Cerner Reports Third Quarter 2019 Results

Published

All Key Metrics Within Company Guidance Ranges

KANSAS CITY, Mo., Oct. 24, 2019 (GLOBE NEWSWIRE) -- Cerner Corporation (Nasdaq: CERN) today announced results for the 2019 third quarter that ended Sept. 28, 2019.

Bookings in the third quarter of 2019 were at the high-end of the company’s expectations at $1.651 billion.

Third quarter 2019 revenue was $1.429 billion, an increase of 7% compared to $1.340 billion in the third quarter of 2018, and in line with the company’s expectations.

On a U.S. Generally Accepted Accounting Principles (GAAP) basis, third quarter 2019 net earnings were $81.9 million and diluted earnings per share were $0.26. Third quarter 2018 GAAP net earnings were $169.4 million and diluted earnings per share were $0.51.   

Adjusted Net Earnings for third quarter 2019 were $211.7 million, compared to $209.4 million of Adjusted Net Earnings in the third quarter of 2018. Adjusted Diluted Earnings Per Share were $0.66 in the third quarter of 2019, in line with the company’s expectations and up 5% compared to $0.63 of Adjusted Diluted Earnings Per Share in the year-ago quarter.

Adjusted Net Earnings and Adjusted Diluted Earnings Per Share are not recognized terms under GAAP.  These non-GAAP financial measures should not be substituted for GAAP net earnings or GAAP diluted earnings per share, respectively, as measures of Cerner’s performance, but instead should be utilized as supplemental measures of financial performance in evaluating our business. Please see the accompanying schedule, titled “Reconciliation of GAAP Results to Non-GAAP Results,” where our non-GAAP financial measures are defined and reconciled to the most comparable GAAP measures.

Other Highlights:

  • Third quarter operating cash flow of $351.4 million and Free Cash Flow of $174.4 million. Free Cash Flow is a non-GAAP financial measure defined as GAAP cash flows from operating activities less capital purchases and capitalized software development costs. Please see the accompanying schedule, titled “Reconciliation of GAAP Results to Non-GAAP Results.”
  • Third quarter days sales outstanding of 74 days, down from 78 days in the second quarter and 82 days in the year-ago quarter.
  • Total backlog of $13.31 billion

“I am pleased with our execution in the third quarter as we again delivered against the expectations we set while also continuing to advance Cerner’s broader transformation,” said Brent Shafer, chairman and CEO, Cerner  “I believe the balanced focus of near-term operational improvements combined with our innovation and growth strategies position Cerner to deliver sustainable and profitable growth.”

Future Period GuidanceCerner currently expects:

  • Fourth quarter 2019 revenue between $1.410 billion and $1.460 billion.
  • Fourth quarter 2019 Adjusted Diluted Earnings Per Share between $0.73 and $0.75. *
  • Fourth quarter 2019 new business bookings between $1.450 billion and $1.650 billion.
  *Future period non-GAAP guidance includes adjustments for items not indicative of our core operations, which may include, without limitation, items included in the accompanying schedule, titled “Reconciliation of GAAP Results to Non-GAAP Results.” Such adjustments may be affected by changes in ongoing assumptions and judgments, as well as nonrecurring, unusual or unanticipated charges, expenses or gains or other items that may not directly correlate to the underlying performance of our business operations. The exact amounts of these adjustments are not currently determinable but may be significant. It is therefore not practicable to provide the comparable GAAP measures or reconcile this non-GAAP guidance to the most comparable GAAP measures.

Earnings Conference CallCerner will host an earnings conference call to provide additional detail on the company’s results and outlook at 3:30 p.m. CT on Oct. 24, 2019. On the call, Cerner will discuss its third quarter 2019 results and answer questions from the investment community. The call may also include discussion of Cerner developments, and forward-looking and other material information about business and financial matters. The dial-in number for the conference call is (678) 509-7542; the passcode is Cerner. Cerner recommends joining the call 15 minutes early for registration.  

An audio webcast will be available live and archived on Cerner’s website at www.cerner.com under the About Us section (click Investor Relations, then Presentations and Webcasts).

About CernerCerner’s health technologies connect people and information systems at more than 27,500 contracted provider facilities worldwide dedicated to creating smarter and better care for individuals and communities. Recognized globally for innovation, Cerner assists clinicians in making care decisions and assists organizations in managing the health of their populations. The company also offers an integrated clinical and financial system to help manage day-to-day revenue functions, as well as a wide range of services to support clinical, financial and operational needs, focused on people. For more information, visit Cerner.com, The Cerner Blog, The Cerner Podcast or connect on Facebook, Instagram, LinkedIn or Twitter.  Nasdaq: CERN. Smarter Care. Better Outcomes. Healthier You.

Certain trademarks, service marks and logos set forth herein are property of Cerner Corporation and/or its subsidiaries.

All statements in this press release that do not directly and exclusively relate to historical facts constitute forward-looking statements.  These forward-looking statements are based on the current beliefs, expectations and assumptions of Cerner's management with respect to future events and are subject to a number of significant risks and uncertainties.  It is important to note that Cerner's performance, and actual results, financial condition or business could differ materially from those expressed in such forward-looking statements. The words “expects”, “guidance”, “position”, “believe”, “expectations”, “plan”, “outlook”, “future”, “approximately”, “targeted”, “intend”, “potential”, “opportunity” or the negative of these words, variations thereof or similar expressions are intended to identify such forward-looking statements. For example, our forward-looking statements include statements regarding future period guidance.  Factors that could cause or contribute to such differences include, but are not limited to the possibility of significant costs and reputational harm related to product-related liabilities; potential claims for system errors and warranties; the possibility of interruption at our data centers or client support facilities, or those of third parties with whom we have contracted (such as public cloud providers), that could expose us to significant costs and reputational harm; the possibility of increased expenses, exposure to legal claims and regulatory actions and reputational harm associated with a cyberattack or other breach in our IT security or the IT security of third parties on which we rely; our proprietary technology may be subject to claims for infringement or misappropriation of intellectual property rights of others, or may be infringed or misappropriated by others; potential claims or other risks associated with relying on open source software in our proprietary software solutions or technology-enabled services; material adverse resolution of legal proceedings or other claims; risks associated with our global operations, including without limitation greater difficulty in collecting accounts receivable; risks associated with fluctuations in foreign currency exchange rates; changes in tax laws, regulations or guidance that could adversely affect our tax position and/or challenges to our tax positions in the U.S. and non-U.S. countries; risks associated with the unexpected loss or recruitment and retention of key personnel or the failure to successfully develop and execute succession planning to assure transitions of key associates and their knowledge, relationships and expertise; risks related to our dependence on strategic relationships and third party suppliers; risks inherent with business acquisitions and combinations and the integration thereof into our business or relating to disputes involving such acquisitions or combinations; risks associated with volatility and disruption resulting from global economic or market conditions; significant competition and our ability to quickly respond to market changes, changing technologies and evolving pricing and deployment methods and to bring competitive new solutions, devices, features and services to market in a timely fashion; managing growth in the new markets in which we offer solutions, health care devices or services; long sales cycles for our solutions and services; risks inherent in contracting with government clients, including without limitation, complying with strict compliance and disclosure obligations, navigating complex procurement rules and processes and defending against bid protests; risks associated with our outstanding and future indebtedness, such as compliance with restrictive covenants, which may limit our flexibility to operate our business; changes in accounting standards; the potential for losses resulting from asset impairment charges; changing political, economic, regulatory and judicial influences, which could impact the purchasing practices and operations of our clients and increase costs to deliver compliant solutions and services; non-compliance with laws, government regulation or certain industry initiatives or failure to deliver solutions or services that enable our clients to comply with laws or regulations applicable to their businesses; variations in our quarterly operating results; potential variations in our sales forecasts compared to actual sales; volatility in the trading price of our common stock and the timing and volume of market activity; inability to manage organizational change and reduce expenses and costs to the extent currently anticipated; risks that Cerner’s revenue growth may be lower than anticipated and/or that the mix of revenue shifts to low margin revenue; risk that our capital programs will not be fully implemented or enhance long-term shareholder value; and risks that Cerner’s business may be negatively affected as a result of future proxy fights or the actions of activist shareholders. Additional discussion of these and other risks, uncertainties and factors affecting Cerner's business is contained in Cerner's filings with the Securities and Exchange Commission. The reader should not place undue reliance on forward-looking statements, since the statements speak only as of the date that they are made. Except as required by law, Cerner undertakes no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events, or changes in our business, results of operations or financial condition over time.

Investor Contact:  Allan Kells, (816) 201-2445, akells@cerner.comMedia Contact:  Misti Preston, (816) 299-2037, misti.preston@cerner.com  

             
CERNER CORPORATION AND SUBSIDIARIES 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS 
For the three and nine months ended September 28, 2019 and September 29, 2018 
(unaudited)            
             
(In thousands, except per share data)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Revenues   $ 1,429,428   $ 1,340,073     $ 4,250,366   $ 4,000,661  
Costs of revenue     271,778     230,332       793,655     700,393  
Margin     1,157,650     1,109,741       3,456,711     3,300,268  
             
Operating expenses            
Sales and client service     707,743     605,946       2,026,825     1,830,999  
Software development     187,526     172,297       548,934     502,192  
General and administrative     152,321     102,789       398,305     290,547  
Amortization of acquisition-related intangibles     21,283     21,553       64,809     65,872  
Total operating expenses     1,068,873     902,585     3,038,873     2,689,610  
             
Operating earnings     88,777     207,156       417,838     610,658  
             
Other income, net     13,535     6,943       44,973     18,404  
             
Earnings before income taxes     102,312     214,099       462,811     629,062  
Income taxes     (20,377 )   (44,718 )     (87,688 )   (130,323 )
Net earnings   $ 81,935   $ 169,381     $ 375,123   $ 498,739  
             
Basic earnings per share   $ 0.26   $ 0.51     $ 1.17   $ 1.51  
             
Basic weighted average shares outstanding     315,876     329,342       320,282     330,789  
             
Diluted earnings per share   $ 0.26   $ 0.51     $ 1.16   $ 1.49  
             
Diluted weighted average shares outstanding     319,113     332,937       323,361     334,493  
             
Note 1: Our revenues by business model for the three and nine months ended September 28, 2019 and September 29, 2018 were as follows:
             
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Licensed software   $ 154,533   $ 139,888     $ 506,123   $ 447,095  
Technology resale     70,175     60,378       186,450     199,011  
Subscriptions     91,904     79,115       265,965     238,702  
Professional services     507,455     456,725       1,483,201     1,345,311  
Managed services     302,435     302,000       904,479     855,857  
Support and maintenance     277,294     277,780       830,668     841,300  
Reimbursed travel     25,632     24,187       73,480     73,385  
Total revenues   $ 1,429,428   $ 1,340,073     $ 4,250,366   $ 4,000,661  
             

             
CERNER CORPORATION AND SUBSIDIARIES 
RECONCILIATION OF GAAP RESULTS TO NON-GAAP RESULTS 
For the three and nine months ended September 28, 2019 and September 29, 2018 
(unaudited)            
             
ADJUSTED OPERATING EXPENSES
             
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Operating expenses (GAAP)   $ 1,068,873   $ 902,585     $ 3,038,873   $ 2,689,610  
             
Share-based compensation expense     (31,782 )   (26,882 )     (77,651 )   (79,620 )
Health Services acquisition-related amortization     (20,612 )   (20,685 )     (62,571 )   (62,833 )
Organizational restructuring and other expense     (117,403 )   (2,924 )     (174,396 )   (2,924 )
Charge related to client dispute               (20,000 )    
Vendor settlement               (6,791 )    
             
Adjusted Operating Expenses (non-GAAP)   $ 899,076   $ 852,094     $ 2,697,464   $ 2,544,233  
             
ADJUSTED OPERATING EARNINGS AND ADJUSTED OPERATING MARGIN
             
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Operating earnings (GAAP)   $ 88,777   $ 207,156     $ 417,838   $ 610,658  
             
Share-based compensation expense     31,782     26,882       77,651     79,620  
Health Services acquisition-related amortization     20,612     20,685       62,571     62,833  
Organizational restructuring and other expense     117,403     2,924       174,396     2,924  
Charge related to client dispute               20,000      
Vendor settlement               6,791      
             
Adjusted Operating Earnings (non-GAAP)   $ 258,574   $ 257,647     $ 759,247   $ 756,035  
             
Operating Margin (GAAP)     6.21 %   15.46 %     9.83 %   15.26 %
             
Adjusted Operating Margin (non-GAAP)     18.09 %   19.23 %     17.86 %   18.90 %
             
ADJUSTED NET EARNINGS AND ADJUSTED DILUTED EARNINGS PER SHARE
             
(In thousands, except per share data)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Net earnings (GAAP)   $ 81,935   $ 169,381     $ 375,123   $ 498,739  
             
Pre-tax adjustments for Adjusted Net Earnings:            
Share-based compensation expense     31,782     26,882       77,651     79,620  
Health Services acquisition-related amortization     20,612     20,685       62,571     62,833  
Organizational restructuring and other expense     117,403     2,924       174,396     2,924  
Charge related to client dispute               20,000      
Vendor settlement               6,791      
Investment gains     (8,722 )         (24,231 )    
             
After-tax adjustments for Adjusted Net Earnings:            
Income tax effect of pre-tax adjustments     (32,079 )   (10,545 )     (60,411 )   (30,098 )
Share-based compensation permanent tax items     727     121       (6,961 )   (3,615 )
             
Adjusted Net Earnings (non-GAAP)   $ 211,658   $ 209,448     $ 624,929   $ 610,403  
             
Diluted weighted average shares outstanding     319,113     332,937       323,361     334,493  
             
Adjusted Diluted Earnings Per Share (non-GAAP)   $ 0.66   $ 0.63     $ 1.93   $ 1.82  
             
FREE CASH FLOW
             
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Cash flows from operating activities (GAAP)   $ 351,448   $ 338,454     $ 875,524   $ 1,047,120  
Capital purchases     (110,714 )   (116,957 )     (388,588 )   (305,951 )
Capitalized software development costs     (66,382 )   (66,171 )     (211,284 )   (209,122 )
Free Cash Flow (non-GAAP)   $ 174,352   $ 155,326     $ 275,652   $ 532,047  
             
Cash flows from investing activities (GAAP)   $ (145,100 ) $ (350,912 )   $ (436,387 ) $ (562,094 )
             
Cash flows from financing activities (GAAP)   $ (407,953 ) $ 4,576     $ (312,805 ) $ (345,704 )
             
Explanation of Non-GAAP Financial Measures            
             
We report our financial results in accordance with accounting principles generally accepted in the United States of America ("GAAP"). However, we supplement our GAAP results with certain non-GAAP financial measures, which we believe enable investors to better understand and evaluate our ongoing operating results and allows for greater transparency in the review and understanding of our overall financial, operational and economic performance. These non-GAAP financial measures are not meant to be considered in isolation, as a substitute for, or superior to GAAP results and investors should be aware that non-GAAP measures have inherent limitations and should be read only in conjunction with Cerner's consolidated financial statements prepared in accordance with GAAP. These non-GAAP measures may also be different from similar non-GAAP financial measures used by other companies and may not be comparable to similarly titled captions of other companies due to potential inconsistencies in the method of calculations. We provide the measures of Adjusted Operating Expenses, Adjusted Operating Earnings, Adjusted Operating Margin, Adjusted Net Earnings and Adjusted Diluted Earnings Per Share as such measures are used by management, along with GAAP results, to analyze Cerner's business, make strategic decisions, assess long-term trends on a comparable basis, and for management compensation purposes. We provide the measure of Free Cash Flow as such measure takes into account certain capital expenditures necessary to operate our business. Free Cash Flow is used by management, along with GAAP results, to analyze our earnings quality and overall cash generation of the business, and for management compensation purposes.
             
We calculate each of our non-GAAP financial measures as follows:
             
Adjusted Operating Expenses - Consists of GAAP operating expenses adjusted for: (i) share-based compensation expense, (ii) Health Services acquisition-related amortization, (iii) organizational restructuring and other expense, (iv) a charge related to a client dispute, and (v) a vendor settlement.
             
Adjusted Operating Earnings - Consists of GAAP operating earnings adjusted for: (i) share-based compensation expense, (ii) Health Services acquisition-related amortization, (iii) organizational restructuring and other expense, (iv) a charge related to a client dispute, and (v) a vendor settlement.
             
Adjusted Operating Margin - Consists of Adjusted Operating Earnings, as defined above, divided by revenues, in the applicable period; the result presented as a percentage.
             
Adjusted Net Earnings - Consists of GAAP net earnings adjusted for: (i) share-based compensation expense, (ii) Health Services acquisition-related amortization, (iii) organizational restructuring and other expense, (iv) a charge related to a client dispute, (v) a vendor settlement, (vi) investment gains, (vii) the income tax effect of the aforementioned items, and (viii) share-based compensation permanent tax items.
             
Adjusted Diluted Earnings Per Share - Consists of Adjusted Net Earnings, as defined above, divided by diluted weighted average shares outstanding, in the applicable period.
             
Free Cash Flow - Consists of GAAP cash flows from operating activities, less capital purchases and capitalized software development costs.
             
Adjustments included in the calculations above are described below:
             
Share-based compensation expense - Non-cash expense arising from our equity compensation and stock purchase plans available to our associates and directors. We exclude share-based compensation expense as we believe the amount of such non-cash expenses in any specific period may not directly correlate to the underlying performance of our business operations. Share-based compensation expense is included in our Condensed Consolidated Statements of Operations as follows:
             
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Sales and client service   $ 14,671   $ 10,131     $ 39,019   $ 35,917  
Software development     4,191     5,206       12,769     16,367  
General and administrative     12,920     11,545       25,863     27,336  
Total share-based compensation expense   $ 31,782   $ 26,882     $ 77,651   $ 79,620  
             
Health Services acquisition-related amortization - Non-cash expense consisting of the amortization of customer relationships, acquired technology, and trade name intangible assets recorded in connection with our acquisition of the Health Services business in February 2015. We exclude Health Services acquisition-related amortization as we believe the amount of such non-cash expenses in any specific period may not directly correlate to the underlying performance of our business operations. Such amount is included in our Condensed Consolidated Statements of Operations in the caption "Amortization of acquisition-related intangibles."
             
Organizational restructuring and other expense - Consists of certain charges incurred in connection with our operational improvement initiatives. Expenses in connection with these efforts may include, but are not limited to, consultant and other professional services fees, employee separation costs, contract termination costs, and other such related expenses. We exclude organizational restructuring and other expense as we believe the amount of such expense in any specific period may not directly correlate to the underlying performance of our business operations. Organizational restructuring and other expense is included in our Condensed Consolidated Statements of Operations as follows:
 
(In thousands)   Three Months Ended   Nine Months Ended
      2019     2018       2019     2018  
             
Sales and client service   $ 59,602   $     $ 59,602   $  
General and administrative     57,801     2,924       114,794     2,924  
Total organizational restructuring and other expense   $ 117,403   $ 2,924     $ 174,396   $ 2,924  
             
Charge related to client dispute - Consists of a pre-tax charge related to a dispute with a current client. We have excluded this charge as we believe the amount of such charge does not directly correlate to the underlying performance of our business operations in the period it was recorded. Such charge is included in our Condensed Consolidated Statements of Operations in the caption "Sales and client service" expense.
             
Vendor Settlement - Consists of a pre-tax charge to settle disputes with a former vendor. We have excluded this charge as we believe the amount of such charge does not directly correlate to the underlying performance of our business operations in the period it was recorded. Such charge is included in our Condensed Consolidated Statements of Operations in the caption "General and administrative" expense.
             
Investment gains - Consists of a $16 million gain recognized on the disposition of one of our equity investments in the second quarter of 2019, and a $9 million unrealized gain recognized in the third quarter of 2019 on another one of our equity investments, both of which were accounted for in accordance with Accounting Standards Codification Topic 321, Investments-Equity Securities. We have excluded these gains as we believe the amounts of such gains do not directly correlate to the underlying performance of our business operations in the periods they were recorded. Such gains are included in our Condensed Consolidated Statements of Operations in the caption "Other income, net."
             
Income tax effect of pre-tax adjustments - The GAAP effective income tax rate for the applicable quarterly period is applied to pre-tax adjustments for Adjusted Net Earnings.
             
Share-based compensation permanent tax items - Consists of permanent items impacting the Company's income tax provision related to our share-based compensation arrangements, including net excess tax benefits recognized upon the exercise of stock options. We exclude such items as we believe the amount of such items in any specific period may not directly correlate to the underlying performance of our business operations. Such amount is included in our Condensed Consolidated Statements of Operations in the caption "Income taxes."
             

     
CERNER CORPORATION AND SUBSIDIARIES 
CONDENSED CONSOLIDATED BALANCE SHEETS 
As of September 28, 2019 and December 29, 2018 
(unaudited)    
     
(In thousands)   2019     2018  
     
Assets    
Current assets:    
Cash and cash equivalents $ 496,430   $ 374,126  
Short-term investments   136,266     401,285  
Receivables, net   1,154,980     1,183,494  
Inventory   23,155     25,029  
Prepaid expenses and other   402,247     334,870  
Total current assets   2,213,078     2,318,804  
     
Property and equipment, net   1,865,924     1,743,575  
Right-of-use assets   121,746      
Software development costs, net   935,170     894,512  
Goodwill   844,926     847,544  
Intangible assets, net   347,376     405,305  
Long-term investments   403,435     300,046  
Other assets   205,775     198,850  
Total assets $ 6,937,430   $ 6,708,636  
     
Liabilities and Shareholders’ Equity    
Current liabilities:    
Accounts payable $ 275,916   $ 293,534  
Current installments of long-term debt and capital lease obligations       4,914  
Deferred revenue   308,444     399,189  
Accrued payroll and tax withholdings   264,049     195,931  
Other current liabilities   153,187     69,122  
Total current liabilities   1,001,596     962,690  
     
Long-term debt   1,038,567     438,802  
Deferred income taxes   353,711     336,379  
Other liabilities   132,289     42,376  
Total liabilities   2,526,163     1,780,247  
     
Shareholders’ Equity:    
Common stock   3,662     3,622  
Additional paid-in capital   1,806,939     1,559,562  
Retained earnings   5,836,984     5,576,525  
Treasury stock   (3,107,768 )   (2,107,768 )
Accumulated other comprehensive loss, net   (128,550 )   (103,552 )
Total shareholders’ equity   4,411,267     4,928,389  
Total liabilities and shareholders’ equity $ 6,937,430   $ 6,708,636  
     

             
CERNER CORPORATION AND SUBSIDIARIES 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS 
For the three and nine months ended September 28, 2019 and September 29, 2018 
(unaudited)            
             
    Three Months Ended   Nine Months Ended
(In thousands)     2019     2018       2019     2018  
             
CASH FLOWS FROM OPERATING ACTIVITIES:            
Net earnings   $ 81,935   $ 169,381     $ 375,123   $ 498,739  
Adjustments to reconcile net earnings to net cash provided by operating activities:            
Depreciation and amortization     173,073     161,103       509,559     473,748  
Share-based compensation expense     30,537     25,209       73,421     74,348  
Provision for deferred income taxes     7,639     14,676       22,793     16,412  
Investment gains     (8,722 )         (24,231 )    
Changes in assets and liabilities:            
Receivables, net     72,397     (64,003 )     24,558     (250,042 )
Inventory     2     (9,396 )     1,877     (9,006 )
Prepaid expenses and other     857     (18,982 )     (75,191 )   162,053  
Accounts payable     (28,326 )   (21,602 )     (3,346 )   21,762  
Accrued income taxes     774     (17,069 )     (795 )   (9,150 )
Deferred revenue     (11,310 )   74,448       (89,400 )   34,316  
Other accrued liabilities     32,592     24,689       61,156     33,940  
             
Net cash provided by operating activities     351,448     338,454       875,524     1,047,120  
             
CASH FLOWS FROM INVESTING ACTIVITIES:            
Capital purchases     (110,714 )   (116,957 )     (388,588 )   (305,951 )
Capitalized software development costs     (66,382 )   (66,171 )     (211,284 )   (209,122 )
Purchases of investments     (177,256 )   (282,564 )     (317,979 )   (477,156 )
Sales and maturities of investments     217,589     122,711       507,258     454,439  
Purchase of other intangibles     (8,337 )   (7,931 )     (25,794 )   (24,304 )
             
Net cash used in investing activities     (145,100 )   (350,912 )     (436,387 )   (562,094 )
             
CASH FLOWS FROM FINANCING ACTIVITIES:            
Long-term debt issuance               600,000      
Repayment of long-term debt                   (75,000 )
Proceeds from exercise of stock options     63,474     60,658       188,474     82,001  
Payments to taxing authorities in connection with shares directly withheld from associates     (10,134 )   (2,441 )     (14,994 )   (9,749 )
Treasury stock purchases     (400,000 )   (57,586 )     (1,020,542 )   (345,210 )
Dividends paid     (57,293 )         (57,293 )    
Other     (4,000 )   3,945       (8,450 )   2,254  
             
Net cash provided by (used in) financing activities     (407,953 )   4,576       (312,805 )   (345,704 )
             
Effect of exchange rate changes on cash and cash equivalents     (4,889 )   (4,472 )     (4,028 )   (11,631 )
             
Net increase (decrease) in cash and cash equivalents     (206,494 )   (12,354 )     122,304     127,691  
Cash and cash equivalents at beginning of period     702,924     510,968       374,126     370,923  
             
Cash and cash equivalents at end of period   $ 496,430   $ 498,614     $ 496,430   $ 498,614  
             

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Cerner Corporation

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