NRC HEALTH
Business
NATIONAL RESEARCH CORP provides healthcare experience management services that capture, analyze, and deliver consumer, patient, employee, and market insights to healthcare organizations. It offers a subscription-based digital platform with AI-enabled analytics (Huey), patient and consumer experience surveys (including CAHPS-compliant methods), reputation and service-recovery tools, care-transition workflows, employee engagement solutions, market research, and advisory content. Key business segments include Human Understanding Solutions (Patient, Consumer, Employee, and Market Experience), Reputation and Experience solutions, and The Governance Institute membership and advisory services. Its clients are primarily U.S. healthcare providers and systems served via digital subscriptions, syndicated surveys, advisory conferences, publications, and online portals.
Summary from filing dated 2025-03-17
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenue | 137 | 143 | 149 | 152 | 148 | |
| Direct | 52 | 57 | 56 | 57 | 52 | |
| Selling, general and administrative | 55 | 45 | 47 | 43 | 39 | |
| Depreciation and amortization | 8 | 6 | 6 | — | — | |
| Total operating expenses | 115 | 108 | 109 | 105 | 98 | |
| Operating income | 23 | 35 | 40 | 47 | 50 | |
| Interest income | 111,000 | 125,000 | 820,000 | 168,000 | 14,000 | |
| Interest expense | −5 | −3 | −862,000 | −1 | — | |
| Other, net | −95,000 | −34,000 | −41,000 | −118,000 | 4,000 | |
| Total other income (expense) | −5 | −3 | −83,000 | −4 | −2 | |
| Income before income taxes | 18 | 33 | 40 | 43 | 49 | |
| Provision for income taxes | 6 | 8 | 9 | 11 | 11 | |
| Net income | 12 | 25 | 31 | 32 | 37 | |
| Basic (in dollars per share) | 50 | 1.05 | 1.26 | 1.28 | 1.47 | |
| Diluted (in dollars per share) | 50 | 1.04 | 1.25 | 1.27 | 1.46 | |
| Basic (in shares) | 22 | 24 | 25 | 25 | 25 | |
| Diluted (in shares) | 22 | 24 | 25 | 25 | 26 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 4 | 4 | 7 | 25 | 54 | |
| Trade accounts receivable, less allowance for doubtful accounts of $80 and $40, respectively | 11 | 11 | 12 | 14 | 14 | |
| Prepaid expenses | 4 | 3 | 4 | 2 | 4 | |
| Income taxes receivable | 528,000 | 141,000 | 161,000 | 733,000 | 752,000 | |
| Other current assets | 520,000 | 692,000 | 940,000 | 1 | 982,000 | |
| Total current assets | 20 | 20 | 24 | 44 | 74 | |
| Net property and equipment | 40 | 38 | 28 | — | — | |
| Intangible assets, net | 2 | 3 | 1 | 2 | 2 | |
| Goodwill | 66 | 66 | 62 | 62 | 62 | |
| Deferred contract costs, net | 3 | 2 | 2 | 2 | 4 | |
| Other noncurrent assets | 3 | 4 | 3 | 3 | 3 | |
| Total assets | 135 | 133 | 122 | 130 | 158 | |
| Current portion of notes payable, net of unamortized debt issuance costs | 4 | 5 | 7 | 4 | 4 | |
| Accounts payable | 1 | 1 | 1 | 1 | 2 | |
| Accrued wages and bonuses | 7 | 5 | 4 | 5 | 7 | |
| Accrued expenses | 3 | 5 | 5 | 4 | 5 | |
| Dividends payable | 4 | 3 | 3 | 3 | 3 | |
| Deferred revenue | 16 | 16 | 15 | 15 | 17 | |
| Income Taxes Payable | 550,000 | 353,000 | 222,000 | 0 | — | |
| Other current liabilities | 946,000 | 1 | 880,000 | 1 | 1 | |
| Total current liabilities | 37 | 36 | 36 | 33 | 40 | |
| Notes payable, net of current portion and unamortized debt issuance costs | 75 | 58 | 29 | 18 | 22 | |
| Deferred income taxes | 6 | 4 | 4 | 5 | 7 | |
| Other long-term liabilities | 3 | 4 | 4 | 2 | 3 | |
| Total liabilities | 121 | 101 | 73 | 58 | 72 | |
| Preferred stock, $0.01 par value, authorized 2,000,000 shares, none issued | 0 | 0 | 0 | 0 | 0 | |
| Common stock, $0.001 par value; authorized 110,000,000 shares, issued 31,966,504 in 2025 and 31,072,144 in 2024, outstanding 22,637,252 in 2025 and 23,083,116 in 2024 | 32,000 | 31,000 | 31,000 | 31,000 | 31,000 | |
| Additional paid-in capital | 184 | 180 | 178 | 175 | 174 | |
| Accumulated deficit | −17 | −17 | −31 | −25 | −36 | |
| Treasury stock, 9,329,252 and 7,989,028 Common shares in 2025 and 2024, respectively, at cost | −153 | −132 | −99 | −78 | −50 | |
| Total shareholders equity | 14 | 31 | 49 | 72 | 85 | |
| Total liabilities and shareholders equity | 135 | 133 | 122 | 130 | 158 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Deferred income taxes | 2 | −664,000 | −1 | −2 | −277,000 | |
| Reserve for uncertain tax positions | 174,000 | 258,000 | 404,000 | 488,000 | 310,000 | |
| Loss on disposal of property and equipment | 61,000 | 17,000 | 0 | 11,000 | 7,000 | |
| Non-cash share-based compensation expense | 3 | 284,000 | 935,000 | 1 | 623,000 | |
| Change in fair value of contingent consideration | 141,000 | 83,000 | 0 | 0 | — | |
| Loss on extinguishment of debt | 67,000 | 0 | 0 | — | — | |
| Amortization of debt issuance costs | 102,000 | 28,000 | 39,000 | — | — | |
| Trade accounts receivable | −53,000 | 2 | 2 | −733,000 | 343,000 | |
| Prepaid expenses and other current and noncurrent assets | 24,000 | 2 | −2 | 2 | −842,000 | |
| Operating lease assets and liabilities, net | −41,000 | −23,000 | −127,000 | −39,000 | −34,000 | |
| Deferred contract costs, net | −936,000 | −109,000 | 988,000 | 1 | 783,000 | |
| Accounts payable | 170,000 | −108,000 | 184,000 | −589,000 | 4,000 | |
| Accrued expenses, wages and bonuses | 2 | 174,000 | −807,000 | −3 | −285,000 | |
| Income taxes receivable and payable | −191,000 | 155,000 | 795,000 | 6,000 | 484,000 | |
| Deferred revenue | 273,000 | 219,000 | −364,000 | −2 | 1 | |
| Net cash provided by operating activities | 26 | 35 | 38 | 36 | 46 | |
| Capital expenditures | −11 | −15 | −16 | −10 | −6 | |
| Acquisitions, net of cash acquired | 0 | −5 | 0 | 0 | −3 | |
| Proceeds from the sale of property and equipment | 0 | 0 | 1,000 | 0 | 0 | |
| Net cash used in investing activities | −11 | −20 | −16 | −10 | −9 | |
| Borrowings on notes payable | −31 | −6 | −5 | −4 | −4 | |
| Payment of debt issuance costs | −134,000 | −42,000 | −8,000 | −92,000 | 0 | |
| Payments on notes payable | 48 | 32 | 19 | 0 | 0 | |
| Borrowings on revolving loan | 37 | 50 | 15 | 0 | 0 | |
| Payments on revolving loan | −37 | −50 | −15 | 0 | 0 | |
| Payments on finance lease obligations | −9,000 | −21,000 | −290,000 | −469,000 | −493,000 | |
| Proceeds from the exercise of stock options | 132,000 | 0 | 584,000 | 0 | 446,000 | |
| Payment of payroll tax withholdings on share-based awards exercised | −407,000 | −317,000 | 0 | −190,000 | −721,000 | |
| Payment of acquisition contingent consideration | −516,000 | 0 | 0 | −2 | 0 | |
| Repurchase of shares for treasury | −20 | −31 | −19 | −28 | −4 | |
| Payment of dividends on common stock | −11 | −11 | −36 | −21 | −9 | |
| Net cash used in financing activities | −16 | −17 | −41 | −56 | −18 | |
| Effect of exchange rate changes on cash | 0 | 0 | −1,000 | −182,000 | 3,000 | |
| Change in cash and cash equivalents | −94,000 | −2 | −18 | −29 | 20 | |
| Interest expense, net of capitalized amounts | 4 | 2 | 803,000 | 1 | 2 | |
| Income taxes | — | 8 | 9 | 12 | 11 | |
| Income taxes (Federal) | 2 | — | — | — | — | |
| Income taxes (State and local) | 1 | — | — | — | — | |
| Purchase of property and equipment in accounts payable and accrued expenses | 347,000 | 2 | 2 | 1 | 979,000 | |
| Stock tendered to the Company for cashless exercise of stock options in connection with equity incentive plans | 188,000 | 2 | 1 | 311,000 | 1 | |
| Repurchase of shares for treasury in accounts payable and accrued expenses | 228,000 | 311,000 | 152,000 | 0 | 0 | |
| New debt issued to existing lender | 34 | 0 | 0 | — | — | |
| Debt extinguished using proceeds from new debt | 62 | 0 | 0 | — | — | |
| Noncash borrowings on long-term debt for accrued interest and debt issuance costs | 351,000 | 0 | 0 | — | — | |
| Contingent consideration recorded in connection with acquisition | 0 | 776,000 | 0 | 0 | — |