UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 11-K ANNUAL REPORT PURSUANT TO SECTION 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 [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 from _______________ to _________________ Commission File Number: 1-3305 Employer Identification Number: 22-1109110 Plan Number: 004 MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN -------------------------------------------------------------------------------- (Full title of the plan) MERCK & CO., INC. -------------------------------------------------------------------------------- (Name of issuer of the securities held pursuant to the plan) P.O. Box 100 Whitehouse Station, New Jersey 08889-0100 -------------------------------------------------------------------------------- (Address of principal executive office) MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN EMPLOYER IDENTIFICATION NUMBER: 22-1109110 PLAN NUMBER: 004 INDEX PAGE Report of Independent Registered Public Accounting Firm 1 Financial Statements: Statements of Net Assets Available for Benefits as of December 31, 2003 and 2002 2 Statement of Changes in Net Assets Available for Benefits for the Year Ended December 31, 2003 3 Notes to Financial Statements 4 - 9 Supplemental Schedule* H - Line 4 i - Schedule of Assets (Held at End of Year) 10 Signature 11 Exhibit Index 12 Exhibit 23 - Consent of Independent Registered Public Accounting Firm 13 * Other schedules required by Section 2520.103-10 of the Department of Labor Rules and Regulations for Reporting and Disclosure under the Employee Retirement Income Security Act of 1974 are omitted because they are not applicable. REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM To the Participants and Administrator of the Merck & Co., Inc. Employee Stock Purchase and Savings Plan In our opinion, the accompanying statements of net assets available for benefits and the related statement of changes in net assets available for benefits present fairly, in all material respects, the net assets available for benefits of the Merck & Co., Inc. Employee Stock Purchase and Savings Plan (the "Plan") at December 31, 2003 and 2002, and the changes in net assets available for benefits for the year ended December 31, 2003 in conformity with accounting principles generally accepted in the United States of America. 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 of these statements 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, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. Our audits were conducted for the purpose of forming an opinion on the basic financial statements taken as a whole. The supplemental schedule of assets (held at end of year) as of December 31, 2003 is presented for the purpose of additional analysis and is not a required part of the basic 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. The supplemental schedule is the responsibility of the Plan's management. The supplemental schedule has been subjected to the auditing procedures applied in the audits of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole. /s/PricewaterhouseCoopers LLP Florham Park, NJ June 24, 2004 MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS DECEMBER 31, 2003 2002 ASSETS Investment in the Master Trust $296,325,275 $295,114,642 Participant loans at cost 10,826,823 10,049,597 ------------ ------------ Total investments 307,152,098 305,164,239 RECEIVABLES Employer contribution 152,776 146,787 Participant contributions 471,559 472,386 ------------ ------------ Total receivables 624,335 619,173 ------------ ------------ Net assets available for benefits $307,776,433 $305,783,412 ============ ============ The accompanying notes are an integral part of these financial statements. -2- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN STATEMENT OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS YEAR ENDED DECEMBER 31, 2003 ADDITIONS TO NET ASSETS ATTRIBUTED TO Investment loss from the Master Trust Net depreciation in fair value of investments $ (9,844,020) Interest and dividends 7,622,944 ------------- Net investment loss (2,221,076) Contributions to the Plan By participants 23,558,693 By employer 7,377,444 ------------- Total contributions 30,936,137 Transfers in 358,993 ------------- Total additions 29,074,054 ------------- DEDUCTIONS FROM NET ASSETS ATTRIBUTED TO Benefits paid to participants (24,983,988) Transfers out (2,097,045) ------------- Total deductions (27,081,033) ------------- Net increase 1,993,021 NET ASSETS AVAILABLE FOR BENEFITS Beginning of year 305,783,412 ------------- End of year $ 307,776,433 ============= The accompanying notes are an integral part of these financial statements. -3- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS 1. DESCRIPTION OF PLAN The following description of the Merck & Co., Inc. Employee Stock Purchase and Savings Plan (the "Plan") provides only general information. Participants should refer to the Plan document for a more complete description of the Plan's provisions. GENERAL The Plan was designed to provide an easy, economical way for employees to become stockholders of Merck & Co., Inc. (the "Company" or "Merck") as well as a systematic means of saving and investing for the future. Generally, any regular full-time, part-time, or temporary employee of the Company who is a U.S. resident covered by a collective bargaining agreement providing for participation in this Plan as defined by the Plan document, are eligible to participate in the Plan on or after the first day of the third month following commencement of employment. The Plan is administered by a management committee appointed by the Chief Executive Officer of the Company. The Plan is subject to the provisions of the Employee Retirement Income Security Act of 1974 ("ERISA"). MASTER TRUST The assets of the Plan are maintained, for investment purposes only, on a commingled basis with the assets of the Merck & Co., Inc. Employee Savings & Security Plan in the Merck & Co., Inc. Employee Savings & Security Plan and the Merck & Co., Inc. Employee Stock Purchase & Savings Plan Trust (the "Master Trust"). The plans do not own specific Master Trust assets but rather maintain individual beneficial interests in such assets. The portion of fund assets allocable to each plan is based upon the participants' account balance within each plan. Investment income for each fund is allocated to each plan based on the relationship of each plan's beneficial interest in the fund to the total beneficial interest of all plans in the fund. The assets of the Medco Health 401(k) Savings Plan were transferred out of the Master Trust on January 1, 2003. CONTRIBUTIONS Depending on the terms of the applicable collective bargaining agreements, employees earning less than $90,000 are allowed to contribute a maximum of 18% or 25% of base pay. Employees earning $90,000 or more are limited to maximum contributions of 15% of base pay. However, pre-tax contributions shall not exceed the 2003 IRS limit of $12,000. In addition, the Company will match 60% or 65% of employee contributions up to 6% of base pay per pay period as negotiated with each bargaining group. Company matching contributions are invested according to the following age parameters: Under age 50 -- 50% of Company matching contributions are invested in the Merck Common Stock Fund (non-participant directed) and 50% are invested in the funds to which the participant is currently contributing (participant directed). -4- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS Age 50 and above -- Participants have the option to invest all Company matching contributions in any of the available fund options (participant directed), except the Medco Health Common Stock Fund. Also, the Economic Growth and Tax Relief Reconciliation Act of 2001 permits catch-up contributions that are designed to provide individuals age 50 and above with an additional pre-tax retirement savings opportunity. As such, eligible participants in the Plan could contribute an additional $2,000 for 2003. Participants direct the investment of their contributions into any mutual fund investment option available under the Plan as well as Merck Common Stock (participant directed). During 2003, the Plan offered 18 mutual funds, the Medco Health Common Stock Fund and the Merck Common Stock Fund. PARTICIPANT ACCOUNTS Each participant's account is credited with the participant's contribution, the Company's matching contribution and allocation of Plan earnings. The allocation is based on participants' account balances, as defined in the Plan document. VESTING Participants are immediately vested in their contributions, all Company matching contributions, plus actual earnings thereon. PARTICIPANT LOANS Participants may borrow from their account balances with interest charged at the prime rate plus 1%. Loan terms range from one to five years for a short term loan or up to thirty years for the purchase of a primary residence. The minimum loan is $500 and the maximum loan is the lesser of $50,000 less the highest outstanding loan balance(s) during the one year period prior to the new loan application date, or 50% of the participant's account balance less any current outstanding loan balance and defaulted loan amounts. PAYMENT OF BENEFITS In-service (which include hardship withdrawals) and termination distributions are made throughout the year in accordance with applicable Plan provisions. 2. SUMMARY OF ACCOUNTING POLICIES BASIS OF ACCOUNTING The accompanying financial statements are prepared on the accrual basis of accounting. USE OF ESTIMATES The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management believes that these estimates are adequate. Actual results could differ from those estimates. -5- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS INVESTMENT VALUATION AND INCOME RECOGNITION Valuation of investments of the Plan represents the Plan's allocable portion of the Master Trust. Quoted market prices are used to value investments. Participant loans are valued at their outstanding balances, which approximates fair value. Purchases and sales of securities are recorded on a trade-date basis. Dividend income is recorded on the ex-dividend date. CONTRIBUTIONS Employee and Company matching contributions are recorded in the period in which the Company makes the payroll deductions from the participants' earnings. PAYMENT OF BENEFITS Benefits are recorded when paid. EXPENSES The Plan's administrative expenses are paid by the Company. RISKS AND UNCERTAINTIES The Plan provides for various investment options in investment securities. Investment securities, in general, are exposed to various risks, such as interest rate, credit and overall market volatility. Due to the level of risk associated with certain investment securities, it is reasonably possible that changes in the values of investment securities will occur in the near term and that such changes could materially affect the amounts reported in the statements of net assets available for benefits and the statement of changes in net assets available for benefits. 3. NON-PARTICIPANT-DIRECTED INVESTMENTS The non-participant-directed portion of the Company match is invested in the Merck Common Stock Fund. Information about the net assets and the significant components of the changes in net assets relating to the Merck Common Stock Fund is as follows: DECEMBER 31, 2003 2002 Net assets Investment in the Master Trust $ 177,678,728 $ 219,469,019 ============= ============= -6- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2003 Additions to net assets Investment loss from the Master Trust Net depreciation in fair value of investments $ (30,006,454) Interest and dividends (5,906,799) -------------- Net investment loss (35,913,253) Contributions By participants 12,931,347 By employer 5,371,527 -------------- Total contributions 18,302,874 Transfers in 15,484,433 Participant loan repayments 3,338,602 -------------- Total additions 1,212,656 -------------- Deductions from net assets Benefits paid (14,877,041) Transfers out (24,554,662) Participant loan issuance (3,571,244) -------------- Total deductions (43,002,947) -------------- Net decrease $ (41,790,291) ============== 4. RELATED-PARTY TRANSACTIONS Certain Plan investments are shares of mutual funds managed by Fidelity Management Trust Company ("Fidelity"). Fidelity is the trustee as defined by the Plan and, therefore, these transactions qualify as party-in-interest transactions. As of December 31, 2003, the total market value of investments in the mutual funds managed by Fidelity was $48,561,193. Merck & Co., Inc. also is a party-in-interest to the Plan under the definition provided in Section 3(14) of ERISA. Therefore, Merck Common Stock Fund transactions qualify as party-in-interest transactions. As of December 31, 2003, the market value of investments in the Merck Common Stock Fund was $177,294,701. 5. PLAN TERMINATION Although it has not expressed any intent to do so, the Company has the right under the Plan to discontinue its contributions at any time and to terminate the Plan subject to the provisions of ERISA. -7- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS 6. TAX STATUS The Plan obtained a tax determination letter from the Internal Revenue Service dated August 20, 2003 indicating that it had been designed in accordance with applicable sections of the Internal Revenue Code ("IRC"). However, the Plan has been amended since the receipt of the determination letter. The Plan sponsor and legal counsel believe that the Plan is designed and currently operated in compliance with the IRC. Therefore, no provision for income taxes has been made. 7. OTHER MATTERS Transfers in during 2003 of $358,993 consist of transfers between the Plan and the Merck & Co., Inc. Employee Savings & Security Plan for employees who changed their status during the year. Transfers out consist of transfers of $2,097,045 for employees who transferred out to the Merck & Co., Inc. Employee Savings and Security Plan. As a result of the Medco Health Solutions' spin-off in 2003, the Plan's participants who were invested in the Merck Common Stock Fund on the distribution date received a pro rata distribution of 0.1206 unit of the Medco Health Common Stock Fund for each unit of the Merck Common Stock Fund. The Medco Health Common Stock Fund will expire two years from the distribution date. Participants have the option to transfer investments out of the Medco Health Common Stock Fund at any time prior to the expiration date. However, neither future contributions nor existing balances in other investment options can be invested in the Fund. Any remaining balances in this Fund will be transferred automatically to a money market or similar investment fund. 8. MASTER TRUST The Plan had an approximate 10% and 9% interest in the Master Trust at December 31, 2003 and December 31, 2002 respectively. The net assets of the Master Trust are as follows: DECEMBER 31, 2003 2002 Mutual Funds $ 1,783,503,317 $ 1,472,422,521 Medco Health Common Stock 96,729,732 - Merck Common Stock 1,197,321,319 1,651,008,624 Accrued interest and dividends 9,629,922 10,375,281 ---------------- ---------------- $ 3,087,184,290 $ 3,133,806,426 ================ ================ -8- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN NOTES TO FINANCIAL STATEMENTS Total investment income of the Master Trust for the year ended December 31, 2003 is as follows: Investment income, net Interest and dividends $ 60,628,357 Net appreciation in mutual funds 308,154,136 Net appreciation in Medco Health Common Stock 30,830,524 Net depreciation in Merck Common Stock (197,127,500) --------------- Total investment income 202,485,517 =============== -9- MERCK & CO., INC. EMPLOYEE STOCK PURCHASE AND SAVINGS PLAN SCHEDULE H LINE 4i - SCHEDULE OF ASSETS (HELD AT END OF YEAR) EIN: 22-1109110 DECEMBER 31, 2003 PLAN NO.: 004 (c) DESCRIPTION OF INVESTMENT INCLUDING (b) IDENTITY OF ISSUE, BORROWER, MATURITY DATE, RATE OF INTEREST, COLLATERAL, PAR (e) CURRENT (a) LESSOR OR SIMILAR PARTY OR MATURITY VALUE (d) COST VALUE * Participant Loans Interest rates ranging from 5% to 12.5% and with maturities through 2033 - $ 10,826,823 ------------ Total $ 10,826,823 ============ * Denotes a party-in-interest to the Plan. -10- SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the undersigned plan administrator has duly caused this annual report to be signed on behalf of the Merck & Co., Inc. Employee Stock Purchase and Savings Plan by the undersigned hereunto duly authorized. Merck & Co., Inc. Employee Stock Purchase and Savings Plan By: /s/Caroline Dorsa ---------------------------------------- Caroline Dorsa Vice President and Treasurer June 24, 2004 -11- EXHIBIT INDEX Exhibit Number Document Page ------- -------- ---- 23 Consent of Independent Registered Public Accounting Firm 13 -12-