Six Months Ended June 30, 2011 and 2010

 

5

 

 

 

 

 

Notes to Condensed Consolidated Financial Statements (Unaudited)

 

6

 

 

 

 

 

Report of Independent Registered Public Accounting Firm

 

14

 

 

 

 

Item 2.

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

 

15

Item 3.

Quantitative and Qualitative Disclosures About Market Risk

 

27

Item 4.

Controls and Procedures

 

27

 

 

 

 

Part II

 

 

 

 

 

 

 

Item 1.

Legal Proceedings

 

28

 

 

 

 

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

 

29

 

 

 

 

Item 6.

Exhibits

 

30

 

 

 

 

Signatures

 

31

 

2



 

Part I

Item 1

CVS Caremark Corporation

Condensed Consolidated Statements of Income

(Unaudited)

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

In millions, except per share amounts

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

26,629

 

$

24,007

 

$

52,509

 

$

47,767

 

Cost of revenues

 

21,534

 

18,987

 

42,663

 

38,001

 

Gross profit

 

5,095

 

5,020

 

9,846

 

9,766

 

Operating expenses

 

3,605

 

3,519

 

7,045

 

6,855

 

Operating profit

 

1,490

 

1,501

 

2,801

 

2,911

 

Interest expense, net

 

148

 

135

 

282

 

263

 

Income before income tax provision

 

1,342

 

1,366

 

2,519

 

2,648

 

Income tax provision

 

526

 

544

 

990

 

1,054

 

Income from continuing operations

 

816

 

822

 

1,529

 

1,594

 

Loss from discontinued operations, net of tax

 

(1)

 

(1)

 

(2)

 

(3)

 

Net income

 

815

 

821

 

1,527

 

1,591

 

Net loss attributable to noncontrolling interest

 

1

 

 

2

 

1

 

Net income attributable to CVS Caremark

 

$

816

 

$

821

 

$

1,529

 

$

1,592

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per common share:

 

 

 

 

 

 

 

 

 

Income from continuing operations attributable to CVS Caremark

 

$

0.60

 

$

0.61

 

$

1.13

 

$

1.16

 

Loss from discontinued operations attributable to CVS Caremark

 

 

 

 

 

Net income attributable to CVS Caremark

 

$

0.60

 

$

0.61

 

$

1.13

 

$

1.16

 

Weighted average basic common shares outstanding

 

1,355

 

1,359

 

1,359

 

1,372

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per common share:

 

 

 

 

 

 

 

 

 

Income from continuing operations attributable to CVS Caremark

 

$

0.60

 

$

0.60

 

$

1.12

 

$

1.15

 

Loss from discontinued operations attributable to CVS Caremark

 

 

 

 

 

Net income attributable to CVS Caremark

 

$

0.60

 

$

0.60

 

$

1.12

 

$

1.15

 

Weighted average diluted common shares outstanding

 

1,364

 

1,369

 

1,368

 

1,381

 

 

 

 

 

 

 

 

 

 

 

Dividends declared per common share

 

$

0.1250

 

$

0.0875

 

$

0.2500

 

$

0.1750

 

 

See accompanying notes to condensed consolidated financial statements.

 

3



 

Part I

Item 1

CVS Caremark Corporation

Condensed Consolidated Balance Sheets

(Unaudited)

 

In millions, except per share amounts

 

June 30,
2011

 

December 31,
2010

Assets:

 

 

 

 

 

Cash and cash equivalents

 

$

2,228

 

$

1,427

 

Short-term investments

 

5

 

4

 

Accounts receivable, net

 

5,892

 

4,925

 

Inventories

 

10,111

 

10,695

 

Deferred income taxes

 

502

 

511

 

Other current assets

 

327

 

144

 

Total current assets

 

19,065

 

17,706

 

Property and equipment, net

 

8,483

 

8,322

 

Goodwill

 

26,697

 

25,669

 

Intangible assets, net

 

10,022

 

9,784

 

Other assets

 

1,220

 

688

 

Total assets

 

$

65,487

 

$

62,169

 

 

 

 

 

 

 

Liabilities:

 

 

 

 

 

Accounts payable

 

$

4,446

 

$

4,026

 

Claims and discounts payable

 

3,061

 

2,569

 

Accrued expenses

 

3,329

 

3,070

 

Short-term debt

 

 

300

 

Current portion of long-term debt

 

916

 

1,105

 

Total current liabilities

 

11,752

 

11,070

 

Long-term debt

 

10,168

 

8,652

 

Deferred income taxes

 

3,948

 

3,655

 

Other long-term liabilities

 

1,343

 

1,058

 

Commitments and contingencies (Note 11)

 

 

 

 

 

Redeemable noncontrolling interest

 

32

 

34

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Preferred stock, par value $0.01: 0.1 shares authorized; none issued or outstanding

 

 

 

Common stock, par value $0.01: 3,200 shares authorized; 1,633 shares issued and 1,346 shares outstanding at June 30, 2011 and 1,624 shares issued and 1,363 shares outstanding at December 31, 2010

 

16

 

16

 

Treasury stock, at cost: 285 shares at June 30, 2011 and 259 shares at December 31, 2010

 

(9,956)

 

(9,030

)

Shares held in trust: 2 shares at June 30, 2011 and December 31, 2010

 

(56)

 

(56

)

Capital surplus

 

27,902

 

27,610

 

Retained earnings

 

20,491

 

19,303

 

Accumulated other comprehensive loss

 

(153)

 

(143

)

Total shareholders’ equity

 

38,244

 

37,700

 

Total liabilities and shareholders’ equity

 

$

65,487

 

$

62,169

 

 

See accompanying notes to condensed consolidated financial statements.

 

4



 

Part I

Item 1

CVS Caremark Corporation

Condensed Consolidated Statements of Cash Flows

(Unaudited)

 

 

 

Six Months Ended

 

 

June 30,

In millions

 

2011

 

 

2010

 

Cash flows from operating activities:

 

 

 

 

 

 

Cash receipts from revenues

 

$

47,950

 

 

$

45,745

 

Cash paid for inventory and prescriptions dispensed by retail network pharmacies

 

(37,307

)

 

(35,386

)

Cash paid to other suppliers and employees

 

(6,149

)

 

(7,129

)

Interest received

 

2

 

 

2

 

Interest paid

 

(298

)

 

(284

)

Income taxes paid

 

(1,125

)

 

(1,236

)

Net cash provided by operating activities

 

3,073

 

 

1,712

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

Purchases of property and equipment

 

(710

)

 

(866

)

Proceeds from sale-leaseback transactions

 

11

 

 

 

Proceeds from sale of property and equipment

 

 

 

10

 

Acquisitions (net of cash acquired) and other investments

 

(1,366

)

 

(25

)

Purchase of short-term investments

 

(2

)

 

 

Maturity of short-term investments

 

1

 

 

1

 

Net cash used in investing activities

 

(2,066

)

 

(880

)

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

Increase (decrease) in short-term debt

 

(300

)

 

1,537

 

Proceeds from issuance of long-term debt

 

1,463

 

 

991

 

Repayments of long-term debt

 

(302

)

 

(1,751

)

Dividends paid

 

(341

)

 

(241

)

Derivative settlements

 

(19

)

 

(5

)

Proceeds from exercise of stock options

 

264

 

 

145

 

Excess tax benefits from stock-based compensation

 

 

 

13

 

Repurchase of common stock

 

(971

)

 

(1,500

)

Net cash used in financing activities

 

(206

)

 

(811

)

Net increase in cash and cash equivalents

 

801

 

 

21

 

Cash and cash equivalents at beginning of period

 

1,427

 

 

1,086

 

Cash and cash equivalents at end of period

 

$

2,228

 

 

$

1,107

 

 

 

 

 

 

 

 

Reconciliation of net income to net cash provided by operating activities:

 

 

 

 

 

 

Net income

 

$

1,527

 

 

$

1,591

 

Adjustments required to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

 

Depreciation and amortization

 

765

 

 

726

 

Stock-based compensation

 

65

 

 

75

 

Deferred income taxes and other non-cash items

 

129

 

 

(20

)

Change in operating assets and liabilities, net of effects of acquisitions:

 

 

 

 

 

 

Accounts receivable, net

 

(472

)

 

356

 

Inventories

 

584

 

 

(46

)

Other current assets

 

(164

)

 

(31

)

Other assets

 

(62

)

 

(4

)

Accounts payable and claims and discounts payable

 

722

 

 

(286

)

Accrued expenses

 

54

 

 

(617

)

Other long-term liabilities

 

(75

)

 

(32

)

Net cash provided by operating activities

 

$

3,073

 

 

$

1,712

 

 

See accompanying notes to condensed consolidated financial statements.

 

5



 

Part I

Item 1

CVS Caremark Corporation

Notes to Condensed Consolidated Financial Statements

(Unaudited)

 

Note 1 – Accounting Policies

 

Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements of CVS Caremark Corporation and its majority owned subsidiaries (“CVS Caremark” or “the “Company”) have been prepared, in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. In accordance with such rules and regulations, certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) have been condensed or omitted, although the Company believes the disclosures included herein are adequate to make the information presented not misleading. These condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto, which are included in Exhibit 13 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2010 (the “2010 Form 10-K”).

 

In the opinion of management, the accompanying unaudited condensed consolidated financial statements include all adjustments consisting only of normal recurring adjustments, necessary for a fair presentation of the results for the interim periods presented. Because of the influence of various factors on the Company’s operations, including business combinations, certain holidays and other seasonal influences, net income for any interim period may not be comparable to the same interim period in previous years or necessarily indicative of income for the full fiscal year.

 

Principles of Consolidation

 

The condensed consolidated financial statements include the accounts of the Company and its majority owned subsidiaries. All material intercompany balances and transactions have been eliminated.

 

Fair Value of Financial Instruments

 

The Company utilizes the three-level valuation hierarchy for the recognition and disclosure of fair value measurements. The categorization of assets and liabilities within this hierarchy is based upon the lowest level of input that is significant to the measurement of fair value. The three levels of the hierarchy consist of the following:

 

                   Level 1 – Inputs to the valuation methodology are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

 

                   Level 2 – Inputs to the valuation methodology are quoted prices for similar assets and liabilities in active markets, quoted prices in markets that are not active or inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the instrument.

 

                   Level 3 – Inputs to the valuation methodology are unobservable inputs based upon management’s best estimate of inputs market participants could use in pricing the asset or liability at the measurement date, including assumptions about risk.

 

As of June 30, 2011, the carrying value of cash and cash equivalents, short-term investments, accounts receivable and short-term debt approximated their fair value due to the short-term nature of these financial instruments. The Company invests in money market funds, commercial paper and time deposits that are classified as cash and cash equivalents within the accompanying condensed consolidated balance sheets, as these funds are highly liquid and readily convertible to known amounts of cash. These investments are classified within Level 1 of the fair value hierarchy because they are valued using quoted market prices. The Company’s short-term investments consist of certificates of deposit with initial maturities of greater than three months when purchased. These investments, which are classified within Level 1 of the fair value hierarchy, are carried at historical cost, which approximated fair value at June 30, 2011. The carrying amount and estimated fair value of the Company’s total long-term debt was $11.1 billion and $11.8 billion, respectively, as of June 30, 2011. The fair value of the Company’s total long-term debt was estimated based on rates currently offered to the Company for debt with identical terms and maturities, which is

 

6



 

considered Level 1 of the fair value hierarchy. There were no outstanding derivative financial instruments as of June 30, 2011 and December 31, 2010.

 

New Accounting Pronouncement

 

In May 2011, the Financial Accounting Standards Board issued Accounting Standards Update (“ASU”) 2011-05, Presentation of Comprehensive Income (“ASU 2011-05”). ASU 2011-05 requires entities to present the total of comprehensive income, the components of net income and the components of other comprehensive income in either (1) a single continuous statement of comprehensive income or (2) two separate but consecutive statements. The ASU does not change the items that are required to be reported in other comprehensive income. The ASU is effective for interim and annual periods beginning after December 15, 2011 and should be applied retrospectively. The Company is still evaluating which of the two alternatives it will apply in reporting comprehensive income. Neither alternative is expected to have a material impact on the Company’s consolidated results of operations and neither alternative will have an impact on the Company’s financial condition or cash flows.

 

Note 2 – Acquisition

 

On April 29, 2011, the Company acquired the Medicare prescription drug business of Universal American Corp. (the “UAM Medicare Part D Business”) for approximately $1.3 billion. The UAM Medicare Part D Business offers prescription drug plan benefits to Medicare beneficiaries throughout the United States through its Community CCRxsm prescription drug plan. The fair value of assets acquired and liabilities assumed were $2.4 billion and $1.1 billion, respectively. The allocation of the purchase price as of April 29, 2011 is preliminary and is based on information that was available to management at the time the condensed consolidated financial statements were prepared, accordingly, the allocation may change. The Company’s results of operations and cash flows include the UAM Medicare Part D Business beginning on April 29, 2011.

 

Note 3 – Discontinued Operations

 

In connection with certain business dispositions completed between 1991 and 1997, the Company retained guarantees on store lease obligations for a number of former subsidiaries, including Linens ‘n Things. On May 2, 2008, Linens Holding Co. and certain affiliates, which operated Linens ‘n Things, filed voluntary petitions under Chapter 11 of the United States Bankruptcy Code in the United States Bankruptcy Court for the District of Delaware. The Company’s loss from discontinued operations for the three months ended June 30, 2011 and June 30, 2010 consisted of $1 million ($2 million, net of a $1 million income tax benefit) of lease-related costs. The Company’s loss from discontinued operations for the six months ended June 30, 2011 consisted of $2 million ($3 million, net of a $1 million income tax benefit) of lease-related costs, compared to $3 million ($5 million, net of a $2 million income tax benefit) of lease-related costs in the prior year period.

 

Note 4 – Segment Reporting

 

The Company has three segments: Pharmacy Services, Retail Pharmacy and Corporate. The Company’s segments maintain separate financial information for which operating results are evaluated on a regular basis by the Company’s chief operating decision maker in deciding how to allocate resources and in assessing performance. The Company evaluates its Pharmacy Services and Retail Pharmacy segments’ performance based on net revenue, gross profit and operating profit before the effect of nonrecurring charges and gains and certain intersegment activities. The Company evaluates the performance of its Corporate segment based on operating expenses before the effect of nonrecurring charges and gains and certain intersegment activities.

 

The Pharmacy Services segment provides a full range of pharmacy benefit management (“PBM”) services including mail order pharmacy services, specialty pharmacy services, plan design consultation and administration, formulary management and claims processing. The Company’s customers are primarily employers, insurance companies, unions, government employee groups, managed care organizations, other sponsors of health benefit plans and individuals throughout the United States. In addition, through our SilverScript Insurance Company, Accendo Insurance Company, and Pennsylvania Life Insurance Company subsidiaries, we are a national provider of drug benefits to eligible beneficiaries under the Federal Government’s Medicare Part D program. The Pharmacy Services business operates under the CVS Caremark Pharmacy Services®, Caremark®, CVS Caremark™, CarePlus CVS/pharmacy™, CarePlus™, RxAmerica®, Accordant® and TheraCom® names. As of June 30, 2011, the Pharmacy Services segment operated 31 retail specialty pharmacy stores, 13 specialty mail order pharmacies and four mail service pharmacies located in 23 states, Puerto Rico and the District of Columbia.

 

7



 

The Retail Pharmacy segment sells prescription drugs and a wide assortment of general merchandise, including over-the-counter drugs, beauty products and cosmetics, photo finishing, seasonal merchandise, greeting cards and convenience foods through our CVS/pharmacy® and Longs Drug® retail stores and online through CVS.com®. As of June 30, 2011, the Retail Pharmacy segment included 7,266 retail drugstores, of which 7,210 operated a pharmacy, the online retail website, CVS.com, 32 retail apothecary pharmacies and 598 retail health care clinics. The retail drugstores are located in 41 states, Puerto Rico and the District of Columbia operating primarily under the CVS/pharmacy or Longs Drug names. The retail health care clinics operate under the MinuteClinic® name, of which 588 are located within CVS/pharmacy stores. MinuteClinics utilize nationally recognized medical protocols to diagnose and treat minor health conditions, perform health screenings, monitor chronic conditions and deliver vaccinations. The clinics are staffed by board-certified nurse practitioners and physician assistants who provide access to affordable care without appointment.

 

The Corporate segment provides management and administrative services to support the Company. The Corporate segment consists of certain aspects of our executive management, corporate relations, legal, compliance, human resources, corporate information technology and finance departments.

 

In millions

 

Pharmacy
Services
Segment
(1)

 

Retail
Pharmacy
Segment

 

Corporate
Segment

 

 

Intersegment
Eliminations
(2)

 

 

Consolidated
Totals

 

Three Months Ended

 

 

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

14,589

 

$

14,826

 

$

¾

 

 

$

(2,786

)

 

$

26,629

 

Gross profit

 

729

 

4,408

 

¾

 

 

(42

)

 

5,095

 

Operating profit (loss)

 

454

 

1,240

 

(162

)

 

(42

)

 

1,490

 

  June 30, 2010:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

11,840

 

$

14,311

 

$

¾

 

 

$

(2,144

)

 

$

24,007

 

Gross profit

 

821

 

4,229

 

¾

 

 

(30

)

 

5,020

 

Operating profit (loss)

 

591

 

1,096

 

(156

)

 

(30

)

 

1,501

 

Six Months Ended

 

 

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

28,603

 

$

29,413

 

$

¾

 

 

$

(5,507

)

 

$

52,509

 

Gross profit

 

1,368

 

8,555

 

¾

 

 

(77

)

 

9,846

 

Operating profit (loss)

 

851

 

2,336

 

(309

)

 

(77

)

 

2,801

 

  June 30, 2010:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

23,677

 

$

28,289

 

$

¾

 

 

$

(4,199

)

 

$

47,767

 

Gross profit

 

1,603

 

8,216

 

¾

 

 

(53

)

 

9,766

 

Operating profit (loss)

 

1,130

 

2,125

 

(291

)

 

(53

)

 

2,911

 

Total assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011

 

$

35,089

 

$

29,049

 

$

1,924

 

 

$

(575

)

 

$

65,487

 

  December 31, 2010

 

32,254

 

28,927

 

1,439

 

 

(451

)

 

62,169

 

Goodwill:

 

 

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011(3)

 

$

19,896

 

$

6,801

 

$

¾

 

 

$

¾

 

 

$

26,697

 

  December 31, 2010

 

18,868

 

6,801

 

¾

 

 

¾

 

 

25,669

 

 

(1)          Net revenues of the Pharmacy Services segment include approximately $1.9 billion and $1.6 billion of retail co-payments for the three months ended June 30, 2011 and 2010, respectively, as well as $4.1 billion and $3.4 billion of retail co-payments for the six months ended June 30, 2011 and 2010, respectively.

(2)          Intersegment eliminations relate to two types of transactions: (i) Intersegment revenues that occur when Pharmacy Services segment customers use Retail Pharmacy segment stores to purchase covered products. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue on a standalone basis, and (ii) Intersegment revenues, gross profit and operating profit that occur when Pharmacy Services segment customers, through the Company’s intersegment activities (such as the Maintenance Choice program), elect to pick-up their maintenance prescriptions at Retail Pharmacy segment stores instead of receiving them through the mail. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue, gross profit and operating profit on a standalone basis. As a result, both the Pharmacy Services and the Retail Pharmacy segments include the following results associated with this activity: net revenues of $626 million and $430 million for the three months ended June 30, 2011 and 2010, respectively, and $1.2 billion and $770 million for the six months ended June 30, 2011 and 2010, respectively; gross profit and operating profit of $42 million and $30 million for the three months ended June 30, 2011 and 2010, respectively, and $77 million and $53 million for the six months ended June 30, 2011 and 2010, respectively.

(3)          The increase in the Pharmacy Services segment goodwill from December 31, 2010 to June 30, 2011 relates to the acquisition of the UAM Medicare Part D Business.

 

8



 

Note 5 – Long-Term Debt

 

On May 12, 2011, the Company issued $550 million of 4.125% unsecured senior notes due May 15, 2021 and issued $950 million of 5.75% unsecured senior notes due May 15, 2041 (collectively, the “2011 Notes”). The 2011 Notes pay interest semi-annually and may be redeemed, in whole at any time, or in part from time to time, at the Company’s option at a defined redemption price plus accrued and unpaid interest to the redemption date. The net proceeds of the 2011 Notes will be used to repay commercial paper borrowings and certain other corporate debt, and used for general corporate purposes.

 

Note 6 – Share Repurchase Program

 

On June 14, 2010, the Company’s Board of Directors authorized a new share repurchase program for up to $2.0 billion of outstanding common stock (the “2010 Repurchase Program”). The share repurchase authorization, which was effective immediately and expires at the end of 2011, permits the Company to effect repurchases from time to time through a combination of open market repurchases, privately negotiated transactions, accelerated share repurchase transactions, and/or other derivative transactions. The 2010 Repurchase Program may be modified, extended or terminated by the Board of Directors at any time. During the three and six months ended June 30, 2011, the Company repurchased an aggregate of 13.3 million and 27.5 million shares of common stock for approximately $504 million and $971 million, respectively, pursuant to the 2010 Repurchase Program. During 2010, the Company did not make any share repurchases under the 2010 Repurchase Program.

 

Note 7 – Stock-Based Compensation

 

Compensation expense related to stock options, which includes the 2007 Employee Stock Purchase Plan for the three and six months ended June 30, 2011 totaled $24 million and $55 million, respectively, compared to $34 million and $65 million for the three and six months ended June 30, 2010, respectively. Compensation expense related to restricted stock awards for the three and six months ended June 30, 2011 totaled $5 million and $10 million, respectively, compared to $6 million and $11 million for the three and six months ended June 30, 2010, respectively. During the three months ended June 30, 2011, the Company granted 12 million stock options with a weighted average fair value of $9.32 and a weighted average exercise price of $34.97. The Company had 66 million stock options outstanding as of June 30, 2011 with a weighted average exercise price of $32.53 and a weighted average contractual term of 4.3 years.

 

Note 8 – Interest Expense

 

The following are the components of net interest expense:

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

In millions

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

$       149

 

$       136

 

$       284

 

$       265

 

Interest income

 

(1)

 

(1)

 

(2)

 

(2)

 

Interest expense, net

 

$       148

 

$       135

 

$       282

 

$       263

 

 

Note 9 – Comprehensive Income

 

The following are the components of comprehensive income:

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

In millions

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$       815

 

 

$       821

 

 

$       1,527

 

 

$       1,591

 

Net cash flow hedges, net of tax

 

(10

)

 

(3

)

 

(10

)

 

(2

)

Pension adjustment, net of tax

 

 

 

 

 

 

 

4

 

Comprehensive income

 

805

 

 

818

 

 

1,517

 

 

1,593

 

Comprehensive loss attributable to noncontrolling interest

 

1

 

 

 

 

2

 

 

1

 

Comprehensive income attributable to CVS Caremark

 

$       806

 

 

$       818

 

 

$       1,519

 

 

$       1,594

 

 

9



 

Note 10 – Earnings Per Share

 

Basic earnings per common share attributable to CVS Caremark is computed by dividing: (i) net income attributable to CVS Caremark by (ii) the weighted average number of common shares outstanding in the period (the “Basic Shares”).

 

Diluted earnings per common share attributable to CVS Caremark is computed by dividing: (i) net income attributable to CVS Caremark by (ii) Basic Shares plus the additional shares that would be issued assuming that all dilutive stock awards are exercised. Options to purchase approximately 34.6 million and 29.2 million shares of common stock were outstanding, but were not included in the calculation of diluted earnings per share for the three and six months ended June 30, 2011, respectively, because the options’ exercise prices were greater than the average market price of the common shares and, therefore, the effect would be antidilutive. For the same reason, options to purchase approximately 36.9 million and 46.7 million shares of common stock were outstanding, but were not included in the calculation of diluted earnings per share for the three and six months ended June 30, 2010, respectively.

 

The following is a reconciliation of basic and diluted earnings per common share for the respective periods:

 

 

 

Three Months Ended

 

Six Months Ended

 

 

June 30,

 

June 30,

In millions, except per share amounts

 

2011

 

2010

 

 

2011

 

2010

 

Numerators for earnings per common share calculations:

 

 

 

 

 

 

 

 

 

 

Income from continuing operations

 

$

816

 

$

822

 

 

$

1,529

 

$

1,594

 

Net loss attributable to noncontrolling interest

 

1

 

 

 

2

 

1

 

Income from continuing operations attributable to CVS Caremark

 

817

 

822

 

 

1,531

 

1,595

 

Loss from discontinued operations, net of tax

 

(1)

 

(1

)

 

(2)

 

(3)

 

Net income attributable to CVS Caremark, basic and diluted

 

$

816

 

$

821

 

 

$

1,529

 

$

1,592

 

 

 

 

 

 

 

 

 

 

 

 

Denominators for earnings per common share calculations:

 

 

 

 

 

 

 

 

 

 

Weighted average common shares, basic

 

1,355

 

1,359

 

 

1,359

 

1,372

 

Effect of dilutive securities:

 

 

 

 

 

 

 

 

 

 

Stock options

 

7

 

8

 

 

8

 

7

 

Restricted stock units

 

2

 

2

 

 

1

 

2

 

Weighted average common shares, diluted

 

1,364

 

1,369

 

 

1,368

 

1,381

 

Basic earnings per common share:

 

 

 

 

 

 

 

 

 

 

Income from continuing operations attributable to CVS Caremark

 

$

0.60

 

$

0.61

 

 

$

1.13

 

$

1.16

 

Loss from discontinued operations attributable to CVS Caremark

 

 

 

 

 

 

Net income attributable to CVS Caremark

 

$

0.60

 

$

0.61

 

 

$

1.13

 

$

1.16

 

Diluted earnings per common share:

 

 

 

 

 

 

 

 

 

 

Income from continuing operations attributable to CVS Caremark

 

$

0.60

 

$

0.60

 

 

$

1.12

 

$

1.15

 

Loss from discontinued operations attributable to CVS Caremark

 

¾

 

¾

 

 

¾

 

¾

 

Net income attributable to CVS Caremark

 

$

0.60

 

$

0.60

 

 

$

1.12

 

$

1.15

 

 

Note 11 – Commitments and Contingencies

 

Lease Guarantees

 

Between 1991 and 1997, the Company sold or spun off a number of subsidiaries, including Bob’s Stores, Linens ‘n Things, Marshalls, Kay-Bee Toys, Wilsons, This End Up and Footstar. In many cases, when a former subsidiary leased a store, the Company provided a guarantee of the store’s lease obligations. When the subsidiaries were disposed of, the Company’s guarantees remained in place, although each initial purchaser has indemnified the Company for any lease obligations the Company was required to satisfy. If any of the purchasers or any of the former subsidiaries were to become insolvent and failed to make the required payments under a store lease, the Company could be required to satisfy these obligations. As of June 30, 2011, the Company guaranteed approximately 84 such store leases (excluding the lease guarantees related to Linens ‘n Things, which are discussed in Note 3 previously in this document), with the maximum remaining lease term extending through 2021. Management believes the ultimate disposition of any of the remaining guarantees will not have a material adverse effect on the Company’s consolidated financial condition, results of operations or future cash flows.

 

10



 

Legal Matters

 

The Company cannot predict with certainty the timing or outcome of the legal matters described below, but we do not believe that any of these matters will have a material adverse effect on the Company’s business, operating results or financial condition. However, the Company can give no assurances that our business, operating results or financial condition will not be materially adversely affected, or that we will not be required to materially change our business practices, based on (i) adverse developments or outcomes in any of the  matters described below, (ii) enactment of new health care or other laws or regulations; (iii) interpretation or application of existing laws or regulations, as they may relate to our business or to the pharmacy services or retail pharmacy industry; (iv) pending or future federal or state governmental investigations or enforcement actions related to our business or to the pharmacy services or retail pharmacy industry; or (v) adverse developments or outcomes in other pending or future legal proceedings, including sealed and unsealed qui tam actions, affecting us or affecting the pharmacy services or retail pharmacy industry.

 

We believe that our business practices comply in all material respects with applicable laws and regulations, and we are vigorously defending the actions described below.

 

Caremark (the term “Caremark” being used herein to generally refer to any one or more of the PBM subsidiaries of the Company, as applicable) is a defendant in a qui tam lawsuit initially filed by a relator on behalf of various state and federal government agencies in Texas federal court in 1999. The case was unsealed in May 2005. The case seeks monetary damages and alleges that Caremark’s processing of Medicaid and certain other government claims on behalf of its clients (which allegedly resulted in underpayments from our clients to the applicable government agencies) on one of Caremark’s adjudication platforms violates applicable federal or state false claims acts and fraud statutes. The United States and the States of Texas, Tennessee, Florida, Arkansas, Louisiana and California intervened in the lawsuit, but Tennessee and Florida withdrew from the lawsuit in August 2006 and May 2007, respectively. In April 2009, the State of Texas filed a purported civil enforcement action against Caremark for injunctive relief, damages and civil penalties in Travis County, Texas alleging that Caremark violated the Texas Medicaid Fraud Prevention Act and other state laws based on our processing of Texas Medicaid claims on behalf of PBM clients. The claims and issues raised in this lawsuit are related to the claims and issues pending in the federal qui tam lawsuit described above.

 

In December 2007, the Company received a document subpoena from the Office of Inspector General, United States Department of Health and Human Services (“OIG”), requesting information relating to the processing of Medicaid and other government agency claims on a different adjudication platform of Caremark. In October 2009 and October 2010, the Company received civil investigative demands from the Office of the Attorney General of the State of Texas requesting, respectively, information produced under this OIG subpoena, and other information related to the processing of Medicaid claims. The civil investigative demands state that the Office of the Attorney General of the State of Texas is investigating allegations currently pending under seal relating to two of Caremark’s adjudication platforms. The Company has been producing documents on a rolling basis in response to the requests for information contained in the OIG subpoena and in these civil investigative demands. The Company cannot predict with certainty the timing or outcome of any review of such information.

 

Caremark was named in a putative class action lawsuit filed in October 2003 in Alabama state court by John Lauriello, purportedly on behalf of participants in the 1999 settlement of various securities class action and derivative lawsuits against Caremark and others. Other defendants include insurance companies that provided coverage to Caremark with respect to the settled lawsuits. The Lauriello lawsuit seeks approximately $3.2 billion in compensatory damages plus other non-specified damages based on allegations that the amount of insurance coverage available for the settled lawsuits was misrepresented and suppressed. A similar lawsuit was filed in November 2003 by Frank McArthur, also in Alabama state court, naming as defendants Caremark, several insurance companies, attorneys and law firms involved in the 1999 settlement. This lawsuit was stayed as a later-filed class action, but McArthur was subsequently allowed to intervene in the Lauriello action. The attorneys and law firms named as defendants in McArthur’s intervention pleadings have been dismissed from the case, and discovery on class certification and adequacy issues is underway.

 

Various lawsuits have been filed alleging that Caremark has violated applicable antitrust laws in establishing and maintaining retail pharmacy networks for client health plans. In August 2003, Bellevue Drug Co., Robert Schreiber, Inc. d/b/a Burns Pharmacy and Rehn-Huerbinger Drug Co. d/b/a Parkway Drugs #4, together with Pharmacy Freedom Fund and the National Community Pharmacists Association filed a putative class action against Caremark in Pennsylvania federal court, seeking treble damages and injunctive relief. In October 2003, two independent pharmacies, North Jackson Pharmacy, Inc. and C&C, Inc. d/b/a Big C Discount Drugs, Inc. filed a putative class action complaint in Alabama federal court against Caremark and two PBM competitors, seeking treble damages and injunctive relief. The North Jackson Pharmacy case was transferred to Illinois federal court, and the Bellevue case

 

11



 

was sent to arbitration based on contract terms between the pharmacies and Caremark. The Bellevue arbitration was then stayed by the parties pending developments in the North Jackson Pharmacy court case.

 

In August 2006, the Bellevue case and the North Jackson Pharmacy case were both transferred to Pennsylvania federal court by the Judicial Panel on Multidistrict Litigation for coordinated and consolidated proceedings with other cases before the panel, including cases against other PBMs. Caremark appealed the decision which vacated the order compelling arbitration and staying the proceedings in the Bellevue case and, following the appeal, the Court of Appeals reinstated the order compelling arbitration of the Bellevue case. Motions for class certification in the coordinated cases within the multidistrict litigation, including the North Jackson Pharmacy case, remain pending. The consolidated action is now known as the In Re Pharmacy Benefit Managers Antitrust Litigation.

 

In August 2009, the Company was notified by the Federal Trade Commission (the “FTC”) that it is conducting a non-public investigation under the Federal Trade Commission Act into certain of the Company’s business practices. In March 2010, the Company learned that various State Attorneys General offices and certain other government agencies are conducting a multi-state investigation of the Company regarding issues similar to those being investigated by the FTC. At this time, 24 states, the District of Columbia, and the County of Los Angeles are known to be participating in this multi-state investigation. The Company has been cooperating in these investigations, and has provided documents and other information as requested. The Company is not able to predict with certainty the timing or outcome of these investigations. However, it remains confident that its business practices and service offerings (which are designed to reduce health care costs and expand consumer choice) are being conducted in compliance with the antitrust laws.

 

In March 2009, the Company received a subpoena from the OIG requesting information concerning the Medicare Part D prescription drug plans of RxAmerica, the PBM subsidiary of Longs Drug Stores Corporation which was acquired by the Company in October 2008. The Company continues to respond to this request for information and has been producing responsive documents on a rolling basis. The Company cannot predict with certainty the timing or outcome of any review by the government of such information.

 

Since March 2009, the Company has been named in a series of putative collective and class action lawsuits filed in federal courts around the country, purportedly on behalf of current and former assistant store managers working in the Company’s stores at various locations outside California. The lawsuits allege that the Company failed to pay overtime to assistant store managers as required under the Fair Labor Standards Act (“FLSA”) and under certain state statutes. The lawsuits also seek other relief, including liquidated damages, punitive damages, attorneys’ fees, costs and injunctive relief arising out of the state and federal claims for overtime pay. Notice was issued to over 13,000 current and former assistant store managers offering them the opportunity to “opt in” to certain of the FLSA collective actions and about 2,000 have elected to participate in these lawsuits. The Company has aggressively challenged both the merits of the lawsuits and the allegation that the cases should be certified as class or collective actions. In light of the cost and uncertainty involved in this litigation, however, the Company has negotiated an agreement with plaintiffs’ counsel on the key terms of a global settlement. Any final resolution of these matters will be subject to approval by a court, and as yet the parties have not finalized a settlement agreement or submitted any agreement for court approval. The Company has established legal reserves related to these matters at June 30, 2011 to cover the estimated settlement payments.

 

In March 2010, the Company received a subpoena from the OIG requesting information about programs under which the Company has offered customers remuneration conditioned upon the transfer of prescriptions for drugs or medications to our pharmacies in the form of gift cards, cash, non-prescription merchandise or discounts or coupons for non-prescription merchandise. The subpoena relates to an investigation of possible false or otherwise improper claims for payment under the Medicare and Medicaid programs. The Company continues to respond to this request for information and has been producing responsive documents on a rolling basis. We cannot predict with certainty the timing or outcome of any reviews by the government of such information.

 

In November 2009, a securities class action lawsuit was filed in the United States District Court for the District of Rhode Island purportedly on behalf of purchasers of CVS Caremark Corporation stock between May 5, 2009 and November 4, 2009. The lawsuit names the Company and certain officers as defendants and includes allegations of securities fraud relating to public disclosures made by the Company concerning the PBM business and allegations of insider trading. In addition, a shareholder derivative lawsuit was filed in December 2009 in the same court against the directors and certain officers of the Company. A derivative lawsuit is a lawsuit filed by a shareholder purporting to assert claims on behalf of a corporation against directors and officers of the corporation. This lawsuit includes allegations of, among other things, securities fraud, insider trading and breach of fiduciary duties and further alleges that the Company was damaged by the purchase of stock at allegedly inflated prices under its share repurchase program. In January 2011, both lawsuits were transferred to the United States District Court for the District of New Hampshire. The Company

 

12



 

believes these lawsuits are without merit, and the Company plans to defend them vigorously. The Company received a subpoena dated February 28, 2011 from the Securities and Exchange Commission (SEC) requesting, among other corporate records, information relating to public disclosures made by the Company in 2009 concerning its PBM and Medicare Part D businesses and information concerning ownership and transactions in the Company’s securities by certain officers of the Company. The Company is cooperating with these requests for information and has been providing documents and other information to the SEC as requested.

 

In addition to the legal matters described above, the Company is also a party to other legal proceedings and inquiries arising in the normal course of its business, none of which is expected to be material to the Company.

 

13



 

 

Part I

Item 1

Report of Independent Registered Public Accounting Firm

 

The Board of Directors and Shareholders

CVS Caremark Corporation:

 

We have reviewed the condensed consolidated balance sheet of CVS Caremark Corporation (the Company) as of June 30, 2011, and the related condensed consolidated statements of income for the three-month and six-month periods ended June 30, 2011 and 2010, and the condensed consolidated statements of cash flows for the six-month periods ended June 30, 2011 and 2010. These financial statements are the responsibility of the Company’s management.

 

We conducted our review in accordance with the standards of the Public Company Accounting Oversight Board (United States). A review of interim financial information consists principally of applying analytical procedures and making inquiries of persons responsible for financial and accounting matters. It is substantially less in scope than an audit conducted in accordance with the standards of the Public Company Accounting Oversight Board, the objective of which is the expression of an opinion regarding the financial statements taken as a whole. Accordingly, we do not express such an opinion.

 

Based on our review, we are not aware of any material modifications that should be made to the condensed consolidated financial statements referred to above for them to be in conformity with U.S. generally accepted accounting principles.

 

We have previously audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States), the consolidated balance sheet of CVS Caremark Corporation as of December 31, 2010, and the related consolidated statements of income, shareholders’ equity, and cash flows for the year then ended not presented herein, and in our report dated February 18, 2011, we expressed an unqualified opinion on those consolidated financial statements. In our opinion, the information set forth in the accompanying condensed consolidated balance sheet as of December 31, 2010, is fairly stated, in all material respects, in relation to the consolidated balance sheet from which it has been derived.

 

/s/ Ernst & Young LLP

 

August 4, 2011

Boston, Massachusetts

 

14



 

Part I

Item 2

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

 

Overview of Our Business

 

CVS Caremark Corporation (“CVS Caremark”, the “Company”, “we” or “us”), together with its subsidiaries, is the largest pharmacy health care provider in the United States. As a fully integrated pharmacy services company, we believe we can drive value for our customers by effectively managing pharmaceutical costs and improving health care outcomes through our pharmacy benefit management (“PBM”), mail order and specialty pharmacy division, CVS Caremark Pharmacy Services® (“Caremark”); our approximately 7,300 CVS/pharmacy® retail stores; our retail-based health clinic subsidiary, MinuteClinic®; and our online pharmacy, CVS.com®.

 

We currently have three reportable segments: Pharmacy Services, Retail Pharmacy and Corporate.

 

Pharmacy Services Segment

 

Our Pharmacy Services segment provides a full range of PBM services including mail order pharmacy services, specialty pharmacy services, plan design and administration, formulary management and claims processing. Our clients are primarily employers, insurance companies, unions, government employee groups, managed care organizations and other sponsors of health benefit plans and individuals throughout the United States. As a pharmacy benefits manager, we manage the dispensing of pharmaceuticals through our mail order pharmacies and national network of approximately 65,000 retail pharmacies (which include our CVS/pharmacy stores) to eligible members in the benefit plans maintained by our clients and utilize our information systems to perform, among other things, safety checks, drug interaction screenings and brand to generic substitutions.

 

Our specialty pharmacies support individuals that require complex and expensive drug therapies. Our specialty pharmacy business includes mail order and retail specialty pharmacies that operate under the CVS Caremark® and CarePlus CVS/pharmacy® names. We also provide health management programs, which include integrated disease management for 28 conditions, through our strategic alliance with Alere, L.L.C. and our Accordant® health management offering. In addition, through our SilverScript Insurance Company, Accendo Insurance Company, and Pennsylvania Life Insurance Company subsidiaries, we are a national provider of drug benefits to eligible beneficiaries under the Federal Government’s Medicare Part D program. The Pharmacy Services business operates under the CVS Caremark Pharmacy Services®, Caremark®, CVS Caremark™, CarePlus CVS/pharmacy™, RxAmerica®, Accordant® and TheraCom® names. As of June 30, 2011, the Pharmacy Services segment operated 31 retail specialty pharmacy stores, 13 specialty mail order pharmacies and four mail service pharmacies located in 23 states, Puerto Rico and the District of Columbia.

 

On April 29, 2011, we acquired the Medicare prescription drug business of Universal American Corp. (the “UAM Medicare Part D Business”) for approximately $1.3 billion. The UAM Medicare Part D Business offers prescription drug plan benefits to Medicare beneficiaries throughout the United States through its Community CCRxsm prescription drug plan. Subsequent to this acquisition, we now provide Medicare benefits to over 3 million beneficiaries.

 

Retail Pharmacy Segment

 

Our Retail Pharmacy segment sells prescription drugs and a wide assortment of general merchandise, including over-the-counter drugs, beauty products and cosmetics, photo finishing, seasonal merchandise, greeting cards and convenience foods through our CVS/pharmacy® and Longs Drugs® retail stores, our CarePlus™ and CarePlus CVS/pharmacy™ onsite stores and apothecaries, and online through CVS.com. Our Retail Pharmacy segment derives the majority of its revenues through the sale of prescription drugs, which are dispensed by our more than 20,000 retail pharmacists. Our Retail Pharmacy segment also provides health care services through our MinuteClinic health care clinics. MinuteClinics are staffed by nurse practitioners and physician assistants who utilize nationally recognized protocols to diagnose and treat minor health conditions, perform health screenings, monitor chronic conditions, and deliver vaccinations. As of June 30, 2011, our Retail Pharmacy segment included 7,266 retail drugstores (of which 7,210 operated a pharmacy) located in 41 states, the District of Columbia, and Puerto Rico operating primarily under the CVS/pharmacy or Longs Drugs names, our online retail website, CVS.com, 32 retail apothecary pharmacy stores and 598 retail health care clinics operating under the MinuteClinic name (of which 588 were located in CVS/pharmacy stores).

 

15



 

Corporate Segment

 

The Corporate segment provides management and administrative services to support the Company. The Corporate segment consists of certain aspects of our executive management, corporate relations, legal, compliance, human resources, corporate information technology and finance departments.

 

Results of Operations

 

The following discussion explains the material changes in our results of operations for the three and six months ended June 30, 2011 and 2010, and the significant developments affecting our financial condition since December 31, 2010. We strongly recommend that you read our audited consolidated financial statements and footnotes and Management’s Discussion and Analysis of Financial Condition and Results of Operations included as Exhibit 13 to our Annual Report on Form 10-K for the year ended December 31, 2010 (the “2010 Form 10-K”) along with this report.

 

Summary of the Condensed Consolidated Financial Results:

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

In millions

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

26,629

 

$

24,007

 

$

52,509

 

$

47,767

 

Cost of revenues

 

21,534

 

18,987

 

42,663

 

38,001

 

Gross profit

 

5,095

 

5,020

 

9,846

 

9,766

 

Operating expenses

 

3,605

 

3,519

 

7,045

 

6,855

 

Operating profit

 

1,490

 

1,501

 

2,801

 

2,911

 

Interest expense, net

 

148

 

135

 

282

 

263

 

Income before income tax provision

 

1,342

 

1,366

 

2,519

 

2,648

 

Income tax provision

 

526

 

544

 

990

 

1,054

 

Income from continuing operations

 

816

 

822

 

1,529

 

1,594

 

Loss from discontinued operations, net of tax

 

(1)

 

(1)

 

(2)

 

(3)

 

Net income

 

815

 

821

 

1,527

 

1,591

 

Net loss attributable to noncontrolling interest

 

1

 

 

2

 

1

 

Net income attributable to CVS Caremark

 

$

816

 

$

821

 

$

1,529

 

$

1,592

 

 

Net Revenues

 

Net revenues increased $2.6 billion, or 10.9% and $4.7 billion, or 9.9% in the three and six months ended June 30, 2011, respectively, as compared to the prior year periods. Net revenues were positively impacted by revenue associated with our previously announced long-term contract to provide PBM services to a large health insurance carrier, which became effective January 1, 2011, activity resulting from our acquisition of the UAM Medicare Part D Business, as well as the positive same store and new store sales in our Retail Pharmacy segment.

 

Please see the section entitled “Segment Analysis” below for additional information regarding net revenues.

 

Gross Profit

 

Gross profit dollars increased $75 million, or 1.5% and $80 million, or 0.8% in the three and six months ended June 30, 2011, respectively, as compared to the prior year periods. Gross profit as a percentage of net revenues decreased 180 basis points to 19.1% and 170 basis points to 18.8% in the three and six months ended June 30, 2011, respectively, as compared to the prior year periods. Gross profit as a percentage of net revenues decreased due to a decline in gross profit margins in the Pharmacy Services segment.

 

Please see the section entitled “Segment Analysis” below for additional information regarding gross profit.

 

16



 

Operating Expenses

 

Operating expenses increased $86 million, or 2.4% and $190 million, or 2.8% in the three and six months ended June 30, 2011, as compared to the prior year periods. Operating expenses as a percent of net revenues improved 110 basis points to 13.5% and 90 basis points to 13.4% in the three and six months ended June 30, 2011 as compared to 14.7% and 14.4% in the prior year periods, respectively. The increase in operating expenses in the three and six months ended June 30, 2011 was primarily due to incremental store operating costs associated with a higher store count as compared to the prior year period, as well as costs associated with changes designed to streamline our Pharmacy Services segment, and expenses associated with the acquisition and integration of the UAM Medicare Part D Business.

 

Please see the section entitled “Segment Analysis” below for additional information regarding operating expenses.

 

Interest Expense, net

 

Interest expense, net increased $13 million and $19 million in the three and six months ended June 30, 2011, respectively, as compared to the prior year periods. This increase resulted from a higher average interest rate during the periods as the Company shifted from short-term debt to long-term debt.

 

For additional information on our financing activities, please see the “Liquidity and Capital Resources” section later in Management’s Discussion and Analysis of Financial Condition and Results of Operations.

 

Income Tax Provision

 

Our effective income tax rate was 39.2% and 39.3% for the three and six months ended June 30, 2011, respectively, compared to 39.8% for both the three and six months ended June 30, 2010. The fluctuation in the effective income tax rate is primarily related to changes in state tax expense.

 

Loss from Discontinued Operations

 

Loss from discontinued operations for the three months ended June 30, 2011 and 2010 consisted of $1 million ($2 million, net of a $1 million income tax benefit) of lease-related costs.

 

Loss from discontinued operations for the six months ended June 30, 2011 consisted of $2 million ($3 million, net of a $1 million income tax benefit) of lease-related costs, compared to $3 million ($5 million, net of a $2 million income tax benefit) of lease-related costs in the prior year period. The decrease in the loss from discontinued operations is primarily related to ongoing adjustments to sub-lease assumptions as a result of changes in the economy and the commercial real estate market.

 

See Notes 3 and 11 to the condensed consolidated financial statements for additional information about our lease guarantees.

 

Net Loss Attributable to Noncontrolling Interest

 

Net loss attributable to noncontrolling interest represents the minority shareholders’ portion of the net loss from our majority owned subsidiary, Generation Health, Inc. The net loss attributable to noncontrolling interest for the three and six months ended June 30, 2011 was approximately $1 million and $2 million, respectively, as compared to the three and six months ended June 30, 2010 of approximately $1 million.

 

17



 

Segment Analysis

 

We evaluate the performance of our Pharmacy Services and Retail Pharmacy segments based on net revenue, gross profit and operating profit before the effect of nonrecurring charges and gains and certain intersegment activities. We evaluate the performance of our Corporate segment based on operating expenses before the effect of nonrecurring charges and gains and certain intersegment activities. The following is a reconciliation of our segments to the condensed consolidated financial statements:

 

In millions

 

Pharmacy
Services
Segment
(1)

 

Retail
Pharmacy
Segment

 

Corporate
Segment

 

Intersegment
Eliminations
(2)

 

Consolidated
Totals

 

Three Months Ended

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011:

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

14,589

 

$

14,826

 

$

¾

 

$

(2,786)

 

$

26,629

 

Gross profit

 

729

 

4,408

 

¾

 

(42)

 

5,095

 

Operating profit (loss)

 

454

 

1,240

 

(162)

 

(42)

 

1,490

 

  June 30, 2010:

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

11,840

 

$

14,311

 

$

¾

 

$

(2,144)

 

$

24,007

 

Gross profit

 

821

 

4,229

 

¾

 

(30)

 

5,020

 

Operating profit (loss)

 

591

 

1,096

 

(156)

 

(30)

 

1,501

 

Six Months Ended

 

 

 

 

 

 

 

 

 

 

 

  June 30, 2011:

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

28,603

 

$

29,413

 

$

¾

 

$

(5,507)

 

$

52,509

 

Gross profit

 

1,368

 

8,555

 

¾

 

(77)

 

9,846

 

Operating profit (loss)

 

851

 

2,336

 

(309)

 

(77)

 

2,801

 

  June 30, 2010:

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$

23,677

 

$

28,289

 

$

¾

 

$

(4,199)

 

$

47,767

 

Gross profit

 

1,603

 

8,216

 

¾

 

(53)

 

9,766

 

Operating profit (loss)

 

1,130

 

2,125

 

(291)

 

(53)

 

2,911

 

 

(1)          Net revenues of the Pharmacy Services segment include approximately $1.9 billion and $1.6 billion of retail co-payments for the three months ended June 30, 2011 and 2010, respectively, as well as $4.1 billion and $3.4 billion of retail co-payments for the six months ended June 30, 2011 and 2010, respectively.

(2)          Intersegment eliminations relate to two types of transactions: (i) Intersegment revenues that occur when Pharmacy Services segment customers use Retail Pharmacy segment stores to purchase covered products. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue on a standalone basis, and (ii) Intersegment revenues, gross profit and operating profit that occur when Pharmacy Services segment customers, through the Company’s intersegment activities (such as the Maintenance Choice program), elect to pick-up their maintenance prescriptions at Retail Pharmacy segment stores instead of receiving them through the mail. When this occurs, both the Pharmacy Services and Retail Pharmacy segments record the revenue, gross profit and operating profit on a standalone basis. As a result, both the Pharmacy Services and the Retail Pharmacy segments include the following results associated with this activity: net revenues of $626 million and $430 million for the three months ended June 30, 2011 and 2010, respectively, and $1.2 billion and $770 million for the six months ended June 30, 2011 and 2010, respectively; gross profit and operating profit of $42 million and $30 million for the three months ended June 30, 2011 and 2010, respectively, and $77 million and $53 million for the six months ended June 30, 2011 and 2010, respectively.

 

18



 

Pharmacy Services Segment

 

The following table summarizes our Pharmacy Services segment’s performance for the respective periods:

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

In millions

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$ 14,589

 

 

$ 11,840

 

 

$ 28,603

 

 

$   23,677

 

 

Gross profit

 

729

 

 

821

 

 

1,368

 

 

1,603

 

 

Gross profit % of net revenues

 

5.0

%

 

6.9

%

 

4.8

%

 

6.8

%

 

Operating expenses

 

275

 

 

230

 

 

517

 

 

473

 

 

Operating expense % of net revenues

 

1.9

%

 

1.9

%

 

1.8

%

 

2.0

%

 

Operating profit

 

454

 

 

591

 

 

851

 

 

1,130

 

 

Operating profit % of net revenues

 

3.1

%

 

5.0

%

 

3.0

%

 

4.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues(1):

 

 

 

 

 

 

 

 

 

 

 

 

 

Mail choice(2)

 

$ 4,753

 

 

$   4,111

 

 

$ 9,288

 

 

$     8,189

 

 

Pharmacy network(3)

 

9,737

 

 

7,630

 

 

19,114

 

 

15,300

 

 

Other

 

99

 

 

99

 

 

201

 

 

188

 

 

Pharmacy claims processed(1):

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

191.8

 

 

144.3

 

 

367.0

 

 

291.7

 

 

Mail choice(2)

 

17.8

 

 

16.0

 

 

35.3

 

 

31.5

 

 

Pharmacy network(3)

 

174.0

 

 

128.3

 

 

331.7

 

 

260.2

 

 

Generic dispensing rate(1):

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

74.1

%

 

71.0

%

 

73.9

%

 

70.7

%

 

Mail choice(2)

 

64.6

%

 

61.0

%

 

64.2

%

 

59.9

%

 

Pharmacy network(3)

 

75.0

%

 

72.2

%

 

74.9

%

 

71.9

%

 

Mail choice penetration rate

 

22.6

%

 

25.9

%

 

23.3

%

 

25.4

%

 

 

(1)          Pharmacy network net revenues, claims processed and generic dispensing rates do not include Maintenance Choice, which are included within the mail choice category.

(2)          Mail choice is defined as claims filled at a Pharmacy Services’ mail facility, which includes specialty mail claims, as well as 90-day claims filled at retail under the Maintenance Choice program.

(3)          Pharmacy network is defined as claims filled at retail pharmacies, including our retail drugstores, but excluding Maintenance Choice activity.

 

 

Net Revenues

 

Net revenues increased $2.7 billion, or 23.2%, to $14.6 billion in the three months ended June 30, 2011, as compared to the prior year period. The increase in net revenues was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier, which became effective on January 1, 2011, as well as new activity resulting from our acquisition of the UAM Medicare Part D Business.

 

·                  Our mail choice claims processed increased 11.3% to 17.8 million claims in the three months ended June 30, 2011, compared to 16.0 million claims in the prior year period. The increase in mail choice claim volume was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier, which became effective on January 1, 2011.

 

·                  Our average revenue per mail choice claim increased by 3.6%, compared to the prior year period. This increase was primarily due to drug cost inflation, partially offset by increases in the percentage of generic prescription drugs dispensed and changes in client pricing.

 

·                  Our mail choice generic dispensing rate increased to 64.6% in the three months ended June 30, 2011, compared to 61.0% in the prior year period. This increase was primarily due to new generic prescription drug introductions and our continuous effort to encourage plan members to use generic prescription drugs when they are available.

 

·                  Our pharmacy network claims processed increased 35.6% to 174.0 million claims in the three months ended June 30, 2011, compared to 128.3 million claims in the prior year period. The increase in the pharmacy network

 

19



 

claim volume was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier.  Additionally, we experienced higher claims activity associated with our Medicare Part D program as a result of our acquisition of the UAM Medicare Part D Business completed during the quarter, as well as an increase in covered lives under our legacy Medicare Part D program.

 

·                  Our average revenue per pharmacy network claim processed decreased 5.9%, as compared to the prior year period. This decrease was primarily due to the impact of increases in the percentage of generic prescription drugs dispensed, changes in client pricing, and the impact of our acquisition of the UAM Medicare Part D Business, partially offset by our previously announced long-term contract with a large health insurance carrier which became effective on January 1, 2011

 

·                  Our pharmacy network generic dispensing rate increased to 75.0% in the three months ended June 30, 2011, compared to 72.2% in the prior year period. This increase was primarily due to new generic prescription drug introductions and our continuous effort to encourage plan members to use generic prescription drugs when they are available.

 

Net revenues increased $4.9 billion, or 20.8%, to $28.6 billion in the six months ended June 30, 2011, as compared to the prior year period. The increase in net revenues was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier, which became effective on January 1, 2011, as well as new activity resulting from our acquisition of the UAM Medicare Part D Business.

 

·                  Our mail choice claims processed increased 12.1% to 35.3 million claims in the six months ended June 30, 2011, compared to 31.5 million claims in the prior year period. The increase in mail choice claim volume was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier, which became effective on January 1, 2011.

 

·                  Our average revenue per mail choice claim increased by 1.0%, compared to the prior year period. This increase was primarily due to drug cost inflation, partially offset by increases in the percentage of generic prescription drugs dispensed and changes in client pricing.

 

·                  Our mail choice generic dispensing rate increased to 64.2% in the six months ended June 30, 2011, compared to 59.9% in the prior year period. This increase was primarily due to new generic prescription drug introductions and our continuous effort to encourage plan members to use generic prescription drugs when they are available.

 

·                  Our pharmacy network claims processed increased 27.5% to 331.7 million claims in the six months ended June 30, 2011, compared to 260.2 million claims in the prior year period. The increase in the pharmacy network claim volume was primarily due to the addition of the previously announced long-term contract with a large health insurance carrier. Additionally, we experienced higher claims activity associated with our Medicare Part D program as a result of our acquisition of the UAM Medicare Part D Business completed during the second quarter and increases in covered lives under our legacy Medicare Part D program.

 

·                  Our average revenue per pharmacy network claim processed decreased 2.0%, as compared to the prior year period. This decrease was primarily due to increases in the percentage of generic prescription drugs dispensed and changes in client pricing, partially offset by the positive impact of our previously announced long-term contract with a large health insurance carrier which became effective on January 1, 2011, as well as drug cost inflation.

 

·                 Our pharmacy network generic dispensing rate increased to 74.9% in the six months ended June 30, 2011, compared to 71.9% in the prior year period. This increase was primarily due to new generic prescription drug introductions and our continuous effort to encourage plan members to use generic prescription drugs when they are available.

 

Gross Profit

 

Gross profit in our Pharmacy Services segment includes net revenues less cost of revenues. Cost of revenues includes (i) the cost of pharmaceuticals dispensed, either directly through our mail service and specialty retail pharmacies or indirectly through our national pharmacy network, (ii) shipping and handling costs and (iii) the operating costs of our mail service pharmacies, customer service operations and related information technology support.

 

20



 

Gross profit decreased $92 million, or 11.2%, to $729 million in the three months ended June 30, 2011, as compared to the prior year period. Gross profit as a percentage of net revenues was 5.0% in the three months ended June 30, 2011, compared to 6.9% in the prior year period. Gross profit decreased $235 million, or 14.7%, to $1.4 billion in the six months ended June 30, 2011, as compared to the prior year period. Gross profit as a percentage of net revenues was 4.8% in the six months ended June 30, 2011, compared to 6.8% in the prior year period. The decrease in gross profit dollars was primarily driven by pricing compression relating to contract renewals, and in particular the renewal of a large government client contract that took effect during the third quarter of 2010. The decrease in gross profit as a percentage of net revenues was driven by the aforementioned client pricing compression, as well as the profitability associated with our previously announced long-term contract with a large health insurance carrier which became effective on January 1, 2011. This decrease in gross profit dollars as well as gross profit as a percentage of net revenues was partially offset by the above mentioned increases in our generic dispensing rates in the three and six months ended June 30, 2011, as compared to the prior year periods.

 

As you review our Pharmacy Services segment’s performance in this area, we believe you should consider the following important information that impacted the three and six month periods ended June 30, 2011:

 

·                  Our gross profit dollars and gross profit as a percentage of net revenues continued to be impacted by our efforts to (i) retain existing clients, (ii) obtain new business and (iii) maintain or improve the purchase discounts we received from manufacturers, wholesalers and retail pharmacies. In particular, competitive pressures in the PBM industry has caused us and other PBMs to continue to share a larger portion of rebates and/or discounts received from pharmaceutical manufacturers. In addition, market dynamics and regulatory changes have impacted our ability to offer plan sponsors pricing that includes retail network “differential” or “spread”. We expect these trends to continue.

 

·                  Our gross profit as a percentage of revenues benefited from the increase in our total generic dispensing rate, which increased to 74.1% and 73.9% in the three and six months ended June 30, 2011, respectively, compared to our generic dispensing rate of 71.0% and 70.7% in the prior year periods, respectively. These increases were primarily due to new generic drug introductions and our continued efforts to encourage plan members to use generic drugs when they are available.

 

 

Operating Expenses

 

Operating expenses in our Pharmacy Services segment include selling, general and administrative expenses, depreciation and amortization related to selling, general and administrative activities and specialty pharmacy store and administrative payroll, employee benefits and occupancy costs.

 

Operating expenses increased $45 million to $275 million, or 1.9% as a percentage of net revenues in the three months ended June 30, 2011, compared to $230 million, or 1.9% as a percentage of net revenues in the prior year period. The increase in operating expenses is primarily related to costs associated with changes designed to streamline our business, expenses associated with the acquisition and integration of the UAM Medicare Part D Business, as well as normal operating expenses of the UAM Medicare Part D Business, partially offset by disciplined expense controls.

 

Operating expenses increased $44 million to $517 million, or 1.8% as a percentage of net revenues in the six months ended June 30, 2011, compared to $473 million, or 2.0% as a percentage of net revenues in the prior year period. The increase in operating expenses is primarily related to costs associated with changes designed to streamline our business, expenses associated with the acquisition and integration of the UAM Medicare Part D Business, as well as normal operating expenses of the UAM Medicare Part D Business, partially offset by disciplined expense controls.

 

21



 

Retail Pharmacy Segment

 

The following table summarizes our Retail Pharmacy segment’s performance for the respective periods:

 

</

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

In millions

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Net revenues

 

$14,826

 

 

$14,311

 

 

$29,413

 

 

$28,289

 

 

Gross profit

 

4,408

 

 

4,229

 

 

8,555

 

 

8,216

 

 

Gross profit % of net revenues

 

29.7

%

 

29.6

%

 

29.1

%

 

29.0

%

 

Operating expenses

 

3,168

 

 

3,133

 

 

6,219

 

 

6,091

 

 

Operating expense % of net revenues

 

21.4

%

 

21.9

%

 

21.1

%

 

21.5

%

 

Operating profit

 

1,240

 

 

1,096

 

 

2,336

 

 

2,125

 

 

Operating profit % of net revenues

 

8.4

%

 

7.7

%

 

7.9

%

 

7.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue increase:

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

3.6

%

 

3.7

%

 

4.0

%

 

3.6

%

 

Pharmacy

 

3.9

%

 

4.2

%

 

4.5

%

 

4.4

%

 

Front store

 

3.0

%

 

2.8

%

 

2.9

%

 

2.0

%

 

Same store sales increase (decrease):

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

2.0

%

 

2.1

%

 

2.3

%

 

2.2

%

 

Pharmacy

 

2.6

%

 

2.9

%

 

3.1

%

 

3.3

%

 

Front store

 

0.8

%

 

0.4

%

 

0.6

%

 

(0.2)

%

 

Generic dispensing rate

 

75.6

%

 

72.7

%

 

75.4

%

 

72.4

%

 

Pharmacy % of total revenues

 

67.9

%

 

67.6

%

 

68.5

%

 

68.0

%

 

Third party % of pharmacy revenue

 

97.7

%

 

97.2

%

 

97.6

%

 

97.2

%