NRCNasdaqServices-Commercial Physical & Biological ResearchUS GAAP · USD

NRC Health

NRC Health is a U.S.-based healthcare services company focused on patient experience, consumer insight, and workflow tools for hospitals and other healthcare organizations. Its subscription platform helps providers measure feedback, manage service recovery, support care transitions, and strengthen reputation and loyalty across the care continuum.

Revenue137m USD
−4.0 %y/y
Operating profit (EBIT)22.6m USD
−35.8 %y/y
EBIT margin16.4%
−8.2 ppy/y
Net income11.6m USD
−53.2 %y/y
Free cash flow15.7m USD
−17.9 %y/y

Fiscal year 2025 · change from previous year

Development 2020–2025

050100150200m USD2020: 133 m USD2020: EBIT 43 m USD20202021: 148 m USD2021: EBIT 50 m USD20212022: 152 m USD2022: EBIT 47 m USD20222023: 149 m USD2023: EBIT 40 m USD20232024: 143 m USD2024: EBIT 35 m USD20242025: 137 m USD2025: EBIT 23 m USD202513723
RevenueOperating profit (EBIT)

Business

Share of revenue
Patient experience solutions35 %

Tools that collect, analyze, and act on patient feedback and experience data.

Subscription analytics and workflow software30 %

Recurring software and workflow enablement used by healthcare organizations.

Service recovery and care transition tools15 %

Solutions that help providers respond to issues and coordinate patient handoffs.

Employee engagement and rounding10 %

Programs and tools used to improve staff engagement and leadership rounding.

Market research and reputation services10 %

Research, benchmarking, and brand/reputation management services for healthcare.

Customers

NRC Health sells primarily to healthcare providers, especially hospitals and health systems, that need recurring tools to measure patient experience and improve service quality. It also serves other healthcare organizations across the continuum, including groups that use its research, engagement, and reputation-management offerings. The company’s solutions are bought because they help customers meet survey/compliance needs, improve loyalty, and support operational decisions.

Hospitals and health systems

Buy patient experience, service recovery, and reputation tools to improve care quality and loyalty.

Large integrated healthcare organizations

Use multiple solutions across departments to standardize feedback and workflow across sites.

Healthcare executives and quality teams

Purchase analytics and reporting to support compliance, benchmarking, and operational improvement.

Other healthcare organizations

Adopt selected research, engagement, or brand tools depending on their service model.

Strategy

The company’s strategy centers on recurring subscription relationships, cross-selling additional solutions, and deepening its role across the healthcare experience stack. It also emphasizes product innovation, sales execution, and operational efficiency to strengthen retention and expand wallet share within existing customers.

Increase recurring revenue retention and renewalsShort term

The model depends on annual subscription renewals and customer stickiness.

Cross-sell more solutions to existing customersMedium term

Existing accounts provide the easiest path to revenue expansion and lower acquisition cost.

Strengthen product innovation and platform differentiationMedium term

Healthcare buyers compare NRC Health with survey, analytics, and software alternatives.

Geography

Q1/2024

NRC Health’s customer base is distributed across the United States, and the company is headquartered in Lincoln, Nebraska. The business is primarily domestic, so its operating footprint and revenue exposure are concentrated in U.S. healthcare markets. That concentration ties performance to U.S. hospital spending, reimbursement trends, and healthcare consolidation.

United States100 %

Risks

NRC Health depends heavily on subscription renewals and a relatively concentrated set of healthcare customers, so lost accounts or weaker retention can quickly affect revenue. The business also faces cybersecurity, privacy, and reputational risks because it handles sensitive healthcare data and supports remote work and cloud-connected workflows. Industry consolidation, provider budget pressure, and competition from larger research and software vendors add further pressure on demand and pricing.

Sorted by severity
LowMediumHighLowMediumHighImpact →Likelihood →Customer renewal and retention risk1Cybersecurity and privacy breaches2Healthcare provider budget pressure3Industry consolidation4Competitive pressure5
Impact is the risk’s severity and likelihood how probable it is over the next few years, both assessed from the company’s reports. Numbers match the list.
  1. Customer renewal and retention riskImpact: HighLikelihood: Medium

    A large share of revenue comes from recurring subscription agreements.

    Exposure: Healthcare systems and other recurring customers

  2. Cybersecurity and privacy breachesImpact: HighLikelihood: Medium

    The company handles confidential healthcare information and supports remote access.

    ExposureRemote employeesThird-party providersCloud-connected systems
  3. Healthcare provider budget pressureImpact: MediumLikelihood: Medium

    Hospitals may defer purchases when facing reimbursement and cost pressure.

    Exposure: U.S. healthcare provider customers

  4. Industry consolidationImpact: MediumLikelihood: Medium

    Mergers can reduce the number of customers or shift work in-house.

    Exposure: Hospital and health system customer base

  5. Competitive pressureImpact: MediumLikelihood: Low

    The company competes with larger survey, analytics, and software vendors.

    Exposure: Patient experience and healthcare research markets

Accounting

Judgemental items
Revenue recognition

Most revenue comes from renewable subscriptions, with some fixed contracts requiring estimates.

Impact: Can shift revenue timing and period-to-period comparability

Variable consideration and contract cost estimates

Management estimates future consideration and total contract costs on certain arrangements.

Impact: Affects recognized revenue and margin presentation

Stock-based compensation

Executive and employee equity awards create non-cash expense.

Impact: Impacts operating expenses and adjusted earnings comparisons

Acquisition-related intangibles and software amortization

Purchased assets and software investments are amortized over time.

Impact: Affects depreciation and amortization expense

Debt and interest expense

Borrowings under credit facilities affect financing costs.

Impact: Influences net income and cash flow analysis

Publicly listed companies with a comparable business focus.

Last updated: 24/09/2026