Cerner debuts in Fortune 500 as 10 Missouri companies make list

Cerner made its Fortune 500 debut, and Centene continued its ascent into the upper echelon of the country’s biggest businesses, highlighting a group of 10 Missouri-based companies to make the magazine’s annual list of largest U.S. companies by revenue.

Cerner, the North Kansas City-based health care information technology provider, made its first appearance among the top 500, at No. 498. The company, which ranked just outside the top 500 a year ago, recorded revenue of $5.69 billion, a 6% increase over last year, according to Forbes.

Centene, the Clayton-based managed care provider, reached a Fortune 500 milestone of its own, appearing in the list’s top 50 for the first time. The company ranked 42nd this year with revenue of $74.63 billion, a 24% increase from a year ago.

Ferguson-based Emerson Electric was the only other Missouri company to rank among Fortune’s top 200, climbing two spots, to No. 176.

Peabody Energy, the St. Louis-based coal company, fell out of the top 500 after ranking 499th last year. The coal giant’s revenue declined to $4.62 billion, a 17% decrease.

Eight of the 10 Missouri companies on the list are based in the St. Louis area, with Cerner and Springfield-based O’Reilly Automotive the only exceptions. One other company from the Kansas City area — Merriam, Kansas-based conglomerate Seaboard — made the list, ranking No. 444.

Walmart remained the top company on the list, with revenue of more than $523 billion. Amazon jumped three spots to No. 2 as its revenue grew more than 20%. Exxon Mobil, Apple and CVS Health rounded out the top five.

A list of all the Missouri companies to make the top 500 is below.

Rank Company Revenue (billions)
42 Centene $74.64
176 Emerson Electric $18.37
225 Reinsurance Group of America $14.3
314 O’Reilly Automotive $10.15
336 Jones Financial $9.53
415 Graybar Electric $7.53
481 Olin $6.11
488 Ameren $5.91
314 Cerner $5.69
499 Post Holdings $5.68

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