CERNER CORP /MO/
10-Q, EX-10, 2000-08-15
COMPUTER INTEGRATED SYSTEMS DESIGN
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                                                     EXHIBIT 10

              FIRST AMENDMENT TO CREDIT AGREEMENT


     This  First  Amendment to Credit Agreement (the "Amendment
                                                      ---------")
is  made as of June 30, 2000, by and among CERNER CORPORATION,  a
Delaware  corporation (the "Borrower
                            --------"), and FIRSTAR BANK MIDWEST,
N.A., successor to Mercantile Bank, as Agent and, as of the  date
hereof,  the  sole  Bank under the Credit Agreement  referred  to
below, and as Issuing Bank.

                     Preliminary Statements

     (a)   The Borrower, the Agent, the Issuing Bank and the Bank
are  parties to a Credit Agreement dated as of April 1, 1999 (the
"Credit  Agreement
 -----------------").  Capitalized terms used and not defined  in
this  Amendment  have the meanings given to them  in  the  Credit
Agreement.

     (b)  The Borrower has requested that (1) the maturity of the
revolving credit facility be extended to June 30, 2003,  (2)  the
commitment  (non-usage) fee referred to in  Section  3.1  of  the
Credit  Agreement be amended, and (3) the definition of  Tangible
Net  Worth  and certain of the financial covenants in the  Credit
Agreement be modified in certain respects.

     (c)   The Agent, on behalf of the Bank and the Issuing Bank,
is  willing to agree to the foregoing requests, subject, however,
to the terms, conditions and agreements set forth below.

     NOW, THEREFORE, the parties agree as follows:

     1.    Termination Date.  The definition of Revolving  Credit
Termination  Date  in  Section 1.1 of  the  Credit  Agreement  is
deleted and is replaced by the following:

               "Revolving   Credit  Termination   Date
                --------------------------------------"
          shall  mean June 30, 2003; provided, however,
          that  if such date would otherwise fall on  a
          date  which  is  not  a  Business  Day,   the
          Revolving  Credit Termination Date  shall  be
          the next preceding Business Day.

     2.    Tangible  Net Worth.  The definition of  Tangible  Net
Worth  in Section 1.1 of the Credit Agreement is deleted  and  is
replaced by the following:

               "Tangible   Net   Worth
                ----------------------"   shall    mean
          Consolidated Net Worth, less the sum  of  all
          goodwill,  trade names, trademarks,  patents,
          organization   expense,   unamortized    debt
          discount   and  expense  and  other   similar
          intangibles properly classified  as  such  in
          accordance  with GAAP, which are incurred  or
          booked  subsequent to July 1, 2000,  provided
          that  there shall not be so excluded software
          development  costs which are  capitalized  by
          the  Borrower in accordance with  GAAP  on  a
          basis  consistent  with  that  described   in
          Note 1(d) of the Borrower's audited financial
          statements dated January 1, 2000.

<PAGE>


     3.   Commitment (Non-Usage) Fee.

          (a)   Section 3.1.  Section 3.1 of the Credit Agreement
     is deleted and is replaced by the following:

               3.1    Commitment  Fees
                      ----------------.   The  Borrower
          shall  pay  to  the Agent, for the  pro  rata
          account of each Bank, a commitment fee  at  a
          rate   per  annum  equal  to  the  Applicable
          Commitment  Fee Margin on the  daily  average
          unused amount of such Bank's Revolving Credit
          Commitment, for the period from and including
          the  date  of  the  First  Amendment  to  but
          excluding  the earlier of the date  Revolving
          Credit  Commitments  are  terminated  or  the
          Revolving  Credit Termination Date.   Accrued
          commitment  fees  shall be  payable  on  each
          Quarterly  Date and on the dates referred  to
          in the immediately preceding sentence.

          (b)   Conforming Definitions.  Section 1.1 of  the
     Credit  Agreement  is  amended  to  add  the  following
     definitions in the appropriate alphabetical order:

               "Applicable Commitment Fee Margin
                --------------------------------" means
          as  follows:   if at the end  of  any  fiscal
          quarter  the  Tangible  Net  Worth  Ratio  is
          within the respective ranges set forth below,
          then the Applicable Commitment Fee Margin  at
          all times during the second succeeding fiscal
          quarter  shall  be the percentage  set  forth
          opposite such ratio:

               Tangible Net Worth Ratio          Margin
               ------------------------          ------

               Greater than 1.25 to 1            0.32%

               Less than or equal to 1.25
               to 1, but greater than .80 to 1   0.25%

               Less than or equal to .80 to 1    0.18%

          provided,  however, that  during  any  period
          that  the Borrower has failed to deliver  the
          financial  statements or the  Borrowing  Base
          and  Compliance  Certificate as  required  by
          Section 6.1 hereof, the Applicable Commitment
          Fee Margin shall be 0.32%.

               "First   Amendment
                -----------------"  means   the   First
          Amendment  to Credit Agreement, dated  as  of
          June  30,  2000,  among the  parties  to  the
          Credit Agreement.

     4.    Tangible Net Worth Ratio.  Section 6.6 of  the  Credit
Agreement is deleted and is replaced by the following:

               6.6   Minimum Tangible Net  Worth
                     ---------------------------.   The
          Borrower  shall not permit its  Tangible  Net
          Worth on any date to be less than the sum  of
          (i)   $300,000,000, plus (ii) an amount equal
          to    50%    of   its   Consolidated    Net

<PAGE>

          Income (without reduction for any deficit  in
          its Consolidated  Net  Income) for the period
          from the  date  of  the  First  Amendment  to
          and  including   the  date  of  determination
          thereof,  computed  on   a  cumulative  basis
          for  such  entire period.

     5.     Fixed  Charge  Ratio.   Section  6.8  of  the  Credit
Agreement is deleted and is replaced by the following:

               6.8   Fixed Charge Coverage Ratio
                     ---------------------------.   The
          Borrower  will  not at any  time  permit  the
          ratio  of  Consolidated Income Available  for
          Fixed  Charges  to  Fixed  Charges  for   the
          Borrower's   most  recently  completed   four
          fiscal quarters to be less than 2 to 1.

          For  purposes of this Section 6.8  only,  the
          following  terms  shall  have  the  following
          meanings:

                    Capitalized Lease
                    ----------------- - Any  lease  the
               obligation  for Rentals with respect  to
               which, in accordance with GAAP, would be
               required to be capitalized on a  balance
               sheet of the lessee.

                    Consolidated  Income Available  for
                    -----------------------------------
               Fixed Charges
               ------------- - For any period, the  sum
               of (i) Consolidated Net Income, plus (to
               the   extent   deducted  in  determining
               Consolidated  Net  Income),   (ii)   all
               provisions  for any federal,  state,  or
               other  income taxes made by the Borrower
               and  the  Subsidiary  Guarantors  during
               such period plus (iii) Fixed Charges.

                    Consolidated Net Income
                    ----------------------- -  For  any
               period, the consolidated net income  (or
               deficit)   of  the  Borrower   and   the
               Subsidiary  Guarantors after  deducting,
               without   duplication,   all   operating
               expenses,  provisions for all taxes  and
               reserves    (including   reserves    for
               deferred  income taxes)  and  all  other
               proper  deductions,  all  determined  in
               accordance with GAAP and after deducting
               portions of income properly attributable
               to  outstanding minority  interests,  if
               any, in Subsidiary Guarantors; provided,
               however,  that there shall  be  excluded
               (i)  any  income  (or  deficit)  of  any
               Person  accrued  prior to  the  date  it
               becomes a Subsidiary Guarantor or merges
               into  or  consolidates with the Borrower
               or  a  Subsidiary  Guarantor;  (ii)  the
               income (or deficit) of any Person (other
               than  a  Subsidiary Guarantor) in  which
               the Borrower or any Subsidiary Guarantor
               has  any ownership interest (except that
               any such income actually received by the
               Borrower or such Subsidiary Guarantor in
               the  form  of  cash dividends  shall  be
               included without limitation); (iii)  any
               gains   or  losses,  or  other   income,
               properly classified as extraordinary  in
               accordance with GAAP; (iv) any gains  or
               losses,  or  other income, characterized
               as   non-recurring  in   the   financial
               statements delivered pursuant to Section
               6.1; (v) any gain or loss resulting from
               the  sale  of  fixed or  capital  assets
               other  than  in the ordinary  course  of

<PAGE>
               business;  (vi) any portion of  the  net
               income  of a Subsidiary Guarantor  which
               for  any reason (other than solely as  a
               result of any restrictions contained  in
               Section  6.12 of this Agreement)  cannot
               be   distributed  as  a  cash  dividend;
               (vii)  any  gain or loss resulting  from
               the  sale  or other disposition  of  any
               Investment;  (viii) any gains  resulting
               from  the  reappraisal,  revaluation  or
               write-up  of  assets and  any  gains  or
               losses  resulting from the  reappraisal,
               revaluation   or   write-up    of    the
               Borrower's      original     $70,000,000
               Investment    in    CareInsite,    Inc.;
               (ix)  proceeds  of  any  life  insurance
               policy;  (x) any gain or loss  resulting
               from  the  acquisition of any securities
               of   the   Borrower  or  any  Subsidiary
               Guarantor; and (xi) any reversal of  any
               reserve,  except  to  the  extent   that
               provision  for such reserve  shall  have
               been made from income arising during the
               fiscal  period  in which  such  reversal
               occurs.

                    Fixed Charges
                    ------------- - For any period, the
               sum  of  (i) interest expense (including
               the  interest component of Rentals under
               Capitalized  Leases),  amortization   of
               debt    discount    and    expense    on
               Indebtedness  of  the Borrower  and  the
               Subsidiary Guarantors during such period
               and  (ii) Rentals under all leases other
               than  Capitalized Leases of the Borrower
               and     the    Subsidiary    Guarantors,
               determined  on a consolidated  basis  in
               accordance with GAAP.

                    Investments
                    ----------- - All investments  made
               in  cash  or  by delivery  of  property,
               directly  or indirectly, in any  Person,
               whether  by  acquisition  of  shares  of
               capital  stock,  indebtedness  or  other
               obligations  or securities or  by  loan,
               advance,    capital   contribution    or
               otherwise;   provided,   however,   that
               "Investments" shall not mean or  include
               investments in property to be used, held
               for  use  or  consumed in  the  ordinary
               course of business.

                    Rentals
                    -------  -  As of the date  of  any
               determination   thereof,    all    fixed
               payments  (including all payments  which
               the  lessee is obligated to make to  the
               lessor  on termination of the  lease  or
               surrender  of the property)  payable  by
               the  Borrower or a Subsidiary Guarantor,
               as  lessee or sublessee under a lease of
               real or personal property, but exclusive
               of  any  amounts required to be paid  by
               the  Borrower or a Subsidiary  Guarantor
               (whether  or not designated as rents  or
               additional   rents)   on   account    of
               maintenance, repairs, insurance,  taxes,
               assessments,  amortization  and  similar
               charges.   Fixed  rents  under  any  so-
               called  "percentage  leases"  shall   be
               computed  on  the basis of  the  minimum
               rents,  if any, required to be  paid  by
               the  lessee, regardless of sales  volume
               or gross revenues.

                    Voting Stock
                    ------------ - Capital stock of any
               class  of a corporation having power  to
               vote for the election of members of  the
               board  of directors of such corporation,
               or persons performing similar functions.

     6.   Financial Covenants to Apply to Borrower and Subsidiary
Guarantors.   The  following definitions in Section  1.1  of  the
Credit Agreement are amended to read as follows:

               "Consolidated  Net Income
                ------------------------"  shall  mean,
          for any period, the net income and net losses
          of the Borrower and the Subsidiary Guarantors
          on  a consolidated basis as defined according
          to GAAP.

               "Consolidated Net Worth
                ----------------------" shall mean,  at
          any   date,   the  amount  shown  as   "total
          shareholders'  equity" (or any like  caption)
          on   a  consolidated  balance  sheet  of  the
          Borrower  and  the Subsidiary  Guarantors  in
          accordance with GAAP.

               "Current  Assets
                ---------------"  shall  mean,  at  any
          date, the current assets of the Borrower  and
          the  Subsidiary  Guarantors determined  on  a
          consolidated  basis  as  of  such   date   in
          accordance with GAAP.

               "Current Liabilities
                -------------------" shall mean, at any
          date, the current liabilities of the Borrower
          and the Subsidiary Guarantors determined on a
          consolidated  basis  as  of  such   date   in
          accordance with GAAP.

               "EBITDA
                ------"  shall  mean, for  any  period,
          Consolidated  Net Income for  the  period  in
          question plus
                   ---- (a) the sum of (i) all  amounts
          deducted in arriving at such Consolidated Net
          Income  in  respect to Interest  Expense  for
          such  period; federal, state and local income
          taxes  for  such  period;  depreciation   and
          amortization  and other noncash  nonoperating
          charges  for such period; and to  the  extent
          not  included  in  the  above,  miscellaneous
          expenses from nonoperating transactions which
          do  not relate to any extraordinary items for
          such period and (ii) extraordinary losses for
          such  period, minus (b) the sum  of  (i)  all
          amounts   included   in  arriving   at   such
          Consolidated   Net  Income  in   respect   of
          miscellaneous   income   from    nonoperating
          transactions and which do not relate  to  any
          extraordinary items for such period; and (ii)
          all  extraordinary profits  for  the  period,
          determined  on a consolidated basis  for  the
          Borrower and the Subsidiary Guarantors.

               "Interest Expense
                ----------------" shall mean,  for  any
          period,  all  cash  and noncash  interest  on
          Indebtedness (including imputed  interest  on
          Capital  Lease Obligations) of  the  Borrower
          and  the  Subsidiary Guarantors  during  such
          period;  provided
                   --------, however
                             -------, that there  shall
          be  added to "Interest Expense" any  fees  or
          commissions  or  net losses amortized  during
          such   period   under   any   Interest   Rate
          Protection   Agreement  and   any   fees   or
          commissions  payable in connection  with  any
          letters  of  credit during  such  period  and
          there  shall  be  subtracted  from  "Interest
          Expense"  any  net gains under  any  Interest
          Rate Protection Agreement during such period.

               "Tangible  Net Worth Ratio
                -------------------------" shall  mean,
          at  any  date,  the ratio of  (i)  the  total
          liabilities   of   the   Borrower   and   the
          Subsidiary   Guarantors   determined   on   a
          consolidated   basis   on   such   date,   to
          (ii) Tangible Net Worth

<PAGE>    on such date.

     7.    Release  of  Cerner Belgium from Guaranty.   The  Bank
hereby  releases  Cerner  Belgium, Inc., a  Delaware  corporation
formerly  known as Cerner Healthwise, Inc., from all  liabilities
and   other  obligations  Cerner  Belgium,  Inc.  has  under  the
Guaranty, dated April 1, 1999, from Cerner Healthwise,  Inc.  and
certain  other  Subsidiary Guarantors in favor of the  Bank  (the
"Subsidiary Guaranty").  The foregoing release shall not  release
or  limit the liability of, or impose any duty on the Bank now or
hereafter  to  release  or  limit the  liability  of,  any  other
existing  or  future  Subsidiary Guarantor under  the  Subsidiary
Guaranty or any other Person now or hereafter liable in whole  or
in part for the payment or performance of any of the Obligations,
whether pursuant to a Guarantee, any of the Credit Documents,  or
otherwise.

     8.    Conditions  Precedent  to Amendment.   Notwithstanding
anything  in this Amendment to the contrary, unless  and  to  the
extent  the Bank waives the benefits of this sentence  by  giving
written  notice thereof to the Borrower, the Bank shall  have  no
duties  under this Amendment, nor shall any waivers, releases  or
other  concessions, if any, made or given by the Bank under  this
Amendment be effective, in each case until the Bank has  received
fully  executed originals of each of the following, each in  form
and substance satisfactory to the Bank:

          (a)  Amendment. This Amendment;

          (b)   Assumption Agreement. An Assumption Agreement  in
     favor  of the Bank, dated on or about the date hereof,  from
     Cerner   Investment   Corp.,  Cerner  Campus   Redevelopment
     Corporation  and Health Network Ventures, Inc. whereby  such
     Persons  agree to become Subsidiary Guarantors and be  bound
     by  the  Subsidiary  Guaranty,  together  with  the  related
     Secretary's Certificates signed by each such Person in favor
     of the Bank; and

          (c)   Other.   Such  other documents as  the  Bank  may
     reasonably  request  in  connection  with  the  transactions
     contemplated hereby.

     9.    Firstar.  Firstar Bank Midwest, N.A. is the  successor
to  Mercantile  Bank.   Accordingly, unless the  context  clearly
requires  otherwise, all references in the Credit  Agreement  and
the  other  Credit Documents to Mercantile Bank (whether  in  its
capacity as Agent, the Issuing Bank or as a Bank) are amended  to
refer  instead to "Firstar Bank Midwest, N.A., and its successors
and assigns".

     10.    Representations   and   Warranties.    The   Borrower
represents  and warrants to the Agent. the Bank and  the  Issuing
Bank as follows:  (a) it is a duly organized and validly existing
corporation and has full corporate power and authority  to  enter
into   this   Amendment   and  any  documents   or   transactions
contemplated  hereby and to pay and perform  its  obligations  in
respect of each of the foregoing; (b) the execution, delivery and
performance  by the Borrower of this Amendment and any  documents
contemplated  hereby or any transactions contemplated  hereby  do
not  violate or conflict with, or require any consent under,  (i)
the  Borrower's  certificate of incorporation,  by-laws,  or  any
other  agreement or document relating to the Borrower's existence
or  authority to act, (ii) any agreement or instrument  to  which
the  Borrower is a party or by which the Borrower or any  of  its
properties  is bound, (iii) any court order, judicial  proceeding
or  any  administrative or arbitral order or decree, or (iv)  any
applicable  law,  rule or regulation; and (c)  no  authorization,
approval  or  consent of or by, and no notice  to  or  filing  or
registration with, any governmental authority or any other Person
is necessary for the Borrower to enter into this Amendment or any
document  contemplated  hereby  or any  transaction  contemplated
hereby or to perform its obligations with respect to each of  the
foregoing.

<PAGE>

     11.    Reaffirmation  of  Credit  Documents.   The  Borrower
reaffirms  its  obligations under the Credit  Agreement  and  the
other  Credit Documents to which it is a party or by which it  is
bound,  and represents, warrants and covenants to the Agent,  the
Issuing Bank and the Bank, as a material inducement to the Agent,
the  Issuing  Bank and the Bank to enter into this Amendment  and
the transactions contemplated hereby, that:  (a) the Borrower has
no (and, in any event, hereby waives any) defense, claim or right
of  setoff  in respect of the Credit Agreement, any of the  other
Credit  Documents or the actions or inactions of the  Agent,  the
Issuing  Bank  or  the  Bank;  and (b)  all  representations  and
warranties made by the Borrower in the Credit Agreement  and  the
other  Credit Documents are true and complete on the date  hereof
as if made on the date hereof.

     12.   No  Other Amendments.  Except as amended  hereby,  the
Credit  Agreement and the other Credit Documents shall remain  in
full  force  and  effect  and  be  binding  on  the  Borrower  in
accordance with their respective terms.

     13.   Counterparts; Fax Signatures.  This Amendment and  any
document  contemplated  hereby may be executed  in  one  or  more
counterparts  and  by  different parties thereto,  all  of  which
counterparts,  when  taken  together, shall  constitute  but  one
agreement.   This Amendment and any document contemplated  hereby
may  be  executed and delivered by facsimile or other  electronic
transmission, and any such execution or delivery shall  be  fully
effective as if executed and delivered in person.

     14.   Legal Fees.  The Borrower shall pay all legal fees and
expenses incurred by the Agent in connection with the preparation
and closing of this Amendment and any other documents referred to
herein  and  the  consummation of any  transactions  referred  to
herein, such legal fees not to exceed $2,000.

     15.   Mo.Rev.Stat. ' 432.045 Required Notice.  The following
statement  is  given pursuant to Mo.Rev.Stat.  '  432.045:  "ORAL
AGREEMENTS  OR  COMMITMENTS TO LOAN MONEY, EXTEND  CREDIT  OR  TO
FORBEAR FROM ENFORCING REPAYMENT OF A DEBT INCLUDING PROMISES  TO
EXTEND  OR  RENEW SUCH DEBT ARE NOT ENFORCEABLE.  TO PROTECT  YOU
(BORROWER(S))   AND   US  (CREDITOR)  FROM  MISUNDERSTANDING   OR
DISAPPOINTMENT, ANY AGREEMENTS WE REACH COVERING SUCH MATTERS ARE
CONTAINED  IN  THIS WRITING, WHICH IS THE COMPLETE AND  EXCLUSIVE
STATEMENT  OF  THE AGREEMENT BETWEEN US, EXCEPT AS WE  MAY  LATER
AGREE  IN WRITING TO MODIFY IT."  All other Credit Documents  are
incorporated into this Amendment; provided, however, that, to the
extent of any direct conflict between the terms and conditions of
the  other  Credit Documents and this Amendment,  the  terms  and
conditions of this Amendment shall prevail and govern.

     16.  Governing Law.  This Amendment shall be governed by the
laws of the State of Missouri without regard to any choice of law
rule thereof giving effect to the laws of any other jurisdiction.

<PAGE>

     IN  WITNESS  WHEREOF,  the  parties  have  entered into this
Amendment as of the date first above written.

                       CERNER CORPORATION, a Delaware corporation



                       By:_______________________________________
                       Name:
                       Title:


                       FIRSTAR BANK MIDWEST, N.A., successor   to
                       Mercantile Bank,as Agent,  as Issuing Bank
                       and  as  a Bank



                       By:_______________________________________
                       Name:
                       Title:





                     Consent of Guarantors


     Reference is made to the Guaranty dated as of April 1, 1999,
in  favor  of  the Agent, on behalf of the Banks and the  Issuing
Bank, to which the undersigned are parties, either as an original
signatory  thereto  or  pursuant to  any  subsequent  assumption,
joinder  or other agreements (each a "Guarantor
                                      ---------"), and any  other
guaranty executed by any Guarantor in favor of the Agent  or  any
Bank  or  the  Issuing Bank relating to any indebtedness  of  the
Borrower  to  any  Bank or the Issuing Bank  (collectively,  with
respect   to   each  Guarantor,  such  Guarantor's   "Guaranty
                                                      --------").
Capitalized  terms  used  and  not defined  in  this  Consent  of
Guarantors  have  the  meanings  given  to  them  in  the  Credit
Agreement  referred  to in the above Amendment.   To  induce  the
Agent,  the  Issuing Bank and the Bank to enter  into  the  above
Amendment,  each  Guarantor:  (a) consents to the  Borrower,  the
Agent,  the  Issuing Bank and the Bank entering  into  the  above
Amendment;   (b)   agrees  that  the  execution,   delivery   and
performance   of  the  above  Amendment  and  any  documents   or
transactions contemplated thereby shall not discharge,  limit  or
otherwise  impair  the obligations of such Guarantor  under  such
Guarantor's  Guaranty; (c) agrees that such Guarantor's  Guaranty
is  and  remains  in  full force and effect  and  is  enforceable
against  such Guarantor in accordance with its terms; (d)  waives
any defense, claim or right of setoff such Guarantor may have  in
respect  of such Guarantor's Guaranty, the Credit Agreement,  the
other  Credit Documents or the actions or inactions of the Agent,
the  Issuing  Bank or the Bank; and (e) agrees that  neither  the
Agent,  the  Issuing Bank or the Bank has any duty to  give  such
Guarantor  notice of or obtain such Guarantor's  consent  to  the
transactions  described  in the above  Amendment,  and  that  the
Agent,  the Issuing Bank and the Bank's giving of notice to  such
Guarantor  and  obtainment of such Guarantor's  consent  in  this
instance  shall  not impose any similar or other  duty  upon  the
Agent,  the  Issuing  Bank or the Bank in any  future  matter  or
transaction.

<PAGE>

     This  Consent  of  Guarantors may be  validly  executed  and
delivered by fax or other electronic transmission and in multiple
counterparts and by different parties thereto.


CERNER INTERNATIONAL, INC.,        CERNER MULTUM, INC.,
a Delaware corporation             a   Delaware  corporation,
                                   formerly  known  as Multum
                                   Information Services, Inc.


By:________________________        By:_______________________
Name:                              Name:
Title:                             Title:


CERNER  PROPERTIES,  INC.,         CERNER HEALTH FACTS, INC.,
a    Delaware   corporation        a    Delaware  corporation


By:________________________        By:_______________________
Name:                              Name:
Title:                             Title:


CERNER HEALTH CONNECTIONS,         CERNER         PERFORMANCE
INC.                               LOGISTICS, INC.,
a Delaware     corporation         a    Delaware  corporation


By:________________________        By:_______________________
Name:                              Name:
Title:                             Title:



CERNER INVESTMENT CORP.,           CERNER              CAMPUS
A Nevada corporation               REDEVELOPMENT CORPORATION,
                                   a   Missouri corporation



By:________________________        By:_______________________
Name:                              Name:
Title:                             Title:

<PAGE>

HEALTH NETWORK VENTURES, INC.,
a Delaware corporation



By:________________________
Name:
Title:




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