The ABCs of systemic healthcare reform - Cerner Corporation

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• Contract backlog, which reflects new business bookings that have not yet been recognized as revenue, increased 24% in 2007 compared to 2006. 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 the Company’s total backlog for 2007 and 2006 follows: The cost of revenues was 18% of total revenues in 2007 and 21% in 2006. The cost of revenues includes the cost of reimbursed travel expense, sales commissions, 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. The decline in cost of revenues as a percent of revenue was primarily associated with lower commissions and third party costs on licensed software sales and a higher mix of support, maintenance and services revenues, which have a lower cost of revenue. Total operating expenses, excluding cost of revenues, increased 12% to $1,035,684,000 in 2007 from $920,901,000 in 2006. Accounting pursuant to SFAS 123(R), which results in the expensing of share-based compensation, impacted expenses in 2007 and 2006 as indicated below: • Sales and client service expenses as a percent of total revenues were 43% and 42% in 2007 and 2006, respectively. These expenses increased 14% to $657,956,000 in 2007, from $578,050,000 in 2006. Sales and client service expenses include salaries of sales and client service personnel, 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 CernerWorks managed services business. • Total expense for software development in 2007 increased 10% to $270,576,000, from $246,970,000 in 2006. The increase in aggregate expenditures for software development in 2007 was due to continued development and enhancement of the Cerner Millennium platform and software solutions and investments in new initiatives, such as RxStation medication dispensing devices. Included in 2007 software development expense is $8.6 million of research and development activities for the RxStation medical dispensing device. $3.4 million of this amount recorded in 2007 is related to periods prior to 2007. A summary of the Company’s total software development expense in 2007 and 2006 is as follows: • General and administrative expenses as a percent of total revenues were 7% in 2007 and 2006. These expenses increased 12% to $107,152,000 in 2007 from $95,881,000 in 2006. This increase was due primarily to the growth of the Company’s core business and increased presence in the global market. General and administrative expenses include salaries for corporate, financial and administrative staff, utilities, communications expenses, professional fees, the transaction gains or losses on foreign currency and expense for share-based payments. The Company recorded a net transaction gain on foreign currency of $3,691,000 and $3,764,000 in 2007 and 2006, respectively. 42
Net interest income was $1,269,000 in 2007, compared with net interest expense of $697,000 in 2006. Interest income increased to $13,206,000 in 2007 from $11,877,000 in 2006, due primarily to higher yields on cash and short term investments. Interest expense decreased to $11,937,000 in 2007 from $12,574,000 in 2006, due primarily to a reduction in long-term debt. Other expense was $1,385,000 in 2007, compared to other income of $2,074,000 in 2006. Included in 2006 other income is a gain recorded in the first quarter of 2006 related to the renegotiation of a supplier contract that eliminated a liability related to unfavorable future commitments due to that supplier. The Company was able to renegotiate the contract to eliminate certain minimum volume requirements and reduce pricing to market rates leading to the elimination of the previously recorded liability. The Company’s effective tax rate was 38% and 34% in 2007 and 2006, respectively. The change in tax rate was principally related to the creation of a valuation allowance in a non-U.S. jurisdiction in 2007. During the second quarter of 2007, the Company determined that due to a change in circumstances in the quarter, it is more likely than not that certain tax operating loss carry-forwards in a non-U.S. jurisdiction would not be realized resulting in the recognition of a valuation allowance totaling approximately $7,982,000. Tax expense for 2007 and 2006 includes benefits of approximately $3,125,000 and $1,994,000, respectively for adjustments to correct certain tax items relating to prior periods. Operations by Segment The Company has two operating segments, Domestic and Global. The following table presents a summary of the operating information for the years ended 2007 and 2006: Domestic Segment The Company’s Domestic segment includes revenue contributions and expenditures associated with business activity in the United States. Operating earnings increased 11% to $675,156,000 in 2007 from $607,003,000 in 2006. 43
Page 1 and 2: The ABCs of systemic healthcare ref
Page 3: ANNUAL REPORT 2008 1
Page 6 and 7: Board of Directors Neal L. Patterso
Page 8 and 9: To Cerner’s Shareholders, Clients
Page 10 and 11: As we have communicated, our long-t
Page 12 and 13: Key provisions of the ARRA designat
Page 14 and 15: most of our healthcare spending rel
Page 16 and 17: Appendix: Cerner’s Business Model
Page 18 and 19: that have allowed us to continue me
Page 20 and 21: A key point regarding our margin ex
Page 23 and 24: ANNUAL REPORT 2008 FORM 10-K 21
Page 25 and 26: PART I Item 1. Business Overview Ce
Page 27 and 28: total hours of effort needed to imp
Page 29 and 30: warranties concerning material erro
Page 31 and 32: known and unknown liabilities; 7) w
Page 33 and 34: Certain of our competitors have gre
Page 35 and 36: In July 2007, we entered into a lea
Page 37 and 38: Item 6. Selected Financial Data (1)
Page 39 and 40: Results Overview In a challenging e
Page 41 and 42: dispensing devices. Included in 200
Page 43: London which significantly enhances
Page 47 and 48: Liquidity and Capital Resources The
Page 49 and 50: The effects of inflation on the Com
Page 51 and 52: interest rates regularly reset ever
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Page 57 and 58: 10(r) 10(s) 10(t) 10(u) Cerner Corp
Page 59 and 60: Report of Independent Registered Pu
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Page 67 and 68: Deferred revenue is comprised of de
Page 69 and 70: (n) Goodwill and Other Intangible A
Page 71 and 72: amounts that include the amounts at
Page 73 and 74: The Company performs ongoing credit
Page 75 and 76: The aggregate maturities for the Co
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Page 83 and 84: The effective income tax rates for
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Page 87 and 88: Stock Price Performance The followi
Page 92: World Headquarters Cerner Worldwide

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