Cerner began as PGI in 1979 and changed its name in 1984 after hiring advertising executives to come up with a new name. They chose "Cerner", which comes from Latin and other languages meaning things like "to discern" and "to blossom". In 1986, Cerner became a publicly traded company through an IPO, allowing initial investors to profit from the company's success. If someone had invested $10,000 in Cerner at its IPO, those shares would now be worth around $1.9 million due to stock splits and growth. Cerner has seen significant revenue growth over the past few decades and become a leading healthcare IT company.

1. H.I.S.-tory,
by Vince Ciotti
© 2013 by H.I.S. Professionals, LLC, all rights reserved.
Episode #106:
Cerner
Part 3:
PGI & IPO

2. From PGI ->Cerner(&Lillig -> Patterson)
• In 1984 when PGI was taking PathNet to market, they realized the
name lacked a little bit of pizazz (to put it mildly…), so they hired
a trio of advertising executives to come up with a hot new name.
• Looking for a name that had both health and technology in it, the
trio came up with a number of creative possibilities, such as:
– Automated Information Management, Inc. (AIM) &Novus
(ironic how both were later used at SMS: AIM was their
Advanced Implementation Methodology, and Novus ≈ Novius)
• Neal rejected both, and the ad gurus produced a list of foreign
words for him to consider, one of which caught the eye of Jeanne
Lillig, PGI’s 7th employee, who went into Neal’s office and picked:
– Cerner – which comes from the Latin “cernere,” meaning to
discern or sift. In Spanish it means “to blossom” and in French
“ to encircle.” So after 5 years, PGI became Cerner, and Jeanne
underwent a name change too when she later married Neal!

3. Ups and Downs…
• Most HIS vendors eventually take their firms public so the initial
investors (and lucky employees who are given stock and/or
purchase options) can cash in on their success. A few exceptions:
– Meditech and Epic, two of the biggest and longest success
stories in our biz, have kept themselves private – what their
potential worth would be in a public offering is staggering…
• Almost every other leading HIS vendor is publicly traded
(McKesson, Siemens, Allscripts, GE, NextGen, CPSI…), and Neal
and Co. were no exception, joining the public bandwagon. Cliff
Illiggave three primary reasons for their IPO in October, 1986:
1. Initial investors expected it to gain a return on their capital.
2. Going public increases prospects confidence in the vendor
3. Like SMS, Cerner extended generous stock options to valued
employees so they could share in the largess (and risks!)

4. What If??
• I mused back in the episode on SMS’ Initial Public Offering (# 11
at hispros.com) how much the few hundred penny-a-share stocks
I was given in 1969 would have been worth today after all the
stock splits and revenue growth, up to their sale to Siemens...
• Well, thanks again to April Martin, here’s Cerner’s math:
“How much would a single $16 share of Cerner stock purchased in the IPO be
worth today? Here are a few scenarios using yesterday’s $47.49 close:
– If you bought one $16 share in 1986, it would be worth $3,039 today.
– If you invested $400 for 25 shares, they would be worth $75,984 today.
– If you were flush enough to be able to invest $10,000 in Cerner in 1986
(buying 625 shares), those shares would be worth $1,899,600 today.
Here’s how you calculate it: take the initial dollar amount invested, divided
by the $16 price to give you a number of shares. Then double that number
of shares 6 separate times for the number of stock splits that have
occurred since going public. Then multiply the resulting number of shares
by the stock price at the close of whatever business day you want.”

5. On The Other Hand…
• Anyone who remembers the year 2008 knows there is a downside
to these incredible profits too – my pension still hasn’t recovered!
• Indeed, one of the saddest memories of my career was serving as
President for Sentry Data in the mid-80s under the tutelage of
Sheldon Dorenfest who took it over and obtained Chapter XI
protection while we tried to find a buyer (#21 at hispros.com).
• Sentry (née DATX) was a red-hot minicomputer vendor who’s
stock went up into the $20 range after their IPO, but then tanked
due to a number of factors, until bankruptcy took it to pennies.
• I remember taking a call one day from
a broker who had steered his clients
into investing in Sentry, and wanted to
know what the prospects looked like. I
just mumbled vague and uncertain
generalities until he got the idea…

6. This One’s Been A Winner!
• In Cerner’s case, it’s been all positive however, as shown in the
chart below of the annual revenue for the top 13 HIS vendors that
over the past 20+ years (Cerner in appropriately dark green).

7. National Media Recognition
• Within two years of taking PathNet to
market, Cerner had signed agreements
with 41 clients, while revenue and # of
employees jumped four-fold. This caught
the eye of Bill Child’s Healthcare
Computing and Communications rag, the
source of HIS vendor info back then.
• Playing on a classic line from Butch Cassidy
and the Sundance Kid, HC&C entitled a 1986
feature article on Cerner “Who Are These
Guys At Cerner Corporation?” The article
quoted Terry Armstrong of the giant chain
HCA who had picked PathNet earlier: “We
looked at all the Lab systems on the market
and found PathNet to be most functional.”

8. Super LIS Sales Track Record
• By the end of the 80s, Cerner was dominating LIS competition as
shown in this table from the Dorenfest 3000 Data Base of 1990:

9. How Did They Do It?
• Many of these LIS competitors were hardly pushovers, especially:
#2 Sunquest – who after a few years of ownership change under
Misys, is now back as a major player in the LIS niche today.
#3 Meditech – who started out as an LIS vendor and whose Lab
suite runs standalone in many hospitals with “foreign” HIS-es.
#6 Citation – who’s LIS led the 1980s’ microcomputer revolution
in small hospitals with their IBM PC servers and Novel LAN.
• To see just how Cerner beat these
erstwhile competitors, next week we’ll
step back in time to re-trace a detailed
LIS search our firm conducted for a
large hospital about 20 years ago.
• All of the steps we followed back then
still apply to buying an EHR today, so it
should be an informative story.