UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended: March 31, ~~2021~~2022

☐ 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
incorporation or organization)

(I.R.S. Employer Identification No.)

2800 Rock Creek Parkway

North Kansas City,

64117

(Address of principal executive offices)

(Zip Code)

(816) 221-1024

(Registrant's telephone number, including area code)

(Former name, former address and former fiscal year, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:


Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Common Stock, $0.01 par value per share	CERN	The Nasdaq Stock Market LLC

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 ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act.

Large Accelerated Filer ☒ Accelerated Filer ☐ Non-accelerated Filer ☐ Smaller Reporting Company ☐ Emerging Growth Company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.


Class						Outstanding at April ~~30, 2021~~26, 2022
Common Stock, $0.01 par value per share						~~301,317,068~~294,098,094 shares

Table of Contents

CERNER CORPORATION

TABLE OF CONTENTS


Part I.	Financial Information:

Item 1.	Financial Statements:

	Condensed Consolidated Balance Sheets as of March 3 1 , 31, 202 12 (unaudited) and December 31,, 20 2021	1

	Condensed Consolidated Statements of Operations for the Three Months Ended March 31, 202 ~~March~~2 3 1 ,and March 31, 202 1 ~~and~~ ~~March~~31 ~~, 20~~20 (unaudited)	2

	Condensed Consolidated Statements of Comprehensive Income for the Three Months Ended March 31, 202 2 and March 3 1 ,31, 202 1 ~~and~~ ~~March~~31 ~~, 20~~20 (unaudited)	3

	Condensed Consolidated Statements of Cash Flows for the Three Months Ended March 31, 202 M ar ch2 3 1 ,and March 31, 202 1 ~~and~~ ~~March~~31 ~~, 20~~20 (unaudited)	4

	Condensed Consolidated Statements of Changes in Shareholders' Equity for the Three Months Ended March 31, 202 2 ~~Months Ended~~and March 3 1 , 31, 202 1 ~~and~~ ~~March~~31 ~~, 20~~20 (unaudited)	5

	Notes to Condensed Consolidated Financial Statements (unaudited)	6

Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	18

Item 3.	Quantitative and Qualitative Disclosures about Market Risk	2826

Item 4.	Controls and Procedures	2926

Part II.	Other Information:

Item 1.	Legal Proceedings	29

~~Item 2.~~	~~Unregistered Sales of Equity Securities and Use of Proceeds~~	3026

Item 6.	Exhibits	3127

Signatures

Table of Contents

Part I. Financial Information

Item 1. Financial Statements

CERNER CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

As of March 31, ~~2021~~2022 (unaudited) and December 31, ~~2020~~2021


(In thousands, except share data)	(In thousands, except share data)	2021		2020		(In thousands, except share data)	2022		2021

Assets	Assets					Assets
Current assets:	Current assets:					Current assets:
Cash and cash equivalents	Cash and cash equivalents	$	997,861	$	615,615	Cash and cash equivalents	$	709,532	$	589,847
Short-term investments	Short-term investments	476,362		442,473		Short-term investments	171,180		252,622
Receivables, net	Receivables, net	1,175,139		1,168,712		Receivables, net	1,178,037		1,161,361
Inventory	Inventory	30,442		23,027		Inventory	27,704		28,159
Prepaid expenses and other	Prepaid expenses and other	375,376		401,160		Prepaid expenses and other	381,404		417,465
Total current assets	Total current assets	3,055,180		2,650,987		Total current assets	2,467,857		2,449,454

Property and equipment, net	Property and equipment, net	1,803,027		1,804,083		Property and equipment, net	1,610,496		1,656,171
Right-of-use assets	Right-of-use assets	102,871		104,536		Right-of-use assets	76,474		82,940
Software development costs, net	Software development costs, net	1,028,513		1,009,349		Software development costs, net	1,003,806		1,000,357
Goodwill	Goodwill	912,043		914,520		Goodwill	1,129,539		1,131,121
Intangible assets, net	Intangible assets, net	316,368		329,249		Intangible assets, net	434,900		458,482
Long-term investments	Long-term investments	492,704		510,220		Long-term investments	456,398		461,984
Other assets	Other assets	197,704		198,152		Other assets	194,761		193,649

Total assets	Total assets	$	7,908,410	$	7,521,096	Total assets	$	7,374,231	$	7,434,158

Liabilities and Shareholders' Equity	Liabilities and Shareholders' Equity					Liabilities and Shareholders' Equity

Current liabilities:	Current liabilities:					Current liabilities:
Accounts payable	Accounts payable	$	279,256	$	235,755	Accounts payable	$	359,562	$	329,582
Current installments of long-term debt	Current installments of long-term debt	225,000		0		Current installments of long-term debt	—		225,000
Deferred revenue	Deferred revenue	407,736		393,293		Deferred revenue	456,929		531,234
Accrued payroll and tax withholdings	Accrued payroll and tax withholdings	313,184		309,814		Accrued payroll and tax withholdings	284,145		317,092
Other current liabilities	Other current liabilities	237,964		229,764		Other current liabilities	278,236		223,350
Total current liabilities	Total current liabilities	1,463,140		1,168,626		Total current liabilities	1,378,872		1,626,258

Long-term debt	Long-term debt	1,611,102		1,336,069		Long-term debt	1,611,303		1,611,256
Deferred income taxes	Deferred income taxes	372,037		376,035		Deferred income taxes	362,236		395,177
Other liabilities	Other liabilities	149,694		157,799		Other liabilities	113,301		121,005
Total liabilities	Total liabilities	3,595,973		3,038,529		Total liabilities	3,465,712		3,753,696

Shareholders' Equity:	Shareholders' Equity:					Shareholders' Equity:
Common stock, $0.01 par value, 500,000,000 shares authorized, 374,048,596 shares issued at March 31, 2021 and 373,224,832 shares issued at December 31, 2020		3,740		3,732
Common stock, $0.01 par value, 500,000,000 shares authorized, 381,357,862 shares issued at March 31, 2022 and 380,232,975 shares issued at December 31, 2021						Common stock, $0.01 par value, 500,000,000 shares authorized, 381,357,862 shares issued at March 31, 2022 and 380,232,975 shares issued at December 31, 2021	3,814		3,802
Additional paid-in capital	Additional paid-in capital	2,368,227		2,288,806		Additional paid-in capital	2,811,612		2,717,244
Retained earnings	Retained earnings	6,580,612		6,475,551		Retained earnings	6,877,111		6,751,692
Treasury stock, 72,276,054 shares at March 31, 2021 and 67,371,686 shares at December 31, 2020		(4,514,718)		(4,164,718)
Treasury stock, 87,383,166 shares at March 31, 2022 and December 31, 2021						Treasury stock, 87,383,166 shares at March 31, 2022 and December 31, 2021	(5,664,718)		(5,664,718)
Accumulated other comprehensive loss, net	Accumulated other comprehensive loss, net	(125,424)		(120,804)		Accumulated other comprehensive loss, net	(119,300)		(127,558)
Total shareholders' equity	Total shareholders' equity	4,312,437		4,482,567		Total shareholders' equity	3,908,519		3,680,462

Total liabilities and shareholders' equity	Total liabilities and shareholders' equity	$	7,908,410	$	7,521,096	Total liabilities and shareholders' equity	$	7,374,231	$	7,434,158

See notes to condensed consolidated financial statements (unaudited).

Table of Contents

CERNER CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For the three months ended March 31, ~~2021~~2022 and March 31, ~~2020~~2021

(unaudited)

Three Months Ended
(In thousands, except per share data) 2021 2020
Revenues $ 1,387,778 $ 1,411,741
Costs and expenses:
Costs of revenue 230,656 254,416
Sales and client service 622,176 636,649
Software development (Includes amortization of $64,850 and $61,011, respectively) 192,327 185,320
General and administrative 112,365 139,852
Amortization of acquisition-related intangibles 12,196 17,128
Total costs and expenses 1,169,720 1,233,365
Operating earnings 218,058 178,376
Other income, net 1,206 5,595
Earnings before income taxes 219,264 183,971
Income taxes (47,012) (36,812)
Net earnings $ 172,252 $ 147,159
Basic earnings per share $ 0.57 $ 0.48
Diluted earnings per share $ 0.56 $ 0.47
Basic weighted average shares outstanding 304,731 309,657
Diluted weighted average shares outstanding 308,031 312,240


	Three Months Ended
(In thousands, except per share data)	2022		2021

Revenues	$	1,429,801	$	1,387,778
Costs and expenses:
Costs of revenue	243,848		230,656
Sales and client service	612,997		622,176
Software development (Includes amortization of $65,206 and $64,850, respectively)	195,091		192,327
General and administrative	109,279		112,365
Amortization of acquisition-related intangibles	16,602		12,196

Total costs and expenses	1,177,817		1,169,720

Operating earnings	251,984		218,058

Other income, net	26		1,206

Earnings before income taxes	252,010		219,264
Income taxes	(45,881)		(47,012)

Net earnings	$	206,129	$	172,252

Basic earnings per share	$	0.70	$	0.57
Diluted earnings per share	$	0.70	$	0.56
Basic weighted average shares outstanding	293,412		304,731
Diluted weighted average shares outstanding	296,336		308,031

See notes to condensed consolidated financial statements (unaudited).

Table of Contents

CERNER CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

For the three months ended March 31, ~~2021~~2022 and March 31, ~~2020~~2021

(unaudited)

Three Months Ended
(In thousands) 2021 2020
Net earnings $ 172,252 $ 147,159
Foreign currency translation adjustment and other (net of taxes (benefit) of $(679) and $425, respectively) (8,991) (20,546)
Unrealized gain (loss) on cash flow hedge (net of taxes (benefit) of $1,509 and $(6,350), respectively) 4,588 (19,308)
Unrealized holding gain (loss) on available-for-sale investments (net of tax benefit of $71 and $279, respectively) (217) (849)
Comprehensive income $ 167,632 $ 106,456


	Three Months Ended
(In thousands)	2022		2021

Net earnings	$	206,129	$	172,252
Foreign currency translation adjustment and other (net of tax benefit of $237 and $679, respectively)	(3,424)		(8,991)
Unrealized gain (loss) on cash flow hedge (net of taxes of $3,906 and $1,509, respectively)	12,060		4,588
Unrealized holding gain (loss) on available-for-sale investments (net of tax benefit of $125 and $71, respectively)	(378)		(217)

Comprehensive income	$	214,387	$	167,632

See notes to condensed consolidated financial statements (unaudited).

Table of Contents

CERNER CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

For the three months ended March 31, ~~2021~~2022 and March 31, ~~2020~~2021

(unaudited)

Three Months Ended
(In thousands) 2021 2020
CASH FLOWS FROM OPERATING ACTIVITIES:
Net earnings $ 172,252 $ 147,159
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization 175,313 172,646
Share-based compensation expense 47,950 35,031
Provision for deferred income taxes (2,829) 10,449
Investment gains 0 (477)
Changes in assets and liabilities (net of businesses acquired):
Receivables, net (12,301) (22,774)
Inventory (7,411) (296)
Prepaid expenses and other 24,173 (13,681)
Accounts payable 30,118 8,539
Accrued income taxes 21,378 1,105
Deferred revenue 14,768 (42,310)
Other accrued liabilities (12,977) (11,885)
Net cash provided by operating activities 450,434 283,506
CASH FLOWS FROM INVESTING ACTIVITIES:
Capital purchases (75,925) (49,248)
Capitalized software development costs (83,550) (73,855)
Purchases of investments (321,670) (39,194)
Sales and maturities of investments 306,935 36,112
Purchase of other intangibles (7,975) (9,682)
Acquisition of businesses, net of cash acquired 0 (744)
Net cash used in investing activities (182,185) (136,611)
CASH FLOWS FROM FINANCING ACTIVITIES:
Long-term debt issuance 500,000 300,000
Proceeds from exercise of stock options 36,514 118,203
Payments to taxing authorities in connection with shares directly withheld from associates (4,897) (4,517)
Treasury stock purchases (341,715) (650,000)
Dividends paid (67,477) (56,047)
Other (5,310) (3,600)
Net cash provided by (used in) financing activities 117,115 (295,961)
Effect of exchange rate changes on cash and cash equivalents (3,118) (7,365)
Net increase (decrease) in cash and cash equivalents 382,246 (156,431)
Cash and cash equivalents at beginning of period 615,615 441,843
Cash and cash equivalents at end of period $ 997,861 $ 285,412


	Three Months Ended
(In thousands)	2022		2021

CASH FLOWS FROM OPERATING ACTIVITIES:
Net earnings	$	206,129	$	172,252
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization	175,223		175,313
Share-based compensation expense	33,332		47,950
Provision for deferred income taxes	(36,301)		(2,829)
Changes in assets and liabilities:
Receivables, net	(16,712)		(12,301)
Inventory	461		(7,411)
Prepaid expenses and other	13,600		24,173
Accounts payable	35,730		30,118
Accrued income taxes	75,323		21,378
Deferred revenue	(72,800)		14,768
Other accrued liabilities	(38,922)		(12,977)

Net cash provided by operating activities	375,063		450,434

CASH FLOWS FROM INVESTING ACTIVITIES:
Capital purchases	(42,393)		(75,925)
Capitalized software development costs	(56,300)		(83,550)
Purchases of investments	(8,439)		(321,670)
Sales and maturities of investments	99,638		306,935
Purchase of other intangibles	(4,703)		(7,975)

Net cash used in investing activities	(12,197)		(182,185)

CASH FLOWS FROM FINANCING ACTIVITIES:
Long-term debt issuance	—		500,000
Repayment of long-term debt	(225,000)		—
Proceeds from exercise of stock options	63,394		36,514
Payments to taxing authorities in connection with shares directly withheld from associates	(1,583)		(4,897)
Treasury stock purchases	—		(341,715)
Dividends paid	(79,183)		(67,477)
Other	1,038		(5,310)

Net cash provided by (used in) financing activities	(241,334)		117,115

Effect of exchange rate changes on cash and cash equivalents	(1,847)		(3,118)

Net increase in cash and cash equivalents	119,685		382,246
Cash and cash equivalents at beginning of period	589,847		615,615

Cash and cash equivalents at end of period	$	709,532	$	997,861

See notes to condensed consolidated financial statements (unaudited).

Table of Contents

CERNER CORPORATION AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY

For the three months ended March 31, ~~2021~~2022 and March 31, ~~2020~~2021

(unaudited)

Common Stock Additional Paid-in Capital Retained Earnings Treasury Stock Accumulated Other Comprehensive Loss, Net
(In thousands) Shares Amount
Balance at December 28, 2019 367,635 $ 3,676 $ 1,905,171 $ 5,934,909 $ (3,407,768) $ (118,660)
Exercise of stock options and vests of restricted shares and share units 2,543 26 114,050 — — —
Employee share-based compensation expense — — 35,031 — — —
Cumulative effect of accounting change (ASU 2016-13) — — — (4,606) — —
Other comprehensive income (loss) — — — — — (40,703)
Treasury stock purchases — — — — (650,000) —
Cash dividends declared ($0.18 per share) — — — (55,206) — —
Net earnings — — — 147,159 — —
Balance at March 31, 2020 370,178 3,702 2,054,252 6,022,256 (4,057,768) (159,363)
Balance at December 31, 2020 373,225 $ 3,732 $ 2,288,806 $ 6,475,551 $ (4,164,718) $ (120,804)
Exercise of stock options and vests of restricted shares and share units 824 8 31,471 — — —
Employee share-based compensation expense — — 47,950 — — —
Other comprehensive income (loss) — — — — — (4,620)
Treasury stock purchases — — — — (350,000) —
Cash dividends declared ($0.22 per share) — — — (67,191) — —
Net earnings — — — 172,252 — —
Balance at March 31, 2021 374,049 $ 3,740 $ 2,368,227 $ 6,580,612 $ (4,514,718) $ (125,424)


	Common Stock			Additional Paid-in Capital		Retained Earnings		Treasury Stock		Accumulated Other Comprehensive Loss, Net
(In thousands)	Shares	Amount

Balance at December 31, 2020	373,225	$	3,732	$	2,288,806	$	6,475,551	$	(4,164,718)	$	(120,804)

Exercise of stock options and vests of restricted shares and share units	824	8		31,471		—		—		—

Employee share-based compensation expense	—	—		47,950		—		—		—

Other comprehensive income (loss)	—	—		—		—		—		(4,620)

Treasury stock purchases	—	—		—		—		(350,000)		—

Cash dividends declared ($0.22 per share)	—	—		—		(67,191)		—		—

Net earnings	—	—		—		172,252		—		—

Balance at March 31, 2021	374,049	3,740		2,368,227		6,580,612		(4,514,718)		(125,424)

Balance at December 31, 2021	380,233	$	3,802	$	2,717,244	$	6,751,692	$	(5,664,718)	$	(127,558)

Exercise of stock options and vests of restricted shares and share units	1,125	12		61,036		—		—		—

Employee share-based compensation expense	—	—		33,332		—		—		—

Other comprehensive income (loss)	—	—		—		—		—		8,258

Cash dividends declared ($0.27 per share)	—	—		—		(80,710)		—		—

Net earnings	—	—		—		206,129		—		—

Balance at March 31, 2022	381,358	$	3,814	$	2,811,612	$	6,877,111	$	(5,664,718)	$	(119,300)

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

Basis of Presentation

The condensed consolidated financial statements included herein have been prepared by Cerner Corporation ("Cerner," the "Company," "we," "us" or "our") 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 ("GAAP") have been condensed or omitted pursuant to such rules and regulations. 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 management's opinion, the accompanying unaudited condensed consolidated financial statements include all adjustments (consisting of only normal recurring adjustments) 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 quarterly report on Form 10-Q are not necessarily indicative of the operating results for the entire year.

The condensed consolidated financial statements were prepared using 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.

All references to quarters or three month periods ended ~~2021~~2022 and ~~2020~~2021 in these notes to condensed consolidated financial statements refer to the respective three month periods ended March 31, ~~2021~~2022 and March 31, ~~2020,~~2021, unless otherwise noted.

Oracle Merger Agreement

On December 20, 2021, we entered into an Agreement and Plan of Merger (as it may be amended or supplemented from time to time, the "Merger Agreement") with Cedar Acquisition Corporation ("Merger Subsidiary"), which is a wholly owned subsidiary of OC Acquisition LLC ("Parent"), Parent, which is a wholly owned subsidiary of Oracle Corporation ("Oracle"), and (solely with respect to performance of its obligations set forth in certain specified sections thereof) Oracle. Pursuant to the Merger Agreement, on January 19, 2022, Oracle commenced a cash tender offer (the "Offer") to acquire all of the issued and outstanding shares of our common stock for a purchase price of $95.00 per share, net to the holders thereof in cash, without interest and subject to any required tax withholding. If the Offer is completed, Merger Subsidiary will merge with and into Cerner (the "Merger") and we will become a wholly owned indirect subsidiary of Oracle. As a result of the Merger, the shares of our common stock will cease to be publicly held. Completion of the Merger remains subject to certain closing conditions, including receipt of certain regulatory approvals, shareholders holding a majority of the outstanding shares of our common stock tendering their shares in the Offer, and other customary closing conditions. We have agreed to various customary covenants and agreements in the Merger Agreement, including with respect to the operation of our business prior to the closing of the transaction, such as restrictions on making certain acquisitions and divestitures, entering into certain contracts, incurring certain indebtedness and making certain capital expenditures, paying dividends in excess of our regular quarterly dividend, issuing or repurchasing stock and taking other specified actions.

Table of Contents

Supplemental Disclosures of Cash Flow Information


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021
Cash paid during the period for:	Cash paid during the period for:					Cash paid during the period for:
Interest (including amounts capitalized of $2,692 and $4,633, respectively)		$	15,549	$	11,811
Interest (including amounts capitalized of $2,763 and $2,692, respectively)						Interest (including amounts capitalized of $2,763 and $2,692, respectively)	$	21,667	$	15,549
Income taxes, net of refunds	Income taxes, net of refunds	19,216		2,869		Income taxes, net of refunds	(2,063)		19,216
Non-cash items:	Non-cash items:					Non-cash items:
Lease liabilities recorded upon the commencement of operating leases	Lease liabilities recorded upon the commencement of operating leases	7,745		17,762		Lease liabilities recorded upon the commencement of operating leases	292		7,745
Financed capital purchases	Financed capital purchases	1,361		0		Financed capital purchases	—		1,361

Recently Issued Accounting Pronouncements

Reference Rate Reform. The Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting in March 2020 and ASU 2021-01, Reference Rate Reform (Topic 848): Scope in January 2021. Such guidance provides optional financial reporting alternatives to reduce the cost and complexity associated with the accounting for contracts and hedging relationships affected by reference rate reform, such as the upcoming discontinuance of the London Interbank Offered Rate ("LIBOR"). The accommodations within this guidance may be applied prospectively from the beginning of our 2020 first quarter through December 31, 2022. We are currently evaluating the effect that this guidance may have on our contracts that reference LIBOR, specifically, our ~~Third~~Fourth Amended and Restated Credit Agreement ~~(as amended, the~~(the "Credit Agreement") and related interest rate swap. As of the date of this filing, we have not elected to apply any of the provisions of this guidance.

Business Combinations. The FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers in October 2021. Such guidance amends the recognition and measurement principles that apply to business combinations to require that an entity recognize and measure contract assets and contract liabilities acquired in a business combination in accordance with Topic 606. ASU 2021-08 is effective for the Company in the first quarter of 2023, with early adoption permitted. The standard requires prospective application to business combinations occurring on or after the date of adoption. As of the date of this filing, we have not determined if we will early adopt.

~~Table of Contents~~

(2) Revenue Recognition

Disaggregation of Revenue

The following table presents revenues disaggregated by our business models:


		Three Months Ended													Three Months Ended
		2021						2020							2022						2021
(In thousands)	(In thousands)	Domestic Segment		International Segment		Total		Domestic Segment		International Segment		Total		(In thousands)	Domestic Segment		International Segment		Total		Domestic Segment		International Segment		Total

Licensed software	Licensed software	$	148,833	$	12,828	$	161,661	$	146,497	$	11,535	$	158,032	Licensed software	$	178,913	$	10,508	$	189,421	$	148,833	$	12,828	$	161,661
Technology resale	Technology resale	37,891		7,781		45,672		44,449		7,038		51,487		Technology resale	42,764		4,719		47,483		37,891		7,781		45,672
Subscriptions	Subscriptions	95,383		4,429		99,812		86,936		7,449		94,385		Subscriptions	90,553		3,870		94,423		95,383		4,429		99,812
Professional services	Professional services	434,162		60,260		494,422		452,784		58,562		511,346		Professional services	452,238		73,022		525,260		434,162		60,260		494,422
Managed services	Managed services	282,076		35,300		317,376		279,736		29,618		309,354		Managed services	287,975		36,651		324,626		282,076		35,300		317,376
Support and maintenance	Support and maintenance	217,499		45,825		263,324		223,416		50,265		273,681		Support and maintenance	200,667		42,213		242,880		217,499		45,825		263,324
Reimbursed travel	Reimbursed travel	6,148		(637)		5,511		12,597		859		13,456		Reimbursed travel	5,346		362		5,708		6,148		(637)		5,511

Total revenues	Total revenues	$	1,221,992	$	165,786	$	1,387,778	$	1,246,415	$	165,326	$	1,411,741	Total revenues	$	1,258,456	$	171,345	$	1,429,801	$	1,221,992	$	165,786	$	1,387,778

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The following table presents our revenues disaggregated by timing of revenue recognition:


		Three Months Ended													Three Months Ended
		2021						2020							2022						2021
(In thousands)	(In thousands)	Domestic Segment		International Segment		Total		Domestic Segment		International Segment		Total		(In thousands)	Domestic Segment		International Segment		Total		Domestic Segment		International Segment		Total

Revenue recognized over time	Revenue recognized over time	$	1,152,849	$	153,868	$	1,306,717	$	1,165,515	$	153,444	$	1,318,959	Revenue recognized over time	$	1,182,210	$	160,615	$	1,342,825	$	1,152,849	$	153,868	$	1,306,717
Revenue recognized at a point in time	Revenue recognized at a point in time	69,143		11,918		81,061		80,900		11,882		92,782		Revenue recognized at a point in time	76,246		10,730		86,976		69,143		11,918		81,061

Total revenues	Total revenues	$	1,221,992	$	165,786	$	1,387,778	$	1,246,415	$	165,326	$	1,411,741	Total revenues	$	1,258,456	$	171,345	$	1,429,801	$	1,221,992	$	165,786	$	1,387,778

Transaction Price Allocated to Remaining Performance Obligations

As of March 31, ~~2021,~~2022, the aggregate amount of transaction price allocated to performance obligations that are unsatisfied (or partially unsatisfied) for executed contracts approximates ~~$13.07~~$13.21 billion of which we expect to recognize approximately ~~30%~~31% of the revenue over the next 12 months and the remainder thereafter.

Contract Liabilities

Customer payments received in advance of satisfaction of the related performance obligations are deferred as contract liabilities. Such amounts are classified in our condensed consolidated balance sheets as "Deferred revenue". During the three months ended March 31, ~~2021,~~2022, we recognized ~~$138~~$151 million of revenues that were included in our contract liability balance at the beginning of such period.

Significant Customers

Revenues attributable to our relationships (as the prime contractor or a subcontractor) with U.S. government agencies, within our Domestic segment, comprised 20% ~~and 17%~~ of our consolidated revenues for the first three months of ~~2021~~both 2022 and ~~2020, respectively.~~2021. Amounts due in connection with these relationships comprised ~~16% and 13%~~15% of client receivables as of both March 31, ~~2021~~2022 and December 31, ~~2020, respectively.~~2021.

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(3) Receivables

A summary of net receivables is as follows:


(In thousands)	(In thousands)	March 31, 2021		December 31, 2020		(In thousands)	March 31, 2022		December 31, 2021

Client receivables	Client receivables	$	1,351,234	$	1,322,278	Client receivables	$	1,291,556	$	1,307,167
Less: Provision for expected credit losses	Less: Provision for expected credit losses	176,095		153,566		Less: Provision for expected credit losses	113,519		145,806

Total receivables, net	Total receivables, net	$	1,175,139	$	1,168,712	Total receivables, net	$	1,178,037	$	1,161,361

In addition to the client receivables presented above, at ~~both~~ March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, we had ~~$17~~$12 million and $16 million, respectively, of non-current net client receivables, which are presented in "Other assets" in our condensed consolidated balance sheets.

A reconciliation of the beginning and ending amount of our provision for expected credit losses is as follows:

(In thousands) Current Non-current Total
Provision for expected credit losses - balance at December 31, 2020 $ 153,566 $ 38,564 $ 192,130
Additions charged to costs and expenses 20,251 0 20,251
Deductions, foreign currency and other 2,278 0 2,278
Provision for expected credit losses - balance at March 31, 2021 $ 176,095 $ 38,564 $ 214,659


(In thousands)	Current		Non-current		Total

Provision for expected credit losses - balance at December 31, 2021	$	145,806	$	61,106	$	206,912
Additions (reductions) charged to costs and expenses	(7,011)		—		(7,011)
Deductions, foreign currency and other	(25,276)		—		(25,276)

Provision for expected credit losses - balance at March 31, 2022	$	113,519	$	61,106	$	174,625

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Our estimates of expected credit losses for client receivables at both March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, were primarily based on historical credit loss experience and adjustments for certain asset-specific risk characteristics (i.e. known client financial hardship or bankruptcy). Exposure to credit losses may increase if our clients are adversely affected by changes in healthcare laws; changes in reimbursement or payor models; economic pressures or uncertainty associated with local or global economic recessions; disruption associated with the COVID-19 pandemic; or other client-specific factors. Although we have historically not experienced significant credit losses, it is possible that there could be an adverse impact from potential adjustments to the carrying amount of client receivables as clients' cash flows are impacted by the COVID-19 pandemic and related economic uncertainty, which may be material.

During the first three months of ~~2021~~2022 and ~~2020,~~2021, we received total client cash collections of ~~$1.44~~$1.40 billion and ~~$1.37~~$1.44 billion, respectively.

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(4) Investments

Available-for-sale investments at March 31, ~~2021~~2022 were as follows:


(In thousands)	(In thousands)	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses		Fair Value		(In thousands)	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses		Fair Value

Cash equivalents:	Cash equivalents:									Cash equivalents:
Money market funds	Money market funds	$	165,667	$	—	$	—	$	165,667	Money market funds	$	63,290	$	—	$	—	$	63,290
Time deposits	Time deposits	31,588		—		—		31,588		Time deposits	45,501		—		—		45,501
Commercial Paper	Commercial Paper	131,000		—		—		131,000		Commercial Paper	115,500		—		—		115,500
Government and corporate bonds		9,709		—		—		9,709
Total cash equivalents	Total cash equivalents	337,964		—		—		337,964		Total cash equivalents	224,291		—		—		224,291

Short-term investments:	Short-term investments:									Short-term investments:
Time deposits	Time deposits	31,192		—		—		31,192		Time deposits	19,994		—		—		19,994
Commercial paper	Commercial paper	252,500		9		(70)		252,439		Commercial paper	34,000		—		(10)		33,990
Government and corporate bonds	Government and corporate bonds	192,606		226		(101)		192,731		Government and corporate bonds	117,576		3		(383)		117,196
Total short-term investments	Total short-term investments	476,298		235		(171)		476,362		Total short-term investments	171,570		3		(393)		171,180

Long-term investments:	Long-term investments:									Long-term investments:
Government and corporate bonds	Government and corporate bonds	105,645		10		(72)		105,583		Government and corporate bonds	19,642		—		(361)		19,281

Total available-for-sale investments	Total available-for-sale investments	$	919,907	$	245	$	(243)	$	919,909	Total available-for-sale investments	$	415,503	$	3	$	(754)	$	414,752

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Available-for-sale investments at December 31, ~~2020~~2021 were as follows:


(In thousands)	(In thousands)	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses		Fair Value		(In thousands)	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses		Fair Value

Cash equivalents:	Cash equivalents:									Cash equivalents:
Money market funds	Money market funds	$	40,027	$	—	$	—	$	40,027	Money market funds	$	149,429	$	—	$	—	$	149,429
Time deposits	Time deposits	36,756		—		—		36,756		Time deposits	35,342		—		—		35,342
Commercial Paper	Commercial Paper	61,000		—		—		61,000		Commercial Paper	77,850		—		—		77,850
Government and corporate bonds										Government and corporate bonds	5,000		—		—		5,000
Total cash equivalents	Total cash equivalents	137,783		—		—		137,783		Total cash equivalents	267,621		—		—		267,621

Short-term investments:	Short-term investments:									Short-term investments:
Time deposits	Time deposits	28,302		—		—		28,302		Time deposits	25,598		—		—		25,598
Commercial Paper	Commercial Paper	264,000		12		(19)		263,993		Commercial Paper	57,000		—		(14)		56,986
Government and corporate bonds	Government and corporate bonds	149,975		247		(44)		150,178		Government and corporate bonds	170,123		18		(103)		170,038
Total short-term investments	Total short-term investments	442,277		259		(63)		442,473		Total short-term investments	252,721		18		(117)		252,622

Long-term investments:	Long-term investments:									Long-term investments:
Government and corporate bonds	Government and corporate bonds	136,983		152		(57)		137,078		Government and corporate bonds	31,167		—		(149)		31,018

Total available-for-sale investments	Total available-for-sale investments	$	717,043	$	411	$	(120)	$	717,334	Total available-for-sale investments	$	551,509	$	18	$	(266)	$	551,261

We sold available-for-sale investments for proceeds of $5$133 million during the three months ended March 31, ~~2020,~~2022, resulting in insignificant losses in the period.

Other Investments

At both March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, we had investments in equity securities that do not have readily determinable fair values of ~~$369~~$406 million, ~~and $361 million, respectively,~~ accounted for in accordance with Accounting Standards Codification Topic ("ASC") 321, Investments-Equity Securities. Such investments are included in "Long-term investments"

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in our condensed consolidated balance sheets. We did not record any changes in the measurement of such investments during the three months ended March 31, ~~2021~~2022 and March 31, ~~2020,~~2021, respectively.

At March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, we had investments in equity securities reported under the equity method of accounting of ~~$18~~$31 million and ~~$12~~$25 million, respectively. Such investments are included in "Long-term investments" in our condensed consolidated balance sheets.

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(5) Long-term Debt

The following is a summary of indebtedness outstanding:

(In thousands) March 31, 2021 December 31, 2020
Credit agreement loans due May 5, 2024 $ 600,000 $ 600,000
Senior notes:
Series 2021-A due March 24, 2026 100,000 0
Series 2021-B due March 24, 2031 400,000 0
Series 2020-A due March 11, 2030 300,000 300,000
Series 2015-A due February 15, 2022 225,000 225,000
Series 2015-B due February 14, 2025 200,000 200,000
Other 11,662 11,662
Total indebtedness 1,836,662 1,336,662
Less: debt issuance costs (560) (593)
Indebtedness, net 1,836,102 1,336,069
Less: current installments of long-term debt (225,000) 0
Long-term debt $ 1,611,102 $ 1,336,069


(In thousands)	March 31, 2022		December 31, 2021

Credit agreement loans due December 30, 2026	$	600,000	$	600,000
Senior notes:
Series 2021-A due March 24, 2026	100,000		100,000
Series 2021-B due March 24, 2031	400,000		400,000
Series 2020-A due March 11, 2030	300,000		300,000
Series 2015-A due February 15, 2022	—		225,000
Series 2015-B due February 14, 2025	200,000		200,000
Other	11,662		11,662

Total indebtedness	1,611,662		1,836,662
Less: debt issuance costs	(359)		(406)

Indebtedness, net	1,611,303		1,836,256
Less: current installments of long-term debt	—		(225,000)

Long-term debt	$	1,611,303	$	1,611,256

Credit Agreement

As of March 31, ~~2021,~~2022, the interest rate on revolving credit loans outstanding under our Credit Agreement was ~~0.91%~~1.14% based on LIBOR plus the applicable spread.

We are exposed to market risk from fluctuations in the variable interest rates on outstanding indebtedness under our Credit Agreement. In order to manage this exposure, we have entered into an interest rate swap agreement to hedge the variability of cash flows associated with such interest obligations. The interest rate swap is designated as a cash flow hedge, which effectively fixes the interest rate on the hedged indebtedness under our Credit Agreement at 3.06%. At March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, this swap was in a net liability position with an aggregate fair value of ~~$31~~$1 million and ~~$37~~$17 million, respectively; which is presented in our condensed consolidated balance sheets in "Other current liabilities".

Series ~~2021~~2015-A Senior Notes

~~We entered into a Master Note Agreement on November 11, 2019, and subsequently amended on October 8, 2020 (collectively and as amended, the "2019 Shelf Agreement"), pursuant to which~~On February 15, 2022, we may issue and sell up to an aggregate principal amount of $1.80 billion of unsecured senior promissory notes. In March 2021, we issued $500 million aggregate principal amount of unsecured senior notes (the "Series 2021 Senior Notes"), pursuant to the 2019 Shelf Agreement. The issuance consisted of $100repaid our $225 million of ~~2.00%~~ Series ~~2021-A Notes~~2015-A notes due March 24, 2026 and $400 million of 2.59% Series 2021-B Notes due March 24, 2031. Interest on the Series 2021 Senior Notes is payable semiannually on each March 24 and September 24, commencing September 24, 2021, and the principal balance is due at maturity. The Company may prepay at any time all, or any part of, the outstanding principal amount of the Series 2021 Senior Notes, subject to the payment of a make-whole amount. The Series 2021 Senior Notes are subject to the terms of the 2019 Shelf Agreement, which contains customary events of default and covenants related to limitations on indebtedness and transactions with affiliates and the maintenance of certain financial ratios. As of the date of this filing, $1.00 billion remains available for sale under the 2019 Shelf Agreement, which is uncommitted and subject to participation by the purchasers.February 15, 2022.

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(6) Fair Value Measurements

We determine fair value measurements used in our 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 investments in available-for-sale debt securities measured and recorded at fair value on a recurring basis at March 31, ~~2021:~~2022:

(In thousands) Fair Value Measurements Using
Description Balance Sheet Classification Level 1 Level 2 Level 3
Money market funds Cash equivalents $ 165,667 $ — $ 0
Time deposits Cash equivalents — 31,588 0
Commercial paper Cash equivalents — 131,000 —
Government and corporate bonds Cash equivalents — 9,709 —
Time deposits Short-term investments — 31,192 0
Commercial paper Short-term investments — 252,439 0
Government and corporate bonds Short-term investments — 192,731 0
Government and corporate bonds Long-term investments — 105,583 0


(In thousands)		Fair Value Measurements Using
Description	Balance Sheet Classification	Level 1		Level 2		Level 3

Money market funds	Cash equivalents	$	63,290	$	—	$	—
Time deposits	Cash equivalents	—		45,501		—
Commercial paper	Cash equivalents	—		115,500		—
Time deposits	Short-term investments	—		19,994		—
Commercial paper	Short-term investments	—		33,990		—
Government and corporate bonds	Short-term investments	—		117,196		—
Government and corporate bonds	Long-term investments	—		19,281		—

The following table details our investments in available-for-sale debt securities measured and recorded at fair value on a recurring basis at December 31, ~~2020:~~2021:

(In thousands) Fair Value Measurements Using
Description Balance Sheet Classification Level 1 Level 2 Level 3
Money market funds Cash equivalents $ 40,027 $ — $ 0
Time deposits Cash equivalents — 36,756 0
Commercial paper Cash equivalents — 61,000 —
Time deposits Short-term investments — 28,302 0
Commercial paper Short-term investments — 263,993 —
Government and corporate bonds Short-term investments — 150,178 0
Government and corporate bonds Long-term investments — 137,078 0


(In thousands)		Fair Value Measurements Using
Description	Balance Sheet Classification	Level 1		Level 2		Level 3

Money market funds	Cash equivalents	$	149,429	$	—	$	—
Time deposits	Cash equivalents	—		35,342		—
Commercial paper	Cash equivalents	—		77,850		—
Government and corporate bonds	Cash equivalents	—		5,000		—
Time deposits	Short-term investments	—		25,598		—
Commercial paper	Short-term investments	—		56,986		—
Government and corporate bonds	Short-term investments	—		170,038		—
Government and corporate bonds	Long-term investments	—		31,018		—

Our interest rate swap agreement is measured and recorded at fair value on a recurring basis using a Level 2 valuation. The fair value of such agreement is based on the market standard methodology of netting the discounted expected future variable cash receipts and the discounted future fixed cash payments. The variable cash receipts are based on an expectation of future interest rates derived from observed market interest rate forward curves. Since these inputs are

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observable in active markets over the terms that the instrument is held, the derivative is classified as Level 2 in the hierarchy.

We estimate the fair value of our long-term, fixed rate debt using a Level 3 discounted cash flow analysis based on current borrowing rates for debt with similar maturities. We estimate the fair value of our long-term, variable rate debt using a Level 3 discounted cash flow analysis based on LIBOR rate forward curves. The fair value of our long-term debt at March 31, ~~2021~~2022 and December 31, ~~2020~~2021 was approximately ~~$1.85~~$1.59 billion and ~~$1.36~~$1.87 billion, respectively. The carrying amount of such debt at March 31, ~~2021~~2022 and December 31, ~~2020~~2021 was ~~$1.83~~$1.60 billion and ~~$1.33~~$1.83 billion, respectively.

(7) 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. Our effective tax rate was ~~21.4%~~18.2% and ~~20.0%~~21.4% for the first three months of ~~2021~~2022 and ~~2020,~~2021, respectively. The ~~increase~~decrease in the effective tax rate in the first quarter of ~~2021~~2022 is primarily due to ~~a decrease~~favorability of permanent book-tax differences for share-based compensation in ~~net excess tax benefits recognized as a component of income tax expense in connection with the exercise of stock options and the vesting of restricted share and share unit awards.~~2022 compared to 2021.

(8) Earnings Per Share

A reconciliation of the numerators and the denominators of the basic and diluted per share computations are as follows:


		Three Months Ended											Three Months Ended
		2021					2020						2022					2021
		Earnings		Shares	Per-Share		Earnings		Shares	Per-Share			Earnings		Shares	Per-Share		Earnings		Shares	Per-Share
(In thousands, except per share data)	(In thousands, except per share data)	(Numerator)		(Denominator)	Amount		(Numerator)		(Denominator)	Amount		(In thousands, except per share data)	(Numerator)		(Denominator)	Amount		(Numerator)		(Denominator)	Amount

Basic earnings per share:	Basic earnings per share:											Basic earnings per share:
Income available to common shareholders	Income available to common shareholders	$	172,252	304,731	$	0.57	$	147,159	309,657	$	0.48	Income available to common shareholders	$	206,129	293,412	$	0.70	$	172,252	304,731	$	0.57
Effect of dilutive securities:	Effect of dilutive securities:											Effect of dilutive securities:
Stock options, non-vested shares and share units	Stock options, non-vested shares and share units	—		3,300			—		2,583			Stock options, non-vested shares and share units	—		2,924			—		3,300
Diluted earnings per share:	Diluted earnings per share:											Diluted earnings per share:
Income available to common shareholders including assumed conversions	Income available to common shareholders including assumed conversions	$	172,252	308,031	$	0.56	$	147,159	312,240	$	0.47	Income available to common shareholders including assumed conversions	$	206,129	296,336	$	0.70	$	172,252	308,031	$	0.56

For the three months ended March 31, 2021, ~~and March 31, 2020,~~ options to purchase 1.1 ~~million and 4.1~~ million shares of common stock at per share prices ranging from $52.32 to $76.49, ~~and $56.76 to $76.49, respectively,~~ were outstanding but were not included in the computation of diluted earnings per share because they were anti-dilutive. For the three months ended March 31, 2022, an inconsequential number of outstanding securities were not included in the computation of diluted earnings per share because they were anti-dilutive.

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(9) Share-Based Compensation and Equity

Stock Options

Stock option activity for the three months ended March 31, ~~2021~~2022 was as follows:

(In thousands, except per share and term data) Number of
Shares Weighted-
Average
Exercise
Price
(Per Share) Aggregate
Intrinsic
Value Weighted-Average
Remaining
Contractual
Term (Yrs)
Outstanding at beginning of year 10,204 $ 58.59
Exercised (705) 51.57
Forfeited and expired (41) 58.83
Outstanding as of March 31, 2021 9,458 $ 59.11 $ 120,781 5.36
Exercisable as of March 31, 2021 5,997 $ 57.99 $ 83,349 4.53


(In thousands, except per share and term data)	Number of Shares	Weighted- Average Exercise Price (Per Share)		Aggregate Intrinsic Value		Weighted-Average Remaining Contractual Term (Yrs)

Outstanding at beginning of year	4,670	$	59.61
Exercised	(1,093)	57.27
Forfeited and expired	(74)	62.77
Outstanding as of March 31, 2022	3,503	$	60.27	$	116,608	4.74

Exercisable as of March 31, 2022	2,322	$	59.59	$	78,862	4.11

As of March 31, ~~2021,~~2022, there was ~~$39~~$10 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 ~~1.77~~1.05 years.

Non-vested Shares and Share Units

Non-vested share and share unit activity for the three months ended March 31, ~~2021~~2022 was as follows:


(In thousands, except per share data)	(In thousands, except per share data)	Number of Shares	Weighted-Average Grant Date Fair Value Per Share		(In thousands, except per share data)	Number of Shares	Weighted-Average Grant Date Fair Value Per Share

Outstanding at beginning of year	Outstanding at beginning of year	4,131	$	68.05	Outstanding at beginning of year	3,644	$	73.35
Granted	Granted	71	73.95		Granted	2,016	93.39
Vested	Vested	(188)	65.89		Vested	(48)	73.50
Forfeited	Forfeited	(64)	69.07		Forfeited	(186)	74.16

Outstanding as of March 31, 2021		3,950	$	68.24
Outstanding as of March 31, 2022					Outstanding as of March 31, 2022	5,426	$	80.77

As of March 31, ~~2021,~~2022, there was ~~$158~~$340 million of total unrecognized compensation cost related to non-vested share and share unit awards granted under all plans. That cost is expected to be recognized over a weighted-average period of ~~1.68~~2.40 years.

Share-Based Compensation Cost

The following table presents total compensation expense recognized with respect to stock options, non-vested shares and share units, and our associate stock purchase plan:


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021

Stock option and non-vested share and share unit compensation expense	Stock option and non-vested share and share unit compensation expense	$	47,950	$	35,031	Stock option and non-vested share and share unit compensation expense	$	33,332	$	47,950
Associate stock purchase plan expense	Associate stock purchase plan expense	1,548		1,101		Associate stock purchase plan expense	1,477		1,548
Amounts capitalized in software development costs, net of amortization	Amounts capitalized in software development costs, net of amortization	(1,663)		(745)		Amounts capitalized in software development costs, net of amortization	(90)		(1,663)

Amounts charged against earnings, before income tax benefit	Amounts charged against earnings, before income tax benefit	$	47,835	$	35,387	Amounts charged against earnings, before income tax benefit	$	34,719	$	47,835

Amount of related income tax benefit recognized in earnings	Amount of related income tax benefit recognized in earnings	$	10,256	$	6,443	Amount of related income tax benefit recognized in earnings	$	6,321	$	10,256

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~~Treasury Stock~~Dividends

Under our current share repurchase program, which was initially approved by our Board of Directors in May 2017 and most recently amended in December 2019, the Company is authorized to repurchase up to $3.70 billion of shares of our common stock, excluding transaction costs. The repurchases are to be effectuated in the open market, by block purchase, in privately negotiated transactions, or through other transactions managed by broker-dealers. No time limit was set for the completion of the program. During the three months ended March 31, 2021, we repurchased 4.9 million shares for total consideration of $350 million under the program. The shares were recorded as treasury stock and accounted for under the cost method. No repurchased shares have been retired. As of March 31, 2021, $577 million remained available for repurchase under the program.

~~Dividends~~

On March ~~25, 2021,~~14, 2022, our Board of Directors declared a cash dividend of ~~$0.22~~$0.27 per share on our issued and outstanding common stock, which was paid on April ~~20, 2021~~19, 2022 to shareholders of record as of ~~April 6, 2021.~~March 28, 2022. In connection with the declaration of such dividend, our non-vested shares and share units are entitled to dividend equivalents, which will be payable to the holder subject to, and upon vesting of, the underlying awards. Our outstanding stock options are not entitled to dividend or dividend equivalents. At both March 31, ~~2021~~2022 and December 31, ~~2020,~~2021, our condensed consolidated balance sheets included liabilities for dividends payable of ~~$69~~$81 million, which are included in "Other current liabilities".

Accumulated Other Comprehensive Loss, Net (AOCI)

The components of AOCI, net of tax, were as follows:


		Foreign currency translation adjustment and other		Unrealized loss on cash flow hedge				Unrealized holding gain (loss) on available-for-sale investments				Total			Foreign currency translation adjustment and other					Unrealized loss on cash flow hedge			Unrealized holding gain (loss) on available-for-sale investments			Total
(In thousands)	(In thousands)									(In thousands)

Balance at December 31, 2020		$	(93,450)			$	(27,788)			$	434							$	(120,804)
Balance at December 31, 2021														Balance at December 31, 2021		$	(114,630)				$	(12,961)		$	33		$	(127,558)
Other comprehensive income (loss) before reclassifications	Other comprehensive income (loss) before reclassifications	(8,991)		2,061				(217)				(7,147)		Other comprehensive income (loss) before reclassifications	(3,424)					9,542			(389)			5,729
Amounts reclassified from AOCI	Amounts reclassified from AOCI	0		2,527				0				2,527		Amounts reclassified from AOCI	—					2,518			11			2,529

Balance at March 31, 2021		$	(102,441)	$	(23,200)			$	217			$	(125,424)
Balance at March 31, 2022														Balance at March 31, 2022	$	(118,054)				$	(901)		$	(345)		$	(119,300)


		Foreign currency translation adjustment and other		Unrealized loss on cash flow hedge				Unrealized holding gain (loss) on available-for-sale investments				Total			Foreign currency translation adjustment and other					Unrealized loss on cash flow hedge			Unrealized holding gain (loss) on available-for-sale investments			Total
(In thousands)	(In thousands)									(In thousands)

Balance at December 28, 2019		$	(106,347)			$	(12,578)			$	265							$	(118,660)
Balance at December 31, 2020														Balance at December 31, 2020		$	(93,450)				$	(27,788)		$	434		$	(120,804)
Other comprehensive income (loss) before reclassifications	Other comprehensive income (loss) before reclassifications	(20,546)		(20,430)				(849)				(41,825)		Other comprehensive income (loss) before reclassifications	(8,991)					2,061			(217)			(7,147)
Amounts reclassified from AOCI	Amounts reclassified from AOCI	0		1,122				0				1,122		Amounts reclassified from AOCI	—					2,527			—			2,527

Balance at March 31, 2020		$	(126,893)	$	(31,886)			$	(584)			$	(159,363)
Balance at March 31, 2021														Balance at March 31, 2021	$	(102,441)				$	(23,200)		$	217		$	(125,424)

The effects on net earnings of amounts reclassified from AOCI were as follows:


(In thousands)		Three Months Ended
AOCI Component	Location	2022		2021

Unrealized loss on cash flow hedge	Other income, net	$	(3,079)	$	(3,217)
	Income taxes	561		690

	Net of tax	(2,518)		(2,527)

Unrealized holding gain (loss) on available-for-sale investments	Other income, net	(13)		—
	Income taxes	2		—

	Net of tax	(11)		—

Total amount reclassified, net of tax		$	(2,529)	$	(2,527)

(In thousands) Three Months Ended
AOCI Component Location 2021 2020
Unrealized loss on cash flow hedge Other income, net $ (3,217) $ (1,372)
Income taxes 690 250
Total amount reclassified, net of tax $ (2,527) $ (1,122)

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(10) Contingencies

We accrue estimates for resolution of any legal and other contingencies when losses are probable and reasonably estimable in accordance with ASC 450, Contingencies ("ASC 450"). No less than quarterly, and as facts and circumstances change, we review the status of each significant matter underlying a legal proceeding or claim and assess our potential financial exposure. We accrue a liability for an estimated loss if the potential loss from any legal proceeding or claim is considered probable and the amount can be reasonably estimated. Significant judgment is required in both the determination of probability and the determination as to whether the amount of an exposure is reasonably estimable, and accruals are based only on the information available to our management at the time the judgment is made, which may prove to be incomplete or inaccurate or unanticipated events and circumstances may occur that might cause us to change those estimates and assumptions. Furthermore, the outcome of legal proceedings is inherently uncertain, and we may incur substantial defense costs and expenses defending any of these matters. Should any one or a combination of more than one of these proceedings be successful, or should we determine to settle any one or a combination of these matters, we may be required to pay substantial sums, become subject to the entry of an injunction or be forced to change the manner in which we operate our business, which could have a material adverse impact on our business, results of operations, cash flows or financial condition.

~~Cerner~~On May 16, 2019, Steward Health ~~Services, Inc.~~Care System LLC ("~~Cerner HS"~~Steward")~~, a wholly owned subsidiary of Cerner Corporation,~~ filed a lawsuit in the ~~Chester~~Chancery Court for Davidson County, ~~Pennsylvania, Court of Common Pleas~~Tennessee against ~~NextGen Healthcare Information Systems, LLC ("NextGen") relating to a dispute arising~~the Company. The Company believes Steward's allegations arise out of ~~a supplier relationship initially established~~Steward's disinterest in following the contract between ~~Siemens Health Services, Inc.~~the Company and ~~NextGen prior to the~~Steward's predecessor for clinical and financial software and services after Steward closed on its acquisition of the assets of Siemens Health Services, Inc. by Cerner HS in 2015. In September 2017, the court issued a preliminary injunction to prevent NextGen from refusing to honor certain contractual obligations to support Cerner HS's clients who use NextGen ambulatory EHR solutions. In September 2018, NextGenpredecessor. The Company has filed a counterclaim ~~alleging breach~~against Steward seeking recovery of contract and tortious interference. NextGen’s expert testified at trial that NextGen should be entitled to collect profit disgorgement damages of $122 million or, at least $18 million of ambulatory-related disgorgement damages. Alternatively, he claimed NextGen should recover $26more than $42 million in lost profit damages. A remote trial commenced on January 25, 2021 and trial continues. We believe NextGen's claims are without merit and are vigorously defending against them; however, there can be no assurances asunpaid invoices owed to the ~~outcome~~Company. The Company believes the dispute is in the ordinary course of business and the ~~dispute.~~damages Steward asserts lack both factual and causal support. Steward has recently asserted that its damages are $300 million and advised the Company that it will seek to treble the damages. We have not concluded that a material loss related to the ~~claims raised by NextGen in its counterclaim~~Steward allegations is probable, nor have we accrued a liability related to these claims. Although we believe a loss ~~may~~could be reasonably possible (as defined in ASC 450), we do not have sufficient information to determine the amount or range of reasonably possible loss with respect to the potential damages given that the dispute is in ~~light~~the discovery process. We will continue to vigorously defend against these claims, and we continue to believe that we have valid grounds for recovery of the ~~inherent difficulty of predicting~~disputed client receivables. However, there can be no assurances as to the outcome of ~~litigation generally,~~ the ~~wide range of damages presented by NextGen's expert, and the continued lack of clarity on the causal connection between Cerner Corporation's and Cerner HS's actions and any alleged damages.~~dispute.

On March 22, 2021, Astria Health ("Astria") filed an adversary proceeding in the United States Bankruptcy Court, Eastern District of Washington against the Company. Astria's allegations largely arise out of the Company's provision of revenue cycle services in 2018 and 2019. The Company believes the dispute is in the ordinary course of business and the factual allegations and the damages asserted lack both factual and causal support. Astria has recently claimed damages of $96 million. We have not concluded that a material loss related to the Astria allegations is probable, nor have we accrued a liability related to these claims beyond reserving certain bankruptcy-related outstanding invoices. Although we believe a loss could be reasonably possible (as defined in ASC 450), we do not have sufficient information to determine the amount or range of reasonably possible loss with respect to the potential damages given that expert discovery is not yet complete. We will continue to vigorously defend against this claim. However, there can be no assurances as to the outcome of the dispute.

The terms of our agreements with our clients generally provide for limited indemnification of such clients against losses, expenses and liabilities arising from third party or other claims based on, among other things, alleged infringement by our solutions of an intellectual property right of third ~~parties~~parties or damages caused by data privacy breaches or system interruptions. The terms of such indemnification often limit the scope of and remedies for such indemnification obligations and generally include, as applicable, a right to replace or modify an infringing solution. For several reasons, including the lack of a sufficient number of prior indemnification claims relating to IPintellectual property infringement, data privacy breaches or system interruptions, the inherent uncertainty stemming from such claims, and the lack of a monetary liability limit for such claims 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.

In addition to commitments and obligations in the ordinary course of business, we are involved in various other legal proceedings and claims that arise in the ordinary course of business, including for example, employment and client disputes and litigation alleging solution and implementation defects, personal injury, intellectual property infringement, violations of law, breaches of contract and warranties, and compliance audits by various government agencies. Many of these proceedings are at preliminary stages and many seek an indeterminate amount of damages. At this time, we do not believe the range of potential losses under any claims to be material to our condensed consolidated financial statements.

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(11) Segment Reporting

We have two operating segments, Domestic and International. Revenues are derived primarily from the sale of clinical, financial and administrative information solutions and services. The cost of revenues includes the cost of third-party consulting services, computer hardware, devices and sublicensed software purchased from 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, expenses associated with our managed services business, marketing expenses, communications expenses and unreimbursed travel expenses. "Other" includes expenses that have not been allocated to the operating segments, such as software development, general and administrative expenses, certain organizational restructuring and other expense, share-based compensation expense, and certain amortization and depreciation. Performance of the segments is assessed at the operating earnings level by our chief operating decision maker, who is our Chief Executive Officer. Items such as interest, income taxes, capital expenditures and total assets are managed at the consolidated level and thus are not included in our operating segment disclosures. 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 our operating segments and other expense for the three months ended March 31, ~~2021~~2022 and March 31, ~~2020:~~2021:


(In thousands)	Domestic		International		Other		Total

Three Months Ended 2022
Revenues	$	1,258,456	$	171,345	$	—	$	1,429,801

Costs of revenue	215,241		28,607		—		243,848
Operating expenses	541,575		71,422		320,972		933,969
Total costs and expenses	756,816		100,029		320,972		1,177,817

Operating earnings (loss)	$	501,640	$	71,316	$	(320,972)	$	251,984


(In thousands)	Domestic		International		Other		Total

Three Months Ended 2021
Revenues	$	1,221,992	$	165,786	$	—	$	1,387,778

Costs of revenue	205,694		24,962		—		230,656
Operating expenses	560,562		61,614		316,888		939,064
Total costs and expenses	766,256		86,576		316,888		1,169,720

Operating earnings (loss)	$	455,736	$	79,210	$	(316,888)	$	218,058

(In thousands) Domestic International Other Total
Three Months Ended 2020
Revenues $ 1,246,415 $ 165,326 $ — $ 1,411,741
Costs of revenue 228,567 25,849 — 254,416
Operating expenses 570,094 66,555 342,300 978,949
Total costs and expenses 798,661 92,404 342,300 1,233,365
Operating earnings (loss) $ 447,754 $ 72,922 $ (342,300) $ 178,376

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~~(12) Subsequent Events~~

~~Kantar Health~~

On April 1, 2021, we acquired Kantar Health, a division of Kantar Group, for a base cash purchase price of $375 million. Kantar Health provides data, analytics, commercial research, and consulting services to the life sciences industry. The base purchase price is subject to post-closing adjustments for working capital and certain other adjustments, as specified in the Securities Purchase Agreement dated December 16, 2020, as amended.

~~Our acquisition of Kantar Health will be treated as a purchase in accordance with ASC 805,~~ ~~Business Combinations~~, which requires allocation of the purchase price to the estimated fair values of assets and liabilities acquired in the transaction. Due to the timing of the acquisition subsequent to our first quarter 2021 period-end, certain disclosures, including the preliminary allocation of purchase price, have been omitted from this quarterly report on Form 10-Q because the initial accounting for the business combination is incomplete as of the filing date. We will include necessary disclosures in our quarterly report on Form 10-Q for our second quarter of 2021.

~~2021 Share Repurchase Program~~

On April 23, 2021, our Board of Directors approved a new share repurchase program (the "2021 Share Repurchase Program"), which authorizes the Company to repurchase up to $3.75 billion in the aggregate of shares of our common stock, excluding transaction costs. The 2021 Share Repurchase Program is incremental to our current program originally approved in May 2017. The repurchases are to be effectuated in the open market, by block purchase, in privately negotiated transactions, or through other transactions managed by broker-dealers, or any combination thereof. The 2021 Share Repurchase Program will expire on December 31, 2023.

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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 condensed consolidated financial statements ("Notes") found above. Certain statements in this quarterly report on Form 10-Q contain forward-looking statements within the meanings of the Private Securities Litigation Reform Act of 1995, as amended, regarding our future plans, objectives, beliefs, expectations, representations and projections. See the end of this MD&A for more information on our forward-looking statements, including a discussion of the most significant factors that could cause actual results to differ materially from those in the forward-looking statements.

All references to quarters or the three month periods ended ~~2021~~2022 and ~~2020~~2021 in this MD&A represent the respective three month periods ended March 31, ~~2021~~2022 and March 31, ~~2020,~~2021, unless otherwise noted.

Management Overview

Our revenues are primarily derived by selling, implementing, operating and supporting software solutions, clinical content, hardware, devices and services that give healthcare providers and other stakeholders secure access to clinical, administrative and financial data in real or near-real time, helping them to improve quality, safety and efficiency in the delivery of healthcare.

Our core strategy is to create organic growth by investing in research and development to create solutions and tech-enabled services for the healthcare industry. We expect to also supplement organic growth with acquisitions or strategic investments and collaborations.

Cerner's long history of growth has created an important strategic footprint in healthcare, with Cerner holding ~~more than~~approximately 25 percent market share in the U.S. acute care electronic health record ("EHR") market and a leading market share in several non-U.S. regions. Foundational to our growth going forward is delivering value to this core client base, including executing effectively on our large U.S. federal contracts and cross-selling key solutions and services in areas such as revenue cycle. We are also investing in platform modernization, with a focus on delivering a software as a service platform that we expect to lower total cost of ownership, improve clinician experience and patient outcomes, and enable clients to accelerate adoption of new functionality and better leverage third-party innovations.

We also expect to continue driving growth by leveraging our HealtheIntent® platform, which is the foundation for established and new offerings for both provider and non-provider markets. The EHR-agnostic HealtheIntent platform enables Cerner to become a strategic partner with healthcare stakeholders and help them improve performance under both fee-for-service and value-based contracting. The platform, along with our CareAware® platform, also supports offerings in areas such as long-term care, home care and hospice, rehabilitation, behavioral health, community care, care team communications, health systems operations, consumer and employer, and data-as-a-service.

Beyond our strategy for driving revenue growth, we are also focused on earnings growth. After several years of margin compression related to slowing revenue growth, increased mix of low-margin services, and lower software demand due to the end of direct government incentives for EHR adoption, Cerner implemented a new operating structure and introduced other initiatives focused on cost optimization and process ~~improvement in 2019. To assist in these efforts, we engaged an outside consulting firm to conduct a review of our operations and cost structure.~~improvement. We have made good progress since we kicked off our transformation in 2019 and expect this progress to be reflected in improved profitability going forward. We are focused on ongoing identification of opportunities to operate more efficiently and on achieving the efficiencies without impacting the quality of our solutions and services and commitments to our clients.

We are also focused on delivering strong levels of cash flow, which we expect to accomplish by continuing to grow earnings and prudently managing capital expenditures. We expect to use future cash flow and debt, as appropriate, to meet our capital allocation objectives, which include investing in our business, entering into acquisitions or other strategic investments to drive profitable growth, and returning capital to shareholders through share repurchases and dividends.

Oracle Merger Agreement

On December 20, 2021, we entered into the Merger Agreement with Oracle and certain of its wholly owned subsidiaries. Pursuant to the Merger Agreement, on January 19, 2022, Oracle commenced a cash tender offer to acquire all of the issued and outstanding shares of our common stock for a purchase price of $95.00 per share, net to the holders thereof in cash, without interest and subject to any required tax withholding. If the Offer is completed, Merger Subsidiary will merge

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~~COVID-19~~with and into Cerner and we will become a wholly owned indirect subsidiary of Oracle. As a result of the Merger, the shares of our common stock will cease to be publicly held. We have agreed to various customary covenants and agreements in the Merger Agreement, including with respect to the operation of our business prior to the closing of the transaction, such as restrictions on making certain acquisitions and divestitures, entering into certain contracts, incurring certain indebtedness and making certain capital expenditures, paying dividends in excess of our regular quarterly dividend, issuing or repurchasing stock and taking other specified actions. We do not believe these restrictions will prevent us from meeting our debt service obligations, ongoing costs of operations, working capital needs, or capital expenditure requirements. If the Merger Agreement is terminated under certain specified circumstances, we will be required to pay Parent a termination fee of $950 million. The completion of the Merger remains subject to customary closing conditions, including receipt of certain regulatory approvals and other customary closing conditions. The Merger is expected to close in calendar year 2022.

~~Our business and results of operations in the first three months of both 2021 and 2020 were impacted by the ongoing COVID-19 pandemic. It has~~ caused us to modify certain of our business practices, including requiring most of our associates to work remotely; restricting associate travel; developing social distancing plans for our associates; and canceling or postponing in person participation in certain meetings, events and conferences. It is not possible to quantify the full financial impact that the COVID-19 pandemic has had on our results of operations, cash flows, or financial condition, dueFor additional information related to the ~~uncertainty surrounding~~proposed transaction, please refer to the ~~pandemic,~~Schedule 14D-9, as amended, previously filed with the ~~difficulty inherent in identifying~~SEC and ~~measuring~~other relevant materials related to the ~~various impacts~~transaction that ~~have or may stem from such an event and~~we will file with the ~~fact that there are no comparable recent events that provide guidance as to how to measure or predict the effect the COVID-19 pandemic may have on our business.However, we believe COVID-19 has impacted, and could continue in the near-term to impact, our business results, primarily, but not limited to, in the following areas:~~SEC.

•Bookings, backlog and revenues – A decline in new business bookings as certain client purchasing decisions and projects are delayed to focus on treating patients, procuring necessary medical supplies, administering vaccines, and managing their own organizations through this crisis. This decline in bookings flows through to reduced backlog and lower subsequent revenues.

•Associate productivity – A decline in associate productivity, primarily for our services personnel, as a large amount of work is typically done at client sites, which is being impacted by travel restrictions and our clients' focus on the pandemic. Our clients' focus on the pandemic has also led to pauses on existing projects and postponed start dates for others, which translates into lower professional services revenues and a lower operating margin percentage. We are mitigating this by doing more work remotely than we have in the past, but we cannot fully offset the negative impact.

•Travel – Associate travel restrictions reduce client-related travel, which reduces reimbursed travel revenues and lowers our costs of revenue as a percent of revenues. Such restrictions also reduce non-reimbursable travel, which lowers operating expenses.

•Cash collections – A delay in client cash collections due to COVID-19's impact on national reimbursement processes, and client focus on managing their own organizations' liquidity during this time. This translates to lower cash flows from operating activities, and a higher days sales outstanding metric. Lower cash flows from operating activities may impact how we execute under our capital allocation strategy.

•~~Capital expenditures – A decline in capital spending as certain capital projects are delayed.~~

We believe the impact of COVID-19 on our results of operations for the first quarter of 2020 was limited, with the largest impact in the areas of reduced bookings and lower technology resale revenue, due to the mid-March 2020 timing of when we implemented changes to our business practices in response to COVID-19, and the nature of the industry in which we operate. We believe the most significant impact of COVID-19 on our business was in the second quarter of 2020, with the impact beginning to moderate in subsequent periods but still persisting into 2021 due to some ongoing restrictive measures and certain regions dealing with resurgences of cases. As a result, we believe the impact of COVID-19 on our results of operations for the first quarter of 2021 was greater than in the first quarter of 2020 as the pandemic and practices we implemented in mid-March 2020 were ongoing for the full period, with the largest impact in the areas of lower technology resale, professional services, and reimbursed travel revenues.

While we expect a negative financial impact to continue in 2021, we do not expect it to be as significant as 2020. The impact will continue to be difficult to quantify as there are many factors that continue to be outside of our control, so any forward looking statements that we make regarding our projections of future financial performance; new solutions and services; capital allocation plans; cost optimization and operational improvement initiatives; and the expected benefits of our acquisitions, divestitures or other collaborations are all subject to increased risks.

~~Operational Improvement Initiatives~~

The Company has continued to focus on leveraging the impact of our new operating structure and identifying additional efficiencies in our business. We continue to be focused on reducing operating expenses and generating other efficiencies that are expected to provide longer-term operating margin expansion. We are continuing our portfolio management, which includes ongoing evaluation of our offerings, exiting certain low-margin businesses, and being more selective as we

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consider new business opportunities. To assist in these efforts, we engaged an outside consulting firm to conduct a review of our operations and cost structure. As part of our portfolio management, we closed on the sale of certain of our business operations, primarily conducted in Germany and Spain, in July 2020, and the sale of certain of our revenue cycle outsourcing business operations in August 2020. We expect to ~~continue to evaluate and complete divestiture transactions that are strategic to our operational improvement initiatives.~~ We continue to be focused on ongoing identification of opportunities to operate more efficiently and on achieving the efficiencies without impacting the quality of our solutions and services and commitments to our clients.

In the near term, we expect to incur expenses in connection with these efforts. Such expenses may include, but are not limited to, consultant and other professional services fees, employee separation costs, contract termination costs, and other such related expenses. Expenses recognized in the first quarter of 2021 and 2020 primarily related to professional services fees and employee separation costs, which are included in operating expenses in our condensed consolidated statements of operations. We expect to incur additional expenses in connection with these initiatives in future periods, which may be material.

~~Results Overview~~

Bookings, which reflect the value of executed contracts for software, hardware, professional services and managed services, was $1.23 billion in the first quarter of 2021, which is an increase of 13% compared to $1.09 billion in the first quarter of 2020.

~~Revenues for the first quarter of 2021 decreased 2% to $1.39 billion, compared to $1.41 billion in the first quarter of 2020.~~

Net earnings for the first quarter of 2021 increased 17% to $172 million, compared to $147 million in the first quarter of 2020. Diluted earnings per share increased 19% to $0.56, compared to $0.47 in the first quarter of 2020.

We had cash collections of receivables of $1.44 billion in the first quarter of 2021, compared to $1.37 billion in the first quarter of 2020. Days sales outstanding was 77 days in the first quarter of 2021, compared to 76 days for the 2020 fourth quarter and 74 days for the first quarter of 2020. Operating cash flows for the first quarter of 2021 were $450 million, compared to $284 million in the first quarter of 2020.

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Results of Operations

Three Months Ended March 31, ~~2021~~2022 Compared to Three Months Ended March 31, ~~2020~~2021

The following table presents a summary of our operating information for the first quarters of ~~2021~~2022 and ~~2020:~~2021:


(In thousands)	(In thousands)	2021		% of Revenue		2020		% of Revenue		% Change		(In thousands)	2022		% of Revenue		2021		% of Revenue		% Change

Revenues	Revenues	$	1,387,778	100	%	$	1,411,741	100	%	(2)	%	Revenues	$	1,429,801	100	%	$	1,387,778	100	%	3	%
Costs of revenue	Costs of revenue	230,656		17��	%	254,416		18	%	(9)	%	Costs of revenue	243,848		17	%	230,656		17	%	6	%

Margin	Margin	1,157,122		83	%	1,157,325		82	%	—	%	Margin	1,185,953		83	%	1,157,122		83	%	2	%

Operating expenses	Operating expenses											Operating expenses
Sales and client service	Sales and client service	622,176		45	%	636,649		45	%	(2)	%	Sales and client service	612,997		43	%	622,176		45	%	(1)	%
Software development	Software development	192,327		14	%	185,320		13	%	4	%	Software development	195,091		14	%	192,327		14	%	1	%
General and administrative	General and administrative	112,365		8	%	139,852		10	%	(20)	%	General and administrative	109,279		8	%	112,365		8	%	(3)	%
Amortization of acquisition-related intangibles	Amortization of acquisition-related intangibles	12,196		1	%	17,128		1	%	(29)	%	Amortization of acquisition-related intangibles	16,602		1	%	12,196		1	%	36	%

Total operating expenses	Total operating expenses	939,064		68	%	978,949		69	%	(4)	%	Total operating expenses	933,969		65	%	939,064		68	%	(1)	%

Total costs and expenses	Total costs and expenses	1,169,720		84	%	1,233,365		87	%	(5)	%	Total costs and expenses	1,177,817		82	%	1,169,720		84	%	1	%

Operating earnings	Operating earnings	218,058		16	%	178,376		13	%	22	%	Operating earnings	251,984		18	%	218,058		16	%	16	%

Other income, net	Other income, net	1,206				5,595						Other income, net	26				1,206
Income taxes	Income taxes	(47,012)				(36,812)						Income taxes	(45,881)				(47,012)

Net earnings	Net earnings	$	172,252			$	147,159			17	%	Net earnings	$	206,129			$	172,252			20	%

Revenues & Backlog

Revenues ~~decreased 2%~~increased 3% to ~~$1.39~~$1.43 billion in the first quarter of ~~2021,~~2022, as compared to ~~$1.41~~$1.39 billion in the same period of ~~2020. The decline in revenues is primarily attributable to the following:~~

•2021. The first quarter of ~~2021~~2022 includes a ~~$23~~$47 million ~~reduction~~increase in revenues due to ~~the sale of certain of~~contributions from our ~~revenue cycle outsourcing business operations to affiliates of R1 RCM Inc., on August 3, 2020.~~

•~~The first quarter of~~April 1, 2021 includes a $21 million reduction in revenues due to the sale of certain of our business operations primarily conducted in Germany and Spain to affiliates of CompuGroup Medical SE & Co. KGaA on July 1, 2020.

•~~The impact~~acquisition of the ongoing COVID-19 pandemic on our first quarter 2021 operations, with the largest impact in the areas of technology resale, professional services, and reimbursed travel revenues, as further discussed above.

These declines are partially offset by increased implementation activity within our federal business, inclusive of ongoing projects with the U.S. Department of Defense and the U.S. Department of Veterans Affairs. In the first quarter of 2021, 20% of our total revenues were attributable to our relationships (as the prime contractor or a subcontractor) with U.S. government agencies, compared to 17% in the same period of 2020.Kantar Health business. Refer to Note (2) of the Notes for further information regarding revenues disaggregated by our business models.

Backlog, which reflects contracted revenue that has not yet been recognized as revenue, was ~~relatively flat at $13.07~~$13.21 billion at March 31, ~~2021,~~2022, compared to ~~$13.04~~$13.26 billion at December 31, ~~2020.~~2021. We expect to recognize ~~30%~~31% of our backlog as revenue over the next 12 months.

We believe that backlog may not necessarily be a comprehensive indicator of future revenue as certain of our arrangements may be canceled (or conversely renewed) at our clients' option; thus contract consideration related to such cancellable periods has been excluded from our calculation of backlog. However, historically our experience has been that

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such cancellation provisions are rarely exercised. We expect to recognize approximately ~~$967~~$993 million of revenue over the

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next 12 months under currently executed contracts related to such cancellable periods, which is not included in our calculation of backlog.

Additionally, on April 1, 2021, we completed our acquisition of Kantar Health, as further discussed in Note (12) of the Notes. We expect the acquired business to contribute approximately $125 million of revenues over the remainder of 2021.

Costs of Revenue

Costs of revenue as a percent of revenues were 17% in the first quarter of ~~2021, compared to 18% in the same period of 2020. The lower costs of revenue as a percent of revenues was primarily driven by lower reimbursed travel revenue, which carries a 100% cost of revenue;~~both 2022 and ~~reduced utilization of third-party resources associated with professional services and support and maintenance revenue, inclusive of the impact from the divestiture transactions discussed above.~~2021.

Costs of revenue include the cost of reimbursed travel expense, sales commissions, third-party consulting services and subscription content and computer hardware, devices and sublicensed software purchased from 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, devices, maintenance, support, and services) carrying different margin rates changes from period to period. Costs of revenue 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 decreased 4%1% to ~~$939~~$934 million in the first quarter of ~~2021,~~2022, compared to ~~$979~~$939 million in the same period of ~~2020.~~2021.

•Sales and client service expenses as a percent of revenues were ~~45%~~43% in the first quarter of ~~both 2021 and 2020.~~2022, compared to 45% in the same period of 2021. These expenses decreased 2%1% to ~~$622~~$613 million in the first quarter of ~~2021,~~2022, from ~~$637~~$622 million in the same period of ~~2020.~~2021. Sales and client service expenses include salaries and benefits of sales, marketing, support, and services personnel, depreciation and other expenses associated with our managed services business, expenses for expected credit losses on client receivables, communications expenses, unreimbursed travel expenses, expense for share-based payments, and trade show and advertising costs. The decrease in sales and client service expenses was primarily driven by reductions in non-personnel ~~costs, inclusive of the impact from our operational improvement initiatives, as discussed above.~~costs.

•Software development expenses as a percent of revenues were 14% in the first quarter of ~~2021, compared to 13% in the same period of 2020.~~both 2022 and 2021. Expenditures for software development include ongoing development and enhancement of the Cerner Millennium® and HealtheIntent platforms, as well as other key initiatives such as platform modernization, with a focus on development of a software as a service platform. A summary of our total software development expense in the first quarters of ~~2021~~2022 and ~~2020~~2021 is as follows:

Three Months Ended
(In thousands) 2021 2020
Software development costs $ 211,027 $ 198,164
Capitalized software costs (81,155) (72,504)
Capitalized costs related to share-based payments (2,395) (1,351)
Amortization of capitalized software costs 64,850 61,011
Total software development expense $ 192,327 $ 185,320


	Three Months Ended
(In thousands)	2022		2021

Software development costs	$	186,185	$	211,027
Capitalized software costs	(55,163)		(81,155)
Capitalized costs related to share-based payments	(1,137)		(2,395)
Amortization of capitalized software costs	65,206		64,850

Total software development expense	$	195,091	$	192,327

•General and administrative expenses as a percent of revenues were 8% in the first quarter of ~~2021, compared to 10% in the same period of 2020.~~both 2022 and 2021. These expenses decreased ~~20%~~3% to ~~$112~~$109 million in the first quarter of ~~2021,~~2022, from ~~$140~~$112 million in the same period of ~~2020.~~2021. General and administrative expenses include salaries and benefits for corporate, financial and administrative staffs, utilities, communications expenses, professional fees, depreciation and amortization, transaction gains or losses on foreign currency, expense for share-based payments, certain organizational restructuring and other expense. ~~In the first quarter of 2021,~~The decrease in general and administrative expenses ~~include $20 million of expenses incurred~~was primarily driven by a reduction in connection with our operational improvement initiatives, discussed above, compared to $40 million in the same period of 2020. We expect to incur additional expenses in connection with these efforts in future periods, which may be material.employee separation costs.

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•Amortization of acquisition-related intangibles as a percent of revenues was 1% in the first quarter of both ~~2021~~2022 and ~~2020.~~2021. These expenses ~~decreased 29%~~increased 36% to ~~$12~~$17 million in the first quarter of ~~2021,~~2022, from ~~$17~~$12 million in the same period in~~2020.~~ 2021. Amortization of acquisition-related intangibles includes the amortization of customer relationships, acquired technology, trade names, and non-compete agreements recorded in connection with our business

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acquisitions. The ~~decrease~~increase in amortization of acquisition-related intangibles is primarily due to amortization of intangibles acquired in our April 1, 2021 acquisition of the ~~impact of certain intangible assets from the~~Kantar Health ~~Services acquisition in February 2015 becoming fully amortized in the first quarter of 2020.~~business.

Non-Operating Items

•Other income, net was less than $1 million in the first quarter of ~~2021,~~2022, compared to $6$1 million in the same period of ~~2020. The decrease~~2021. Other income, net for the periods presented is primarily ~~attributable to a reduction in capitalized~~comprised of investment earnings, offset by interest ~~inclusive of the impact from the completion of construction~~expense on ~~the most recent phases of~~ our ~~Innovations Campus in 2020.~~outstanding indebtedness.

•Our effective tax rate was ~~21.4%~~18.2% for the first quarter of ~~2021,~~2022, compared to ~~20.0%~~21.4% for the same period of ~~2020.~~2021. The ~~increase~~decrease in the effective tax rate in the first quarter of ~~2021~~2022 is primarily due to ~~a decrease~~favorability of permanent book-tax differences for share-based compensation in ~~net excess tax benefits recognized as a component of income tax expense in connection with the exercise of stock options and the vesting of restricted share and share unit awards.~~2022 compared to 2021. Refer to Note (7) of the Notes for further discussion regarding our effective tax rate.

Operations by Segment

We have two operating segments: Domestic and International. The Domestic segment includes revenue contributions and expenditures associated with business activity in the United States. The International segment includes revenue contributions and expenditures linked to business activity outside the United States, primarily from Australia, Canada, Europe, and the Middle East. Refer to Note (11) of the Notes for further information regarding our reportable segments.

The following table presents a summary of our operating segment information for the first quarters of ~~2021~~2022 and ~~2020:~~2021:


(In thousands)	(In thousands)	2021		% of Revenue	2020		% of Revenue	% Change	(In thousands)	2022		% of Revenue	2021		% of Revenue	% Change

Domestic Segment	Domestic Segment								Domestic Segment
Revenues	Revenues	$	1,221,992	100%	$	1,246,415	100%	(2)%	Revenues	$	1,258,456	100%	$	1,221,992	100%	3%

Costs of revenue	Costs of revenue	205,694		17%	228,567		18%	(10)%	Costs of revenue	215,241		17%	205,694		17%	5%
Operating expenses	Operating expenses	560,562		46%	570,094		46%	(2)%	Operating expenses	541,575		43%	560,562		46%	(3)%
Total costs and expenses	Total costs and expenses	766,256		63%	798,661		64%	(4)%	Total costs and expenses	756,816		60%	766,256		63%	(1)%

Domestic operating earnings	Domestic operating earnings	455,736		37%	447,754		36%	2%	Domestic operating earnings	501,640		40%	455,736		37%	10%

International Segment	International Segment								International Segment
Revenues	Revenues	165,786		100%	165,326		100%	—%	Revenues	171,345		100%	165,786		100%	3%

Costs of revenue	Costs of revenue	24,962		15%	25,849		16%	(3)%	Costs of revenue	28,607		17%	24,962		15%	15%
Operating expenses	Operating expenses	61,614		37%	66,555		40%	(7)%	Operating expenses	71,422		42%	61,614		37%	16%
Total costs and expenses	Total costs and expenses	86,576		52%	92,404		56%	(6)%	Total costs and expenses	100,029		58%	86,576		52%	16%

International operating earnings	International operating earnings	79,210		48%	72,922		44%	9%	International operating earnings	71,316		42%	79,210		48%	(10)%

Other costs and expenses, net	Other costs and expenses, net	(316,888)			(342,300)			(7)%	Other costs and expenses, net	(320,972)			(316,888)			1%

Consolidated operating earnings	Consolidated operating earnings	$	218,058		$	178,376		22%	Consolidated operating earnings	$	251,984		$	218,058		16%

Domestic Segment

•Revenues ~~decreased 2%~~increased 3% to ~~$1.22~~$1.26 billion in the first quarter of ~~2021,~~2022, from ~~$1.25~~$1.22 billion in the same period of ~~2020.~~2021. The ~~decline in revenues is primarily due to~~first quarter of 2022 includes a $23 million ~~reduction~~increase in revenues due to contributions from our April 1, 2021 acquisition of the ~~sale of certain of our revenue cycle outsourcing business operations~~Kantar Health business. The remaining increase is primarily attributable to ~~affiliates of R1 RCM Inc., on August 3, 2020. Additionally, we believe the~~

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~~ongoing COVID-19 pandemic has negatively impacted our operations in~~increased implementation activity during the first quarter of ~~2021, as further discussed above. These declines are partially offset by increased implementation activity~~2022 within our federal business, inclusive of ongoing projects with the U.S. Department of Defense and the U.S. Department of Veterans Affairs. ~~Refer to Note (2) of the Notes for further information regarding revenues disaggregated by our business models.~~

•Costs of revenue as a percent of revenues were 17% in the first quarter of 2021, compared to 18% in the same period of 2020. The lower costs of revenue as a percent of revenues was primarily driven by lower reimbursed travel revenue, which carries a 100% cost of revenue; and reduced utilization of third-party resources associated with professional services revenue, inclusive of the impact from the divestiture transaction discussed above.

•~~Operating expenses as a percent of revenues were 46% in~~In the first quarter of both 2022 and 2021, and 2020. These expenses decreased 2% to $561 million in the first quarter of 2021, from $570 million in the same period of 2020. The decrease in operating expenses was primarily driven by reductions in non-personnel costs, inclusive of the impact from our operational improvement initiatives, as discussed above.

~~International Segment~~

•Revenues remained relatively flat at $166 million in the first quarter of 2021, and $165 million in the same period of 2020. The first quarter of 2021 includes a $21 million reduction in revenues from the sale of certain20% of our ~~business operations primarily conducted in Germany and Spain~~consolidated revenues were attributable to ~~affiliates of CompuGroup Medical SE & Co. KGaA on July 1, 2020. This decline was offset by 2021 revenue growth across~~our relationships (as the ~~majority of our remaining International Segment operations.~~prime contractor or a subcontractor) with U.S. government agencies. Refer to Note (2) of the Notes for further information regarding revenues disaggregated by our business models.

•Costs of revenue ~~remained relatively flat at $25~~as a percent of revenues were 17% in the first quarter of both 2022 and 2021.

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•Operating expenses as a percent of revenues were 43% in the first quarter of 2022, compared to 46% in the same period of 2021. These expenses decreased 3% to $542 million in the first quarter of ~~2021, and $26~~2022, from $561 million in the same period of ~~2020.~~2021. The decrease in operating expenses was primarily driven by reductions in non-personnel costs.

International Segment

•Revenues increased 3% to $171 million in the first quarter of 2022, from $166 million in the same period of 2021. The first quarter of 2022 includes a $24 million increase in revenues due to contributions from our April 1, 2021 acquisition of the Kantar Health business. This increase was partially offset by a reduction in revenues in the first quarter of 2022 attributable to project delays in certain regions in Europe. Refer to Note (2) of the Notes for further information regarding revenues disaggregated by our business models.

•Costs of revenue as a percent of revenues were 17% in the first quarter of 2022, compared to 15% in the same period of 2021. The higher costs of revenue as a percent of revenues was primarily driven by the impact of the Kantar Health business acquired on April 1, 2021.

•Operating expenses as a percent of revenues were ~~37%~~42% in the first quarter of ~~2021,~~2022, compared to ~~40%~~37% in the same period of ~~2020.~~2021. These expenses ~~decreased 7%~~increased 16% to ~~$62~~$71 million in the first quarter of ~~2021,~~2022, from ~~$67~~$62 million in the same period of ~~2020.~~2021. The ~~decrease~~increase in operating expenses is primarily due to the ~~sale~~April 1, 2021 acquisition of ~~certain of our business operations in Germany and Spain, as further discussed above.~~the Kantar Health business.

Other Costs and Expenses, Net

Operating costs and expenses not attributed to an operating segment include expenses such as software development, general and administrative expenses, share-based compensation expense, certain amortization and depreciation, certain organizational restructuring and other expense. These expenses ~~decreased 7%~~increased 1% to ~~$317~~$321 million in the first quarter of ~~2021,~~2022, from ~~$342~~$317 million in the same period of ~~2020.~~2021. The ~~decrease~~increase is primarily due to a reduction in ~~expenses incurred~~capitalized software costs in ~~connection with our operational improvement initiatives, discussed above.~~the first quarter of 2022.

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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 amount we invest in software development, acquisitions, collaborations, capital expenditures, and our share repurchase and dividend programs. We have agreed to various customary covenants and agreements in the Merger Agreement, including with respect to the operation of our business prior to the closing of the transaction, such as restrictions on making certain acquisitions and divestitures, entering into certain contracts, incurring certain indebtedness and making certain capital expenditures, paying dividends in excess of our regular quarterly dividend, issuing or repurchasing stock and taking other specified actions.We do not believe these restrictions will prevent us from meeting our debt service obligations, ongoing costs of operations, working capital needs, or capital expenditure requirements.

Our principal sources of liquidity are our cash, cash equivalents ~~which~~(which primarily consist of money market funds, time deposits and commercial paper with original maturities of less than 90 ~~days,~~days), short-term investments, borrowings under our Credit Agreement and other sources of debt financing. At March 31, ~~2021,~~2022, we had cash and cash equivalents of ~~$998~~$710 million and short-term investments of ~~$476~~$171 million, as compared to cash and cash equivalents of ~~$616~~$590 million and short-term investments of ~~$442~~$253 million at December 31, ~~2020.~~2021.

We have entered into a Credit Agreement with a syndicate of lenders that provides for an unsecured ~~$1.00~~$1.225 billion revolving credit loan facility, along with a letter of credit facility up to ~~$100~~$200 million (which is a sub-facility of the ~~$1.00~~$1.225 billion revolving credit loan facility). We have the ability to increase the maximum capacity to ~~$1.20~~$1.725 billion at any time during the Credit Agreement's term, subject to lender participation and the satisfaction of specified conditions. The Credit Agreement expires in ~~May 2024.~~December 2026, with two one-year extension options that are subject to lender approval. As of March 31, ~~2021,~~2022, we had outstanding revolving credit loans and letters of credit of $600 million and ~~$33~~$16 million, respectively; which reduced our available borrowing capacity to ~~$367~~$609 million under the Credit Agreement.

We have also entered into note purchase agreements pursuant to which we may issue and sell unsecured senior promissory notes to those purchasers electing to purchase. ~~See Note (5) of the Notes for further information.~~

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We believe that our present cash position, together with cash generated from operations, short-term investments and, as appropriate, remaining availability under our Credit Agreement and other sources of debt financing, will be sufficient to meet anticipated cash requirements for the next 12 months.

The following table summarizes our cash flows in the first three months of ~~2021~~2022 and ~~2020:~~2021:


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021

Cash flows from operating activities	Cash flows from operating activities	$	450,434	$	283,506	Cash flows from operating activities	$	375,063	$	450,434
Cash flows from investing activities	Cash flows from investing activities	(182,185)		(136,611)		Cash flows from investing activities	(12,197)		(182,185)
Cash flows from financing activities	Cash flows from financing activities	117,115		(295,961)		Cash flows from financing activities	(241,334)		117,115
Effect of exchange rate changes on cash	Effect of exchange rate changes on cash	(3,118)		(7,365)		Effect of exchange rate changes on cash	(1,847)		(3,118)
Total change in cash and cash equivalents	Total change in cash and cash equivalents	382,246		(156,431)		Total change in cash and cash equivalents	119,685		382,246

Cash and cash equivalents at beginning of period	Cash and cash equivalents at beginning of period	615,615		441,843		Cash and cash equivalents at beginning of period	589,847		615,615

Cash and cash equivalents at end of period	Cash and cash equivalents at end of period	$	997,861	$	285,412	Cash and cash equivalents at end of period	$	709,532	$	997,861

Free cash flow (non-GAAP)	Free cash flow (non-GAAP)	$	290,959	$	160,403	Free cash flow (non-GAAP)	$	276,370	$	290,959

Cash from Operating Activities


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021

Cash collections from clients	Cash collections from clients	$	1,439,319	$	1,366,709	Cash collections from clients	$	1,399,577	$	1,439,319
Cash paid to employees and suppliers and other	Cash paid to employees and suppliers and other	(954,120)		(1,068,523)		Cash paid to employees and suppliers and other	(1,004,910)		(954,120)
Cash paid for interest	Cash paid for interest	(15,549)		(11,811)		Cash paid for interest	(21,667)		(15,549)
Cash paid for taxes, net of refunds	Cash paid for taxes, net of refunds	(19,216)		(2,869)		Cash paid for taxes, net of refunds	2,063		(19,216)

Total cash from operations	Total cash from operations	$	450,434	$	283,506	Total cash from operations	$	375,063	$	450,434

Cash flows from operations ~~increased $167~~decreased $75 million in the first three months of ~~2021~~2022 when compared to the same period of ~~2020,~~2021, due primarily to ~~a reduction~~an increase in cash used to fund working capital requirements. Days sales outstanding was 7775 days in the first quarter of ~~2021,~~2022, compared to 7673 days for the ~~2020~~ fourth quarter of 2021 and 7477 days for the first quarter of ~~2020.~~2021.

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Cash from Investing Activities


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021

Capital purchases	Capital purchases	$	(75,925)	$	(49,248)	Capital purchases	$	(42,393)	$	(75,925)
Capitalized software development costs	Capitalized software development costs	(83,550)		(73,855)		Capitalized software development costs	(56,300)		(83,550)
Purchases of investments, net of sales and maturities		(14,735)		(3,082)
Sales and maturities of investments, net of purchases						Sales and maturities of investments, net of purchases	91,199		(14,735)
Purchases of other intangibles	Purchases of other intangibles	(7,975)		(9,682)		Purchases of other intangibles	(4,703)		(7,975)
Acquisition of businesses, net of cash acquired		—		(744)

Total cash flows from investing activities	Total cash flows from investing activities	$	(182,185)	$	(136,611)	Total cash flows from investing activities	$	(12,197)	$	(182,185)

Cash flows from investing activities consist primarily of capital spending ~~investment, acquisition,~~ and ~~divestiture~~investment activities.

Our capital spending in the first three months of ~~2021~~2022 was driven by capitalized equipment purchases primarily to support ~~growth in~~ our managed services business and capitalized spending to support our ongoing software development initiatives. ~~Capital~~We expect the aggregate of capital purchases and capitalized software development costs to approximate 2021 levels for the remainder of 2021 are expected to be below 2020 levels, primarily driven by reduced purchases to support our facilities requirements, reflective of the completion of construction on the most recent phases of our Innovations Campus in the third quarter of 2020.2022.

Short-term investment activity historically consists of the investment of cash generated by our business in excess of what is necessary to fund operations. ~~Both the~~2022 and 2021 ~~and 2020~~ activity is impacted by excess cash primarily being used to execute on

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our capital allocation strategy, including the share repurchases in the 2021 period and cash dividends in both the 2021 and 2022 periods as discussed below.

On April 1, 2021, we paid $365 million of purchase price consideration in connection with our acquisition of Kantar Health, as further discussed in Note (12) of the Notes. We expect to continue seeking and completing strategic business acquisitions, investments, and relationships that are complementary to our business.

Cash from Financing Activities

Three Months Ended
(In thousands) 2021 2020
Long-term debt issuance $ 500,000 $ 300,000
Cash from option exercises (net of taxes paid in connection with shares surrendered by associates) 31,617 113,686
Treasury stock purchases (341,715) (650,000)
Dividends paid (67,477) (56,047)
Other (5,310) (3,600)
Total cash flows from financing activities $ 117,115 $ (295,961)


	Three Months Ended
(In thousands)	2022		2021

Long-term debt issuance	$	—	$	500,000
Repayment of long-term debt	(225,000)		—
Cash from option exercises (net of taxes paid in connection with shares surrendered by associates)	61,811		31,617
Treasury stock purchases	—		(341,715)
Dividends paid	(79,183)		(67,477)
Other	1,038		(5,310)

Total cash flows from financing activities	$	(241,334)	$	117,115

In March 2021, we issued ~~$500~~$100 million aggregate principal amount of Series ~~2021 Senior Notes. In March 2020, we issued $300~~2021-A Notes and $400 million aggregate principal amount of Series ~~2020-A notes. Refer to Note (5)~~2021-B Notes.

On February 15, 2022, we repaid our $225 million of ~~the~~Series 2015-A Notes ~~for further information regarding these, as well as our other debt obligations.~~due February 15, 2022, using cash on hand.

We ~~may~~do not expect to incur additional indebtedness in the next 12 months, which will primarily be dependent on cash flows from operations, market interest rates, and the timing of business acquisition and capital allocation activity. The proceeds from such indebtedness would be deployed in accordance with our capital allocation strategy, which may include share repurchases and dividend payments (as discussed further below), as well as for general corporate purposes, including acquisitions and investments. The terms and availability of any such debt financing may be impacted by economic and financial market conditions, as well as our financial condition and results of operations at the time we seek such financing, and there can be no assurances that we would be able to obtain such financing on terms that will be acceptable or advantageous to us.near-term.

Cash inflows from stock option exercises are dependent on a number of factors, including the price of our common stock, grant activity under our stock option and equity plans, and overall market volatility. We expect net cash inflows from stock

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option exercises to continue, ~~throughout 2021~~ based on the number of exercisable options as of March 31, ~~2021~~2022 and our current stock price.

During the first three months of 2021, ~~and 2020,~~ we repurchased 4.9 million shares of our common stock for total consideration of $350 ~~million and 9.2 million shares of our common stock for total consideration of $650 million, respectively.~~million. As of March 31, ~~2021, $577 million remained~~2022, $3.18 billion remains available for repurchase under our share repurchase program. ~~On April 23, 2021, our Board of Directors approved a new share repurchase program, which authorizes the Company~~We do not expect to repurchase ~~up to $3.75 billion~~additional shares in the ~~aggregate of~~near-term as the Merger Agreement prohibits us from repurchasing additional shares of our common stock, excluding transaction costs, and which is incremental to our existing share repurchase program. We will continue to repurchase shares under our share repurchase programs, but the amount and timing of such repurchases will be dependent on a number of factors, including the price of our common stock and other cash flow needs. There is no assurance that we will repurchase up to the full amount remaining under our programs. Refer to Notes (9) and (12) of the Notes for further information regarding our share repurchase programs.without Parent's consent.

During the first three months of both ~~2021~~2022 and ~~2020,~~2021, we declared and paid quarterly cash dividends. Subject to declaration by our Board of Directors, we expect to continue paying quarterly cash dividends as a part of our current capital allocation strategy. Future dividends will be subject to the determination, declaration and discretion of our Board of Directors, including considering the timing of the expected closing of the Oracle transaction, and compliance with covenants under our outstanding debt agreements. ~~Refer to Note (9) of the Notes for further information regarding our cash dividend activity.~~

The source of funds for such ~~repurchases and~~ dividends may include cash generated from operations, liquidation of investment holdings and other dispositions of ~~assets, and the incurrence of indebtedness.~~assets.

Free Cash Flow (Non-GAAP)


		Three Months Ended					Three Months Ended
(In thousands)	(In thousands)	2021		2020		(In thousands)	2022		2021

Cash flows from operating activities (GAAP)	Cash flows from operating activities (GAAP)	$	450,434	$	283,506	Cash flows from operating activities (GAAP)	$	375,063	$	450,434
Capital purchases	Capital purchases	(75,925)		(49,248)		Capital purchases	(42,393)		(75,925)
Capitalized software development costs	Capitalized software development costs	(83,550)		(73,855)		Capitalized software development costs	(56,300)		(83,550)

Free cash flow (non-GAAP)	Free cash flow (non-GAAP)	$	290,959	$	160,403	Free cash flow (non-GAAP)	$	276,370	$	290,959

Free cash flow ~~increased $131~~decreased $15 million in the first three months of ~~2021~~2022 compared to the same period in ~~2020,~~2021, primarily due to ~~increased~~a reduction in cash from operations, partially offset by ~~an increase~~a reduction in capital spending. Free cash flow is a non-GAAP financial measure 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 define free cash flow as cash flows from operating activities reduced by capital purchases and capitalized software development costs. The table above sets forth a reconciliation of free cash flow to cash flows from operating activities, which we believe is the GAAP financial measure

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most directly comparable to free cash flow. The presentation of free cash flow is not meant to be considered in isolation, nor 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 and understanding of our overall financial, operational and economic performance, because free cash flow takes into account certain capital expenditures necessary to operate our business.

Forward Looking Statements

All statements contained in this quarterly report on Form 10-Q that do not directly and exclusively relate to historical facts constitute ~~"forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities and Exchange Act of 1934, as amended (the "Exchange Act").~~forward-looking statements. 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 "will," “current,” "believe," "plans," "may," "expect," "expected," "anticipated," "strategy," "opportunities,"

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~~"future,~~ "future," ~~"estimate"~~"estimated," "objectives", ~~or "predict"~~ 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 our expectations, opportunities or plans for growth; the proposed acquisition of us by Oracle and its affiliates; our operational improvement initiatives and the results expected to be realized from those initiatives; our expectations with respect to realizing revenue from backlog; our anticipated expenses, cash requirements and sources of liquidity; the expected ~~impact of the COVID-19 pandemic on our results of operations, financial condition, business and operations; the expected~~ revenue contributions of acquired businesses; and our capital allocation strategies and plans. ~~These statements involve a number of risks, uncertainties and other factors~~Factors that could cause or contribute to actual results differing materially, ~~including without limitation:~~include but are not limited to: potential disruptions to our business caused by the proposed acquisition of us by Oracle; the possibility that the proposed acquisition will not close or that the closing may be delayed; stockholder litigation could prevent or delay the closing of the transaction or otherwise impact our business, operating results and financial condition; the impact of the COVID-19 pandemic on how Cerner and its customers are operating their businesses and the duration and extent to which the ~~COVID-19~~ pandemic ~~and measures taken in response thereto could adversely affect our financial condition,~~will impact Cerner's future ~~bookings and~~ results of operations; 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;~~harm and interrupt clients' access to their data; 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;~~breach; potential claims for system errors and warranties or significant costs and reputational harm related to product and service-related liabilities; 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, or subject to claims related to open source licenses; material adverse resolution of legal proceedings or other claims or reputational harm stemming from negative publicity related to such claims or legal proceedings; ~~risks associated with our global operations,~~the possibility that Cerner may be adversely affected by other economic, business, and/or competitive factors, including ~~without limitation greater difficulty in collecting accounts receivable; significant competition and~~ our ability to anticipate or respond quickly 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; risks inherent with business acquisitions, strategic investments, collaborations and the failure to achieve projected synergies, or divestitures; managing growth in the new markets in which we offer solutions, healthcare devices or services; long sales cycles for our solutions and services; risks related to our dependence on strategic relationships and third party ~~suppliers, including any impact to such supplier’s business resulting from the COVID-19 pandemic;~~suppliers; risks associated with the 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; inability to achieve expected operating efficiencies and sustain or improve operating expense reductions or business disruptions or adverse tax consequences associated with restructuring, realignment and ~~costs~~cost reduction activities; changing political, economic and regulatory 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, regulations 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; 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; volatility and disruption resulting from global economic or market ~~conditions, including the impact from the COVID-19 pandemic;~~conditions; risks associated with our outstanding and future indebtedness, such as compliance with restrictive covenants, which may limit our flexibility to operate our business; risk that our capital allocation strategy will not be fully implemented or enhance long-term shareholder value; 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; our strategy to transition to a subscription based recurring revenue model and continued modernization of our technology may adversely affect our near-term revenue growth and results of operations; the

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potential for losses resulting from asset impairment charges; potential variations in our sales forecasts compared to actual sales; risks that our revenue growth may be lower than anticipated and/or that the mix of revenue shifts to low margin revenue; variations in our quarterly operating results; volatility in the trading price of our common stock and the timing and volume of market activity; and risks associated with fluctuations in foreign currency exchange ~~rates; and our directors’ authority to issue preferred stock and the anti-takeover provisions in our corporate governance documents.~~rates. Additional discussion of these and other risks, uncertainties and factors affecting Cerner's business is contained in our filings with the Securities and Exchange Commission, including those under the caption "Risk Factors" in our latest annual report on Form 10-K, or in materials incorporated herein or therein by reference. Forward-looking statements are not guarantees of future performance or results. 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, we undertake 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.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

No material changes.

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Item 4. Controls and Procedures

a)Evaluation of Disclosure Controls and Procedures.

We carried out an evaluation, under the supervision and with the participation of our management, including our Chief Executive Officer ("CEO") and Chief Financial Officer ("CFO"), of the effectiveness of our 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 this quarterly report on Form 10-Q (the "Evaluation Date"). Based upon that evaluation, our CEO and CFO have concluded that, as of the Evaluation Date, our disclosure controls and procedures were designed, and were effective, to provide reasonable assurance that the information required to be disclosed by us in reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time period specified in SEC rules and forms and is accumulated and communicated to our management, including our CEO and CFO, to allow timely decisions regarding required disclosure.

b)Changes in Internal Control over Financial Reporting.

There were no changes in our internal controls over financial reporting during the fiscal quarter ended March 31, ~~2021,~~2022, that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

c)Limitations on Controls.

Our 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.

Part II. Other Information

Item 1. Legal Proceedings

From time to time, we are involved in litigation which is incidental to our business. There have been no material developments to the legal proceedings previously reported in our ~~2020~~2021 annual report on Form 10-K. In our opinion, no

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litigation to which we are currently a party is likely to have a material adverse effect on our consolidated financial condition, results of operations, or cash flows.

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~~Item 2. Unregistered Sales of Equity Securities and Use of Proceeds~~

~~(c) Issuer Purchases of Equity Securities~~

~~The table below provides information with respect to Common Stock purchases by the Company during the first fiscal quarter of 2021.~~

Total Number of Shares Purchased (a) Average Price Paid per Share Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs (b) Approximate Dollar Value of Shares That May Yet Be Purchased Under the Plans or Programs (b)
Period
January 1, 2021 - January 31, 2021 59 $ 83.30 — $ 926,812,469
February 1, 2021 - February 28, 2021 2,801,451 71.37 2,801,451 726,868,561
March 1, 2021 - March 31, 2021 2,102,917 71.31 2,102,917 576,910,663
Total 4,904,427 $ 71.35 4,904,368

(a) Of the 4,904,427 shares of common stock, par value $0.01 per share, presented in the table above, 59 shares were originally granted to employees as restricted stock pursuant to our 2011 Omnibus Equity Incentive Plan (the "Omnibus Plan"). The Omnibus Plan allows for the withholding of shares to satisfy tax obligations due upon the vesting of restricted stock. Pursuant to the Omnibus Plan, the 59 shares reflected above were relinquished by employees in exchange for our agreement to pay U.S. federal and state withholding obligations resulting from the vesting of the Company's restricted stock.

(b) Under our share repurchase program, which was initially approved by our Board of Directors on May 23, 2017 (and announced May 25, 2017) and most recently amended on December 12, 2019 (as announced on December 13, 2019), the Company is authorized to repurchase up to $3.70 billion of shares of our common stock, excluding transaction costs. The repurchases are to be effectuated in the open market, by block purchase, in privately negotiated transactions, or through other transactions managed by broker-dealers. No time limit was set for the completion of the program. During the three months ended March 31, 2021, we repurchased 4.9 million shares for total consideration of $350 million under the program pursuant to Rule 10b5-1 plans. As of March 31, 2021, $577 million remained available for repurchase under the program. On April 23, 2021, our Board of Directors approved a new share repurchase program, which authorizes the Company to repurchase up to $3.75 billion in the aggregate of shares of our common stock, excluding transaction costs, and which is incremental to our existing share repurchase program. Refer to Notes (9) and (12) of the Notes for further information regarding our share repurchase programs.

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Item 6. Exhibits


(a)						Exhibits

10.1*						Amended Employment Agreement between Cerner Corporation and Nasim Afsarmanesh, incorporated by reference to Exhibit (e)(19) of the Schedule 14D-9 filed by the Company on January 19, 2022

10.2*						Cerner Corporation 2011 Omnibus Equity Incentive Plan – Time-Based Restricted Stock Unit Agreement

10.3*						Cerner Corporation 2011 Omnibus Equity Incentive Plan – Performance-Based Restricted Stock Unit Agreement

10.4*						Form ~~2021~~2022 Executive Performance Agreement - Section 16 Officer

10.210.5						~~Offer Letter - Mark Erceg~~

10.3*						~~Amended~~ Form Amendment to Executive Severance/Employment Agreement ~~between Cerner Corporation and Mark Erceg~~

31.1						Certification of ~~Brent Shafer~~David T. Feinberg pursuant to Section 302 of Sarbanes-Oxley Act of 2002

31.2						Certification of ~~Mar~~k J . Mark J. Erceg pursuant to Section 302 of Sarbanes-Oxley Act of 2002

32.1						Certification of ~~Brent Shafer~~David T. Feinberg pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of Sarbanes-Oxley Act of 2002

32.2						Certification of ~~Mar~~k J . Mark J. Erceg pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of Sarbanes-Oxley Act of 2002

101.INS						Inline XBRL Instance Document - the instance document does not appear in the interactive data file because its XBRL tags are embedded within the Inline XBRL document.

101.SCH						Inline XBRL Taxonomy Extension Schema Document

101.CAL						Inline XBRL Taxonomy Extension Calculation Linkbase Document

101.LAB						Inline XBRL Taxonomy Extension Labels Linkbase Document

101.PRE						Inline XBRL Taxonomy Extension Presentation Linkbase Document

101.DEF						Inline XBRL Taxonomy Extension Definition Linkbase Document

104						Cover Page Interactive Data File - formatted in Inline XBRL and contained in Exhibit 101.

*Indicates a management contract or compensatory plan or arrangement.

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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

Date: May ~~5, 2021~~3, 2022	By:	/s/ Mark J. Erceg
		Mark J. Erceg
		Executive Vice President and Chief
		Financial Officer (duly authorized
		officer and principal financial officer)


	Total Number of Shares Purchased (a)	Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs (b)	Approximate Dollar Value of Shares That May Yet Be Purchased Under the Plans or Programs (b)
Period
January 1, 2021 - January 31, 2021	59	$	83.30	—	$	926,812,469
February 1, 2021 - February 28, 2021	2,801,451	71.37		2,801,451	726,868,561
March 1, 2021 - March 31, 2021	2,102,917	71.31		2,102,917	576,910,663

Total	4,904,427	$	71.35	4,904,368