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| CVS > SEC Filings for CVS > Form 10-Q on 31-Oct-2008 | All Recent SEC Filings |
31-Oct-2008
Quarterly Report
Overview of Our Business
CVS Caremark is the largest provider of prescriptions in the United States. We fill or manage more than one billion prescriptions annually. As a fully integrated pharmacy services company, we drive value for our customers by effectively managing pharmaceutical costs and improving healthcare outcomes through our over 6,300 CVS/pharmacy ® stores; our pharmacy benefit management, mail order and specialty pharmacy division, Caremark Pharmacy Services®; our retail healthcare clinic subsidiary, MinuteClinic®; and our online pharmacy, CVS.com®.
Today's healthcare delivery system is rapidly changing. Healthcare is becoming more consumer-centric as the U.S. healthcare system strains to manage growing costs and employers shift more responsibility for managing costs to employees. In addition, an aging population, increasing incidence of chronic disease and increasing utilization of the Medicare drug benefit is fueling demand for prescriptions and pharmacy services. Further, cost-effective generic drugs are becoming more widely available and new drug therapies to treat unmet healthcare needs and reduce hospital stays are being introduced. Consumers require medication management programs and better information to help them get the most out of their healthcare dollars. As a fully integrated pharmacy services company, we are well positioned to provide solutions that address these trends and improve the pharmacy services experience for consumers.
We also strive to improve clinical outcomes, resulting in better control over healthcare costs for employers and health plans. In that regard, we offer a broad spectrum of disease management, health assessment and wellness services to help plan participants manage and protect against potential health risks and avoid future health costs.
Our business is comprised of two operating segments: Retail Pharmacy and Pharmacy Services.
Recent Developments
On August 12, 2008, the Company and Longs Drug Stores Corporation ("Longs") entered into an agreement and plan of merger under which the Company agreed to acquire Longs for a total purchase price of approximately $2.9 billion, including the assumption of net debt (the "Longs Acquisition"). Pursuant to this agreement, on August 18, 2008, a subsidiary of the Company ("MergerSub") commenced a tender offer for all of the outstanding shares of Longs at a purchase price of $71.50 per share in cash. The tender offer concluded on October 17, 2008 with approximately 77% of the outstanding shares of Longs having been tendered and MergerSub commenced a subsequent offer for the remaining untendered shares of Longs. On October 30, 2008, MergerSub was merged into Longs with Longs surviving as an indirect wholly-owned subsidiary of the Company. Through the Longs Acquisition, the Company acquired Longs' 521 retail drugstores in California, Hawaii, Nevada and Arizona as well as its Rx America subsidiary, which offers prescription benefit management services to over 8 million members and prescription drug plan benefits to approximately 450,000 Medicare beneficiaries.
Results of Operations
The following discussion explains the material changes in our results of operations for the thirteen and thirty-nine weeks ended September 27, 2008 and September 29, 2007 and the significant developments affecting our financial condition since December 29, 2007. 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 fiscal year ended December 29, 2007 (the "2007 Form 10-K") along with this report.
Effective March 22, 2007, we completed our merger with Caremark Rx, Inc. ("Caremark"). Following the merger with Caremark (the "Caremark Merger"), we changed our name to "CVS Caremark Corporation." Accordingly, our results of operations for the thirteen and thirty-nine weeks ended September 29, 2007 include 91 and 192 days, respectively, of post-merger Caremark operations.
Management's Discussion and Analysis of Financial Condition and Results of
Operations
Third Quarter (Thirteen and Thirty-Nine Weeks Ended September 27, 2008 and
September 29, 2007)
Summary of the Consolidated Financial Results:
13 Weeks Ended 39 Weeks Ended
(In millions, except per share September 27, September 29, September 27, September 29,
amounts) 2008 2007 2008 2007
Net revenues $ 20,863.4 $ 20,495.2 $ 63,329.7 $ 54,387.1
Gross profit 4,400.6 4,195.2 13,066.8 11,656.9
Operating expenses 2,934.4 2,924.1 8,752.4 8,339.5
Operating profit 1,466.2 1,271.1 4,314.4 3,317.4
Interest expense, net 112.7 127.5 358.3 297.3
Earnings from continuing operations
before income tax provision 1,353.5 1,143.6 3,956.1 3,020.1
Income tax provision 534.7 454.1 1,565.3 1,198.1
Earnings from continuing operations 818.8 689.5 2,390.8 1,822.0
Loss from discontinued operations,
net of income tax benefit (82.8 ) - (131.5 ) -
Net earnings $ 736.0 $ 689.5 $ 2,259.3 $ 1,822.0
Diluted earnings per common share:
Earnings from continuing operations $ 0.56 $ 0.45 $ 1.63 $ 1.36
Loss from discontinued operations (0.06 ) - (0.09 ) -
Diluted net earnings per common
share $ 0.50 $ 0.45 $ 1.54 $ 1.36
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Net revenues increased $368.2 million and $8.9 billion during the thirteen and thirty-nine weeks ended September 27, 2008, respectively. The increase during the thirteen weeks ended September 27, 2008, was due to increased sales in the Retail Pharmacy segment. The increase during the thirty-nine weeks ended September 27, 2008 was primarily due to the Caremark Merger, which resulted in an increase in Pharmacy Services revenue of $7.9 billion.
Gross profit increased $205.4 million and $1.4 billion during the thirteen and thirty-nine weeks ended September 27, 2008, respectively. The increase during the thirteen and thirty-nine weeks ended September 27, 2008, was primarily due to increased utilization of generic drugs (which normally yield a higher gross profit rate than equivalent brand name drugs) in both the Retail Pharmacy and Pharmacy Services segments. In addition, the thirty-nine weeks ended September 27, 2008 was significantly impacted by the Caremark merger, including benefits from purchasing synergies.
Operating expenses increased $10.3 million and $412.9 million during the thirteen and thirty-nine weeks ended September 27, 2008, respectively. The increase primarily relates to the Caremark Merger, which resulted in incremental amortization related to the intangible assets acquired.
Management's Discussion and Analysis of Financial Condition and Results of
Operations
Interest expense, net consisted of the following:
13 Weeks Ended 39 Weeks Ended
September 27, September 29, September 27, September 29,
(In millions) 2008 2007 2008 2007
Interest expense $ 117.0 $ 135.5 $ 372.7 $ 320.9
Interest income (4.3 ) (8.0 ) (14.4 ) (23.6 )
Interest expense, net $ 112.7 $ 127.5 $ 358.3 $ 297.3
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The decrease in interest expense during the thirteen weeks ended September 27, 2008 is due to a decrease in our average debt balance outstanding during the two periods. The increase in interest expense during the thirty-nine weeks ended September 27, 2008 is due to an increase in our average debt balance, which resulted primarily from the borrowings used to fund a special cash dividend paid to Caremark shareholders upon closing of the Caremark Merger and the accelerated share repurchase program that commenced subsequent to the Caremark Merger.
Income tax provision ~ Our effective income tax rate was 39.5% and 39.6% for the thirteen and thirty-nine weeks ended September 27, 2008, respectively, compared to 39.7% for the comparable 2007 periods.
Earnings from continuing operations for the thirteen weeks ended September 27, 2008 increased $129.3 million, or 18.8%, to $818.8 million (or $0.56 per diluted share), compared to $689.5 million (or $0.45 per diluted share), in the comparable 2007 period. Earnings from continuing operations for the thirty-nine weeks ended September 27, 2008 increased $568.8 million, or 31.2%, to $2,390.8 million (or $1.63 per diluted share), compared to $1,822.0 million (or $1.36 per diluted share) in the comparable 2007 period.
Loss from discontinued operations ~ In connection with certain business dispositions completed between 1991 and 1997, the Company continues to guarantee approximately 220 store lease obligations for a number of former subsidiaries, including Linens 'n Things. On May 2, 2008, Linens Holding Co., which operates Linens 'n Things, filed a voluntary petition under Chapter 11 of the United States Bankruptcy Code in the United States Bankruptcy Court for the District of Delaware, leading the Company to correspondingly record an initial estimate of its potential obligations for lease guarantees based on Linens 'n Things plan of reorganization. On October 14, 2008, it was reported that an auction of Linens 'n Things was canceled due to lack of qualified bidders and that Linens 'n Things expected to be liquidated. The loss from discontinued operations includes $131.5 million of lease-related costs ($213.6 million net of a $82.1 million income tax benefit), which the Company believes it will likely be required to satisfy pursuant to the lease guarantees. These amounts, which are expected to change as each lease is resolved, were calculated in accordance with Statement of Financial Accounting Standards No. 146, "Accounting for Costs Associated with Exit or Disposal Activities."
Management's Discussion and Analysis of Financial Condition and Results of
Operations
Segment Analysis:
We evaluate segment performance based on net revenues, gross profit and
operating profit before the effect of discontinued operations and certain
intersegment activities and charges. Following is a reconciliation of the
Company's business segments to the consolidated financial statements:
Retail Pharmacy Pharmacy Services Intersegment Consolidated
(In millions) Segment Segment (1) Eliminations (2) Totals
13 Weeks Ended:
September 27, 2008:
Net revenues $ 11,542.0 $ 10,563.4 $ (1,242.0 ) $ 20,863.4
Gross profit 3,508.1 892.5 - 4,400.6
Operating profit 808.2 658.0 - 1,466.2
September 29, 2007:
Net revenues $ 10,959.1 $ 10,662.6 $ (1,126.5 ) $ 20,495.2
Gross profit 3,259.9 935.3 - 4,195.2
Operating profit 616.4 654.7 - 1,271.1
39 Weeks Ended:
September 27, 2008:
Net revenues $ 35,158.4 $ 31,984.9 $ (3,813.6 ) $ 63,329.7
Gross profit 10,536.4 2,530.4 - 13,066.8
Operating profit 2,512.3 1,802.1 - 4,314.4
September 29, 2007:
Net revenues $ 33,448.0 $ 23,327.0 $ (2,387.9 ) $ 54,387.1
Gross profit 9,661.3 1,995.6 - 11,656.9
Operating profit 1,970.1 1,347.3 - 3,317.4
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(1) Net revenues of the Pharmacy Services Segment include approximately $1,499.5 million and $1,454.6 million of Retail Co-payments for the thirteen weeks ended September 27, 2008 and September 29, 2007, respectively. Net revenues of the Pharmacy Services Segment include approximately $4,704.6 million and $3,022.7 million of Retail Co-payments for the thirty-nine weeks ended September 27, 2008 and September 29, 2007, respectively.
(2) Intersegment eliminations relate to intersegment revenues and accounts receivables that occur when a Pharmacy Services Segment customer uses a Retail Pharmacy Segment store to purchase covered merchandise. When this occurs, both segments record the revenue on a stand-alone basis.
Management's Discussion and Analysis of Financial Condition and Results of
Operations
Retail Pharmacy Segment
The following table summarizes our Retail Pharmacy Segment's performance for the
respective periods:
13 Weeks Ended 39 Weeks Ended
September 27, September 29, September 27, September 29,
(In millions) 2008 2007 2008 2007
Net revenues $ 11,542.0 $ 10,959.1 $ 35,158.4 $ 33,448.0
Gross profit 3,508.1 3,259.9 10,536.4 9,661.3
Gross profit % of net revenues 30.4 % 29.8 % 30.0 % 28.9 %
Operating expenses 2,699.9 2,643.5 8,024.1 7,691.2
Operating expense % of net revenues 23.4 % 24.1 % 22.8 % 23.0 %
Operating profit 808.2 616.4 2,512.3 1,970.1
Operating profit % of net revenues 7.0 % 5.6 % 7.2 % 5.9 %
Net revenue increase:
Total 5.3 % 6.2 % 5.1 % 14.6 %
Pharmacy 5.1 % 5.2 % 5.0 % 13.2 %
Front Store 5.7 % 8.5 % 5.5 % 17.6 %
Same store sales increase: (1)
Total 3.7 % 5.0 % 3.6 % 6.0 %
Pharmacy 3.8 % 4.3 % 3.8 % 5.8 %
Front Store 3.3 % 6.5 % 3.1 % 6.3 %
Generic dispensing rate 68.0 % 63.7 % 67.2 % 62.6 %
Pharmacy % of total revenues 68.3 % 68.4 % 68.1 % 68.2 %
Third party % of pharmacy revenue 95.9 % 95.0 % 95.9 % 95.2 %
Retail prescriptions filled 132.3 128.5 406.4 393.2
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(1) On June 2, 2006, we acquired certain assets and assumed certain liabilities from Albertson's, Inc. for $4.0 billion. The assets acquired and the liabilities assumed included approximately 700 standalone drugstores and a distribution center located in La Habra, California (collectively, the "Standalone Drug Business"). The sales results of the Standalone Drug Business were included in same store sales revenue beginning July 1, 2007.
Net revenues ~ As you review our Retail Pharmacy Segment's performance in this area, we believe you should consider the following important information:
• As of September 27, 2008, we operated 6,347 retail stores, compared to 6,206 retail stores on September 29, 2007. Total net revenues from new stores accounted for approximately 150 and 140 basis points of our total net revenues percentage increase for the thirteen and thirty-nine weeks ended September 27, 2008 and September 29, 2007, respectively.
• Total net revenues continued to benefit from our active relocation program, which moves existing in-line shopping center stores to larger, more convenient, freestanding locations. Historically, we have achieved significant improvements in customer count and net revenue when we do this. As such, our relocation strategy remains an important component of our overall growth strategy. As of September 27, 2008, approximately 65% of our existing stores were freestanding, compared to approximately 63% at September 29, 2007.
Management's Discussion and Analysis of Financial Condition and Results of Operations
• During the thirteen and thirty-nine weeks ended September 29, 2007, total net revenues were significantly affected by the acquisition of approximately 700 standalone drugstores and a distribution center from Albertson's Inc. on June 2, 2006 (the "Standalone Drug Business").
• Pharmacy revenue growth continued to benefit from new market expansions, increased penetration in existing markets, the introduction of a prescription drug benefit under Medicare Part D in 2006, our ability to attract and retain managed care customers and favorable industry trends. These trends include an aging American population; many "baby boomers" are now in their fifties and sixties and are consuming a greater number of prescription drugs. In addition, the increased use of pharmaceuticals as the first line of defense for individual healthcare also contributed to the growing demand for pharmacy services. We believe these favorable industry trends will continue.
• Pharmacy revenue dollars continue to be negatively impacted in both periods by the conversion of brand named drugs to equivalent generic drugs, which typically have a lower selling price. In addition, our pharmacy growth has also been adversely affected by a decline in utilization trends attributable to a weakening economy, a decline in the number of significant new brand named drug introductions, higher consumer co-payments and co-insurance arrangements, and an increase in the number of over-the-counter remedies that were historically only available by prescription.
Gross profit includes net revenues less the cost of merchandise sold during the reporting period and related purchasing costs, warehousing costs, delivery costs and actual and estimated inventory losses. Retail Pharmacy gross profit as a percentage of net revenues was 30.4% for the thirteen weeks ended September 27, 2008, compared to 29.8% of net revenues for the comparable 2007 period. Retail Pharmacy gross profit for the thirty-nine weeks ended September 27, 2008 was 30.0% of net revenues, compared to 28.9% of net revenues in the comparable 2007 period.
As you review our Retail Pharmacy Segment's performance in this area, we believe you should consider the following important information:
• Our pharmacy gross profit rate continued to benefit from an increase in the sale of generic drugs, which normally yield a higher gross profit rate than equivalent brand name drug revenues. However, the increased use of generic drugs increased the pressure from third party payors to reduce reimbursement payments to retail pharmacies for generic drugs, which reduced the benefit we realized from brand to generic product conversions. We expect this trend to continue.
• Our pharmacy gross profit rate benefited from a portion of the purchasing synergies resulting from the Caremark Merger. We expect the benefit from purchasing synergies to positively impact our pharmacy gross profit rate through fiscal 2008, as we realize a full year benefit from the Caremark Merger.
• Sales to customers covered by third party insurance programs have continued to increase and, thus, have become a larger component of our retail pharmacy business. On average, our gross profit on third party pharmacy revenues is lower than our gross profit on cash pharmacy revenues. Third party revenues were 95.9% of total pharmacy revenues during the thirteen and thirty-nine weeks ended September 27, 2008, compared to 95.0% and 95.2% of total pharmacy revenues, respectively, during the comparable 2007 periods. We expect this trend to continue.
Management's Discussion and Analysis of Financial Condition and Results of Operations
• In February 2006, the President signed into law the Deficit Reduction Act of 2005 (the "DRA"), which sought to reduce federal spending by altering the Medicaid reimbursement formula for multi-source (i.e., generic) drugs. These changes were scheduled to begin to take effect during the first quarter of 2007 and were expected to result in reduced Medicaid reimbursement rates for retail pharmacies. According to the Congressional Budget Office, retail pharmacies were expected to negotiate with individual states for higher dispensing fees to mitigate the adverse effect of these changes. During 2007, the Centers for Medicare and Medicaid Services ("CMS") issued a final rule purporting to implement the new reimbursement formula. In December 2007, the U.S. District Court for the District of Columbia preliminarily enjoined CMS from implementing the new rule to the extent such action affects Medicaid reimbursement rates for retail pharmacies. In addition, in July 2008, the Medicare Improvements for Patients and Providers Act of 2008 (the "MIPP") became law. Among other things, the MIPP delayed implementation of the new Medicaid reimbursement formula until September 30, 2009 at the earliest. Accordingly, the timing and extent of any reductions and the impact on the Company cannot be determined at this time.
• Our pharmacy gross profit rates have been adversely affected by the efforts of managed care organizations, pharmacy benefit managers, governmental and other third party payors to reduce their prescription costs. In the event this trend continues, we may not be able to sustain our current rate of revenue growth and gross profit dollars could be adversely impacted.
• Our front store revenues decreased as a percentage of total revenues during the thirteen weeks ended September 27, 2008. On average our gross profit on front store revenues is higher than our gross profit on pharmacy revenues. Pharmacy revenues as a percentage of total revenues for the thirteen and thirty-nine weeks ended September 27, 2008 were 68.3% and 68.1%, respectively, compared to 68.4% and 68.2% in the comparable 2007 periods, respectively.
• Our front store gross profit rate benefited from improved product mix and benefits from our ExtraCare loyalty program.
Operating expenses, which include store and administrative payroll, employee benefits, store and administrative occupancy costs, selling expenses, advertising expenses, administrative expenses and depreciation and amortization expense, decreased to 23.4% of total net revenues during the thirteen weeks ended September 27, 2008, compared to 24.1% of net revenues during the comparable 2007 period. Operating expenses for the thirty-nine weeks ended September 27, 2008 and the comparable 2007 period were 22.8% and 23.0% of total net revenues, respectively. Total operating expenses as a percentage of net revenues decreased during the thirteen weeks ended September 27, 2008 as a result of better leverage of fixed costs.
Management's Discussion and Analysis of Financial Condition and Results of
Operations
Pharmacy Services Segment
The following table summarizes our Pharmacy Services Segment's performance for
the respective periods:
13 Weeks Ended 39 Weeks Ended
September 27, September 29, September 27, September 29,
(In millions) 2008 2007 2008 2007
As reported:
Net revenues (1) $ 10,563.4 $ 10,662.6 $ 31,984.9 $ 23,327.0
Gross profit 892.5 935.3 2,530.4 1,995.6
Gross profit % of net revenues 8.4 % 8.8 % 7.9 % 8.6 %
Operating expenses 234.5 280.6 728.3 648.3
Operating expense % of net revenues 2.2 % 2.6 % 2.3 % 2.8 %
Operating profit 658.0 654.7 1,802.1 1,347.3
Operating profit % of net revenues 6.2 % 6.1 % 5.6 % 5.8 %
Net revenues:
Mail service $ 3,617.2 $ 4,151.5 $ 10,885.1 $ 9,532.8
Retail network 6,848.9 6,426.0 20,815.6 13,608.4
Other 97.3 85.1 284.2 185.8
Comparable Financial Information: (2)
Net revenues $ 10,563.4 $ 10,662.6 $ 31,984.9 $ 31,737.6
Gross profit 892.5 935.3 2,530.4 2,556.0
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