UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 FORM 11-K (Mark One) X ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES ----------- EXCHANGE ACT OF 1934 For the fiscal year ended DECEMBER 31, 2003 OR TRANSITION REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES ------------ EXCHANGE ACT OF 1934 For the transition period form __________ to __________ COMMISSION FILE NUMBER: 000-50371 A. Full title of the plan and the address of the plan, if different from that of the issuer named below: CURATIVE HEALTH SERVICES, INC. EMPLOYEE SAVINGS PLAN B. Name of issuer of the securities held pursuant to the plan and the address of its principal executive office: CURATIVE HEALTH SERVICES, INC. 150 Motor Parkway Hauppauge, NY 11788 INDEX Items 1 through 3 ----------------- Not Applicable Item 4 ------ Financial Statements and Supplemental Schedule for Curative Health Services Inc., Employee Savings Plan Signature --------- Exhibit Description ------- ----------- Exhibit 23.1 Consent of Independent Registered Public Accounting Firm CURATIVE HEALTH SERVICES, INC. EMPLOYEE SAVINGS PLAN FINANCIAL STATEMENTS AND SUPPLEMENTAL SCHEDULE YEARS ENDED DECEMBER 31, 2003 AND 2002 WITH REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM Curative Health Services, Inc. Employee Savings Plan Index to Financial Statements and Supplemental Schedule Years ended December 31, 2003 and 2002 Contents Report of Independent Registered Public Accounting Firm................ 1 Financial Statements Statements of Net Assets Available for Plan Benefits................... 2 Statements of Changes in Net Assets Available for Plan Benefits........ 3 Notes to Financial Statements.......................................... 4 Supplemental Schedule Form 5500, Schedule H, Line 4i--Schedule of Assets Held at End of Year as of December 31, 2003.............................. 9 All other schedules are omitted as they are not applicable or are not required based on the disclosure requirements of the Employee Retirement Income Security Act of 1974, as amended, and applicable regulations issued by the U.S. Department of Labor. Report of Independent Registered Public Accounting Firm To the Administrator of the Curative Health Services, Inc. Employee Savings Plan We have audited the accompanying statements of net assets available for plan benefits of the Curative Health Services, Inc. Employee Savings Plan (the "Plan") as of December 31, 2003 and 2002, and the related statements of changes in net assets available for plan benefits for the years then ended. These financial statements are the responsibility of the Plan's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the net assets available for plan benefits of the Plan at December 31, 2003 and 2002, and the changes in its net assets available for plan benefits for the years then ended, in conformity with U.S. generally accepted accounting principles. Our audits were performed for the purpose of forming an opinion on the financial statements taken as a whole. The accompanying supplemental schedule of assets held at end of year as of December 31, 2003 is presented for purposes of additional analysis and is not a required part of the financial statements but is supplementary information required by the Department of Labor's Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974. This supplemental schedule is the responsibility of the Plan's management. This supplemental schedule has been subjected to the auditing procedures applied in our audits of the financial statements and, in our opinion, is fairly stated in all material respects in relation to the financial statements taken as a whole. /s/ Ernst & Young LLP Melville, New York June 18, 2004 1 Curative Health Services, Inc. Employee Savings Plan Statements of Net Assets Available for Plan Benefits December 31 2003 2002 ------------------------------ Assets Investments, at fair value: Guaranteed Account $ 1,434,267 $ 1,474,482 Money Market Account 746,770 774,443 Bond and Mortgage Account 1,073,079 955,504 International Stock Account 1,024,980 746,151 Real Estate Account 534,687 477,415 Bond Emphasis Balanced Account 350,418 373,215 Principal Financial Group, Inc. Stock Account 512,072 564,061 Government Securities Account 516,379 477,483 Medium Company Value Account 1,713,217 1,390,580 Large Cap Stock Index Account 1,105,747 949,931 Large Cap Blend Account 1,507,846 1,312,230 CHS Stock Account 2,021,242 2,673,661 American Century Income & Growth Account 166,547 50,570 Lifetime Strategic Income Account 21,046 14,623 Lifetime 2010 Account 56,072 45,613 Lifetime 2020 Account 32,982 3,616 Lifetime 2030 Account 23,293 15,565 Lifetime 2040 Account 22,814 13,742 Lifetime 2050 Account 9,986 489 American Century Small Cap Account 298,592 77,869 American Century Ultra Account 182,224 27,633 Fidelity Advisor Mid Cap Account 129,453 39,483 Fidelity Advisor Small Cap Account 121,353 10,377 Medium Company Blend Account 93,919 20,530 Small Company Blend Account 166,627 60,258 Janus Advisor Capital Appreciation Account 70,806 39,339 ------------------------------ Total investments 13,936,418 12,588,863 Participant loans 66,746 110,917 Participants' contributions receivable 52,343 1 ------------------------------ Net assets available for plan benefits $ 14,055,507 $ 12,699,781 ============================== See accompanying notes. 2 Curative Health Services, Inc. Employee Savings Plan Statements of Changes in Net Assets Available for Plan Benefits Year ended December 31 2003 2002 ---------------------------- Additions to net assets: Contributions: Employer $ 134,849 $ 4,519 Participants 1,796,445 1,595,222 ---------------------------- Total contributions 1,931,294 1,599,741 Investment income (loss): Interest and dividend income 74,968 82,059 Net realized and unrealized (depreciation) appreciation in fair value of Company stock (456,706) 675,045 Net realized and unrealized appreciation (depreciation) in fair value of pooled investments 1,713,329 (827,486) ----------------------------- Total investment income (loss) 1,331,591 (70,382) Transfer of assets into plan (Note 1) - 262,596 Other (loss) income (7,629) 246 ---------------------------- Total additions 3,255,256 1,792,201 Deductions from net assets: Benefits paid to participants 1,893,222 2,112,032 Administrative expenses 6,308 5,500 ---------------------------- Total deductions 1,899,530 2,117,532 ---------------------------- Net increase (decrease) 1,355,726 (325,331) Net assets available for plan benefits at beginning of year 12,699,781 13,025,112 ---------------------------- Net assets available for plan benefits at end of year $ 14,055,507 $ 12,699,781 ============================ See accompanying notes. 3 Curative Health Services, Inc. Employee Savings Plan Notes to Financial Statements December 31, 2003 1. Description of the Plan The following description of the Plan provides general information. Participants should refer to the Summary Plan Description for a more complete description of the Plan's provisions. General The Plan is a defined contribution plan and is subject to the provisions of the Employee Retirement Income Security Act of 1974 ("ERISA"). Participation Each employee who was hired before June 1, 1998 became a participant on the enrollment date coincident with or next following the employee's first day of employment. For employees hired on or after June 1, 1998, the general rule is that the employee becomes a participant in the Plan on the enrollment date coincident with or next following the date the employee completes one month of continuous service. Contributions Employee contributions are from 401(k) salary deferrals, which are subject to the limits of the Plan. The employee 401(k) salary deferral shall be a percentage of not less than 1% and not greater than 50% of the annual eligible compensation. For the years ended December 31, 2003 and 2002, the participants' contributions amounted to approximately $1,796,000 and $1,595,000, respectively. Employer contributions are based on a percentage match of 401(k) salary deferrals. Prior to July 1, 2003, Curative Health Services, Inc. ("CHS" or the "Company") matched 25% of the salary deferral up to 1% of an employee's salary. Effective July 1, 2003, CHS matches 50% of the salary deferral up to a maximum match of 2% of an employee's salary. For the years ended December 31, 2003 and 2002, the Company's discretionary contributions amounted to approximately $135,000 and $5,000, respectively. For the years ended December 31, 2003 and 2002, approximately $73,000 and $72,000, respectively, of non-vested account balances were forfeited. These forfeited amounts were used by the Company to offset Company contributions. At December 31, 2003, the Company had approximately $27,000 of forfeitures that will be utilized to offset future Company contributions. 4 Curative Health Services, Inc. Employee Savings Plan Notes to Financial Statements (continued) 1. Description of the Plan (continued) Transfer of Assets During the year ended December 31, 2002, approximately $263,000 of assets were transferred into the Plan. The transfer of these assets was related to the Company's acquisition of eBiocare.com, Inc. Administrative Expense Certain expenses of administering the Plan are paid by the Company. Such expenses were approximately $25,000 for each of the years ended December 31, 2003 and 2002. Participants' Accounts Each participant's account is credited with the participant's contributions and an allocation of Plan earnings. The allocation of Plan earnings is based upon the balance the participant maintains in the selected account. Vesting Participants are immediately 100% vested in their own contributions and earnings thereon. Prior to July 2003, participants became 20% vested in benefits arising from Company contributions after two years of service, 40% vested after three years of service, 60% vested after four years of service, 80% vested after five years of service and 100% vested after six years of service. Effective July 1, 2003, participants become 33% vested in benefits arising from Company contributions after one year of service, 67% vested after two years of services and 100% after three years of service. Payment of Benefits The value of a participant's account is payable to the participant upon retirement or disability or to the participant's beneficiary if death occurs during employment. The value of a participant's contributions and earnings thereon plus all vested matching contributions and earnings thereon are payable upon termination. Payment may be made as installment payments, a lump sum or in the form of an annuity. 5 Curative Health Services, Inc. Employee Savings Plan Notes to Financial Statements (continued) 1. Description of the Plan (continued) Loans Effective November 1, 1994, the Plan adopted a provision whereby active participants can borrow from their Plan accounts once every 12 months at the prime lending rate plus 1% on the date of the loan (4.50% to 9.50% for loans outstanding as of December 31, 2003), provided participants have only one outstanding loan at a time and the participant's vested account balance in the Plan is at least $2,000. The borrowing limit is the lesser of 50% of the participant's vested account balance or $50,000 and must be repaid within five years. Plan Termination Although it has not expressed any intent to do so, the Company has the right under the Plan to terminate the Plan subject to the provisions of ERISA. In the event of termination, all participants' accounts shall become fully vested and distributed in accordance with the provisions of the Plan. 2. Significant Accounting Policies The accounting records of the Plan are maintained on the accrual basis. The Plan maintains its records of investments at fair value, which equals the quoted market price on the last business day of the Plan year. Securities that have no quoted market price are stated at fair value as determined by the custodian. The Guaranteed Account is invested in unallocated insurance contracts, which are valued at contract value as estimated by the Plan's custodian, which approximates fair value. The average yield was approximately 5% for 2003 and 2002. Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. Actual results could differ from those estimates. Reclassifications Certain amounts in the 2002 financial statements have been reclassed to conform with the 2003 presentation. 6 Curative Health Services, Inc. Employee Savings Plan Notes to Financial Statements (continued) 3. Investments The Plan's investments are held in custody by Principal Life Insurance Company except for the CHS stock account which is trusteed by Banker's Trust. The participants of the Plan may elect to have their accounts invested in any combination (in 5% increments) of the following investment alternatives: Guaranteed Account Lifetime Strategic Income Account Money Market Account Lifetime 2010 Account Bond and Mortgage Account Lifetime 2020 Account International Stock Account Lifetime 2030 Account Real Estate Account Lifetime 2040 Account Bond Emphasis Balanced Account Lifetime 2050 Account Principal Financial Group, Inc. Stock Account American Century Small Cap Account Government Securities Account American Century Ultra Account Medium Company Value Account Fidelity Advisor Mid Cap Account Large Cap Stock Index Account Fidelity Advisor Small Cap Account Large Company Blend Account Medium Company Blend Account CHS Stock Account Small Company Blend Account American Century Income & Growth Account Janus Advisor Capital Appreciation Account Investment earnings are automatically reinvested into the fund from which they were derived. Effective July 1, 2003, participants can no longer enroll in CHS common stock as an investment fund. Current balances may be maintained by participants, but no future contributions can be made. 4. Income Tax Status The Plan has received a determination letter from the Internal Revenue Service dated May 5, 2001, stating that the Plan is qualified under Section 401(a) of the Internal Revenue Code (the "Code") and, therefore, the related trust is exempt from taxation. The Plan has been amended since receiving the determination letter. Once qualified, the Plan is required to operate in conformity with the Code to maintain its qualification. The Plan sponsor has indicated that it will take necessary steps, if any, to maintain the Plan's qualified status. 7 Supplemental Schedule EIN #510467366 Plan #001 Curative Health Services, Inc. Employee Savings Plan Form 5500, Schedule H, Line 4i--Schedule of Assets Held at End of Year As of December 31, 2003 Identity of Issuer, Borrower, Current Lessor or Similar Party Description of Investment Value ----------------------------------------------------------------------------------------------------------- Principal Life Insurance Company* Insurance Company General Guaranteed Interest $ 1,434,267 Principal Life Insurance Company* Pooled Separate Accounts Money Market 746,770 Principal Life Insurance Company* Pooled Separate Accounts Bond and Mortgage 1,073,079 Principal Life Insurance Company* Pooled Separate Accounts Government Securities 516,379 Principal Life Insurance Company* Pooled Separate Accounts Bond Emphasis Balanced 350,418 Principal Life Insurance Company* Pooled Separate Accounts Large Cap Stock Index 1,105,747 Principal Life Insurance Company* Pooled Separate Accounts Medium Company Value 1,713,217 Principal Life Insurance Company* Pooled Separate Accounts Real Estate 534,687 Principal Life Insurance Company* Pooled Separate Accounts Large Cap Blend 1,507,846 Principal Life Insurance Company* Pooled Separate Accounts International Stock 1,024,980 Principal Life Insurance Company* Pooled Separate Accounts Principal Financial Group Inc. Stock 512,072 Principal Life Insurance Company* Pooled Separate Accounts American Century Income & Growth 166,547 Principal Life Insurance Company* Pooled Separate Accounts Lifetime Strategic Income 21,046 Principal Life Insurance Company* Pooled Separate Accounts Lifetime 2010 56,072 Principal Life Insurance Company* Pooled Separate Accounts Lifetime 2020 32,982 Principal Life Insurance Company* Pooled Separate Accounts Lifetime 2030 23,293 9 Curative Health Services, Inc. Employee Savings Plan Form 5500, Schedule H, Line 4i--Schedule of Assets Held at End of Year (continued) As of December 31, 2003 Identity of Issuer, Borrower, Current Lessor Similar Party Description of Investment Value ----------------------------------------------------------------------------------------------------------- Principal Life Insurance Company* Pooled Separate Accounts Lifetime 2040 $ 22,814 Principal Life Insurance Company* Pooled Separate Accounts Lifetime 2050 9,986 Principal Life Insurance Company* Pooled Separate Accounts American Century Sm Cap 298,592 Principal Life Insurance Company* Pooled Separate Accounts American Century Ultra 182,224 Principal Life Insurance Company* Pooled Separate Accounts Fidelity Advisor Mid Cap 129,453 Principal Life Insurance Company* Pooled Separate Accounts Fidelity Advisor Small Cap 121,353 Principal Life Insurance Company* Pooled Separate Accounts Janus Advisor Cap Appreciation 70,806 Principal Life Insurance Company* Pooled Separate Accounts Medium Company Blend 93,919 Principal Life Insurance Company* Pooled Separate Accounts Small Company Blend 166,627 Curative Health Services, Inc. Employer Security Curative Common Stock 2,021,242 Plan Participants Participant Loans (range of interest rates 4.50% to 9.50%) 66,746 ------------ $ 14,003,164 ============ * Party-in-interest transactions. This schedule should be read in conjunction with the accompanying financial statements and notes thereto. 10 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the Plan Administrator has duly caused this annual report to be signed on its behalf by the undersigned hereunto duly authorized. Date: June 28, 2004 CURATIVE HEALTH SERVICES, INC. EMPLOYEE SAVINGS PLAN by: CURATIVE HEALTH SERVICES, INC. /s/ Thomas Axmacher ------------------------------ Thomas Axmacher Plan Administrator