FORM 10-Q
Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

 

FORM 10-Q

(Mark One)

þ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2008

or

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from              to             .

Commission File Number: 001-33380

 

 

PHARMERICA CORPORATION

(Exact name of registrant as specified in its charter)

 

Delaware   87-0792558

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

1901 Campus Place

Louisville, KY

  40299
(Address of principal executive offices)   (Zip Code)

(502) 627-7000

(Registrant’s telephone number, including area code)

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 þ    No ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer ¨      Accelerated filer ¨
Non-accelerated filer   þ (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 þ

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

 

Class of Common Stock

   Outstanding at October 24, 2008

Common stock, $0.01 par value

   30,465,451 shares


Table of Contents

PHARMERICA CORPORATION

FORM 10-Q

INDEX

 

          Page
PART I. FINANCIAL INFORMATION   
Item 1.    Financial Statements   
   Condensed Consolidated Statements of Operations – For the Three and Nine Months Ended September 30, 2007 and 2008    3
   Condensed Consolidated Balance Sheets – As of December 31, 2007 and September 30, 2008    4
   Condensed Consolidated Statements of Cash Flows – For the Three and Nine Months Ended
September 30, 2007 and 2008
   5
   Condensed Consolidated Statements of Stockholders’ Equity – For the Period Ended September 30, 2008    6
   Notes to Condensed Consolidated Financial Statements    7
Item 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations    37
Item 3.    Quantitative and Qualitative Disclosures About Market Risk    75
Item 4.    Controls and Procedures    75
PART II. OTHER INFORMATION   
Item 1A.    Risk Factors    76
Item 4.    Submission of Matters to a Vote of Security Holders    76
Item 6.    Exhibits    77
SIGNATURES       78
Exhibit Index       79

 

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Table of Contents

PHARMERICA CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For the Three and Nine months Ended September 30, 2007 and 2008

(Unaudited)

(In millions, except share and per share amounts)

 

     Three Months Ended
September 30,
   Nine Months Ended
September 30,
     2007     2008    2007     2008

Revenues

   $ 377.5     $ 486.2    $ 725.6     $ 1,467.6

Cost of goods sold

     321.1       415.9      626.9       1,254.0
                             

Gross profit

     56.4       70.3      98.7       213.6

Selling, general and administrative expenses

     46.8       50.5      81.2       161.8

Amortization expense

     1.4       1.6      3.4       4.8

Integration, merger related costs and other charges (See Note 8)

     46.8       7.1      52.5       17.8
                             

Operating income (loss)

     (38.6 )     11.1      (38.4 )     29.2

Interest expense, net

     3.1       3.4      3.1       10.6
                             

Income (loss) before income taxes

     (41.7 )     7.7      (41.5 )     18.6

Provision (benefit) for income taxes

     (14.7 )     3.4      (14.6 )     8.1
                             

Net income (loss)

   $ (27.0 )   $ 4.3    $ (26.9 )   $ 10.5
                             

Earnings (loss) per common share:

         

Basic

   $ (1.07 )   $ 0.14    $ (1.46 )   $ 0.35

Diluted

   $ (1.07 )   $ 0.14    $ (1.46 )   $ 0.35

Shares used in computing earnings per common share:

         

Basic

     25,112,843       30,105,157      18,407,991       30,081,596

Diluted

     25,112,843       30,391,484      18,407,991       30,195,009

 

See accompanying Notes to Condensed Consolidated Financial Statements

 

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PHARMERICA CORPORATION

CONDENSED CONSOLIDATED BALANCE SHEETS

As of December 31, 2007 and September 30, 2008

(Unaudited)

(In millions, except share and per share amounts)

 

     December 31,
2007
    September 30,
2008
 
ASSETS  

Current assets:

    

Cash and cash equivalents

   $ 32.0     $ 42.6  

Accounts receivable, net

     213.0       220.8  

Inventories

     77.9       77.9  

Deferred tax assets

     27.1       28.2  

Prepaids and other assets

     19.5       14.6  
                
     369.5       384.1  
                

Equipment and leasehold improvements

     87.4       99.9  

Accumulated depreciation

     (30.0 )     (42.1 )
                
     57.4       57.8  
                

Deferred tax assets

     58.8       51.9  

Goodwill

     111.3       110.7  

Intangible assets, net

     77.5       72.7  

Other

     5.6       6.9  
                
   $ 680.1     $ 684.1  
                
LIABILITIES AND STOCKHOLDERS’ EQUITY  

Current liabilities:

    

Accounts payable

   $ 51.5     $ 54.2  

Salaries, wages and other compensation

     40.5       37.3  

Other accrued liabilities

     8.9       11.5  
                
     100.9       103.0  
                

Long-term debt

     250.0       240.0  

Other long term liabilities

     15.6       16.8  

Commitments and contingencies (See Note 6)

    

Minority interest

     4.4       -  

Stockholders’ equity:

    

Preferred stock, $0.01 par value per share; 1,000,000 shares authorized and no shares issued, December 31, 2007 and September 30, 2008

     -       -  

Common stock, $0.01 par value per share; 175,000,000 shares authorized; 30,360,612 shares issued and outstanding, December 31, 2007 and 30,462,251 shares issued and outstanding, September 30, 2008

     0.3       0.3  

Capital in excess of par value

     332.9       337.1  

Accumulated other comprehensive loss

     (2.6 )     (2.2 )

Retained deficit

     (21.4 )     (10.9 )
                
     309.2       324.3  
                
   $ 680.1     $ 684.1  
                

 

See accompanying Notes to Condensed Consolidated Financial Statements

 

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PHARMERICA CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For the Three and Nine Months Ended September 30, 2007 and 2008

(Unaudited)

(In millions)

 

     Three Months Ended
September 30,
     Nine Months Ended
September 30,
 
     2007      2008      2007      2008  

Cash flows provided by operating activities:

           

Net income (loss)

   $ (27.0 )    $ 4.3      $ (26.9 )    $ 10.5  

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

           

Depreciation

     4.5        5.3        8.0        16.8  

Amortization

     1.4        1.6        3.4        4.8  

Provision for bad debt

     6.3        7.2        10.7        17.9  

Integration, merger related costs and other charges

     34.7        0.6        34.7        1.5  

Stock-based compensation

     0.4        1.4        0.6        3.5  

Amortization of deferred financing fees

     0.1        0.1        0.1        0.3  

Deferred income taxes

     (19.6 )      2.8        (22.7 )      6.9  

Loss on disposition of equipment

     0.8        0.2        0.9        0.8  

Other

     0.4        (0.3 )      (0.4 )      (0.3 )

Change in operating assets and liabilities:

           

Accounts receivable

     (7.5 )      (12.0 )      (28.3 )      (26.6 )

Inventories and other assets

     (1.8 )      (1.6 )      (0.4 )      -  

Prepaids and other assets

     (7.1 )      0.1        (8.2 )      4.5  

Accounts payable

     21.7        8.1        27.3        1.9  

Salaries, wages and other compensation

     6.4        0.9        7.5        (1.6 )

Other accrued liabilities

     6.4        (1.2 )      6.8        0.8  
                                   

Net cash provided by operating activities

     20.1        17.5        13.1        41.7  
                                   

Cash flows used in investing activities:

           

Purchase of equipment and leasehold improvements

     (11.2 )      (6.0 )      (14.5 )      (17.8 )

Acquisitions

     (3.9 )      (4.4 )      (4.8 )      (4.4 )

Cash proceeds from sale of assets

     -        0.1        -        0.3  

Other

     -        -        0.3        -  
                                   

Net cash used in investing activities

     (15.1 )      (10.3 )      (19.0 )      (21.9 )
                                   

Cash flows provided by (used in) financing activities:

           

Proceeds from long-term revolving credit facility

     20.0        -        20.0        -  

Repayments of long-term revolving credit facility

     (20.0 )      -        (20.0 )      -  

Proceeds from long-term debt

     275.0        -        275.0        -  

Repayments of long-term debt

     (10.0 )      -        (10.0 )      (10.0 )

Proceeds from spin-co loan

     125.0        -        125.0        -  

Repayment of spin-co loan

     (250.0 )      -        (250.0 )      -  

Payment of debt issuance costs

     (2.0 )      -        (2.0 )      -  

Dividends

     (125.0 )      -        (125.0 )      -  

Net contributions from Former Parent

     8.0        -        17.3        -  

Cash contributions received from minority shareholders

     0.5        -        1.6        0.1  

Issuance of common stock

     -        0.5        -        0.7  
                                   

Net cash provided by (used in) financing activities

     21.5        0.5        31.9        (9.2 )
                                   

Change in cash and cash equivalents

     26.5        7.7        26.0        10.6  

Cash and cash equivalents at beginning of period

     3.2        34.9        3.7        32.0  
                                   

Cash and cash equivalents at end of period

   $ 29.7      $ 42.6      $ 29.7      $ 42.6  
                                   

Supplemental information:

           

Transfers of property and equipment from Former Parent

   $ 4.9      $ -      $ 10.4      $ -  
                                   

Cash paid for interest

   $ 0.9      $ 3.6      $ 0.9      $ 11.1  
                                   

Cash paid for taxes

   $ -      $ 0.5      $ 0.7      $ 1.4  
                                   

Supplemental schedule of non-cash activities:

           

Fair value of assets acquired

   $ 320.9      $ -      $ 320.9      $ (1.4 )
                                   

Fair value of liabilities assumed or incurred

   $ 174.1      $ -      $ 174.1      $ (1.4 )
                                   

Stock issued and cash paid

   $ 251.4      $ -      $ 251.4      $ -  
                                   

See accompanying Notes to Condensed Consolidated Financial Statements

 

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PHARMERICA CORPORATION

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

For the Period Ended September 30, 2008

(Unaudited)

(In millions, except share amounts)

 

     Common Stock    Capital in
Excess of
Par Value
   Accumulated
Other
Comprehensive
Loss
    Retained
Deficit
    Total
     Shares    Amount          

Balance at December 31, 2007

   30,360,612    $ 0.3    $ 332.9    $ (2.6 )   $ (21.4 )   $ 309.2
                                         

Comprehensive income:

               

Net income

   -      -      -      -       10.5       10.5

Change in fair value of interest rate swap, net

   -      -      -      0.4       -       0.4
                                         

Total comprehensive income

   -      -      -      0.4       10.5       10.9
                                         

Grant and forfeiture of non-vested restricted stock

   49,190      -      0.1      -       -       0.1

Exercise of stock options

   52,449      -      0.6      -       -       0.6

Stock-based compensation - restricted stock

   -      -      1.8      -       -       1.8

Stock-based compensation - stock options

   -      -      1.7      -       -       1.7
                                         

Balance at September 30, 2008

   30,462,251    $ 0.3    $ 337.1    $ (2.2 )   $ (10.9 )   $ 324.3
                                         

 

 

See accompanying Notes to Condensed Consolidated Financial Statements

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Nature of Business

PharMerica Corporation (the “Corporation”) is an institutional pharmacy services company, which services healthcare facilities and provides management pharmacy services to hospitals. The Corporation is the second largest institutional pharmacy services company in the United States. The Corporation operates over 100 institutional pharmacies in 40 states. The Corporation’s customers are typically institutional healthcare providers, such as nursing centers, assisted living facilities, hospitals and other long-term alternative care settings. The Corporation is generally the primary source of supply of pharmaceuticals to its customers. The Corporation also provides pharmacy management services to 85 hospitals in the United States.

Pharmacy Transaction

The Corporation, formerly known as Safari Holding Corporation, was formed on October 23, 2006 by Kindred Healthcare, Inc. (“Kindred or “Former Parent”) and AmerisourceBergen Corporation (“AmerisourceBergen”) for the purpose of consummating the transactions contemplated by the Master Transaction Agreement dated October 25, 2006, as amended (the “Master Agreement”). Pursuant to the Master Agreement, Kindred and AmerisourceBergen, through a series of transactions (collectively, the “Pharmacy Transaction”), spun-off and combined their respective institutional pharmacy businesses, Kindred Pharmacy Services (“KPS”) and PharMerica Long-Term Care (“PharMerica LTC”), into a new, stand-alone, publicly traded company. The Pharmacy Transaction was consummated on July 31, 2007 (the “Closing Date”).

The shares of common stock of the Corporation were registered with the Securities and Exchange Commission (the “Commission”) on Form S-4/S-1, which was declared effective by the Commission on July 17, 2007 (the “Form S-4/S-1”).

On August 1, 2007, the Corporation’s common stock began trading on the New York Stock Exchange under the symbol “PMC.” Under the terms of the Pharmacy Transaction, on the Closing Date, each of KPS and PharMerica LTC borrowed $125.0 million as mutually agreed upon by Kindred and AmerisourceBergen and used such proceeds to fund a one-time, tax-free cash distribution in that amount to their respective parent companies. Following the cash distributions, Kindred spun off to its stockholders all of the outstanding stock of KPS and AmerisourceBergen spun off to its stockholders all of the outstanding stock of PharMerica LTC. Immediately thereafter, separate wholly owned subsidiaries of the Corporation were merged with and into KPS and PharMerica LTC with KPS and PharMerica LTC as the surviving entities of the mergers, and, as a result, KPS and PharMerica LTC became wholly owned subsidiaries of the Corporation. In the mergers, each Kindred stockholder received approximately 0.366 shares of the Corporation’s common stock in respect of each share of Kindred common stock held on the record date and each AmerisourceBergen stockholder received approximately 0.083 shares of the Corporation’s common stock in respect of each share of AmerisourceBergen common stock held on the record date. Immediately following such spin-offs and mergers, the stockholders of Kindred and AmerisourceBergen each owned 50% of the outstanding common stock of the Corporation. The shares of the Corporation’s common stock held by Kindred and AmerisourceBergen prior to the Pharmacy Transaction were cancelled, and neither retained any ownership of the outstanding shares of common stock of the Corporation.

For accounting purposes, the Pharmacy Transaction was treated as an acquisition by KPS of PharMerica LTC with KPS being considered the accounting acquirer based on the application of criteria specified in Statement of Financial Accounting Standards (“SFAS”) No. 141 (“SFAS 141”), Business Combinations. As a result, the accompanying condensed consolidated financial statements include only certain accounts and results of operations representing the institutional pharmacy business of Kindred on a “carve-out” basis. Because KPS was determined to be the acquirer for accounting purposes, the historical financial statements of KPS became the historical financial statements of the Corporation. Accordingly, the financial statements of the Corporation prior to the Pharmacy Transaction reflect the financial position, results of operations and cash flows of KPS, which during the historical periods presented in the accompanying condensed consolidated financial statements, was a wholly owned subsidiary of Kindred. Following the Pharmacy Transaction, the accompanying condensed consolidated financial statements of the current period reflect the financial position, results of operation and cash flows of the Corporation. For accounting purposes, the results of operations of PharMerica LTC are included in the results of operations of the Corporation beginning August 1, 2007.

Prior to the closing of the Pharmacy Transaction, the Corporation had no assets or liabilities and conducted no business activity. Prior to the closing of the Pharmacy Transaction, the Corporation’s business was operated as two separate businesses within two different public companies, Kindred and AmerisourceBergen.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Principles of Consolidation; Parent Allocations

For all periods prior to the Pharmacy Transaction, the accompanying condensed consolidated financial statements present the historical results of KPS’s operations during each respective period. Accordingly, the accompanying condensed consolidated financial statements include allocations of certain expenses, as well as assets and liabilities, historically maintained by Kindred and not recorded in the accounts of KPS. Prior to the Pharmacy Transaction, Kindred corporate expenses were allocated based upon either the identification of specific costs or as a percentage of KPS revenues, where applicable. Allocated costs may not necessarily be indicative of the costs that would have been incurred by KPS if it had operated as a separate entity.

The accompanying condensed consolidated financial statements include the accounts of the Corporation and its subsidiaries including certain accounts of KPS prior to the Pharmacy Transaction. Significant intercompany transactions have been eliminated. Investments in affiliates in which the Corporation had a less than 100% interest were accounted for by the equity method. As of September 30, 2008, there were no minority interests.

Basis of Presentation

The accompanying condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and Article 10 of Regulation S-X and do not include all of the information and disclosures required by generally accepted accounting principles in the United States (U.S. GAAP) for complete financial statements. Accordingly, the accompanying condensed consolidated financial statements should be read in conjunction with the consolidated financial statements of the Corporation and related footnotes for the year ended December 31, 2007, included in the Corporation’s Annual Report on Form 10-K. The balance sheet as of December 31, 2007 has been derived from the audited consolidated financial statements as of that date but does not include all of the information and footnotes required by U.S. GAAP for complete financial statements.

The results of operations for the interim periods are not necessarily indicative of results of operations for a full year. It is the opinion of management that all necessary adjustments for a fair presentation of the consolidated balance sheets, results of operations, stockholders’ equity, and cash flows for the interim periods have been made and are of a recurring nature.

Reclassifications

Certain prior year amounts have been reclassified to conform to the current year presentation. These reclassifications have no impact on the Corporation’s total assets, liabilities, stockholders’ equity, net income (loss) or cash flows.

Use of Estimates

The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. GAAP which require management to make estimates and assumptions that affect the reported amounts of assets, liabilities and disclosure of contingent liabilities as of the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Significant estimates are involved in revenue recognition, collectibility of accounts receivable, inventory valuation, supplier rebates, stock based compensation, accounting for income taxes and the valuation of long-lived assets and goodwill. Actual amounts may differ from these estimates.

Potential risks and uncertainties, many of which are beyond the control of the Corporation, include, but are not necessarily limited to, such factors as overall economic, financial and business conditions; delays and reductions in reimbursement by the government and other payors to the Corporation and/or its customers; the overall financial condition of the Corporation’s customers; the effect of new government regulations, executive orders and/or legislative initiatives, including those relating to reimbursement and drug pricing policies and changes in the interpretation and application of such policies; efforts by payors to control costs; the outcome of litigation; the outcome of audit, compliance, administrative or investigatory reviews, including governmental/regulatory inquiries; other contingent liabilities; changes in economic and political conditions; changes in interest rates; changes in the valuation of the Corporation’s financial instruments, including the swap agreement and other derivative instruments; changes in tax laws and regulations; access to capital and financing; the demand for the Corporation’s products and services; pricing and other competitive factors in the industry; changes in insurance claims experience and related assumptions; variations in costs or expenses; and changes in accounting rules and standards.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Minority Interests in Consolidated Entities

The accompanying condensed consolidated financial statements include all assets, liabilities, revenues, and expenses of less- than-100%-owned entities that the Corporation controls. Accordingly, the Corporation recorded minority interests in the earnings or losses and equity of such entities. The Corporation records adjustments to minority interest for the allocable portion of income or loss to which the minority interest holders are entitled based upon their portion of certain subsidiaries that they own.

On July 9, 2008, the Corporation purchased the 49.0% minority interest held by a third-party in the Corporation’s joint ventures. The Corporation paid approximately $4.4 million in cash for the minority interest share of the joint ventures. The amount paid for the minority interest share of the joint ventures approximated fair value and resulted in the recognition of $0.2 million in goodwill as a result of the transaction, of which approximately $0.1 million included professional fees capitalized as part of the purchase price.

As of September 30, 2008, the Corporation no longer held a minority interest in any joint ventures. For the three and nine months ended September 30, 2007 minority interest income was $0.1 million and $0.9 million, respectively, and approximately $0.5 million for the nine months ended September 30, 2008. The Corporation had no minority interest income for the three months ended September 30, 2008. These amounts are recorded in cost of goods sold in the accompanying condensed consolidated statement of operations.

Cash and Cash Equivalents

Cash and cash equivalents consist of cash on hand and cash equivalents with original maturities of three months or less. The Corporation places its cash in financial institutions that are federally insured. As of September 30, 2008, the Corporation did not hold a material amount of funds in cash equivalent money market accounts. Management believes it effectively safeguards cash assets given current economic conditions.

Derivative Instruments

The Corporation uses derivative instruments to protect against the risk of interest rate movements on future cash flows under the Corporation’s credit agreement. In accordance with SFAS No. 133 (“SFAS 133”), Accounting for Derivative Instruments and Hedging Activities derivative instruments are reported at fair value on the accompanying condensed consolidated balance sheets. For interest rate exposures, derivatives are used primarily to fix the rate on debt based on floating-rate indices and to manage the cost of borrowing obligations. The Corporation prohibits the use of derivative instruments for trading or speculative purposes. Changes in the fair value of derivatives deemed to be eligible for hedge accounting are reported in accumulated other comprehensive loss exclusive of ineffective amounts which are reported in interest expense. The fair value of the Corporation’s interest rate swap agreement is the amount at which it could be settled, based on estimates obtained from the counterparty. The Corporation’s interest rate swap is further described in Note 5.

Fair Value of Financial Instruments

In September 2006, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 157 (“SFAS 157”), Fair Value Measurements, which defines fair value, establishes a framework for measuring fair value and enhances disclosure about fair value measurements. SFAS 157 is effective for financial statements issued for fiscal years beginning after November 15, 2007. On February 2, 2008, the FASB issued FASB Staff Position No. FAS 157-2 which delays the effective date of SFAS 157 for nonfinancial assets and nonfinancial liabilities, except for items that are recognized or disclosed at fair value in the financial statements on a recurring basis (at least annually). Where the measurement objective specifically requires the use of “fair value”, the Corporation has adopted the provisions of SFAS 157 related to financial assets and financial liabilities as of January 1, 2008.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

SFAS 157 clarifies that fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based upon assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, SFAS 157 establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value as follows:

Level 1: Observable inputs such as quoted prices in active markets;

Level 2: Inputs, other than quoted prices in active markets, that are observable either directly or indirectly; and

Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

Assets and liabilities measured at fair value are based on one or more of the following three valuation techniques noted in SFAS 157:

 

  A. Market approach: Prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities.

 

  B. Cost approach: Amount that would be required to replace the service capacity of an asset (replacement cost).

 

  C. Income approach: Techniques to convert future amounts to a single present amount based upon market expectations (including present value techniques, option-pricing and excess earnings models).

Financial assets and liabilities disclosed at fair value at September 30, 2008 are set forth in the table below (in millions):

 

     Asset/
(Liability)
   Level 1    Level 2    Level 3    Valuation
Technique

Derivative financial instrument

   $ (3.9)    $ -    $ (3.9)    $ -    C

Deferred compensation plan

   $ (1.6)    $ -    $ (1.6)    $ -    A

The Corporation’s Level 2 liabilities represent a derivative financial instrument (interest rate swap) and an unfunded obligation associated with a deferred compensation plan offered to eligible employees of the Corporation. The interest rate swap’s fair value is derived using a pricing model predicated upon observable market inputs. The fair value of the liability associated with the deferred compensation plan is derived using pricing and other relevant information for similar assets or liabilities generated by market transactions.

The carrying amounts reported in the accompanying condensed consolidated balance sheets for cash and cash equivalents, accounts receivable, accounts payable and debt approximate fair value because of the nature or short-term maturity of these instruments.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable primarily consist of amounts due from Prescription Drug Plans (“PDPs”) under Medicare Part D, institutional healthcare providers, the respective state Medicaid programs, third party insurance companies, and private payors. The Corporation’s ability to collect outstanding receivables is critical to its results of operations and cash flows. To provide for accounts receivable that could become uncollectible in the future, the Corporation establishes an allowance for doubtful accounts to reduce the carrying value of such receivables to the extent it is probable that a portion or all of a particular account will not be collected.

The Corporation has an established process to determine the adequacy of the allowance for doubtful accounts that relies on analytical tools, specific identification, and benchmarks to arrive at a reasonable allowance. No single statistic or measurement determines the adequacy of the allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Corporation considers a number of factors, which include, but are not limited to, the impact of changes in the regulatory and payor environment as well as historical trends, financial viability of the payor, contractual reimbursement terms, and other factors which may impact ultimate reimbursement. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation’s policies.

The Corporation’s accounts receivable accounts and summarized aging categories are as follows (in millions):

 

     December 31,
2007
    September 30,
2008
 

Institutional healthcare providers

   $ 134.7      $ 147.4   

Medicare Part D

     60.5        59.1   

Private payor and other

     35.0        38.1   

Insured

     11.9        10.7   

Medicaid

     11.5        8.1   

Medicare

     2.8        3.2   

Allowance for doubtful accounts

     (43.4)       (45.8)  
                
   $ 213.0      $ 220.8   
                

0 to 60 days

     64.8  %     62.0  %

61 to 120 days

     17.4        19.1   

Over 120 days

     17.8        18.9   
                
     100.0  %     100.0  %
                

The following is a summary of activity in the Corporation’s allowance for doubtful accounts (in millions):

 

     Beginning
Balance
   Acquisitions    Charges to
Costs and
Expenses
   Write-offs      Ending
Balance

Allowance for doubtful accounts:

              

Year Ended December 31, 2007

   $ 16.6    $ 25.7    $ 44.1    $ (43.0 )    $ 43.4

Nine Months Ended September 30, 2008

   $ 43.4    $ -    $ 17.9    $ (15.5 )    $ 45.8

During the year ended December 31, 2007, the Corporation performed a comprehensive assessment of allowance for doubtful accounts estimation methodologies and reserve levels in light of its expectations around the ultimate collection of its accounts receivable balances. As part of this comprehensive assessment, the Corporation considered industry trends, changes in reimbursement sources and procedures, age of receivables and collection history. In connection with that comprehensive assessment of the allowance for doubtful accounts, included in amounts charged to costs and expenses in the third quarter of 2007 is a change in accounting estimate to increase the allowance for doubtful accounts by $27.9 million.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Deferred Financing Fees

The Corporation capitalizes financing fees related to acquiring or issuing new debt instruments. These expenditures include bank fees and premiums, legal costs and filing fees. The Corporation amortizes these deferred financing fees over the life of the respective debt instrument using the straight-line method.

Inventory

Inventory is located at the Corporation’s institutional pharmacy locations. Inventory consists primarily of finished product (primarily prescription drugs), and is valued at the lower of first-in, first-out (FIFO) cost or market. Physical inventories are performed on a monthly basis at all pharmacy locations. Costs of goods sold is recorded based on actual results of the physical inventory counts.

Equipment and Leasehold Improvements

Equipment and leasehold improvements are recorded at cost at the acquisition date and are depreciated using the straight-line method over their estimated useful lives as follows (in years):

 

     Estimated
Useful Lives

Leasehold improvements

   1-5

Equipment and software

   3-10

Leased equipment

   1-5

Expenditures for maintenance, repairs and renewals of minor items are expensed as incurred and included in selling, general and administrative expenses. Major rebuilds and improvements are capitalized. For the three and nine months ended September 30, 2007 maintenance and repairs were approximately $1.8 million and $3.1 million, respectively, and approximately $1.7 million and $5.5 million for the three and nine months ended September 30, 2008, respectively.

In accordance with SFAS No. 144, Accounting for the Impairment or Disposal of Long-lived Assets, long-lived assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets is assessed by a comparison of the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If estimated future undiscounted net cash flows are less than the carrying amount of the asset or group of assets, the asset is considered impaired and an expense is recorded in an amount required to reduce the carrying amount of the asset to its then fair value. The Corporation did not record impairment charges on equipment and leasehold improvements for the three and nine months ended September 30, 2007 or 2008.

The Corporation’s equipment and leasehold improvements are further described in Note 3.

Capitalization of Internal Software Costs

Costs incurred by the Corporation in the development or obtaining of internal software are capitalized. Certain costs, such as maintenance and training, are expensed as incurred. Capitalized costs are amortized over a period of not more than seven years and are subject to impairment evaluations in accordance with SFAS 144. Amounts capitalized in equipment and leasehold improvements for internal software costs were $3.4 million and $5.0 million as of December 31, 2007 and September 30, 2008, respectively.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Goodwill and Other Intangibles

The Corporation accounts for its acquisitions in accordance with SFAS No. 141 using the purchase method of accounting. Goodwill represents the excess of the cost of an acquired entity over the net amounts assigned to assets acquired and liabilities assumed. Under SFAS No. 142, Goodwill and Other Intangible Assets, goodwill and intangible assets with indefinite lives are reviewed by the Corporation at least annually for impairment. The Corporation’s business is comprised of two reporting units for impairment test purposes, institutional pharmacy and hospital management. The Corporation performed its annual impairment tests as of December 31, 2007, and did not incur an impairment charge.

The Corporation’s finite lived intangible assets are comprised primarily of trade names, customer relationship assets and non-compete agreements originating from business acquisitions. Finite lived intangible assets are amortized on a straight-line basis over the terms of the agreements ranging from 5 to 20 years. The Corporation’s goodwill and intangible assets are further described in Note 4.

Self-Insured Employee Health Benefits

The Corporation is self-insured for substantially all employee health benefits. The Corporation’s self-insurance for employee health benefits includes a stop-loss policy to limit the maximum potential liability of the Corporation for both individual and aggregate claims per year. The Corporation records a monthly expense for self-insurance based on historical claims data and inputs from third-party administrators. As of December 31, 2007 and September 30, 2008, the Corporation had approximately $8.8 million and $3.0 million, respectively, recorded as a liability for self-insured employee health benefits. For the three and nine months ended September 30, 2007 self-insured employee health benefits expenses were $1.6 million and $4.5 million, respectively, and $0.3 million and $10.4 million for the three and nine months ended September 30, 2008, respectively.

On September 5, 2008, the Corporation received a $2.1 million refund as a result of over charges on self-insured employee health benefits. Approximately $1.2 million of the refund related to charges from August 2007 through December 2007. For the three months ended September 30, 2008, employee benefits classified in cost of goods sold and selling, general and administrative expenses were reduced by $1.5 million and $0.6 million, respectively.

Supplier Rebates

The Corporation receives rebates on purchases from its various vendors and suppliers. The Corporation generally accounts for these rebates and other incentives received from its vendors and suppliers, relating to the purchase or distribution of inventory, as a reduction to cost of goods sold and inventory, in accordance with Emerging Issues Task Force Issue No. 02-16, “Accounting by a Customer for Certain Consideration Received from a Vendor.” The Corporation considers these rebates to represent product discounts, and as a result, the rebates are capitalized as a reduction of product cost and relieved through cost of goods sold upon the sale of the related inventory. For the three and nine months ended September 30, 2007 rebates were $11.5 million and $19.3 million, respectively, and $12.1 million and $38.7 million for the three and nine months ended September 30, 2008, respectively. The Corporation had approximately $2.9 million and $3.0 million of rebates capitalized in inventory as of December 31, 2007 and September 30, 2008, respectively.

Delivery Expenses

The Corporation incurred expenses totaling approximately $11.6 million and $24.6 million for the three and nine months ended September 30, 2007, respectively, and $15.9 million and $47.3 million for the three and nine months ended September 30, 2008, respectively, to deliver products sold to its customers. Delivery expenses are reported as a component of cost of goods sold in the accompanying condensed consolidated statements of operations.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Comprehensive Income (Loss)

The Corporation entered into an interest rate swap agreement, which the Corporation has designated as a cash flow hedge in accordance with SFAS No. 133. The Corporation recognizes all derivatives on the balance sheet at fair value. Derivatives that are not hedges must be adjusted to fair value through the statement of operations. If the derivative meets the hedge criteria as defined by SFAS 133, depending on the nature of the hedge, changes in the fair value of the derivative are either offset against the change in fair value of assets and liabilities through earnings or recognized in accumulated other comprehensive income (loss) until the hedged item is recognized in earnings. The ineffective portion of a derivative’s change in fair value, if any, is immediately recognized in earnings.

The changes in the fair value of the interest rate swap for the nine months ended September 30, 2007 and 2008 resulted in a comprehensive loss of $1.9 million and $0.6 million, respectively, or $1.2 million and $0.4 million net of income taxes, respectively. Accumulated other comprehensive loss at December 31, 2007 and September 30, 2008 was $2.6 million and $2.2 million, respectively. The interest rate swap is described more fully in Note 5.

Stock Based Compensation

The Corporation accounts for its stock-based awards in accordance with the provisions of SFAS No. 123(R) (“SFAS 123(R)”), Share-Based Payment. Under SFAS 123(R), the Corporation recognizes compensation expense based on the grant date fair value estimated in accordance with the standard.

The following table summarizes stock compensation of the Corporation for the periods presented (in millions, except per share amounts):

 

     Three Months Ended September 30,    Nine Months Ended September 30,
     2007    2008    2007    2008

Nonvested stock and stock option expense

   $ 0.4    $ 1.4    $ 0.6    $ 3.5

Income tax benefit

   $ 0.2    $ 0.6    $ 0.3    $ 1.5

Effect of stock based compensation expense per share

   $ 0.01    $ 0.03    $ 0.02    $ 0.07

Stock based compensation is more fully described in Note 9.

Income Taxes

Deferred tax assets and liabilities are recognized for the future tax consequences attributable to temporary differences between the financial statement carrying amounts of existing assets, liabilities and their respective tax basis. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The Corporation accrues for probable tax obligations as required by facts and circumstances in the various regulatory environments.

Concentration of Credit Risk

For the three and nine months ended September 30, 2008, the Corporation derived approximately 13.0% of its revenues from a single customer, including all payor sources associated with the residents of its long-term care facilities. If the Corporation were to no longer attain revenues from this customer, it would have a material impact on the Corporation’s results of operations.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 1—ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

 

Impact of Recent Accounting Pronouncements

On March 19, 2008, the FASB issued FASB Statement No. 161, Disclosures about Derivative Instruments and Hedging Activities—an Amendment of FASB Statement No. 133. Statement No. 161 enhances required disclosures regarding derivatives and hedging activities, including enhanced disclosures regarding how: (a) an entity uses derivative instruments; (b) derivative instruments and related hedged items are accounted for under FASB Statement No. 133, Accounting for Derivative Instruments and Hedging Activities; and (c) derivative instruments and related hedged items affect an entity’s financial position, financial performance, and cash flows. Specifically, Statement No. 161 requires:

 

 

Disclosure of the objectives for using derivative instruments be disclosed in terms of underlying risk and accounting designation;

 

 

Disclosure of the fair values of derivative instruments and their gains and losses in a tabular format;

 

 

Disclosure of information about credit-risk-related contingent features; and

 

 

Cross-reference from the derivative footnote to other footnotes in which derivative-related information is disclosed.

Statement No. 161 is effective for fiscal years and interim periods beginning after November 15, 2008. Early application is encouraged, however, at the current time the Corporation does not plan to early adopt the standard. The adoption of SFAS No. 161 is not expected to have a material impact on the Corporation’s financial position, results of operations or liquidity.

In December 2007, the FASB issued SFAS No. 141(R) Business Combinations. This statement applies to all transactions or other events in which an entity (the acquirer) obtains control of one or more businesses (the acquiree), including those sometimes referred to as “true mergers” or “mergers of equals” and combinations achieved without the transfer of consideration, for example, by contract alone or through the lapse of minority veto rights. This statement applies to all business entities, including mutual entities that previously used the pooling-of-interests method of accounting for some business combinations. It does not apply to: 1) the formation of a joint venture; 2) the acquisition of an asset or a group of assets that does not constitute a business; 3) a combination between entities or businesses under common control; 4) a combination between not-for-profit organizations or the acquisition of a for-profit business by a not-for-profit organization. This statement applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. An entity may not apply it before that date. The adoption of SFAS No. 141(R), prospectively, will have a material effect on the Corporation’s results of operations and financial position, to the extent the Corporation has acquisitions, as costs that have historically been capitalized as part of the purchase price will now be expensed, such as accounting, legal and other professional fees.

In December 2007, the FASB issued SFAS No. 160. Non-controlling Interests in Consolidated Financial Statements, an Amendment to ARB No. 51. This statement applies to all entities that prepare consolidated financial statements, except not-for-profit organizations, but will affect only those entities that have an outstanding non-controlling interest in one or more subsidiaries or that deconsolidate a subsidiary. This statement is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2008 (that is, January 1, 2009, for entities with calendar year-ends). Earlier adoption is prohibited. The effective date of this statement is the same as that of the related Statement No. 141(R). The adoption of SFAS No. 160 will not have a material effect on the Corporation’s results of operations, cash flows or financial position.

In April 2008, the FASB issued FSP No. 142-3, Determination of the Useful Life of Intangible Assets (“FSP FAS 142-3”), which amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under FASB Statement No. 142, Goodwill and Other Intangible Assets (“SFAS 142”). The intent of FSP FAS 142-3 is to improve the consistency between the useful life of a recognized intangible asset under SFAS 142 and the period of expected cash flows used to measure the fair value of the asset under SFAS 141(R) and other U.S. generally accepted accounting principles. FSP FAS 142-3 requires an entity to disclose information for a recognized intangible asset that enables users of the financial statements to assess the extent to which the expected future cash flows associated with the asset are affected by the entity’s intent and/or ability to renew or extend the arrangement. FSP FAS 142-3 is effective for financial statements issued for fiscal years beginning after December 15, 2008, and interim periods within those fiscal years. Early adoption is prohibited. The requirements for determining the useful life of intangible assets apply to intangible assets acquired after January 1, 2009. The disclosure requirements will be applied prospectively to all intangible assets recognized as of, and subsequent to, the effective date.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 2—ACQUISITIONS

2007 Acquisitions

On the Closing Date, the Corporation completed the Pharmacy Transaction. As discussed in Note 1, the Pharmacy Transaction was accounted for as an acquisition by KPS of PharMerica LTC. In the Pharmacy Transaction, the Corporation issued 30.0 million shares of common stock, of which Kindred and AmerisourceBergen stockholders each received 15.0 million shares. The aggregate purchase price was $436.7 million, comprised primarily of the 15.0 million shares of common stock of the Corporation issued to AmerisourceBergen stockholders, with a fair value of $251.4 million, and the assumption of long-term debt related to the dividend payment to AmerisourceBergen of $125.0 million before the Pharmacy Transaction. The fair value of the common stock issued by the Corporation was calculated using the opening stock price on August 1, 2007. The total purchase price of PharMerica LTC was allocated to the net tangible and identifiable intangible assets based upon their estimated fair values as of the Closing Date. The excess of the purchase price over the estimated fair values of the net tangible and identifiable intangible assets was recorded as goodwill. For tax purposes, the assets acquired were recorded by the Corporation under the provisions of the Internal Revenue Code at the respective assets carryover basis. The results of operations of PharMerica LTC were included in the results of operations of the Corporation beginning August 1, 2007.

The following are the estimated fair values of the assets acquired and liabilities assumed at the date of the acquisition (in millions):

 

Fair value of 15.0 million shares at $16.76 per share issued to PharMerica LTC

   $ 251.4

Fair value of the liabilities assumed:

  

Current liabilities

     32.9

Capital lease obligations

     0.1

Deferred tax liabilities

     12.3

Long-term liabilities

     7.1

PharMerica LTC debt borrowing to fund cash distribution to parent in connection with the Pharmacy Transaction

     125.0
      

Total fair value of liabilities assumed

     177.4
      

Total fair value of liabilities assumed and shares issued

     428.8

Legal, advisory and other acquisition costs incurred by KPS

     7.9
      

Total purchase price

   $ 436.7
      

The allocation of the purchase price was as follows:

  

Current assets

   $ 243.6

Equipment and leasehold improvements

     32.8

Identifiable intangible assets

     44.5

Other assets

     52.8

Goodwill

     63.0
      
   $ 436.7
      

 

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Table of Contents

PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 2—ACQUISITIONS (Continued)

 

The following are the estimated fair values of the equipment and leasehold improvements of PharMerica LTC acquired at the date of acquisition (in millions, except weighted average useful lives):

 

     Fair Value    Weighted Average
Useful Lives

Leasehold improvements

   $ 4.1    0.8

Equipment and software

     28.0    3.7

Leased equipment

     0.7    1.3
         

Total equipment and leasehold improvements

   $ 32.8    2.5
         

The following are the estimated fair values of the identifiable intangible assets of PharMerica LTC acquired at the date of acquisition (in millions, except weighted average useful lives):

 

     Fair Value    Weighted Average
Useful Lives

Trade name - PharMerica

   $ 27.6    20.0

Trade name - MedMate

     0.3    20.0

Non-competition agreement

     0.2    5.0

Customer relationships

     16.4    15.0
         

Total identifiable intangible assets acquired

   $ 44.5    17.6
         

Other

The following pro forma consolidated financial information is not intended to represent or be indicative of the consolidated results of operations or financial condition of the Corporation that would have been reported had the Pharmacy Transaction been completed as of the date or for the period presented, and should not be taken as representative of the future consolidated results of operations or financial condition of the Corporation.

The pro forma effect of the PharMerica LTC acquisition assuming the Pharmacy Transaction occurred on January 1, 2007 excluding integration, merger related costs and other charges would be as follows (in millions, except per share amounts):

 

     Three Months Ended
September 30, 2007
   Nine Months Ended
September 30, 2007

Revenues

   $ 481.8    $ 1,449.0

Net income

   $ 1.9    $ 4.4

Earnings per common share:

     

Basic

   $ 0.06    $ 0.15

Diluted

   $ 0.06    $ 0.15

 

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Table of Contents

PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 3—EQUIPMENT AND LEASEHOLD IMPROVEMENTS

Equipment and leasehold improvements consist of the following (in millions):

 

     December 31,
2007
     September 30,
2008
 

Leasehold improvements

   $ 9.0      $ 9.2  

Equipment

     76.5        84.9  

Leased equipment

     0.7        0.7  

Construction in progress

     1.2        5.1  
                 
     87.4        99.9  

Accumulated depreciation

     (30.0 )      (42.1 )
                 
   $ 57.4      $ 57.8  
                 

The following represents a progression of the Corporation’s activity in equipment and leasehold improvements for the nine months ended September 30, 2008 (in millions):

 

     Balance at
December 31,
2007
     Additions      Disposals      Balance at
September 30,
2008
 

Equipment and leasehold improvements:

           

Leasehold improvements

   $ 9.0      $ 1.7      $ (1.5 )    $ 9.2  

Equipment

     76.5        13.7        (5.3 )      84.9  

Leased equipment

     0.7        -        -        0.7  

Construction in progress

     1.2        4.0        (0.1 )      5.1  
                                   

SubTotal

     87.4        19.4        (6.9 )      99.9  

Accumulated depreciation

     (30.0 )      (16.8 )      4.7        (42.1 )
                                   

Total

   $ 57.4      $ 2.6      $ (2.2 )    $ 57.8  
                                   

Depreciation expense totaled approximately $4.9 million and $8.4 million for the three and nine months ended September 30, 2007, respectively, and $5.3 million and $16.8 million for the three and nine months ended September 30, 2008, respectively.

NOTE 4—GOODWILL AND INTANGIBLES

The following table presents the changes in the carrying amount of goodwill for the period presented (in millions):

 

Balance at December 31, 2007

   $ 111.3  

Purchase adjustments to Goodwill recorded from acquisitions

     (0.6 )
        

Balance at September 30, 2008

   $ 110.7  
        

The purchase adjustments in the period related to the acquisitions of PharmaSTAT, LLC (acquired August 1, 2006), the Pharmacy Transaction, and the buy-out of the minority interest held by a third-party in the Corporation’s joint ventures in July 2008. Approximately $1.1 million of contingent payments were released from escrow to PharmaSTAT, LLC under the terms of the purchase agreement and $0.2 million as a result of the buy-out of the joint venture interests in July 2008. The remaining change related to a reduction in liabilities assumed of $1.9 million related to the Pharmacy Transaction based on subsequent facts and circumstances.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 4—GOODWILL AND INTANGIBLES (Continued)

 

The following table presents the components of the Corporation’s intangible assets (in millions):

 

Finite Lived Intangible Assets

   Gross
Carrying
Amount
   Accumulated
Amortization
    Net Total

Tradenames

       

December 31, 2007

   $ 27.9    $ (0.6 )   $ 27.3

September 30, 2008

   $ 27.9    $ (1.6 )   $ 26.3

Non-competition agreements

       

December 31, 2007

   $ 2.4    $ (1.0 )   $ 1.4

September 30, 2008

   $ 2.4    $ (1.3 )   $ 1.1

Customer relationships

       

December 31, 2007

   $ 57.4    $ (8.6 )   $ 48.8

September 30, 2008

   $ 57.4    $ (12.1 )   $ 45.3

Total amortized intangible assets:

       

December 31, 2007

   $ 87.7    $ (10.2 )   $ 77.5

September 30, 2008

   $ 87.7    $ (15.0 )   $ 72.7

Amortization expense relating to finite lived intangible assets was approximately $1.4 million and $3.4 million for the three and nine months ended September 30, 2007, respectively, and $1.6 million and $4.8 million for the three and nine months ended September 30, 2008, respectively.

NOTE 5—CREDIT AGREEMENT

On the Closing Date, the Corporation entered into a credit agreement among the Corporation, the Lenders named therein, and JPMorgan Chase Bank, N.A. (“JPMorgan”), as Administrative Agent (the “Credit Agreement”). The Credit Agreement consisted of a $275.0 million term loan facility and a $150.0 million revolving credit facility. The Corporation borrowed $275.0 million under the term loan portion of the Credit Agreement and an additional $20.0 million under the revolving credit portion of the Credit Agreement on the Closing Date to refinance the initial financings entered into by KPS and PharMerica LTC, to finance their respective cash distributions, to pay fees and expenses incurred in connection with the Pharmacy Transaction and for working capital and other general corporate purposes. Indebtedness under the Credit Agreement matures on July 31, 2012, at which time the commitment of the Lenders to make revolving loans also shall expire. There is no scheduled amortization under the term loan facility but the term loans are subject to certain prepayment obligations relating to asset sales, casualty losses and the incurrence by the Corporation of indebtedness.

Prior to the Pharmacy Transaction, KPS and PharMerica LTC each entered into a financing arrangement for daylight loans (“Spin-Co Loans”). The Spin-Co Loans were provided by a syndicate of lenders arranged by J.P. Morgan Securities Inc. (“JPMorgan”) pursuant to a commitment letter that KPS, PharMerica LTC, and the Corporation entered into with JPMorgan and JPMorgan Chase Bank, N.A. on May 31, 2007. On July 31, 2007, KPS and PharMerica LTC each obtained a $125.0 million loan under the Spin-Co Loans, for a total of $250.0 million, subject to certain adjustments for changes in working capital. The initial financings were funded immediately prior to closing of the Pharmacy Transaction.

The proceeds of the initial financings were used by KPS and PharMerica LTC to make the Kindred cash distribution and AmerisourceBergen cash distribution, respectively, prior to consummation of the Pharmacy Transaction. The amounts of the distributions to Kindred and AmerisourceBergen were in the amounts of the indebtedness incurred by KPS and PharMerica LTC, respectively. The Spin-Co Loans were paid by the Corporation on July 31, 2007 with proceeds from the Credit Agreement.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 5—CREDIT AGREEMENT (Continued)

 

The table below summarizes the term debt and revolving credit facility of the Corporation (in millions):

 

     December 31,
2007
   September 30,
2008
2007 Credit Agreement:      

Term Debt - payable to lenders at LIBOR plus applicable margin (4.0% as of September 30, 2008), matures July 31, 2012

   $ 250.0    $ 240.0

Revolving Credit Facility payable to lenders, interest at LIBOR plus applicable
margin, matures July 31, 2012

     -      -
             

Long-term debt

   $ 250.0    $ 240.0
             

Maturities of the Corporation’s long-term debt are as follows for the years indicated (in millions):

 

Year Ending December 31,

    

2008

   $ -

2009

     -

2010

     -

2011

     -

2012

     240.0
      
   $ 240.0
      

Borrowings under the Credit Agreement bear interest at a floating rate equal to, at our option, a base rate plus a margin between 0.00% and 0.75% per annum, or an adjusted LIBO rate plus a margin between 0.625% and 1.75% per annum, in each case depending on the leverage ratio of the Corporation. The base rate is the higher of the prime lending rate announced by JPMorgan in New York from time to time and the federal funds rate published by the Federal Reserve Bank of New York plus 0.50%. The Credit Agreement also provides for letter of credit participation fees between 0.625% and 1.75%, letter of credit fronting fees of 0.125%, and a commitment fee payable on the unused portion of the revolving credit facility, which shall accrue at a rate per annum ranging from 0.125% to 0.250%, in each case depending on the leverage ratio of the Corporation.

The obligations of the Corporation under and related to the Credit Agreement are secured by substantially all of its assets. Those obligations are guaranteed by many of the Corporation’s wholly owned subsidiaries and the obligations of the guarantors are secured by substantially all of their assets. The foregoing includes a pledge of all of the equity interests of substantially all of our direct and indirect domestic subsidiaries and a portion of the equity interests of any future foreign subsidiaries. The Credit Agreement also contains financial and non-financial affirmative and negative covenants, representations, warranties, and events of default that are customary to facilities of this nature.

The Corporation had a total of $250.0 million in term loans outstanding as of December 31, 2007, and $240.0 million as of September 30, 2008, under the Credit Agreement. The Corporation had no borrowings under the revolving credit facility as of December 31, 2007 or September 30, 2008. The Credit Agreement provides for the issuance of letters of credit which, when issued, reduce availability under the revolving credit facility. The aggregate amount of letters of credit outstanding as of September 30, 2008 was $2.7 million. After giving effect to the letters of credit, total availability under the revolving credit facility was $147.3 million as of September 30, 2008. The total availability of the revolving credit facility is limited by the ability of the lenders in the Credit Agreement to fund any requested future borrowing.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 5—CREDIT AGREEMENT (Continued)

 

Covenants

The Credit Agreement requires the Corporation to satisfy a minimum fixed charge coverage ratio and a maximum leverage ratio. The fixed charge coverage ratio, which is tested quarterly on a trailing four quarter basis, can be no less than 2.00:1.00 during the period from the Closing Date through December 31, 2008; 2.25:1.00 during the period January 1, 2009 through December 31, 2009; and 2.50:1.00 thereafter. The maximum leverage ratio, which also is tested quarterly, cannot exceed 4.50:1.00 during the period July 1, 2008 through December 31, 2008; 3.50:1.00 during the period January 1, 2009 through December 31, 2009; and 3.00:1.00 thereafter. The leverage ratio is not tested when at any time it is less than 2.00:1.00 or both S&P and Moody’s shall have in effect corporate credit ratings for the Corporation that are investment grade. In addition, capital expenditures (other than those funded with proceeds of asset sales or insurance) are restricted in any fiscal year to 3.0% of revenues, subject to certain carry over rights in regards to unused portions commencing with the fiscal year ending December 31, 2008.

The financial covenant requirements as defined by the Corporation’s Credit Agreement are as follows:

 

     Requirement    Level at
December 31, 2007
    Level at
September 30, 2008

Minimum Fixed Charge Coverage Ratio

   > = 2.00 to 1.00    2.57     3.30

Maximum Total Leverage Coverage Ratio

   < = 4.50 to 1.00    2.99     2.15

Capital Expenditure

   < = 3.00    1.40 %   **            

** Not applicable as Capital Expenditures Covenant is an annual requirement under the terms of the Credit Agreement.

In addition, the Credit Agreement contains customary affirmative and negative covenants, which among other things, limit the Corporation’s ability to incur additional debt, create liens, pay dividends, effect transactions with the Corporation’s affiliates, sell assets, pay subordinated debt, merge, consolidate, enter into acquisitions, and effect sale leaseback transactions.

Interest Rate Swap

On the Closing Date, the Corporation entered into an interest rate swap agreement with JPMorgan as the counterparty. The interest rate swap agreement was effective as of the Closing Date and has a maturity date of July 31, 2009. The Corporation entered into the interest rate swap agreement to mitigate the floating interest rate risk on $200.0 million of its outstanding variable rate borrowings. The interest rate swap agreement requires the Corporation to make quarterly fixed rate payments to JPMorgan calculated on a notional amount set at an annual fixed rate of 5.123%, plus applicable margin (0.625% — 1.75%). JPMorgan will be obligated to make quarterly floating payments to the Corporation based on the three-month LIBO rate, plus applicable margin (0.625% — 1.75%) on the same referenced notional amount.

Notwithstanding the terms of the interest rate swap transaction, the Corporation is ultimately obligated for all amounts due and payable under the Credit Agreement. The notional value of the swap was $200.0 million as of December 31, 2007 and September 30, 2008.

The fair value of the interest rate swap agreement is the amount at which it could be settled, based on estimates. The Corporation has designated the interest rate swap as a cash flow hedge instrument, which is recorded in the Corporation’s accompanying condensed consolidated balance sheet at its fair value. The fair value of the Corporation’s interest rate swap at December 31, 2007 and September 30, 2008, and reflected as a liability of approximately $4.2 million and $3.9 million, respectively, is included in other long term liabilities in the Corporation’s accompanying condensed consolidated balance sheets.

The Corporation assesses the effectiveness of its cash flow hedge instrument on a quarterly basis. The Corporation completed an assessment of the cash flow hedge instrument at December 31, 2007 and September 30, 2008, and determined the hedge to be highly effective in accordance with SFAS No. 133. The interest rate swap agreement exposes the Corporation to credit risk in the event of non-performance by JPMorgan and other participating financial institutions. However, the Corporation does not anticipate non-performance by JPMorgan. The Corporation prohibits the use of derivative instruments for trading or speculative purposes.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 5—CREDIT AGREEMENT (Continued)

Deferred Financing Fees

The Corporation capitalized a total of $2.0 million in deferred financing fees associated with the Credit Agreement and recorded them as other assets in the accompanying condensed consolidated balance sheets. The Corporation amortizes the financing fees under the straight-line method over the term of the Credit Agreement. Amortization expense relating to deferred financing fees was approximately $0.1 million for the three and nine months ended September 30, 2007, and $0.1 million and $0.3 million for the three and nine months ended September 30, 2008, respectively. Amortization expense relating to deferred financing fees is included in interest expenses, net in the accompanying condensed consolidated statement of operations. As of December 31, 2007 and September 30, 2008, the Corporation had approximately $1.8 million and $1.5 million, respectively, in unamortized deferred financing fees.

NOTE 6—COMMITMENTS AND CONTINGENCIES

Legal Action and Regulatory

The Corporation is involved in certain legal actions and regulatory investigations arising in the ordinary course of business. None of such legal proceedings are, in the opinion of management, expected to have a material adverse effect on the condensed consolidated financial position, results of operations or liquidity of the Corporation.

Effective October 1, 2007, Centers for Medicare & Medicaid Services (“CMS”) promulgated new rules under the Deficit Reduction Act of 2005 (“DRA”) changing the federal upper payment limit for Medicaid reimbursement from 150% of the lowest published price for a drug (which is usually the average wholesale price) to 250% of the lowest average manufacturer price (“AMP”). Although the use of an AMP benchmark would have reduced Medicaid reimbursement rates for certain generic pharmaceuticals, it did not take effect due to a December 19, 2007 federal district court injunction against CMS prohibiting the agency from implementing the rule to the extent that such action would affect Medicaid reimbursement rates for pharmacies under the Medicaid program. The Medicare Improvements for Patients and Providers Act of 2008 delays the use of AMP in setting the payment limit for generic drugs under Medicaid until October 1, 2009. This legislation also delays the public disclosure of AMP data until October 1, 2009. The outcome of the AMP litigation is uncertain, and there can be no assurance that changes in reimbursement formula under the DRA or future legislation or regulation will not have a material adverse impact on our business and results of operations.

Average wholesale price or AWP, is a pricing benchmark published by First DataBank, Inc. (“First Data Bank”), which provides drug databases, content integration software and drug reference products. AWP is widely used to calculate a portion of the Medicaid and Medicare Part D drug reimbursements payable to pharmacy providers. In 2005, several pension funds brought an action against First DataBank and another healthcare provider alleging collusion to set AWPs for branded drugs. In October 2006, First DataBank agreed to a proposed settlement that would require it to stop publishing AWP two years after the settlement becomes effective unless a competitor is publishing AWP at that time. First DataBank would also be required to change the way it calculates AWP during the two-year interim period.

In May 2008, First DataBank, Inc. filed amendments with the courts to the proposed settlement. If the terms of the amended settlement are approved by the court, First DataBank will be required to (1) adjust its reporting of Blue Book AWP for those prescription drugs identified in the plaintiffs' previously filed complaint by reducing the mark-up factor utilized in connection with the calculation of the Blue Book AWP data field to 1.20 times the WAC or Direct Price for those prescription drugs that are on a mark-up basis; (2) establish a centralized data repository to facilitate reasonable access to discoverable material from First DataBank concerning its drug price reporting practices, (3) make a $1.0 million contribution into a court-supervised fund for the benefit of the settlement class members, and (4) pay certain settlement-related notice and other expenses and fees. The adjustments to Blue Book AWP will become effective on or about ninety days after final court approval of the amended settlement agreement. The approval process will, again, require a preliminary approval by the court, notification to the class, and final approval by the court. The adjustments will be effective on or about 90 days from the final approval of the court of the amended settlement agreement. The Court granted preliminary approval of the amended settlement on July 14, 2008. The order also gave preliminary certification to the settlement class. Further the court scheduled a final fairness hearing for December 17, 2008 to consider (1) whether to certify the class and (2) the fairness, reasonableness, and adequacy of the settlement.

Currently, we are unable to fully evaluate the potential impact until a final action is ultimately determined. There can be no assurance that changes in the calculation of AWP will not have an adverse impact on our business and results of operations.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 6—COMMITMENTS AND CONTINGENCIES (Continued)

 

Acquisitions

The Corporation has historically acquired the assets of businesses with prior operating histories. Acquired companies may have unknown or contingent liabilities, including liabilities for failure to comply with healthcare laws and regulations, medical and general professional liabilities, workers compensation liabilities, previous tax liabilities and unacceptable business practices. Although the Corporation institutes policies designed to conform practices to its standards following completion of acquisitions, there can be no assurance the Corporation will not become liable for past activities that may later be asserted to be improper by private plaintiffs or government agencies.

Although the Corporation generally seeks to obtain indemnification from prospective sellers covering such matters, there can be no assurance that any such matter will be covered by indemnification, or if covered, that such indemnification will be adequate to cover potential losses and fines. In the ordinary course of business, the Corporation enters into contracts containing standard indemnification provisions and indemnifications specific to a transaction such as business acquisitions and disposals of an operating facility. These indemnifications may cover claims against employment-related matters, governmental regulations, environmental issues, tax matters, as well as customer, third party payor, supplier and contractual relationships. Obligations under these indemnities generally would be initiated by a breach of the terms of the contract or by a third party claim or event.

Prime Vendor Agreement

At the consummation of the Pharmacy Transaction, the Corporation entered into a Prime Vendor Agreement (the “Prime Vendor Agreement”), with AmerisourceBergen Drug Corporation (“ABDC”), a wholly owned subsidiary of AmerisourceBergen, the Corporation’s former 50% stockholder and former parent of PharMerica LTC. Pursuant to this agreement, the Corporation has agreed to purchase at least 95% of the Corporation’s prescription pharmaceutical drugs from ABDC and to participate in its generic formulary purchase program for a period of five years following the Closing Date. In addition, ABDC will support the distribution of pharmaceuticals that the Corporation purchases directly from manufacturers and provide inventory management support and packaging services. Unless either party provides certain notice of termination, the agreement will continue on a month-to-month basis upon expiration of the initial five year term. The agreement may be terminated by either party for cause during the initial five year term, and by either party with or without cause thereafter upon 90 days notice.

Information Technology Services Agreement

At the consummation of the Pharmacy Transaction, the Corporation entered into an Information Technology Services Agreement with Kindred Healthcare Operating, Inc. (“KHOI”), a wholly owned subsidiary of Kindred, the Corporation’s former 50% stockholder (the “IT Services Agreement”). Pursuant to this agreement, KHOI will be the Corporation’s exclusive provider of certain information services and support related to information technology infrastructure and financial systems for a period of five years following the Closing Date. The services provided by KHOI will include business services necessary to operate, manage, and support certain financial applications the Corporation uses, including enabling and/or supporting technology infrastructure and technology procurement services to support certain business functions. Such services will include, among other matters, functions for financial management, systems and payroll. The Corporation will support internally all other operating systems, including functions for order entry, pharmacy dispensing, clinical consulting, billing and collections, electronic medication management, sales and marketing, medical records management, human resources, internal and external customer call center support and general business systems.

Except for certain services which will be provided at cost, KHOI will provide such services to the Corporation at its cost plus 10%, which will be the actual costs and expenses incurred in providing these services, including certain overhead costs and per hour costs of the KHOI employees providing the services. The initial term of the agreement is five years. The agreement shall automatically renew for successive one-year periods after the expiration of the initial five year term, absent 120 days prior notice of termination as provided for in the agreement. The IT Services Agreement may be terminated by either party for cause and, in certain circumstances, by the Corporation in the event that KHOI undergoes a change of control to one of the Corporation’s competitors. Following termination of the agreement, KHOI must provide termination and expiration assistance for up to 180 days.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 6—COMMITMENTS AND CONTINGENCIES (Continued)

 

Transition Services Agreements

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with Kindred (the “Kindred TSA”). Pursuant to this agreement, Kindred will provide the Corporation with certain corporate administrative services, such as payroll and employee benefit administration, human resources, risk management, treasury, tax, accounting and financial reporting services, for a period of up to twelve months following the Closing Date. In addition, the Kindred TSA may be extended for a period not to exceed 90 days, upon mutual agreement by the parties. The Corporation and Kindred have extended the Kindred TSA for a period of 90 days pursuant to the agreement. Kindred will provide such services at its cost, which were actual costs and expenses incurred by Kindred in providing these services, including overhead costs and per hour costs of the Kindred employees providing the services. The Kindred TSA will expire on October 31, 2008. As of September 30, 2008, the Corporation has substantially transitioned all services covered by the Kindred TSA.

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with AmerisourceBergen (the “AmerisourceBergen TSA”). Pursuant to this agreement, AmerisourceBergen provided the Corporation with certain transition services, such as payroll and employee benefit administration services for a period of twelve months following the Closing Date. AmerisourceBergen provided such services at its cost, which were the actual costs and expenses incurred by AmerisourceBergen in providing these services, including overhead costs and per hour costs of the AmerisourceBergen employees providing the services. The AmerisourceBergen TSA expired on July 31, 2008.

Employment Agreements

The Corporation has entered into employment agreements with certain of its executive officers. During the employment period, each of the executive officers will be eligible to (i) participate in any short-term and long-term incentive programs established or maintained by the Corporation, (ii) participate in all incentive, savings and retirement plans and programs of the Corporation, (iii) participate, along with their dependents, in all welfare benefit plans and programs provided by the Corporation and (iv) receive four weeks of paid vacation per calendar year.

The type of compensation due to each of the executive officers in the event of the termination of their employment period varies depending on the nature of the termination.

Leases

The Corporation leases real estate properties, buildings, vehicles and equipment under cancelable and non-cancelable leases. The leases expire at various times and have various renewal options. Certain leases that meet the lease capitalization criteria in accordance with SFAS No. 13, Accounting for Leases, as amended, have been recorded as an asset and liability at the net present value of the minimum lease payments at the inception of the lease. Interest rates used in computing the net present value of the lease payments are based on the Corporation’s incremental borrowing rate at the inception of the lease.

The following is a summary of lease expense incurred by the Corporation (in millions):

 

     Three Months Ended September 30,    Nine Months Ended September 30,
               2007                        2008                        2007                        2008          

Pharmacy locations and administrative offices lease expense

   $ 3.3    $ 4.2    $ 6.4    $ 12.8

Office equipment lease expense

     0.8      1.3      1.3      4.7
                           

Total lease expense

   $ 4.1    $ 5.5    $ 7.7    $ 17.5
                           

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 6—COMMITMENTS AND CONTINGENCIES (Continued)

 

Future minimum lease payments for those leases having an initial or remaining non-cancelable lease term in excess of one year are as follows for the next five years and thereafter indicated (in millions):

 

Year Ending December 31,

   Operating
Leases

2009

   $ 13.9

2010

     9.7

2011

     6.4

2012

     4.3

2013

     3.0

Thereafter

     7.1
      

Total

   $ 44.4
      

NOTE 7—REVENUES

The Corporation recognizes revenues at the time services are provided or products are delivered. A significant portion of these revenues are billed to PDPs under Medicare Part D (“the Part D”), state Medicaid programs, long-term care institutions, third party insurance companies, and private payors. Some claims are electronically adjudicated through online processing at the point the prescription is dispensed such that the Corporation’s operating systems are automatically updated with the amount to be reimbursed. As a result, revenues and the associated receivables are based upon the actual reimbursement received by the Corporation. For claims that are adjudicated on-line and are rejected or otherwise denied upon submission, the Corporation provides contractual allowances based upon historical trends, contractual reimbursement terms and other factors which may impact ultimate reimbursement. Amounts are adjusted to actual reimbursed amounts upon cash receipt.

Under the Part D benefit, payment is determined in accordance with the agreements the Corporation has negotiated with the Part D Plans. The remainder of the Corporation’s billings are paid or reimbursed by individual residents, long-term care facilities (including revenues for residents funded under Medicare Part A) and other third party payors, including Medicaid and private insurers.

The Medicaid and Medicare programs are highly regulated. The failure, even if inadvertent, of the Corporation and/or client facilities to comply with applicable reimbursement regulations could adversely affect the Corporation’s reimbursement under these programs and the Corporation’s ability to continue to participate in these programs. In addition, failure to comply with these regulations could subject the Corporation to other penalties.

As noted, the Corporation obtains reimbursement for drugs it provides to enrollees of a given Part D Plan in accordance with the terms of the agreement negotiated between it and that Part D Plan. The Corporation has entered into such agreements with nearly all Part D Plan sponsors under which it will provide drugs and associated services to their enrollees. The Corporation continues to have ongoing discussions with Part D Plans in the ordinary course and may, as appropriate, renegotiate agreements.

The Corporation’s hospital pharmacy management revenues represent contractually defined management fees and the reimbursement of costs associated with the direct operations of hospital pharmacies, which are primarily comprised of personnel costs.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 7—REVENUES (Continued)

 

A summary of revenues by payor type follows (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     2008     2007     2008  
     Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
 

Medicare Part D

   $ 173.1    45.9 %   $ 219.5    45.1 %   $ 321.3    44.3 %   $ 665.6    45.4 %

Institutional healthcare providers

     110.0    29.1       141.9    29.2       228.2    31.4       434.6    29.6  

Medicaid

     34.4    9.1       46.3    9.5       61.7    8.5       138.7    9.5  

Private and other

     26.7    7.1       35.5    7.3       43.9    6.1       100.4    6.8  

Hospital management fees

     13.5    3.6       14.6    3.0       40.7    5.6       44.5    3.0  

Insured

     17.0    4.5       25.7    5.3       22.6    3.1       75.8    5.2  

Medicare

     2.8    0.7       2.7    0.6       7.2    1.0       8.0    0.5  
                                                    

Total

   $ 377.5    100.0 %   $ 486.2    100.0 %   $ 725.6    100.0 %   $ 1,467.6    100.0 %
                                                    

Co-payments for the Corporation’s services can be applicable under Medicare Part D, state Medicaid programs, and certain third party payors and are typically not collected at the time products are delivered or services are provided. Co-payments under the Medicaid programs and third party plans are generally billed to the responsible party as part of the Corporation’s normal billing procedures and are subject to the Corporation’s normal collection procedures.

Under Medicare Part D, co-payments related to institutional residents who are both Medicare and Medicaid eligible (“dual eligible”) are due from the responsible party for up to the first thirty days of a beneficiary’s stay in a skilled nursing facility, subsequent to which the PDPs are responsible for reimbursement. At December 31, 2007 and September 30, 2008, the Corporation had dual eligible co-pay receivables from the PDPs of $6.0 million and $5.4 million, respectively, of which approximately 86% and 90% were fully reserved at December 31, 2007 and September 30, 2008, respectively.

Under certain circumstances, including state-mandated return policies under various Medicaid programs, the Corporation accepts returns of medications and issues a credit memorandum to the applicable payor. Product returns are processed in the period in which the return is accepted by the Corporation.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 8—INTEGRATION, MERGER RELATED COSTS AND OTHER CHARGES

The following is a summary of integration, merger related costs and other charges incurred by the Corporation (in millions):

 

     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
         2007             2008             2007             2008      

Integration costs and other charges:

        

Allowance for doubtful accounts

   $ 27.9     $ -     $ 27.9     $ -  

Professional and advisory fees

     -       0.4       -       1.5  

General and administrative

     -       0.5       -       2.6  

Employee costs

     -       2.3       0.1       6.3  

Severance costs

     0.5       2.0       0.5       3.7  

Facility costs

     -       1.9       -       3.7  
                                
     28.4       7.1       28.5       17.8  
                                

Merger related costs:

        

Professional and advisory fees

     5.6       -       8.0       -  

General and administrative

     4.9       -       5.4       -  

Employee costs

     4.9       -       7.6       -  

Severance costs

     2.2       -       2.2       -  

Facility costs

     0.7       -       0.7       -  

Other

     0.1       -       0.1       -  
                                
     18.4       -       24.0       -  
                                

Total integration, merger related costs and other charges

   $ 46.8     $ 7.1     $ 52.5     $ 17.8  
                                

Negative effect on diluted earnings per share

   $ (1.21 )   $ (0.13 )   $ (1.85 )   $ (0.33 )
                                

Integration, merger related costs and other charges relate to the consolidation of pharmacies within a similar location, costs associated with the spin-offs of KPS and PharMerica LTC from Kindred and AmerisourceBergen, respectively, and costs to integrate information systems and duplicative costs associated with merging the overall corporate function of KPS and PharMerica LTC.

As the Corporation continues to integrate the businesses of PharMerica LTC and KPS additional costs will be incurred. In accordance with SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities, costs will be recognized as an expense to the Corporation as incurred.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS

Common Stock

Holders of the Corporation’s common stock are entitled to one vote for each share held of record on all matters on which stockholders may vote. There are no preemptive, conversion, redemption or sinking fund provisions applicable to our common stock. In the event of liquidation, dissolution or winding up, holders of common stock are entitled to share ratably in the assets available for distribution, subject to any prior rights of any holders of preferred stock then outstanding. Delaware law prohibits the Corporation from paying any dividends unless it has capital surplus or net profits available for this purpose. In addition, the Corporation’s Credit Agreement imposes restrictions on its ability to pay dividends.

As a part of the Pharmacy Transaction, the Corporation issued 30.0 million shares of common stock. In the Pharmacy Transaction, each Kindred stockholder received approximately 0.366 shares of the Corporation’s common stock in respect of each share of Kindred common stock held on the record date and each AmerisourceBergen stockholder received approximately 0.083 shares of the Corporation’s common stock in respect of each share of AmerisourceBergen common stock held on the record date. Immediately following the Pharmacy Transaction, the stockholders of Kindred and AmerisourceBergen each owned 50% of the outstanding common stock of the Corporation. The shares of the Corporation’s common stock held by Kindred and AmerisourceBergen prior to the Pharmacy Transaction were cancelled, and neither retained any ownership of the outstanding shares of common stock of the Corporation.

The historical common stock of the Corporation was cancelled on the Closing Date of the Pharmacy Transaction and reclassified as capital in excess of par value.

Preferred Stock

The certificate of incorporation authorizes the issuance of an aggregate of 1.0 million shares of preferred stock. As of December 31, 2007 and September 30, 2008, there were no shares of preferred stock outstanding.

The Corporation’s board of directors may, from time to time, direct the issue of shares of preferred stock in series and may, at the time of issuance, determine the designation, powers, rights, preferences and limitations of each series. Satisfaction of any dividend preferences of outstanding preferred stock would reduce the amount of funds available for the payment of dividends on the Corporation’s shares of common stock. Holders of preferred stock may be entitled to receive a preference payment in the event of any liquidation, dissolution or winding-up of the Corporation before any payment is made to the holders of our common stock. Under certain circumstances, the issuance of preferred stock may render more difficult or tend to discourage a merger, tender offer or proxy contest, the assumption of control by a holder of a large block of the Corporation’s securities or the removal of incumbent management. The board of directors may issue shares of preferred stock with voting and conversion rights that could adversely affect the holders of shares of the Corporation’s common stock. Specifically, the Corporation’s certificate of incorporation authorizes the board to adopt a rights plan without stockholder approval. This could delay or prevent a change in control of the Corporation or the removal of existing management.

2007 Omnibus Incentive Plan

On July 12, 2007, the Corporation adopted the PharMerica Corporation 2007 Omnibus Incentive Plan (“Omnibus Plan”) (as amended May 30, 2008) under which the Corporation is authorized to grant equity-based and other awards to its employees, officers, directors and consultants. The Corporation has reserved 3,800,000 shares of its common stock for awards to be granted under the Omnibus Plan plus 534,642 shares reserved for substitute equity awards for employees of KPS and PharMerica LTC whose awards were cancelled or forfeited upon the consummation of the Pharmacy Transaction. The Corporation’s Compensation Committee administers the Omnibus Plan and has the authority to determine the recipient of the awards, the types of awards, the number of shares covered and the terms and conditions of the awards. The Omnibus Plan allows for grants of incentive stock options, non-qualified stock options, stock appreciation rights, restricted stock and restricted stock units, deferred shares, performance awards, including cash bonus awards, and other stock-based awards. On July 24, 2008, the Corporation’s stockholders approved an amendment to the Omnibus Plan to provide the Compensation Committee with increased flexibility to use non-GAAP measures to measure performance, including the ability to exclude from the performance measures certain items or charges related to an event or occurrence which the Compensation Committee determines should be excluded, in accordance with the performance criteria of performance awards granted pursuant to the Omnibus Incentive Plan.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS (Continued)

 

The stock options granted under the Omnibus Plan to replace options granted by Kindred or AmerisourceBergen that were cancelled or forfeited upon the consummation of the Pharmacy Transaction have the same basic terms, conditions and vesting schedule of the awards granted to them by Kindred and AmerisourceBergen. In addition, unvested restricted shares of Kindred and AmerisourceBergen common stock held by our named executive officers who were formerly KPS or PharMerica LTC employees were replaced with restricted shares of the Corporation’s common stock, which have the same basic terms, conditions and vesting schedule as apply to the forfeited Kindred or AmerisourceBergen restricted shares.

2008 Stock-based Awards

The Compensation Committee establishes long-term and short-term incentive programs under the Omnibus Plan. On March 10, 2008 the Compensation Committee granted stock based compensation awards with respect to 247,869 shares of common stock under the Omnibus Plan with a grant price of $15.10 per share. The Compensation Committee also granted performance share units with a performance target of 67,328 shares. The number of shares earned at the end of the performance cycle based on the performance criteria has a threshold of 33,664 shares and a maximum of 134,656 shares.

Additionally, subsequent to March 10, 2008 the Compensation Committee granted stock based compensation awards with respect to 76,638 shares of common stock under the Omnibus Plan with a grant price of $16.44 to $23.79 per share, 72,548 shares of nonvested stock to a newly appointed board of director and new employees of the Corporation and performance share units with a performance target of 947 shares. The terms and conditions of these awards have similar terms to other awards granted by the Compensation Committee.

Stock based compensation granted under the Omnibus Plan in 2008 vests in four equal annual installments and has a term of seven years. The performance share units granted under the Omnibus Plan in 2008 have vesting terms based upon the Corporation’s earnings before interest, income taxes, depreciation and amortization, or Adjusted EBITDA performance, which reinforces the importance of achieving the Corporation’s profitability objectives.

2007 Stock-based Awards

On August 7, 2007 the Compensation Committee granted stock based compensation awards with respect to 1,072,695 shares of common stock under the Omnibus Plan with a grant price of $16.31 per share and 365,888 shares of nonvested stock. The Compensation Committee also granted performance share units with a target of 8,950 shares. The number of shares earned at the end of the performance cycle based on the performance criteria has a threshold of 4,475 shares and a maximum of 13,425 shares.

With regards to the stock options granted under the Omnibus Plan in 2007 (other than the substitute options granted to replace cancelled Kindred and AmerisourceBergen options), each option vests in four equal annual installments and has a term of seven years. The restricted stock granted under the Omnibus Plan in 2007 (other than the substitute restricted stock granted to replace cancelled Kindred and AmerisourceBergen restricted stock) generally vests in full, upon the three-year anniversary of the date of grant, thus stressing the retentive aspect of these awards. In addition, with respect to the performance share units granted under the Omnibus Plan in 2007, vesting is based upon the Corporation’s earnings before interest, income taxes, depreciation and amortization, or Adjusted EBITDA performance, which reinforces the importance of achieving the Corporation’s profitability objectives. The performance units granted August 7, 2007 have a performance period measured on a three-year period.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS (Continued)

 

Stock-Based Compensation Expense

The following is a summary of stock-based compensation incurred by the Corporation (in millions):

 

     Three Months Ended September 30,    Nine Months Ended September 30,
     2007    2008    2007    2008

Stock option compensation expense

   $ 0.4    $ 0.8    $ 0.5    $ 1.7

Nonvested stock compensation expense

     -      0.6      0.1      1.8
                           

Total Stock Compensation Expense

   $ 0.4    $ 1.4    $ 0.6    $ 3.5
                           

As of September 30, 2008, there was $10.2 million of total unrecognized compensation cost related to the Corporation’s stock compensation arrangements. Total unrecognized compensation cost will be adjusted for future changes in estimated forfeitures. The Corporation expects to recognize that cost over a weighted average period of 2.1 – 2.7 years depending on the type of award granted.

Total estimated compensation expense for the Corporation’s stock options and restricted stock awards for the current year and next five years and thereafter are as follows (in millions):

 

Year Ending December 31,

    

2008

   $ 4.8

2009

     4.0

2010

     3.7

2011

     1.1

2012

     0.1

2013

     -

Thereafter

     -
      

Total

   $ 13.7
      

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS (Continued)

 

The following weighted average assumptions were used to estimate the fair value of options granted using the Black-Scholes option-pricing model:

 

     2007    2008

Expected volatility

   33.3 - 45.0%    33.3 - 41.7%

Risk free interest rate (range)

   4.55 - 4.98%    1.53 - 2.45%

Expected dividends

   -    -

Average expected term (years)

   0.3 - 5.0    2.0 - 5.0

Fair value per share of stock options granted

   $5.82    $4.67

Expected Volatility

Volatility is a measure of the tendency of investment returns to vary around a long-term average rate. Historical volatility is an appropriate starting point for setting this assumption under SFAS No. 123(R). According to SFAS No. 123(R), companies should also consider how future experience may differ from the past. This may require using other factors to adjust historical volatility, such as implied volatility, peer-group volatility and the range and mean-reversion of volatility estimates over various historical periods. The peer-group utilized consisted of ten companies in the same or similar industries as the Corporation. SFAS No. 123(R) and Staff Accounting Bulletin No. 107, Share-Based Payments, acknowledge that there is likely to be a range of reasonable estimates for volatility. In addition, SFAS No. 123(R) requires that if a best estimate cannot be made, management should use the mid-point in the range of reasonable estimates for volatility. Upon adoption of SFAS No. 123(R), the Corporation estimates the volatility of its common stock at the date of grant based on historical volatility of its peer-group, consistent with SFAS No. 123(R) and SAB 107.

Risk-Free Interest Rate

The risk-free rate is based on the U.S. Treasury yield curve in effect at the time of grant for the estimated life of the option.

Expected Dividends

The Corporation has never paid any cash dividends on its common stock and does not anticipate paying any cash dividends in the foreseeable future. Consequently, it uses an expected dividend yield of zero.

Expected Term

The Corporation calculated an expected term using management’s estimate of option exercises. The majority of the Corporation’s stock options are on a graded-vesting schedule. SFAS No. 123(R) permits companies to estimate the value of awards with graded vesting by treating each vesting tranche as a separate award. Alternatively, the award may be valued as a single award. Management has determined to value each tranche of the awards separately utilizing the “multiple fair value” method.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS (Continued)

 

Stock Option Activity

During the first nine months of 2008, the Compensation Committee granted 324,507 stock options under the Omnibus Plan. The weighted average fair value based on the Black-Scholes option pricing model for stock options granted during the nine months ended September 30, 2008, was $4.67 per share. The fair value of stock options exercised for the nine months ended September 30, 2008 was $0.3 million. The total fair value of shares vested was $1.9 million for the nine months ended September 30, 2008.

The following table summarizes option activity for the periods presented (as stated):

 

     Number
of Shares
    Weighted-Average
Exercise Price Per
Share
   Weighted-
Average
Remaining
Term
   Aggregate Instrinsic
Value (in millions)

Outstanding at December 31, 2006

   127,787     $ 21.56    6.0 years   

Cancellation of nonvested stock options under former Parent’s Omnibus Plan

   (127,787 )     21.56      

Effect of Pharmacy Transaction on options

   479,302       12.73      

Granted

   1,072,695       16.31      

Exercised

   -       -      

Canceled

   (281,614 )     15.09      
                  

Outstanding at December 31, 2007

   1,270,383     $ 15.23    6.8 years   
                    

Granted

   324,507       15.65      

Exercised

   (52,449 )     13.23      

Canceled

   (172,977 )     14.78      
                  

Outstanding at September 30, 2008

   1,369,464     $ 15.45    5.8 years    $ 9.6
                        

Exercisable at September 30, 2008

   352,736     $ 14.97    4.9 years    $ 2.7
                        

Total shares available for grant

   2,234,037          
              

Nonvested Shares

During the first nine months of 2008, the Compensation Committee granted 72,548 shares of nonvested stock and 68,275 performance share units under the Omnibus Plan. The total fair value of shares vested for the nine months ended September 30, 2008 was $1.1 million.

The following table summarizes nonvested shares activity for the periods presented (as stated):

 

     Number of
Shares
     Weighted-Average
Grant Date Fair
Value

Outstanding at December 31, 2006

   28,961      $ 26.04

Cancellation of nonvested shares under former Parent’s Omnibus Plan

   (28,961 )      26.04

Effect of Pharmacy Transaction on nonvested shares and units

   55,340        6.66

Granted

   365,888        16.31

Forfeited

   (51,666 )      12.71

Vested

   (8,658 )      14.18
             

Outstanding shares at December 31, 2007

   360,904      $ 15.13
             

Granted

   140,823        16.83

Forfeited

   (33,456 )      12.87

Vested

   (69,204 )      16.17
             

Outstanding at September 30, 2008

   399,067      $ 15.98
             

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 9—COMMON STOCK, PREFERRED STOCK, STOCK BASED COMPENSATION AND OTHER BENEFITS (Continued)

 

Other Plans

The Corporation sponsors a defined contribution retirement plan for all eligible employees, as defined in the plan documents. The plan is qualified under Section 401(k) of the Internal Revenue Code. Contributions to the plan are based upon employee contributions and the Corporation’s matching contributions. The Corporation’s matching contributions to the plan were $0.8 million and $1.2 million for the three and nine months ended September 30, 2007, respectively, and $1.5 million and $4.6 million for the three and nine months ended September 30, 2008, respectively.

NOTE 10—INCOME TAXES

The following table summarizes our provision for income taxes for the three and nine months ended September 30, 2007 and 2008 (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     2008     2007     2008  

Tax provision (benefit)

   $ (14.7)     $ 3.4     $ (14.6)     $ 8.1  
                                

Total provision (benefit) as a percentage of pre-tax income (loss)

     35.2 %     42.9 %     35.2 %     43.2 %
                                

The increase in our provision for income taxes as a percentage of taxable income for the three and nine months ended September 30, 2008 compared to the comparable 2007 periods was primarily the result of the Pharmacy Transaction and increases in non-deductible expenses associated with the Corporation’s operations as a stand-alone company. The effective tax rates in 2008 and 2007 are higher than the federal statutory rate largely as a result of the combined impact of state and local income taxes and various non-deductible expenses.

The provision for income taxes is based upon the Corporation’s estimate of annual taxable income or loss for each respective accounting period. The Corporation recognizes an asset or liability for the deferred tax consequences of temporary differences between the tax basis of assets and liabilities and their reported amounts in the financial statements. These temporary differences will result in taxable or deductible amounts in future years when the reported amounts of the assets are recovered or liabilities are settled. The Corporation also recognizes as deferred tax assets the future tax benefits from net operating and capital loss carryforwards. A valuation allowance is provided for these deferred tax assets if it is more likely than not that some portion or all of the net deferred tax assets will not be realized. The Corporation recognized deferred tax assets totaling $85.9 million at December 31, 2007 and $80.1 million at September 30, 2008, net of valuation allowances.

The Corporation derives a current federal and state income tax benefit from the impact of deductions derived from the amortization of tax-deductible goodwill acquired in the 2007 Pharmacy Transaction. At the transaction date, the tax basis of this goodwill was $126.3 million, amortizable over a remaining life for tax purposes of approximately six years. The tax basis of this goodwill was approximately $112.9 million and $89.0 million at December 31, 2007 and September 30, 2008, respectively. The future tax benefits of the tax-deductible goodwill are included in the Corporation’s deferred tax assets. As of September 30, 2008, the Corporation has tax benefits from federal net operating loss carryforwards of $11.6 million.

As of January 1, 2008, the Corporation had a $3.8 million liability recorded for unrecognized tax benefits for U.S. federal and state tax jurisdictions. Included in the balance are $1.5 million of tax positions for which the ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. Because of the impact of deferred tax accounting, other than interest and penalties, the disallowance of the shorter deductibility period would not affect the annual effective tax rate but would accelerate the payment of cash to the taxing authority to an earlier period.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 10—INCOME TAXES (continued)

 

Under the terms of the Master Agreement, the Corporation entered into a tax matters agreement with Kindred and AmerisourceBergen (the “Tax Matters Agreement”). The Tax Matters Agreement governs the Corporation’s, Kindred’s and AmerisourceBergen’s rights and obligations following consummation of the Pharmacy Transaction with respect to taxes, for both pre-merger and post-merger periods. Generally, Kindred and AmerisourceBergen are responsible for the taxes of KPS (and its subsidiaries) and PharMerica LTC (and its subsidiaries), respectively, that relate to pre-merger periods and the Corporation is responsible for all taxes that relate to periods subsequent to the date of the Pharmacy Transaction.

Prior to the Pharmacy Transaction, KPS was included in the consolidated federal and state income tax returns filed by Kindred. Kindred allocated the consolidated federal and state income tax liabilities among the members of the consolidated return group as if KPS was a separate taxpayer, and the results of the corresponding tax liability were settled with Kindred through stockholders’ equity. The federal statute of limitations remains open for tax years 2004 through 2007. As a result of the consummation of the Pharmacy Transaction, subsequent to the spin-off, KPS is no longer included in Kindred’s income tax filings but is a part of the consolidated federal and state income tax returns filed by the Corporation.

State jurisdictions generally have statutes of limitations ranging from three to five years. The state income tax impact of federal income tax changes remains subject to examination by various states for a period of up to one year after formal notification of IRS settlement to the states.

To preserve the tax-free treatment of the spin-offs, the Corporation has agreed to certain tax-related restrictions and indemnities in the Tax Matters Agreement. These restrictions cover the two-year period following the Closing Date of the Pharmacy Transaction and generally require the Corporation to continue its current business and limit the Corporation’s ability to engage in certain transactions with respect to its common shares. Each of Kindred and AmerisourceBergen is required to indemnify the Corporation for any taxes for which it is responsible under the Tax Matters Agreement, any taxes that are imposed upon the Corporation because KPS or PharMerica LTC, as the case may be, was part of the consolidated tax return of Kindred and AmerisourceBergen, respectively, or any taxes resulting from a breach of certain representations or covenants made by Kindred and AmerisourceBergen, respectively.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 11—EARNINGS PER SHARE

The following table sets forth the computation of basic and diluted earnings per share (in millions, except share and per share amounts):

 

     Three Months Ended September 30,    Nine Months Ended September 30,
             2007                     2008                    2007                     2008        

Numerator:

         

Numerator for basic and diluted earnings per share—net income (loss)

   $ (27.0 )   $ 4.3    $ (26.9 )   $ 10.5
                             

Denominator:

         

Denominator for basic earnings per share—weighted average shares

     25,112,843       30,105,157      18,407,991       30,081,596

Effect of dilutive securities:

         

Employee Stock Options

     -       197,176      -       71,802

Employee restricted shares

     -       89,151      -       41,611
                             

Denominator for diluted earnings per share—adjusted weighted average shares

     25,112,843       30,391,484      18,407,991       30,195,009
                             

Basic earnings per share

   $ (1.07 )   $ 0.14    $ (1.46 )   $ 0.35
                             

Diluted earnings per share

   $ (1.07 )   $ 0.14    $ (1.46 )   $ 0.35
                             

In accordance with SFAS No. 128 (“SFAS 128”), Earnings per Share, stock options and restricted stock shares granted by the Corporation are required to be treated as potential common shares outstanding in computing diluted earnings per share.

NOTE 12—BUSINESS SEGMENT DATA

The Corporation operates two business segments: institutional pharmacies and hospital pharmacy management. Institutional pharmacies provide pharmacy services to nursing centers and other healthcare providers and the hospital pharmacy management business provides management services to hospitals. For business segment reporting purposes, the Corporation defines segment operating income as earnings before interest, income taxes, depreciation, amortization and rent. Segment operating income reported for each of the Corporation’s business segments excludes the allocation of corporate overhead.

The Corporation identifies its segments in accordance with the aggregation provisions of SFAS No. 131, Disclosures about Segments of an Enterprise and Related Information. This information is consistent with information used by the Corporation in managing its businesses.

 

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PHARMERICA CORPORATION

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS-(Continued)

(Unaudited)

 

NOTE 12—BUSINESS SEGMENT DATA (Continued)

 

The following table sets forth certain data by business segment (in millions):

 

     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
     2007     2008     2007      2008  

Revenues:

         

Institutional pharmacies

   $ 364.0     $ 471.6     $ 684.9      $ 1,423.1  

Hospital pharmacy management

     13.5       14.6       40.7        44.5  
                                 
   $ 377.5     $ 486.2     $ 725.6      $ 1,467.6  
                                 

Net income (loss):

         

Segment operating income:

         

Institutional pharmacies

   $ 17.8     $ 28.4     $ 35.4      $ 79.1  

Hospital pharmacy management

     2.0       2.2       6.2        7.0  
                                 

Segment operating income

     19.8       30.6       41.6        86.1  

Allocated Kindred corporate services

     (1.6 )     -       (8.4 )      -  

Rent

     (4.1 )     (5.5 )     (7.7 )      (17.5 )

Depreciation and amortization

     (5.9 )     (6.9 )     (11.4 )      (21.6 )

Integration, merger related costs and other charges

     (46.8 )     (7.1 )     (52.5 )      (17.8 )

Interest expense, net

     (3.1 )     (3.4 )     (3.1 )      (10.6 )
                                 

Income (loss) before income taxes

     (41.7 )     7.7       (41.5 )      18.6  

Provision (benefit) for income taxes

     (14.7 )     3.4       (14.6 )      8.1  
                                 

Net income (loss):

   $ (27.0 )   $ 4.3     $ (26.9 )    $ 10.5  
                                 

Rent:

         

Institutional pharmacies

   $ 4.1     $ 5.4     $ 7.7      $ 17.4  

Hospital pharmacy management

     -       0.1       -        0.1  
                                 
   $ 4.1     $ 5.5     $ 7.7      $ 17.5  
                                 

Depreciation and amortization:

         

Institutional pharmacies

   $ 5.9     $ 6.9     $ 11.4      $ 21.6  

Hospital pharmacy management

     -       -       -        -  
                                 
   $ 5.9     $ 6.9     $ 11.4      $ 21.6  
                                 

Capital expenditures, excluding acquisitions:

         

Institutional pharmacies

   $ 11.2     $ 6.0     $ 14.5      $ 17.8  

Hospital pharmacy management

     -       -       -        -  
                                 
   $ 11.2     $ 6.0     $ 14.5      $ 17.8  
                                 
     December 31,
2007
    September 30,
2008
              

Assets:

         

Institutional pharmacies

   $ 672.3     $ 675.8       

Hospital pharmacy management

     7.8       8.3       
                     
   $ 680.1     $ 684.1       
                     

Goodwill:

         

Institutional pharmacies

   $ 111.3     $ 110.7       

Hospital pharmacy management

     -       -       
                     
   $ 111.3     $ 110.7       
                     

 

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ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS

This Report on Form 10-Q contains forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which reflect the Corporation’s current estimates, expectations and projections about the Corporation’s future results, performance, prospects and opportunities. Forward-looking statements include, among other things, the Corporation’s continued focus on its initiatives of improving client retention and streamlining our operations and billing processes, the information concerning the Corporation’s possible future results of operations, the continued benefits and synergies to be obtained from the Pharmacy Transaction, the Corporation’s ability to purchase acquisition targets, and the strength of the Corporation’s financial performance during the remainder of 2008. Forward-looking statements include statements that are not historical facts and can be identified by forward-looking words such as “anticipate”, “believe”, “could”, “estimate”, “expect”, “intend”, “plan”, “may”, “should”, “will”, “would,” “project” and similar expressions. These forward-looking statements are based upon information currently available to us and are subject to a number of risks, uncertainties and other factors that could cause the Corporation’s actual results, performance, prospects or opportunities to differ materially from those expressed in, or implied by, these forward-looking statements. Important factors that could cause the Corporation’s actual results to differ materially from the results referred to in the forward-looking statements we make in this report include:

 

   

changes in or the failure to achieve the underlying assumptions and expectations related to the Pharmacy Transaction, including synergies estimated as a result of the Pharmacy Transaction;

   

availability of financial and other resources to us after the Pharmacy Transaction, including our expectations regarding liquidity and capital resources;

   

the Corporation’s different capital structure as a stand-alone, publicly traded company, including the Corporation’s access to capital, credit ratings, indebtedness and ability to raise additional financings and operate under the terms of the Corporation’s debt obligations;

   

a determination by the IRS that the Pharmacy Transaction should be treated as a taxable transaction, in whole or in part, and any tax liabilities and indemnification obligations related thereto;

   

the Corporation’s ability to operate under the terms of the Tax Matters Agreement, including the covenants and restrictions which limit the Corporation’s discretion in the operation of the Corporation’s business;

   

the effects of intense competition in the markets in which we operate;

   

the effects of retaining existing customers and service contracts and ability to attract new customers for growth of the Corporation’s business;

   

the effects of renegotiating contract pricing relating to significant customers;

   

the effects of the loss or bankruptcy of or default by a significant customer or customers, supplier or other entity relevant to the Corporation’s operations;

   

the Corporation’s ability to implement its business strategy, including, without limitation, the Corporation’s ability to integrate and consolidate the formerly separate institutional pharmacy businesses of the Corporation’s former parent companies, including costs associated with such integration, and resolve any dislocations or inefficiencies in connection with the Pharmacy Transaction;

   

the Corporation’s ability to successfully pursue the Corporation’s development activities and successfully integrate new operations and systems, including the realization of anticipated revenues, economies of scale, cost savings and productivity gains associated with such operations;

   

the Corporation’s ability to control costs, particularly labor and employee benefit costs, rising pharmaceutical costs and regulatory compliance costs;

   

the effects of healthcare reform and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare, long-term care and institutional pharmacy services industries;

   

changes in the reimbursement rates or methods of payment from Medicare and Medicaid and other third party payors, or the implementation of other measures to reduce the reimbursement for the Corporation’s services or the services of the Corporation’s customers and the impact of Medicare Part D;

   

the Corporation’s ability, and the ability of the Corporation’s customers, to comply with Medicare or Medicaid reimbursement regulations or other applicable laws;

   

the ability to obtain financing for acquisitions from the various lendors in the senior secured credit facility;

   

further consolidation of managed care organizations and other third party payors;

   

political and economic conditions nationally, regionally and in the markets in which we operate;

   

natural disasters, war, civil unrest, terrorism, fire, floods, earthquakes, hurricanes or other matters beyond the Corporation’s control;

   

the increases in energy costs and the impact on the costs of delivery expense and utility expense;

   

elimination of, changes in or the Corporation’s failure to satisfy pharmaceutical manufacturers’ rebate programs;

 

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the Corporation’s ability to obtain goods and services provided by its former parent companies under the Transition Services Agreements, IT Services Agreement and Prime Vendor Agreement at comparable prices and on terms as favorable as those obtained under such agreements;

   

the Corporation’s ability to attract and retain key executives, pharmacists and other healthcare personnel;

   

the Corporation’s ability to comply with the terms of its Corporate Integrity Agreement entered into between the Office of Inspection General of the Department of Health and Human Services and PharMerica LTC on March 29, 2005;

   

the Corporation’s ability to ensure and maintain an effective system of internal controls over financial reporting;

   

the Corporation’s risk of loss not covered by insurance;

   

the outcome of litigation to which the Corporation is a party from time to time;

   

changes in accounting rules and standards, audits, compliance with the Sarbanes-Oxley Act and regulatory investigations;

   

the effects on the Corporation’s results of operations related to the accounting for the costs of acquisitions as a result of new accounting rules;

   

changes in market conditions that would result in the impairment of goodwill or other assets of the Corporation;

   

changes in market conditions in which we operate that would influence the value of the Corporation’s stock;

   

changes in volatility of the Corporation’s stock price and the risk of litigation following a decline in the price of the Corporation’s stock price;

   

the adequacy of our facilities to accommodate our anticipated needs;

   

the Corporation’s ability to anticipate shift in demand for generic drug equivalents;

   

adverse results in material litigation matters or governmental inquiries that could have a material adverse effect upon the Corporation’s business;

   

the effects of changes to critical accounting estimates; and

   

other factors, risks and uncertainties referenced in the Corporation’s filings with the Commission.

YOU ARE CAUTIONED NOT TO PLACE UNDUE RELIANCE ON ANY FORWARD-LOOKING STATEMENTS, ALL OF WHICH SPEAK ONLY AS OF THE DATE OF THIS QUARTERLY REPORT. EXCEPT AS REQUIRED BY LAW, WE UNDERTAKE NO OBLIGATION TO PUBLICLY UPDATE OR RELEASE ANY REVISIONS TO THESE FORWARD-LOOKING STATEMENTS TO REFLECT ANY EVENTS OR CIRCUMSTANCES AFTER THE DATE OF THIS QUARTERLY REPORT OR TO REFLECT THE OCCURRENCE OF UNANTICIPATED EVENTS. ALL SUBSEQUENT WRITTEN AND ORAL FORWARD-LOOKING STATEMENTS ATTRIBUTABLE TO US OR ANY PERSON ACTING ON THE CORPORATION’S BEHALF ARE EXPRESSLY QUALIFIED IN THEIR ENTIRETY BY THE CAUTIONARY STATEMENTS CONTAINED OR REFERRED TO IN THIS SECTION, IN PART II, ITEM 1A OF THIS QUARTERLY REPORT ON FORM 10-Q AND IN OUR RISK FACTORS SET FORTH IN PART I, ITEM 1A OF THE CORPORATION’S ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 2007 AND IN THE SECTION CAPTIONED “RISK FACTORS” IN THE FORM S-4/S-1, AND IN OTHER REPORTS FILED WITH THE SEC BY THE CORPORATION.

 

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General

PharMerica Corporation (“the Corporation”), formerly known as Safari Holding Corporation, was formed on October 23, 2006 by Kindred Healthcare, Inc. (“Kindred” or “Former Parent”) and AmerisourceBergen Corporation (“AmerisourceBergen”) for the purpose of consummating the transactions contemplated by the Master Transaction Agreement dated October 25, 2006, as amended (the “Master Agreement”). Pursuant to the Master Agreement, Kindred and AmerisourceBergen, through a series of transactions (collectively, the “Pharmacy Transaction”), combined their respective institutional pharmacy businesses, Kindred Pharmacy Services (“KPS”) and PharMerica Long-Term Care (“PharMerica LTC”), into a new, stand-alone, publicly traded company. The Pharmacy Transaction was consummated on July 31, 2007 (the “Closing Date”).

The shares of common stock of the Corporation were registered with the Securities and Exchange Commission (the “Commission”) on Form S-4/S-1, which was declared effective by the Commission on July 17, 2007 (the “Form S-4/S-1”).

On August 1, 2007, the common stock of the Corporation began trading on the New York Stock Exchange under the symbol “PMC.” Under the terms of the Pharmacy Transaction, on the Closing Date, each of KPS and PharMerica LTC borrowed $125.0 million as mutually agreed upon by Kindred and AmerisourceBergen and used such proceeds to fund a one-time, tax-free cash distribution in that amount to their respective parent companies. Following the cash distributions, Kindred spun off to its stockholders all of the outstanding stock of KPS and AmerisourceBergen spun off to its stockholders all of the outstanding stock of PharMerica LTC. Immediately thereafter, separate wholly owned subsidiaries of the Corporation were merged with and into KPS and PharMerica LTC with KPS and PharMerica LTC as the surviving entities of the mergers, and, as a result, KPS and PharMerica LTC became wholly owned subsidiaries of the Corporation. In the mergers, each Kindred stockholder received approximately 0.366 shares of the Corporation’s common stock in respect of each share of Kindred common stock held on the record date and each AmerisourceBergen stockholder received approximately 0.083 shares of the Corporation’s common stock in respect of each share of AmerisourceBergen common stock held on the record date. Immediately following such spin-offs and mergers, the stockholders of Kindred and AmerisourceBergen each owned 50% of the outstanding common stock of the Corporation. The shares of the Corporation’s common stock held by Kindred and AmerisourceBergen prior to the Pharmacy Transaction were cancelled, and neither retained any ownership of the outstanding shares of common stock of the Corporation.

For accounting purposes, the Pharmacy Transaction was treated as an acquisition by KPS of PharMerica LTC with KPS being considered the accounting acquirer based on the application of criteria specified in Statement of Financial Accounting Standards (“SFAS”) No. 141 (“SFAS 141”), Business Combinations. As a result, the accompanying condensed consolidated financial statements include only certain accounts and results of operations representing the institutional pharmacy business of Kindred on a “carve-out” basis. Because KPS was determined to be the acquirer for accounting purposes, the historical financial statements of KPS became the historical financial statements of the Corporation. Accordingly, the financial statements of the Corporation prior to the Pharmacy Transaction reflect the financial position, results of operations and cash flows of KPS, which during the historical periods presented in the accompanying condensed consolidated financial statements, was a wholly owned subsidiary of Kindred. Following the Pharmacy Transaction, the accompanying condensed consolidated financial statements of the current period reflect the financial position, results of operation and cash flows of the Corporation. For accounting purposes, the results of operations of PharMerica LTC are included in the results of operations of the Corporation beginning August 1, 2007.

Prior to the closing of the Pharmacy Transaction, the Corporation had no assets or liabilities and conducted no business activity. Prior to the closing of the Pharmacy Transaction, the business was operated as separate businesses within two different public companies, Kindred and AmerisourceBergen.

Reporting Entity

The financial statements included in this quarterly report on Form 10-Q as of December 31, 2007 and September 30, 2008 and for the three and nine month periods ended September 30, 2007 and 2008 reflect the financial position, results of operations and cash flows of the Corporation, which during the first seven months of 2007, KPS was a wholly owned subsidiary of Kindred. As noted above, the Pharmacy Transaction was accounted for as an acquisition by KPS of PharMerica LTC based upon the application of criteria specified in SFAS No. 141, Business Combinations. As a result, the historical financial statements of KPS have become the historical financial statements of the Corporation. The results of the Pharmacy Transaction are included in the results of operations of the Corporation beginning August 1, 2007. Accordingly, except as otherwise discussed below, this report reflects the financial condition, results of operations and cash flows of the Corporation as of and for the three and nine months ended September 30, 2008 and historically of KPS on a stand-alone basis for all periods prior to August 1, 2007. The financial condition, results of operations and cash flows of the Corporation as of September 30, 2007 and for the three and nine months ended September 30, 2007 may not be indicative of the Corporation’s performance or reflect what the Corporation’s financial conditions, results of operations and cash flows would have been had the Pharmacy Transaction been consummated as of January 1, 2007 or had the Corporation operated as a separate, stand-alone entity during the periods presented.

 

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The Corporation’s Business and Industry Trends

Institutional Pharmacy Business

The Corporation is the second largest institutional pharmacy services company in the United States based on revenues. We service healthcare facilities and provide management pharmacy services to hospitals. The Corporation operates over 100 institutional pharmacies in 40 states. The Corporation’s customers are typically institutional healthcare providers, such as skilled nursing facilities, assisted living facilities, hospitals and other long-term alternative care settings. The Corporation is generally the primary source of supply of pharmaceuticals to its customers. The Corporation also provides pharmacy management services to 85 hospitals in the United States.

Our core business provides pharmacy products and services to residents and patients in skilled nursing facilities, assisted living facilities, hospitals, and other long-term alternative care settings. We purchase, repackage and dispense prescription and non-prescription pharmaceuticals in accordance with physician orders and deliver such medication to healthcare facilities for administration to individual patients and residents. Depending on the specific location, we service healthcare facilities typically within a radius of 120 miles or less of our pharmacy locations at least once each day. Each pharmacy provides 24-hour, seven days per week on-call pharmacist services for emergency dispensing, delivery and/or consultation with the facility’s staff or the resident’s attending physician. We also provide various supplemental healthcare services that complement our institutional pharmacy services.

We offer prescription and non-prescription pharmaceuticals to our customers through unit dose or modified unit dose packaging, dispensing and delivery systems, typically in 30-day supplies. Unit dosed medications are packaged for dispensing in individual doses as compared to bulk packaging used by most retail pharmacies. The customers we serve prefer the unit dose delivery system over the bulk delivery system employed by retail pharmacies because it improves control over the storage and ordering of drugs and reduces errors in drug administration in healthcare facilities. Nursing staff in our customers’ facilities are responsible for administering the pharmaceuticals to individual patients and residents.

Our computerized dispensing and delivery systems are designed to improve efficiency and control over distribution of medications to patients and residents. We provide computerized physician orders and medication administration records for each patient or resident on a monthly basis as requested. Data from these records are formulated into monthly management reports on patient or resident care and quality assurance. This system improves efficiencies and nursing time, reduces drug waste and lowers adverse drug reactions.

Consultant Pharmacist Services

Federal and state regulations mandate that long-term care facilities, in addition to providing a source of pharmaceuticals, retain consultant pharmacist services to monitor and report on prescription drug therapy in order to maintain and improve the quality of resident care. The Omnibus Budget Reconciliation Act of 1987 (“OBRA of 1987”) implemented in 1990 sought to further upgrade and standardize care by setting forth more stringent standards relating to planning, monitoring and reporting on the progress of prescription drug therapy, as well as overall drug usage. In addition, the Centers for Medicare & Medicaid Services (“CMS”) issued revised guidelines to surveyors of long-term care facilities which, effective December 18, 2006, expanded the scope and detail in which surveyors are assessing pharmacy services at facilities, including consultant pharmacy services. We provide consultant pharmacist services, which help our customers comply with the federal and state regulations applicable to nursing homes. The services offered by our consultant pharmacists include:

 

   

Monthly reviews of each resident’s drug regimen to assess the appropriateness and efficacy of drug therapies, including the review of medical records, monitoring drug interactions with other drugs or food, monitoring laboratory test results and recommending alternative therapies;

 

   

Participation on quality assurance and other committees of our customers, as required or requested by such customers;

 

   

Monitoring and reporting on facility-wide drug utilization;

 

   

Development and maintenance of pharmaceutical policy and procedure manuals; and

 

   

Assistance with federal and state regulatory compliance pertaining to resident care.

These services, while costly, may be replicated by local providers.

 

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Ancillary Services

The Corporation provides the following ancillary products and services to its customers:

Infusion Therapy Products and Services. With cost containment pressures in healthcare, skilled nursing facilities are increasingly called upon to treat patients requiring a high degree of medical care and who would otherwise be treated in the more costly hospital environment. We provide intravenous (“IV”) (or infusion therapy) products and services for these client facilities as well as hospice and home care patients. Infusion therapy consists of the product (a nutrient, antibiotic, chemotherapy or other drugs in solution) and the intravenous administration of the product.

We prepare the product to be administered using proper equipment in an aseptic environment and then deliver the product to the nursing home for administration by the nursing staff. Proper administration of IV drug therapy requires a highly trained nursing staff. Upon request, our nurse consultants provide an education and certification program on IV therapy to assure proper staff training and compliance with regulatory requirements in client facilities offering an IV therapy program.

Pharmacy Management Services

We also provide pharmacy management services to hospitals. These services generally entail the overall management of the hospital pharmacy operations, including the ordering, receipt, storage and dispensing of pharmaceuticals to the hospital’s patients pursuant to the clinical guidelines established by the hospital. We offer the hospitals a wide range of regulatory and financial management services, including inventory control, budgetary analysis, staffing optimization, and assistance with obtaining and maintaining applicable regulatory licenses, certifications and accreditations. We work with the hospitals to develop and implement pharmacy policies and procedures, including drug formulary development and utilization management. We also offer clinical pharmacy programs that encompass a wide range of drug therapy/disease management protocols, including protocols for anemia treatment, infectious diseases, wound care, nutritional support, renal dosing, and therapeutic substitution.

Customers

Institutional Care Settings. Our customers are typically institutional healthcare providers, such as, skilled nursing facilities, nursing centers, assisted living facilities, hospitals and other long-term alternative care settings. We are generally the primary source of supply of pharmaceuticals for our customers.

Our customers depend on institutional pharmacies like us to provide the necessary pharmacy products and services and to play an integral role in monitoring patient medication regimens and safety. We dispense pharmaceuticals in patient specific packaging in accordance with physician instructions. At September 30, 2008, we had contracts to provide pharmacy services to 325,613 licensed beds for patients in healthcare facilities in 40 states.

For the three and nine months ended September 30, 2008, the Corporation derived approximately 13.0%, of its revenues from a single customer, including all payor sources associated with the residents of its long-term care facilities. If the Corporation were to no longer attain revenues from this customer or if this customer’s pricing was renegotiated, it would have a material impact on the Corporation’s results of operations.

Hospital Pharmacy Services. At September 30, 2008, the Corporation had provided hospital management services to 85 locations. For the three and nine months ended September 30, 2008, revenues under these contracts constituted approximately 3.0% of our total revenues.

Suppliers/Inventory

At the consummation of the Pharmacy Transaction, the Corporation entered into a Prime Vendor Agreement (the “Prime Vendor Agreement”), with AmerisourceBergen Drug Corporation (“ABDC”), a wholly owned subsidiary of AmerisourceBergen, the Corporation’s former 50% stockholder. Pursuant to this agreement, the Corporation has agreed to purchase at least 95% of the Corporation’s prescription pharmaceutical drugs from ABDC and to participate in ABDC’s generic formulary purchase program for a period of five years. In addition, ABDC will support the distribution of pharmaceuticals that the Corporation purchases directly from manufacturers and provide inventory management support and packaging services. Unless either party provides certain notice of termination, the agreement will continue on a month-to-month basis upon expiration of the initial five year term. The agreement may be terminated by either party for cause during the initial five year term, and by either party with or without cause thereafter upon 90 days notice.

 

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We also obtain pharmaceutical and other products from contracts negotiated directly with pharmaceutical manufacturers. We are a member of industry buying groups, which contract with pharmaceutical manufacturers for discounted prices. The loss of a supplier could adversely affect our business if alternate sources of supply are generally unavailable. However, numerous sources of supply are available to us and we have not experienced any difficulty in obtaining pharmaceuticals or other products and supplies to conduct our business.

We seek to maintain on-site inventories of pharmaceuticals and supplies to ensure prompt delivery to our customers. ABDC, our primary wholesale distributor, maintains local warehousing facilities in most major geographic markets in which we operate.

Brand versus Generic

In 2007, generic drugs increased approximately 30% to a new industry high of 682 drugs. With today’s generic drugs accounting for nearly 67% of the volume of all U.S. prescriptions dispensed, an anticipated expansion of new generics in 2008 will play an increased role in the way the Corporation positions itself in 2008 and beyond. As we move through 2008 and beyond, we expect an increase in the demand for generic drugs as the result of a large number of patent expirations. It’s also estimated that drugs worth approximately $60.0 – $70.0 billion will lose their patent protection in the next few years. We dispense approximately 70% generic and 30% branded drugs.

The following table summarizes the brand drugs scheduled for generic conversion for the remainder of the year and next three years:

 

               
    

2008

     

2009

     

2010

     

2011

   

    Mirapex

    Cosopt

    Trusopt

    Imitrex

*  Depakote Sprinkles

*  Keppra

    Dynacirc

   

    Zerit

*  Depakote ER

    Ambien CR

*  Topamax

    Adderall XR

    Cardizem

    Casodex

    Cellcept

    Primaxin

    Glyset

    Alphagan P

*  Prevacid

    Valtrex

    Prandin

    Acular

   

    Cozaar

    Hyzaar

*  Flomax

*  Lipitor

    Starlix

    Arimidex

    Epivir

*  Advair Diskus

*  Effexor XR

*  Aricept

   

*  Actos

*  Levaquin

    Xalatan

    Caduet

    Femara

*  Zyprexa

   
   

* Denotes top 50 drug spend as of September 30, 2008

Historically, when a branded drug shifts to a generic, initial pricing of the generic drug in the market will vary depending on the number of manufacturers launching their generic version of the drug. It is believed that a shift from brand to generic will decrease our revenue but at the same time improve our gross margin from sales of these classes of drugs. The amount of improvement in gross margin is also dependent on the particular brand not being granted an exclusivity period. In addition, if we can successfully manage to lower our acquisition cost on a broad range of generics, management believes it can improve the Corporation’s overall gross margin. However, costs associated with consolidating selected pharmacies and system integration can offset and therefore negate any improvement in gross margin.

Supplier and Manufacturer Rebates

We currently receive rebates from certain manufacturers of pharmaceutical products for achieving targets of market share and/or purchase volumes. Rebates are designed to prefer, protect, or maintain a manufacturer’s products that are dispensed by the pharmacy under its formulary. Rebates for brand name products are generally based upon achieving a defined market share tier within a therapeutic class. Rebates for generic products are more likely to be based on achieving volume requirements. We are presently receiving generic rebates through the ProGen Program at ABDC. Rebates recorded by the Corporation were $11.5 million and $19.3 million for the three and nine months ended September 30, 2007, respectively, and $12.1 million and $38.7 million for the three and nine months ended September 30, 2008, respectively.

For more information regarding rebates, see “Overview of Reimbursement.”

 

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Information Technology

Computerized medical records and documentation are an integral part of our distribution system. We utilize a proprietary information technology infrastructure that automates order entry of medications, dispensing of medications, invoicing and payment processing. These systems provide medical records, consulting drug review, electronic medication management and regulatory compliance information to help ensure patient safety. These systems also support eligibility verification and electronic billing capabilities for the Corporation’s pharmacies. They also provide order taking, shipment and collection of service fees for medications and specialty services as well as billing and reimbursement for other services rendered.

Based upon our electronic records, we are able to provide reports to our customers and management on patient care and quality assurance. These reports help to improve efficiency in patient care, reduce drug waste and lower adverse drug reactions. We expect to continue to invest in technologies that help improve data integrity, critical information access and system availability.

At the consummation of the Pharmacy Transaction, the Corporation entered into an Information Technology Services Agreement with Kindred Healthcare Operating, Inc. (“KHOI”), a wholly owned subsidiary of Kindred, the Corporation’s former 50% stockholder (the “IT Services Agreement”). Pursuant to the IT Services Agreement, KHOI is the Corporation’s exclusive provider of certain information services and support related to information technology infrastructure and financial systems for a period of five years following the Closing Date. The services provided by KHOI include business services necessary to operate, manage and support certain financial applications the Corporation uses, including enabling and/or supporting technology infrastructure and technology procurement services to support certain business functions. Such services include, among other matters, functions for financial management and systems and payroll. The Corporation supports internally all other operating systems, including functions for order entry, pharmacy dispensing, clinical consulting, billing and collections, electronic medication management, sales and marketing, medical records management, human resources, internal and external customer call center support and general business systems.

Except for certain services that are provided at cost, KHOI provides such services to the Corporation at its cost plus 10%, which are the actual costs and expenses incurred in providing these services, including certain overhead costs and per hour costs of the KHOI employees providing the services. The agreement shall automatically renew for successive one-year periods after the expiration of the initial five year term, absent 120 days prior notice of termination as provided for in the agreement. The IT Services Agreement may be terminated by either party for cause and, in certain circumstances, by the Corporation in the event that KHOI undergoes a change of control to one of the Corporation’s competitors. Following termination of the agreement, KHOI must provide termination and expiration assistance for up to 180 days.

Transition Services Agreements

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with Kindred (the “Kindred TSA”). Pursuant to this agreement, Kindred will provide the Corporation with certain corporate administrative services, such as payroll and employee benefit administration, human resources, risk management, treasury, tax, accounting and financial reporting services, for a period of up to twelve months following the Closing Date. In addition, the Kindred TSA may be extended for a period not to exceed 90 days, upon mutual agreement by the parties. The Corporation and Kindred have extended the Kindred TSA for a period of 90 days pursuant to the agreement. Kindred will provide such services at its cost, which were the actual costs and expenses incurred by Kindred in providing these services, including overhead costs and per hour costs of the Kindred employees providing the services. The Kindred TSA will expire on October 31, 2008. As of September 30, 2008, the Corporation has substantially transitioned all services covered by the Kindred TSA.

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with AmerisourceBergen (the “AmerisourceBergen TSA”). Pursuant to this agreement, AmerisourceBergen provided the Corporation with certain transition services, such as payroll and employee benefit administration services for a period of twelve months following the Closing Date. AmerisourceBergen provided such services at its cost, which were the actual costs and expenses incurred by AmerisourceBergen in providing these services, including overhead costs and per hour costs of the AmerisourceBergen employees providing the services. The AmerisourceBergen TSA expired on July 31, 2008.

Sources of Pharmacy Revenues

We receive payment for our services from third party payors, including Medicare Part D Plans (“Part D” or “Part D Plans”), government reimbursement programs under Medicare and Medicaid, and non-government sources such as institutional healthcare provider customers, commercial insurance companies, health maintenance organizations, preferred provider organizations and contracted providers. The sources and amounts of our revenues will be determined by a number of factors, including the mix of our customers’ patients and the rates of reimbursement among payors. Changes in our customers’ census and the case mix of the patients as well as the payor mix among private pay, Medicare Part D and Medicaid, will affect our profitability.

 

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In December 2003, Congress enacted Part D which includes a major expansion of the Medicare program through the introduction of a prescription drug benefit which is administered by commercial market insurers contracted with CMS. Under Part D, dual eligibles now have their outpatient prescription drug costs covered by Part D, subject to certain limitations. Since January 1, 2006, most of the nursing center residents we serve whose drug costs were previously covered by state Medicaid programs are dual eligibles who qualify for Part D. Accordingly, Medicaid is no longer a primary payor for the pharmacy services provided to these residents. See “Overview of Reimbursement.”

A summary of our revenues by payor type follows (in millions):

 

     Three Months Ended
March 31,
    Three Months Ended
June 30,
 
     2007     2008     2007     2008  
     Amount    % of Revenues     Amount    % of Revenues     Amount    % of Revenues     Amount    % of Revenues  

Medicare Part D

   $ 76.7    43.9 %   $ 228.9    46.2 %   $ 71.5    41.2 %   $ 217.2    44.7 %

Institutional healthcare providers

     59.3    33.9       146.3    29.6       58.9    34.0       146.4    30.1  

Medicaid

     13.6    7.8       47.5    9.6       13.7    7.9       44.9    9.2  

Private and other

     8.3    4.8       30.9    6.2       8.9    5.2       34.0    7.0  

Hospital management fees

     13.5    7.7       14.9    3.0       13.7    7.9       15.0    3.1  

Insured

     1.2    0.7       23.9    4.8       4.4    2.5       26.2    5.4  

Medicare

     2.1    1.2       2.7    0.6       2.3    1.3       2.6    0.5  
                                                    

Total

   $ 174.7    100.0 %   $ 495.1    100.0 %   $ 173.4    100.0 %   $ 486.3    100 %
                                                    
     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
     2007     2008     2007     2008  
     Amount    % of Revenues     Amount    % of Revenues     Amount    % of Revenues     Amount    % of Revenues  

Medicare Part D

   $ 173.1    45.9 %   $ 219.5    45.1 %   $ 321.3    44.3 %   $ 665.6    45.4 %

Institutional healthcare providers

     110.0    29.1       141.9    29.2       228.2    31.4       434.6    29.6  

Medicaid

     34.4    9.1       46.3    9.5       61.7    8.5       138.7    9.5  

Private and other

     26.7    7.1       35.5    7.3       43.9    6.1       100.4    6.8  

Hospital management fees

     13.5    3.6       14.6    3.0       40.7    5.6       44.5    3.0  

Insured

     17.0    4.5       25.7    5.3       22.6    3.1       75.8    5.2  

Medicare

     2.8    0.7       2.7    0.6       7.2    1.0       8.0    0.5  
                                                    

Total

   $ 377.5    100.0 %   $ 486.2    100.0 %   $ 725.6    100.0 %   $ 1,467.6    100.0 %
                                                    

Competition

We face a highly competitive environment in the institutional pharmacy market. In each geographic market, there are national, regional and local institutional pharmacies that provide services comparable to those offered by our pharmacies which may have greater financial and other resources than we do and may be more established in the markets they serve than we are. In addition, owners of skilled nursing facilities also are entering the institutional pharmacy market, particularly in areas of their geographic concentration. On a nationwide basis, there is one large competitor.

We believe that the competitive factors most important to our business are pricing, quality and the range of services offered, clinical expertise, ease of doing business with the provider and the ability to develop and maintain relationships with customers. Because relatively few barriers to entry exist in the local markets we serve, we may encounter substantial competition from local market entrants.

 

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Corporate Integrity Agreement

On March 29, 2005, PharMerica LTC and the Office of Inspector General within the Department of Health and Human Services (“OIG”) entered into the Corporate Integrity Agreement (“CIA”) to promote compliance with the requirements of the federal healthcare programs. Under the CIA, PharMerica LTC agreed to continue its comprehensive compliance program, which includes a corporate compliance officer, a corporate compliance committee, a Code of Ethics and Business Conduct, written policies and procedures, educational and training initiatives, review and disciplinary procedures, a confidential disclosure program, an ineligible persons screening program and internal audit and review procedures, all designed to promote compliance with applicable laws, including federal healthcare program requirements, and the promotion of ethical business practices. PharMerica LTC is also subject to extensive reporting requirements under the CIA, including annual reports describing PharMerica LTC’s compliance activities, notices of any government investigations or legal proceedings, overpayments received from federal healthcare programs and changes in pharmacy locations and new business units. The term of the CIA is five years and it ends on March 29, 2010. PharMerica LTC is required to comply fully and timely with all of the CIA requirements. Failure to do so may lead to the imposition of stipulated penalties, including substantial monetary penalties and exclusion from participation in federal healthcare programs, including Medicare and Medicaid. Any such penalties could have a material adverse effect on our financial position, results of operations and liquidity.

The CIA continues to apply to PharMerica LTC through its original term. Pursuant to an agreement reached with the OIG regarding the Pharmacy Transaction’s impact on the CIA, the CIA’s requirements will not apply to KPS or any of the KPS employees or contractors. However, among other obligations, the Corporation’s employees and contractors that are involved with PharMerica LTC’s operations will be subject to training requirements in accordance with the CIA’s existing terms. In addition, pursuant to the agreement reached with the OIG, oversight of, and day-to-day responsibility for, the CIA after closing will be undertaken by the Corporation’s compliance officer and the Corporation’s compliance committee (an ad hoc committee comprised of members of the Corporation’s senior management).

Overview of Reimbursement

Medicare is a federal program that provides certain hospital and medical insurance benefits to persons age 65 and over and to certain disabled persons. Medicaid is a medical assistance program administered by each state that provides healthcare benefits to certain indigent patients. Within the Medicare and Medicaid statutory framework, there are substantial areas subject to administrative rulings, interpretations and discretion that may affect payments made under Medicare and Medicaid.

We receive payment for our services from institutional healthcare providers, commercial Part D Plans, third party payors, government reimbursement programs such as Medicare and Medicaid, and other non-government sources such as commercial insurance companies, health maintenance organizations, preferred provider organizations and contracted providers. Prior to 2006, the Corporation had derived a substantial portion of their annual revenues from state Medicaid programs. With respect to our skilled nursing facilities customers, their residents are covered by Medicare Part A and Part D Plans, Medicaid, insurance and other private payors (including managed care).

Medicare

The Medicare program historically consisted of three parts: (1) Medicare Part A, which covers, among other things, in-patient hospital, skilled nursing facilities, home healthcare and certain other types of healthcare services; (2) Medicare Part B, which covers physicians’ services, outpatient services and certain items and services provided by medical suppliers such as I.V.’s; and (3) a managed care option for beneficiaries who are entitled to Medicare Part A and enrolled in Medicare Part B, known as Medicare Part C. Medicare Part A provides reimbursement for extended care services to patients in skilled nursing facilities. Under Medicare Part A skilled nursing facilities are reimbursed using a prospective payment system, or “PPS”. Under PPS, Medicare pays a federal daily rate for virtually all covered skilled nursing facility services, including most of the dispensed pharmaceuticals. Medicare provides such customers a federal daily rate to cover the costs of all covered goods and services provided to Medicare patients, which include certain pharmaceutical and other goods and services provided by us. We bill skilled nursing facilities based upon a negotiated fee schedule and are paid based on those contractual relationships. We do not receive direct payment from Medicare for patients covered under the Medicare Part A benefit. Under Medicare Part B, we are entitled to payment directly from Medicare for products that replace a bodily function, home medical equipment and supplies and a limited number of specifically designated prescription drugs.

 

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Part D provides coverage for prescription drugs that are not otherwise covered under Medicare Part A or Part B for those beneficiaries that enroll. Under Part D, Medicare beneficiaries may enroll in prescription drug plans offered by private commercial insurers who contract with CMS (or in a “fallback” plan offered on behalf of the government through a contractor, to the extent private entities fail to offer a plan in a given area), which provide coverage of outpatient prescription drugs (collectively, “Part D Plans”). Part D Plans include both plans providing the drug benefit on a stand alone basis and Medicare Advantage plans providing drug coverage as a supplement to an existing medical benefit under that Medicare Advantage plan. Medicare beneficiaries generally have to pay a premium to enroll in a Part D Plan, with the premium amount varying from one Part D Plan to another, although CMS provides various federal subsidies to Part D Plans to reduce the cost to beneficiaries. Since January 1, 2006 when the Part D program went into effect, Medicare beneficiaries who are also entitled to benefits under a state Medicaid program (so-called “dual eligibles”) have their prescription drug costs covered by the Part D Plan, including applicable nursing home residents we serve, whose drug costs were previously covered by state Medicaid programs.

Under Part D, Medicare covers most outpatient drug expenses for dual eligibles. Accordingly, since January 1, 2006, Medicaid is no longer a primary payor for the pharmacy services provided to these residents. Medicare beneficiaries who choose to participate in Part D select from a range of Part D Plans. Medicare beneficiaries generally have to pay a premium to enroll in a Part D Plan, with the premium amount varying from plan to plan. CMS provides various federal subsidies to Part D Plans to reduce the cost to qualifying beneficiaries.

Part D Plans are required to make available certain drugs on their formularies. Dually-eligible residents in nursing centers generally are entitled to have their prescription drug costs covered by a Part D Plan, provided that the prescription drugs which they are taking are either on the Part D Plan’s formulary or an exception to the Plan’s formulary is granted. CMS reviews the formularies of Part D Plans and requires these formularies to include the types of drugs most commonly used by Medicare beneficiaries. CMS also reviews the formulary exceptions criteria of the Part D Plans that provide for coverage of drugs determined by the Part D Plan to be medically appropriate for the enrollee; however there currently is not a separate formulary for long term care residents.

We obtain reimbursement for drugs we provide to enrollees of the given Part D Plan in accordance with the terms of agreements negotiated between us and the Part D Plan. The Medicare Part D final rule prohibits Part D plans from paying for drugs and services not specifically called for by the Act. Accordingly, Part D could negatively impact the pricing of our services.

Part D does not alter federal reimbursement for residents of nursing centers whose stay at the nursing center is covered under Medicare Part A. Accordingly, Medicare’s fixed per diem payments to nursing centers under PPS will continue to include a portion attributable to the expected cost of drugs provided to such residents. We will therefore continue to receive reimbursement for drugs provided to such residents from the nursing center in accordance with the terms of our agreements with each nursing center.

We receive rebates from pharmaceutical manufacturers for undertaking certain activities that the manufacturers believe may increase the likelihood that we will dispense their products. CMS continues to question whether institutional pharmacies should be permitted to receive these access/performance rebates from manufacturers with respect to prescriptions covered under Part D, but has not prohibited the receipt of such rebates. CMS defines these as rebates a manufacturer provides to long-term care pharmacies that are designed to “prefer, protect or maintain” that manufacturer’s product selection by the long-term care pharmacy or to increase the volume of that manufacturer’s products that are dispensed by the pharmacy under its formulary. CMS, in 2007, required plan sponsors to have policies and systems in place as part of their drug utilization management programs to protect beneficiaries and reduce costs when long-term care pharmacies receive incentives to move market share through access/performance rebates. In guidance issued to plan sponsors, effective for 2007, CMS instructs plan sponsors to obtain full disclosure from long-term care pharmacies of all discounts, rebates or other remuneration that such pharmacies receive from manufacturers and has issued guidelines on the information required. CMS has also issued draft reporting requirements for 2008 which would, among other things, require disclosure of non-rebate discounts and price concessions provided to long-term care pharmacies. The impact of these reporting requirements, and/or the elimination or reduction of manufacturer rebates, if not offset by other reimbursement, could have an adverse effect on our business.

 

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On July 15, 2008, the Medicare Improvements for Patients and Providers Act (“MIPPA”) of 2008 was enacted into public law. MIPPA cancels a reduction in Medicare’s payment rates for physicians’ services that went into effect on July 1, 2008, and extends other expiring provisions governing the Medicare program. It will also increase payment rates for physician’s services for 2009, expand eligibility for low-income benefits, and reduce payments to Medicare Advantage Plans. The various provisions or topics that could impact our operations are as follows:

Incentives for electronic Prescribing – Makes providers who electronically prescribe (“e-Rx”) eligible to receive bonus payments based on a percentage of Medicare allowable charges through 2013. Proposes penalty payments beginning in 2014 for providers who fail to use e-Rx. Also defines provider eligibility and ineligibility for bonuses in terms of volume and types of claims submitted electronically and compliance with Part D standards.

Low-Income Subsidy – The legislation eliminates the Part D late-enrollment penalty for low income beneficiaries and specifies that certain income and assets be disregarded in determining eligibility for the low-income subsidy program in Part D. MIPPA will also provide additional funds to federal and state entities to increase outreach efforts to encourage eligible individuals to enroll in those programs.

Long-Term Care Pharmacies – Beginning 2010, Long-term care (“LTC”) pharmacies will be required to submit Part D claims to PDP’s no less than 30 days but no more than 90 days for reimbursement.

Formularies – This provision legislatively expands the list of covered Part D drugs. This provision also offers CMS the authority to designate certain classes of drugs a protected status. It is likely that CMS will maintain its current six protected classes policy – antidepressants, antipsychotics, antiretrovirals, immunosuppresants, anticonvulsants, and antineoplastics – and could designate additional classes of drugs, such as multiple sclerosis therapies the protected status.

Medicaid (Pharmacy Reimbursement) – Delays use of Average Manufacturer Price (AMP) in setting Federal Upper Limits (FULs) of Reimbursement for multiple source drugs through September 30, 2009. Also delays public posting of AMP data until October 1, 2009. Use of AMP in FULs and public posting of AMP data are currently on hold due to a court-imposed injunction. This provision ensures the delay remains in place through next year, affording pharmacists the opportunity to work with Congress on permanent changes to the AMP rule. During the delay, FULs would be set using the pre-DRA formula (i.e., 150% of lowest published price [e.g., AWP]) but would be set for multiple source drugs as defined by the DRA (2 or more [rather than 3+] equivalent products).

Federal legislation continues to focus on reducing Medicare and Medicaid program expenditures. The Deficit Reduction Act of 2005, or DRA, is intended to reduce net Medicare and Medicaid spending by approximately $11.0 billion over the next four to five years. Among other things, the DRA will reduce certain bad debt payments to Medicare skilled nursing facilities and strengthen asset transfer restrictions for people seeking to qualify for Medicaid long-term care coverage. Further, the Tax Relief and Health Care Act of 2006 modified several Medicaid policies, including, among other things, reducing the limit on Medicaid provider taxes from the current six percent to five-and-a-half percent from January 1, 2008 through September 30, 2010. In addition, on February 4, 2008, President Bush issued the federal fiscal year 2009 proposed budget which would, if enacted, slow spending growth to 5.0% and would trim the cost of the overall Medicare program by $178.0 billion over the next five years. Also, the budget proposal includes a series of proposals impacting Medicaid that would reduce the cost of the Medicaid program by $17.0 billion over the next five years. While many of the proposed policy changes require congressional approval to implement, many of these changes could have an adverse effect on the financial condition of our skilled nursing facility customers, which could, in turn, adversely affect the timing or level of their payments to us.

Medicaid

The reimbursement rate for pharmacy services under Medicaid is determined on a state-by-state basis subject to review by CMS and applicable federal law. Although Medicaid programs vary from state to state, they generally provide for the payment of certain pharmacy services, up to established limits, at rates determined in accordance with each state’s regulations. The federal Medicaid statute specifies a variety of requirements that a state plan must meet, including the requirements related to eligibility, coverage for services, payment and admissions. For residents that are eligible for Medicaid only, and are not dual eligibles covered under Medicare Part D, we bill the individual state Medicaid program or in certain circumstances the state’s designated managed care or other similar organization. Federal regulations and the regulations of certain states establish “upper limits” for reimbursement of certain prescription drugs under Medicaid. In most states, pharmacy services are priced at the lower of “usual and customary” charges or cost, which generally is defined as a function of average wholesale price and may include a profit percentage plus a dispensing fee. Most states establish a fixed dispensing fee per prescription that is adjusted to reflect associated cost. Over the last several years, state Medicaid programs have lowered reimbursement through a variety of mechanisms, principally reductions in the discount to average

 

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wholesale price levels, expansion of the number of medications subject to federal upper limit pricing and general reductions in contract payment methodology to pharmacies.

In addition, effective October 1, 2007, CMS promulgated new rules under the Deficit Reduction Act of 2005 or DRA changing the federal upper payment limit for Medicaid reimbursement from 150% of the lowest published price for a drug (which is usually the average wholesale price) to 250% of the lowest average manufacturer price or AMP. Although the use of an AMP benchmark would have reduced Medicaid reimbursement rates for certain generic pharmaceuticals, it did not take effect due to a December 19, 2007, federal district court injunction against CMS prohibiting the agency from implementing the rule to the extent that such action would affect Medicaid reimbursement rates for pharmacies under the Medicaid program. The Medicare Improvements for Patients and Providers Act of 2008 (recently enacted over President Bush’s veto) delays the use of AMP in setting the payment limit for generic drugs under Medicaid until October 1, 2009. This legislation also delays the public disclosure of AMP data until October 1, 2009. The outcome of the AMP litigation is uncertain, and there can be no assurance that changes in reimbursement formula under the DRA or future legislation or regulation will not have an adverse impact on our business and results of operations.

Average wholesale price or AWP, is a pricing benchmark published by First DataBank, Inc. (“First DataBank”), which provides drug databases, content integration software and drug reference products. AWP is widely used to calculate a portion of the Medicaid and Medicare Part D drug reimbursements payable to pharmacy providers. In 2005, several pension funds brought an action against First DataBank and another healthcare provider alleging collusion to set AWPs for branded drugs. In October 2006, First DataBank agreed to a proposed settlement that would require it to stop publishing AWP two years after the settlement becomes effective unless a competitor is publishing AWP at that time. First DataBank would also be required to change the way it calculates AWP during the two-year interim period.

In May 2008, First DataBank, Inc. filed amendments with the courts to the proposed settlement. If the terms of the amended settlement are approved by the court, First DataBank will be required to (1) adjust its reporting of Blue Book AWP for those prescription drugs identified in the plaintiffs’ previously filed complaint by reducing the mark-up factor utilized in connection with the calculation of the Blue Book AWP data field to 1.20 times the WAC or Direct Price for those prescription drugs that are on a mark-up basis; (2) establish a centralized data repository to facilitate reasonable access to discoverable material from First DataBank concerning its drug price reporting practices, (3) make a $1.0 million contribution into a court-supervised fund for the benefit of the settlement class members, and (4) pay certain settlement-related notice and other expenses and fees. The adjustments to Blue Book AWP will become effective on or about ninety days after final court approval of the amended settlement agreement. The approval process will, again, require a preliminary approval by the court, notification to the class, and final approval by the court. The adjustments will be effective on or about 90 days from the final approval of the court of the amended settlement agreement. The Court granted preliminary approval of the amended settlement on July 14, 2008. The order also gave preliminary certification to the settlement class. Further the court scheduled a final fairness hearing for December 17, 2008 to consider (1) whether to certify the class and (2) the fairness, reasonableness, and adequacy of the settlement.

Currently, we are unable to fully evaluate the potential impact until a final action is ultimately determined. There can be no assurance that changes in the calculation of AWP will not have an adverse impact on our business and results of operations.

Further, in order to rein in healthcare costs, the Corporation anticipates that federal and state governments will continue to review and assess alternative healthcare delivery systems, payment methodologies and operational requirements for healthcare providers, including long-term care facilities and pharmacies. Given the continuous debate regarding the cost of healthcare, managed care, universal healthcare coverage, and other healthcare issues, the Corporation cannot predict with any degree of certainty what additional healthcare initiatives, if any, will be implemented or the effect any future legislation will have on its business. Longer term, funding for federal and state healthcare programs must consider the aging of the population and the growth in enrollees as eligibility is expanded; the escalation in drug costs owing to higher drug utilization among seniors and the introduction of new, more efficacious but also more expensive medications; the impact of the Part D benefit for seniors; and the long-term financing of the entire Medicare program. Given competing national priorities, it remains difficult to predict the outcome and impact on the Corporation of any changes in healthcare policy relating to the future funding of the Medicare and Medicaid programs. Further, Medicare, Medicaid and/or private payor rates for pharmaceutical supplies and services may not continue to be based on current methodologies or remain comparable to present levels. Any future healthcare legislation or regulation may adversely affect the Corporation’s business.

As a result of political, economic and regulatory influences, the healthcare delivery industry in the United States is under intense scrutiny and subject to fundamental changes. We cannot predict which reform proposals will be adopted, when they may be adopted, or what impact they may have on us.

The costs associated with complying with federal and state regulations could be significant and the failure to comply with any such legal requirements could have a material adverse effect on our financial condition, results of operations and liquidity.

 

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Key Indicators Reviewed by Management

The Corporation’s management reviews the following indicators in analyzing our consolidated financial performance: net revenues, with a particular focus on institutional pharmacy revenues; prescriptions dispensed; revenues per prescriptions dispensed; productivity factors on prescriptions dispensed per productive labor hour; generic dispensing rate; brand dispensing rate; customer licensed beds; patients serviced; prescriptions per patient dispensed; gross margin percentage; operating income; diluted earnings per share; days sales outstanding; the ratio of cash collections to revenue recognized; inventory turnover; and adjusted Earnings Before Interest Income/Expense, Taxes, Depreciation, Amortization, Integration, Merger Related Costs and Other Charges (“Adjusted EBITDA”) as discussed later under the caption Adjusted EBITDA. We believe these measures highlight key business trends and are important in evaluating our overall performance.

Critical Accounting Estimates

The preparation of financial statements in accordance with accounting principles generally accepted in the U.S. requires us to make estimates and assumptions that affect reported amounts and related disclosures. Management considers an accounting estimate to be critical if:

 

   

It requires assumptions to be made that were uncertain at the time the estimate was made; and

 

   

Change in the estimate or different estimates that could have been made could have a material impact on our consolidated results of operations or financial condition.

Allowance for doubtful accounts and provision for doubtful accounts

Accounts receivable primarily consist of amounts due from Prescription Drug Plans (“PDP’s”) under Medicaid Part D, the respective state Medicaid programs, long-term care institutions, third party insurance companies and private payors. Our ability to collect outstanding receivables is critical to our results of operations and cash flow. To provide for accounts receivable that could become uncollectible in the future, we established an allowance for doubtful accounts to reduce the carrying value of such receivables to their estimated net realizable value. The primary uncertainties lie with the private payors, which include co-payments and deductibles from individual patients, dual eligible co-payments that are due from PDP’s, and payments due from some long-term care institutions. In addition, certain drugs dispensed are subject to being returned and if returned, the responsible paying party is due back a credit for such returns.

Our allowances for doubtful accounts, included in our balance sheet at December 31, 2007 and September 30, 2008, were $43.4 million and $45.8 million, respectively.

In addition, the allowance for contractual returns and revenue allowances was $10.6 million and $7.1 million at December 31, 2007 and September 30, 2008, respectively.

Our provision for doubtful accounts included in our statements of operations excluding the impact of the third quarter 2007 change in estimate was as follow (in millions):

 

     2007     2008  
     Amount    % of
Revenues
    Amount    % of
Revenues
 

First Quarter

   $ 1.1    0.6 %   $ 5.2    1.1 %

Second Quarter

     3.3    1.9       5.5    1.1  

Third Quarter

     6.3    1.7       7.2    1.5  

Fourth Quarter

     5.5    1.1       N/A    N/A  

Under Medicare Part D, co-payments related to institutional residents who are both Medicare and Medicaid eligible (“dual eligible”) are due from the responsible party for up to the first thirty days of a beneficiary’s stay in a skilled nursing facility subsequent to which the PDPs are responsible for reimbursement. At December 31, 2007 and September 30, 2008, the Corporation had dual eligible co-pay receivables from the PDPs of $6.0 million and $5.4 million, respectively, of which approximately 86% and 90% were reserved at December 31, 2007 and September 30, 2008, respectively.

Please refer to Note 1 to our condensed consolidated financial statements included elsewhere in this report for a rollforward of our allowance for doubtful accounts.

 

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The largest components of bad debts in our accounts receivable relate to the accounts for which private payors are responsible, (which we refer to as private and other), dual eligible co-payments from PDP’s which are included in Medicare Part D receivables, and accounts for which our customers from long-term care institutions are responsible for under Medicare Part A and owe us for the drug component of their patients stay at their respective institution.

During the year ended December 31, 2007, the Corporation performed a comprehensive assessment of allowance for doubtful accounts estimation methodologies and reserve levels in light of its expectations around the ultimate collection of its accounts receivable balances. As part of this comprehensive assessment, the Corporation considered industry trends, changes in reimbursement sources and procedures, age of receivables and collection history. In connection with that comprehensive assessment of the allowance for doubtful accounts, included in amounts charged to costs and expenses in the third quarter of 2007 is a change in accounting estimate to increase the allowance for doubtful accounts by $27.9 million. Such amount is included in integration, merger related costs and other charges.

We attempt to collect the private and other accounts for which the patient is the responsible party through various efforts. We attempt to collect the dual eligible co-payments from PDP’s by obtaining the appropriate documentation from the responsible party of the patient or from the documentation located at the long-term care institution. This is known as Best Available Evidence or BAE. We attempt to collect payments due from long-term care institutions through billing and collecting in accordance with the terms of the contracts. In all cases, the drugs have been dispensed.

In general, we perform the following steps in collecting accounts receivable:

 

   

if possible, perform up front adjudication prior to dispensing the product;

 

   

billing and follow-up with third party payors;

 

   

billing and follow-up with long-term care institutions;

 

   

utilization of collection agencies;

 

   

other legal processes; and

 

   

if all collection efforts are unsuccessful, write off of the accounts.

We determine the allowance for doubtful accounts utilizing a number of analytical tools and benchmarks. No single statistic or measurement alone determines the allowance for doubtful accounts. We monitor and review trends by payor classification along with the composition of our aging accounts receivable. This review is focused primarily on trends in private and other payor, dual eligible co-payments, historic payment patterns of long-term care institutions, and monitoring respective credit risks. In addition, we analyze other factors such as revenue days in accounts receivables, denial trends by payor types, cash collections in relation to revenue recognized, subsequent cash collections, and current events that may impact payment patterns of our long-term care institution customers.

The following table shows our consolidated revenue days outstanding reflected in our consolidated net accounts receivable as of the dates indicated:

 

     2007    2008

First Quarter

   41.5    39.7

Second Quarter

   44.4    40.7

Third Quarter

   45.4    41.1

Fourth Quarter

   40.1    N/A

The following table shows our summarized aging categories by quarter:

 

     2007     2008  
     March    June    September     December     March     June     September  

0 to 60 days

   NM    NM    60.6 %   64.8 %   68.7 %   63.2 %   62.0 %

61 to 120 days

   NM    NM    16.5     17.4     14.2     19.7     19.1  

Over 120 days

   NM    NM    22.9     17.8     17.1     17.1     18.9  
                                    
         100.0 %   100.0 %   100.0 %   100.0 %   100.0 %
                                    

 

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The following table shows our allowance for doubtful accounts and percent of gross accounts receivable:

 

     2007     2008  
     Allowance    Gross
Accounts
Receivable
   % of Gross
Accounts
Receivable
    Allowance    Gross
Accounts
Receivable
   % of Gross
Accounts
Receivable
 

First Quarter

     NM      NM    NM     $ 44.3    $ 261.6    16.9 %

Second Quarter

     NM      NM    NM       45.2      262.0    17.3  

Third Quarter

   $ 64.6    $ 282.1    22.9 %     45.8      266.6    17.2  

Fourth Quarter

     43.4      256.4    16.9       N/A      N/A    N/A  

Inventories and cost of drugs dispensed

Our inventories are located at each one of our institutional pharmacy locations. These inventories consist of prescription drugs, over the counter products and intravenous solutions. Our inventories relating to controlled substances are maintained on a manually prepared perpetual system to the extent required by the Drug Enforcement Agency. All the other inventories are maintained on a periodic system, through the performance of monthly physical inventories.

At December 31, 2007 and September 30, 2008, our inventories on our consolidated balance sheets were $77.9 million.

Our inventory turns were as follows:

 

     2007    2008

First Quarter

   15.8    16.4

Second Quarter

   16.1    16.1

Third Quarter

   15.9    16.5

Fourth Quarter

   16.7    N/A

We receive rebates on purchases from various vendors and suppliers. Rebates included in our statements of operations were as follows (in millions):

 

     2007    2008

First Quarter

   $ 4.0    $ 12.7

Second Quarter

     3.8      13.9

Third Quarter

     11.5      12.1

Fourth Quarter

     12.4      N/A

Our inventories are maintained on a first-in, first-out (“FIFO”) lower of cost or market basis. Our controlled prescription drugs are maintained on a perpetual inventory basis to the extent required by the Drug Enforcement Agency. All other inventories are maintained on a periodic basis. We perform monthly inventory counts at all locations with the use of our personnel and the use of third party inventory count teams under our supervision. All inventory counts are reconciled to the balance sheet account and differences are adjusted through cost of goods sold. In addition, we record an amount of potential returns of prescription drugs based on historical rates of returns.

We account for rebates and other incentives received from vendors and suppliers, relating to the purchase or distribution of inventory, as a reduction to cost of goods sold and inventory, in accordance with Emerging Issues Task Force Issue No. 02-16, “Accounting by a Customer for Certain Consideration Received from a Vendor.” We consider these rebates to represent product discounts, and as a result, the rebates are capitalized as a reduction of product cost and relieved through cost of goods sold upon the sale of the related inventory.

Goodwill, other intangible assets and accounting for business combinations

Goodwill represents the excess of the purchase price over the fair value of the net assets of acquired companies. Our intangible assets are comprised primarily of trade names, customer relationship assets, and non-compete agreements.

Our goodwill included in our condensed consolidated balance sheets as of December 31, 2007 and September 30, 2008 was $111.3 million and $110.7 million, respectively.

 

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Our net intangible assets, included in our condensed consolidated balance sheets as of December 31, 2007 and September 30, 2008 were $77.5 million and $72.7 million, respectively.

The amount of accumulated amortization of intangible assets as of December 31, 2007 and September 30, 2008 was $10.2 million and $15.0 million, respectively.

Please refer to Note 4 to our condensed consolidated financial statements included elsewhere in this report for a rollforward of our goodwill and intangible assets.

We follow the guidance in Statement of Financial Accounting Standard No. 142, Goodwill and Other Intangible Assets, and test goodwill for impairment using a fair value approach. We are required to test for impairment annually, absent some triggering event that would accelerate an impairment test. We determine fair value using widely accepted valuation techniques, including discounted cash flow and market multiple analyses. These types of analyses require us to make assumptions and estimates regarding future cash flows, industry economic factors and the profitability of future business strategies.

The purchase price of acquisitions are allocated to the assets acquired and liabilities assumed based upon their respective fair values and are subject to change during the twelve month period subsequent to the acquisition date. We generally engage independent third-party valuation firms to assist us in determining the fair values of assets acquired and liabilities assumed. Such valuations require us to make significant estimates and assumptions, including projections of future events and operating performance.

Fair value estimates are derived from independent appraisals, established market values of comparable assets, or internal calculations of estimated future net cash flows. Our estimate of future cash flows is based on assumptions and projections we believe to be currently reasonable and supportable. The ultimate decisions of allocations are that of management.

We follow the guidance in Statement of Financial Accounting Standard No. 144 Accounting for the Impairment or Disposal of Long-Lived Assets, for assessing the potential impairment of tangible assets and other long-lived assets recorded on the Corporation’s balance sheet. We review our assets whenever events or changes in circumstances indicate that its carrying amount may not be recoverable.

Accounting for income taxes

The provision for income taxes is based upon the Corporation’s annual taxable income or loss for each respective accounting period. The Corporation recognizes an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets and liabilities and their reported amounts in the financial statements. Deferred tax assets generally represent items that will result in a tax deduction in future years for which we have already recorded the tax benefit in our income statement. The Corporation also recognizes as deferred tax assets the future tax benefits from net operating and capital loss carryforwards.

We assess the likelihood that deferred tax assets will be recovered from future taxable income. A valuation allowance is provided for deferred tax assets if it is more-likely-than-not that some portion or all of the net deferred tax assets will not be realized. Our net deferred tax asset balances in our consolidated balance sheets as of December 31, 2007 and September 30, 2008 were $85.9 million and $80.1 million, respectively, including the impact of valuation allowances.

Our valuation allowances for deferred tax assets in our consolidated balance sheets as of December 31, 2007 and September 30, 2008 were $6.0 million.

Significant judgment is required in determining and assessing the impact of uncertain tax positions. For an identified uncertain tax position to qualify for benefit recognition, the position must have at least a more-likely-than-not chance of being sustained on its technical merits if challenged by relevant taxing authorities and taken by management to the court of last resort. If an uncertain position does not meet this recognition threshold based on our analysis of applicable tax law, we establish a FIN 48 liability for the realized, but unrecognized tax benefit. As of January 1, 2008, the Corporation’s unrecognized tax benefits were $3.8 million. The Corporation records accrued interest and penalties associated with uncertain tax positions as income tax expense in the accompanying condensed consolidated statement of operations. We recognize the benefit for an uncertain tax position we have taken upon any one of the following conditions: 1) the recognition threshold is met due to changes in facts, circumstances and information available at the reporting date; 2) the tax position is effectively settled through examination, negotiation or litigation; or 3) the statute of limitations for the relevant taxing authority to examine and challenge the tax position has expired.

Please refer to Note 10 to our condensed consolidated financial statements included elsewhere in this report for further discussion of our accounting for income taxes.

 

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Accounting for stock-based compensation

On July 12, 2007, the Corporation adopted the PharMerica Corporation 2007 Omnibus Incentive Plan (“Omnibus Plan”) (as amended May 30, 2008) under which the Corporation is authorized to grant equity-based and other awards to its employees, officers, directors and consultants. The Corporation has reserved 3,800,000 shares of its common stock for awards to be granted under the Omnibus Plan plus 534,642 shares reserved for substitute equity awards for employees of KPS and PharMerica LTC whose awards were cancelled or forfeited upon the consummation of the Pharmacy Transaction. On July 24, 2008, the Corporation's stockholders approved an amendment to the Omnibus Plan to provide the Compensation Committee with increased flexibility to use non-GAAP measures to measure performance, including the ability to exclude from the performance measures certain items or charges related to an event or occurrence which the Compensation Committee determines should be excluded, in accordance with the performance criteria of performance awards granted pursuant to the Omnibus Incentive Plan.

The Compensation Committee establishes long-term and short-term incentive programs under the Omnibus Plan. For the nine months ended September 30, 2008, the Compensation Committee granted stock based compensation awards with respect to 324,507 shares of common stock under the Omnibus Plan with grant prices ranging from $15.10 to $23.79 per share, 72,548 shares of nonvested stock and 68,275 performance share units. The Corporation’s Compensation Committee administers the Omnibus Plan and has the authority to determine the recipient of the awards, the types of awards, the number of shares covered and the terms and conditions of the awards. The Omnibus Plan allows for grants of incentive stock options, non-qualified stock options, stock appreciation rights, restricted stock and restricted stock units, deferred shares, performance awards, including cash bonus awards, and other stock-based awards.

On August 7, 2007 the Compensation Committee granted stock based compensation awards with respect to 1,072,695 shares of common stock under the Omnibus Plan with a grant price of $16.31 per share and 365,888 shares of nonvested stock. The Compensation Committee also granted performance share units with a target of 8,950 shares. The number of shares earned at the end of the performance cycle based on the performance criteria has a threshold of 4,475 shares and a maximum of 13,425 shares.

Corporation stock options granted under the Omnibus Plan to replace options granted by Kindred or AmerisourceBergen that were cancelled or forfeited upon the consummation of the Pharmacy Transaction have the same basic terms and conditions as apply to the cancelled Kindred or AmerisourceBergen options. In addition, unvested restricted shares of Kindred and AmerisourceBergen common stock held by our named executive officers who were formerly PharMerica LTC or KPS employees were replaced with restricted shares of the Corporation’s common stock, which have the same basic terms and conditions as apply to the forfeited Kindred or AmerisourceBergen restricted shares.

With regards to the stock options granted under the Omnibus Plan in 2007 (other than the substitute options granted to replace cancelled Kindred and AmerisourceBergen options), each option vests in four equal annual installments and has a term of seven years. The restricted stock/restricted stock units granted under the Omnibus Plan in 2007 (other than the substitute options granted to replace cancelled Kindred and AmerisourceBergen options) generally vests in full, upon the three-year anniversary of the date of grant, thus stressing the retentive aspect of these awards. In addition, with respect to the performance share units granted under the Omnibus Plan in 2007, vesting is based upon the Corporation’s earnings before interest, income taxes, depreciation and amortization, or Adjusted EBITDA performance, which reinforces the importance of achieving the Corporation’s profitability objectives. The performance period is measured in three-year periods with overlapping cycles.

Our stock-based compensation expense for the three and nine months ended September 30, 2007 was $0.4 million and $0.6 million, respectively, and $1.4 million and $3.5 million for the three and nine months ended September 30, 2008, respectively and was included in selling, general and administrative expenses in our condensed consolidated statements of operations.

Please refer to Note 9 to our condensed consolidated financial statements included elsewhere in this report for a detailed discussion of our accounting for stock-based compensation.

Impact of Recent Accounting Pronouncements

On March 19, 2008, the FASB issued FASB Statement No. 161, Disclosures about Derivative Instruments and Hedging Activities—an Amendment of FASB Statement No. 133. Statement No. 161 enhances required disclosures regarding derivatives and hedging activities, including enhanced disclosures regarding how: (a) an entity uses derivative instruments; (b) derivative instruments and related hedged items are accounted for under FASB Statement No. 133, Accounting for Derivative Instruments and Hedging Activities ; and (c) derivative instruments and related hedged items affect an entity’s financial position, financial performance, and cash flows. Specifically, Statement No. 161 requires:

 

   

Disclosure of the objectives for using derivative instruments be disclosed in terms of underlying risk and accounting designation;

 

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Disclosure of the fair values of derivative instruments and their gains and losses in a tabular format;

 

   

Disclosure of information about credit-risk-related contingent features; and

 

   

Cross-reference from the derivative footnote to other footnotes in which derivative-related information is disclosed.

Statement No. 161 is effective for fiscal years and interim periods beginning after November 15, 2008. Early application is encouraged, however, at the current time the Corporation does not plan to early adopt the standard. The adoption of SFAS No. 161 is not expected to have a material impact on the Corporation’s financial position, results of operations or liquidity.

In December 2007, the FASB issued SFAS No. 141(R) Business Combinations. This statement applies to all transactions or other events in which an entity (the acquirer) obtains control of one or more businesses (the acquiree), including those sometimes referred to as “true mergers” or “mergers of equals” and combinations achieved without the transfer of consideration, for example, by contract alone or through the lapse of minority veto rights. This statement applies to all business entities, including mutual entities that previously used the pooling-of-interests method of accounting for some business combinations. It does not apply to: 1) the formation of a joint venture; 2) the acquisition of an asset or a group of assets that does not constitute a business; 3) a combination between entities or businesses under common control; 4) a combination between not-for-profit organizations or the acquisition of a for-profit business by a not-for-profit organization. This statement applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. An entity may not apply it before that date. The adoption of SFAS No. 141(R) will have a material effect on the Corporation’s results of operations and financial position as costs that have historically been capitalized as part of the purchase price will now be expensed, such as accounting, legal and other professional fees.

In December 2007, the FASB issued SFAS No. 160. Non-controlling Interests in Consolidated Financial Statements, an Amendment to ARB No. 51. This statement applies to all entities that prepare consolidated financial statements, except not-for-profit organizations, but will affect only those entities that have an outstanding non-controlling interest in one or more subsidiaries or that deconsolidate a subsidiary. This statement is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2008 (that is, January 1, 2009, for entities with calendar year-ends). Earlier adoption is prohibited. The effective date of this statement is the same as that of the related Statement No. 141(R). The adoption of SFAS No. 160 will not have a material effect on the Corporation’s results of operations, cash flows or financial position.

In April 2008, the FASB issued FSP No. 142-3, Determination of the Useful Life of Intangible Assets (“FSP FAS 142-3”), which amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under FASB Statement No. 142, Goodwill and Other Intangible Assets (“SFAS 142”). The intent of FSP FAS 142-3 is to improve the consistency between the useful life of a recognized intangible asset under SFAS 142 and the period of expected cash flows used to measure the fair value of the asset under SFAS 141(R) and other U.S. generally accepted accounting principles. FSP FAS 142-3 requires an entity to disclose information for a recognized intangible asset that enables users of the financial statements to assess the extent to which the expected future cash flows associated with the asset are affected by the entity’s intent and/or ability to renew or extend the arrangement. FSP FAS 142-3 is effective for financial statements issued for fiscal years beginning after December 15, 2008, and interim periods within those fiscal years. Early adoption is prohibited. The requirements for determining the useful life of intangible assets apply to intangible assets acquired after January 1, 2009. The disclosure requirements will be applied prospectively to all intangible assets recognized as of, and subsequent to, the effective date.

 

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Key Financial Statement Components

Condensed Consolidated Statements of Operations

Our revenues are comprised primarily of product revenues and are derived from the sale of prescription drugs through our institutional pharmacies. The majority of our product revenues are derived on a fee-for-service basis. Hospital pharmacy revenues represent management fees and pass through costs associated with managing the clients’ hospital pharmacies.

Cost of goods sold is comprised primarily of the cost of product and is principally attributable to the dispensing of prescription drugs. Our cost of product relating to drugs dispensed by our institutional pharmacies consists primarily of the cost of inventory dispensed and our costs incurred to process and dispense the prescriptions, including the associated fixed asset depreciation. In addition, cost of product includes a credit for rebates earned from brand-name pharmaceutical manufacturers whose drugs are included in our formularies. These rebates generally take the form of formulary rebates, which are earned based on the volume of a specific drug dispensed, or market share rebates, which are earned based on the achievement of contractually specified market share levels. Cost of goods also includes labor, delivery costs and other costs attributable to the dispensing of medications.

Selling, general and administrative expenses reflect the costs of operations dedicated to executive management, the generation of new sales, maintenance of existing client relationships, management of clinical programs, enhancement of technology capabilities, direction of pharmacy operations, human resources and performance of reimbursement activities, in addition to finance, legal and other staff activities.

Interest expense (income), net, primarily includes interest expense relating to our senior secured credit facility and our swap agreement, partially offset by interest income generated by cash and cash equivalents.

Condensed Consolidated Balance Sheets

Our assets include cash and cash equivalents, accounts receivable, inventories, fixed assets, deferred tax assets, goodwill and intangibles. Cash reflects the accumulation of positive cash flows from our operations and financing activities, and primarily includes deposits with banks or other financial institutions.

Accounts receivable primarily consist of amounts due from Prescription Drug Plans under Medicare Part D, the respective state Medicaid programs, long-term care institutions, third party insurance companies, and private payors, net of allowances for doubtful accounts, as well as contractual allowances.

Inventories reflect the cost of prescription products held for dispensing by our institutional pharmacies and are recorded on a first-in, first-out basis. We perform monthly inventory counts and record our inventories and cost of goods sold based on such monthly inventories. We also include an estimate for returns on inventories.

Deferred tax assets primarily represent temporary differences between the financial statement basis and the tax basis of certain accrued expenses, stock-based compensation and goodwill. Fixed assets include investments in our institutional pharmacies and information technology, including capitalized software development. Goodwill and intangible assets are comprised primarily of goodwill and intangibles related to our previous acquisitions.

Our primary liabilities include accounts payable, accrued salaries and wages and other current liabilities, debt and deferred tax liabilities. Accounts payable primarily consist of amounts payable for prescription inventory purchases and other purchases made in the normal course of business. Accrued expenses and other current liabilities primarily consist of employee and facility-related cost accruals incurred in the normal course of business, as well as income taxes payable. Our debt is primarily comprised of term loans under our senior secured credit facility. We do not have any off-balance sheet arrangements, other than purchase commitments and lease obligations.

Condensed Consolidated Statements of Cash Flows

An important element of our operating cash flows is the timing of billing cycles and subsequent cash collections. We pay for our prescription drug inventory in accordance with payment terms offered under our Prime Vendor Agreement. The Corporation receives rebates from its prime vendor and suppliers each period; rebates earned are recorded as a reduction to inventory and cost of goods sold in the period earned. Outgoing cashflows include inventory purchases, employee payroll and benefits, facility operating expenses, capital expenditures including technology investments, interest and principal payments on our outstanding debt, and income taxes. Acquisitions will also generally result in cash outflows.

 

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Definitions

Listed below are definitions of terms used by the Corporation in managing the business. The definitions are necessary to the understanding of the Management’s Discussion and Analysis section of this document.

Bps: Represents basis points. Basis points are based on percentages. For example, 100 bps represents a change of 1.0%.

Cost of Goods Sold: Represents the actual cost of drugs on a first-in, first-out (“FIFO”) basis, direct costs associated with filling the prescriptions such as salaries of pharmacists and pharmacy technicians, delivery costs and an allocation of the other direct costs of the pharmacy. Included in the cost of goods sold is also the direct costs associated with pharmacy consulting and the direct costs of hospital management contracts.

DNA: Represents data not available.

Gross Profit per prescription dispensed: Represents the gross profit from the institutional pharmacy segment divided by the total prescriptions dispensed.

Integration, merger related costs and other charges: Represents the costs associated with the spin-offs of Kindred Pharmacy Services and PharMerica LTC from Kindred Healthcare and AmerisourceBergen, respectively, and their respective integration. The definition also represents costs of integrating information systems, duplicative costs associated with merging overall corporate functions and the consolidation of pharmacies within a similar location.

NA: Represents not applicable.

NM: Represents not meaningful.

Prescriptions Dispensed: Represents a prescription filled for an individual patient. A prescription will usually be for a 15 or 30 day period and will include only one drug type.

Revenues per prescription dispensed: Represents the revenues from the institutional pharmacy segment divided by the total prescriptions dispensed.

Selling, General, Administrative Costs: Represents other costs and allocation of costs that are not directly attributable to the costs of revenues. Such costs are part of the functional areas of account management, sales and marketing, accounting and finance, operations oversight, human resources, acquisitions, information technology, billing and collections, tax services, internal audit, office of the chief executive and board of directors.

 

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Results of Operations

The following table presents selected consolidated comparative results of operations and statistical information (in millions, except prescriptions, per prescription amounts, customer licensed beds and the number of hospital management contracts serviced):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     Increase (Decrease)     2008     2007     Increase (Decrease)     2008  
     Amount                 Amount     Amount                 Amount  

Net revenues:

                

Institutional Pharmacy

   $ 364.0     $ 107.6     29.6 %   $ 471.6     $ 684.9     $ 738.2     107.8 %   $ 1,423.1  

Hospital Management

     13.5       1.1     8.1       14.6       40.7       3.8     9.3       44.5  
                                                            

Total net revenues

     377.5       108.7     28.8       486.2       725.6       742.0     102.3       1,467.6  
                                                            

Cost of goods sold:

                

Institutional Pharmacy

     310.3       93.8     30.2       404.1       594.3       623.6     104.9       1,217.9  

Hospital Management

     10.8       1.0     9.3       11.8       32.6       3.5     10.7       36.1  
                                                            

Total cost of goods sold

     321.1       94.8     29.5       415.9       626.9       627.1     100.0       1,254.0  
                                                            

Gross profit:

                

Institutional Pharmacy

     53.7       13.8     25.7       67.5       90.6       114.6     126.5       205.2  

Hospital Management

     2.7       0.1     3.7       2.8       8.1       0.3     3.7       8.4  
                                                            

Total gross profit

   $ 56.4     $ 13.9     24.6 %   $ 70.3     $ 98.7     $ 114.9     116.4 %   $ 213.6  
                                                            

Institutional Pharmacy

                

Volume Information

                

Prescriptions dispensed (in 000's)

     7,779       2,265     29.1 %     10,044       14,689       15,634     106.4 %     30,323  

Revenue per prescription dispensed

   $ 46.79     $ 0.16     0.3 %   $ 46.95     $ 46.63     $ 0.30     0.6 %   $ 46.93  

Gross Profit per prescription dispensed

   $ 6.90     $ (0.18 )   (2.6 )%   $ 6.72     $ 6.17     $ 0.60     9.7 %   $ 6.77  

Customer licensed beds under contract

                

Beginning of period

     102,471       228,828     223.3 %     331,299       102,571       234,472     228.6 %     337,043  

Additions - organic

     9,059       (4,158 )   (45.9 )     4,901       16,809       (416 )   (2.5 )     16,393  

Additions - acquisitions

     237,538       (237,538 )   (100.0 )     -       237,538       (237,538 )   (100.0 )     -  

Losses

     (8,567 )     (2,020 )   23.6       (10,587 )     (15,620 )     (12,203 )   78.1       (27,823 )

Other

     1,676       (1,676 )   (100.0 )     -       879       (879 )   (100.0 )     -  
                                                            

End of period

     342,177       (16,564 )   (4.8 )%     325,613       342,177       (16,564 )   (4.8 )%     325,613  
                                                            

Hospital Management

                

Volume Information

                

Hospital management contracts serviced

     85       -     %     85       85       -     %     85  

Revenues

The increase in institutional pharmacy revenues for the three and nine months ended September 30, 2008 of $107.6 million and $738.2 million, respectively, compared to the same periods in the prior year was primarily related to the acquisition of PharMerica LTC on July 31, 2007.

The increase in hospital management revenues for the three and nine months ended September 30, 2008 of $1.1 million and $3.8 million, respectively, was the result of the contractually provided year over year management fee increases based on the consumer pricing index as well as increases in pass through costs.

Cost of Goods Sold

Institutional pharmacy cost of goods sold increased $93.8 million and $623.6 million for the three and nine months ended September 30, 2008, respectively, compared to the same periods in the prior year due primarily to the acquisition of PharMerica LTC on July 31, 2007. On September 5, 2008, the Corporation received a $2.1 million refund as a result of over charges on self-insured employee health benefits, of which $1.2 million related to 2007. Employee benefits expense included in the costs of goods sold was reduced by $1.5 million for the three and nine months ended September 30, 2008 as a result of receiving the $2.1 million refund.

The hospital management cost of goods sold increased $1.0 million and $3.5 million for the three and nine months ended September 30, 2008, respectively, compared to the same periods in the prior year. Cost of goods sold for hospital management increased primarily due to to labor costs and wage inflation increases.

 

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Gross Profit and Operating Expenses

Gross profit and operating expenses for the periods presented were as follows (in millions):

 

    Three Months Ended September 30,     Nine Months Ended September 30,  
    2007                 2008     2007                 2008  
    Amount     % of
Revenue
    Increase
(Decrease)
    Amount   % of
Revenue
    Amount     % of
Revenue
    Increase
(Decrease)
    Amount   % of
Revenue
 

Gross profit and operating expenses:

                       

Institutional Pharmacy

  $ 53.7     14.2 %   $ 13.8     25.7 %   $ 67.5   13.9 %   $ 90.6     12.5 %   $ 114.6     126.5 %   $ 205.2   14.0 %

Hospital Management

    2.7     0.7       0.1     3.7       2.8   0.6       8.1     1.1       0.3     3.7       8.4   0.6  
                                                                               

Total gross profit

    56.4     14.9       13.9     24.6       70.3   14.5       98.7     13.6       114.9     116.4       213.6   14.6  

Selling, general and administrative expenses

    46.8     12.4       3.7     7.9       50.5   10.4       81.2     11.2       80.6     99.3       161.8   11.1  

Amortization expense

    1.4     0.4       0.2     14.3       1.6   0.3       3.4     0.5       1.4     41.2       4.8   0.3  

Integration, merger related costs and other charges

    46.8     12.4       (39.7 )   (84.8 )     7.1   1.5       52.5     7.2       (34.7 )   (66.1 )     17.8   1.2  

Interest expense, net

    3.1     0.8       0.3     9.7       3.4   0.7       3.1     0.4       7.5     241.9       10.6   0.7  
                                                                               

Income (loss) before provision for income taxes

    (41.7 )   (11.1 )     49.4     (118.5 )     7.7   1.6       (41.5 )   (5.7 )     60.1     (144.8 )     18.6   1.3  

Provision (benefit) for income taxes

    (14.7 )   (3.9 )     18.1     (123.1 )     3.4   0.7       (14.6 )   (2.0 )     22.7     (155.5 )     8.1   0.6  
                                                                               

Net income (loss)

  $ (27.0 )   (7.2 )%   $ 31.3     (115.9 )%   $ 4.3   0.9 %   $ (26.9 )   (3.7 )%   $ 37.4     (139.0 )%   $ 10.5   0.7 %
                                                                               

Institutional pharmacy gross profit for the three months ended September 30, 2008 was $67.5 million or $6.72 per prescription dispensed and $205.2 million or $6.77 per prescription dispensed for the nine months ended September 30, 2008. Institutional pharmacy gross profit margin for the three and nine months ended September 30, 2008 was 14.3% and 14.4%, respectively, of institutional pharmacy revenue. Due to the employee benefit refund described earlier, gross margin was positively impacted $0.15 and $0.05 per prescription dispensed for the three and nine months ended September 30, 2008, respectively. This compares to institutional pharmacy gross profit of $53.7 million or $6.90 per prescription dispensed for the three months ended September 30, 2007 and $90.6 million or $6.17 per prescription dispensed for the nine months ended September 30, 2007. As a percent of institutional pharmacy revenue, gross profit margin was 14.8% and 13.2% for the three and nine months ended September 30, 2007, respectively.

Selling, general and administrative expenses

Selling, general and administrative expenses represent the following costs for the periods (in millions):

 

    Three Months Ended September 30,     Nine Months Ended September 30,  
    2007                 2008     2007                 2008  
    Amount   % of
Revenues
    Increase
(Decrease)
    Amount   % of
Revenues
    Amount   % of
Revenues
    Increase
(Decrease)
    Amount   % of
Revenues
 

Selling, general and administrative expenses

                       

Total wages, benefits and contract labor

  $ 21.7   5.7 %   $ 2.0     9.2 %   $ 23.7   4.9 %   $ 38.5   5.3 %   $ 42.9     111.4 %   $ 81.4   5.5 %

Provision for doubtful accounts

    6.3   1.7       0.9     14.3       7.2   1.5       10.7   1.5       7.2     67.3       17.9   1.2  

Supplies

    1.0   0.3       0.8     80.0       1.8   0.4       2.3   0.3       3.2     139.1       5.5   0.4  

Travel expenses

    1.7   0.5       (0.3 )   (17.6 )     1.4   0.3       3.2   0.4       1.3     40.6       4.5   0.3  

Professional fees

    2.0   0.5       0.1     5.0       2.1   0.4       2.9   0.4       4.1     141.4       7.0   0.5  

Stock-based compensation

    0.4   0.1       1.0     250.0       1.4   0.3       0.6   0.1       2.9     483.3       3.5   0.2  

Management fee

    1.5   0.4       (1.5 )   (100.0 )     -   -       8.4   1.2       (8.4 )   (100.0 )     -   -  

Depreciation

    1.7   0.5       0.9     52.9       2.6   0.5       2.3   0.3       5.8     252.2       8.1   0.6  

Rent

    1.6   0.4       0.5     31.3       2.1   0.4       2.1   0.3       5.4     257.1       7.5   0.5  

Other costs

    8.9   2.3       (0.7 )   (7.9 )     8.2   1.7       10.2   1.4       16.2     158.8       26.4   1.9  
                                                                           

Total selling general and administrative expenses

  $ 46.8   12.4 %   $ 3.7     7.9 %   $ 50.5   10.4 %   $ 81.2   11.2 %   $ 80.6     99.3 %   $ 161.8   11.1 %
                                                                           

The increase of $3.7 million and $80.6 million in selling, general and administrative expenses for the three and nine months ended September 30, 2008, respectively, as compared to the same periods in the prior year, was primarily attributable to the acquisition of PharMerica LTC and the costs resulting from becoming a new public company, including legal fees and accounting fees associated with becoming compliant under the Sarbanes Oxley Act. Employee benefits were reduced by $0.6 million for the three and nine months ended September 30, 2008 as a result of reimbursement of overcharges on self-insured employee health benefits.

 

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Integration, merger related costs and other charges

Integration, merger related costs and other charges incurred by the Corporation for the periods presented were as follows (in millions):

 

     Three Months Ended
September 30,
     Nine Months Ended
September 30,
 
             2007                      2008                      2007                      2008          

Integration costs and other charges:

           

Allowance for doubtful accounts

   $ 27.9      $ -      $ 27.9      $ -  

Professional and advisory fees

     -        0.4        -        1.5  

General and administrative

     -        0.5        -        2.6  

Employee costs

     -        2.3        0.1        6.3  

Severance costs

     0.5        2.0        0.5        3.7  

Facility costs

     -        1.9               3.7  
                                   
     28.4        7.1        28.5        17.8  
                                   

Merger related costs:

           

Professional and advisory fees

     5.6        -        8.0        -  

General and administrative

     4.9        -        5.4        -  

Employee costs

     4.9        -        7.6        -  

Severance costs

     2.2        -        2.2        -  

Facility costs

     0.7        -        0.7        -  

Other

     0.1        -        0.1        -  
                                   
     18.4        -        24.0        -  
                                   

Total integration, merger related costs and other charges

   $ 46.8      $ 7.1      $ 52.5      $ 17.8  
                                   

Negative effect on diluted earnings per share

   $ (1.21 )    $ (0.13 )    $ (1.85 )    $ (0.33 )
                                   

The integration, merger related costs and other charges for the three and nine months ended September 30, 2007 and 2008, were related to the consolidation of pharmacies within a similar location, costs associated with the spin-off of KPS and PharMerica LTC, costs to integrate information systems and duplicate costs associated with merging the overall corporate functions of KPS and PharMerica LTC.

For the three and nine months ended September 30, 2007 and 2008, integration, merger related costs and other charges decreased approximately $39.7 million and $34.7 million, respectively. The decrease is due to the inclusion in the third quarter of 2007 of $27.9 million associated with the change in accounting estimate related to the allowance for doubtful accounts as well as higher professional and general administrative expenses. The integration costs and other charges of $7.1 million and $17.8 million for the three and nine months ended September 30, 2008, respectively, are primarily comprised of costs to consolidate pharmacy locations and corporate severance payments.

During the three months ended September 30, 2008, there were nine pharmacy locations impacted by consolidation, bringing the total consolidated pharmacies to twenty-four. The Corporation currently plans to complete the consolidation of its pharmacies by March 31, 2009. Additionally, the Corporation is currently reevaluating the Corporations previously announced plan to integrate its information technology operating platform, including the timing and scope of such integration.

 

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Depreciation and Amortization

Depreciation expense for the periods presented was as follows (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     2008     2007     2008  
     Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
 

Leasehold improvements

   $ 1.0    0.3 %   $ 0.4    0.1 %   $ 1.4    0.2 %   $ 1.8    0.1 %

Equipment and software

     3.8    1.0       4.8    1.0       6.9    1.0       14.6    1.0  

Leased equipment

     0.1    NM       0.1    NM       0.1    NM       0.4    NM  
                                                    

Total depreciation expense

   $ 4.9    1.3 %   $ 5.3    1.1 %   $ 8.4    1.2 %   $ 16.8    1.1 %
                                                    

Depreciation expense recorded in cost of goods sold

   $ 2.8    0.7 %   $ 2.7    0.6 %   $ 5.7    0.8 %   $ 8.7    0.6 %

Depreciation expense recorded in selling, general &
administrative expenses

     1.7    0.5       2.6    0.5       2.3    0.3       8.1    0.5  

Depreciation expense recorded in integration, merger
related costs and other charges

     0.4    0.1       -        0.4    0.1       -   
                                                    

Total depreciation expense

   $ 4.9    1.3 %   $ 5.3    1.1 %   $ 8.4    1.2 %   $ 16.8    1.1 %
                                                    

The increase of $0.4 million and $8.4 million in depreciation expense for the three and nine months ended September 30, 2008, respectively, compared to the same periods in the prior year primarily relates to the PharMerica LTC acquisition as well as assets acquired for the Corporation to establish its own systems infrastructure and costs capitalized to improve pharmacy locations and accommodate pharmacy locations closing as a result of the consolidations. The Corporation recognized approximately $3.6 million and $11.1 million in depreciation expense from assets acquired in the Pharmacy Transaction for the three and nine months ended September 30, 2008, respectively.

Amortization expense related to certain identifiable intangibles for the periods presented were as follows (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     2008     2007     2008  
     Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
    Amount    % of
Revenues
 

Amortization of intangibles:

                    

Trade names

   $ 0.2    NM %   $ 0.3    0.1     $ 0.2    NM %   $ 1.0    0.1  

Non-compete agreements

     0.1    NM       0.1    NM       0.3    NM       0.3    NM  

Customer relationships

     1.1    0.2       1.2    0.2 %     2.9    0.4       3.5    0.2 %
                                                    

Total amortization expense

   $ 1.4    0.4 %   $ 1.6    0.3 %   $ 3.4    0.5 %   $ 4.8    0.3 %
                                                    

As a result of the PharMerica LTC acquisition, amortization expense increased by $0.6 million and $1.8 million for the three and nine months ended September 30, 2008, respectively, compared to the same periods in the prior year.

 

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Interest Expense

Interest expense for the periods presented was as follows (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
     2007     2008     2007     2008  
Interest expense, net:    Amount     Amount     Amount     Amount  

Term debt

   $ 3.2     $ 3.5     $ 3.2     $ 11.0  

Revolving Credit Facility (including commitment fees and letters of credit fees)

     0.1       -       0.1       -  
                                

Subtotal

     3.3       3.5       3.3       11.0  

Other:

        

Interest income

     (0.3 )     (0.2 )     (0.3 )     (0.7 )

Amortization of deferred financing fees

     0.1       0.1       0.1       0.3  
                                

Total interest expense, net

   $ 3.1     $ 3.4     $ 3.1     $ 10.6  
                                

Interest rate (excluding applicable margin):

        

Average interest rate on Term Debt

     6.69 %     2.66 %     6.69 %     3.01 %

LIBOR - 1 month, at beginning of period

     5.32 %     2.46 %     5.32 %     4.60 %

LIBOR - 1 month, at end of period

     5.12 %     3.93 %     5.12 %     3.93 %

LIBOR - 3 months, at beginning of period

     5.36 %     2.78 %     5.36 %     4.70 %

LIBOR - 3 months, at end of period

     5.23 %     4.05 %     5.23 %     4.05 %

Interest expense increased during the three and nine months ended September 30, 2008 as a result of the Corporation closing on, and borrowing under, the Credit Agreement since July 31, 2007 versus historically utilizing cash flows from operations and from its former parent to finance the operations of the business. The Corporation entered into the Credit Agreement on July 31, 2007 as a result of the Pharmacy Transaction, therefore, interest expense for the three and nine months ended September 30, 2007 reflects only two months of interest expense related to the Credit Agreement.

Tax Provision

The tax provision for the periods presented was as follows (in millions):

 

    

Three Months Ended September 30,

    

Nine Months Ended September 30,

 
               2007                         2008                          2007                        2008           

Tax provision (benefit)

   $ (14.7 )   $ 3.4      $ (14.6 )   $ 8.1  
                                 

Total provision (benefit) as a percentage of pre-tax income (loss)

     35.2 %     42.9 %      35.2 %     43.2 %
                                 

The effective tax rate for the three and nine months ended September 30, 2007 was 35.2%, comprised of 35.0% for the federal rate and 0.2% for the state rate and permanent rate differences. The effective tax rate for the three months ended September 30, 2008 was 42.9%, comprised of 35.0% for the federal rate and 7.9% for the state rate and permanent rate differences. The effective tax rate for the nine months ended September 30, 2008 was 43.2%, comprised of 35.0% for the federal rate and 8.2% for the state rate and permanent rate differences. The increase in our provision for income taxes for the three and nine months ended September 30, 2008, compared to the comparable 2007 periods, was primarily the result of the Pharmacy Transaction and increases in non-deductible expenses associated with the Corporation’s operations as a stand-alone company.

 

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Supplemental Quarterly Information

The following tables represent the results of the Corporation’s quarterly operations for the three quarters of 2008 and each quarter of 2007 (in millions, except per share, prescriptions, per prescription and customer licensed bed amounts):

 

     2007 Quarters     2008 Quarters  
     First     Second     Third     Fourth     First     Second     Third  

Net revenues:

              

Institutional pharmacy revenues

   $ 161.2     $ 159.7     $ 364.0     $ 478.0     $ 480.2     $ 471.3     $ 471.6  

Hospital management revenues

     13.5       13.7       13.5       14.2       14.9       15.0       14.6  
                                                        

Total revenues

     174.7       173.4       377.5       492.2       495.1       486.3       486.2  
                                                        

Cost of goods sold:

              

Institutional pharmacy

     142.0       142.0       310.3       406.0       410.5       403.4       404.1  

Hospital management

     10.8       11.0       10.8       11.1       12.1       12.1       11.8  
                                                        

Total cost of goods sold

     152.8       153.0       321.1       417.1       422.6       415.5       415.9  
                                                        

Gross profit:

              

Institutional pharmacy

     19.2       17.7       53.7       72.0       69.7       67.9       67.5  

Hospital management

     2.7       2.7       2.7       3.1       2.8       2.9       2.8  
                                                        

Total gross profit

     21.9       20.4       56.4       75.1       72.5       70.8       70.3  

Selling, general and administrative

     16.7       17.7       46.8       60.2       57.3       54.0       50.5  

Amortization expense

     1.0       1.0       1.4       1.6       1.6       1.6       1.6  

Integration, merger related costs and other charges

     3.3       2.4       46.8       5.2       4.1       6.6       7.1  
                                                        

Operating income (loss)

     0.9       (0.7 )     (38.6 )     8.1       9.5       8.6       11.1  

Interest expense, net

     -       -       3.1       4.1       3.7       3.5       3.4  
                                                        

Income (loss) before income taxes

     0.9       (0.7 )     (41.7 )     4.0       5.8       5.1       7.7  

Provision (benefit) for income taxes

     0.4       (0.3 )     (14.7 )     1.2       2.5       2.2       3.4  
                                                        

Net income (loss)

   $ 0.5     $ (0.4 )   $ (27.0 )   $ 2.8     $ 3.3     $ 2.9     $ 4.3  
                                                        

Adjusted EBITDA(1)

   $ 7.0     $ 4.4     $ 11.0     $ 22.1     $ 21.1     $ 22.4     $ 25.1  

Adjusted EBITDA Margin (1)

     4.0 %     2.5 %     2.9 %     4.5 %     4.3 %     4.6 %     5.2 %

Earnings (loss) per common share:

              

Basic

     NM       NM     $ (1.07 )   $ 0.09     $ 0.11     $ 0.10     $ 0.14  

Diluted

     NM       NM     $ (1.07 )   $ 0.09     $ 0.11     $ 0.10     $ 0.14  

Shares used in computing earnings (loss) per common share:

              

Basic

     NM       NM       25.1       30.0       30.1       30.1       30.1  

Diluted

     NM       NM       25.1       30.0       30.1       30.2       30.4  

Institutional Pharmacy

              

Volume Information

              

Prescriptions dispensed (in 000's)

     3,440       3,470       7,779       10,062       10,212       10,067       10,044  

Revenue per prescription dispensed

   $ 46.86     $ 46.02     $ 46.79     $ 47.51     $ 47.02     $ 46.82     $ 46.95  

Gross profit per prescription dispensed

   $ 5.58     $ 5.10     $ 6.90     $ 7.16     $ 6.83     $ 6.74     $ 6.72  

Customer licensed beds under contract

              

Beginning of period

     102,571       103,326       102,471       342,177       337,043       334,226       331,299  

Additions - organic

     4,137       3,322       9,059       6,029       5,157       6,335       4,901  

Additions - acquisitions

     -       -       237,538       -       -       -       -  

Losses

     (2,867 )     (4,186 )     (8,567 )     (10,383 )     (7,974 )     (9,262 )     (10,587 )

Other

     (515 )     9       1,676       (780 )     -       -       -  
                                                        

End of period

     103,326       102,471       342,177       337,043       334,226       331,299       325,613  
                                                        

 

(1) See “Use of Non GAAP Measures” for a definition and reconciliation of Adjusted EBITDA to net income (loss).

 

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Use of Non-GAAP Measures

The Corporation calculates Adjusted EBITDA as provided in the reconciliation below and calculates Adjusted EBITDA Margin by taking Adjusted EBITDA and dividing it by revenues. The Corporation calculates and uses Adjusted EBITDA as an indicator of its ability to generate cash from reported operating results. The measurement is used in concert with net income and cash flows from operations, which measure actual cash generated in the period. In addition, the Corporation believes that Adjusted EBITDA and Adjusted EBITDA Margin are a supplemental measurement tool used by analysts and investors to help evaluate overall operating performance and the ability to incur and service debt and make capital expenditures. Adjusted EBITDA, as defined in the Credit Agreement, is used in conjunction with the Corporation’s debt leverage ratio and this calculation sets the applicable margin for the quarterly interest charge. Adjusted EBITDA, as defined in the Credit Agreement, is not the same calculation as this Adjusted EBITDA table. Adjusted EBITDA does not represent funds available for the Corporation’s discretionary use and is not intended to represent or to be used as a substitute for net income or cash flows from operations data as measured under U.S. generally accepted accounting principles (“GAAP”). The items excluded from Adjusted EBITDA but included in the calculation of the Corporation’s reported net income are significant components of the accompanying unaudited condensed consolidated statements of operations, and must be considered in performing a comprehensive assessment of overall financial performance. The Corporation’s calculation of Adjusted EBITDA may not be consistent with calculations of EBITDA used by other companies.

Adjusted EBITDA

 

     2007 Quarters     2008 Quarters  
     First     Second     Third     Fourth     First     Second     Third  

Net income (loss)

   $   0.5     $ (0.4 )   $ (27.0 )   $ 2.8     $ 3.3     $ 2.9     $ 4.3  

Add:

              

Interest expense, net

     -       -       3.1       4.1       3.7       3.5       3.4  

Integration, merger related costs and other charges

     3.3       2.4       46.8       5.2       4.1       6.6       7.1  

Provision (benefit) for income taxes

     0.4       (0.3 )     (14.7 )     1.2       2.5       2.2       3.4  

Effect of change in estimate on cost of goods sold

     -       -       (3.1 )     -       -       -       -  

Depreciation and amortization expense

     2.8       2.7       5.9       8.8       7.5       7.2       6.9  
                                                        

Adjusted EBITDA

   $ 7.0     $ 4.4     $ 11.0     $ 22.1     $ 21.1     $ 22.4     $ 25.1  
                                                        

Adjusted EBITDA Margin

     4.0 %     2.5 %     2.9 %     4.5 %     4.3 %     4.6 %     5.2 %
                                                        

 

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Liquidity and Capital Resources

The primary source of liquidity for the Corporation is cash flows from operations and borrowings under the Credit Agreement. Based upon our existing cash levels, expected operating cash flows, capital spending, potential future acquisitions and the availability of borrowings under our revolving credit facility, we believe that we have the necessary financial resources to satisfy our expected short-term and long-term liquidity needs.

The Corporation expects to achieve certain cost savings resulting from operating efficiencies, synergies and other restructuring activities that might result from the Pharmacy Transaction. Management expects to achieve in excess of $30.0 million of annual savings as a result of the Pharmacy Transaction, but actual results may be materially different than our expected savings. Notwithstanding these anticipated savings, we will experience some increased costs associated with the transition to, and status as, a stand-alone, publicly traded company. The Corporation currently plans to complete the consolidation of its pharmacies by March 31, 2009. Additionally, the Corporation is currently reevaluating the Corporation’s previously announced plan to integrate its information technology operating platform, including the timing and scope of such integration.

Cash Flows. The following table presents selected data from our condensed consolidated statements of cash flows (in millions):

 

     Three Months Ended September 30,     Nine Months Ended September 30,  
         2007             2008             2007             2008      

Net cash provided by operating activities

   $ 20.1     $ 17.5     $ 13.1     $ 41.7  

Net cash used by investing activities

     (15.1 )     (10.3 )     (19.0 )     (21.9 )

Net cash provided by (used in) financing activities

     21.5       0.5       31.9       (9.2 )
                                

Net change in cash and cash equivalents

     26.5       7.7       26.0       10.6  

Cash and cash equivalents at beginning of period

     3.2       34.9       3.7       32.0  
                                

Cash and cash equivalents at end of period

   $ 29.7     $ 42.6     $ 29.7     $ 42.6  
                                

Operating cash flows, capital spending and financing activities

Cash flows provided by operations aggregated $41.7 million for the nine months ended September 30, 2008 compared to $13.1 million for the same period in 2007. Operating cash flows for the nine months ended September 30, 2008 were positively impacted by the Pharmacy Transaction. For the third quarter 2008, cash flows from operating activities was positively impacted $2.1 million due to the refund related to the reimbursement of overcharges on self-insured employee benefits.

Cash flows used by investing activities aggregated $21.9 million for the nine months ended September 30, 2008 compared to $19.0 million for the same period in 2007. Cash flows used by investing activities were impacted by the purchase of fixed assets for integration and merger related expenditures, as the Corporation needed to increase its technology capacity and outfit the pharmacies, and the $4.4 million purchase of the 49.0% minority interest held by a third-party in the Corporation’s joint ventures.

Cash flows used in financing activities aggregated $9.2 million for the nine months ended September 30, 2008, compared to cash flows provided by financing activities of $31.9 million for the same period in 2007. The increased use of cash flows in financing activities for 2008 primarily reflects an early payment of $10.0 million on long term debt while the 2007 cash provided by financing activities was the result of the Pharmacy Transaction.

Cash and cash equivalents totaled $42.6 million at September 30, 2008 compared to $32.0 million at December 31, 2007.

 

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Credit Agreement

On the Closing Date, the Corporation entered into a Credit Agreement among the Corporation, the Lenders named therein, and JPMorgan Chase Bank, N.A. (“JPMorgan”), as Administrative Agent. The Credit Agreement consists of a $275.0 million term loan facility and a $150.0 million revolving credit facility. The Corporation borrowed $275.0 million under the term loan portion of the Credit Agreement and an additional $20.0 million under the revolving credit portion of the Credit Agreement on the Closing Date to refinance the loans made to KPS and PharMerica LTC to finance their respective cash distributions, to pay fees and expenses incurred in connection with the Pharmacy Transaction and for working capital and other general corporate purposes. Indebtedness under the Credit Agreement matures on July 31, 2012. There is no scheduled amortization under the term loan facility but the term loan is subject to certain prepayment obligations relating to certain asset sales, certain casualty losses and the incurrence by the Corporation of certain indebtedness.

Borrowings under the Credit Agreement bear interest at a floating rate equal to, at our option, a base rate plus a margin between 0.0% and 0.75% per annum, or an adjusted LIBO rate plus a margin between 0.625% and 1.75% per annum, in each case depending on the leverage ratio of the Corporation. The base rate is the higher of the prime lending rate announced by JPMorgan in New York from time to time and the federal funds rate published by the Federal Reserve Bank of New York plus 0.50%. The Credit Agreement also provides for letter of credit participation fees between 0.625%, and 1.75%, letter of credit fronting fees of 0.125%, and a commitment fee payable on the unused portion of the revolving credit facility, which shall accrue at a rate per annum ranging from 0.125% to 0.250%, in each case depending on the leverage ratio of the Corporation. As of September 30, 2008, borrowings under the Credit Agreement bore interest at a blended rate of 4.13%, including the applicable margin of 1.0%, per annum based upon the one month and three month adjusted LIBO rate (without giving effect to the interest rate swap transaction discussed below).

The obligations of the Corporation under and related to the Credit Agreement are secured by substantially all of its assets. Those obligations are guaranteed by many of the Corporation’s wholly owned subsidiaries and the obligations of the guarantors are secured by substantially all of their assets. The foregoing includes a pledge of all of the equity interests of substantially all of our direct and indirect domestic subsidiaries and a portion of the equity interests of any future foreign subsidiaries. The Credit Agreement also contains financial and non-financial affirmative and negative covenants, representations, warranties, affirmative covenants and events of default that are customary to facilities of this nature.

The Corporation had a total of $240.0 million outstanding of Term Debt as of September 30, 2008 under the Credit Agreement. The Corporation had no borrowings under the revolving portion of its Credit Agreement as of September 30, 2008. The Credit Agreement provides for the issuance of letters of credit which, when issued, constitute usage and reduce availability on the revolving portion of the Credit Agreement. The aggregate amount of letters of credit outstanding as of September 30, 2008 was $2.7 million. After giving effect to the letters of credit, total availability under the revolving credit facility was $147.3 million as of September 30, 2008. The total availability of the revolving credit facility is limited by the ability of the lenders in the Credit Agreement to fund any requested future borrowing.

Covenants

The Credit Agreement requires the Corporation to satisfy a minimum fixed charge coverage ratio and a maximum leverage ratio. The fixed charge coverage ratio, which is tested quarterly on a trailing four quarter basis, can be no less than 2.00:1.00 during the period from the Closing Date through December 31, 2008; 2.25:1.00 during the period January 1, 2009 through December 31, 2009; and 2.50:1.00 thereafter. The maximum leverage ratio, which also is tested quarterly, cannot exceed 4.50:1.00 during the period July 1, 2008 through December 31, 2008; 3.50:1.00 during the period January 1, 2009 through December 31, 2009; and 3.00:1.00 thereafter (the leverage ratio is not tested when at any time it is less than 2.00:1.00 or both S&P and Moody’s shall have in effect corporate credit ratings for the Corporation that are investment grade). The Credit Agreement provides for the Corporation to use an adjusted EBITDA number in conjunction with the calculation of the leverage ratio. This adjusted EBITDA used in connection with the leverage ratio calculation pursuant to the Credit Agreement is not the same calculation the Corporation uses to determine the Adjusted EBITDA. In addition, capital expenditures (other than those funded with proceeds of asset sales or insurance) are restricted in any fiscal year to 3.00% of revenues, subject to certain carry over rights in regards to unused portions commencing with the fiscal year ending December 31, 2008.

The financial covenant ratio and requirements are as follows:

 

     Requirement    Level at
December 31, 2007
    Level at
March 31, 2008
   Level at
June 30, 2008
   Level at
September 30, 2008

Minimum Fixed Charge Coverage Ratio

   > = 2.00 to 1.00    2.57     2.76    3.00    3.30

Maximum Total Leverage Coverage Ratio

   < = 4.50 to 1.00    2.99     2.62    2.38    2.15

Capital Expenditure

   < = 3.00    1.40 %   **    **    **
    ** Not applicable as Capital Expenditures Covenant is an annual requirement under the terms of the Credit Agreement.

 

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In addition, the Credit Agreement contains customary affirmative and negative covenants, which among other things, limit the Corporation’s ability to incur additional debt, create liens, pay dividends, effect transactions with the Corporation’s affiliates, sell assets, pay subordinated debt, merge, consolidate, enter into acquisitions, and effect sale leaseback transactions.

Interest Rate Swap

On the Closing Date, the Corporation entered into an interest rate swap agreement with JPMorgan as the counterparty. The interest rate swap agreement was effective as of the Closing Date and has a maturity date of July 31, 2009. The Corporation entered into the interest rate swap agreement to mitigate the floating interest rate risk on $200.0 million of its outstanding variable rate borrowings. The interest rate swap agreement requires the Corporation to make quarterly fixed rate payments to JPMorgan calculated on a notional amount at an annual fixed rate of 5.123% plus applicable margin (1.0%). JPMorgan will be obligated to make quarterly floating payments to the Corporation based on the three-month LIBO rate plus applicable margin (1.0%) on the same referenced notional amount.

Notwithstanding the terms of the interest rate swap transaction, the Corporation is ultimately obligated for all amounts due and payable under the Credit Agreement. The notional value of the swap is $200.0 million as of September 30, 2008.

The fair value of the interest rate swap agreement is the amount at which it could be settled. The Corporation has designated the interest rate swap as a cash flow hedge instrument, which is recorded in the Corporation’s accompanying condensed consolidated balance sheet at its fair value.

Prime Vendor Agreement

At the consummation of the Pharmacy Transaction, the Corporation entered into a Prime Vendor Agreement (the “Prime Vendor Agreement”), with AmerisourceBergen Drug Corporation (“ABDC”), a wholly owned subsidiary of AmerisourceBergen, the Corporation’s former 50% stockholder. Pursuant to this agreement, the Corporation is required to purchase at least 95% of the Corporation’s prescription pharmaceutical drugs from ABDC and to participate in its generic formulary purchase program for a period of five years. In addition, ABDC will support the distribution of pharmaceuticals that the Corporation purchases directly from manufacturers and provide inventory management support and packaging services. Unless either party provides certain notice of termination, the agreement will continue on a month-to-month basis upon expiration of the initial five year term. The agreement may be terminated by either party for cause during the initial five year term, and by either party with or without cause thereafter upon 90 days notice. For the three and nine months ended September 30, 2007 the Corporation purchased a total of $212.3 million and for the three and nine months ended September 30, 2008 the Corporation purchased a total of $317.4 million and $959.1 million, respectively, under the terms of the Prime Vendor Agreement. As of September 30, 2008 the Corporation had an amount payable to AmerisourceBergen under the terms of the Prime Vendor Agreement of $33.0 million, which is included in accounts payable in the accompanying condensed consolidated balance sheets.

Information Technology Services Agreement

At the consummation of the Pharmacy Transaction, the Corporation entered into an Information Technology Services Agreement with Kindred Healthcare Operating, Inc. (“KHOI”), a wholly owned subsidiary of Kindred, the Corporation’s former 50% stockholder (the “IT Services Agreement”). Pursuant to this IT Services Agreement, KHOI will be the Corporation’s exclusive provider of certain information services and support related to information technology infrastructure and financial systems for a period of five years. The services provided by KHOI will include business services necessary to operate, manage and support certain financial applications the Corporation uses, including enabling and/or supporting technology infrastructure and technology procurement services to support certain business functions. Such services will include, among other matters, functions for financial management and systems and payroll. The Corporation will support internally all other operating systems, including functions for order entry, pharmacy dispensing, clinical consulting, billing and collections, electronic medication management, sales and marketing, medical records management, human resources, internal and external customer call center support and general business systems. The Corporation incurred approximately $3.0 million for the three and nine months ended September 30, 2007, and approximately $4.5 million and $13.9 million for the three months ended and nine months ended September 30, 2008, respectively, under the terms of the IT Services Agreement. As of September 30, 2008, the Corporation had approximately $1.2 million in accounts payable related to the IT Services Agreement.

 

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Except for certain services that will be provided at cost, KHOI will provide such services to the Corporation at its cost plus 10%, which will be the actual costs and expenses incurred in providing these services, including certain overhead costs and per hour costs of the KHOI employees providing the services. The IT Services Agreement shall automatically renew for successive one-year periods after the expiration of the initial five year term, absent 120 days prior notice of termination as provided for in the agreement. The IT Services Agreement may be terminated by either party for cause and, in certain circumstances, by the Corporation in the event that KHOI undergoes a change of control to one of the Corporation’s competitors. Following termination, KHOI must provide termination and expiration assistance for up to 180 days.

Transition Services Agreements

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with Kindred (the “Kindred TSA”). Pursuant to the Kindred TSA, Kindred provided the Corporation with certain corporate administrative services, such as payroll and employee benefit administration, human resources, risk management, treasury, tax, accounting and financial reporting services, for a period of fifteen months following the Closing Date. Kindred provided such services at its cost, which were the actual costs and expenses incurred by Kindred in providing these services, including overhead costs and per hour costs of the Kindred employees providing the services. The Corporation incurred approximately $0.2 million under the terms of the Kindred TSA for the three and nine months ended September 30, 2007, and less than $0.01 million and approximately $0.5 million under the terms of the Kindred TSA for the three and nine months ended September 30, 2008, respectively, which is included in selling, general and administrative expenses in the accompanying condensed consolidated statements of operations. As of September 30, 2008, the Corporation had less than $0.01 million in accounts payable related to the Kindred TSA. The Kindred TSA is scheduled to expire on October 31, 2008 however the Corporation has assumed substantially all administrative services.

At the consummation of the Pharmacy Transaction, the Corporation entered into a Transition Services Agreement with AmerisourceBergen (the “AmerisourceBergen TSA”). Pursuant to the AmerisourceBergen TSA, AmerisourceBergen provided the Corporation with certain transition services, such as payroll and employee benefit administration services for a period of twelve months following the Closing Date. AmerisourceBergen provided such services at its cost, which were the actual costs and expenses incurred by AmerisourceBergen in providing these services, including overhead costs and per hour costs of the AmerisourceBergen employees providing the services. The Corporation incurred approximately $0.1 million under the terms of the AmerisourceBergen TSA for the three and nine months ended September 30, 2007, and less than $0.01 million under the terms of the AmerisourceBergen TSA for the three and nine months ended September 30, 2008, respectively, which is included in selling, general and administrative expenses in the accompanying condensed consolidated statements of operations. The AmerisourceBergen TSA expired on July 31, 2008.

 

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Following Represents the Third Quarter 2008 Results compared to the Second Quarter 2008

Results of Operations

The following table presents selected consolidated comparative results of operations and statistical information (in millions, except prescriptions, per prescription and customer licensed bed amounts and hospital management contracts serviced):

 

     Quarter Ended  
     June 30,
2008
     Increase (Decrease)     September 30,
2008
 
     Amount                   Amount  

Net revenues:

          

Institutional Pharmacy

   $ 471.3      $ 0.3      0.1 %   $ 471.6  

Hospital Management

     15.0        (0.4 )    (2.7 )     14.6  
                                

Total net revenues

     486.3        (0.1 )    (0.0 )     486.2  
                                

Cost of goods sold:

          

Institutional Pharmacy

     403.4        0.7      0.2       404.1  

Hospital Management

     12.1        (0.3 )    (2.5 )     11.8  
                                

Total cost of goods sold

     415.5        0.4      0.1       415.9  
                                

Gross profit:

          

Institutional Pharmacy

     67.9        (0.4 )    (0.6 )     67.5  

Hospital Management

     2.9        (0.1 )    (3.4 )     2.8  
                                

Total gross profit

   $ 70.8      $ (0.5 )    (0.7 )%   $ 70.3  
                                

Institutional Pharmacy

          

Volume information

          

Prescriptions dispensed (in 000’s)

     10,067        (23 )    (0.2 )%     10,044  

Revenue per prescription dispensed

   $ 46.82      $ 0.13      0.3     $ 46.95  

Gross Profit per prescription dispensed

   $ 6.74      $ (0.02 )    (0.3 )   $ 6.72  

Customer licensed beds under contract

          

Beginning of period

     334,226        (2,927 )    (0.9 )%     331,299  

Additions - organic

     6,335        (1,434 )    (22.6 )     4,901  

Losses

     (9,262 )      (1,325 )    14.3       (10,587 )

Other

     -        -      -       -  
                                

End of period

     331,299        (5,686 )    (1.7 )%     325,613  
                                

Hospital Management

          

Volume information

          

Hospital management contracts serviced

     86        (1.0 )    (1.2 )%     85  

Revenues

Institutional pharmacy revenues increased $0.3 million for the three months ended September 30, 2008, compared to the three months ended June 30, 2008. The increase in revenues in the period was due to improvements in revenue per prescription dispensed of $1.4 million, offset by $1.1 million due to volume decreases. The improvement in rate is primarily the result of the mix of prescriptions dispensed in the period.

The $0.4 million decrease in hospital management revenues for the three months ended September 30, 2008, compared to the three months ended June 30, 2008 is due primarily to the loss of one hospital management contract during the period. The loss of the contract in the period was the result of the hospital facility being sold.

 

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Cost of Goods Sold

The increase in institutional pharmacy cost of goods sold of $0.7 million for the three months ended September 30, 2008, compared to the three months ended June 30, 2008 was primarily the result of a reduction in rebates earned in the period of $1.8 million and higher delivery charges of $0.1 million partially offset by a reduction in other operating expenses. For the three months ended September 30, 2008, the Corporation incurred an additional $0.4 million in fuel surcharges compared to the three months ended June 30, 2008. In addition, the Corporation also received the benefit of $1.5 million due to a refund as a result of reimbursement of over charges on self-insured employee health benefits in the period, offset by incremental costs of consolidations.

The decrease in hospital management cost of goods sold of $0.3 million for the three months ended September 30, 2008, compared to the three months ended June 30, 2008 was directly related to the loss of one hospital management contract in the period. The loss of the contract in the period was the result of hospital facility being sold.

Gross Profit and Operating Expenses

Gross profit and other operating expenses were the following for the periods presented (in millions):

 

     Quarter Ended  
     June 30,
2008
    Increase (Decrease)     September 30,
2008
 
     Amount    % of Revenue                 Amount    % of Revenue  

Gross profit and operating expenses:

              

Institutional Pharmacy

   $ 67.9    14.0 %   $ (0.4 )   (0.6 )%   $ 67.5    13.9 %

Hospital Management

     2.9    0.6       (0.1 )   (3.4 )     2.8    0.6  
                                        

Total gross profit

     70.8    14.6       (0.5 )   (0.7 )     70.3    14.5  

Selling, general and administrative expenses

     54.0    11.2       (3.5 )   (6.5 )     50.5    10.4  

Amortization expense

     1.6    0.3       -     -       1.6    0.3  

Integration, merger related costs and other charges

     6.6    1.4       0.5     7.6       7.1    1.5  

Interest expense, net

     3.5    0.7       (0.1 )   (2.9 )     3.4    0.7  
                                        

Income before provision for income taxes

     5.1    1.0       2.6     51.0       7.7    1.6  

Provision for income taxes

     2.2    0.4       1.2     54.5       3.4    0.7  
                                        

Net income

   $ 2.9    0.6 %   $ 1.4     48.3 %   $ 4.3    0.9 %
                                        

Institutional pharmacy gross profit for the three months ended September 30, 2008 was $67.5 million or $6.72 per prescription dispensed. This compares to institutional pharmacy gross profit of $67.9 million or $6.74 per prescription dispensed for the three months ended June 30, 2008. As a percent of institutional pharmacy revenue, gross profit margin was 14.4% for the three months ended June 30, 2008 compared to 14.3% for the three months ended September 30, 2008.

Institutional pharmacy gross profit margins decreased due to increased costs paid for contract labor in the period along with increased costs associated with delivery and associated fuel surcharges given the current economic environment.

 

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Selling, general and administrative expenses

Selling, general and administrative expenses represent the following costs for the periods (in millions):

 

     Quarter Ended  
     June 30,
2008
    Increase (Decrease)     September 30,
2008
 
     Amount    % of
Revenue
                Amount    % of
Revenue
 

Selling, general and administrative expenses:

              

Total wages, benefits and contract labor

   $ 27.8    5.7 %   $ (4.1 )   (14.7 )%   $ 23.7    4.9 %

Provision for doubtful accounts

     5.5    1.1       1.7     30.9       7.2    1.5  

Supplies

     1.9    0.4       (0.1 )   (5.3 )     1.8    0.4  

Travel expenses

     1.7    0.4       (0.3 )   (17.6 )     1.4    0.3  

Professional fees

     2.2    0.5       (0.1 )   (4.5 )     2.1    0.4  

Stock-based compensation

     1.1    0.2       0.3     27.3       1.4    0.3  

Depreciation

     2.7    0.6       (0.1 )   (3.7 )     2.6    0.5  

Rent

     2.7    0.6       (0.6 )   (22.2 )     2.1    0.4  

Other costs

     8.4    1.7       (0.2 )   (2.4 )     8.2    1.7  
                                        

Total selling general and administrative expenses

   $ 54.0    11.2 %   $ (3.5 )   (6.5 )%   $ 50.5    10.4 %
                                        

The decrease of $3.5 million in selling, general and administrative expenses for the three months ended September 30, 2008, compared to the three months ended June 30, 2008, was primarily related to a decrease in wages, benefits and contract labor due to the reduction in force associated with pharmacy consolidations and corporate personnel. The decline of $4.1 million in wages, benefits and contract labor is also due to a refund as a result of over charges on healthcare claims processed in the period of $0.6 million. The provision for doubtful accounts in the period increased $1.7 million due to a decrease in cash collections primarily related to receivables associated with institutional healthcare providers as a result of recent economic events. Stock based compensation increased $0.3 million in the period due to additional stock based awards granted in the period and accelerated compensation expense due to the accelerated vesting of awards granted to termed recipients in the period. The remaining decrease in selling, general and administrative expenses is due to cost saving measures and the consolidation of nine pharmacy locations in the third quarter 2008.

Integration, merger related costs and other charges

The following is a summary of integration, merger related costs and other charges incurred by the Corporation (in millions):

 

     Quarter Ended  
     June 30,
2008
     September 30,
2008
 

Integration costs and other charges:

     

Professional and advisory fees

   $ 0.9      $ 0.4  

General and administrative

     1.0        0.5  

Employee costs

     2.4        2.3  

Severance costs

     1.4        2.0  

Facility costs

     0.9        1.9  
                 

Total integration, merger related costs and other charges

   $ 6.6      $ 7.1  
                 

Negative effect on diluted earnings per share

   $ (0.12 )    $ (0.13 )
                 

The Corporation incurred integration, merger related costs and other charges for the three months ended June 30, 2008 and the three months ended September 30, 2008 related to the consolidation of pharmacies within a similar location, costs to integrate information systems and duplicate costs associated with merging the overall corporate functions of KPS and PharMerica LTC.

During the three months ended June 30, 2008 and September 30, 2008, there were five and nine pharmacy locations impacted by consolidation, respectively. The Corporation currently plans to complete the consolidation of its pharmacies by March 31, 2009. Additionally, the Corporation is currently reevaluating the Corporation’s previously announced plan to integrate its operating platform, including the timing and scope of such integrations.

 

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Depreciation and Amortization

Depreciation expense represents the following costs for the periods (in millions):

 

     Quarter Ended  
     June 30,
2008
    September 30,
2008
 
     Amount    % of
Revenues
    Amount    % of
Revenues
 

Leasehold improvements

   $ 0.5    0.1 %   $ 0.4    0.1 %

Equipment and software

     4.9    1.0       4.8    1.0  

Leased equipment

     0.2    0.1       0.1    NM  
                          

Total depreciation expense

   $ 5.6    1.2 %   $ 5.3    1.1 %
                          

Depreciation expense recorded in cost of goods sold

   $ 2.9    0.6 %   $ 2.7    0.6 %

Depreciation expense recorded in selling, general & administrative expenses

     2.7    0.6       2.6    0.5  
                          

Total depreciation expense

   $ 5.6    1.2 %   $ 5.3    1.1 %
                          

Total capital expenditures

   $ 3.6    0.7 %   $ 6.0    1.2 %
                          

The decrease of $0.3 million in depreciation expense for the three months ended September 30, 2008 compared to the three months ended June 30, 2008 is due to certain fixed assets being fully depreciated in the period, partially offset by increased depreciation associated with capital expenditures.

Amortization expense represents the following costs for the periods (in millions):

 

     Quarter Ended  
     June 30,
2008
    September 30,
2008
 
     Amount    % of
Revenues
    Amount    % of
Revenues
 

Amortization of intangibles:

          

Trade names

   $ 0.3    0.1 %   $ 0.3    0.1 %

Non-compete agreements

     0.1    NM       0.1    NM  

Customer relationships

     1.2    0.2       1.2    0.2  
                          

Total amortization expense

   $ 1.6    0.3 %   $ 1.6    0.3 %
                          

 

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Interest Expense

Interest expense represents the following costs for the periods (in millions):

 

     Quarter Ended  
     June 30,
2008
    September 30,
2008
 
Interest Expense, net:    Amount     Amount  

Term Debt

   $ 3.5     $ 3.5  

Revolving Credit Facility (including commitment fees and letters of credit fees)

     -       -  
                

Subtotal

     3.5       3.5  

Other:

    

Interest income

     (0.1 )     (0.2 )

Amortization of deferred financing fees

     0.1       0.1  
                

Total Interest Expense, net

   $ 3.5     $ 3.4  
                

Interest rate (Excluding Applicable Margin):

    

Average interest rate on Term Debt

     2.80 %     2.66 %

LIBOR - 1 month, at beginning of period

     2.70 %     2.46 %

LIBOR - 1 month, at end of period

     2.46 %     3.93 %

LIBOR - 3 months, at beginning of period

     2.69 %     2.78 %

LIBOR - 3 months, at end of period

     2.78 %     4.05 %

Interest expense declined $0.1 million due to an increase in interest income earned on short-term investments in the period. The current applicable margin over the LIBO rate is 1.0%.

Tax Provision

The tax provision for the three months ended June 30, 2008 and September 30, 2008 was as follows (in million):

 

     Quarter Ended  
     June 30,
2008
    September 30,
2008
 

Tax provision

   $ 2.2     $ 3.4  
                

Total provision as a percentage of income

     43.3 %     42.9 %
                

The effective tax rate for the three months ended June 30, 2008 was 43.3%, comprised of 35.0% for the federal rate and 8.3% for state rate and permanent rate differences. The effective tax rate for the three months ended September 30, 2008 was 42.9%, comprised of 35.0% for the federal rate and 7.9% for state rate and permanent rate differences.

 

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Liquidity and Capital Resources

The following compares the Corporation’s Statement of Cash Flows for the three months ended June 30, 2008 and September 30, 2008 (in millions):

Statement of Cash Flows

 

     Quarter Ended  
         June 30,    
2008
    September 30,
2008
 

Cash flows provided by operating activities:

    

Net income

   $ 2.9     $ 4.3  

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

    

Depreciation

     5.6       5.3  

Amortization

     1.6       1.6  

Provision for bad debt

     5.5       7.2  

Integration, merger related costs and other charges

     0.4       0.6  

Stock-based compensation

     1.1       1.4  

Amortization of deferred financing fees

     0.1       0.1  

Deferred income taxes

     1.6       2.8  

Loss on disposition of equipment

     0.6       0.2  

Other

     0.3       (0.3 )

Change in operating assets and liabilities:

    

Accounts receivable

     (5.0 )     (12.0 )

Inventories and other assets

     4.0       (1.6 )

Prepaids and other assets

     (0.5 )     0.1  

Accounts payable

     (7.4 )     8.1  

Salaries, wages and other compensation

     (0.1 )     0.9  

Other accrued liabilities

     2.3       (1.2 )
                

Net cash provided by operating activities

     13.0       17.5  
                

Cash flows used in investing activities:

    

Purchase of equipment and leasehold improvements

     (3.6 )     (6.0 )

Acquisitions, net of cash acquired

     -       (4.4 )

Cash proceeds from sale of assets

     0.1       0.1  
                

Net cash used in investing activities

     (3.5 )     (10.3 )
                

Cash flows provided by financing activities:

    

Issuance of common stock

     0.2       0.5  
                

Net cash provided by financing activities

     0.2       0.5  
                

Change in cash and cash equivalents

     9.7       7.7  

Cash and cash equivalents at beginning of period

     25.2       34.9  
                

Cash and cash equivalents at end of period

   $   34.9     $ 42.6  
                

Supplemental information:

    

Cash paid for interest

   $ 3.5     $ 3.6  
                

Cash paid for taxes

   $ 0.6     $ 0.5  
                

 

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The following is a discussion of the Corporation’s Statement of Cash Flows for the three months ended June 30, 2008 compared to the three months ended September 30, 2008:

Cash Flows. The following table presents selected data from our condensed consolidated statements of cash flows (in millions):

 

     Quarter Ended  
     June 30,
2008
     September 30,
2008
 

Net cash provided by operating activities

   $ 13.0      $ 17.5  

Net cash used by investing activities

     (3.5 )      (10.3 )

Net cash provided by financing activities

     0.2        0.5  
                 

Net change in cash and cash equivalents

     9.7        7.7  

Cash and cash equivalents at beginning of period

     25.2        34.9  
                 

Cash and cash equivalents at end of period

   $ 34.9      $ 42.6  
                 

Operating cash flows and capital spending

Cash flows provided by operations aggregated $17.5 million for the three months ended September 30, 2008 compared to $13.0 million for the three months ended June 30, 2008. Operating cash flows for the three months ended September 30, 2008 was positively impacted $2.1 million due to the refund related to overcharges on self-insured employee benefits. The remaining change in cash flows provided by operating activities is due to other non-cash charges and changes in working capital accounts due to the timing of quarter end.

Cash flows used by investing activities aggregated $10.3 million for the three months ended September 30, 2008 compared to $3.5 million for the three months ended June 30, 2008. Cash flows used by investing activities were primarily impacted by the $4.4 million purchase of the 49.0% minority interest held by a third-party in the Corporation’s joint ventures and an increase of $2.4 million in capital expenditures.

Cash and cash equivalents totaled $42.6 million at September 30, 2008 compared to $34.9 million at June 30, 2008.

 

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ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

During the reporting period, there have been no material changes in the disclosures set forth in Part II, Item 7A in our Form 10-K for the fiscal year ended December 31, 2007.

 

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures and Changes in Internal Control Over Financial Reporting

The Corporation has carried out an evaluation under the supervision and with the participation of management, including the Corporation’s Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Corporation’s “disclosure controls and procedures” as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”) as of the end of the period covered by this report. The Corporation’s disclosure controls and procedures are designed so that information required to be disclosed in the Corporation’s reports filed under the Exchange Act, such as this Quarterly Report on Form 10-Q, is recorded, processed, summarized and reported within the time periods specified in the Commission’s rules and forms. The Corporation’s disclosure controls and procedures are also intended to ensure that such information is accumulated and communicated to the Corporation’s management, including the Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure. There are inherent limitations to the effectiveness of any system of disclosure controls and procedures, including the possibility of human error and the circumvention or overriding of the controls and procedures. Accordingly, even effective disclosure controls and procedures can only provide reasonable assurance of achieving their control objectives, and management necessarily is required to use its judgment in evaluating the cost-benefit relationship of possible disclosure controls and procedures. Based upon this evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that, as of September 30, 2008, the Corporation’s disclosure controls and procedures are effective to provide reasonable assurance that information required to be disclosed in the reports that the Corporation files and submits under the Exchange Act is recorded, processed, summarized and reported as and when required.

There has been no change in the Corporation’s internal control over financial reporting during the three months ended September 30, 2008, that has materially affected, or is reasonably likely to materially affect, the Corporation’s internal control over financial reporting.

 

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PART II. OTHER INFORMATION

 

Item 1A. Risk Factors

Except as set forth below, there have been no material changes in our risk factors from those disclosed in the Corporation’s Annual Report on Form 10-K for the year ended December 31, 2007 as updated by the Corporation’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2008.

Acquisitions, investments and strategic alliances we may make in the future may need to be financed by borrowings from the senior secured credit facility for which funds may not be made available by certain participants.

We have made and anticipate that we may continue to make acquisitions of, investments in and strategic alliances with complementary businesses to enable us to capitalize on our position in the geographic markets in which we operate and to expand our business in new geographic markets. Our growth plans rely, in part, on the successful completion of future acquisitions. At any particular time, we may need to finance such acquisitions and strategic alliances by borrowings from our senior secured credit facility. The financial markets are very volatile and certain participants in our senior secured credit facility may not be able to participate in funding their commitments under the revolving line of credit. If we are unsuccessful in obtaining the financing, our business would suffer.

 

Item 4. Submission of Matters to a Vote of Security Holders

The Corporation held its 2008 Annual Meeting of Stockholders on July 24, 2008.

The following table sets forth the name of each director elected at the meeting and the number of votes for or withheld from each director:

 

Director

   For    Withheld

Gregory S. Weishar

   28,182,809    74,463

Thomas P. Mac Mahon

   28,172,519    85,053

Frank E. Collins, Esq.

   28,102,307    155,265

Dr. Thomas P. Gerrity

   27,864,700    392,872

Daniel N. Mendelson

   26,781,585    1,475,987

Dr. Robert A. Oakley

   28,102,341    155,231

W. Robert Dahl, Jr.

   26,074,963    2,182,609

The stockholders ratified the appointment by the Audit Committee of the Board of Directors of PricewaterhouseCoopers LLP as the Corporation's independent registered public accountants for the fiscal year ending December 31, 2008. A total of 28,204,030 votes were cast in favor of the proposal; 49,440 votes were cast against it; 4,102 votes abstained; and there were 2,160,192 broker non-votes.

The stockholders also approved an amendment to the Corporation's 2007 Omnibus Incentive Plan to provide the Compensation Committee with increased flexibility to use non-GAAP measures to measure performance. A total of 24,830,603 votes were cast in favor of the proposal; 285,031 votes were cast against it; 1,069,071 votes abstained; and there were 4,233,059 broker non-votes.

 

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Item 6. Exhibits

 

Exhibit    Description
3.1    Certificate of Incorporation of the registrant, as amended(1)
3.2    Amended and Restated By-Laws of the registrant(1)
4.1    Specimen common stock certificate of the registrant(2)
10.46    Separation of Employment Agreement and General Release dated July 25, 2008 (3)
10.47    Employment Agreement dated March 31, 2008 between John Kernaghan and PharMerica Corporation
10.48    First Amendment to the PharMerica Corporation 2007 Omnibus Incentive Plan
31.1    Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2    Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1    Certification of Chief Executive Officer, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
32.2    Certification of Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

(1) Filed with the Corporation’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on August 31, 2007, and incorporated herein by reference.

 

(2) Filed with Amendment No. 2 to the Corporation’s Registration Statement on Form S-4/S-1 (Reg. No. 333-142940) filed with the Securities and Exchange Commission on June 27, 2007, and incorporated herein by reference.

 

(3) Filed with the Corporation’s current report on Form 8-K filed with the Securities and Exchange Commission on July 25, 2008.

 

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

    PHARMERICA CORPORATION
Date: October 30, 2008       /s/ Gregory S. Weishar
     

Gregory S. Weishar

Chief Executive Officer and

Director

Date: October 30, 2008

      /s/ Michael J. Culotta
     

Michael J. Culotta

Executive Vice President and

Chief Financial Officer

Date: October 30, 2008

      /s/ Berard E. Tomassetti
     

Berard E. Tomassetti

Senior Vice President and

Chief Accounting Officer

 

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EXHIBIT INDEX

 

Exhibit    Description
10.47    Employment Agreement dated March 31, 2008 between John Kernaghan and PharMerica Corporation
10.48    First Amendment to the PharMerica Corporation 2007 Omnibus Incentive Plan
31.1    Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2    Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1    Certification of Chief Executive Officer, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
32.2    Certification of Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

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