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Epipen cost at rite aid

29/11/2021 Client: muhammad11 Deadline: 2 Day

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RITE AID CORPORATION: AN UNCERTAIN FUTURE1

Ken Mark wrote this case under the supervision of David Wood solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality.

This publication may not be transmitted, photocopied, digitized, or otherwise reproduced in any form or by any means without the permission of the copyright holder. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Business School, Western University, London, Ontario, Canada, N6G 0N1; (t) 519.661.3208; (e) cases@ivey.ca; www.iveycases.com. Our goal is to publish materials of the highest quality; submit any errata to publishcases@ivey.ca.

Copyright © 2019, Ivey Business School Foundation Version: 2019-09-27

The shareholders for Rite Aid Corporation (Rite Aid) were frustrated and outspoken at the annual meeting on October 30, 2018. The shareholders had not only turned down a US$3 million2 bonus proposed for John Standley, the chief executive officer (CEO) of Rite Aid, but had also elected a new independent board chair, Bruce G. Bodaken.3 As the new chair of the Pennsylvania-based Rite Aid, the third largest drugstore chain in the United States, Bodaken had a difficult task ahead of him—how best to ensure Rite Aid’s survival.

For the past three years, Rite Aid had been planning to be acquired. However, regulators had dismissed a plan to sell Rite Aid to Walgreens Company (Walgreens) in 2015, and the amended plan, to sell over 2,300 stores to Walgreens in return for cash, took nearly three years to complete. A second deal to sell the remaining stores to Albertsons Companies Inc. (Albertsons), a US grocery gain, was scrapped in early August 2018 when it became clear that shareholders were not likely to approve the acquisition.4 Having dealt with falling sales, shrinking profits, the sale of over half of its stores, and, most recently, the news that Amazon.com Inc. (Amazon) had acquired the online pharmacy PillPack, Rite Aid seemed to be facing challenges from all sides. Bodaken needed to revisit management’s strategy for the drugstore chain if it were to survive.5

THE DRUGSTORE AND PHARMACY INDUSTRY

The United States had about 30,000 pharmacies and drugstores, and the two largest pharmacies were CVS Pharmacy (CVS), with 9,778 stores in 2017, and Walgreens, with 9,560 stores in August 2018.6 With 2,548 stores in March 2018, Rite Aid was the third largest player; the remaining market was made up of large grocery chains and a collection of direct-to-consumer programs and smaller pharmacies (see Exhibit 1).7

The health care distribution value chain was complex and involved drug manufacturers, third-party payers and health plan providers, pharmacy benefit managers (PBMs), wholesalers, and pharmacies. Drug manufacturers—for example, Johnson & Johnson, Merck & Co. Inc., and AbbVie Inc.—spent considerable resources researching and developing patentable drugs.8 Third-party payers included the US state- sponsored Medicaid and Medicare Part D plans, which covered the costs of a limited range of medication for eligible participants.9

Health plan clients such as private and public corporations offered privately funded drug coverage for their employees. These companies typically bought plans from insurance companies or worked with PBMs,

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which were third-party administrators, to offer drug programs. PBMs had a variety of roles: they oversaw formularies or lists of medicines that benefit plans were willing to pay for negotiated bulk discounts with drug manufacturers, passed a portion of these savings on to their clients, and worked with retail locations— pharmacies— to ensure drugs could be widely available. Some PBMs, such as Express Scripts Inc. (Express Scripts), offered mail-order delivery for drugs. PBMs also processed and tracked drug claims.10

Wholesalers such as AmerisourceBergen Corporation, Cardinal Health Inc., and McKesson Corporation (McKesson) purchased drugs in bulk and distributed them—and other products—to pharmacy chains and independent drugstores.11 Margins earned by each of the players in the pharmacy industry varied (see Exhibit 2).

Drugstore chains supplemented their sales of prescription and over-the-counter (OTC) drugs with other products including health and beauty care items, packaged food, and drinks. For a typical drugstore, about 53 per cent of revenues were from branded prescription drugs; 18.7 per cent from generic drugs; 5.1 per cent from OTC drugs; and 4.8 per cent from personal health supplies. The remaining revenues came from groceries, cosmetics, supplements, and other categories (see Exhibit 3).12

RITE AID

Thrift D Discount Center, founded in 1962 in Scranton, Pennsylvania, by Alex Grass, later became known as Rite Aid Corporation.13 By the time Grass turned over the leadership of Rite Aid to his son, Martin Grass, Rite Aid was one of the largest drugstore chains in the United States. However, under Martin Grass’s leadership, Rite Aid took on significant debt to fund acquisitions and corporate spending. In 2002, Rite Aid ran into trouble: Martin Grass and several other executives were charged and later convicted of accounting fraud.14

After several failed attempts to recover from high levels of debt and a lack of investor confidence, John Standley was appointed president of Rite Aid in 2008.15 Between fiscal years 2010 and 2018, Standley made significant progress in helping Rite Aid to recover. Net income rose from a loss of $526 million to a net income of $943 million, long-term debt declined from $6.0 billion to $3.3 billion, and shareholders’ equity increased from −$2.2 billion to $1.6 billion during these same eight years (see Exhibit 4).16 After returning the business to profitability and lowering the total debt of Rite Aid, Standley began to look for a strategic partner to acquire the troubled drug retailer.17

In 2015, Walgreens agreed to buy Rite Aid for $17.2 billion.18 However, nearly two years later, government regulators would approve only a $4.4 billion deal for 1,932 Rite Aid stores.19 Then, in February 2018, Albertsons, one of the largest US grocery chains, agreed to merge with Rite Aid.20 At the time of the announcement, Rite Aid had a market value of $2.3 billion.21 However, six months later, the merger was called off due to a lack of shareholder support.22

Rite Aid’s stores sold prescription drugs and a wide assortment of other merchandise, also known as front- end products. In fiscal 2018, prescription drug sales accounted for 65.9 per cent of total drugstore sales.23 Rite Aid had a distribution agreement with McKesson to source and distribute branded and generic drugs. McKesson provided daily, direct-to-store delivery to Rite Aid stores. This agreement was set to expire at the end of March 2019.24 In August 2018, the issue of scale in driving purchasing efficiencies was brought to the forefront; Rite Aid announced that drug purchasing efficiencies were expected to be $80 million lower than estimated.25 Rite Aid, with 2,500 stores in the United States, had a smaller store footprint than its two larger rivals—CVS and Walgreens.26 Brian Tanquilt, an analyst for Jefferies Group LLC (an American investment company), noted: “Rite Aid sold half its stores to Walgreens. When you do that, you have less purchasing power. It’s really a reduction in purchasing scale.”27

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Supplementing Rite Aid’s sales of prescription drugs was its line of front-end products in various categories. These included OTC medications and other products that customers would buy in a drugstore or a convenience store. Rite Aid sold health and beauty aids, personal care products, cosmetics, household products, food, and beverages. To capture a larger share of its customers’ wallets, a growing number of Rite Aid stores had a broader range of health-related items. The average Rite Aid store was 13,600 square feet; 64 per cent of its store network had been remodelled into “Wellness Store” formats, which featured higher-end fixtures, a larger range of clinical pharmacy services, and wellness products. To build customer loyalty, Rite Aid had a “wellness+ rewards” loyalty program. The company also worked with partners to augment its offering: about 59 per cent of all Rite Aid stores had a GNC Holdings Inc. (a vitamin and mineral supplement retailer) store within its footprint.28

Aside from its Rite Aid branded stores, the company had a chain of 39 retail clinics named RediClinic LLC (RediClinic). Acquired in April 2014 and run as a subsidiary, RediClinic had certified health practitioners who could treat up to 30 common medical conditions and provide medical services such as screenings, tests, immunizations, and physical exams. RediClinic aimed to support a local network of physicians who were affiliated with a health care system in a particular market.29

In April 2014, Rite Aid purchased Health Dialog. This subsidiary provided supplementary health care coaching and disease management advice that health plans and employers could offer their members. These services, staffed by nurse practitioners, were accessible by plan members via telephone and a web interface.30

In February 2015, Rite Aid further expanded its services when it purchased Envision Pharmaceutical Services LLC (EnvisionRx), a full-service PBM, from TPG, a private equity firm, for $2 billion in cash and stock. At the time of its purchase, EnvisionRx had $5 billion in revenues.31 EnvisionRX provided PBM services and had software that was licensed to other PBMs in the United States. The company offered mail, specialty, and other pharmacy services through its EnvisionPharmacies service. Through its insurance and national drug plan services, EnvisionRx was positioned to serve the fast-growing Medicare Part D market.32

EnvisionRX “covered about 500,000 lives.”33 In contrast, CVS Caremark’s PBM had 20 million medical health plan members.34 Observers characterized EnvisionRX as “a small, struggling regional PBM with limited growth. Its revenues in 2017 have been declining. There also appears to be no material synergies between Rite Aid’s retail pharmacy business and its Envision PBM.”35

RITE-AID’S NEW STAND-ALONE STRATEGY

In 2018, Rite Aid announced that it would focus on three key initiatives—expanding health care services, leveraging its PBM, and store remodels.36

Rite Aid wanted to expand the role of pharmacists to include delivering wellness services that went beyond filling prescriptions—such as the wellness services offered through Rite Aid’s immunization programs. Another service for customers was OneTrip Refills, in 2017, which allowed patients to refill all of their monthly maintenance medications in a single trip to the pharmacy.37 Rite Aid’s wellness+ rewards was a loyalty program with 13 million customers. In 2018, over 60 per cent of transactions involved a wellness+ rewards card. As part of its efforts to offer a wider range of health clinic services through pharmacies, Rite Aid launched RediClinic facilities inside Rite Aid stores, offering health advice; care for minor illnesses such as coughs, colds, and flu; medical tests; and immunizations.38 Rite Aid was also expanding Health Dialog’s services to third-party payers and employers and providing automated wellness advice and medication therapy management.39

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While there seemed to be few synergies between Rite Aid’s store operations and its EnvisionRX PBM, Rite Aid was focused on continuing to grow the number of lives managed at EnvisionRX. To do this, it needed to offer attractive plans, administer the plans effectively, and be an expert at formulary management. Formulary management was the process of drawing up a list of medications that clinicians could prescribe to their patients. Drugs were chosen on the basis of efficacy, safety, and cost effectiveness.40 EnvisionRxOptions made significant progress in Medicare Part D enrolment by adding approximately 188,000 new lives, as of January 2018. For perspective, EnvisionRx had a six per cent market share in the PBM industry; the largest players were Express Scripts, CVS, and OptumRx, with market shares of 28 per cent, 26 per cent, and 19 per cent, respectively.41

In 2018, the goal was to strengthen Rite Aid as a wellness destination by completing additional Wellness Store remodels. Wellness Stores had updated interior designs, lower shelves, widened aisles, and an expanded offering of clinical pharmacy services, and health and wellness products. Almost two-thirds of Rite Aid’s stores—or, 1,649 stores—were Wellness Stores by the start of 2018. For 2019, Rite Aid aimed to remodel another 132 stores to its Wellness Store format, relocate three stores, and open two new stores.42

Standley indicated that Rite Aid’s new and smaller footprint included stores in 19 states, roughly situated along the East Coast and the West Coast. In four of the states—Pennsylvania, Michigan, Ohio, and Oregon— more than half of the stores were the top-ranking stores in their local markets. In another three states— California, New York, and Washington—40 per cent of the stores were first or second in their markets.43

CHANGING INDUSTRY DYNAMICS

Three emerging trends were likely to have an impact on the industry’s competitive dynamics. First, there seemed to be ongoing interest in vertical integration. The latest example of this was CVS’s purchase of Aetna Inc. (Aetna), an insurance company, for $70 billion on November 28, 2018. CVS indicated that the merger would deliver savings of $750 million within two years of the deal’s closing. The addition of Aetna allowed CVS to offer additional health care services at CVS clinics, offer more coordinated care by working with hospitals and physicians, and harness the data gathered from patients to provide customers with targeted services, such as preventative counselling and health alerts via text messages.44

Second, there were new and well-capitalized entrants looking to gain market share. Amazon announced on June 28, 2018, that it was buying PillPack, an online pharmacy, for $1 billion. PillPack collected, packaged, organized, and delivered drugs to consumers and was licensed to ship prescriptions in 49 states. When the deal was announced, shares of Walgreens, CVS, and Rite Aid lost a collective $11 billion.45 Amazon’s first move was to roll out PillPack’s services to its own workforce of 250,000 US employees.46

Third, there was the threat of disintermediation of insurance and drug delivery. In March 2018, Cigna, another large US health insurer, agreed to buy Express Scripts Holding Company, the largest US PBM, for $52 billion.47 David Cordani, Cigna’s CEO, stated that the acquisition would allow the company to deliver savings by negotiating better drug prices and deliver better coordination of care, and that “the preponderance of all the medical and pharmacy costs savings [will] float to our clients and customers.”48

CONCLUSION

Knowing that the drugstore industry was in turmoil and that Rite Aid had failed to secure a buyer, the incoming chair knew that he needed to review the company’s strategy and its management’s capabilities. In the face of consolidation, vertical integration, and disruption from new entrants, survival was uncertain. Could Rite Aid survive on its own? Would it be feasible to attempt a third merger agreement, or were more radical options needed?

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EXHIBIT 1: LARGEST PHARMACIES BY TOTAL PRESCRIPTION REVENUES

Company Estimated 2017

Prescription Revenues (US$ Billions)

Share of 2017 Prescription

Revenues (%)

Change in Revenues

versus 2016 Primary Dispensing

Format CVS Health Corporation

- Retail Pharmacy 59.5 14.4 −2.1 Chain drugstore/Long-term care pharmacy

- Pharmacy Services 38.6 9.4 8.2 Mail/Specialty pharmacy Walgreens Boots Alliance Inc. 64.3 15.6 13.9 Chain drugstore

Express Scripts Inc. 44.8 10.9 2.5 Mail/Specialty pharmacy

UnitedHealth Group Inc. 21.0 5.1 14.9 Mail/Specialty pharmacy

Walmart Inc. 20.5 5.0 −0.4 Mass merchant with pharmacy Rite Aid Corporation 15.8 3.8 −17.1 Chain drugstore

The Kroger Company 13.1 3.2 6.4 Supermarket with pharmacy Humana Pharmacy Solutions 6.3 1.5 5.0

Mail/Specialty pharmacy

Albertsons Companies Inc. 5.0 1.2 −2.0 Supermarket with pharmacy

Diplomat Pharmacy Inc. 4.5 1.1 2.6 Mail/Specialty pharmacy

Cigna 3.0 0.7 0.4 Mail/Specialty corporation Costco Wholesale Corporation 2.6 0.6 0.5

Mass merchant with pharmacy

Ahold Delhaize 2.2 0.5 −1.4 Supermarket with pharmacy

PharMerica 2.3 0.6 11.8 Long-term care pharmacy

Publix Super Markets Inc. 2.0 0.5 0.5 Supermarket with pharmacy Subtotal (top 15) 305.5 74.0 Total pharmacy industry 412.6 100.0

Many of the largest pharmacies were now central-fill mail and specialty pharmacies operated by such pharmacy benefit managers as Express Scripts Inc., Caremark, and UnitedHealth Group Inc.’s OptumRx. This reflected the growing role of specialty drugs in the pharmacy industry. Specialty drugs were estimated to account for one-third of the pharmacy industry’s revenues in 2017.

Amid the ongoing growth in specialty revenues, dispensing revenues from traditional (non-specialty) drugs declined in 2017. Retail pharmacies that focused on traditional drugs accounted for a majority of the industry’s dispensed prescriptions but a decreasing share of the industry’s revenues.

CVS Health Corporation’s retail and long-term care business declined in 2017, due largely to the company’s non- participation as a preferred pharmacy in many plans. For 2018, these trends would likely reverse because CVS altered its strategy and aimed to become a preferred pharmacy in payer networks.

Walgreens Boots Alliance Inc.’s (Walgreens) US prescription revenues grew in 2017. Its same-store prescription growth was much higher than its peers’ growth. This reflected its aggressive participation in commercial and Medicare Part D narrow networks. Three notable transactions boosted Walgreens’ pharmacy revenues in 2017 and affected 2018 figures: its acquisition of Rite Aid stores, the formation of AllianceRx Walgreens Prime, and its minority investment in PharMerica.

The Kroger Company had been an active acquirer of competing supermarket chains and specialty pharmacies. Consequently, it was the country’s second-largest supermarket and seventh-largest pharmacy.

Source: Adam J. Fein, “The Top 15 U.S. Pharmacies of 2017: Market Shares and Key Developments for the Biggest Companies,” Drug Channels, February 21, 2018, accessed August 23, 2018, www.drugchannels.net/2018/02/the-top-15-us- pharmacies-of-2017-market.html.

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EXHIBIT 2: SAMPLE DRUG ECONOMICS FOR A $612 EPIPEN

Actual Value Retained by Channel % Comments Wholesaler margin $15.20 21 Industry consolidation led to pricing power Retailer margin $26.14 37 Still a healthy margin PBM margin $29.75 42 Will vary on per cent of rebate retained Total value retained by channel $71.09

PBM = pharmacy benefit manager. Source: George Hill and Stephen Hagan, RBC Capital Markets, Healthcare Distribution, 9, September 18, 2017.

EXHIBIT 3: INDUSTRY RATIOS

Industry Financial Ratios April 2013– March 2014

April 2014– March 2015

April 2015– March 2016

April 2016– March 2017

Current ratio 1.8 1.7 1.7 1.7 Days’ receivables 16.3 15.6 16.2 17.8 Days’ inventory 30.4 26.6 27.2 26.6 Days’ payables 21.7 20.2 20.9 20.6 Sales/working capital 16.0 21.7 20.8 17.7 Fixed assets/net worth 0.4 0.3 0.3 0.4 Debt/net worth 2.1 2.6 2.5 2.5 Profit before taxes/net worth (%) 32.5 40.9 42.4 46.7 Profit before taxes/total assets (%) 9.5 11.8 12.9 13.0 Sales/net fixed assets 64.5 83.2 91.8 83.8 Sales/total assets (asset turnover) 4.7 5.0 5.3 5.0 Interest coverage (operating cash) 7.5 8.2 9.4 5.4 Net cash after operations/sales (%) 3.1 3.2 2.9 3.7

2013 2014 2015 2016 Industry revenues (US$ millions) 255,113.9 266,624.9 277,320.8 282,591.7 Industry revenues (growth rate, %) 0.8 4.5 4.0 1.9

Source: Christopher Lombardo, “Pharmacies & Drug Stores in the US – Market Research Report,” 40, IBIS World, May 2019

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EXHIBIT 4: RITE AID CORPORATION, FINANCIAL STATEMENTS (US$ THOUSANDS)

As Reported—Annual Balance Sheet 02/27/2016 03/04/2017 03/03/2018

Cash & cash equivalents 124,471 245,410 447,334 Accounts receivables, gross 1,633,828 1,802,017 1,894,234 Less: allowances for uncollectable accounts 32,820 30,891 25,134 Accounts receivable, net 1,601,008 1,771,126 1,869,100 Inventories, net 2,697,104 2,837,211 1,799,539 Deferred tax assets, current - - - Prepaid expenses & other current assets 128,144 211,541 181,181 Current assets held for sale - - 438,137 Total current assets 4,550,727 5,065,288 4,735,291 Land 221,409 217,112 138,768 Buildings 764,497 754,289 528,026 Leasehold improvements 2,245,307 2,353,066 1,567,635 Equipment 2,416,316 2,512,748 1,795,337 Software 6,111 16,316 25,944 Construction in progress 153,236 71,954 59,635 Gross property, plant & equipment 5,806,876 5,925,485 4,115,345 Less: accumulated depreciation 3,551,478 3,673,793 2,684,099 Property, plant & equipment, net 2,255,398 2,251,692 1,431,246 Goodwill 1,713,475 1,715,479 1,421,120 Other intangibles, net 1,004,379 835,795 590,443 Deferred tax assets 1,539,141 1,505,564 594,019 Other assets 213,890 219,934 217,208 Total assets 11,277,010 11,593,752 8,989,327 Current maturities of long-term debt & lease financing obligations 26,848 21,335 20,761 Accounts payable 1,542,797 1,613,909 1,651,363 Accrued wages, benefits & other personnel costs 457,135 426,097 360,179 Accrued interest 65,729 66,352 65,210 Accrued sales & other taxes payable 155,999 141,420 125,289 Accrued store expense 231,900 202,599 155,354 Accrued reinsurance 166,238 145,904 183,418 Other accrued salaries, wages & other current liabilities 350,249 387,632 342,286 Accrued salaries, wages & other current liabilities 1,427,250 1,370,004 1,231,736 Deferred tax liabilities - - - Current liabilities held for sale - - 560,205 Total current liabilities 2,996,895 3,005,248 3,464,065 Long-term debt, less current maturities 6,914,393 7,263,288 3,340,099 Lease financing obligations, less current maturities 52,895 44,070 30,775 Other noncurrent liabilities 731,399 667,076 553,378 Total liabilities 10,695,582 10,979,682 7,388,317 Common stock 1,047,754 1,053,690 1,067,318 Additional paid-in capital 4,822,665 4,839,854 4,850,712 Retained earnings (accumulated deficit) −5,241,210 −5,237,157 −4,282,471 Accumulated other comprehensive income (loss) −47,781 −42,317 −34,549 Total stockholders' equity (deficit) 581,428 614,070 1,601,010

Source: Rite Aid Corporation, “Company Financials,” Mergent Online, accessed December 26, 2018.

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EXHIBIT 4 (CONTINUED)

As Reported—Annual Income Statement 02/27/2016 03/04/2017 03/03/2018

Revenues 30,736,657 32,845,073 21,528,968 Cost of goods sold 22,910,402 25,071,008 16,748,863 Selling, general & administrative expenses 7,013,346 7,242,359 4,651,262 Lease termination & impairment charges 48,423 55,294 58,765 Goodwill impairment - - 261,727 Interest expense 449,574 431,991 202,768 Loss (gain) on debt retirements, net −33,205 - - Walgreens Boots Alliance Inc. merger termination fee - - 325,000 Gain (loss) on sale of assets, net −3,303 4,024 25,872 Total costs & expenses 30,458,253 32,796,628 21,572,513 Income (loss) from continuing operations before income taxes 278,404 48,445 −43,545 Income tax expense (benefit) 112,939 44,392 305,987 Net income (loss) from continuing operations - - −349,532 Net income (loss) from discontinued operations, net of tax - - 1,293,002 Net income (loss) 165,465 4,053 943,470 Weighted average shares outstanding—diluted 1,042,362 1,060,826 1,049,628 Total number of employees 88,000 87,000 59,000 Number of common stockholders 19,480 18,240 11,432 Number of stores at year end 4,561 4,536 2,550 Number of states with Rite Aid stores 31 31 19 As Reported—Annual Cash Flow

02/27/2016 03/04/2017 03/03/2018 Net income (loss) 165,465 4,053 943,470 Net income (loss) from discontinued operations, net of tax - - −1,293,002 Net income (loss) from continuing operations - - -349,532 Depreciation & amortization 509,212 568,231 386,057 Lease termination & impairment charges 48,423 55,294 58,765 Goodwill impairment - - 261,727 Loss (gain) from lease termination - - - LIFO charges (credits) 11,163 −6,620 -28,827 Loss (gain) on sale of assets, net 3,303 −4,024 -25,872 Stock-based compensation expense (benefit) 37,948 23,482 25,793 Loss on debt retirements, net 33,205 - - Changes in deferred taxes 79,488 35,038 260,411 Excess tax benefit on stock options & restricted stock −22,884 −543 - Accounts receivable 291,659 −166,765 −349,481 Inventories 181,958 −133,543 18,835 Accounts payable −21,187 29,528 211,511 Other assets & liabilities, net −320,351 −178,268 42,083 Net cash flows from operating activities 997,402 225,863 511,470 Payments for property, plant & equipment −541,347 −424,289 −185,879 Intangible assets acquired −128,648 −56,822 −28,885 Acquisition of Health Dialog & RediClinic LLC, net of cash acquired −1,778,377 - -

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EXHIBIT 4 (CONTINUED)

Proceeds from insured loss - - 4,239 Proceeds from sale-leaseback transactions 36,732 - - Proceeds from dispositions of assets & investments 9,782 16,852 27,586 Proceeds from lease termination - - - Proceeds from insured loss - - - Net cash flows from investing activities −2,401,858 −464,259 −182,939 Proceeds from issuance of long-term debt 1,800,000 - - Net (payments to) proceeds from revolver 375,000 330,000 −265,000 Principal payments on long-term debt −672,717 −21,239 -9,882 Change in zero-balance cash account −62,878 43,080 35,605 Net proceeds from issuance of common stock 11,376 6,951 5,796 Payments for the repurchased of preferred stock - - - Financing fees paid for early debt redemption −26,003 - - Excess tax deduction on stock options & restricted stock 22,884 543 - Deferred financing costs paid −34,634 - - Payment for taxes related to net share settlement of equity awards - - −4,103 Net cash flows from financing activities 1,413,028 359,335 −237,584 Operating activities of discontinued operations - - −245,126 Investing activities of discontinued operations - - 3,496,222 Financing activities of discontinued operations - - −3,140,119 Net cash flows from discontinued operations - - 110,977 Increase (decrease) in cash & cash equivalent 8,572 120,939 201,924 Cash & cash equivalents, beginning of year 115,899 124,471 245,410 Cash & cash equivalents, end of year 124,471 245,410 447,334 Cash paid for interest expense, net 403,727 409,692 405,579 Cash payments (refunds) from income taxes, net 4,856 17,081 87,087

Note: LIFO = last in, first out. Source: Rite Aid Corporation, “Company Financials,” Mergent Online, accessed December 26, 2018.

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ENDNOTES

1 This case has been written on the basis of published sources only. Consequently, the interpretation and perspectives presented in this case are not necessarily those of Rite Aid Corporation or any of its employees. 2 All dollar amounts are in US dollars. 3 Joseph N. DiStefano, “Rite-Aid Investors Vote 5–1 against $3M Bonus for CEO Whose Deals Failed,” Philadelphia Inquirer, October 30, 2018, accessed December 28, 2018, www.philly.com/philly/blogs/inq-phillydeals/rite-aid-shareholders-vote- against-executive-pay-package-20181030.html. 4 Bruce Japsen, “Rite Aid, Albertsons Abort Merger on Eve of Shareholders Vote,” Forbes, August 8, 2018, accessed December 26, 2018, www.forbes.com/sites/brucejapsen/2018/08/08/rite-aid-and-albertsons-abort-merger/. 5 Angelica LaVito and Lauren Hirsch, “Amazon Shakes Up Drugstore Business with Deal to Buy Online Pharmacy PillPack,” CNBC, June 28, 2018, accessed December 26, 2018, www.cnbc.com/2018/06/28/amazon-to-acquire-online-pharmacy-pillpack.html. 6 “Top 15 Retailers, Ranked by Total US Sales 2017,” eMarketer Retail, June 28, 2018, accessed August 30, 2019, https://chart-na1.emarketer.com/220697/top-15-retailers-ranked-by-total-us-sales-2017; “Store Count by State,” Walgreens: Newsroom, August 31, 2018, accessed February 12, 2019, https://news.walgreens.com/fact-sheets/store-count-by-state.htm. 7 “Rite Aid Reports Fiscal 2018 Fourth Quarter and Full Year Results,” Rite Aid: Newsroom, April 12, 2018, accessed February 12, 2019, www.riteaid.com/corporate/news/-/pressreleases/news-room/2018/rite-aid-reports-fiscal-2018-fourth-quarter-and-full-year-results. 8 Ana Swanson, “Big Pharmaceutical Companies Are Spending Far More on Marketing than Research,” Washington Post, February 11, 2015, accessed July 15, 2019, www.washingtonpost.com/news/wonk/wp/2015/02/11/big-pharmaceutical- companies-are-spending-far-more-on-marketing-than-research/?noredirect=on&utm_term=.de0e69b5f756; Sasha Mortimer, “Investing into R&D Pays Off for Some of Biotech’s Biggest Companies,” BioSpace, January 2, 2019, accessed July 15, 2019, www.biospace.com/article/investing-into-r-and-d-pays-off-for-some-of-biotech-s-biggest-companies/; John Carroll, “The Top 15 Spenders in the Global Drug R&D Business: 2017,” Endpoint News, April 24, 2017, accessed July 15, 2019, https://endpts.com/special/top-research-budgets-in-pharma-and-biotech. 9 “How Medicare Works with Other Insurance,” Medicare.gov, accessed July 14, 2019, www.medicare.gov/supplements-other- insurance/how-medicare-works-with-other-insurance; “How Part D Works with Other Insurance,” Medicare.gov, accessed July 14, 2019, www.medicare.gov/drug-coverage-part-d/how-part-d-works-with-other-insurance. 10 Kristina Zucchi, “How Express Scripts Makes Money,” Investopedia, July 30, 2019, accessed December 26, 2018, www.investopedia.com/articles/personal-finance/072915/how-express-scripts-makes-money.asp. 11 Adam J. Fein, “2018 MDM Market Leaders | Top Pharmaceutical Distributors,” mdm, accessed July 14, 2019, www.mdm.com/2017-top-pharmaceuticals-distributors. 12 Christopher Lombardo, “Pharmacies & Drug Stores Industry in the US - Market Research Report,” IBIS World, December 2018. 13 Paul Gottlieb, “Three Drug Stores on the Brink: Deal to Involve Rite Aids,” Peninsula Daily News, December 23, 2016, accessed August 22, 2018, www.peninsuladailynews.com/news/three-drug-stores-on-the-brink-deal-to-involves-rite-aids/. 14 “SEC Announces Fraud Charges against Former Rite Aid Senior Management,” U.S. Securities and Exchange Commission, June 21, 2002, accessed August 22, 2018, www.sec.gov/news/press/2002-92.htm. 15 “Management Team,” Rite Aid, accessed August 22, 2018, www.riteaid.com/shop/info/corporate/governance/management-team. 16 “Rite Aid Corp.,” MarketWatch, accessed August 22, 2018, www.marketwatch.com/investing/Stock/RAD/SecFilings?subview=se carticle&sid=4118&guid=7208892&type=1; Rite Aid Corporation, “Form 10-K: For the Fiscal Year Ended March 3, 2018,” United States Securities and Exchange Commission, accessed August 22, 2018, www.riteaid.com/documents/45609410/73421892/annual18.pdf/a272018c-2577-3c9e-0551-4934d2138ce1. 17 Robert Langreth, “Rite Aid Drops after Failed Merger Narrows Drugstore Options,” Bloomberg, August 8, 2018, accessed July 14, 2019, www.bloomberg.com/news/articles/2018-08-09/rite-aid-and-albertsons-scrap-agreement-to-merge-operations. 18 Nathan Bomey, “Walgreens in $17.2B Deal to Acquire Rite Aid,” USA Today, October 27, 2015, accessed August 22, 2018, www.usatoday.com/story/money/2015/10/27/walgreens-rite-aid/74684642/. 19 Jill Disis, “Walgreens Finally Buys Rite Aid Stores in a Diminished Deal,” CNN Money, September 19, 2017, accessed August 22, 2018, https://money.cnn.com/2017/09/19/news/walgreens-rite-aid-deal/index.html. 20 Nathaniel Meyersohn, “Albertsons Agrees to Buy Rite Aid,” CNN Business, February 20, 2018, accessed August 22, 2018, https://money.cnn.com/2018/02/20/news/companies/albertsons-rite-aid/index.html. 21 James F. Peltz, “Albertsons, Which Owns Grocers Vons and Safeway, Is Buying Rite Aid,” Los Angeles Times, February 20, 2018, accessed August 22, 2018, www.latimes.com/business/la-fi-albertsons-rite-aide-20180220-story.html. 22 Japsen, op. cit. 23 Rite Aid, Quarterly Results: Rite Aid Reports Fiscal 2018 Fourth Quarter and Full Year Results, accessed December 26, 2018, www.riteaid.com/corporate/investor-relations/quarterly-results/-/pressreleases/rite-aid-reports-fiscal-2018-fourth- quarter-and-full-year-results. 24 McKesson Corporation, “McKesson and Rite Aid Expand Distribution Agreement,” press release, February 18, 2014, accessed August 23, 2018, www.mckesson.com/about-mckesson/newsroom/press-releases/2014/mckesson-and-rite-aid- expand-distribution-agreement/. 25 “Rite Aid Updates Fiscal 2019 Outlook,” MarketWatch, August 6, 2018, accessed August 22, 2018, www.marketwatch.com/press-release/rite-aid-updates-fiscal-2019-outlook-2018-08-06; RTNews, “Rite Aid Corp. Lowers FY19 Earnings Outlook - Quick Facts,” Markets Insider, August 6, 2018, accessed August 22, 2018, https://markets.businessinsider.com/news/stocks/rite-aid-corp-lowers-fy19-earnings-outlook-quick-facts-1027434380. 26 “Our Story,” Rite Aid, accessed December 26, 2018, www.riteaid.com/about-us/our-story.

For the exclusive use of S. nanje, 2020.

This document is authorized for use only by Schneider nanje in MBA 5320 Spring 2020 taught by Kristina Kushnir, South College from Jun 2020 to Aug 2020.

www.riteaid.com/about-us/our-story
https://markets.businessinsider.com/news/stocks/rite-aid-corp-lowers-fy19-earnings-outlook-quick-facts-1027434380
www.marketwatch.com/press-release/rite-aid-updates-fiscal-2019-outlook-2018-08-06
www.mckesson.com/about-mckesson/newsroom/press-releases/2014/mckesson-and-rite-aid-expand-distribution-agreement/
www.riteaid.com/corporate/investor-relations/quarterly-results/-/pressreleases/rite-aid-reports-fiscal-2018-fourth-quarter-and-full-year-results
www.latimes.com/business/la-fi-albertsons-rite-aide-20180220-story.html
https://money.cnn.com/2018/02/20/news/companies/albertsons-rite-aid/index.html
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www.usatoday.com/story/money/2015/10/27/walgreens-rite-aid/74684642
www.bloomberg.com/news/articles/2018-08-09/rite-aid-and-albertsons-scrap-agreement-to-merge-operations
www.riteaid.com/documents/45609410/73421892/annual18.pdf/a272018c-2577-3c9e-0551-4934d2138ce1
www.marketwatch.com/investing/Stock/RAD/SecFilings?subview=se
www.riteaid.com/shop/info/corporate/governance/management-team
www.sec.gov/news/press/2002-92.htm
www.peninsuladailynews.com/news/three-drug-stores-on-the-brink-deal-to-involves-rite-aids
www.mdm.com/2017-top-pharmaceuticals-distributors
www.investopedia.com/articles/personal-finance/072915/how-express-scripts-makes-money.asp
www.medicare.gov/drug-coverage-part-d/how-part-d-works-with-other-insurance
https://Medicare.gov
www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance
https://Medicare.gov
https://endpts.com/special/top-research-budgets-in-pharma-and-biotech
www.biospace.com/article/investing-into-r-and-d-pays-off-for-some-of-biotech-s-biggest-companies
www.washingtonpost.com/news/wonk/wp/2015/02/11/big-pharmaceutical-companies-are-spending-far-more-on-marketing-than-research/?noredirect=on&utm_term=.de0e69b5f756
www.riteaid.com/corporate/news/-/pressreleases/news-room/2018/rite-aid-reports-fiscal-2018-fourth-quarter-and-full-year-results
https://news.walgreens.com/fact-sheets/store-count-by-state.htm
https://chart-na1.emarketer.com/220697/top-15-retailers-ranked-by-total-us-sales-2017
www.cnbc.com/2018/06/28/amazon-to-acquire-online-pharmacy-pillpack.html
www.forbes.com/sites/brucejapsen/2018/08/08/rite-aid-and-albertsons-abort-merger
www.philly.com/philly/blogs/inq-phillydeals/rite-aid-shareholders-vote-against-executive-pay-package-20181030.html
Page 11 9B19M119

27 Jacob Sonenshine, “Rite Aid Gets Rocked after Cutting Drug Purchasing Efficiencies,” TheStreet, August 6, 2018, accessed December 23, 2018, www.thestreet.com/markets/rite-aid-stock-price-cvs-earnings-14674203. 28 Rite Aid Corporation, ““Form 10-K: For the Fiscal Year Ended March 3, 2018,” op. cit., 7, 9. 29 Rite Aid Corporation, ““Form 10-K: For the Fiscal Year Ended March 3, 2018,” op. cit., 7. 30 Ibid. 31 David Gelles, “Rite Aid to Buy Pharmacy Benefit Manager EnvisionRx,” New York Times, February 11, 2015, accessed July 14, 2019, https://dealbook.nytimes.com/2015/02/11/rite-aid-to-buy-pharmacy-benefit-manager-envisionrx/. 32 Rite Aid Corporation, ““Form 10-K: For the Fiscal Year Ended March 3, 2018,” op. cit. 33 Alison Burdo, “After Walgreens Deal, Rite Aid Focusing on Growing its Pharmacy Benefits Manager,” Philadelphia Business Journal, January 4, 2018, accessed August 23, 2018, www.bizjournals.com/philadelphia/news/2018/01/04/walgreens-rite-aid- envision-rx-pharmacy-benefits.html. 34 Bruce Japsen, “Rite Aid Sees ‘Mid-Sized Market’ Future for its PBM,” Forbes, April 13. 2018, accessed August 23, 2018, www.forbes.com/sites/brucejapsen/2018/04/13/rite-aid-sees-mid-sized-market-future-for-its-pbm/#579d2b033397. 35 Adam J. Fein, “What Will Happen to Rite Aid’s Struggling EnvisionRx PBM?,” Drug Channels, July 25, 2017, accessed August 23, 2018, www.drugchannels.net/2017/07/what-will-happen-to-rite-aids.html. 36 Rite Aid Corporation, ““Form 10-K: For the Fiscal Year Ended March 3, 2018,” op. cit., 9–10. 37 “OneTrip Prescription Refills,” Rite Aid, March 2017, accessed July 15, 2019, www.riteaid.com/articles/onetrip-prescription-refills. 38 Russell Redman, “Rite Aid's RediClinic Opens New Clinics in NJ,” APhA, March 2, 2017, accessed December 21, 2018, www.pharmacist.com/article/rite-aids-rediclinic-opens-new-clinics-nj; “RediClinic,” Rite Aid, accessed December 21, 2018, www.riteaid.com/shop/info/pharmacy/services/rediclinic. 39 “Health Dialog Introduces New Medication Therapy Management Services,” Health Dialog, July 24, 2017 accessed December 21, 2018, www.healthdialog.com/news-events/health-dialog-introduces-new-medication-therapy-management-services. 40 Jerry Barbee Jr., Katy Lauderdale, and Alexis Smith, “Hospital Formulary Management,” Pharmacy Times, September 28, 2017, accessed July 15, 2019, www.pharmacytimes.com/publications/health-system-edition/2017/september2017/hospital- formulary-management. 41 “Select Emerging PBMs Gain Market Share,” Eversana, February 23, 2017, accessed December 28, 2018, www.healthstrategies.com/blog/select-emerging-pbms-gain-market-share. 42 Rite Aid Corporation, “Form 10-K: For the Fiscal Year Ended March 3, 2018,” op. cit., 9. 43 Keith Speights, “Rite Aid Is Outperforming the S&P 500 So Far in 2018: Here Are 5 Reasons Why,” The Motley Fool, January 11, 2018, accessed December 18, 2018, www.fool.com/investing/2018/01/11/rite-aid-is-outperforming-the-sp-500-so-far-in-201.aspx. 44 Angelica LaVito, “CVS Creates New Health-Care Giant as $69 Billion Merger with Aetna Officially Closes,” CNBC, November 28, 2018, accessed January 1, 2019, www.cnbc.com/2018/11/28/cvs-creates-new-health-care-giant-as-69-billion-aetna- merger-closes.html. 46 Angelica LaVito, “CVS CEO Merlo Gets Personal with New Data-Driven Health-Care Model in Aetna Merger,” CNBC, September 20, 2018, accessed January 1, 2019, www.cnbc.com/2018/09/20/cvs-health-ceo-larry-merlo-outlines-vision-for- aetna-acquisition.html. 45 Tae Kim, “Walgreens, CVS and Rite-Aid Lose $11 Billion in Value after Amazon Buys Online Pharmacy PillPack,” CNBC, June 28 2018, accessed August 30, 2019, www.cnbc.com/2018/06/28/walgreens-cvs-shares-tank-after-amazon-buys- online-pharmacy-pillpack.html?&qsearchterm=cvs%20pillpak. 46 Christina Farr, “Amazon’s PillPack May Be Gearing Up to Serve the Retailer’s Employees before Broader Rollout, Analyst Says,” CNBC, November 21, 2018, accessed January 1, 2019, www.cnbc.com/2018/11/21/pillpack-is-applying-for-licenses- as-amazon-expands-pharmacy-business.html; Sara Salinas, “Amazon Raises Minimum Wage to $15 for All US Employees,” CNBC, October 2, 2018, accessed January 1, 2019, www.cnbc.com/2018/10/02/amazon-raises-minimum-wage-to-15-for-all- us-employees.html. 47 Katie Thomas, Reed Abelson, and Chad Bray, “Cigna to Buy Express Scripts in $52 Billion Health Care Deal,” New York Times, March 8, 2018, accessed August 22, 2018, www.nytimes.com/2018/03/08/business/dealbook/cigna-express-scripts.html. 48 “Q&A with Cigna CEO David Cordani on Express Scripts Transaction, ACA Exchanges,” Modern Healthcare, May 19, 2018, accessed January 1, 2019, www.modernhealthcare.com/article/20180519/NEWS/180519930.

For the exclusive use of S. nanje, 2020.

This document is authorized for use only by Schneider nanje in MBA 5320 Spring 2020 taught by Kristina Kushnir, South College from Jun 2020 to Aug 2020.

www.modernhealthcare.com/article/20180519/NEWS/180519930
www.nytimes.com/2018/03/08/business/dealbook/cigna-express-scripts.html
www.cnbc.com/2018/10/02/amazon-raises-minimum-wage-to-15-for-allus-employees.html
www.cnbc.com/2018/11/21/pillpack-is-applying-for-licenses-as-amazon-expands-pharmacy-business.html
www.cnbc.com/2018/06/28/walgreens-cvs-shares-tank-after-amazon-buys-online-pharmacy-pillpack.html?&qsearchterm=cvs%20pillpak
www.cnbc.com/2018/09/20/cvs-health-ceo-larry-merlo-outlines-vision-for-aetna-acquisition.html
www.cnbc.com/2018/11/28/cvs-creates-new-health-care-giant-as-69-billion-aetn-amerger-closes.html
www.fool.com/investing/2018/01/11/rite-aid-is-outperforming-the-sp-500-so-far-in-201.aspx
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www.pharmacytimes.com/publications/health-system-edition/2017/september2017/hospital-formulary-management
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www.pharmacist.com/article/rite-aids-rediclinic-opens-new-clinics-nj
www.riteaid.com/articles/onetrip-prescription-refills
www.drugchannels.net/2017/07/what-will-happen-to-rite-aids.html
www.forbes.com/sites/brucejapsen/2018/04/13/rite-aid-sees-mid-sized-market-future-for-its-pbm/#579d2b033397
www.bizjournals.com/philadelphia/news/2018/01/04/walgreens-rite-aid-envision-rx-pharmacy-benefits.html
https://dealbook.nytimes.com/2015/02/11/rite-aid-to-buy-pharmacy-benefit-manager-envisionrx
www.thestreet.com/markets/rite-aid-stock-price-cvs-earnings-14674203
RITE AID CORPORATION: AN UNCERTAIN FUTURE
THE DRUGSTORE AND PHARMACY INDUSTRY
RITE AID
RITE-AID’S NEW STAND-ALONE STRATEGY
CHANGING INDUSTRY DYNAMICS
CONCLUSION
EXHIBIT 1: LARGEST PHARMACIES BY TOTAL PRESCRIPTION REVENUES
EXHIBIT 2: SAMPLE DRUG ECONOMICS FOR A $612 EPIPEN
EXHIBIT 3: INDUSTRY RATIOS
EXHIBIT 4: RITE AID CORPORATION, FINANCIAL STATEMENTS (US$ THOUSANDS)
ENDNOTES

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