Caring for Our Communities

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2009-2010

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what’s

Board of Directors

Chairman

James E. McLeod, PhD Vice Chancellor for Students and Dean of the College of Arts and Sciences Washington University in St. Louis Members:

Chip Casteel

Senior Vice President, Public Policy St. Louis Regional Chamber and Growth Association

Mimi Hirshberg

Clinical Instructor, School of Nursing University of Missouri – St. Louis Ed Ignaczak

Executive Vice President, Sales and Marketing Express Scripts Susan Lang

Senior Vice President and Chief Supply Chain Officer Pharma and Retail Relations Express Scripts

Larry Zarin

Senior Vice President, Chief Marketing Officer Express Scripts

Susan Schlichter Executive Director

Express Scripts Foundation

Express Scripts employees and the Express Scripts Foundation support numerous community initiatives across the United States.

It is our belief that by focusing on what is possible,

we can help achieve the impossible

.

Since 2002,

the Express Scripts Foundation and Express Scripts

employees have helped change lives in our

communities across the country. Express Scripts

provides grants to fund programs of eligible nonprofit

organizations, particularly those supported by the

volunteer, fundraising and service initiatives

of employees.

Throughout this report you’ll see evidence of our

mission to improve the health, education and quality

of life through community initiatives that:

Provide

access to

health and medical services

for those in need

Educate underserved youth

to prepare them

for success

Provide services for our troops and their families

Strengthen communities

by aiding children and

families in need

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Dear Friends,

Giving back to the communities in which Express Scripts has a significant presence is as vital as the world-class service it provides in making the use of prescription drugs safer and more affordable. As chairman of the Express Scripts Foundation since 2007, I have the privilege of seeing firsthand how the incredible leaders and generous employees of Express Scripts work together to positively influence the lives of many.

Community involvement at Express Scripts is a true partnership between charitable giving and volunteer efforts. Across the country, employee volunteerism benefits organizations such as Big Brothers Big Sisters, the United Services Organization (USO), Junior Achievement, Susan G. Komen for the Cure®,

BESt Summer Pharmacy Institute and the Ronald McDonald House®. We’ve magnified the impact of

these volunteer hours by providing grants from the Express Scripts Foundation.

More than 70 organizations received grants in 2009 and 2010 to fund programs that create healthier communities with a better quality of life, encourage

the next generation of leaders through our focus on education and support our military and their families. Many of these organizations are applying new solutions to old problems, such as CHIPS Health and Wellness Center, which addresses lack of health coverage and high-cost trips to the emergency department with free screenings, preventive care and proactive health education.

In addition, the Express Scripts Foundation responded to the deadly earthquake in Haiti by providing a grant to aid disaster relief. This grant, given to the Red Cross, matched employee donations dollar for dollar.

I am honored to be part of the Express Scripts Foundation. Looking ahead, I will continue my dedication to supporting this organization as it strengthens communities through grants and employee volunteerism. We have much to share, and our efforts make a difference in the lives of individuals, ultimately benefitting the communities we serve, the pharmacy and health care professions, and the business leaders of tomorrow.

Letter From Board Chairman

James E. McLeod, PhD

Board Chairman, Express Scripts Foundation Vice Chancellor for Students and

Dean of the School of Arts and Sciences, Washington University in St. Louis

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CHIPS Health and

Wellness Center

Hemophilia Foundation of

Greater Florida

We have hemophilia patients in

their 20s with false teeth.

Our community needs excellent

dental care for these patients,

and the Foundation grant will

improve their outcomes.

Donna Nicholson Manager,

CuraScript Specialty Pharmacy

CHIPS

provides healthcare

and wellness services to

uninsured patients

CHIPS CEO Judy Bentley embraces a volunteer at a fundraising run/walk, in which numerous Express Scripts employees participate each year.

HEAL

TH & MEDICAL SER

VICES

Dental health is a significant issue for people with hemophilia (a group of congenital bleeding disorders). Lack of dental insurance coverage and the challenge of finding a dentist willing to treat those patients with bleeding disorders results in neglected dental care which can lead to serious health consequences.

A Foundation grant enables the Hemophilia Foundation to educate Florida dentists in providing services to patients with bleeding disorders, develop relationships with dental schools and create a comprehensive list of dentists and oral surgeons who treat people with hemophilia. CHIPS provides healthcare and wellness services to uninsured and underinsured patients throughout Missouri and Southwestern Illinois. By emphasizing wellness screenings, preventive care and regular treatment of diseases such as diabetes and hypertension, CHIPS reports that visits to the emergency room by its patients are drastically reduced, saving taxpayers more than $8.7 million per year.

Awareness of CHIPS – and the number of patients it serves – had been growing each year, and in 2009 CHIPS reached capacity for staff and volunteers. A Foundation grant enabled CHIPS to hire a nurse and a nurse practitioner, allowing the organization to handle more than 50,000 patient visits during 2010. Numerous Express Scripts employee volunteers also serve CHIPS through board leadership, fundraising activities and technology and marketing services.

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Thanks to the efforts of a dedicated committee of Express Scripts volunteers, nearly 1,500 employees participated in the 2010 Susan G. Komen St. Louis Race for the Cure, demonstrating the company’s devotion to the fight against breast cancer. Grants from the Express Scripts Foundation, along with funds raised from the race itself, give women throughout the St. Louis region access to mammography screenings and preventive care.

Susan G. Komen St. Louis

Race for the Cure

®

Rachelle C. Wasserman Manager,

Express Scripts

DSHF provides housing, meals and 24-hour medical care for individuals living with HIV/AIDS in the St. Louis area. The organization’s main building has housing for 36 residents who are too sick to live alone, plus seven other properties that provide housing for approximately 260 residents who are more self-sufficient but still benefit from the organization’s services. A Foundation grant provided staffing, meal service, transportation to medical appointments and around-the-clock protective oversight, which is much more cost-effective than hospitalization.

Doorways Supportive

Housing Facility (DSHF)

Stephen Phelps Development Director, Doorways

Our committee of 42

Express Scripts employee

volunteers pulled together in

ways I have not seen in previous

years to make this campaign run

smoothly, to educate, to raise

money and to spread the word

about breast cancer.

DSHF allows HIV/AIDS

residents to grow stronger

until they can survive

on their own.

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[

Caring for Our Communities

]

Breast HealthCare Center at

Missouri Baptist

Medical Center

One-fourth of the women we

have diagnosed with breast

cancer are under the age of 50.

Diagnosing this disease early gives

women more treatment options.

Sarah Ernsky, RN BSN

Manager,

Breast HealthCare Center at Missouri Baptist Medical Center

HEAL

TH & MEDICAL SER

VICES

The Breast HealthCare Center at Missouri Baptist Medical Center provides mammography screening to uninsured and underinsured women in the St. Louis region. A Foundation grant helped fund the purchase of a new digital mammography van. More women throughout Missouri now have digital screening technology that comes to them, enabling better quality imaging and improved outcomes.

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CASA is a court-authorized non-profit organization that serves the needs of children placed in foster care as a result of parental abuse and neglect. Most children enter foster care with a variety of problems, including health conditions that may have gone undiagnosed or untreated for years. Trained volunteers help family court judges protect the children’s well being while in foster care and speed their passage to safe, permanent and caring homes. In Essex County, NJ, a Foundation grant was used to help the local CASA organization create an innovative program to monitor the health status and treatment needs of 600 foster children. The program helps ensure that children receive benchmark medical exams and ongoing health treatment. It also helps to keep their medical records up-to-date and appropriately transferred if children are moved from one foster home to another. A full-time nurse is in charge of the program and monitors the health status of every child enrolled in it.

Court Appointed Special

Advocates, Inc. (CASA) –

Essex County

Michael Slater

Development Director, CASA – Essex County

The BESt Summer Pharmacy Institute – a joint effort of Barnes-Jewish Hospital, Express Scripts and St. Louis College of Pharmacy – helps prepare multicultural high school students to qualify for area pharmacy schools. This six-week program strengthens knowledge of chemistry and math, analytical reasoning and the pharmacy profession while helping to boost ACT/SAT scores. During 2010, classroom instructors included professors from St. Louis Community College, St. Louis College of Health Careers and the St. Louis College of Pharmacy while the

curriculum added courses that focused on character-building and self-confidence.

Isaac Butler BESt Co-Director and Director of Clinical Programs, Express Scripts

Without the initial and

continuing grants from the

Express Scripts Foundation,

certain students may never

have an opportunity to enter

the pharmacy profession.

BESt Summer

Pharmacy Institute

BESt

educates area youth and

develops future leaders

in healthcare

Health & Medical Services

EDUCA TE U NDERSER VED Y OUTH

Failure to treat children with

vision, hearing, emotional or

developmental problems not only

affects their health . . . it can

also affect performance in school

and success in life. Our nurse and

volunteers have helped children

with these types of conditions,

improving their health and future

prospects at the same time.

BESt Pharmacy Institute helps prepare multicultural high school students to

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BizTown is an actual model town in Tempe, AZ, where fifth- and sixth-grade children come to “work” for the day. A Foundation grant and a donation from the Express Scripts Tempe office created a BizTown pharmacy, where children receive a healthcare card and fill pretend prescriptions. Children play roles as pharmacists, pharmacy technicians and nurses. They are aided by Express Scripts employee volunteers, both in their classroom and at BizTown. Pre- and post-program testing showed an average increase in learning of 29% in the areas of business and economics, careers, money management, teamwork and citizenship.

Junior Achievement BizTown

®

Express Scripts Pharmacy

City Academy in St. Louis initiated a new program to combat the well-documented gap in scientific literacy experienced by many African-American students in kindergarten through 12th_{grade. These students are less}

likely to pursue careers in science because they lack access to engaging instruction.

A Foundation grant helped fund a full-time science teacher, who created a compelling curriculum for grades one through six. The new curriculum meets National Science Education Standards and covers each field of science, each year.

City Academy

Our new science teacher

immediately made a

difference in students’

enthusiasm about and mastery

of scientific concepts

and skills.

Kelly Tyson Principal, City Academy

many students now report:

science is their

favorite class

The new program at City Academy encourages hands-on investigation of scientific principles.

The BizTown pharmacy provides fifth- and sixth-grade students with the opportunity

for additional learning.

4 EDUCA TE U NDERSER VED Y OUTH

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University City Children’s Center (UCCC) in St. Louis County provides innovative education and care for an economically, racially and culturally diverse population of children ranging in age from six weeks to six years. Nearly 70% of families served receive some form of scholarship assistance.

A Foundation grant, along with Express Scripts employee volunteers, helped build a greenhouse and rain garden to give the Center’s children an opportunity to learn healthy eating habits. As children plant seeds, care for plants, journal plant growth, and harvest and eat healthy foods, they experience the wonder of growing vegetables as part of a holistic approach to learning.

University City

Children’s Center

Steve Zwolak

Executive Director,

University City Children’s Center

Our Lady of Guadalupe

Sister Cathy Doherty Director of Religious Education,

Our Lady of Guadalupe Elementary School

Perhaps the most valuable lesson

these children are learning is

empathy and compassion – caring

for living plants and working

together as a team.

We believe this year’s science

fair entries will be much more

advanced, with experiments and

projects rather than simple

written reports.

Children harvest vegetables from the University City

Children’s Center greenhouse and rain garden.

New tools help students at Our Lady of Guadalupe, particularly those who are hands-on learners.

the children

open their minds

to new possibilities

EDUCA TE U NDERSER VED Y OUTH

Our Lady of Guadalupe Elementary School is located one mile from the Express Scripts headquarters campus in St. Louis and serves economically disadvantaged bilingual children from various cultures. A Foundation grant was used to replace outdated science textbooks, provide additional hands-on learning tools and install a SMART Board in the third-grade classroom. These efforts upgraded the level of math and science teaching in all grades and have made a significant difference

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USO of Missouri, Inc.

At the United Services Organization (USO) of Missouri’s center at Lambert-St. Louis International Airport, members of the military have a place where they can relax between flights, access the Internet, receive flight and baggage assistance and even find overnight accommodations.

Eight Express Scripts volunteers assist with fundraising events and staffing the center, and a Foundation grant helped supply food, drinks and other necessities, which provide comfort to members of the military.

The Mission Continues

When veterans return home,

they still want to serve their

country. Our fellowships and

service projects help them

provide a true benefit to

their community, serving

alongside civilians.

Chris Martinez

Director of Volunteer Outreach, The Mission Continues

Through fellowships and service projects, returning veterans discover new ways to serve

their country at The Missions Continues.

The Mission Continues helps returning veterans serve their country in new ways, through fellowship programs and organized service projects. The organization has received national recognition for the innovative ways that it meets the needs of wounded and disabled veterans while benefitting the public around the country.

A Foundation grant will help fund a fellowship in 2011 that will enable a veteran to work for a nonprofit organization for a 14- or 28-week period and receive a stipend while doing so. The grant will also fund local service projects for returning veterans. Express Scripts employees volunteer for these projects.

The USO of Missouri’s center is a “home away from home” for U.S. troops being deployed.

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Military members are risking

their lives to keep us safe, so

providing a safe place for them

is a way to give back.

Ann Stroud

Director of Business Management and Analysis, TRICARE Pharmacy Division,

Express Scripts

Creating a

home away

from home

SERVICES FOR OUR TROOPS

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Big Brothers Big Sisters of the Capital Region in Albany, NY, carefully matches volunteer mentors with children whose personal circumstances create vulnerability to violence, delinquency, low academic achievement and teenage parenthood. Mentors help children make good decisions and work toward a better future.

Five Express Scripts employees from the Troy, NY, site serve as mentors, and seven more are ready to be matched with a child. A Foundation grant helped cover costs for screening volunteers and staffing services which total approximately $1,000 per child match. As a result of good match relationships, more than 75% of children improve academic performance, self-confidence, attitude and behavior.

Big Brothers Big Sisters

Dale was frequently absent from

school and in danger of failing.

We worked together for a year

and I attended his sixth-grade

graduation ceremony. Today,

Dale talks about plans for college.

Chuck Reed

Senior Director, Express Scripts

The YWCA After-School Care Program in North St. Louis incorporates reading skills, nutrition guidance, community involvement and character building to help disadvantaged elementary school children. A Foundation grant helped 83 children increase their academic achievement through personalized tutoring. Children also participate in crafts, games, tae kwon do and theater/dance classes. Children in need also receive a backpack filled with healthy food for the weekend.

YWCA After-School

Care Program

Shalia Ford

Director, Youth Division, YWCA Metro St. Louis

One of our children was

struggling in school with

nonparticipation. The YWCA

program helped her “find her

voice” through a play that was

performed for all of the parents.

Her mother says her daughter’s

newfound confidence shows in

the classroom.

Dale was named

Most Improved

Student

Express Scripts employees who volunteer with Big Brothers Big Sisters help children work

toward a better future.

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The Ronald McDonald House near Penn State Hershey Children’s Hospital provides free meals and lodging to families whose children are receiving treatment at the hospital. A group of Express Scripts employees from the Harrisburg, PA site often prepare meals at the House. During 2009, they raised $3,500 for Ronald McDonald House Charities®_{of Central Pennsylvania through yard}

sales, bake sales and raffles. A Foundation grant provided additional funds to provide meals and housing for families staying at the Ronald McDonald House.

The St. Louis Area Foodbank collects millions of pounds of food each year and helps feed people in need at area soup kitchens, food pantries, emergency shelters and senior centers. The Foodbank serves more than 261,000 people each year.

For years, the Finance Department at Express Scripts has held food drives each winter to benefit the Foodbank. To increase reach and impact, Express Scripts employees created a cookbook with contributed recipes and raised $10,000 through sales. A Foundation grant further increased the organization’s impact.

St. Louis Area Foodbank

With our employee contribution

plus the grant from the

Foundation, the St. Louis Area

Foodbank was able to acquire an

additional 150,000 pounds of

food to feed people in need.

Bill Johnson

Vice President of Internal Audit Services, Express Scripts

Ronald McDonald House

®

Parents as Teachers, the nation’s largest evidence-based home visiting program, is uniquely positioned to help states expand home visiting services for families, provided for within the Affordable Care Act. The legislation aims to improve maternal and newborn health; prevent child injuries, abuse and neglect; improve school readiness; reduce crime or domestic violence and increase family economic self-sufficiency.

A Foundation grant helped provide additional technology infrastructure to improve reporting and documentation of results. The grant also helps enable efficient

communication between the national Parents as Teachers office and the parent educators who work with families across the country.

Parents as Teachers

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The Ronald McDonald House in Hershey, PA is a “home away from home” for families.

Parents as Teachers educators work with families across the country to encourage early childhood

development and growth.

STRENGTHEN COMMUNITIES

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The Express Scripts Foundation

Matching Gifts Program

The Foundation Matching Gifts program gives employees the opportunity to help direct donations to the schools of their choice. It has become an important source of funds for higher educational institutions. As part of the program, the Foundation matches dollar-for-dollar gift donations to eligible educational institutions.

This report contains just a few examples of the many organizations that receive grants from the Express Scripts Foundation each year. It’s our way to give back to the communities where we live and work, supporting organizations that provide opportunities for better, healthier lives.

Let’s continue to focus on what is possible,

and ultimately achieve the impossible.

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Grant Recipients, 2009-2010

www.express-scripts.com

American Diabetes Association American Heart Association American Red Cross, St. Louis Area Chapter Asthma and Allergy Foundation of America, St. Louis Chapter Belle Center of St. Louis

BESt Summer Pharmacy Institute Big Brothers Big Sisters

of the Capital Region

Breast HealthCare Center at Missouri Baptist Medical Center

Canadian Red Cross Casa de Salud City Academy

Challenger Learning Center – St. Louis CHIPS Health and Wellness Center Christian Activity Center

Christian Hospital Foundation College Bound

Court Appointed Special Advocates (CASA) St. Louis County, MO

Essex County, NJ

Doorways Supportive Housing Facility Epworth Children & Family Services Family Support Network

Gateway Greening

Girl Scouts of Eastern Missouri Girls on the Run St. Louis Give Kids a Smile, Inc.

Good Shepherd School for Children Habitat for Humanity®_{St. Louis}

Heat-Up St. Louis, Inc. Hemophilia Foundation of Greater Florida

Herbert Hoover Boys & Girls Club, St. Louis

Independence Center Junior Achievement of Arizona La Clinica Latino Community Health Center

Logos School Lydia’s House March of Dimes®

Maryville University (School of Health Professions)

Mathews-Dickey Boys’ & Girls’ Club Memory Care Home Solutions Mentor St. Louis

Mid-East Area Agency on Aging Foundation Missouri Energycare, Inc.

Missouri Lions Eye Research Foundation National Alliance on Mental Illness National Kidney Foundation, Inc. Northside Community Center, Inc. Operation Food Search

Our Lady of Guadalupe School Our Lady’s Inn

Our Little Haven

Outreach Assistance Serving

Individuals in St. Charles County, Inc. Parents as Teachers

Partnership for Youth, Inc.

Peter & Paul Community Services, Inc. Ronald McDonald House Charities®

of Central Pennsylvania Shriners Hospital for Children®

Society of St. Vincent de Paul St. Louis Area Foodbank

St. Louis Children’s Hospital Foundation St. Louis College of Pharmacy

St. Louis Community College Foundation St. Louis Crisis Nursery

St. Louis Public Library Foundation Susan G. Komen for the Cure®_,

St. Louis Affiliate

Teach for America – St. Louis The Mission Continues

The Salvation Army, Midland Division University City Children’s Center University of Missouri – St. Louis United Service Organization (USO) of Missouri, Inc.

Voices for Children

Volunteers in Medicine, Inc. Women in Charge

YMCA of Greater St. Louis YWCA Metro St. Louis

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