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EX-10.B - EX-10.B - CERNER CORP /MO/c57785exv10wb.htm
EX-31.2 - EX-31.2 - CERNER CORP /MO/c57785exv31w2.htm
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EX-31.1 - EX-31.1 - CERNER CORP /MO/c57785exv31w1.htm
Table of Contents

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
     
(X)
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
   
 
      For the quarterly period ended    April 3, 2010   
 
   
OR
 
   
(  )
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
   
 
      For the transition period from                              to                             
Commission File Number    0-15386   
CERNER CORPORATION
 
(Exact name of registrant as specified in its charter)
     
Delaware   43-1196944
(State or other jurisdiction of   (I.R.S. Employer Identification
incorporation or organization)   Number)
2800 Rockcreek Parkway
North Kansas City, Missouri 64117
(816) 201-1024
 
(Address of Principal Executive Offices, including zip code;
registrant’s telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes [X]    No [   ]
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes [   ]      No [   ]
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
             
Large accelerated filer [X]    Accelerated filer [   ] Non-accelerated filer [   ]
(Do not check if a smaller reporting company)
Smaller reporting company [   ]
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes [   ]      No [X]
There were 82,207,736 shares of Common Stock, $.01 par value, outstanding at April 21, 2010.


 

CERNER CORPORATION AND SUBSIDIARIES
I N D E X
             
  Financial Information:        
 
           
  Financial Statements:        
 
           
 
  Condensed Consolidated Balance Sheets as of April 3, 2010
(unaudited) and January 2, 2010
    1  
 
           
 
  Condensed Consolidated Statements of Operations for the three
months ended April 3, 2010 and April 4, 2009 (unaudited)
    2  
 
           
 
  Condensed Consolidated Statements of Cash Flows for the three
months ended April 3, 2010 and April 4, 2009 (unaudited)
    3  
 
           
 
  Notes to Condensed Consolidated Financial Statements (unaudited)     4  
 
           
  Management’s Discussion and Analysis of
Financial Condition and Results of Operations
    10  
 
           
  Quantitative and Qualitative Disclosures about Market Risk     19  
 
           
  Controls and Procedures     19  
 
           
  Other Information:     20  
 
           
  Exhibits     20  
 EX-10.A
 EX-10.B
 EX-31.1
 EX-31.2
 EX-32.1
 EX-32.2


Table of Contents

Part I. Financial Information
Item 1. Financial Statements
CERNER CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
As of April 3, 2010 (unaudited) and January 2, 2010
                 
     
(In thousands, except share data)   2010     2009  
     
Assets
               
Current assets:
               
Cash and cash equivalents
     $           240,207        $           241,723  
Short-term investments
    368,707       317,113  
Receivables, net
    423,035       461,411  
Inventory
    10,106       11,242  
Prepaid expenses and other
    89,985       106,791  
Deferred income taxes
    7,903       8,055  
     
Total current assets
    1,139,943       1,146,335  
 
               
Property and equipment, net
    515,609       509,178  
Software development costs, net
    237,516       233,265  
Goodwill
    161,547       151,479  
Intangible assets, net
    39,107       33,719  
Other assets
    69,981       74,591  
     
 
               
Total assets
     $      2,163,703        $      2,148,567  
     
 
               
Liabilities and Stockholders’ Equity
               
Current liabilities:
               
Accounts payable
     $      41,075        $      36,893  
Current installments of long-term debt
    26,995       25,014  
Deferred revenue
    128,149       137,095  
Accrued payroll and tax withholdings
    67,938       80,093  
Other accrued expenses
    40,435       79,008  
     
Total current liabilities
    304,592       358,103  
 
               
Long-term debt
    90,807       95,506  
Deferred income taxes and other liabilities
    102,696       98,372  
Deferred revenue
    19,828       15,788  
     
Total Liabilities
    517,923       567,769  
     
 
               
Stockholders’ Equity:
               
Cerner Corporation stockholders’ equity:
               
Common stock, $.01 par value, 150,000,000 shares authorized, 82,951,532 shares issued at April 3, 2010 and 82,564,708 shares issued at January 2, 2010
    829       826  
Additional paid-in capital
    578,900       557,545  
Retained earnings
    1,103,849       1,053,563  
Treasury stock
    (28,002 )     (28,002 )
Accumulated other comprehensive loss, net
    (9,916 )     (3,254 )
     
Total Cerner Corporation stockholders’ equity
    1,645,660       1,580,678  
 
               
Noncontrolling interest
    120       120  
     
 
               
Total stockholders’ equity
    1,645,780       1,580,798  
     
 
               
Total liabilities and stockholders’ equity
     $      2,163,703        $      2,148,567  
     
See notes to condensed consolidated financial statements (unaudited).

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CERNER CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
For the three months ended April 3, 2010 and April 4, 2009
(unaudited)
                 
  Three Months Ended  
(In thousands, except per share data)   2010     2009  
     
Revenues:
               
System sales
     $           116,951        $           100,189  
Support, maintenance and services
    307,045       283,828  
Reimbursed travel
    7,341       8,305  
     
 
               
Total revenues
    431,337       392,322  
     
 
               
Costs and expenses:
               
Cost of system sales
    44,828       41,564  
Cost of support, maintenance and services
    15,915       15,662  
Cost of reimbursed travel
    7,341       8,305  
Sales and client service
    187,593       173,353  
Software development (Includes amortization of $15,838 and $13,049, respectively)
    66,779       64,736  
General and administrative
    33,225       26,722  
     
 
               
Total costs and expenses
    355,681       330,342  
     
 
               
Operating earnings
    75,656       61,980  
 
               
Other income (expense):
               
Interest income (expense), net
    1,783       (321 )
Other income (expense), net
    (76 )     204  
     
 
               
Total other income (expense), net
    1,707       (117 )
     
 
               
Earnings before income taxes
    77,363       61,863  
Income taxes
    (27,077     (21,033 )
     
 
               
Net earnings
     $           50,286        $           40,830  
     
 
               
Basic earnings per share
     $           0.61        $           0.51  
 
               
Diluted earnings per share
     $           0.59        $           0.49  
 
               
Basic weighted average shares outstanding
    81,957       80,333  
 
               
Diluted weighted average shares outstanding
    85,105       82,857  
See notes to condensed consolidated financial statements (unaudited).

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CERNER CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
For the three months ended April 3, 2010 and April 4, 2009
(unaudited)
                 
    Three Months Ended
(In thousands)   2010     2009  
     
CASH FLOWS FROM OPERATING ACTIVITIES:
               
Net earnings
     $           50,286        $           40,830  
Adjustments to reconcile net earnings to net cash provided by operating activities:
               
Depreciation and amortization
    44,804       42,727  
Share-based compensation expense
    5,150       3,702  
Provision for deferred income taxes
    3,743       3,539  
 
               
Changes in assets and liabilities (net of businesses acquired):
               
Receivables, net
    34,045       32,120  
Inventory
    1,115       (2,537 )
Prepaid expenses and other
    17,114       (3,500 )
Accounts payable
    5,813       (5,109 )
Accrued income taxes
    (32,667 )     (13,688 )
Deferred revenue
    (3,182 )     386  
Other accrued liabilities
    (20,718 )     (644 )
     
Net cash provided by operating activities
    105,503       97,826  
     
 
               
CASH FLOWS FROM INVESTING ACTIVITIES:
               
Capital purchases
    (32,108 )     (43,173 )
Capitalized software development costs
    (20,516 )     (18,288 )
Purchases of investments
    (110,522 )     (18,859 )
Maturities of investments
    57,391       45,106  
Purchase of other intangibles
    (2,233 )     (1,969 )
Acquisition of businesses, net of cash acquired
    (14,486 )     (3,529 )
     
Net cash used in investing activities
    (122,474 )     (40,712 )
     
 
               
CASH FLOWS FROM FINANCING ACTIVITIES:
               
Proceeds from sale of future receivables
    1,516       101  
Long-term debt repayments
    (219 )     (98 )
Proceeds from excess tax benefits from stock compensation
    7,627       952  
Proceeds from exercise of options
    7,616       2,861  
     
Net cash provided by financing activities
    16,540       3,816  
     
 
               
Effect of exchange rate changes on cash
    (1,085 )     (6,244 )
     
Net (decrease) increase in cash and cash equivalents
    (1,516 )     54,686  
Cash and cash equivalents at beginning of period
    241,723       270,494  
 
               
     
Cash and cash equivalents at end of period
     $           240,207        $           325,180  
     
 
               
Supplemental disclosures of cash flow information:
               
Cash paid during the year for:
               
Interest
     $           72        $           -  
Income taxes, net of refund
     $           56,313        $           30,241  
 
               
Summary of acquisition transactions:
               
Fair value of tangible assets acquired
     $           2,126        $           -  
Fair value of intangible assets acquired
    5,076       -  
Fair value of goodwill
    11,290       3,529  
Fair value of current liabilities assumed
    (1,057 )     -  
Fair value of contingent liability payable
    (1,725 )     -  
     
Cash paid for acquisition
    15,710       3,529  
Cash acquired
    (1,224 )     -  
     
Net cash used
     $           14,486        $           3,529  
     
See notes to condensed consolidated financial statements (unaudited).

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CERNER CORPORATION AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
(1)     Interim Statement Presentation
The condensed consolidated financial statements included herein have been prepared by the Company without audit, pursuant to the rules and regulations of the Securities and Exchange Commission (SEC). Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with accounting principles generally accepted in the United States of America have been condensed or omitted pursuant to such rules and regulations, although we believe that the disclosures are adequate to make the information presented not misleading. These condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and the notes thereto included in our latest annual report on Form 10-K.
In our opinion, the accompanying unaudited condensed consolidated financial statements include all adjustments (consisting of only normal recurring accruals) necessary to present fairly the financial position and the results of operations and cash flows for the periods presented. Our interim results as presented in this Form 10-Q are not necessarily indicative of the operating results for the entire year.
The condensed consolidated financial statements were prepared using accounting principles generally accepted in the United States (GAAP). These principles require us to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities and the reported amounts of revenues and expenses. Actual results could differ from those estimates.
Our first fiscal quarter ends on the Saturday closest to March 31. The 2010 and 2009 first quarters ended on April 3, 2010 and April 4, 2009, respectively. All references to years in these notes to condensed consolidated financial statements represent the three months ended of the first fiscal quarter, respectively, unless otherwise noted.
Recently Adopted Accounting Pronouncements
On January 3, 2010 we adopted Accounting Standards Update (ASU) 09-16, Accounting for Transfers of Financial Assets, which among other things creates more stringent conditions for reporting a transfer of a portion of a financial asset as a sale. The adoption of ASU 09-16 did not have a material impact on our consolidated financial statements.
In January 2010, ASU 10-06, Improving Disclosures about Fair Value Measurements, was issued and amends ASC 820, Fair Value Measurements and Disclosures. This ASU requires disclosures of transfers into and out of Levels 1 and 2, more detailed roll forward reconciliations of Level 3 recurring fair value measurements on a gross basis, fair value information by class of assets and liabilities, and descriptions of valuation techniques and inputs for Level 2 and 3 measurements. We adopted ASU 10-06 during the first quarter 2010, which did not have a material impact on our consolidated financial statements.
On February 24, 2010, ASU 10-09, Subsequent Events (Topic 855): Amendments to Certain Recognition and Disclosure Requirements, was issued, which amends ASC 855-10 to eliminate contradictions between the requirements of U.S. GAAP and the SEC’s filing rules. The amendments also discharge the requirement that public companies disclose the date of their financial statements in both issued and revised financial statements. ASU 10-09 is effective upon issuance and did not have a material impact on our consolidated financial statements.
(2)     Acquisitions
On January 4, 2010, we completed the purchase of 100% of the outstanding common shares of IMC Health Care, Inc. (IMC), a provider of employer sponsored on-site health centers. The acquisition of IMC expanded our employer health initiatives, such as on-site employer health centers, occupational health services and wellness programs. Consideration for this transaction was $15.7 million in cash plus additional contingent consideration, which is payable if we achieve certain revenue milestones during the fiscal year 2010 from the clients acquired from IMC. We valued the contingent consideration at $1.7 million based on a probability-weighted assessment of potential contingent consideration payment scenarios ranging up to $2.5 million. The allocation of the purchase price to the estimated fair values of the identified tangible and intangible assets acquired, net of liabilities assumed, is summarized below:

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(in thousands)      
    Allocation Amount  
 
   
Tangible assets and liabilities
       
Current assets
     $ 1,862  
Property and Equipment
    264  
Current liabilities
    (1,057 )
 
   
Total net tangible assets acquired
    1,069  
Intangible assets
       
Customer relationships
    4,073  
Non-compete agreements
    1,003  
 
   
Total intangible assets acquired
    5,076  
Goodwill
    11,290  
 
   
Total purchase price
     $ 17,435  
 
   
The fair values of the acquired intangible assets and the contingent consideration were estimated by applying the income approach. Such estimations required the use of inputs that were unobservable in the market place (Level 3), including a discount rate that we estimated would be used by a market participant in valuing these assets, projections of revenues and cash flows, probability weighting factors and customer attrition rates. See Note 3 for further information about the fair value level hierarchy.
The goodwill was allocated to our Domestic operating segment and is expected to be deductible for tax purposes. The intangible assets are being amortized over five years. The operating results of IMC were combined with our operating results subsequent to the purchase date of January 4, 2010. Pro-forma results of operations have not been presented because the effect of this acquisition was not material to our results.
(3)     Fair Value Measurements
We determine fair value measurements used in our condensed consolidated financial statements based upon the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The fair value hierarchy distinguishes between (1) market participant assumptions developed based on market data obtained from independent sources (observable inputs) and (2) an entity’s own assumptions about market participant assumptions developed based on the best information available in the circumstances (unobservable inputs). The fair value hierarchy consists of three broad levels, which gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). The three levels of the fair value hierarchy are described below:
   
Level 1 – Valuations based on quoted prices in active markets for identical assets or liabilities that the entity has the ability to access.
 
   
Level 2 – Valuations based on quoted prices for similar assets or liabilities, quoted prices in markets that are not active, or other inputs that are observable or can be corroborated by observable data for substantially the full term of the assets or liabilities.
 
   
Level 3 – Valuations based on inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
The following table details our financial assets measured at fair value within the fair value hierarchy:
                                                     
(In thousands)       April 3, 2010     January 2, 2010  
    Balance Sheet   Fair Value Measurements Using     Fair Value Measurements Using
Description   Classification   Level 1     Level 2     Level 3     Level 1     Level 2     Level 3  
     
Money market funds
  Cash equivalents      $   15,322        $   -        $   -        $   80,242        $   -        $   -  
Time deposits
  Cash equivalents     -       15,240       -       -       8,523       -  
Corporate bonds
  Cash equivalents     -       -       -       -       8,194       -  
Time deposits
  Short-term investments     -       29,917       -       -       37,784       -  
Commercial paper
  Short-term investments     -       12,964       -       -       19,987       -  
Government and corporate bonds
  Short-term investments     -       237,676       -       -       164,792       -  
Auction rate securities
  Short-term investments     -       -       80,126       -       -       85,203  
Put-like feature
  Short-term investments     -       -       8,024       -       -       9,347  

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Our auction rate securities have been classified as Level 3 assets within the fair value hierarchy, as their valuation requires substantial judgment and estimation of factors that are not currently observable in the market due to the lack of trading in the securities. If different assumptions were used for the various inputs to the valuation, including, but not limited to, assumptions involving the estimated holding periods for the auction rate securities, the estimated cash flows over those estimated lives, and the estimated discount rates, including the liquidity discount rate, applied to those cash flows, the estimated fair value of these investments could be significantly higher or lower than the fair value we determined.
The table below presents the activity of our assets measured at fair value on a recurring basis using significant unobservable inputs (Level 3):
                 
    Three Months Ended
(In thousands)   2010     2009  
     
Beginning balance
     $ 94,550        $ 105,300  
Redemptions at par
    (6,400 )     (5,700 )
Unrealized gain on auction rate securities included in earnings
    1,323       6,290  
Unrealized loss on put-like feature included in earnings
    (1,323 )     (6,290 )
     
Ending balance
     $ 88,150        $ 99,600  
     
We classify our long-term, fixed rate debt as a long-term liability on the balance sheet and estimate the fair value using a Level 3 discounted cash flow analysis based on our current borrowing rates for debt with similar maturities. The fair value of our long-term debt, including current maturities, was approximately $120.8 million at April 3, 2010.
(4)     Receivables
Receivables consist of accounts receivable and contracts receivable. Accounts receivable represent recorded revenues that have been billed. Contracts receivable represent recorded revenues that are billable by us at future dates under the terms of a contract with a client. Billings and other consideration received on contracts in excess of related revenues recognized are recorded as deferred revenue. Substantially all receivables are derived from sales and related support and maintenance and professional services of our clinical, administrative and financial information systems and solutions to healthcare providers located throughout the United States and in certain non-U.S. countries.
We perform ongoing credit evaluations of our clients and generally do not require collateral from our clients. We provide an allowance for estimated uncollectible accounts based on specific identification, historical experience and our judgment. Provisions for losses on uncollectible accounts for the first three months of 2010 and 2009 totaled $5.6 million and $0.7 million, respectively. A summary of net receivables is as follows:
                 
    April 3, 2010     January 2, 2010  
     
(In thousands)
 
               
Gross accounts receivable
     $ 319,751        $ 342,992  
Less: Allowance for doubtful accounts
    21,787       16,895  
     
Accounts receivable, net of allowance
    297,964       326,097  
 
               
Contracts receivable
    125,071       135,314  
 
               
     
Total receivables, net
     $ 423,035        $ 461,411  
     
During the second quarter of 2008, Fujitsu Services Limited’s (Fujitsu) contract as the prime contractor in the National Health Service (NHS) initiative to automate clinical processes and digitize medical records in the Southern region of England was terminated by the NHS. This had the effect of automatically terminating our subcontract for the project. We are in dispute with Fujitsu regarding Fujitsu’s obligation to pay the amounts comprised of accounts receivable and contracts receivable related to that subcontract, and we are working with Fujitsu to resolve these issues based on processes provided for in the contract. Part of that process requires resolution of disputes between Fujitsu and the NHS regarding the contract termination. As of April 3, 2010, it remains unlikely that the matter will be resolved in the next 12 months. Therefore these receivables have been classified as long-term and represent the significant majority of other long-term assets as of the first quarter ended April 3, 2010. While the ultimate collectability of the receivables pursuant to this process is uncertain, we believe that we have valid and equitable grounds for recovery of such amounts and that collection of recorded amounts is probable.

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During the first three months of 2010 and 2009, we received total client cash collections of $483.7 million and $457.7 million, respectively, of which $18.7 million and $10.2 million were received from third party arrangements with non-recourse payment assignments.
(5)     Income Taxes
We determine the tax provision for interim periods using an estimate of our annual effective tax rate, adjusted for discrete items, if any, that are taken into account in the relevant period. Each quarter we update our estimate of the annual effective tax rate, and if our estimated tax rate changes we make a cumulative adjustment. We classify interest and penalties associated with unrecognized tax benefits as income tax expense in our Condensed Consolidated Statements of Operations.
The Company’s effective tax rate was 35% for the first quarter of 2010 and 34% for the first quarter of 2009. This increase is primarily due to the research and development tax credit not being extended for the 2010 tax year.
During the first quarter of 2010, the Internal Revenue Service commenced its examination of the 2008 income tax return. We do not believe this examination will have a material effect on our financial position, results of operations or liquidity.
Other than the aforementioned matter, we do not anticipate any settlements of the remaining unrecognized tax benefits within the next 12 months.
(6)     Earnings Per Share
Basic earnings per share (EPS) excludes dilution and is computed by dividing income available to common shareholders by the weighted-average number of common shares outstanding for the period. Diluted EPS reflects the potential dilution that could occur if securities or other contracts to issue stock were exercised or converted into common stock or resulted in the issuance of common stock that then shared in our earnings. A reconciliation of the numerators and the denominators of the basic and diluted per share computations are as follows:
                                                 
    Three Months Ended  
    2010     2009  
    Earnings     Shares     Per-Share     Earnings     Shares     Per-Share  
    (Numerator)     (Denominator)     Amount     (Numerator)     (Denominator)     Amount  
           
(In thousands, except per share data)                                                
Basic earnings per share:
                                               
Income available to common stockholders
     $ 50,286       81,957        $ 0.61        $ 40,830       80,333        $ 0.51  
Effect of dilutive securities:
                                               
Stock options
    -       3,148               -       2,524          
                         
Diluted earnings per share:
                                               
Income available to common stockholders
including assumed conversions
     $ 50,286       85,105        $ 0.59        $ 40,830       82,857        $ 0.49  
                         
Options to purchase 0.2 million and 3.1 million shares of common stock at per share prices ranging from $58.21 to $85.51 and $33.63 to $136.86 were outstanding at the three months ended April 3, 2010 and April 4, 2009, respectively, but were not included in the computation of diluted earnings per share because the options were anti-dilutive.
(7)     Share-Based Compensation
On March 12, 2010 approximately 115,000 stock options were granted to executive officers and other executive level associates under our Long-Term Incentive Plan F. These awards will vest 40% on March 12, 2012, and 20% will vest on March 12, 2013, 2014 and 2015. The fair value of each of these awards was $44.89 per award. Total compensation expense related to these awards is $5.1 million, which is expected to be recognized over a period of 5 years.
The following table presents the total compensation expense recognized in the condensed consolidated statements of operations with respect to stock options, nonvested shares and Associate Stock Purchase Plan shares:

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    Three Months Ended
(In thousands)   2010     2009  
     
Stock option and non-vested share compensation expense
     $ 5,150        $ 3,692  
Associate stock purchase plan expense
    401       293  
Amounts capitalized in software development costs, net of amortization
    (44 )     (65 )
     
Amounts charged against earnings, before income tax benefit
     $ 5,507        $ 3,920  
     
 
               
Amount of related income tax benefit recognized in earnings
     $ 2,051        $ 1,460  
     
As of April 3, 2010, there was $48.4 million of total unrecognized compensation cost related to stock options granted under all plans. That cost is expected to be recognized over a weighted-average period of 2.99 years.
(8)     Comprehensive Income
Total comprehensive income, which includes net earnings, foreign currency translation adjustments, and gains and losses from a hedge of our net investment in the United Kingdom (U.K.), amounted to $43.6 million and $35.6 million for the three months ended April 3, 2010 and April 4, 2009, respectively. None of the items within comprehensive income, including net earnings, relate to non-controlling interests.
As of April 3, 2010, we designated all of our Great Britain Pound (GBP) denominated long-term debt as a net investment hedge of our U.K. operations. The objective of the hedge is to reduce our foreign currency exposure in the U.K. subsidiary investment. Changes in the exchange rate between the United States Dollar (USD) and GBP, related to the notional amount of the hedge, are recognized as a component of accumulated other comprehensive income (loss), to the extent the hedge is effective.
The following table represents the fair value of the net investment hedge included within the Condensed Consolidated Balance Sheets and the related unrealized gain or loss, net of related income tax effects:
                                     
(In thousands)                       Net Unrealized Gain (Loss)  
    Balance Sheet   Fair Value     For the Three Months Ended
Derivatives designated   Classification   April 3, 2010     January 2, 2010     2010     2009  
     
Net investment hedge
  Short-term liabilities      $ 14,120        $ 15,015        $ 562     $ (171 )
Net investment hedge
  Long-term liabilities     70,599       75,075       2,808       (1,024 )
             
Total net investment hedge
         $ 84,719        $ 90,090        $ 3,370     $ (1,195 )
             
We recognize foreign currency transaction gains and losses within the Condensed Consolidated Statements of Operations as a component of general and administrative expenses. We realized a foreign currency loss of $0.02 million and a gain of $5.5 million during the three months ended April 3, 2010 and April 4, 2009, respectively.
(9)     Contingencies
The terms of our software license agreements with our clients generally provide for a limited indemnification of such intellectual property against losses, expenses and liabilities arising from third party claims based on alleged infringement by our solutions of an intellectual property right of such third party. The terms of such indemnification often limit the scope of and remedies for such indemnification obligations and generally include a right to replace or modify an infringing solution. To date, we have not had to reimburse any of our clients for any losses related to these indemnification provisions pertaining to third party intellectual property infringement claims. For several reasons, including the lack of prior indemnification claims and the lack of a monetary liability limit for certain infringement cases under the terms of the corresponding agreements with our clients, we cannot determine the maximum amount of potential future payments, if any, related to such indemnification provisions.
From time to time we are involved in routine litigation incidental to the conduct of our business, including for example, employment disputes and litigation alleging solution defects, intellectual property infringement, violations of law and breaches of contract and warranties. We believe that no such routine litigation currently pending against us, if adversely determined, would have a material adverse effect on our consolidated financial position, results of operations or cash flows.

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(10)     Segment Reporting
We have two operating segments, Domestic and Global. Revenues are derived primarily from the sale of clinical, financial and administrative information systems and solutions. The cost of revenues includes the cost of third party consulting services, computer hardware and sublicensed software purchased from computer and software manufacturers for delivery to clients. It also includes the cost of hardware maintenance and sublicensed software support subcontracted to the manufacturers. Operating expenses incurred by the geographic business segments consist of sales and client service expenses including salaries of sales and client service personnel, communications expenses and unreimbursed travel expenses. Performance of the segments is assessed at the operating earnings level and, therefore, the segment operations have been presented as such. “Other” includes expenses such as software development, marketing, general and administrative, share-based compensation expense and depreciation that have not been allocated to the operating segments. It is impractical for us to track assets by geographical business segment.
Accounting policies for each of the reportable segments are the same as those used on a consolidated basis. The following table presents a summary of the operating information for the first quarters of 2010 and 2009.
                                 
    Operating Segments
     
(In thousands)   Domestic     Global     Other     Total  
 
               
Three months ended 2010
                               
Revenues
     $           355,315        $           76,022        $                  $           431,337  
 
               
 
                               
Cost of revenues
    61,241       6,843             68,084  
Operating expenses
    104,723       29,713       153,161       287,597  
 
               
Total costs and expenses
    165,964       36,556       153,161       355,681  
 
               
 
                               
Operating earnings (loss)
     $           189,351        $           39,466        $           (153,161 )      $           75,656  
 
               
 
    Operating Segments
     
(In thousands)   Domestic     Global     Other     Total  
 
               
Three months ended 2009
                               
Revenues
     $           323,173        $           69,149        $                  $           392,322  
 
               
 
                               
Cost of revenues
    54,462       11,069             65,531  
Operating expenses
    89,777       32,361       142,673       264,811  
 
               
Total costs and expenses
    144,239       43,430       142,673       330,342  
 
               
 
                               
Operating earnings (loss)
     $           178,934        $           25,719        $           (142,673 )      $           61,980  
 
               

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Item 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following Management Discussion and Analysis (MD&A) is intended to help the reader understand the results of operations and financial condition of Cerner Corporation (Cerner, the Company, we, us or our). This MD&A is provided as a supplement to, and should be read in conjunction with, our condensed consolidated financial statements and the accompanying notes to the financial statements (Notes) found above.
Our first fiscal quarter ends on the Saturday closest to March 31. The 2010 and 2009 first quarters ended on April 3, 2010 and April 4, 2009, respectively. All references to years in these notes to consolidated financial statements represent the respective three months ended of the first fiscal quarters, unless otherwise noted.
Except for the historical information and discussions contained herein, statements contained in this Form 10-Q may constitute “forward looking statements” within the meaning of Section 21E of the Securities and Exchange Act of 1934, as amended (the Act). Forward-looking statements can often be identified by the use of forward-looking terminology, such as “could,” “should,” “will,” “intended,” “continue,” “believe,” “may,” “expect,” “hope,” “anticipate,” “goal,” “forecast,” “plan,” “guidance” or “estimate” or the negative of these words, variations thereof or similar expressions. These statements involve a number of risks, uncertainties and other factors that could cause actual results to differ materially, including: the possibility of product-related liabilities; potential claims for system errors and warranties; the possibility of interruption at our data centers or client support facilities; 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; risks associated with our non-U.S. operations; risks associated with our ability to effectively hedge exposure to fluctuations in foreign currency exchange rates; the potential for tax legislation initiatives that could adversely affect our tax position and/or challenges to our tax positions in the United States and non-U.S. countries; risks associated with our recruitment and retention of key personnel; risks related to our reliance on third party suppliers; risks inherent with business acquisitions; changing political, economic and regulatory influences; government regulation; significant competition and market changes; risks associated with the ongoing adverse financial market environment and uncertainty in global economic conditions; variations in our quarterly operating results; potential inconsistencies in our sales forecasts compared to actual sales; volatility in the trading price of our common stock; the authority of our Board of Directors to issue preferred stock and anti-takeover provisions contained in our corporate governance documents; and, other risks, uncertainties and factors discussed elsewhere in this Form 10-Q, in our other filings with the Securities and Exchange Commission or in materials incorporated therein by reference. Forward looking statements are not guarantees of future performance or results. We undertake no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes in future operating results, financial condition or business over time.
Management Overview
Our revenues are primarily derived by selling, implementing and supporting software solutions, clinical content, hardware, healthcare devices and services that give healthcare providers secure access to clinical, administrative and financial data in real time, allowing them to improve the quality, safety and efficiency in the delivery of healthcare. We implement the healthcare solutions as stand-alone, combined or enterprise-wide systems. Cerner Millennium® software solutions can be managed by our clients or in our data center via a managed services model.

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Our fundamental strategy centers on creating organic growth by investing in research and development (R&D) to create solutions and services for the healthcare industry. This strategy has driven strong growth over the long-term, as reflected in five- and ten-year compound annual revenue growth rates of 13% or more. This growth has also created a very strategic footprint in healthcare, with Cerner® solutions licensed by over 8,500 facilities, including approximately 2,300 hospitals; 3,400 physician practices with over 30,000 physicians; 600 ambulatory facilities, such as laboratories, ambulatory centers, cardiac facilities, radiology clinics and surgery centers; 700 home health facilities; and 1,500 retail pharmacies. Selling additional solutions back into this client base is an important element of our future revenue growth. We are also focused on driving growth through market share expansion by replacing competitors in healthcare settings that are looking to replace their current healthcare information technology (HIT) partners or those who have not yet strategically aligned with a supplier. We expect the Health Information Technology for Economic and Clinical Health (HITECH) provisions in the American Recovery and Reinvestment Act (ARRA) will create a period of increased demand within the United States during which we believe we can gain additional market share. We also expect to drive growth through new initiatives and services that reflect our ongoing ability to innovate and expand our reach into healthcare. Examples of these include our CareAware® healthcare device architecture and devices, Healthe employer services, Cerner ITWorksSM services, Cerner RevWorksSM services, physician practice solutions and solutions and services for the pharmaceutical market. Finally, we are focused on selling our solutions and services outside of the United States. Many non-U.S. markets have a low penetration of HIT solutions and their governing bodies are in many cases focused on HIT as part of their strategy to improve the quality and lower the cost of healthcare.
Beyond our strategy for driving revenue growth, we are also focused on earnings growth. Similar to our history of growing revenue, our net earnings have increased at more than 20% compound annual rates over five- and ten-year periods. We believe we can continue driving strong levels of earnings growth while also leveraging key areas to create operating margin expansion. The primary areas of opportunity for margin expansion include:
   
becoming more efficient at implementing our software by leveraging implementation tools and methodologies we have developed that can reduce the amount of effort required to implement our software;
 
   
leveraging our investments in R&D by addressing new market that do not require significant incremental R&D but can contribute significantly to revenue growth; and
 
   
leveraging our scalable business infrastructure to reduce the rate of increase in general and administrative spending to below our revenue growth rate.
We are also focused on increasing cash flow by growing earnings, reducing the use of working capital and controlling capital expenditures.
Healthcare Information Technology Market
The lingering downturn in the worldwide economy has impacted almost all industries. While healthcare is not immune to economic cycles, we believe it is more resilient than most segments of the economy. The impact of the current economic conditions on our existing and prospective clients has been mixed. Some organizations are doing well operationally, but others face challenges such as higher levels of uninsured patients and Medicaid payments being impacted by the weakened financial condition of state governments.
We believe the result of these challenges is that healthcare organizations are focusing on strategic spending that generates a return on their investment. Because HIT solutions play an important role in healthcare by improving safety, efficiency and reducing cost, they are often viewed as more strategic than other potential purchases. Most healthcare providers also recognize that they must invest in HIT to meet regulatory, compliance and government reimbursement requirements.
Overall, while the economy has certainly impacted and could continue to impact our business, we believe there are several macro trends that are favorable for the HIT industry. One example is the need to curb the growth of United States healthcare spending, which analysts from the Centers for Medicare and Medicaid Services estimate at $2.5 trillion or 17.3 percent of Gross Domestic Product in 2009. In the United States, politicians and policymakers agree that the growing cost of our healthcare system is unsustainable. Leaders of both parties say the intelligent use of information systems will improve health outcomes and, correspondingly, drive down costs. They cite a 2005 study by RAND Corp., which estimated that the widespread adoption of HIT in the United States could cut healthcare costs by $162 billion annually.

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In 2009, the broad recognition that HIT is essential to helping control healthcare costs contributed to the inclusion of HIT incentives in the ARRA. The HITECH provisions within ARRA include more than $35 billion to incent healthcare organizations to modernize operations through the acquisition and wide-spread use of HIT. We believe ARRA could represent the single biggest United States HIT opportunity in our 30 years as a company. With our large footprint in United States hospitals and physician practices, together with our proven ability to deliver value, we believe the Company is well-positioned to benefit from these incentives over the next several years.
Another dynamic in the United States marketplace is broader federal healthcare reform and uncertainty about how the legislation will impact the industry. While this creates some near-term uncertainty for healthcare providers, we believe HIT continues to be viewed as a transformational agent that is essential in all scenarios of reform.
Outside of the United States, the economy has impacted and could continue to impact our results in almost all regions. However, we believe revenue growth opportunities outside the United States remain significant because other countries are also grappling with increased healthcare spending, safety concerns and inefficient care, and many of these countries recognize HIT as an important part of the solution to these issues.
In summary, while the current economic environment has impacted our business, the fundamental value proposition of HIT remains strong. The HIT industry will likely benefit as healthcare providers and governments continue to recognize that these solutions and services contribute to safer, more efficient healthcare.
Results Overview
The Company delivered strong levels of bookings, earnings and cash flows in the first quarter of 2010. New business bookings revenue, which reflects the value of executed contracts for software, hardware and professional services and managed services, was $404.9 million in the first quarter of 2010, which was an increase of 22% compared to $332.8 million in the first quarter of 2009. Revenues for the first quarter of 2010 increased 10% to $431.3 million compared to $392.3 million in the year-ago quarter. The year-over-year increase in revenue in the first quarter reflects slightly better economic conditions and some early demand driven by the stimulus incentives provided by the HITECH provisions within the ARRA.
First quarter 2010 net earnings were $50.3 million and diluted earnings per share were $0.59. First quarter 2009 net earnings were $40.8 million and diluted earnings per share were $0.49. First quarter 2010 and 2009 net earnings and diluted earnings per share reflect the impact of shared-based compensation expense. Share-based compensation expense reduced first quarter 2010 net earnings and diluted earnings per share by $3.5 million and $0.04, respectively, and first quarter 2009 earnings and diluted earnings per share by $2.5 million and $0.03, respectively.
The growth in net earnings and diluted earnings per share was driven primarily by improved revenue growth and continued progress with our margin expansion initiatives, particularly leveraging R&D investments and controlling sales and client services expenses. Our first quarter 2010 operating margin was 17.5%, which is 170 basis points higher than the year-ago quarter and reflects continued progress towards our long-term goal of achieving 20% operating margins.
We had strong cash collections of receivables of $483.7 million in the first quarter of 2010 compared to $457.7 million in the first quarter of 2009. Days sales outstanding decreased to 89 days in the first quarter of 2010 compared to 90 days in the fourth quarter 2009 and 102 days in the first quarter of 2009. The majority of the year-over-year decline is driven by the reclassification of our Fujitsu receivable to other long term assets during the fourth quarter of 2009, which is not included in our days sales outstanding calculation. Operating cash flows for the first quarter of 2010 were strong at $105.5 million compared to $97.8 million in the first quarter of 2009.

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Results of Operations
The following table presents a summary of the operating information for the first quarters of 2010 and 2009:
                                         
     
            % of             % of        
(in thousands)   2010     Revenue     2009     Revenue     % Change  
     
 
Revenues
                                       
System sales
     $           116,951       27 %      $           100,189       26 %     17 %
Support and maintenance
    127,106       29 %     124,493       32 %     2 %
Services
    179,939       42 %     159,335       41 %     13 %
Reimbursed travel
    7,341       2 %     8,305       2 %     -12 %
     
Total revenues
    431,337       100 %     392,322       100 %     10 %
 
                                       
Costs of revenue
                                       
Costs of revenue
    68,084       16 %     65,531       17 %     4 %
     
Total margin
    363,253       84 %     326,791       83 %     11 %
 
                                       
Operating expenses
                                       
Sales and client
    187,593       43 %     173,353       44 %     8 %
Software development
    66,779       15 %     64,736       17 %     3 %
General and administrative
    33,225       8 %     26,722       7 %     24 %
     
Total operating expenses
    287,597       67 %     264,811       67 %     9 %
     
 
                                       
Total costs and expenses
    355,681       82 %     330,342       84 %     8 %
     
 
                                       
Operating earnings
    75,656       17.5 %     61,980       15.8 %     22 %
 
                                       
Interest income (expense), net
    1,783               (321 )                
Other income (expense), net
    (76 )             204                  
Income taxes
    (27,077 )             (21,033 )                
 
                                       
     
Net earnings
     $           50,286                $           40,830               23 %
     
Revenues & Backlog
Revenues increased 10% to $431.3 million for the first quarter 2010 from $392.3 million for the same period in 2009.
   
System sales, which include revenues from the sale of software, technology resale (hardware and sublicensed software), deployment period licensed software upgrade rights, installation fees, transaction processing and subscriptions, increased 17% to $117.0 million for the first quarter of 2010 from $100.2 million for the same period in 2009. The increase in system sales was driven by a strong increase in licensed software, partially offset by a decline in technology resale revenue.
 
   
Support and maintenance revenues increased 2% to $127.1 million during the first quarter of 2010 from $124.5 million during the same period in 2009. The increase is attributable to growth in Cerner Millennium applications for which support billing has been initiated.
 
   
Services revenue, which includes professional services excluding installation, and managed services, increased 13% to $179.9 million from $159.3 million for the same period in 2009. This increase is driven by growth in CernerWorksSM managed services as a result of continued demand for our hosting services and an increase in professional services due to increased implementation activities.
Contract backlog, which reflects new business bookings that have not yet been recognized as revenue, increased 24% in the first quarter of 2010 compared to the same period in 2009. This increase was driven by growth in new business bookings during the past four quarters, including continued strong levels of managed services bookings that typically have longer contract terms. A summary of our total backlog follows:
                 
    Three Months Ended
(In thousands)   2010     2009  
     
   
Contract backlog
     $ 3,698,991        $ 2,980,990  
Support and maintenance backlog
    625,751       584,270  
     
Total backlog
     $ 4,324,742        $ 3,565,260  
     

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Costs of Revenue
Cost of revenues was 16% of total revenues in the first quarter of 2010, as compared to 17% in the same period of 2009. The cost of revenues includes the cost of reimbursed travel expense, third party consulting services and subscription content, computer hardware and sublicensed software purchased from hardware and software manufacturers for delivery to clients. It also includes the cost of hardware maintenance and sublicensed software support subcontracted to the manufacturers. Such costs, as a percent of revenues, typically have varied as the mix of revenue (software, hardware, maintenance, support, services and reimbursed travel) carrying different margin rates changes from period to period. Costs of revenues does not include the costs of our client service personnel who are responsible for delivering our service offerings, such costs are included in sales and client service expense.
Operating Expenses
Total operating expenses increased 9% to $287.6 million in the first quarter of 2010, compared with $264.8 million for the same period in 2009. Share-based compensation expense recognized impacted expenses as indicated below:
                 
    Three Months Ended
(In thousands)   2010     2009  
     
 
     
Sales and client service expenses
     $ 2,368        $ 1,709  
Software development expense
    1,406       1,150  
General and administrative expenses
    1,733       1,061  
     
Total stock-based compensation expense
     $ 5,507        $ 3,920  
     
   
Sales and client service expenses as a percent of total revenues were 43% in the first quarter of 2010 as compared to 44% in the same period of 2009. These expenses increased 8% to $187.6 million in the first quarter of 2010, from $173.4 million in the same period of 2009. Sales and client service expenses include salaries of sales and client service personnel, depreciation and other expenses associated with our CernerWorks managed service business, communications expenses, unreimbursed travel expenses, expense for share-based payments, sales and marketing salaries and trade show and advertising costs. The increase was primarily attributable to growth in the managed services business and an increase in bad debt expense.
 
   
Software development expense increased 3% to $66.8 million for the first quarter of 2010 compared to $64.7 million for the same period in 2009. The small amount of the increase reflects our ongoing efforts to control spending growth relative to revenue growth. A summary of our total software development expense is as follows:
                 
    Three Months Ended
(In thousands)   2010     2009  
     
 
Software development costs
     $ 71,457        $ 69,975  
Capitalized software costs
    (20,282     (18,114 )
Capitalized costs related to share-based payments
    (234     (174 )
Amortization of capitalized software costs
    15,838       13,049  
     
Total software development expense
     $ 66,779        $ 64,736  
     
   
General and administrative expenses as a percent of total revenues were 8%, in the first quarter of 2010, as compared to 7% for the same period in 2009. These expenses increased 24% to $33.2 million in the first quarter of 2010, from $26.7 million for the same period in 2009. General and administrative expenses include salaries for corporate, financial and administrative staffs, utilities, communications expenses, professional fees, transaction gains or losses on foreign currency and expense for share based payments. We recorded a net transaction loss on foreign currency of $0.02 million and a net transaction gain on foreign currency of $5.5 million in the first quarters of 2010 and 2009, respectively, which accounted for the majority of the overall increase in general and administrative expenses.

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Non-Operating Items
   
Net interest income was $1.8 million in the first quarter of 2010 compared to net interest expense of $0.3 million in the first quarter of 2009. Interest income increased to $3.7 million in the first quarter of 2010 from $1.7 million for the same period in 2009, due primarily to growth in investments and an increase in investment returns. Interest expense decreased to $1.9 million in the first quarter of 2010 from $2.1 million for the same period in 2009, due primarily to long-term debt payments made in the fourth quarter of 2009.
 
   
Other income was $0.1 million in the first quarter of 2010, compared to expense of $0.2 million for the same period in 2009. Other income and expense in the first quarters 2010 and 2009 includes offsetting unrealized gains and losses included in earnings related to our auction rate securities and put-like settlement feature in the amounts of $1.3 million and $6.3 million, respectively. Refer to Liquidity and Capital Resources within this MD&A and Note 3 of the notes to condensed consolidated financial statements for additional information on our auction rate securities.
 
   
Our effective tax rate was 35% for the first quarter of 2010 and 34% for the first quarter of 2009. This increase is primarily due to the research and development tax credit not being extended for the 2010 tax year.
Operations by Segment
We have two operating segments, Domestic and Global. The Domestic segment includes revenue contributions and expenditures associated with business activity in the United States. The Global segment includes revenue contributions and expenditures linked to business activity in Aruba, Australia, Austria, Belgium, Canada, Cayman Islands, Chile, China (Hong Kong), Egypt, England, France, Germany, India, Ireland, Malaysia, Puerto Rico, Saudi Arabia, Singapore, Spain, Sweden, Switzerland and the United Arab Emirates.
The following table presents a summary of the operating information for the first quarters of 2010 and 2009:
                                         
     
(in thousands)   2010     % of Revenue     2009     % of Revenue     % Change  
     
Domestic Segment
                                       
Revenues
     $      355,315       100%      $      323,173       100%     10%
Costs of revenue
    61,241       17%     54,462       17%     12%
Operating expenses
    104,723       29%     89,777       28%     17%
     
Total costs and expenses
    165,964       47%     144,239       45%     15%
 
                                       
     
Domestic operating earnings
    189,351       53%     178,934       55%     6%
     
 
                                       
Global Segment
                                       
Revenues
    76,022       100%     69,149       100%     10%
Costs of revenue
    6,843       9%     11,069       16%     -38%
Operating expenses
    29,713       39%     32,361       47%     -8%
     
Total costs and expenses
    36,556       48%     43,430       63%     -16%
 
                                       
     
Global operating earnings
    39,466       52%     25,719       37%     53%
     
 
                                       
Other, net
    (153,161 )             (142,673 )             7%
 
                                       
     
Consolidated operating earnings
     $           75,656                $           61,980               22%
     
Domestic Segment
   
Revenues increased 10% to $355.3 million in the first quarter of 2010 from $323.2 million the same period in 2009. This increase was driven by growth in licensed software, managed services and professional services.
 
   
Cost of revenues remained flat at 17% of revenues in the first quarter of 2010, compared to the same period in 2009.
 
   
Operating expenses increased 17% to $104.7 million in the first quarter of 2010, from $89.8 million in the same period in 2009, due primarily to growth in managed services and bad debt expense.

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Global Segment
   
Revenues increased 10% to $76.0 million in the first quarter of 2010 from $69.1 million in the same period in 2009. This increase was driven by improved licensed software and support revenue, mostly from the United Kingdom and Middle East regions, as well as a change in estimates for certain contracts that rely on estimates as part of contract accounting.
 
   
Cost of revenues was 9% of revenues in the first quarter of 2010, compared with 16% in the same period of 2009. The lower cost of revenues in the first quarter of 2010 was driven by a decrease in technology resale, which carries a higher cost of revenue.
 
   
Operating expenses decreased 8% to $29.7 million for the first quarter of 2010, from $32.4 million in the same period in 2009, primarily due to a decrease in professional services expense.
Other, net
Operating results not attributed to an operating segment include expenses, such as software development, marketing, general and administrative, stock-based compensation and depreciation. These expenses increased 7% to $153.2 million in the first quarter of 2010 from $142.7 million in the same period in 2009. This increase was primarily due to growth in corporate personnel costs, as well as the previously discussed impact of foreign currency transaction gains and losses.
Liquidity and Capital Resources
Our liquidity is influenced by many factors, including the amount and timing of our revenues, our cash collections from our clients and the amounts we invest in software development, acquisitions and capital expenditures.
Our principal sources of liquidity are our cash, cash equivalents (which consist of money market funds), time deposits and bonds with original maturities of less than 90 days and short-term investments. At April 3, 2010, we had cash of $209.6 million, cash equivalents of $30.6 million and short-term investments of $368.7 million compared to cash of $144.8 million, cash equivalents of $97.0 million and short-term investments of $317.1 million at January 2, 2010.
Additionally, we maintain a $90 million, multi-year revolving credit facility, which provides an unsecured revolving line of credit for working capital purposes. Interest is payable at a rate based on prime or LIBOR plus a spread that varies depending on the net worth ratios maintained. The agreement contains certain net worth, current ratio and fixed charge coverage covenants and provides certain restrictions on our ability to borrow, incur liens, sell assets and pay dividends. The current agreement expires on May 31, 2013. As of April 3, 2010, we had no outstanding borrowings under this agreement and were in compliance with all covenants.
We believe that our present cash position, together with cash generated from operations, short-term investments and, if necessary, our available lines of credit, will be sufficient to meet anticipated cash requirements during 2010.
During the second quarter of 2008, Fujitsu Services Limited’s (Fujitsu) contract as the prime contractor in the National Health Service (NHS) initiative to automate clinical processes and digitize medical records in the Southern region of England was terminated by the NHS. This had the effect of automatically terminating our subcontract for the project. We are in dispute with Fujitsu regarding Fujitsu’s obligation to pay the amounts comprised of accounts receivable and contracts receivable related to that subcontract, and we are working with Fujitsu to resolve these issues based on processes provided for in the contract. Part of that process requires resolution of disputes between Fujitsu and the NHS regarding the contract termination. As of April 3, 2010, it remains unlikely that the matter will be resolved in the next 12 months. Therefore these receivables have been classified as long-term and represent the significant majority of other long-term assets as of the first quarter ended April 3, 2010. While the ultimate collectability of the receivables pursuant to this process is uncertain, we believe that we have valid and equitable grounds for recovery of such amounts and that collection of recorded amounts is probable.
In February and March 2008, liquidity issues in the global credit markets resulted in the progressive failure of auctions representing all the auction rate securities held by us. During the fourth quarter of 2008, we entered into a settlement agreement with the investment firm that sold us the auction rate securities. Under the terms of the settlement agreement, we received the right to redeem the securities at par value during a period from mid-2010 through mid-2012. The settlement is in effect a put-like instrument with a fair value generally equal to the difference between the auction rate securities’ fair value and par value. In the fourth quarter of 2009, these securities were reclassified to short term investments based on our intention to exercise the put-like settlement feature and redeem the securities

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within the next year. At April 3, 2010, we held auction rate securities with a par value of $88.2 million and an estimated fair value of $80.1 million.
We anticipate that any future changes in the fair value of the put-like feature will be offset by the changes in the fair value of the related auction rate securities with no material net impact to the Condensed Consolidated Statements of Operations. We do not expect the auction failures to impact our ability to fund our working capital needs, capital expenditures or other business requirements.
The following table provides details about our cash flows in the first quarters of 2010 and 2009:
                 
    Three Months Ended
(In thousands)   2010     2009  
     
 
Cash flows from operating activities
     $ 105,503        $ 97,826  
Cash flows from investing activities
    (122,474 )     (40,712 )
Cash flows from financing activities
    16,540       3,816  
Effect of exchange rate changes on cash
    (1,085 )     (6,244 )
     
Total change in cash and cash equivalents
     $ (1,516 )      $ 54,686  
     
 
               
Free cash flow (non-GAAP)
     $ 52,879        $ 36,365  
     
Cash from Operating Activities
Cash flow from operations increased in the first three months of 2010 as compared to the same period of 2009 due primarily to the increase in cash impacting earnings, slightly offset by a decrease in cash provided by working capital. During the first three months of 2010 and 2009, we received total client cash collections of $483.7 million and $457.7 million, respectively, of which 4% and 2%, respectively, were received from third party client financing arrangements and non-recourse payment assignments. Days sales outstanding decreased to 89 days for the first quarter of 2010 compared to 90 days in the fourth quarter 2009 and 102 days in the first quarter of 2009. The majority of this year-over-year decline is driven by the reclassification of our Fujitsu receivable to other long-term assets during the fourth quarter of 2009, which is not included in our days sales outstanding calculation. Revenues provided under support and maintenance agreements represent recurring cash flows. Support and maintenance revenues increased 2% in the first three months of 2010 compared to the first three months of 2009. We expect these revenues to continue to grow as the base of installed Cerner Millennium systems grows.
Cash from Investing Activities
                 
    Three Months Ended
(In thousands)   2010     2009  
     
 
Capital purchases
     $ (32,108 )      $ (43,173 )
Capitalized software development costs
    (20,516 )     (18,288 )
Purchases of investments, net of maturities
    (53,131 )     26,247  
Acquisition of businesses, net of cash acquired
    (14,486 )     (3,529 )
Other, net
    (2,233 )     (1,969 )
     
Total cash flows from investing activities
     $ (122,474 )      $ (40,712 )
     
Cash flows from investing activities consist primarily of capital spending and our short-term investment activities. Capital spending consists of capitalized equipment purchases primarily to support growth in our CernerWorks managed services business, capitalized land, building and improvement purchases to support our facilities requirements and capitalized spending to support our ongoing software development initiatives. Capital spending in 2010 is expected to approximate our 2009 levels.
In addition, during the first quarter 2010, we completed our acquisition of IMC Health Care, Inc. for approximately $14.5 million, net of the cash acquired.

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Cash from Financing Activities
                 
    Three Months Ended
(In thousands)   2010     2009  
     
Long-term debt repayments
     $ (219 )      $ (98 )
Cash from option exercises (incl. excess tax benefits)
    15,243       3,813  
Other, net
    1,516       101  
     
Total cash flows from financing activities
     $ 16,540        $ 3,816  
     
Our primary financing obligations are long-term debt repayments. In the fourth quarter of 2009, we commenced payment on the first of seven equal annual installments on our 5.54% Great Britain Pound denominated Note Agreement as well as on the first of four equal annual installments on our 6.42% Series B Senior Notes. Based on debts currently outstanding and current exchange rates, we expect our debt repayments to approximate $25 million per year through 2012 and approximately $15 million per year from 2013 through 2016.
Free Cash Flow
                 
    Three Months Ended
(In thousands)   2010     2009  
     
Cash flows from operating activities
     $ 105,503        $ 97,826  
Capital purchases
    (32,108 )     (43,173 )
Capitalized software development costs
    (20,516 )     (18,288 )
     
Free cash flow (non-GAAP)
     $ 52,879        $ 36,365  
     
Free Cash Flow increased $16 million in the first three months of 2010 as compared to the same period in 2009, which we believe reflects continued strengthening of our earnings quality. Free Cash Flow is a non-GAAP financial measure used by management along with GAAP results to analyze its earnings quality and overall cash generation of the business. The presentation of Free Cash Flow is 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 our consolidated financial statements prepared in accordance with GAAP. Free Cash Flow 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 calculation. We believe Free Cash Flow is important to enable investors to better understand and evaluate our ongoing operating results and allows for greater transparency in the review of our overall financial, operational and economic performance.
Recent Accounting Pronouncements
On January 3, 2010 we adopted Accounting Standards Update (ASU) 09-16, Accounting for Transfers of Financial Assets, which among other things creates more stringent conditions for reporting a transfer of a portion of a financial asset as a sale. The adoption of ASU 09-16 did not have a material impact on our consolidated financial statements.
In January 2010, ASU 10-06, Improving Disclosures about Fair Value Measurements, was issued and amends ASC 820, Fair Value Measurements and Disclosures. This ASU requires disclosures of transfers into and out of Levels 1 and 2, more detailed roll forward reconciliations of Level 3 recurring fair value measurements on a gross basis, fair value information by class of assets and liabilities, and descriptions of valuation techniques and inputs for Level 2 and 3 measurements. We adopted ASU 10-06 during the first quarter 2010, which did not have a material impact on our consolidated financial statements.
On February 24, 2010, ASU 10-09, Subsequent Events (Topic 855): Amendments to Certain Recognition and Disclosure Requirements, was issued, which amends ASC 855-10 to eliminate contradictions between the requirements of U.S. GAAP and the SEC’s filing rules. The amendments also discharge the requirement that public companies disclose the date of their financial statements in both issued and revised financial statements. ASU 10-09 is effective upon issuance and did not have a material impact on our consolidated financial statements.

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Item 3.   Quantitative and Qualitative Disclosures about Market Risk
No material changes.
Item 4.   Controls and Procedures
  a)   Evaluation of disclosure controls and procedures. The Company’s Chief Executive Officer (CEO) and Chief Financial Officer (CFO) have evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined in the Exchange Act Rules 13a-15(e) and 15d-15(e)) as of the end of the period covered by the Quarterly Report (the Evaluation Date). They have concluded that, as of the Evaluation Date, these disclosure controls and procedures were effective to ensure that material information relating to the Company and its consolidated subsidiaries would be made known to them by others within those entities and would be disclosed on a timely basis. The CEO and CFO have concluded that the Company’s disclosure controls and procedures are designed, and are effective, to give reasonable assurance that the information required to be disclosed by the Company in reports that it files under the Exchange Act is recorded, processed, summarized and reported within the time period specified in the rules and forms of the SEC. They have also concluded that the Company’s disclosure controls and procedures are effective to ensure that information required to be disclosed in the reports that are filed or submitted under the Exchange Act are accumulated and communicated to the Company’s management, including the CEO and CFO, to allow timely decisions regarding required disclosure.
 
  b)   There were no changes in the Company’s internal controls over financial reporting during the three months ended April 3, 2010 that have materially affected, or are reasonably likely to materially affect, its internal controls over financial reporting.
 
  c)   The Company’s management, including its CEO and CFO, has concluded that our disclosure controls and procedures and internal control over financial reporting are designed to provide reasonable assurance of achieving their objectives and are effective at that reasonable assurance level. However, the Company’s management can provide no assurance that our disclosure controls and procedures or our internal control over financial reporting can prevent all errors and all fraud under all circumstances. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been or will be detected. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because of changes in conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.

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Part II. Other Information
Item 6.   Exhibits
(a)   Exhibits
  10(a)    
Cerner Corporation 2001 Associate Stock Purchase Plan as Amended and Restated March 1, 2010.
 
  10(b)   
Cerner Corporation 2005 Enhanced Severance Pay Plan as Amended and Restated April 1, 2010.
 
  31.1  
Certification of Neal L. Patterson, Chief Executive Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
  31.2  
Certification of Marc G. Naughton, Chief Financial Officer, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
  32.1  
Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 
  32.2  
Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
         
  CERNER CORPORATION
Registrant


   
 
  April 30, 2010   By:     /s/Marc G. Naughton    
     Date       Marc G. Naughton   
      Chief Financial Officer
  (duly authorized officer and principal financial
  officer) 
 

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