RELEASE: Express Scripts announces 2017 fourth quarter and full year results

ST. LOUIS /PRNewswire/ — Express Scripts Holding Company (Nasdaq: ESRX) announced consolidated 2017 fourth quarter and full year net income of $2,327.6 million and $4,517.4 million, respectively, or $4.10 and $7.74 per diluted share, respectively. Consolidated 2017 fourth quarter and full year adjusted earnings per diluted share were $2.16 and $7.10, respectively.*

“Throughout 2017, Express Scripts kept our patients and clients ahead of the curve by providing best-in-class solutions.  These solutions limited prescription drug spending growth to an average of 1.5% over 2016, a record low, for commercial plans,” said Tim Wentworth, President and CEO.  “We have also seen a strong start to 2018, with outstanding client implementations, a solid start to the selling season and new strategic collaborations.  With this foundation and momentum, we are well positioned to drive core business growth in 2018 and beyond.”

Business Outlook

“With a significant number of our largest renewals completed and strong momentum in the market, we are in a position to provide an early look at our consolidated retention rate for the 2018 selling season, which we expect to reach 96% to 98%,” said Wentworth.

The Company’s enterprise value initiative is estimated to cost approximately $600 million to $650 million and to deliver cumulative savings of nearly $1.2 billion by 2021, with an annual run rate of between $550 million to $600 millionthereafter.  This initiative is expected to help the Company achieve its targeted compounded annual adjusted EBITDA growth rate for the core business from 2017-2020 of between 2% and 4%, and drive significant value to patients and clients beginning in 2018.

___________________________
* Each of net income, adjusted net income, earnings per diluted share, adjusted earnings per diluted share, adjusted EBITDA and adjusted EBITDA per adjusted claim amounts are presented as attributable to Express Scripts, excluding non-controlling interest representing the share allocated to members of our consolidated affiliates.  For a description of the financial measures presented herein which are not calculated or presented in accordance with accounting principles generally accepted in the United States (“GAAP”), see Supplemental Information Regarding Non-GAAP Financial Measures below.

Net cash flow provided by operating activities for the year ending December 31, 2018, is expected to increase $850 millionto $900 million as a result of the Tax Cuts and Jobs Act (the “Tax Act”), enacted in December 2017.  Express Scripts is pleased to announce additional investments in our employees and communities made possible, in part, by passage of the Tax Act.  The Tax Act generates an opportunity to reward our most valuable asset, our employees, who work hard every day to serve our patients and clients, build strong relationships in our communities and create long-term shareholder value.  Non-executive employees will participate in a one-time bonus pool of approximately $20 million, with each of the eligible employees receiving a bonus, ranging from $500 to $2,000, based on tenure.  Additionally, a total of approximately $30 million will be donated to an education fund for the benefit of children of our employees, covering post-secondary, including vocational, education, and our charitable foundation to support the local philanthropic needs of the communities in which we operate.  The donations will be excluded from our adjusted earnings per diluted share. However, the $20 million bonus pool will be included in adjusted earnings per diluted share, and, due to our strong start to the year, we are not lowering our current guidance for the effect of these payments.  Finally, the Company is committed to maintaining strong investment grade ratings.  The Company’s priorities for deploying capital remain the same: pay down debt, fund internal growth, make strategic acquisitions and return cash to shareholders in the form of share repurchases.

Consolidated Fourth Quarter and Full Year 2017 Review

The following compares consolidated fourth quarter 2017 and 2016 operating results **:

  • Adjusted claims of 355.8 million, flat from 2016
  • GAAP net income of $2,327.6 million, up 62% ($1,381.0 million attributable to the Tax Act)
  • GAAP earnings per diluted share of $4.10, up 75% ($2.43 per share attributable to the Tax Act)
  • Adjusted EBITDA of $2,147.9 million, up 5%
  • Adjusted net income of $1,229.0 million, up 7%
  • Adjusted earnings per diluted share of $2.16, up 15%
  • Net cash flow provided by operating activities of $1,369.8, million down 39%

The following compares consolidated full year 2017 and 2016 operating results **:

  • Adjusted claims of 1,401.1 million, flat from 2016
  • GAAP net income of $4,517.4 million, up 33% ($1,381.0 million attributable to Tax Act)
  • GAAP earnings per diluted share of $7.74, up 44% ($2.37 per share attributable to Tax Act)
  • Adjusted EBITDA of $7,415.5  million, up 2%
  • Adjusted net income of $4,139.5 million, up 3%
  • Adjusted earnings per diluted share of $7.10, up 11%
  • Net cash flow provided by operating activities of $5,351.3 million, up 9%

As a result of enactment of the Tax Act, the Company revalued its deferred tax assets and liabilities to reflect the reduction in the federal tax rate. This revaluation resulted in an increase in GAAP net income for the three months and year ended December 31, 2017, of approximately $1.4 billion.

The Company repurchased a total of 45.9 million shares under its share repurchase program for $2,947.4 million in the aggregate during 2017.  In December 2017, the Board of Directors of the Company approved a 45 million share increase in the authorized number of shares that may be purchased under the share repurchase program.

___________________________
** See Supplemental Information Regarding Non-GAAP Financial Measures and Supplemental Tables below for additional information.

Net cash flow provided by operating activities in the fourth quarter of 2017 was down 39% from the comparable quarter in 2016 due primarily to the tax benefit related to the divestiture of PolyMedica Corporation received in the fourth quarter of 2016, transaction costs paid in the fourth quarter of 2017 for the acquisition of eviCore healthcare (“eviCore”), the sale of United BioSource Holdings, Inc. (“UBC”) and changes in the timing of year-end payables.

In October 2017, the Company modified its existing credit agreement to increase the 2015 revolving facility to $3.5 billionand extend the termination date to 2022. The Company also established a commercial paper program up to an amount outstanding at any time of $3.5 billion, fully backed by the amended facility. In November 2017, the Company issued $1.4 billion of senior notes due November 2020 and 2022. The net proceeds from the sale of the senior notes were used to repay $400.0 million of outstanding principal on the 2015 five-year term loan, to fund a portion of the purchase price of the Company’s acquisition of eviCore and for general corporate purposes.

The Company’s consolidated 2017 fourth quarter and full year financial results include the post-acquisition results of eviCore, which the Company acquired December 15, 2017, and the results of UBC prior to its sale on December 27, 2017.

Core Business1 Fourth Quarter and Full Year 2017 Review

The following compares core business fourth quarter 2017 and 2016 operating results**:

  • Adjusted claims of 295.7 million, flat from 2016
  • Adjusted EBITDA of $1,486.3 million, up 5%

The following compares core business full year 2017 and 2016 operating results**:

  • Adjusted claims of 1,164.8 million, flat from 2016
  • Adjusted EBITDA of $4,943.4 million, up 3%

2018 Guidance

As previously stated, the Company is using $20 million of the tax benefit from the Tax Act to fund a bonus pool to reward our non-executive employees.  While it was not contemplated when the 2018 guidance was released, we are not adjusting our guidance for the item.  The Company reaffirms its guidance and expects consolidated 2018 adjusted earnings per diluted share guidance in the range of $9.27 to $9.47 ($1.60 attributable to the Tax Act), which represents growth of 32% over 2017 consolidated adjusted earnings per diluted share at the mid-point of the range.

The Company expects total adjusted claims for the first quarter of 2018 to be in the range of 335 million to 345 million, of which 280 million to 290 million is attributable to the core business.  Consolidated adjusted earnings per diluted share for the first quarter of 2018 are estimated to be in the range of $1.73 to $1.78, which represents growth of 30% to 34% over the first quarter of 2017.

Additional details on the consolidated and core business guidance can be found in Table 6. For a description of the financial measures presented herein which are not calculated or presented in accordance with GAAP, see “Supplemental Information Regarding Non-GAAP Financial Measures” below.

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** See Supplemental Information Regarding Non-GAAP Financial Measures and Supplemental Tables below for additional information.

Conference Call Details

The Company will hold its quarterly conference call to discuss 2017 fourth quarter and full year financial results and the other matters discussed in this press release on Wednesday, February 28, 2018, at 8:30 a.m. Eastern Time (7:30 a.m. Central Time).  The call includes a slide presentation and is being webcast via the Internet and can be accessed at the Investor Information section of Express Scripts’ web site at http://www.express-scripts.com/corporate.

About Express Scripts

Express Scripts is leading the way for tens of millions of people by aligning with plan sponsors, taking bold action and delivering patient-centered care to make better health more affordable and accessible.

Headquartered in St. Louis, Express Scripts provides a full range of integrated pharmacy benefit management services, including home delivery pharmacy care, specialty pharmacy care and benefit management, benefit-design consultation, drug utilization review, formulary management and medical and drug data analysis, that guide patients and plans toward better health by prioritizing quality care at competitive rates. Our services drive down the cost of care for employer-funded, Medicare, Medicaid and Public Exchange plans. Express Scripts also distributes a full range of biopharmaceutical products and offers innovative medical benefit management services.

For more information, visit Lab.Express-Scripts.com or follow @ExpressScripts on Twitter.

Supplemental Information Regarding Non-GAAP Financial Measures

The following provides supplemental information regarding the non-GAAP financial measures presented herein, including the reconciliation of such measures to the most directly comparable financial measures calculated in accordance with GAAP. Adjusted earnings per diluted share (or adjusted EPS), EBITDA, adjusted EBITDA, adjusted EBITDA per adjusted claim, adjusted net income, adjusted income before income taxes, adjusted gross profit and adjusted selling, general and administrative are non-GAAP financial measures presented herein, are not calculated or presented in accordance with GAAP, and should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.  The Company believes these non-GAAP financial measures provide management and investors with useful information about the earnings impact of certain expenses and are useful for (i) comparison of our earnings to those of other companies; (ii) a better understanding of the Company’s ongoing core business performance; (iii) planning and forecasting for future periods; and (iv) assessing period-to-period performance trends.  Management assesses the Company’s core business operating performance using adjusted EBITDA in order to better isolate the impact of certain expenses that may not be comparable between periods or indicative of the ongoing performance of the business.  Adjusted EBITDA per adjusted claim provides management and investors with useful information about the earnings and performance of the Company on a per unit basis.

2018 Guidance Information:  Due to the inherent difficulty of forecasting the timing and amount of certain items that would impact EPS and net income, including discrete tax and other items, the Company is unable to reasonably estimate the related impact of such items to EPS and net income, the GAAP financial measures most directly comparable to adjusted EPS and adjusted EBITDA, respectively. Accordingly, the Company is unable to provide a reconciliation of 2018 guidance for either adjusted EPS to EPS or adjusted EBITDA to net income. For the same reasons, the Company is unable to address the probable significance of the unavailable information, which could have a significant impact on the Company’s first quarter and full-year 2018 GAAP financial results. With respect to consolidated adjusted EPS, amortization of intangible assets is expected to be approximately $0.55 and $2.27 per share for the first quarter and full-year 2018, respectively.

Financial Information for our Core Business and Transitioning Clients:  The financial measures attributable to our core business and the transitioning clients presented herein, including adjusted EBITDA and adjusted EBITDA per adjusted claims are also non-GAAP financial measures.  These measures are not calculated or presented in accordance with GAAP, and should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.  These measures represent operating results attributable to specific clients of the Company; however, they are not regularly reviewed by our Chief Executive Officer to assess the performance of any of these clients or make decisions about resources to be allocated to any such client. These measures also reflect management’s estimates as to allocation of costs of its PBM business to each of the transitioning clients and may not be indicative of costs actually incurred as a result of servicing each of these clients.  However, management is unable to reasonably estimate the allocation of certain key items that would impact net income attributable to each of the transitioning clients, including interest and depreciation and amortization.  Accordingly, the Company is unable to provide net income attributable to any of the transitioning clients or its core business excluding the transitioning clients, and is therefore also unable to provide a reconciliation of adjusted EBITDA to net income attributable to transitioning clients or core business.  For the same reasons, the Company is unable to address the probable significance of the unavailable information, which could have a significant impact on the Company’s long-term outlook for the core business, as discussed above.

SAFE HARBOR STATEMENT

This press release contains forward-looking statements, including, but not limited to, our 2018 guidance, business outlook and our statements related to the Company’s plans, objectives, expectations (financial and otherwise) or intentions. Actual results may differ materially from those projected or suggested in any forward-looking statements.  Factors that may impact these forward-looking statements can be found in Management’s Discussion and Analysis of Financial Condition and Results of Operations and Item 1A – “Risk Factors” in the Company’s Annual Report on Form 10-K filed with the SEC on February 27, 2018.  A copy of these documents can be found at the Investor Information section of Express Scripts’ web site at http://www.express-scripts.com/corporate.

We do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.

 EXPRESS SCRIPTS HOLDING COMPANY 

 Unaudited Consolidated Statement of Operations 

 Three Months Ended
December 31, 

 Year Ended
December 31, 

  (in millions, except per share data) 

2017

2016

2017

2016

Revenues*

$ 25,378.8

$ 24,863.3

$ 100,064.6

$ 100,287.5

Cost of revenues*

22,888.3

22,525.1

91,302.5

91,667.0

    Gross profit 

2,490.5

2,338.2

8,762.1

8,620.5

Selling, general and administrative

908.1

863.5

3,268.1

3,532.7

Operating income

1,582.4

1,474.7

5,494.0

5,087.8

Other (expense) income:

    Interest income and other 

14.2

6.7

42.9

34.1

    Interest expense and other 

(168.0)

(146.0)

(607.9)

(694.8)

(153.8)

(139.3)

(565.0)

(660.7)

Income before income taxes

1,428.6

1,335.4

4,929.0

4,427.1

(Benefit) provision for income taxes

(902.3)

(104.4)

397.3

999.5

Net income 

2,330.9

1,439.8

4,531.7

3,427.6

Less: Net income attributable to non-controlling interest

3.3

5.1

14.3

23.2

Net income attributable to Express Scripts

$   2,327.6

$   1,434.7

$     4,517.4

$     3,404.4

Weighted-average number of common shares

 outstanding during the period: 

    Basic 

565.0

609.1

580.1

626.9

    Diluted 

568.4

613.5

583.4

631.4

Earnings per share attributable to Express Scripts:

     Basic

$        4.12

$        2.36

$          7.79

$          5.43

     Diluted

$        4.10

$        2.34

$          7.74

$          5.39

* Includes retail pharmacy co-payments of $1,831.6 million and $1,883.3 million for the three months ended December 31, 2017 and 2016, respectively, and $8,241.3 million and $8,569.2 million for the years ended December 31, 2017 and 2016, respectively.

 EXPRESS SCRIPTS HOLDING COMPANY 

 Unaudited Consolidated Balance Sheet 

 December 31,  

 December 31,  

 (in millions) 

2017

2016

 Assets 

 Current assets: 

 Cash and cash equivalents 

$            2,309.6

$            3,077.2

 Receivables, net 

7,056.3

7,062.1

 Inventories 

2,124.9

1,959.0

 Prepaid expenses and other current assets 

466.3

265.1

    Total current assets 

11,957.1

12,363.4

 Property and equipment, net 

551.3

607.0

 Computer software, net 

814.9

712.6

 Goodwill 

31,099.7

29,277.8

 Other intangible assets, net 

9,625.9

8,636.9

 Other assets 

206.9

147.2

    Total assets 

$          54,255.8

$          51,744.9

 Liabilities and stockholders’ equity 

 Current liabilities: 

 Claims and rebates payable 

$          10,188.5

$            8,836.9

 Accounts payable 

3,755.7

3,875.7

 Accrued expenses 

2,869.3

2,993.2

 Short-term debt and current maturities of long-term debt 

1,032.9

722.3

    Total current liabilities 

17,846.4

16,428.1

 Long-term debt 

14,981.5

14,846.0

 Deferred taxes 

2,562.4

3,603.3

 Other liabilities 

740.2

623.7

    Total liabilities 

36,130.5

35,501.1

 Stockholders’ equity: 

Preferred stock, 15.0 shares authorized, $0.01 par value per share; no shares issued and outstanding 

Common stock, 2,985.0 shares authorized, $0.01 par value per share; shares issued: 862.3 and 857.5, respectively; shares outstanding: 564.4 and 605.5, respectively

8.6

8.6

 Additional paid-in capital 

23,537.8

23,233.6

 Accumulated other comprehensive loss 

(2.9)

(12.3)

 Retained earnings 

16,318.6

11,801.2

39,862.1

35,031.1

 Common stock in treasury at cost, 297.9 and 252.0 shares, respectively  

(21,742.5)

(18,795.1)

    Total Express Scripts stockholders’ equity 

18,119.6

16,236.0

 Non-controlling interest 

5.7

7.8

    Total stockholders’ equity 

18,125.3

16,243.8

    Total liabilities and stockholders’ equity 

$          54,255.8

$          51,744.9

 EXPRESS SCRIPTS HOLDING COMPANY 

 Unaudited Consolidated Statement of Cash Flows 

 Year Ended
December 31, 

 (in millions) 

2017

2016

 Cash flows from operating activities: 

 Net income 

$  4,531.7

$  3,427.6

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

 Depreciation and amortization 

1,802.0

2,154.6

 Deferred income taxes 

(1,678.9)

(497.4)

 Employee stock-based compensation expense 

99.6

107.0

 Other, net 

43.3

(36.2)

 Changes in operating assets and liabilities:  

 Receivables 

55.9

(374.0)

 Inventories 

(166.7)

64.1

 Other current and noncurrent assets 

(172.5)

(137.5)

 Claims and rebates payable 

1,114.9

(560.8)

 Accounts payable 

(126.8)

436.4

 Accrued expenses 

(241.7)

404.2

 Other current and noncurrent liabilities 

90.5

(68.6)

 Net cash flows provided by operating activities 

5,351.3

4,919.4

 Cash flows from investing activities: 

 Acquisitions, net of cash acquired 

(3,501.1)

 Capital expenditures for property and equipment and computer software 

(267.4)

(330.4)

 Net cash proceeds from the sale of business 

85.3

 Other, net 

(7.4)

(21.5)

 Net cash used in investing activities 

(3,690.6)

(351.9)

 Cash flows from financing activities: 

 Treasury stock acquired 

(2,938.0)

(4,746.9)

 Proceeds from long-term debt, net of discounts 

1,398.9

5,986.8

 Repayment of long-term debt 

(1,125.0)

(5,932.5)

 Commercial paper borrowings, net 

194.8

 Net proceeds from employee stock plans 

81.0

87.2

 Other, net 

(44.9)

(72.4)

 Net cash used in financing activities 

(2,433.2)

(4,677.8)

 Effect of foreign currency translation adjustment 

4.9

1.2

 Net decrease in cash and cash equivalents 

(767.6)

(109.1)

 Cash and cash equivalents at beginning of period 

3,077.2

3,186.3

 Cash and cash equivalents at end of period 

$  2,309.6

$  3,077.2

 Table 1 

  Express Scripts Holding Company Unaudited Consolidated Selected Information 

 (in millions) 

 Three Months Ended
December 31,  

 Year Ended
December 31, 

2017

2016

2017

2016

Claims Volume

Network

222.2

223.1

877.6

887.4

Home delivery and specialty(2)

29.4

30.4

116.7

120.2

   Total claims 

251.6

253.5

994.3

1,007.6

Adjusted network(3)

270.3

266.2

1,061.0

1,056.5

Adjusted home delivery and specialty(3)

85.5

88.7

340.1

351.1

   Total adjusted claims(3)

355.8

354.9

1,401.1

1,407.6

 Depreciation and Amortization (D&A):  

 Revenue amortization(4)

$   55.4

$   55.4

$    221.7

$    200.5

 Cost of revenues depreciation 

34.0

27.9

130.2

113.4

 Selling, general and administrative depreciation 

52.4

53.4

207.7

208.4

 Selling, general and administrative amortization(4)

316.1

406.7

1,242.4

1,632.3

      Total D&A  

$ 457.9

$ 543.4

$ 1,802.0

$ 2,154.6

 Generic Fill Rate** 

 Network 

86.0%

85.8%

86.7%

86.0%

 Home delivery 

83.5%

81.4%

83.0%

80.8%

 Overall 

85.7%

85.2%

86.2%

85.3%

See Footnotes to Press Release

**The home delivery generic fill rate is currently lower than the network generic fill rate as fewer generic substitutions are available among maintenance medications (e.g., therapies for chronic conditions) commonly dispensed from home delivery pharmacies compared to acute medications, which are primarily dispensed by pharmacies in our retail networks.

Table 2

Express Scripts Holding Company Unaudited Adjusted Gross Profit and Adjusted SG&A Reconciliation

Provided below are reconciliations of adjusted gross profit and adjusted selling, general and administrative expenses, which are non-GAAP measures, to gross profit and selling, general and administrative expenses, respectively, which are the most directly comparable measures calculated in accordance with GAAP.

(in millions)

 Three Months Ended
December 31,  

 Year Ended
December 31,  

2017

2016

2017

2016

Gross profit, as reported

$ 2,490.5

$ 2,338.2

$ 8,762.1

$ 8,620.5

Amortization of intangible assets (4)

55.4

55.4

221.7

200.5

Enterprise value initiative costs (5)

2.7

5.0

Adjusted gross profit

$ 2,548.6

$ 2,393.6

$ 8,988.8

$ 8,821.0

Selling, general and administrative, as reported

$    908.1

$    863.5

$ 3,268.1

$ 3,532.7

Amortization of intangible assets (4)

316.1

406.7

1,242.4

1,632.3

Enterprise value initiative costs (5)

16.9

37.8

Transaction and integration costs (6)

91.9

91.9

Other compensation costs (7)

41.2

41.2

Adjusted selling, general and administrative

$    483.2

$    415.6

$ 1,896.0

$ 1,859.2

 See Footnotes to Press Release 

 Table 3 

 Express Scripts Holding Company Unaudited EBITDA and Adjusted EBITDA Reconciliation 

 (in millions, except per claim data) 

Provided below is a reconciliation of EBITDA and Adjusted EBITDA attributable to Express Scripts, which are non-GAAP financial measures, to net income attributable to Express Scripts.  The Company believes net income is the most directly comparable measure under GAAP.

 Three Months Ended
December 31,   

 Year Ended
December 31,  

2017

2016

2017

2016

Net income attributable to Express Scripts, as reported

$ 2,327.6

$ 1,434.7

$ 4,517.4

$ 3,404.4

  (Benefit) provision for income taxes (8)

(902.3)

(104.4)

397.3

999.5

  Depreciation and amortization(4),*

457.9

543.4

1,802.0

2,154.6

  Other expense (income), net

153.8

139.3

565.0

660.7

EBITDA attributable to Express Scripts

$ 2,037.0

$ 2,013.0

$ 7,281.7

$ 7,219.2

Adjustments to EBITDA

Transaction and integration costs (6)

91.9

91.9

Enterprise value initiative costs(5),*

19.0

41.9

Other compensation costs (7)

41.2

41.2

Adjusted EBITDA attributable to Express Scripts

$ 2,147.9

$ 2,054.2

$ 7,415.5

$ 7,260.4

Total adjusted claims(3)

355.8

354.9

1,401.1

1,407.6

Adjusted EBITDA attributable to Express Scripts, per adjusted claim

$      6.04

$      5.79

$      5.29

$      5.16

 See Footnotes to Press Release 

*  Depreciation and amortization for the three months and year ended December 31, 2017, as presented above includes $0.6 million and $0.9 million, respectively, of accelerated depreciation in connection with the enterprise value initiative which is not otherwise included in enterprise value initiative costs.  

 Table 4 

 Express Scripts Holding Company Unaudited Adjusted Diluted EPS Reconciliation 

 Provided below is a reconciliation of Adjusted Diluted EPS attributable to Express Scripts, which is a non-GAAP measure, to diluted 

 EPS attributable to Express Scripts, which is its most directly comparable measure calculated in accordance with GAAP. 

 Three Months Ended
December 31,  

 Year Ended
December 31,  

2017

2016

2017

2016

 (per diluted share) 

Diluted EPS attributable to Express Scripts, as reported

$  4.10

$  2.34

$  7.74

$  5.39

Excluding items indicated: 

Amortization of intangible assets (4),*

0.65

0.75

2.51

2.90

Enterprise value initiative costs (5),*

0.03

0.07

Discrete tax items (8)

(2.49)

(0.97)

(2.40)

(1.00)

Debt redemption costs (9),*

0.22

Transaction and integration costs (6),*

0.16

0.16

Other compensation costs (7),*

0.06

0.06

Loss on disposal (10),*

0.03

0.03

Tax impact of excluded items (11)

(0.32)

(0.30)

(1.01)

(1.18)

Diluted EPS attributable to Express Scripts, adjusted

$  2.16

$  1.88

$  7.10

$  6.39

 See Footnotes to Press Release 

*Presented on a pre-tax basis.  

 Table 5 

 Express Scripts Holding Company Unaudited Adjusted Net Income and
Adjusted Effective Income Tax Rate Reconciliation 

 (in millions) 

 Presented below is a reconciliation of adjusted net income attributable to Express Scripts, which is a non-GAAP financial measure, to income before income taxes, which is its most directly comparable measure calculated in accordance with GAAP. 

 Three Months Ended
December 31, 2017 

 Year Ended
December 31, 2017 

Income
before
income
taxes

Provision
for income
taxes

Effective
income tax
rate

Income
before
income
taxes

Provision
for income
taxes

Effective
income tax
rate

Income before income taxes, as reported

$      1,428.6

$        (902.3)

$      4,929.0

$          397.3

Net income attributable to non-controlling interest

(3.3)

(14.3)

Income before income taxes attributable to Express Scripts

1,425.3

(902.3)

-63.3%

4,914.7

397.3

8.1%

Excluding items indicated: 

Discrete tax items(8)

1,417.9

1,402.4

Loss on disposal (10)

17.7

6.5

17.7

6.5

Enterprise value initiative costs(5)

19.6

7.2

42.8

15.7

Transaction and integration costs (6)

91.9

33.7

91.9

33.7

Amortization of intangible assets(4)

371.5

134.0

1,464.1

536.1

Income before income taxes attributable to Express Scripts, as adjusted

$      1,926.0

$          697.0

36.2%

$      6,531.2

$       2,391.7

36.6%

Adjusted net income attributable to Express Scripts

$      1,229.0

$      4,139.5

 See Footnotes to Press Release 

 Table 5A 

 Express Scripts Holding Company Unaudited Adjusted Net Income and
Adjusted Effective Income Tax Rate Reconciliation 

 (in millions) 

 Presented below is a reconciliation of adjusted net income attributable to Express Scripts, which is a non-GAAP financial measure, to income before income taxes, which is its most directly comparable measure calculated in accordance with GAAP. 

 Three Months Ended
December 31, 2016 

 Year Ended
December 31, 2016 

Income
before
income
taxes

Provision
for income
taxes

Effective
income tax
rate

Income
before
income
taxes

Provision
for income
taxes

Effective
income tax
rate

Income before income taxes, as reported

$      1,335.4

$        (104.4)

$      4,427.1

$          999.5

Net income attributable to non-controlling interest

(5.1)

(23.2)

Income before income taxes attributable to Express Scripts

1,330.3

(104.4)

-7.8%

4,403.9

999.5

22.7%

Excluding items indicated: 

Amortization of intangible assets(4)

462.1

171.5

1,832.8

679.8

Discrete tax items(8)

598.2

633.9

Debt redemption costs (9)

135.6

50.3

Other compensation costs (7)

41.2

15.3

41.2

15.3

Income before income taxes attributable to Express Scripts, as adjusted

$      1,833.6

$          680.6

37.1%

$      6,413.5

$       2,378.8

37.1%

Adjusted net income attributable to Express Scripts

$      1,153.0

$      4,034.7

 See Footnotes to Press Release 

 Table 6 

 Express Scripts Holding Company Unaudited 2018 Guidance Information 

Adjusted diluted EPS and adjusted EBITDA are non-GAAP financial measures.  For a discussion of the financial measures presented herein that are not calculated or presented in accordance with GAAP, see “Supplemental Information Regarding Non-GAAP Financial Measures” above.

Consolidated Guidance  

                 Estimated
Year Ending
December 31, 2018 

                 Estimated
Year Ending
December 31, 2018 

(in millions, except per share data)

 Current Guidance 

 Previous Guidance* 

Adjusted Diluted EPS attributable to Express Scripts

$9.27 to $9.47

$9.27 to $9.47

Year over year growth 

31%-33%

31%-33%

Total adjusted claims

1,345 to 1,395

1,345 to 1,395

Revenue

$99,000 to $102,000

$99,000 to $102,000

Adjusted EBITDA attributable to Express Scripts

$7,600 to $7,800

$7,600 to $7,800

Diluted weighted average shares outstanding during the period

540 to 560

540 to 560

Net cash flow provided by operating activities

$5,775 to $6,275

$5,775 to $6,275

  (in millions, except per share data) 

 Estimated
Three Months Ending
March 31, 2018 

Adjusted Diluted EPS attributable to Express Scripts

$1.73 to $1.78

Year over year growth 

30%-34%

Total adjusted claims

335 to 345

Core Business Guidance  

                 Estimated
Year Ending
December 31, 2018 

                 Estimated
Year Ending
December 31, 2018 

(in millions, except per share data)

 Current Guidance 

 Previous Guidance 

Total adjusted claims

1,125 to 1,165

1,125 to 1,165

Revenue

$80,500 to $83,000

$80,500 to $83,000

Adjusted EBITDA attributable to Express Scripts

$5,250 to $5,400

$5,250 to $5,400

Core Business Guidance  (in millions, except per share data)

 Estimated
Three Months Ending
March 31, 2018 

Total adjusted claims

280 to 290

 *Updated 2018 guidance was provided in January 2018 to reflect the effects of the Tax Act, enacted in December 2017. 

 Table 7 

 Express Scripts Holding Company Operating Results Excluding Estimate of Contribution related to Transitioning Clients 

 (amounts in millions except per claim figures) 

 (Three months ended) 

December 31, 2017

December 31, 2016

 Change 

Consolidated
As Reported

Transitioning
Clients(1)

Core business(1)

Consolidated
As Reported

Transitioning
Clients(1)
(Table 8)

Core business(1)

As Reported

Core business(1)

Adjusted claims

 Table 1 

355.8

60.1

295.7

354.9

60.5

294.4

0.3%

0.4%

Revenues(12)

$     25,378.8

$       4,863.7

$          20,515.1

$     24,863.3

$       4,737.3

$       20,126.0

2.1%

1.9%

Net income

$       2,327.6

 N/A 

 N/A 

$       1,434.7

 N/A 

 N/A 

62.2%

 N/A 

Adjusted EBITDA

 Table 3 

$       2,147.9

$          661.6

$            1,486.3

$       2,054.2

$          636.9

$         1,417.3

4.6%

4.9%

Adjusted EBITDA/adjusted claim

 Table 3 

$            6.04

 N/A 

$                 5.03

$            5.79

 N/A 

$              4.81

4.3%

4.6%

 (Year ended) 

December 31, 2017

December 31, 2016

 Change 

Consolidated
As Reported

Transitioning
Clients(1)

Core business(1)

Consolidated
As Reported
Q4 2016

Transitioning
Clients(1)
(Table 8)

Core business(1)

As Reported

Core business(1)

Adjusted claims

 Table 1 

1,401.1

236.3

1,164.8

1,407.6

238.6

1,169.0

-0.5%

-0.4%

Revenues(12)

$   100,064.6

19,152.9

$          80,911.7

$   100,287.5

$     18,772.8

$       81,514.7

-0.2%

-0.7%

Net income

$       4,517.4

 N/A 

 N/A 

$       3,404.4

 N/A 

 N/A 

32.7%

 N/A 

Adjusted EBITDA

 Table 3 

$       7,415.5

$       2,472.1

$            4,943.4

$       7,260.4

$       2,470.4

$         4,790.0

2.1%

3.2%

Adjusted EBITDA/adjusted claim

 Table 3 

$            5.29

 N/A 

$                 4.24

$            5.16

 N/A 

$              4.10

2.5%

3.4%

See Footnotes to Press Release.

 Table 8** 

 Express Scripts Holding Company – Estimate of Transitioning Clients
Contribution by Quarter 

 (amounts in millions except per claim figures) 

Anthem** ,(1)

 Q1 2016 

 Q2 2016 

 Q3 2016 

 Q4 2016 

Adjusted Claims

54.5

54.2

54.3

56.6

Revenues(12)

$   4,096.7

$   4,354.9

$   4,243.0

$   4,381.3

Adjusted EBITDA*

$      467.9

$      644.7

$      572.1

$      563.3

Adjusted EBITDA/adjusted claim*

$        8.59

$      11.89

$      10.54

$        9.95

Transitioning Clients(1)

 Q1 2016 

 Q2 2016 

 Q3 2016 

 Q4 2016 

Adjusted Claims

5.6

4.9

4.6

3.9

Revenues

$      457.5

$      471.9

$      411.5

$      356.0

Adjusted EBITDA*

$        50.0

$        49.5

$        49.3

$        73.6

Combined Contribution(1)

 Q1 2016 

 Q2 2016 

 Q3 2016 

 Q4 2016 

Adjusted Claims

60.1

59.1

58.9

60.5

Revenues(12)

$   4,554.2

$   4,826.8

$   4,654.5

$   4,737.3

Adjusted EBITDA*

$      517.9

$      694.2

$      621.4

$      636.9

Core (Excluding Transitioning Clients)(12)

 Q1 2016 

 Q2 2016 

 Q3 2016 

 Q4 2016 

Adjusted Claims

296.2

290.2

288.2

294.4

Revenues

$ 20,237.6

$ 20,395.5

$ 20,755.6

$ 20,126.0

Adjusted EBITDA*

$      942.1

$   1,103.9

$   1,326.7

$   1,417.3

Adjusted EBITDA/adjusted claim*

$        3.18

$        3.80

$        4.60

$        4.81

* Q4 2016 Adjusted EBITDA includes an adjustment for other compensation costs of $41.2 million.

** For presentation purposes, Table 8 is consistent with the Q1 2017 Press Release presentation.  As noted in footnote 1, Anthem financial results were combined with each of the Transitioning Clients in Q3 and Q4 2017 upon announcement by Anthem on October 18, 2017, of its intention not to renew its contract with the Company.  

See Footnotes to Press Release

 Footnotes to Press Release 

(1)  The Company’s core business excludes the contributions from Coventry and Catamaran, both of which were acquired and are transitioning off the Company’s book of business, as well as Anthem, to which we refer together as the “Transitioning Clients.”  Amounts attributable to each of the Transitioning Clients are based on management’s estimates regarding, among other items, cost allocation and may not be indicative of costs actually incurred as a result of servicing each of the Transitioning Clients. Both direct and indirect costs were allocated based on management’s best estimates of costs attributable to servicing each of the Transitioning Clients, and, where appropriate, are based on actual cost or adjusted claims attributable to each of the Transitioning Clients.  

(2)  Includes home delivery, specialty and other including:  (i) drugs distributed through patient assistance programs administered through UBC, which were disposed of as part of the sale of UBC on December 27, 2017; (ii) drugs distributed to clients of other PBMs under limited distribution contracts with pharmaceutical manufacturers; and (iii) Freedom Fertility claims. 

(3)  Total adjusted network claims includes an adjustment to reflect non-specialty network claims filled through our 90-day programs.  These claims are multiplied by three, as these claims, on average, typically cover a time period three times longer than other network claims.  Home delivery claims are also multiplied by three, consistent with prior practice, as home delivery claims typically cover a time period three times longer than unadjusted network claims.  See Schedule A below.

(4) Amortization of intangible assets includes amounts in both revenues and selling, general and administrative expense.

Revenue amortization is related to the customer contract with Anthem, which commenced upon closing the NextRx acquisition in 2009.  Amortization of intangibles that arises in connection with consideration given to a customer by a vendor is characterized as a reduction of revenues.  Intangible amortization of $55.4 million ($35.6 million net of tax) and $55.4 million ($34.8 million net of tax) is included as a reduction to revenue for the three months ended December 31, 2017 and 2016.  Intangible amortization of $221.7 million ($140.5 million net of tax) and $200.5 million ($126.1 million net of tax) is included as a reduction to revenue for the years ended December 31, 2017 and 2016, respectively.  The Company’s 10-year agreement with Anthem under which we provide pharmacy benefit management services to Anthem and its designated affiliates was previously amortized using a modified pattern of benefit method over an estimated useful life of 15 years.  Beginning in March 2016, we began amortizing our agreement with Anthem over the remaining term of the contract (i.e., using a modified pattern of benefit over an estimated useful life of 10 years from the time the agreement was executed in 2009), which resulted in an additional $126.7 million and $105.6 million of revenue amortization recognized for the years ended December 31, 2017 and 2016, respectively.

Selling, general, and administrative expense includes the amortization of other intangible assets and computer software acquired through business combinations, of $316.1 million ($201.9 million net of tax) and $406.7 million ($255.8 million net of tax) for the three months ended December 31, 2017 and 2016, and for the years ended December 31, 2017 and 2016 of $1,242.4 million ($787.5 million net of tax) and $1,632.3 million ($1,026.9 million net of tax), respectively.  

(5) Costs included in cost of revenues (gross profit), primarily comprised of professional fees, severance and other business activity charges in connection with the enterprise value initiative, are $2.7 million ($1.6 million net of tax) for the three months ended December 31, 2017 and $5.0 million ($3.1 million net of tax) for the year ended December 31, 2017.

Costs included in selling, general and administrative, primarily comprised of professional fees, severance and other business activity charges in connection with the enterprise value initiative, are $16.9 million ($10.8 million net of tax) for the three months ended December 31, 2017 and $37.8 million ($24.0 million net of tax) for the year ended December 31, 2017.

(6) Transaction and integration costs include those costs directly related to the acquisition of eviCore and myMatrixx Holdings, Inc. and the sale of UBC. Costs of $91.9 million ($58.2 million net of tax) are primarily composed of professional fees, integration-related activities and severance costs, and are included in selling, general and administrative expense for the three months and year ended December 31, 2017.  

(7)  Costs of $41.2 million ($25.9 million net of tax) for the three months and year ended December 31, 2016, are related to compensation in connection with the net tax benefit of approximately $511.0 million related to the divestiture of PolyMedica Corporation (Liberty).  Following receipt of the tax benefit proceeds, the Board of Directors authorized the use of $41.2 million, approximately 8%, or $0.06 per share ($0.04 per share net of tax), of the PolyMedica tax benefit proceeds to reward employees for the significant contribution this multi-year effort provided the Company and its shareholders.

(8) (Benefit) provision for income taxes includes discrete tax benefits of $1,417.9 million and $1,402.4 million for the three months and year ended December 31, 2017, respectively, related primarily to the deferred tax implications of the Tax Act.  (Benefit) provision for income taxes includes discrete tax benefits of $598.2 million and $633.9 million for the three months and year ended December 31, 2016, respectively, related primarily to changes in unrecognized tax benefits.  In October 2016, we recognized a net tax benefit of approximately $511.0 million related to the divestiture of Liberty.   

(9) Debt redemption costs, which include write-off of discounts, premiums, deferred financing costs and other costs incurred for the early redemption of senior notes, totaled $135.6 million ($85.3 million net of tax) and are included in interest expense for the year ended December 31, 2016.

(10)  In December 2017, the Company sold UBC for approximately $150.0 million, which included both cash and a note receivable. We recorded a $17.7 million ($11.2 million net of tax) loss on disposal, which is reported within interest expense and other for the three months and year ended December 31, 2017.

(11)  Represents adjustment for the tax impact related to non-GAAP items excluded from adjusted diluted EPS.  See Table 5 and 5A for calculation of adjusted effective income tax rate.  

(12)  Consolidated revenues and Transitioning Clients revenues include intangible amortization related to the customer contract with Anthem of $55.4 million for each of the three months ended December 31, 2017 and 2016.  Consolidated revenues and Transitioning Clients revenues include intangible amortization related to the customer contract with Anthem of $221.7 million and $200.5 million for the years ended December 31, 2017 and 2016, respectively.   

 Footnotes to Press Release:  Schedule A 

 Express Scripts Holding Company Unaudited 2016 and 2015 Claims Recast 

As previously reported in our February 14, 2017, press release and explained in footnote (5), we changed our methodology for calculating network claims retrospectively for 2016 and 2015.  Provided below are recasts of the revised methodology for reporting network claims.

 (in millions) 

As reported
Q1 2016

Revision

Revised Q1
2016

As reported
Q2 2016

Revision

Revised Q2
2016

As reported
Q3 2016

Revision

Revised Q3
2016

Claims Volume

Network

226.1

226.1

221.2

221.2

217.0

217.0

Home delivery and specialty(2)

30.3

30.3

29.5

29.5

30.0

30.0

   Total claims 

256.4

256.4

250.7

250.7

247.0

247.0

Adjusted network(3)

234.7

32.8

267.5

229.4

34.0

263.4

224.5

34.9

259.4

Adjusted home delivery and specialty(3)

88.8

88.8

85.9

85.9

87.7

87.7

   Total adjusted claims(3)

323.5

32.8

356.3

315.3

34.0

349.3

312.2

34.9

347.1

As reported
Q1 2015

Revision

Revised Q1
2015

As reported
Q2 2015

Revision

Revised
Q2 2015

As reported
Q3 2015

Revision

Revised Q3
2015

Claims Volume

Network

219.1

219.1

228.2

228.2

232.8

232.8

Home delivery and specialty(2)

30.2

30.2

30.2

30.2

30.0

30.0

   Total claims 

249.3

249.3

258.4

258.4

262.8

262.8

Adjusted network(3)

219.1

33.0

252.1

232.9

35.6

268.5

240.8

36.9

277.7

Adjusted home delivery and specialty(3)

88.5

88.5

88.3

88.3

87.5

87.5

   Total adjusted claims(3)

307.6

33.0

340.6

321.2

35.6

356.8

328.3

36.9

365.2

2,538 thoughts on “RELEASE: Express Scripts announces 2017 fourth quarter and full year results

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  247. L’UFCM a constaté depuis quelques mois l’accroissement des tromperies à la « roqya ». Les témoignages de personnes victimes de ces pratiques se multiplient et présentent les mêmes caractéristiques : « Une personne vous appelle et vous propose une séance de « roqya » gratuite. Cette personne vous propose de rappeler un numéro prétendu gratuit, souvent un numéro commençant par 0 800… » Mais, dans les faits, cette prestation est loin d’être gratuite, puisque la conversation est facturée à vos frais et à votre insu. Au-delà de l’aspect juridique qui est traité à ce jour par le pôle juridique de l’UFCM[1], ce procédé soulève la problématique de sa conformité au Coran et à la Sunna. En effet, la « roqya » peut se définir comme une thérapie qui permet de soigner les actes de sorcellerie, de mauvais œil et également de se protéger contre ces derniers. Par conséquent, est-il possible de la pratiquer par téléphone et quelles sont les exigences édictées par le Coran et la Sunna ? Nous présenterons ainsi successivement les conditions liées au soignant (I), les exigences relatives à l’environnement où est réalisée la « roqya » (II). Nous aborderons ensuite la question de la gratuité de la prestation ou de sa contrepartie financière et enfin les conditions dans laquelle elle est réalisée (III). I- Les conditions liées au soignant Souvent la « roqya » est perçue comme une pratique dispensée par un tiers. Or, il est essentiel de rappeler et de souligner un fait important : la meilleure des « roqya » est celle que nous dispensons nous-mêmes à travers le « dhikr » et la récitation du Coran. Ainsi, pour se prémunir des maux liés au mauvais œil ou à la sorcellerie, il convient régulièrement de lire le Coran et faire des invocations notamment celles du matin et du coucher, de réciter régulièrement la sourate « La vache », de renouveler son intention, de placer la certitude dans son cœur, d’effectuer ses prières etc., et surtout de demander à Allah la meilleure des protections. Toutefois, dans certaines conditions, il est nécessaire de recourir à un soignant. C’est à ce stade qu’il convient d’être vigilant. Il ne suffit pas de se rendre auprès d’une personne qui se présente avec la qualité de cheikh ou d’imam pour accepter de lui confier cette pratique. Comme pour tout procédé et encore plus lorsque cela relève de considérations religieuses, il est important de bien choisir son soignant car ce dernier est tenu de posséder des qualités bien affirmées. La maîtrise du Coran et des traditions prophétiques en la matière est une condition sine qua none, mais insuffisante. La personne doit également avoir des notions de psychologie afin de déterminer la part de sorcellerie et celle de troubles psychologiques fréquents chez les patients. La personne doit posséder une bonne hygiène de vie, notamment spirituelle puisqu’il n’est pas inutile de rappeler que le succès de la « roqya » dépend de Dieu. Ces critères sont difficilement évaluables, surtout par une personne qui est affectée par un mal-être, quelle que soit sa source. C’est pourquoi les proches doivent accompagner la personne dans la recherche d’un soignant qualifié et reconnu comme tel par des référents religieux de la localité (imam, responsables associatifs, etc.). De manière générale, le soignant doit posséder des qualités déterminées que nous pouvons synthétiser de la manière suivante. Il doit : être en capacité de lire le Coran, croire avec certitude au Coran, être empreint de piété, connaître les pièges et les caractéristiques du diable et des djinns, connaître la méthode prophétique de la « roqya », disposer de connaissances de base en psychologie, avoir la conviction que le succès de sa thérapie dépend de Dieu. A l’exception de la première exigence, il semble difficile de vérifier les autres conditions dans le cadre d’un entretien téléphonique avec une personne que nous n’avons jamais rencontrée, même si elle se présente sous le titre de « cheikh » ou d’un imam. Par conséquent, ces conditions soulignent une première limite quant au recours à la « roqya » par téléphone. Par ailleurs, à l’instar de tout médecin, le soignant doit, avant de prodiguer des conseils ou une médication, procéder à une consultation. Ainsi, un environnement adéquat est indispensable pour la réalisation d’une « roqya ». Il est enfin inconcevable qu’un médecin puisse vous affirmer par téléphone connaître votre maladie et attester pouvoir vous guérir. Vous auriez plus que des doutes sur ce prétendu médecin. II- Un environnement propice et la réalisation d’une consultation préalable à la réalisation d’une « roqya » Il est intéressant de noter que, dans son ouvrage « Comment se protéger des djinns & satan », Wahîd ‘Abdussalâm Bâli évoque l’importance du climat pour réaliser une roqya[2]. Ainsi, il expose les points suivants : « 1. Préparer le climat adéquat en faisant par exemple sortir les images et les statues de la pièce où on va soigner le malade, pour permettre aux anges d’y entrer. 2. Débarrasser le sujet de tout ce qu’il peut porter sur lui comme talismans ou amulettes et les brûler. 3. Éteindre tout ce qui peut émettre le son de la musique et des chants. 4. Vider le lieu de tout ce qui comporte une infraction à la shari‘a à savoir, par exemple, la présence d’un homme qui porte de l’or ou une femme qui ne porte pas le voile légal – al-hijab. 5. Donner au malade et à sa famille une leçon de dogme de façon à ce que leurs cœurs ne soient pas attachés à un autre qu’Allah. 6. Leur faire savoir que la façon de soigner est différente de celle des sorciers et des charlatans et que le Coran recèle guérison et miséricorde, comme l’a informé Allah le Puissant et le Majestueux. 7. Diagnostiquer son cas : pour cela poser des questions au malade pour s’assurer de la présence de tous les symptômes (…) ». Or, dans les témoignages communiqués, l’interlocuteur qui se présente comme soignant ne pose aucune question aux personnes. Il débute ainsi la « roqya » directement par une récitation du Coran. En outre, il est intéressant de souligner que dans l’un des témoignages communiqués à l’UFCM, l’interlocuteur demandait à la personne de remplir successivement des verres de lait, d’huile, d’eau etc. et de les poser par la suite sur la table de la salle à manger. Au point que la personne s’est retrouvée avec une multitude de verres posés sur la table. Le comble est que la personne ignorait ce qu’elle devait en faire lorsqu’elle a pris conscience de la tromperie. Nous constatons par conséquent qu’une « roqya » ne peut être réalisée dans un environnement quelconque. En effet, une procédure de diagnostic est essentielle. Nous pouvons à titre d’exemple faire le parallèle avec un rendez-vous chez le médecin ; ce dernier ne peut vous prescrire une ordonnance sans au préalable vous avoir ausculté et interrogé sur les différents symptômes que vous ressentez physiquement. A défaut, au lieu de guérir vous allez aggraver vos maux. Cette attitude vigilante du médecin traitant doit se retrouver lorsque nous envisageons le recours à une « roqya ». Pour illustrer ce propos, nous citerons l’exemple de l’anthropologue, spécialiste de l’islam européen, Farid El Asri, chercheur associé au Centre Jacques Berque, qui nous rapporte une situation alarmante suite à une « roqya » : « Une jeune femme en Belgique (…) est morte suite à une tentative d’exorcisme. Pendant les séances, les fkihs (imams) utilisent normalement de l’eau « coranisée ». Pour cette jeune femme, prétendument stérile, les exorcistes ont carrément plongé son visage dans l’eau et quand elle tentait d’en sortir pour respirer, les guérisseurs estimaient qu’il s’agissait du jinn qui l’habitait et ils replongeaient son visage dans l’eau. Pendant le procès, la famille de la défunte s’est présentée comme musulmane et a accusé ces pratiques d’être extérieures à l’islam quand les guérisseurs estimaient qu’ils avaient simplement fait ce qu’ils pouvaient. Le fait de recourir trop systématiquement au fkih risque également de faire passer une crise d’épilepsie, par exemple, pour une crise de possession. »[3] Nous allons aborder enfin la dernière problématique, celle relative aux honoraires du soignant. III- Les honoraires du soignant Le Prophète, bénédictions et salut sur lui, « a agréé les Compagnons qui ont été payés pour la roqya ». Il est dès lors autorisé de rémunérer un soignant en contrepartie d’une prestation. Toutefois, cette rémunération doit être raisonnable et surtout clairement définie avant le traitement. En outre, nous ne pouvons que souligner et rappeler que, si la roqya est réalisée dans un cadre sérieux, il convient de procéder à toutes les déclarations administratives. Comme pour tout contrat, vous devez exiger un document écrit et le praticien doit préciser quels sont ses engagements exacts afin d’éviter tout litige postérieur. Malheureusement, tous les témoignages transmis à l’UFCM soulignent que l’interlocuteur insiste à plusieurs reprises sur la gratuité de la prestation. Or, dans les faits, cette dernière est payante puisque le coût de la communication est surtaxé. Ainsi, l’une des victimes qui nous a contacté, s’est retrouvée avec une facture téléphonique (hors forfait) de 1800 euros. Par conséquent, nous constatons que ces « roqyas » gratuites sont fondées sur la technique dite du « call-back » qui consiste à amener une personne à rappeler un numéro surtaxé, information qui lui est bien évidemment dissimulée. Une « roqya » peut être payante à condition de respecter un cadre prédéterminé, fondé sur l’information et la transparence des honoraires. En conclusion A la lumière des développements susvisés, l’UFCM appelle d’une part à une régulation du métier de la pratique de la « roqya », d’autre part, à la vigilance de chacun à ne pas céder à la tentation d’une « roqya » qui ne serait pas réalisée dans les conditions requises et qui pourrait produire des effets inverses. Au-delà du cadre spirituel ou juridique, les divers témoignages reçus et étudiés par l’UFCM ne peuvent pas nous laisser indifférents à la question suivante : pourquoi des personnes sont-elles amenées à accepter aussi facilement une « roqya » par téléphone ? Est-ce la gratuité qui a déterminé leur choix ? Certes le mal-être produit par cette société est de plus en plus grand. Nous vivons une époque où les êtres sont de plus en plus coupés des signes de Dieu et vivent un rythme de vie effréné. Ces affaires sont révélatrices des maux les plus profonds qui touchent la communauté musulmane. Par ailleurs, comme l’ensemble des rites islamiques (hajj, halal, pompes funèbres) censés nous rappeler les limites qui déterminent la voie vers Dieu, nous constatons que leur marchandisation trahit de plus en plus leur vocation première. Suffit-il qu’un interlocuteur se présente à nous comme un « cheikh » ou un imam et qu’il nous propose une « roqya » gratuite pour l’accepter aussitôt Ne devrions-nous pas tous nous interroger sur le fait qu’il y ait des musulmanes et des musulmans aussi isolés et aussi ignorants de leur propre religion pour être trompés aussi facilement ? Sommes-nous devenus si dépendants des Hommes que nous en oublions de nous adresser directement à Dieu pour solutionner nos malaises ? Autant de questions que chacun d’entre nous a la responsabilité de se poser. En effet, aucun de nous ou de nos proches ne sont à l’abri d’une telle tromperie. Il convient enfin de rappeler que la « roqya » est un remède précis et qu’elle ne peut se faire que sous certaines conditions et surtout qu’elle demeure l’exception à la règle, qui est de toujours s’adresser directement à Dieu. Avant de recourir à une « roqya », il convient de faire une introspection sur ses propres pratiques cultuelles et de revenir.

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