01.08.2013 12:00:00

Catamaran Corporation announces record second quarter financial results

Revenue reaches record level of $3.4 billion for the quarter

Quarterly Net Income of $63.4 million and EBITDA of $158.1 million reach all time highs

LISLE, IL, Aug. 1, 2013 /PRNewswire/ - Catamaran Corporation ("Catamaran" or the "Company") (NASDAQ: CTRX, TSX: CCT), a leading provider of pharmacy benefit management ("PBM") services and technology, announces its financial results for the three and six month periods ended June 30, 2013.

Q2 2013 Highlights

  • Revenue increased 101% on a year over year basis to $3.4 billion in Q2 2013, compared to $1.7 billion in Q2 2012
  • Gross profit increased 116% to $264.6 million in Q2 2013, compared to $122.5 million in Q2 2012
  • EBITDA¹ increased 170% to $158.1 million in Q2 2013, compared to $58.6 million in Q2 2012
  • Net income attributable to the Company increased 132% to $63.4 million, or $0.31 per share (fully-diluted) in Q2 2013, compared to $27.3 million, or $0.20 per share (fully-diluted) in Q2 2012
  • Adjusted EPS¹ (fully-diluted) increased 96% to $0.49 in Q2 2013, compared to $0.25 in Q2 2012
  • Cash flow from operations increased to $173.0 million in Q2 2013, compared to $29.7 million in Q2 2012
  • Reduced the Company's outstanding balance on its credit facility by $50 million in Q2 2013 and $150 million YTD
  • Adjusted prescription claim volume¹ for the PBM segment increased 105% to 68.0 million in Q2 2013, compared to 33.2 million in Q2 2012
  • Generic dispense rate increased to an industry leading 84% for Q2 2013, compared to 81% in Q2 2012
  • Announced a 10-year strategic PBM partnering agreement with Cigna Corporation (NYSE: CI)
  • Amended the Company's credit facility resulting in reduced interest rates, additional revolving capacity and extended term
  • Announced acquisition of Restat, LLC, a full service pharmacy benefit manager

"During the second quarter of 2013, we continued to successfully execute our growth strategy, driving new customer wins by leveraging our flexibility and customizable model to deliver more control and savings to our clients. Additionally, with our announced purchase of Restat we continue to drive a highly accretive acquisition strategy. We have assembled a highly skilled leadership team, coupled with the industry's leading technology platform, which together are yielding exceptional results for our clients and shareholders alike. With our record financial results and continued success in the marketplace, Catamaran is positioned for a successful 2013 and poised to deliver continued growth going forward," said Mark Thierer, Chairman and CEO of Catamaran Corporation.

Financial Review

Revenue and Gross Profit segmented by PBM and HCIT:
Catamaran evaluates segment performance based on revenue and gross profit. Reconciliations of the Company's business segments, PBM and Health Care Information Technology ("HCIT"), to the consolidated financial statements for the three and six month periods ended June 30, 2013 and 2012 are as follows:

Three months ended June 30, (unaudited, in thousands)

 PBM HCIT Consolidated
 2013 2012 2013 2012 2013 2012
Revenue$3,382,195  $1,661,129  $35,235  $41,574  $3,417,430  $1,702,703 
Cost of revenue3,135,211  1,564,414  17,630  15,785  3,152,841  1,580,199 
Gross profit$246,984  $96,715  $17,605  $25,789  $264,589  $122,504 
Gross profit %7.3% 5.8% 50.0% 62.0% 7.7% 7.2%

Six months ended June 30, (unaudited, in thousands)

 PBM HCIT Consolidated
 2013 2012 2013 2012 2013 2012
Revenue$6,563,748  $3,342,274  $73,399  $77,526  $6,637,147  $3,419,800 
Cost of revenue6,089,312  3,154,603  34,873  32,304  6,124,185  3,186,907 
Gross profit$474,436  $187,671  $38,526  $45,222  $512,962  $232,893 
Gross profit %7.2% 5.6% 52.5% 58.3% 7.7% 6.8%
                  

PBM Revenue
Q2 2013 PBM revenue increased $1.7 billion, or 104%, to $3.4 billion, compared to $1.7 billion in Q2 2012. Revenue was $6.6 billion for the year to date ("YTD") period ended June 30, 2013, an increase of $3.2 billion, or 96%, compared to the same period in 2012. The increase in revenue is primarily due to increased prescription claim volume as a result of the merger with Catalyst, which was completed on July 2, 2012, as well as new customer implementations in 2013.

HCIT Revenue
HCIT revenue decreased $6.3 million, or 15%, to $35.2 million in Q2 2013 compared to $41.6 million in Q2 2012. HCIT revenue decreased $4.1 million, or 5%, to $73.4 million for the YTD period ended June 30, 2013, compared to $77.5 million for the same period in 2012. The decrease in the quarterly and YTD periods was primarily due to a decrease in revenues earned from transaction processing due to decreased volume as a result of the merger with Catalyst, who was a former HCIT customer.

Consolidated Gross Profit
Gross profit for Q2 2013 increased $142.1 million, or 116%, to $264.6 million compared to $122.5 million in Q2 2012. Gross profit increased $280.1 million, or 120%, to $513.0 million for the YTD period ended June 30, 2013, compared to $232.9 million for the same period in 2012. The increase is due to incremental PBM revenues generated from the merger with Catalyst and new customer implementations in 2013. The gross profit percentage increased to 7.7% of revenue in Q2 2013 from 7.2% of revenue in Q2 2012. YTD gross profit increased from 6.8% of revenue to 7.7% of revenue during the period ended June 30, 2013 compared to the same period in 2012. The gross profit percentage increased in both periods primarily as a result of synergies realized from the integration of Catalyst as well as higher utilization of generics and specialty medications.

Selling, General and Administrative ("SG&A") Costs
SG&A costs for Q2 2013 increased $35.2 million, or 54%, to $99.9 million compared to $64.7 million in Q2 2012. SG&A costs increased $79.0 million, or 65% to $200.4 million for the YTD period ended June 30, 2013, compared to $121.4 million for the YTD period ended June 30, 2012. SG&A costs consist primarily of employee costs in addition to professional services costs, facilities and costs not related to cost of revenue. SG&A costs increased in both periods due to the addition of operating costs related to the Company's merger with Catalyst, as well as additional resources added to support the overall growth of the Company.

Amortization
Total amortization of intangible assets for Q2 2013 and Q2 2012 was $50.1 million and $9.0 million, respectively, an increase of $41.1 million. Amortization expense increased $80.8 million to $100.1 million for the YTD period ended June 30, 2013 compared to $19.3 million for the same period in 2012. The increase in expense in both periods was driven primarily by the amortization of the intangible asset acquired in the merger with Catalyst.

Interest and Other Expense, net
Interest and other expense, net for Q2 2013 was $10.9 million compared to $2.0 million in Q2 2012. Interest and other expense, net increased $18.7 million to $21.9 million for the YTD period ended June 30, 2013 from $3.2 million for the same period in 2012. The increase in both periods is primarily due to interest expense related to outstanding borrowings under the Company's credit facility used to finance in part the Catalyst merger consideration.

Income Taxes
The Company recognized income tax expense of $24.6 million for Q2 2013, representing an effective tax rate of 26%, compared to $17.1 million, or 39%, for the same period in 2012. The Company recognized income tax expense of $47.6 million for the YTD period ended June 30, 2013, representing an effective tax rate of 27%, as compared to $30.5 million, representing an effective tax rate of 36%, for the same period in 2012. The increase in income tax expense in both periods was mainly due to higher taxable income during the current quarter compared to the prior year. The Company's effective tax rate decreased primarily due to benefits related to cross-jurisdictional financing.

Net Income and EPS attributable to the Company
The Company reported Q2 2013 net income attributable to the Company of $63.4 million, or $0.31 per share (fully-diluted), compared to $27.3 million, or $0.20 per share (fully-diluted), in Q2 2012. Net income attributable to the Company was $114.8 million, or $0.56 per share (fully-diluted), for the YTD period ended June 30, 2013, compared to $53.7 million, or $0.41 per share (fully-diluted), for the same period in 2012. Net income attributable to the Company increased during the quarterly and YTD periods due to increased revenues and operating income as a result of the merger with Catalyst and new customer implementations during 2013. The increases were partially offset by increases in interest expense and amortization of intangible assets as well as an increase in the common shares of the Company outstanding. Shares increased primarily due to the Company's issuance of approximately 12.0 million common shares in May 2012 in a public offering and the issuance of 66.8 million shares to complete the merger with Catalyst.

Adjusted EPS¹ (fully-diluted), which excludes all amortization of intangible assets of $50.1 million, net of tax, increased 96% to $0.49 per share (fully-diluted) in Q2 2013, compared to $0.25 per share (fully-diluted) in Q2 2012. Adjusted EPS¹ (fully-diluted), which excludes all amortization of intangible assets of $100.1 million, net of tax, increased 78% to $0.91 per share (fully-diluted) in the YTD period ended June 30, 2013, compared to $0.51 per share (fully-diluted) in the YTD period ended June 30, 2012.

EBITDA¹
Q2 2013 EBITDA increased 170% to $158.1 million compared to $58.6 million in Q2 2012. EBITDA increased $188.6 million or 167% to $301.6 million in the YTD period ended June 30, 2013, compared to $113.0 million in the YTD period ended June 30, 2012. The EBITDA growth in both periods was due to additional business generated from the merger with Catalyst and the realization of synergies as a result of the merger, as well as new customer implementations during the year.  These increases were offset by increased SG&A costs due to the merger with Catalyst and additional resources added to support the growth of the PBM segment.

Cash Flow
For Q2 2013, the Company generated $173.0 million of cash from operations, compared to $29.7 million of cash during the same period in 2012. For the YTD period ended June 30, 2013 the Company generated $236.3 million of cash from operations, compared to $85.9 million of cash during the same period in 2012. Cash from operations increased primarily due to an increase in net income.  Due to strong cash flow from operations in 2013, the Company was able to reduce its outstanding borrowings under its credit facility by $50 million during Q2 2013, and has reduced its long-term debt obligation by $150 million during the YTD period.

2013 Full Year Financial Guidance
With today's announcement, the Company is changing its 2013 Full Year Financial Guidance to include the impact of its recent Cigna partnership and to reflect the acquisition of Restat.

  • Revenue of $14.2 to $14.6 billion
  • EBITDA1 of $650 to $660 million
  • GAAP EPS (fully-diluted) of $1.18 to $1.23
  • Adjusted EPS1 (fully-diluted) of $1.87 to $1.92 (excluding all amortization of intangible assets)

Notice of Conference Call
Catamaran will host a conference call on Thursday, August 1, 2013, at 8:30 a.m. ET to discuss its financial results. Mark Thierer, Chairman and CEO, and Jeff Park, EVP and CFO, will co-chair the call. This call is being webcast and can be accessed from the IR Events page of the Catamaran Corporation web site at www.catamaranrx.com.  An archived replay of the webcast will be available for 90 days.

1Non-GAAP Financial Measures
Catamaran reports its financial results in accordance with generally accepted accounting principles in the United States ("GAAP"). Catamaran's management also evaluates and makes operating decisions using various other measures. Two such measures are Adjusted EPS and EBITDA, which are non-GAAP financial measures. Catamaran's management believes that these two measures provide useful supplemental information regarding the performance of Catamaran's business operations.

Adjusted EPS adds back the impact of all intangible assets amortization, net of tax. Amortization of intangible asset arises from the acquisition of intangible assets in connection with the Company's business acquisitions. The Company excludes intangible assets amortization from EPS because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of Catamaran's business operations and (ii) such expenses can vary significantly between periods as a result of new acquisitions and full amortization of previously acquired intangible assets. Investors should note that the use of these intangible assets contributes to revenue in the periods presented as well as future periods and should also note that such expenses will recur in future periods.

EBITDA is a non-GAAP measure that management believes is a useful supplemental measure of operating performance. EBITDA consists of earnings attributable to the company prior to depreciation, amortization, interest and other expense, net, income taxes and adjustments to remove the applicable impact of any non-controlling interest. Management believes it is useful to exclude these items, as they are essentially amounts that cannot be influenced by management in the short term.

The 2013 full year EBITDA guidance was computed using the Company's estimated 2013 earnings attributable to the Company prior to depreciation, amortization, interest and other expense, net, income taxes and adjustments to remove the applicable impact of any non-controlling interest. The 2013 full year Adjusted EPS guidance was computed by taking the Company's GAAP EPS (fully-diluted) guidance and adding back the expected impact of all 2013 amortization of intangible assets totaling approximately $205 million, net of estimated income taxes (expected at 29-30%).

Adjusted prescription claim volume equals Catamaran's mail service prescriptions multiplied by three, plus its retail and specialty prescriptions. The mail service prescriptions are multiplied by three to adjust for the fact that they typically include approximately three times the amount of product days supplied compared with retail prescriptions.

Management believes that Adjusted EPS, EBITDA and adjusted prescription claim volume provide useful supplemental information to management and investors regarding the performance of the Company's business operations and facilitate comparisons to its historical operating results. Management also uses this information internally for forecasting and budgeting as it believes that the measures are indicative of the Company's core operating results. Note, however, that these items are performance measures only, and do not provide any measure of the Company's cash flow or liquidity. Non-GAAP financial measures should not be considered as a substitute for measures of financial performance in accordance with GAAP, and investors and potential investors are encouraged to review the reconciliations of Adjusted EPS and EBITDA to their most directly comparable GAAP measure.

Adjusted EPS and EBITDA do not have standardized meanings prescribed by GAAP. The Company's method of calculating these items may differ from the methods used by other companies and, accordingly, may not be comparable to similarly titled measures used by other companies.

EBITDA ReconciliationThree Months Ended June 30, Six Months Ended June 30,
(in thousands)2013 2012 2013 2012
 (unaudited) (unaudited)
Net income attributable to the Company (GAAP)$63,421  $27,310  $114,826  $53,652 
Add:       
 Depreciation of property and equipment9,042  3,241  17,145  6,297 
 Amortization of intangible assets50,092  9,011  100,148  19,330 
 Interest and other expense, net10,907  1,980  21,946  3,219 
 Income tax expense24,607  17,065  47,635  30,483 
 Adjustments related to non-controlling interest(6)    (98)   
EBITDA$158,063  $58,607  $301,602  $112,981 
                

Adjusted EPS Reconciliation      
(in thousands, except per share data)       
  Three Months Ended June 30, Six Months Ended June 30,
  2013 2012 2013 2012
  Operational Results Per
Diluted Share
 Operational Results Per
Diluted Share
 Operational Results Per
Diluted Share
 Operational Results Per
Diluted Share
  (unaudited) (unaudited)
Net income attributable to the Company (GAAP) $63,421  $0.31  $27,310  $0.20  $114,826  $0.56  $53,652  $0.41 
Amortization of intangible assets 50,092  0.24  9,011  0.07  100,148  0.48  19,330  0.15 
Tax effect of reconciling item (12,874)  (0.06)  (3,469)  (0.03)  (27,140)  (0.13)  (6,997)  (0.05) 
Non-GAAP net income attributable to the Company $100,639  $0.49  $32,852  $0.25  $187,834  $0.91  $65,985  $0.51 
                                 

About Catamaran Corporation
Catamaran, one of the industry's fastest-growing pharmacy benefits managers, helps organizations and the communities they serve take control of prescription drug costs. Managing more than 250 million prescriptions each year on behalf of 25 million members, our flexible, holistic solutions improve patient care and empower individuals to take charge of their health. Processing one in every five prescription claims in the U.S., Catamaran's skill and scale deliver compelling financial results and sustainable improvement in the overall health of members. Catamaran is headquartered in Lisle, IL with multiple locations in the U.S. and Canada. For more information, please visit www.catamaranrx.com.

Forward-Looking Statements

Certain information included herein is forward-looking within the meaning of certain securities laws and is subject to important risks, uncertainties and assumptions. This forward-looking information includes, among other things, information with respect to the Company's anticipated operating results and the Company's objectives and the strategies to achieve those objectives, as well as information with respect to the Company's beliefs, plans, expectations, anticipations, estimates and intentions. Forward-looking statements are necessarily based upon a number of estimates and assumptions that, while considered reasonable by management at this time, are inherently subject to significant business, economic and competitive uncertainties and contingencies. We caution that such forward-looking statements involve known and unknown risks, uncertainties and other risks that may cause our actual financial results, performance, or achievements to be materially different from our estimated future results, performance or achievements expressed or implied by those forward-looking statements. Numerous factors could cause actual results to differ materially from those in the forward-looking statements, including without limitation, our dependence on, and ability to retain, key customers; our ability to achieve increased market acceptance for our product offerings and penetrate new markets; consolidation in the healthcare industry; the existence of undetected errors or similar problems in our software products; our ability to identify and complete acquisitions, manage our growth, integrate acquisitions and achieve expected synergies from acquisitions; our ability to compete successfully; potential liability for the use of incorrect or incomplete data; the length of the sales cycle for our solutions and services; interruption of our operations due to outside sources; maintaining our intellectual property rights and litigation involving intellectual property rights; our ability to obtain, use or successfully integrate third-party licensed technology; compliance with existing laws, regulations and industry initiatives and future changes in laws or regulations in the healthcare industry; breach of our security by third parties; our dependence on the expertise of our key personnel; our access to sufficient capital to fund our future requirements; potential write-offs of goodwill or other intangible assets; and the outcome of any legal proceeding that has been or may be instituted against us. This list is not exhaustive of the factors that may affect any of our forward-looking statements and is subject to change.

In addition, numerous factors could cause actual results with respect to the merger with Catalyst Health Solutions, Inc. ("Catalyst" or the "Merger") or the acquisition of Restat, to differ materially from those in the forward-looking statements, including without limitation, the possibility that the expected efficiencies and cost savings from these transactions will not be realized, or will not be realized within the expected time period; the risk that the Company will not successfully integrate the businesses of Catalyst or Restat; disruption from the Merger or Restat acquisition making it more difficult to maintain business and operational relationships; the risk of customer attrition from the Catalyst or Restat businesses; the impact on the availability of funds for other business purposes due to our debt service obligations and  funds required to integrate Catalyst and close and integrate the acquisition of Restat; the ability to obtain governmental approvals of the proposed Restat acquisition on the proposed terms and schedule contemplated by the parties; and the possibility that the proposed acquisition of Restat does not close, including, but not limited to, due to the failure to satisfy the closing conditions.

When relying on forward-looking information to make decisions, investors and others should carefully consider the foregoing factors and other uncertainties and potential events. In making the forward-looking statements contained herein, the Company does not assume any significant future acquisitions, dispositions or one-time items. It does assume, however, the renewal of certain customer contracts. Every year, the Company has major customer contracts that come up for renewal. In addition, the Company also assumes new customer contracts. In this regard, the Company is pursuing large opportunities that present a very long and complex sales cycle which substantially affects its forecasting abilities. The Company has assumed certain timing for the realization of these opportunities which it believes is reasonable but which may not be achieved. Furthermore, the pursuit of these larger opportunities does not ensure a linear progression of revenue and earnings since they may involve significant up-front costs followed by renewals and cancellations of existing contracts. The Company has assumed certain revenues which may not be realized. The Company has also assumed that the material factors referred to in the previous paragraphs will not cause such forward-looking information to differ materially from actual results or events. The foregoing list of factors is not exhaustive and is subject to change and there can be no assurance that such assumptions will reflect the actual outcome of such items or factors.Other factors that should be considered are discussed from time to time in Catamaran's filings with the U.S. Securities and Exchange Commission, including the risks and uncertainties discussed under the captions "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" in our Annual Report on Form 10-K and subsequent Form 10-Qs, which are available at www.sec.gov.  Investors are cautioned not to put undue reliance on forward-looking statements. All subsequent written and oral forward-looking statements attributable to Catamaran or persons acting on our behalf are expressly qualified in their entirety by this notice. We disclaim any intent or obligation to update publicly these forward-looking statements, whether as a result of new information, future events or otherwise.  

THE FORWARD-LOOKING INFORMATION CONTAINED IN THIS RELEASE REPRESENTS THE COMPANY'S CURRENT EXPECTATIONS AND, ACCORDINGLY, IS SUBJECT TO CHANGE. HOWEVER, THE COMPANY EXPRESSLY DISCLAIMS ANY INTENTION OR OBLIGATION TO UPDATE OR REVISE ANY FORWARD-LOOKING INFORMATION, WHETHER AS A RESULT OF NEW INFORMATION, FUTURE EVENTS OR OTHERWISE, EXCEPT AS REQUIRED BY APPLICABLE LAW.

CATAMARAN CORPORATION
Consolidated Balance Sheets
(in thousands, except share data)
 
 
 June 30, 2013 December 31, 2012
 (unaudited)  
ASSETS   
Current assets   
 Cash and cash equivalents$373,588 $370,776
 Restricted cash32,187 52,422
 Accounts receivable, net of allowance for doubtful accounts of $6,758 (2012 — $7,899)749,308 725,809
 Rebates receivable283,900 302,461
 Other current assets106,721 101,311
  Total current assets1,545,704 1,552,779
Property and equipment, net of accumulated depreciation of $81,012 (2012 — $64,048)159,089 105,201
Goodwill4,495,450 4,478,038
Other intangible assets, net of accumulated amortization of $260,501 (2012 — $178,188)1,101,743 1,198,991
Other long-term assets45,826 50,118
Total assets$7,347,812 $7,385,127
    
LIABILITIES AND EQUITY   
Current liabilities   
 Accounts payable$623,385 $644,818
 Accrued expenses and other current liabilities242,651 254,811
 Pharmacy benefit management rebates payable314,491 302,065
 Current portion - long-term debt37,500 41,250
  Total current liabilities1,218,027 1,242,944
Deferred income taxes314,944 344,232
Long-term debt987,857 1,132,153
Other long-term liabilities73,714 55,937
  Total liabilities2,594,542 2,775,266
    
Shareholders' equity   
 Common shares: no par value, unlimited shares authorized; 206,130,872 shares issued and
outstanding, June 30, 2013 (December 31, 2012 — 205,399,102 shares)
4,208,228 4,180,778
 Additional paid-in capital70,618 73,530
 Retained earnings469,817 354,991
 Accumulated other comprehensive income(1,144) (2,191)
  Total  shareholders' equity4,747,519 4,607,108
 Non-controlling interest5,751 2,753
  Total equity4,753,270 4,609,861
Total liabilities and equity$7,347,812 $7,385,127
         

 
CATAMARAN CORPORATION
Consolidated Statements of Operations
(in thousands, except share and per share data)
 
 
 Three Months Ended June 30, Six Months Ended June 30,
 2013 2012 2013 2012
 (unaudited) (unaudited)
        
Revenue$3,417,430 $1,702,703 $6,637,147 $3,419,800
Cost of revenue3,152,841 1,580,199 6,124,185 3,186,907
Gross profit264,589 122,504 512,962 232,893
Expenses:       
 Selling, general and administrative99,888 64,659 200,386 121,374
 Depreciation of property and equipment7,938 2,479 14,908 4,835
 Amortization of intangible assets50,092 9,011 100,148 19,330
 157,918 76,149 315,442 145,539
Operating income106,671 46,355 197,520 87,354
Interest and other expense, net10,907 1,980 21,946 3,219
Income before income taxes95,764 44,375 175,574 84,135
Income tax expense (benefit):       
 Current33,741 17,533 73,422 31,188
 Deferred(9,134) (468) (25,787) (705)
 24,607 17,065 47,635 30,483
Net income$71,157 $27,310 $127,939 $53,652
Less: Net income attributable to non-controlling interest7,736  13,113 
Net income attributable to the Company$63,421 $27,310 $114,826 $53,652
Earnings per share attributable to the Company:       
 Basic$0.31 $0.21 $0.56 $0.42
 Diluted$0.31 $0.20 $0.56 $0.41
Weighted average number of shares used in computing earnings per share:       
 Basic205,975,724 132,441,738 205,782,438 128,749,560
 Diluted206,624,432 133,769,482 206,535,143 130,130,788

 
CATAMARAN CORPORATION
Consolidated Statements of Cash Flows
(in thousands)
 
 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 2013 2012 2013 2012
 (unaudited) (unaudited)
Cash flows from operating activities:       
 Net income$71,157 $27,310 $127,939 $53,652
 Items not involving cash:       
  Stock-based compensation6,487 4,064 13,131 6,853
  Depreciation of property and equipment9,042 3,241 17,145 6,297
  Amortization of intangible assets50,092 9,011 100,148 19,330
  Deferred lease inducements and rent821 154 15,349 205
  Deferred income taxes(9,135) (469) (25,787) (705)
  Tax benefit on stock-based compensation plans(4,549) (2,792) (9,479) (10,581)
  Amortization of deferred financing fees2,373  4,866 
 Changes in operating assets and liabilities, net of effects from acquisitions:       
  Accounts receivable(19,608) 4,259 (21,271) (27,584)
  Rebates receivable32,966 (32,235) 18,413 (41,012)
  Restricted cash4 94 231 (571)
  Other current assets900 3,448 13,367 7,877
  Accounts payable11,504 18,250 (22,632) 62,980
  Accrued expenses and other current liabilities(2,115) 2,344 (12,305) 9,985
  Pharmacy benefit management rebates payable22,461 (4,505) 13,787 2,720
  Other583 (2,458) 3,351 (3,508)
   Net cash provided by operating activities172,983 29,716 236,253 85,938
Cash flows from investing activities:       
 Proceeds from restricted cash  20,004 
 Acquisition, net of cash acquired(7,076) 294 (7,076) (242,884)
 Purchases of property and equipment(46,892) (4,697) (72,135) (10,839)
   Net cash used by investing activities(53,968) (4,403) (59,207) (253,723)
Cash flows from financing activities:       
 Proceeds from public offering, net of issuance costs 519,260  519,260
 Proceeds from issuance of debt100,000  100,000 100,000
 Repayment of debt(150,000)  (250,000) 
 Tax benefit on stock-based compensation plans4,549 2,792 9,479 10,581
 Proceeds from exercise of options1,145 1,130 1,928 4,464
 Payments of contingent consideration  (23,203) 
 Debt issuance costs(2,347) (9,000) (2,347) (9,000)
 Distribution to non-controlling interest(10,115)  (10,115) 
   Net cash (used) provided by financing activities(56,768) 514,182 (174,258) 625,305
Effect of foreign exchange on cash balances(15) (11) 24 19
Increase in cash and cash equivalents62,232 539,484 2,812 457,539
Cash and cash equivalents, beginning of period311,356 259,437 370,776 341,382
Cash and cash equivalents, end of period$373,588 $798,921 $373,588 $798,921
                

SOURCE Catamaran

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