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Catalyst Health Solutions, Inc. (ticker: CHSI, exchange: NASDAQ Global Select Market (.O)) News Release - 29-Jul-2003

HealthExtras Reports Record Second Quarter Results; Revenues Up 70% and Net Income Up 132% Over Prior Year

ROCKVILLE, Md.--(BUSINESS WIRE)--July 29, 2003--HealthExtras, Inc. (NASDAQ:HLEX), a pharmacy benefit management company, today announced its financial results for the second quarter ended June 30, 2003.

    Second Quarter Highlights

    --  Net income for the second quarter 2003 was $2.2 million or
        $.07 per share, a 132% increase over comparable after-tax
        second quarter 2002 earnings of $947,000 ($1.5 million as
        reported).

    --  Revenues for the second quarter 2003 totaled $94.1 million, a
        70% increase over second quarter 2002 revenues of $55.2
        million.

    --  Over 2.0 million prescriptions were processed during the
        quarter and total earnings before interest, taxes,
        depreciation, and amortization (EBITDA) were $4.3 million.

"We are pleased with the Company's financial performance," said David T. Blair, Chief Executive Officer of HealthExtras. "This quarter's strong financial performance was driven by new client additions, high generic utilization, increased formulary compliance, and the continued integration of PNNC, our most recent acquisition."

Operating income for the six months ended June 30, 2003 increased to $6.9 million a 214% increase over the $2.2 million from the same period in 2002. The financial results were consistent with management's expectations, and the Company confirms that it is on track to achieve its previously stated 2003 financial guidance of approximately $375 million in revenues and earnings of $.30 per share.

The Company generated cash from operations of $13.0 million for the six months ended June 30, 2003. "While year over year increases in revenues and earnings are significant, it is also important to note that segment margins and operating cash flow objectives are also on target", added Blair.

About HealthExtras (www.healthextras.com)

HealthExtras, Inc., a pharmacy benefit management company, currently provides benefits to over two million members and the Company's clients include managed care organizations, large employer groups, unions, government agencies and individual consumers.

The Company's integrated pharmacy benefit management services include: claims processing, mail order services, benefit design consultation, drug utilization review, formulary management and drug data analysis services. Additionally, the Company operates a national retail pharmacy network with over 53,000 participating pharmacies.

This press release contains forward-looking information. The forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Act of 1995. Forward-looking statements may be significantly impacted by certain risks and uncertainties described in HealthExtras' filings with the Securities and Exchange Commission.

Financial Information Follows:

 HealthExtras, Inc.
Balance Sheet Information as of June 30, 2003
--------------------------------------------------------

Assets

 Current assets:
 Cash and cash equivalents                                $26,162,251
 Accounts receivable                                       39,824,162
 Income taxes receivable                                    1,644,580
 Deferred income taxes                                      1,286,313
 Deferred charges                                           1,969,137
 Other current assets                                       1,199,076
                                                         -------------

     Total current assets                                  72,085,519

 Fixed assets, net                                          3,398,537
 Deferred income taxes                                      1,636,104
 Intangible assets, net                                    13,777,773
 Goodwill                                                  33,666,142
 Restricted cash                                            1,000,000
 Other assets                                                 840,909
                                                         -------------

 Total assets                                            $126,404,984
                                                         =============

 Liabilities and stockholders' equity

 Current liabilities:
 Accounts payable                                         $40,943,439
 Accrued expenses and other current liabilities             2,231,203
 Deferred revenue                                           5,227,282
                                                         -------------

     Total current liabilities                             48,401,924

 Notes payable                                             14,000,000
                                                         -------------

       Total liabilities                                   62,401,924
                                                         -------------

 Stockholder's equity:
 Common stock                                                 324,141
 Additional paid-in capital                                70,810,251
 Retained deficit                                          (7,131,332)
                                                         -------------

     Total stockholder's equity                            64,003,060
                                                         -------------

 Total liabilities and stockholders' equity              $126,404,984
                                                         =============





 Income Statement

                                     For the quarter   For the quarter
                                         ended             ended
                                     June 30, 2002 June 30, 2003

 Revenue                                $55,248,679 $94,114,780
                                    ----------------  ----------------

 Direct expenses                         44,658,926        83,863,324
 Selling, general & administrative        9,003,208         6,492,387
                                    ----------------  ----------------

   Total operating expenses              53,662,134        90,355,711
                                    ----------------  ----------------

   Operating income                       1,586,545         3,759,069

 Interest expense, net                       59,738           114,330
                                    ----------------  ----------------

 Income before income taxes               1,526,807         3,644,739

Provision for income taxes                        -         1,407,000
                                    ----------------  ----------------

Net income                               $1,526,807 $2,237,739
                                    ================  ================

EPS - basic                                   $0.05 $0.07
EPS - diluted                                 $0.05 $0.07

Weighted average common shares               32,291            32,403
basic (in thousands)

Weighted average common shares               32,501            33,280
diluted (in thousands)

    CONTACT: HealthExtras, Inc. Aaron Finch, 301-548-2900
             AFinch@HealthExtras.com

    SOURCE: HealthExtras, Inc.