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National Research Corporation
Annual Report 2017

NRC · NASDAQ Healthcare
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Ticker NRC
Exchange NASDAQ
Sector Healthcare
Industry Medical - Healthcare Information Services
Employees 368
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FY2017 Annual Report · National Research Corporation
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AJ Leetch • Danny Coca_Herrera • Abby Plybon • Ada Hui • Adam Benash • Aislinn Reeder • Alaia Holmes • Alayna Kost • Alena Rusetskaya • Alex Gallichotte • Alex 
Pavlik • Alexis Lafleur • Alicia Weixelman • Aliya Garza • Allan Bautista • Allison Thomas • Amanda Beardsley • Amanda Loseke • Amanda Menke • Amber Meyer • Amber 
Steffen • Amy Oltman • Ana Munoz • Andie Westling • Andrew Lowe • Andy Essink • Andy Gerch • Andy Glenn • Andy Ibbotson • Andy Lambert • Ania Yu • Anna Bates 
• Anne Loethen • Annie Krein • April Schulz • Ari Wait • Ariel Born • Ashlee Deeds • Ashley Haas • Ashley Thiemann • Asya Petrosyan • Atif Mahmood • Aulii Reyes 
• Austin Edstrom • Bailey Pons • Barbara Toffolet • Becky Volten • Beki Ferguson • Ben Allemann • Billy Kuehn • BJ Choi • Bonny Robley • Brad Jacox • Brad Lowe • 
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• Candis Hager • Carla Steadman • Carly Carlson • Carmen Hinseth • Carrie Merry • Carry Jasper • Casey Hodgin • Cathy Diven • Chelsi Strickland • Chris Burkholder • 
Chris Fivash • Chrissy Barnhardt • Christian Habib • Christina Perry • Cindy Ballow • CJ Adamson • Claire Uryasz • Cody Kampschneider • Cody O’Grady • Colleen Selvage 
• Connie Pautz • Connie White • Corey Matejka • Corry Caouette • Courtney Nitzel • Cydnee Rand • Dan Biggs • Dana Kearse • Dana Petersen • Dana Svehla • Daniella 
Barron • Dara Wells • Dave Gilsdorf • Dave Hansen • Dave Snyder • Dave Stueckrath • David Lavelle • DeAnn Stephan • Deb Hinds • Deb Wetzel • Deb Weyers • Devan 
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• Emily Karnish • Emily Lichter • Emily Schweitzer • Emma Newcomb • Erica McClurg • Erika Newmyer • Erin Brodhagen • Erin Cerretta • Erin Hobelman • Evan Killham 
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Heather Dalton • Heather Lannin • Heidi Peirce • Helen Hrdy • Helen Mailer • Holden Zubrod • Hollie Gordon • Holly Hopkins • Ian Miller • Ilze Young • Immaculata Sam • 
Jack Thelen • Jackie Cech • Jackie Stevens • Jacob Dittmer • Jade Chong • Jake Daniel • Jake Mastera • Jake Stephens • Jake Tegler • James Harris • James Hill • James 
Hulsey • James Newton • Jamie Jorgenson • Janae Spiker • Janet Carlson • Jared Chulufas • Jared Eubank • Jason Barry • Jason Douros • Jason Messerli • Jason Newton 
• Jason Thomas • Jason Zulkoski • Jatinder Dhaliwal • Jay Smith • Jeff Bogner • Jeff Gill • Jen Volland • Jenifer Therrien • Jennifer Kimmons • Jennifer Nguyen • Jennifer 
Chandrabose • Jenny Brunke • Jenny Gierhan • Jenny Grant • Jenny Jones • Jenny Wieseler • Jess Arter • Jess Hesse • Jessica Lane • Jessica Meis • Jhordan Elsberry • 
Jing Fu • Jo McElwain • Joe McTaggart • Joe Zigtema • Joel Steuben • John Dorn • John Estudillo • John Palmer • Johnny Dingwerth • Jon Hanseling • Jon Kuehler • Jon 
Richards • Jon Tanner  Jon Young • Jona Raasch • Jordan Handley • Jordan Pedersen • Josh Rector • Josh Sexson • Josh Winder • Joshua Willey • Josiah BeDunnah • Judy 
Radford • Julie Diaz • Junayed Ahmed • Justin Burns • Justin Clark • Justin Kubick • Justin Meaney • Justin Schuerman • Kade Mohrman • Kaitlin Overfield-Newman • 

A company can be described in a variety of ways including the industry 
it serves, its product, service, or even size. However, at its core, every 
organization is a collection of its associates.

—Mike Hays, CEO and Fellow Shareholder

Kaitlyne Krinock • Kanwal Nayani • Karen Althouse • Karen Robertus • Karen Wilken • Karrie Vincentini • Kasey Pepper • Kassandra Braaten • Kat Woolman • Kate Kimmons 
• Kathleen O’Toole • Kathryn Peisert • Kathy Anstine • Kathy Carroll • Katie Clabaugh • Katie Hunke • Katie Johnson • Katie Rhone • Katrina Lupsiakova • Kayla Lounsbery 
• Kayla Wagner • Keith Covert • Keith Wysocki • Kelli Woods • Kelly Dunn • Kelly Slama • Kelsey Cook • Ken Cousino • Kendall Witt • Kendra Piening • Kerrie Waybright 
• Keshia Norris • Kevin Karas • Kevin Khan • Kiefer Watson • Kim Clouston • Kim Houle • Kim Taruc • Kipp Heidtbrink • Kirsten Hattan • Kody Hayes • Kori Stanosheck • 
Kristin Graves • Kristin Larson • Kristine German • Kyle Benesch • Kylee Gries • LaDonna Humphrey • Lanny Boswell • Laura Olinger • Lauri Dettmer • Lauryn Dermit • 
Leah Everson • Leslie Nicholson • Linda Magin • Linda Stacy • Lindsay Coupens • Lindsay Hand • Lindsay Laug • Lindsey Akiyama • Lindsey Bradley • Lisa Minchow • Lisa 
Stolzenburg • Liz Case • Logan Schweitzer • Lynn Phillips • Maggie Essink • Maggie Mendoza • Marc Coker • Marci Vander Tuig • Margaret Yanicki • Marie Hall • Marshall 
Ross • Martha Daniel • Mary Shaw • Mary Tellis-Nayak • Mary Ann Castillo • Matt Dahlke • Matt Timbs • Matthew Theis • Max Wyrick • Megan Charko • Megan Taruc • 
Meghan Gull • Mel Kamm • Melissa Cummings • Melissa Rappl • Melissa Zwiener • Michaela Brazington • Micheal Thompson • Michelle Bachman • Michelle Folken • 
Michelle Ostia • Michelle Peters • Mike Bisenius • Mike Hays • Mike Koh • Mike Vaughn • Molly Murphy • Molly Preston • Morgan Pelster • Natalie Campbell • Nate Heard 
• Nate Hoppe • Nate Lawrence • Nathan Schmitz • Nick Brandt • Nick Fontana • Nicki Bratten • Nicolle Jungers • Nikki D’Elia • Nikki Essay • Nikki Paulk • Olivia DeRusse 
• Ollie Olson • Pam Hill • Pam Nelson • Pam Luciano • Pat Dabney • Paul Cooper • Paul Sanny • Peyton Tobin • Rachel Beavers • Rachel Hupp • Rachel Simants • Rachelle 
Friesen • Rana Schreiber • Randi Miller • Raquel Smith • Rebecca Christie • Regan Murphy • Renee Hauser • Rich Kortum • Richard Hamilton • Richard Lierman • Rob 
Wirth • Robin Brester • RoJean Clifton • Ron Clarkin • Ross Coudeyras • Roxana Novoa • Ruta Jaudegis • Ryan Anderson • Ryan Bondegard • Ryan Donohue • Ryan Real • 
Ryan Stoner • Ryan Vavra • Sally Henry • Sam Areman • Sam Peterson • Sanjay Motwani • Sara Bennett • Sara Ehnes • Sara Nelson • Sara Pickrel • Sara Winchell • Sarah 
Akinyemi • Sarah Fryda • Scott Brester • Scott Emery • Scott Gray • Scott Logan • Sean Swanson • Seth Thacker-Lynn • Shannon Hasemann • Shannon Hayes • Shannon 
McCann • Shawna O’Neill • Shawnelle King • Shayne Arriola • Sheri Life • Sheryl Pietzyk • Shilpa Patel • Sina Attaie • Sonai Jacobs • Spencer Krull • Stacey Kermmoade • 
Steph Kolbo • Steph Mosley • Steve Barton • Steve Jackson • Steve Kepler • Sudha Daggumati • Tanner Wilkinson • Tara Duggar • Tawna Schwarz • Taylor Moran • Taylor 
Nelson • Ted Smidberg • Teresa Costello-Raddatz • Tess Kurtenbach • Tessa Clark • Tiffany Ryck • Tim Cook • Tim Gerken • Tim Ottersburg • Tim Washburn • TJ Ehlers • 
Tobin Tobey • Todd Jarchow • Tom Myers • Tony Flores • Tony Reinke • Toya Gorley • Tracy Hanger • Tracy Marshall • Travis Ficken • Trevor Heidinger • Trevor Willenborg • 
Tyler Burbach • Vanessa Jones • Vicki Vopalensky • Vivian Tellis-Nayak • Warren Wunderlich • Wes Miller • Will Landers • William England • Zach Zobel • Zak Arushanov

2 0 17   A N N U A L   R E P O R T   |   2 0 18   P R O X Y   S TAT E M E N T 

Human  
understanding

 
Annual meeting

The annual meeting of shareholders will be held on May 30, 2018, 3:00 p.m. (local 
time) at the Embassy Suites, 1040 P Street, Lincoln, Nebraska 68508.

To Our Owners:

As we concluded the final weeks of 2017, headlines across the healthcare industry highlighted the 
necessity for our nation’s hospitals to embrace an “adapt or die” strategy as the cost of delivering care 
outpaces available reimbursement. For health-system executives, it raises the question, “Have we awoken 
to a new reality?”

Your Company’s research over the last decade has illuminated the growing consumerism movement—
patients voicing their frustration with escalating healthcare prices, and their increasing willingness to 
circumvent the system in favor of alternative models of care delivered at lower cost and with greater 
convenience and better outcomes. We are proud to stand side-by-side with our customers, not in fear of 
this new reality, but ready to seize the opportunities such tipping points provide. 

As the industry reaches a crossroads, one thing is clear: getting as close to the customer as possible to 
understand a patient’s life’s conditions, frustrations, challenges, and unspoken desires, and then designing 
simple, elegant experiences that satisfy those requirements, is at the core of every successful reinvention.

One year ago, we introduced the concept of human understanding—a belief that quality of care, costs, 
and outcomes all improve the more we know about each individual person. It is a radical change for 
organizations used to charting performance against industry benchmarks and the false confidence such 
metrics provide. Celebrating a five or 10 percent improvement in customer satisfaction scores is a proxy 
for understanding, but not the same as true understanding. The landscape is littered with recent examples 
of industries—retail, transportation, and now healthcare—disintermediated by new entrants that better 
empathize with the customer. 

Human understanding is the preventive to being caught flat-footed. It means finding love for each individual 
and learning what truly matters most to them. It shifts the focus from transactional encounters to lasting 
relationships and the loyalty they bring. It represents a world in which individual customers’ insights are 
sought to better their experience, not to grade organizational performance against the competition.  

In an era in which mass personalization has become the norm, human understanding is an accelerant 
enabling today’s health systems to both catch up to, and then exceed, consumer expectations. The insights 
it pursues enable healthcare services to be uniquely tailored, because with them, patients’ preferences are 
well understood. The awareness it engenders ensures financial alternatives are evaluated and arrangements 
made before the customer receives a bill. The learnings it elicits eradicate health disparities, because they 
allow each patient’s voice to be equally heard and truly understood. 

At a recent all-associate meeting, I was asked the question, “What will NRC Health be known for, five 
to ten years from now?” I hope the answer is, our commitment to constantly evolving. There is no end 
destination on the journey to achieving human understanding. Human beings are fickle, and people’s needs 
are always changing.  

Your Company and its greatest source of pride, its nearly 450 associates, will always be adapting—not 
because headlines have popularized the trend, but because it is the only way to exist.

Sincerely,

Steven D. Jackson
President and Fellow Owner

 
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NATIONAL RESEARCH CORPORATION 
D/B/A NRC Health 

NOTICE OF ANNUAL MEETING OF SHAREHOLDERS 
To Be Held May 30, 2018 

To the Shareholders of 

National Research Corporation: 

NOTICE IS HEREBY GIVEN that the Annual Meeting of Shareholders of National Research 
Corporation will be held on Wednesday, May 30, 2018, at 3:00 P.M., local time, at the Embassy Suites 
hotel located at 1040 P Street, Lincoln, Nebraska 68508, for the following purposes:  

1. 

To elect two directors to hold office until the 2021 annual meeting of 

shareholders and until their successors are duly elected and qualified. 

2. 

To ratify the appointment of KPMG LLP as our independent registered public 

accounting firm for 2018. 

3. 

To conduct an advisory vote to approve the compensation of our named 

executive officers as disclosed in the accompanying proxy statement. 

4. 

To approve amendments to the National Research Corporation 2004 Non-

Employee Director Stock Plan.  

5. 

To consider and act upon such other business as may properly come before the 

meeting or any adjournment or postponement thereof. 

The close of business on April 18, 2018, has been fixed as the record date for the determination of 

shareholders entitled to notice of, and to vote at, the meeting and any adjournment or postponement 
thereof. 

A proxy for the meeting and a proxy statement are enclosed herewith. 

By Order of the Board of Directors 
NATIONAL RESEARCH CORPORATION 

Kevin R. Karas 
Secretary 

Lincoln, Nebraska 
April 27, 2018  

Important Notice Regarding the Availability of Proxy Materials for the Shareholder Meeting To Be 
Held on May 30, 2018.  The National Research Corporation proxy statement for the 2018 Annual 
Meeting of Shareholders and the 2017 Annual Report to Shareholders are available at 
www.proxyvote.com.   

YOUR VOTE IS IMPORTANT NO MATTER HOW LARGE OR SMALL YOUR HOLDINGS 
MAY BE.  TO ASSURE YOUR REPRESENTATION AT THE MEETING, PLEASE DATE THE 
ENCLOSED PROXY, WHICH IS SOLICITED BY THE BOARD OF DIRECTORS, SIGN 
EXACTLY AS YOUR NAME APPEARS THEREON AND RETURN IMMEDIATELY. 

 
 
 
 
 
 
 
 
 
 
(cid:3)

This page intentionally left blank 

NATIONAL RESEARCH CORPORATION 
D/B/A NRC Health 
1245 Q Street 
Lincoln, Nebraska 68508 

PROXY STATEMENT 
FOR 
ANNUAL MEETING OF SHAREHOLDERS 
To Be Held May 30, 2018   

This proxy statement is being furnished to shareholders by the Board of Directors (the “Board”) 

of National Research Corporation, doing business as NRC Health (the “Company”), beginning on or 
about April 27, 2018, in connection with a solicitation of proxies by the Board for use at the Annual 
Meeting of Shareholders to be held on Wednesday, May 30, 2018, at 3:00 P.M., local time, at the 
Embassy Suites hotel located at 1040 P Street, Lincoln, Nebraska 68508, and all adjournments or 
postponements thereof (the “Annual Meeting”) for the purposes set forth in the attached Notice of Annual 
Meeting of Shareholders.  

Execution of a proxy given in response to this solicitation will not affect a shareholder’s right to 
attend the Annual Meeting and to vote in person.  Presence at the Annual Meeting of a shareholder who 
has signed a proxy does not in itself revoke a proxy.  Any shareholder giving a proxy may revoke it at any 
time before it is exercised by giving notice thereof to the Company in writing or in open meeting. 

A proxy, in the enclosed form, which is properly executed, duly returned to the Company and not 

revoked, will be voted in accordance with the instructions contained therein.  The shares represented by 
executed but unmarked proxies will be voted as follows: 

(cid:120)  FOR the two persons nominated for election as directors referred to herein; 

(cid:120)  FOR the ratification of the appointment of KPMG LLP as our independent registered public 

accounting firm for 2018; 

(cid:120)  FOR the advisory vote to approve the compensation of the individuals named in the 

Summary Compensation Table set forth below in this proxy statement (such group of 
individuals are sometimes referred to as our named executive officers); 

(cid:120)  FOR the amendments to the National Research Corporation 2004 Non-Employee Director 

Stock Plan, as amended (the “Director Plan”); and   

(cid:120)  On such other business or matters which may properly come before the Annual Meeting in 
accordance with the best judgment of the persons named as proxies in the enclosed form of 
proxy.   

Other than the election of two directors, the ratification of the appointment of KPMG LLP as our 
independent registered public accounting firm for 2018, the advisory vote to approve the compensation of 
our named executive officers and the amendments to the Director Plan, the Board has no knowledge of 
any matters to be presented for action by the shareholders at the Annual Meeting. 

Only holders of record of the Company’s common stock, $0.001 par value per share (the 
“Common Stock”), at the close of business on April 18, 2018 (the “Record Date”), are entitled to vote at 
the Annual Meeting.  On that date, the Company had outstanding and entitled to vote 24,608,700 shares 
of Common Stock, each of which is entitled to one vote per share. The presence of a majority of the votes 

1 

 
 
entitled to be cast shall constitute a quorum for the purpose of transacting business at the Annual Meeting. 
Abstentions and broker non-votes will be counted as present in determining whether there is a quorum.  

ELECTION OF DIRECTORS 

The Company’s By-Laws provide that the directors shall be divided into three classes, with 

staggered terms of three years each.  At the Annual Meeting, the shareholders will elect two directors to 
hold office until the 2021 annual meeting of shareholders and until their successors are duly elected and 
qualified.  Unless shareholders otherwise specify, the shares represented by the proxies received will be 
voted in favor of the election as directors of the two persons named as nominees herein.  The Board has 
no reason to believe that the listed nominees will be unable or unwilling to serve as directors if 
elected.   However, in the event that any nominee should be unable to serve or for good cause will not 
serve, the shares represented by proxies received will be voted for another nominee selected by the Board.  
Each director will be elected by a plurality of the votes cast at the Annual Meeting (assuming a quorum is 
present).  Consequently, any shares not voted at the Annual Meeting, whether due to abstentions, broker 
non-votes or otherwise, will have no impact on the election of the directors.  Votes will be tabulated by an 
inspector of elections appointed by the Board.  

The following sets forth certain information, as of April 18, 2018, about the Board’s nominees for 

election at the Annual Meeting and each director of the Company whose term will continue after the 
Annual Meeting. 

Nominees for Election at the Annual Meeting   

Terms expiring at the 2021 Annual Meeting  

Michael D. Hays, 63, has served as Chief Executive Officer and a director since he founded the 

Company in 1981.  He also served as President of the Company from 1981 to 2004 and from July 2008 to 
July 2011.  Prior to founding the Company, Mr. Hays served for seven years as a Vice President and a 
director of SRI Research Center, Inc. (n/k/a the Gallup Organization). Mr. Hays’ background as founder 
of the Company, and his long and successful tenure as Chief Executive Officer and a director, led to the 
conclusion that he should serve as a director of the Company. 

John N. Nunnelly, 65, has served as a director of the Company since December 1997.  Mr. 

Nunnelly is a retired Group President from McKesson Corporation, a leader in pharmaceutical 
distribution and healthcare information technology.  During his 28-year career at McKesson, Mr. 
Nunnelly served in a variety of other positions including, Vice President of Strategic Planning and 
Business Development, Vice President and General Manager of the Amherst Product Group and Vice 
President of Sales-Decision Support.  These responsibilities included leading several business units, 
including one with over $360 million in annual revenue. In addition, he was involved in managing a 
number of mergers and acquisitions.  Mr. Nunnelly also serves as an adjunct professor at the University 
of Massachusetts, School of Nursing, advising students and faculty on matters pertaining to healthcare 
information technology. These experiences and Mr. Nunnelly’s expertise as a professional and educator 
in the field of healthcare information technology led to the conclusion that he should serve as a director of 
the Company. 

THE BOARD RECOMMENDS THE FOREGOING NOMINEES FOR ELECTION AS 
DIRECTORS AND URGES EACH SHAREHOLDER TO VOTE “FOR” SUCH NOMINEES.  
SHARES OF THE COMPANY’S COMMON STOCK REPRESENTED BY EXECUTED BUT 
UNMARKED PROXIES WILL BE VOTED “FOR” SUCH NOMINEES. 

2 

 
 
 
 
Directors Continuing in Office 

Terms expiring at the 2019 Annual Meeting 

Donald M. Berwick, 71, has served as a director of the Company since October 2015.  Dr. 
Berwick is the former President and Chief Executive Officer of the Institute for Healthcare Improvement, 
which he co-founded and led for almost 20 years, and where he now serves as President Emeritus and 
Senior Fellow.  He is also currently a Lecturer in the Department of Health Care Policy at Harvard 
Medical School.  From July 2010 to December 2011, Dr. Berwick served as the Administrator of the 
Centers for Medicare and Medicaid Services as an appointee of President Barack Obama. Dr. Berwick 
previously served on the faculty of the Harvard Medical School and the Harvard School of Public Health 
(from 1974 to 2010).  He was also vice chair of the U.S. Preventive Services Task Force (from 1990 to 
1995), the first “Independent Member” of the Board of Trustees of the American Hospital Association 
(from 1996 to 1999) and the chair of the National Advisory Council of the Agency for Healthcare 
Research and Quality (from 1995 to 1999). Dr. Berwick’s expertise as a professional, administrator, 
lecturer and educator in the field of healthcare led to the conclusion that he should serve as a director of 
the Company. 

Terms expiring at the 2020 Annual Meeting  

JoAnn M. Martin, 63, has served as a director of the Company since June 2001.  Ms. Martin 
was elected President and Chief Executive Officer of Ameritas Life Insurance Corp., an insurance and 
financial services company, in July 2005 and currently serves as Chair and Chief Executive Officer.  
From April 2003 to July 2005, she served Ameritas Life Insurance Corp. as President and Chief 
Operating Officer.  Prior thereto, Ms. Martin served as Senior Vice President and Chief Financial Officer 
of Ameritas for more than the last five years.  In April 2009, Ms. Martin was elected Chief Executive 
Officer of Ameritas Holding Company and Ameritas Mutual Holding Company (previously named 
UNIFI Mutual Holding Company), where she had served as Executive Vice President and Chief Financial 
Officer for more than the last five years, and currently serves as Chief Executive Officer of Ameritas 
Mutual Holding Company.  Ms. Martin has served as an officer of Ameritas and/or its affiliates since 
1988.  Ms. Martin also serves as a director of Ameritas Mutual Holding Company and/or its affiliates. 
Ms. Martin’s financial background as a certified public accountant and as the former Chief Financial 
Officer and current Chief Executive Officer of a mutual insurance holding company, as well as her past 
leadership experiences as a director of the Omaha Branch of the Federal Reserve Bank of Kansas City 
and other organizations, led to the conclusion that she should serve as a director of the Company. 

Barbara J. Mowry, 70, has served as a director of the Company since May 2014.  Ms. Mowry 
founded, and is currently the Chief Executive Officer of, GoreCreek Advisors, a management consulting 
firm.  Prior to founding GoreCreek Advisors, Ms. Mowry served as Senior Vice President - Data 
Integration of Oracle Corporation, an industry leading software, hardware and services company, from 
January 2010 through March 2011, and as President and Chief Executive Officer of Silver Creek 
Systems, Inc., a data quality solutions software company, from January 2003 to December 2009.  Ms. 
Mowry served as a director of Axion Health (from 2012 to 2014) and the Federal Reserve Bank of Kansas 
City (from 2012 to 2014) where she was Chair of the Board from 2013 to 2014.  Ms. Mowry also serves 
as a director of IMA Financial Group (since May 2017), a privately held diversified financial services 
company, and as a director of several not-for-profit organizations, including the Kauffman Foundation 
(since 2013), the University of Minnesota Executive Committee, Carlson School of Management and the 
Board of Overseers (since 2004) and the National Association of Corporate Directors Colorado Chapter 
where she is a Leadership Fellow.  Ms. Mowry previously served as a director of Gaiam, Inc. (from 1999 
to 2013), Real Goods Solar, Inc. (from 2008 to 2013) and the Denver Branch of the Federal Reserve Bank 
of Kansas City (from 2008 to 2011). Ms. Mowry’s financial background as a former President and Chief 
Executive Officer of several companies, a former member of the audit and compensation committees of 
the boards of directors of Gaiam, Inc. and Real Goods Solar, Inc. and as the current Chief Executive 
Officer of GoreCreek Advisors, led to the conclusion that she should serve as a director of the Company. 

3 

 
 
Independent Directors and Annual Meeting Attendance 

CORPORATE GOVERNANCE 

Of the five directors currently serving on the Board, the Board has determined that Donald M. 

Berwick, JoAnn M. Martin, Barbara J. Mowry and John N. Nunnelly are “independent directors” as that 
term is defined in the listing standards of The NASDAQ Stock Market.  

Directors are expected to attend the Company’s annual meeting of shareholders each year.  Each 

of the directors attended the Company’s 2017 annual meeting of shareholders.  

Currently, the Company does not have a chairman, and the Board does not have a policy on 

whether the roles of chief executive officer and chairman should be separate.  The Board has, however, 
designated a lead director since 2007, with Ms. Martin serving as the lead director from 2007 until May 
2012 and Mr. Nunnelly serving as the lead director since May 2012.  The Board believes its current 
leadership structure is appropriate at this time since it establishes the Company’s chief executive officer 
as the primary executive leader with one vision and eliminates ambiguity as to who has primary 
responsibility for the Company’s performance.  

The lead director is an independent director who is appointed by the independent directors and 

who works closely with the chief executive officer.  In addition to serving as the principal liaison between 
the independent directors and the chief executive officer in matters relating to the Board as a whole, the 
primary responsibilities of the lead director are as follows: 

(cid:20)  Preside at all meetings of the Board at which the chief executive officer is not present, 

including any executive sessions of the independent directors, and establish agendas for such 
executive sessions in consultation with the other directors and the chief executive officer; 

(cid:20)  Advise the chief executive officer as to the quality, quantity, and timeliness of the flow of 
information from management that is necessary for the independent directors to effectively 
perform their duties;  

(cid:20)  Have the authority to call meetings of the independent directors as appropriate; and 

(cid:20)  Be available to act as the spokesperson for the Company if the chief executive officer is 

unable to act as the spokesperson. 

Committees 

The Board held 14 meetings in 2017.  All incumbent directors attended at least 75% of the 

meetings of the Board and the committees on which they served during 2017. 

The Board has a standing Audit Committee, Compensation Committee, Nominating Committee, 

Strategic Planning Committee and Leadership Development Committee.  Each of these committees has 
the responsibilities set forth in formal written charters adopted by the Board.  The Company makes 
available copies of each of these charters free of charge on its website located at www.nrchealth.com. 
Other than the text of the charters, the Company is not including the information contained on or available 
through its website as a part of, or incorporating such information by reference into, this proxy statement. 

The Audit Committee’s primary function is to assist the Board in fulfilling its oversight 
responsibilities by overseeing the Company’s systems of internal controls regarding finance, accounting, 
legal compliance and ethics that management and the Board have established; the Company’s accounting 
and financial reporting processes; and the audits of the financial statements of the Company.  The Audit 
Committee presently consists of JoAnn M. Martin (Chairperson), Barbara J. Mowry and John N. 

4 

Nunnelly, each of whom meets the independence standards of The NASDAQ Stock Market and the 
Securities and Exchange Commission for audit committee members.  The Board has determined that 
JoAnn M. Martin qualifies as an “audit committee financial expert,” as that term is defined by the 
Securities and Exchange Commission, because she has the requisite attributes through, among other 
things, education and experience as a president, chief financial officer and certified public accountant.  
The Audit Committee held five meetings in 2017. 

The Compensation Committee determines compensation programs for the Company’s executive 

officers, reviews management’s recommendations as to the compensation to be paid to other key 
personnel and administers the Company’s equity-based compensation plans.  The Compensation 
Committee presently consists of Barbara J. Mowry (Chairperson), JoAnn M. Martin and John N. 
Nunnelly, each of whom meets the independence standards of The NASDAQ Stock Market and the 
Securities and Exchange Commission for compensation committee members.  The Compensation 
Committee held three meetings in 2017.  From time to time, with the last time being in 2015, the 
Compensation Committee or management of the Company has engaged a nationally recognized 
compensation consultant to assist the Company in its review of its compensation and benefits programs, 
including the competitiveness of pay levels, executive compensation design issues, market trends and 
technical considerations.  The Compensation Committee, however, did not use this information in setting 
the compensation of the Company’s executive officers in 2017.   

The Nominating Committee presently consists of Donald M. Berwick (Chairperson), Barbara J. 
Mowry and John N. Nunnelly, each of whom meets the independence standards of The NASDAQ Stock 
Market for nominating committee members.  The Nominating Committee’s primary functions are to: (1) 
recommend persons to be selected by the Board as nominees for election as directors and (2) recommend 
persons to be elected to fill any vacancies on the Board.  The Nominating Committee held two meetings 
in 2017. 

The Strategic Planning Committee assists the Board in reviewing and, as necessary, altering, the 

Company’s strategic plan, reviewing industry trends and their effects, if any, on the Company and 
assessing the Company’s products, services and offerings and the viability of such portfolio in meeting 
the needs of the markets that the Company serves.  John N. Nunnelly (Chairperson), Donald M. Berwick, 
JoAnn M. Martin and Barbara J. Mowry are the current members of the Strategic Planning Committee.  
The Strategic Planning Committee held one meeting in 2017. 

The Leadership Development Committee assists the Board in reviewing the Company’s strategy 
to attract, develop and retain its associates.  The Leadership Development Committee presently consists 
of Donald M. Berwick, JoAnn M. Martin and John N. Nunnelly.  The Leadership Development 
Committee did not hold any meetings in 2017.  

Board Oversight of Risk 

The full Board is responsible for the oversight of the Company’s operational and strategic risk 

management process.  The Board relies on its Audit Committee to address significant financial risk 
exposures facing the Company and the steps management has taken to monitor, control and report such 
exposures, with appropriate reporting of these risks to be made to the full Board.  The Board relies on its 
Compensation Committee to address significant risk exposures facing the Company with respect to 
compensation, with appropriate reporting of these risks to be made to the full Board.  The Board’s role in 
the Company’s risk oversight has not affected the Board’s leadership structure. 

Nominations of Directors 

The Nominating Committee will consider persons recommended by shareholders to become 

nominees for election as directors.  Recommendations for consideration by the Nominating Committee 
should be sent to the Secretary of the Company in writing together with appropriate biographical 

5 

 
information concerning each proposed nominee.  The Company’s By-Laws also set forth certain 
requirements for shareholders wishing to nominate director candidates directly for consideration by the 
shareholders.  With respect to an election of directors to be held at an annual meeting, a shareholder must, 
among other things, give notice of intent to make such a nomination to the Secretary of the Company not 
less than 60 days or more than 90 days prior to the second Wednesday in the month of April. 

In identifying and evaluating nominees for director, the Nominating Committee seeks to ensure 
that the Board possesses, in the aggregate, the strategic, managerial and financial skills and experience 
necessary to fulfill its duties and to achieve its objectives, and seeks to ensure that the Board is comprised 
of directors who have broad and diverse backgrounds, possessing knowledge in areas that are of 
importance to the Company.  The Nominating Committee looks at each nominee on a case-by-case basis 
regardless of who recommended the nominee.  In looking at the qualifications of each candidate to 
determine if their election would further the goals described above, the Nominating Committee takes into 
account all factors it considers appropriate, which may include strength of character, mature judgment, 
career specialization, relevant technical skills or financial acumen, diversity of viewpoint and industry 
knowledge.  In addition, the Board and the Nominating Committee believe that the following specific 
qualities and skills are necessary for all directors to possess: 

(cid:20) A director must display high personal and professional ethics, integrity and values. 

(cid:20) A director must have the ability to exercise sound business judgment. 

(cid:20)  A director must be accomplished in his or her respective field, with broad experience at the 

administrative and/or policy-making level in business, government, education, technology or 
public interest. 

(cid:20)  A director must have relevant expertise and experience, and be able to offer advice and 

guidance based on that expertise and experience. 

(cid:20)  A director must be independent of any particular constituency, be able to represent all 

shareholders of the Company and be committed to enhancing long-term shareholder value. 

(cid:20)  A director must have sufficient time available to devote to activities of the Board and to 

enhance his or her knowledge of the Company’s business. 

The Board also believes the following qualities or skills are necessary for one or more directors to 

possess: 

(cid:20)  At least one independent director must have the requisite experience and expertise to be 
designated as an “audit committee financial expert,” as defined by applicable rules of the 
Securities and Exchange Commission, and have past employment experience in finance or 
accounting, requisite professional certification in accounting, or any other comparable 
experience or background which results in the member’s financial sophistication, as required 
by the rules of NASDAQ. 

(cid:20)  One or more of the directors generally must be active or former executive officers of public 
or private companies or leaders of major complex organizations, including commercial, 
scientific, government, educational and other similar institutions. 

6 

 
As noted above, in identifying and evaluating nominees for director, the Nominating Committee 
seeks to ensure that, among other things, the Board is comprised of directors who have broad and diverse 
backgrounds, because the Board believes that directors should be selected so that the Board is a diverse 
body. The Nominating Committee implements this policy by considering how potential directors’ 
backgrounds would contribute to the diversity of the Board. As part of its annual self-evaluation, the 
Nominating Committee assesses the effectiveness of its efforts to attain diversity by considering whether 
it has an appropriate process for identifying and selecting director candidates. 

Transactions with Related Persons 

Except as otherwise disclosed in this section, we had no related person transactions during 2017, 

and none are currently proposed, in which we were a participant and in which any related person had a 
direct or indirect material interest.  Our Board has adopted written policies and procedures regarding 
related person transactions.  For purposes of these policies and procedures: 

(cid:20)  A “related person” means any of our directors, executive officers, nominees for director, any 
holder of 5% or more of the common stock or any of their immediate family members; and 

(cid:20)  A “related person transaction” generally is a transaction (including any indebtedness or a 
guarantee of indebtedness) in which we were or are to be a participant and the amount 
involved exceeds $120,000, and in which a related person had or will have a direct or indirect 
material interest. 

Each of our executive officers, directors or nominees for director is required to disclose to the 

Audit Committee certain information relating to related person transactions for review, approval or 
ratification by the Audit Committee.  Disclosure to the Audit Committee should occur before, if possible, 
or as soon as practicable after the related person transaction is effected, but in any event as soon as 
practicable after the executive officer, director or nominee for director becomes aware of the related 
person transaction.  The Audit Committee’s decision whether or not to approve or ratify a related person 
transaction is to be made in light of the Audit Committee’s determination that consummation of the 
transaction is not or was not contrary to our best interests.  Any related person transaction must be 
disclosed to the full Board. 

Ms. Martin, a director of the Company, serves as President and Chief Executive Officer of 

Ameritas Life Insurance Corp. In connection with the Company’s regular assessment of its insurance-
based associate benefits and the costs associated therewith, which is conducted by an independent 
insurance broker, in 2007 the Company began purchasing dental insurance for certain of its associates 
from Ameritas Life Insurance Corp. and, in 2009, the Company also began purchasing vision insurance 
for certain of its associates from Ameritas Life Insurance Corp. The total value of these purchases, which 
were conducted in arms’ length transactions and approved by the Audit Committee pursuant to our related 
person transaction policies and procedures, were $248,000 in 2017 and $232,000 in 2016. 

Mr. Hays, the founder, Chief Executive Officer and director of the Company, is an owner of 14% 
of the equity interest of Nebraska Global Investment Company LLC (“Nebraska Global”).  The Company, 
directly or indirectly through its former subsidiary Customer-Connect LLC, purchased certain services 
from Nebraska Global, primarily consisting of software development services.  The total value of these 
purchases, which were conducted in arms’ length transactions and approved by the Audit Committee 
pursuant to our related person transaction policies and procedures, were $12,500 in 2017 and $488,000 in 
2016.  

On April 17, 2018, the Company completed a recapitalization whereby the Company exchanged 
one share of its then-existing class A common stock, plus $19.59 in cash, without interest, for each share 
of its then-existing class B common stock and, following such exchange, each share of class A common 
stock was reclassified as a share of Common Stock (collectively, the “2018 Recapitalization”). 

7 

 
Mr. Hays, the founder, Chief Executive Officer and director of the Company, personally incurred 

approximately $538,000 of fees and expenses in connection with exploring strategic alternatives for the 
Company, including the originally proposed stock split transaction announced by the Company in 
September 2017 and the 2018 Recapitalization.  These fees and expenses were attributable to the 
evaluation of alternatives and the sourcing and negotiating of financing for the alternatives, all of which 
would have been borne directly by the Company if they had not been advanced by Mr. Hays, and 
included approximately $182,000 for legal services, approximately $224,000 for advisory services and 
approximately $132,000 for financial modeling services.  Mr. Hays advanced these funds personally in 
order to maintain the confidentiality of the evaluation of such alternatives and allow our management 
team to maintain its focus on our business and operations.  The Company reimbursed Mr. Hays following 
the review of these fees and expenses, and the unanimous approval of such reimbursement, by the Audit 
Committee pursuant to our related person transactions policy and procedures. 

During 2017, the Company acquired a cost method investment in convertible preferred stock of 
PracticingExcellence.com, Inc., a privately-held Delaware corporation (“PX”).  Prior to the investment, 
the Company entered into an agreement with PX, under which the Company acts as a reseller of PX 
services (the “PX reseller agreement”).  Additionally, the Company acquired content licenses from PX for 
content that the Company includes in certain of its subscription services.  The total revenue earned from 
the PX reseller agreement was $633,000 in 2017 and $28,000 in 2016.  The total amount paid for licensed 
content from PX in 2017 was $250,000. There were no such purchases in 2016.  These transactions were 
conducted at arms’ length and approved by the Audit Committee pursuant to our related person 
transaction policies and procedures 

Communications with the Board of Directors 

Shareholders  may  communicate  with  the  Board  by  writing to NRC Health, Board of 
Directors  (or, at the shareholder’s option, to a  specific director),  c/o Kevin R. Karas, Secretary, 1245 Q 
Street, Lincoln, Nebraska 68508.   The Secretary will ensure that the communication is delivered to the 
Board or the specified director, as the case may be. 

8 

2017 DIRECTOR COMPENSATION 

Directors who are executive officers of the Company receive no compensation for service as 
members of either the Board or committees thereof.  Directors who are not executive officers of the 
Company are compensated as follows: an annual fixed fee of $75,000 for the lead director and $50,000 
for each other director.  Directors are also reimbursed for out-of-pocket expenses associated with 
attending meetings of the Board and committees thereof.  Ms. Martin served as the Company’s lead 
director from 2007 to May 2012, and Mr. Nunnelly has served as the Company’s lead director since May 
2012. 

Pursuant to the Director Plan, each director who is not an associate (i.e., employee) of the 
Company also receives an annual grant of an option to purchase shares of our Common Stock on the date 
of each Annual Meeting of Shareholders.  For the period from January 1, 2017 to December 31, 2017, 
each director who was not an associate of the Company received a grant of an option to purchase 36,000 
shares of our then-existing class A common stock and 6,000 shares of our then-existing class B common 
stock on the date of the 2017 annual meeting.  The options had an exercise price equal to the fair market 
value of the class A common stock and class B common stock, as applicable, on the date of grant and vest 
one year after the grant date.  

As a result of the 2018 Recapitalization and assuming that the amendments to the Director Plan 

are approved by the shareholders at the Annual Meeting, for the period from January 1, 2018 to 
December 31, 2018, each director who is not an associate of the Company will receive a grant of options 
to purchase such number of shares of Common Stock equal to an aggregate grant date fair value of 
$100,000, computed in accordance with Financial Accounting Standards Board Accounting Standards 
Codification Topic 718, Compensation-Stock Compensation (“FASB ASC Topic 718”), or successor 
rule, on the date of the Annual Meeting.  The options will have an exercise price equal to the fair market 
value of the Common Stock on the date of grant and will vest the day immediately preceding the 2019 
annual meeting of shareholders. 

The following table sets forth information regarding the compensation received by each of the 

Company’s directors during 2017:    

Name 

Donald M. Berwick 

JoAnn M. Martin 

Barbara J. Mowry 

John N. Nunnelly 

Gail L. Warden(2) 

Fees Earned or  
Paid in Cash 

Option Awards(1) 

Total 

$50,000 

$50,000 

$50,000 

$75,000 

$33,333 

$251,666 

$251,666 

$251,666 

$251,666 

-- 

$301,666 

$301,666 

$301,666 

$326,666 

$33,333 

_______________________ 
1 Represents the aggregate grant date fair value of option awards granted during the year, computed in accordance with FASB ASC Topic 
718.  See Note 7 to the Company’s Consolidated Financial Statements included in its Annual Report on Form 10-K for the years ended 
December 31, 2017, December 31, 2016, and December 31, 2015, for a discussion of assumptions made in the valuation of share-based 
compensation.   As of December 31, 2017, the outstanding option awards for each director were as follows: Dr. Berwick – 108,000 options for 
then-existing class A common stock and 18,000 options for then-existing class B common stock; Ms. Martin – 252,000 options for then-existing 
class A common stock and 36,000 options for then-existing class B common stock; Ms. Mowry – 180,000 options for then-existing class A 
common stock and 30,000 options for then-existing class B common stock; Mr. Nunnelly – 273,084 options for then-existing class A common 
stock and 48,000 options for then-existing class B common stock; Mr. Warden – 288,000 options for then-existing class A common stock and 
60,000 options for then-existing class B common stock.  
 2 Mr. Warden retired from the Board effective August 30, 2017.   In accordance with the terms of the Director Plan, the options granted to him in 
2017 were canceled on the date of his retirement.  

9 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
REPORT OF THE AUDIT COMMITTEE 

In accordance with its written charter, the Audit Committee’s primary function is to assist the 

Board in fulfilling its oversight responsibilities by overseeing the Company’s systems of internal controls 
regarding finance, accounting, legal compliance and ethics that management and the Board have 
established; the Company’s accounting and financial reporting processes; and the audits of the financial 
statements of the Company.  

In fulfilling its responsibilities, the Audit Committee has reviewed and discussed the audited 

financial statements contained in the 2017 Annual Report on Form 10-K with the Company’s 
management and independent registered public accounting firm.  Management is responsible for the 
financial statements and the reporting process, including the system of internal controls.  The independent 
registered public accounting firm is responsible for expressing an opinion on the audited financial 
statements in conformity with U.S. generally accepted accounting principles and on the Company’s 
internal control over financial reporting. 

The Audit Committee discussed with the independent registered public accounting firm matters 

required to be discussed under the applicable requirements of the Public Company Accounting Oversight 
Board regarding communications with audit committees.  In addition, the Company’s independent 
registered public accounting firm provided to the Audit Committee the written disclosures and the letter 
required by applicable requirements of the Public Company Accounting Oversight Board regarding the 
independent registered public accounting firm’s communications with the Audit Committee concerning 
independence, and the Audit Committee discussed with the independent registered public accounting firm 
the firm’s independence.  The Audit Committee pre-approves all audit and permissible non-audit services 
provided by the independent registered public accounting firm on a case-by-case basis.  The Audit 
Committee has considered whether the provision of the services relating to the Audit-Related Fees, Tax 
Fees and All Other Fees set forth in “Miscellaneous – Independent Registered Public Accounting Firm” 
was compatible with maintaining the independence of the independent registered public accounting firm 
and determined that such services did not adversely affect the independence of the firm. 

In reliance on the reviews and discussions referred to above, the Audit Committee recommended 

to the Board (and the Board has approved) that the audited financial statements be included in the 
Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2017, for filing with the 
Securities and Exchange Commission. 

This report shall not be deemed incorporated by reference by any general statement incorporating 

by reference this proxy statement into any filing under the Securities Act of 1933, as amended, or the 
Securities Exchange Act of 1934, as amended, and shall not otherwise be deemed filed under such Acts. 

AUDIT COMMITTEE 

JoAnn M. Martin, Chairperson 
Barbara J. Mowry 
John N. Nunnelly

10 

PRINCIPAL SHAREHOLDERS 

The following table sets forth certain information regarding the beneficial ownership of Common 

Stock as of the Record Date (i.e., April 18, 2018) by: (1) each director and director nominee; (2) each of 
the executive officers named in the Summary Compensation Table; (3) all of the directors, director 
nominees and executive officers as a group; and (4) each person or entity known to the Company to be 
the beneficial owner of more than 5% of the Common Stock.  Except as otherwise indicated in the 
footnotes, each of the holders listed below has sole voting and investment power over the shares 
beneficially owned.  As of the Record Date, there were 24,608,700 shares of Common Stock outstanding.  

Name of Beneficial Owner 

Shares(1) 

% 

Shares Beneficially Owned 

Directors and Executive Officers (2) 

Michael D. Hays ..............................................................................................  

Steven D. Jackson ...........................................................................................  

Kevin R. Karas ................................................................................................  

Donald M. Berwick .........................................................................................  

JoAnn M. Martin .............................................................................................  

Barbara J. Mowry ............................................................................................  

John N. Nunnelly ............................................................................................  

231,475 (3)(5) 

105,476(5) 

66,607 (5)(4)  

113,090 (5) 

470,455 (5) 

186,902 (5) 

296,657 (5) 

All directors, nominees and executive 

officers as a group (seven persons) .............................................................  

1,470,662 (5) 

* 

* 

* 

* 

1.9% 

* 

1.2% 

6.0% 

Other Holders 

K/I/E/Trust Under Agreement 3/9/09 and Kent E. Endacott, as the Special 

Holdings Direction Advisor under this Trust (6) ...........................................  

5,751,522 

23.4% 

Amandla MK Trust (i.e., the New Trust) and Patrick E. Beans, as the Special 
Holdings Direction Advisor under this Trust (7) ...........................................  

7,378,645 

30.0% 

Kayne Anderson Rudnick Investment Management 

LLC (8)..........................................................................................................  

2,179,282 

8.9% 

_______________________ 
* Denotes less than 1%. 

(6) 

(1) 
(2) 
(3) 
(4) 
(5) 

The shares of Common Stock listed in this table have been calculated after giving effect to the 2018 Recapitalization. 
The address of all directors and officers is 1245 Q Street, Lincoln, Nebraska 68508. 
Includes 139,182 shares of Common Stock held by Mr. Hays’ wife.  Mr. Hays disclaims beneficial ownership of the shares held by his wife. 
Includes 20,116 shares of Common Stock pledged as security. 
Includes shares of Common Stock that may be purchased under stock options which are currently exercisable or exercisable within 60 days 
of April 18, 2018, as follows:  Dr. Berwick, 108,000 shares; Mr. Hays, 90,222 shares; Mr. Jackson, 0 shares; Mr. Karas, 46,491 shares; 
Ms. Martin, 252,000 shares; Mr. Nunnelly, 244,763 shares; Ms. Mowry, 180,000 shares; and all directors, nominees and executive officers 
as a group, 921,476 shares.  
The trustee of this Trust is Bessemer Trust Company of Delaware, N.A. and its address is 1007 N. Orange Street, Suite 1450, Wilmington, 
Delaware 19801.  The address of the Special Holdings Direction Advisor for this Trust is c/o Woods & Aitken LLP, 301 South 13th Street, 
Suite 500, Lincoln, Nebraska 68508.   
The trustee of this Trust is The Bryn Mawr Trust Company of Delaware and its address is 20 Montchanin Road, Suite 100, Greenville, 
Delaware 19807.  The address of the Special Holdings Direction Advisor for this Trust is 709 Pier 2, Lincoln, Nebraska 68528.   
 (8)  The number of shares owned set forth above in the table is as of or about December 31, 2017 as reported by Kayne Anderson Rudnick 
Investment Management LLC in its amended Schedule 13G filed with the Securities and Exchange Commission.  The address for this 
shareholder is 1800 Avenue of the Stars, 2nd Floor, Los Angeles, California 90067.  This shareholder reports sole voting and dispositive 
power with respect 414,169 of these shares and shared voting and dispositive power with respect to 1,765,113 of these shares. 

(7) 

11 

 
 
 
 
 
 
 
 
 
 
 
 
 
SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE 

Section 16(a) of the Securities Exchange Act of 1934 requires the Company’s directors, executive 

officers and any owner of greater than 10% of the Company’s Common Stock to file reports with the 
Securities and Exchange Commission concerning their ownership of the Company’s Common Stock.  
Based solely upon information provided to the Company by individual directors and executive officers, 
the Company believes that, during the fiscal year ended December 31, 2017, all of its directors and 
executive officers and owners of greater than 10% of the Company’s Common Stock complied with the 
Section 16(a) filing requirements, except that a Form 4 for Mr. Jackson (reporting a transaction relating to 
the vesting of certain restricted stock awards) was not timely filed. 

12 

RATIFICATION OF THE APPOINTMENT OF 
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

The Audit Committee has appointed KPMG LLP to serve as our independent registered public 

accounting firm for the year ending December 31, 2018.  

We are asking our shareholders to ratify the appointment of KPMG LLP as our independent 
registered public accounting firm. Although ratification is not required, our Board is submitting the 
appointment of KPMG LLP to our shareholders for ratification because we value our shareholders’ views 
on our independent auditors and as a matter of good corporate practice. In the event that our shareholders 
fail to ratify the appointment, the Audit Committee will consider it as a direction to consider the 
appointment of a different firm. Even if the appointment is ratified, the Audit Committee in its discretion 
may select a different independent auditor at any time if it determines that such a change would be in the 
best interests of the Company and our shareholders.  

Representatives of KPMG LLP are expected to be present at the Annual Meeting with the 
opportunity to make a statement if they so desire.  Such representatives are also expected to be available 
to respond to appropriate questions.   

Assuming a quorum is present at the Annual Meeting, the number of votes cast for the ratification 

of the Audit Committee’s appointment of KPMG LLP as our independent registered public accounting 
firm for the year ending December 31, 2018 must exceed the number of votes cast against it. Abstentions 
and broker non-votes will be counted as present in determining whether there is a quorum; however, they 
will not constitute a vote “for” or “against” ratification and will be disregarded in the calculation of votes 
cast. A broker non-vote occurs when a broker submits a proxy card with respect to shares that the broker 
holds on behalf of another person but declines to vote on a particular matter, either because the broker 
elects not to exercise its discretionary authority to vote on the matter or does not have authority to vote on 
the matter.  

THE BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” RATIFICATION OF 

THE APPOINTMENT OF KPMG LLP AS OUR INDEPENDENT REGISTERED PUBLIC 
ACCOUNTING FIRM. SHARES OF THE COMPANY’S COMMON STOCK REPRESENTED 
BY EXECUTED BUT UNMARKED PROXIES WILL BE VOTED “FOR” RATIFICATION OF 
THE APPOINTMENT OF KPMG LLP AS OUR INDEPENDENT REGISTERED PUBLIC 
ACCOUNTING FIRM. 

13 

 
 
 
COMPENSATION DISCUSSION AND ANALYSIS 

The following discussion and analysis relates to the compensation of the individuals named in the 
Summary Compensation Table, a group we refer to as our “named executive officers.”  In this discussion, 
the terms “we,” “our,” “us” or similar terms refer to the Company. 

Overview of Executive Compensation Philosophy  

We recognize the importance of maintaining sound principles for the development and 

administration of our executive compensation and benefit programs.  Specifically, we design our 
executive compensation and benefit programs to advance the following core principles: 

(cid:20)  Market Driven.  We strive to compensate our executive officers at levels to ensure that we 

continue to attract and retain a highly competent, committed management team. 

(cid:20)  Align with Shareholders.  We seek to align the interests, perspectives and decision-making of 

our executive officers with the interests of our shareholders. 

(cid:20)  Performance Based.  We link our executive officers’ compensation, particularly annual cash 
bonuses, to established Company financial performance goals and individual performance 
goals. 

We believe that a focus on these principles will benefit us and, ultimately, our shareholders in the 

long term by ensuring that we can attract and retain highly-qualified executive officers who are 
committed to our long-term success. 

Role of the Compensation Committee 

The Board appoints the Compensation Committee, which consists entirely of directors who are 

“outside directors” for purposes of Section 162(m) of the Internal Revenue Code and “non-employee 
directors” for purposes of the Securities Exchange Act of 1934.  The following individuals are members 
of the Compensation Committee:  

(cid:20)  Barbara J. Mowry (Chairperson) 

(cid:20)  JoAnn M. Martin 

(cid:20)  John N. Nunnelly 

The Compensation Committee determines compensation programs for our executive officers or 
recommends such programs to the full Board for approval.  The Committee also reviews management’s 
recommendations as to the compensation to be paid to other key personnel and administers our equity-
based compensation plans.  Periodically, the Compensation Committee reviews and determines our 
compensation and benefit programs, with the objective of ensuring the executive compensation and 
benefits programs are consistent with our compensation philosophy.  From time to time, the 
Compensation Committee or management has engaged a nationally recognized compensation consultant 
to conduct a benchmarking study of executive compensation levels and practices.  This market 
information has, in the past, been used to help inform and shape decisions, but was (and is) neither the 
only nor the determinative factor in making compensation decisions.   

At the time our Compensation Committee recommended, and our Board approved, our named 

executive officer’s 2017 compensation, our most recent review of our compensation and benefit programs 
was in late 2015, when our Compensation Committee engaged Aon Hewitt to review our programs before 
determining compensation for 2016.   

14 

In determining compensation levels for our named executive officers in 2017, our Compensation 

Committee did not engage Aon Hewitt or any other compensation consultant to provide advice 
concerning executive officer compensation.   

One objective of the Compensation Committee in setting compensation for our executive officers, 

other than our Chief Executive Officer, is to establish base salary at a level to attract and retain highly-
qualified individuals.  The Compensation Committee’s considerations in setting our Chief Executive 
Officer’s base salary are described below.  For our executive officers other than our Chief Executive 
Officer, we also consider individual performance, level of responsibility, skills and experience, and 
internal comparisons among executive officers in determining base salary levels.     

The Compensation Committee administers our annual cash incentive program and long-term 

equity incentive plans and approves all awards made under the program and plans.  For annual and long-
term incentives, the Compensation Committee considers internal comparisons and other existing 
compensation awards or arrangements in making compensation decisions and recommendations.  In its 
decision-making process, the Compensation Committee receives and considers the recommendations of 
our Chief Executive Officer as to executive compensation programs for all of the other officers.  In its 
decision-making process for the long-term incentives for our executive officers, the Compensation 
Committee considers relevant factors, including our performance and relative shareholder return and the 
awards given to the executive officer in past years.  The Compensation Committee makes its decisions 
regarding general program adjustments to future base salaries, annual incentives and long-term incentives 
concurrently with its assessment of the executive officers’ performance.  Adjustments generally become 
effective in January of each year. 

In fulfilling its objectives as described above, the Compensation Committee took the following 

steps in determining 2017 compensation levels for our named executive officers: 

(cid:20)  Reviewed the performance of our Chief Executive Officer and determined his total 

compensation; 

(cid:20)  Reviewed the performance of our other executive officers and other key associates (i.e., 

employees) with assistance from our Chief Executive Officer; and  

(cid:20)  Determined total compensation for our named executive officers based on recommendations 
by our Chief Executive Officer (as to the other officers) and the Compensation Committee’s 
review of the Company’s and the individual officer’s performance. 

2017 Say on Pay Vote 

In May 2017 (after the 2017 executive compensation actions described in this Compensation 

Discussion and Analysis had taken place), we held our annual advisory shareholder vote on the 
compensation of our named executive officers at our annual shareholders’ meeting, and, consistent with 
the recommendation of the Board, our shareholders approved our executive compensation, with more 
than 99% of votes cast in favor.  Consistent with this strong vote of shareholder approval, we have not 
undertaken any material changes to our executive compensation programs.  

Total Compensation 

We intend to continue our strategy of compensating our executive officers through programs that 
emphasize performance-based incentive compensation in the form of cash and equity-based awards.  To 
that end, we have structured total executive compensation to ensure that there is an appropriate balance 
between a focus on our long-term versus short-term performance.  We believe that the total compensation 
paid or awarded to the executive officers during 2017 was consistent with our financial performance and 

15 

 
 
the individual performance of each of our executive officers.  We also believe that this total compensation 
was reasonable in its totality and is consistent with our compensation philosophies described above. 

CEO Compensation 

The Compensation Committee reviews annually the salary and total compensation levels of 

Michael D. Hays, our Chief Executive Officer.  While Mr. Hays’ salary and overall compensation are 
significantly below the median level paid to chief executive officers of comparable companies, he 
requested that his base salary and targeted overall compensation remain unchanged.  The Compensation 
Committee has not proposed an increase in his salary or overall compensation since 2005. 

Elements of Compensation 

Base Salary 

The objective of the Compensation Committee is to establish base salary, when aligned with 

performance incentives, to continue to attract and retain the best talent (with the exception of Mr. Hays’ 
salary as noted above).  We have historically attempted to minimize base salary increases in order to limit 
our exposure if we do not meet our objectives for financial growth under our incentive compensation 
program.  Consistent with this practice, the Compensation Committee left Mr. Hays’, Mr. Karas’ and Mr. 
Jackson’s base salaries unchanged from 2016.  In the case of Mr. Hays, the decision was based on his 
request, described above, that his salary not be increased.  In the case of Mr. Karas and Mr. Jackson, the 
decision was based on Company performance and the belief that that Mr. Karas’ and Mr. Jackson’s 
salaries were at a level to retain their talent.   

Base salaries paid to Messrs. Hays, Karas and Jackson represented the following percentages of 

their total compensation (as calculated for purposes of the Summary Compensation Table).   

Base Salary as a Percentage 
of Total Compensation 

         Michael D. Hays 

      54% 

         Kevin R. Karas 

      55% 

         Steven D. Jackson 

      55% 

Annual Cash Incentive 

Our executive officers are eligible for annual cash incentive awards under our incentive 
compensation program.  Please note that, while we may refer to annual cash incentive awards as bonuses 
in this discussion, the award amounts are reported in the Summary Compensation Table under the column 
titled “Non-Equity Incentive Plan Compensation” pursuant to the Securities and Exchange Commission’s 
regulations.   

We intend for our incentive compensation program to provide an incentive to meet and exceed 

our financial goals, and to promote a superior level of performance.  Within the overall context of our pay 
philosophy and culture, the program: 

(cid:20)  Provides total cash compensation to attract and retain key executive talent; 

(cid:20)  Aligns pay with organizational performance; 

(cid:20)  Focuses executive attention on key business metrics; and 

16 

(cid:20)  Provides a significant incentive for achieving and exceeding performance goals. 

Under our incentive compensation program, the Compensation Committee establishes 
performance measures for our named executive officers at the beginning of each year.  For 2017, the 
Compensation Committee used our overall revenue and net income as performance measures because the 
Compensation Committee believes these are key measures of our ability to deliver value to our 
shareholders for which our named executive officers have primary responsibility.  The Compensation 
Committee weighted the two performance measures equally in determining bonus payouts.  The 
Compensation Committee structured the incentive compensation program so that our named executive 
officers would receive a bonus based on the percentage of growth in overall revenue and net income in 
2017 over 2016, starting from “dollar one” of such growth.  Consistent with past years, the Compensation 
Committee structured the incentive compensation program for our named executive officers to require 
performance representing growth in revenue or net income for any payout to be received.   

The Compensation Committee structured the incentive compensation program to permit payouts 
to be earned for any growth in revenue and net income because it believed that providing an incentive to 
achieve growth in these measures would provide an effective incentive to the executive officers in 2017.  
The Compensation Committee determined that the bonuses under the incentive compensation program 
would be equal to the following (subject to a maximum of 200% of base salary): the product of the 
executive officer’s base salary (i) multiplied by the sum of the percentage year over year increase, if any, 
in overall revenue plus the percentage year over year increase, if any, in overall net income (ii) multiplied 
by 2.5. 

In determining the potential bonus amounts for our named executive officers described above, the 

Compensation Committee concluded that that payouts determined by these formulas were likely to 
produce results consistent with our past practice of setting annual target payouts at 50% of base salary, 
and would continue to provide competitive compensation consistent with our goals for annual incentive 
awards. 

The following table shows amounts actually earned by our named executive officers for 2017, 

along with the percentages of their total compensation (as calculated for purposes of the Summary 
Compensation Table) that these amounts represent.  

Name 

    Michael D. Hays 

    Kevin R. Karas 

    Steven D. Jackson 

2017 Actual Bonus 
Percentage of 
Total Compensation 

2017 Actual 
Bonus Amount 

26% 

26% 

26% 

61,534 

137,655 

144,900 

Long-Term Equity Incentive 

The general purpose of our current equity-based plans is to promote the achievement of our long-

range strategic goals and enhance shareholder value.  The Compensation Committee may from time to 
time approve discretionary awards, however, we generally grant equity-based awards in the following 
circumstances:  

(cid:120)  Annual Awards.  To provide an additional performance incentive for our executive officers and 

other key management personnel, our executive compensation package generally includes annual 
grants of stock options.  In each year following our 2013 recapitalization pursuant to which we 
established two classes of common stock (class A common stock and class B common stock), we 

17 

 
 
 
have granted options to purchase both class A common stock and class B common stock (which 
we stopped doing in 2018 in light of the proposed recapitalization in 2018 which will eliminate 
all of our class B common stock).  

(cid:120)  New Hire or Promotion Awards.  We also award restricted stock grants to newly hired or 
promoted executive officers during their first year of participation in our equity incentive 
program to provide greater alignment between the officers’ interests and those of our 
shareholders, and to assist in retention.   

Options to purchase shares of common stock are typically granted with a per-share exercise price 
of 100% of the fair market value of a share of the class of common stock subject to the option on the date 
of grant.  The value of the option will be dependent on the future market value of the common stock, 
which we believe helps to align the economic interests of our key management personnel with the 
interests of our shareholders.  To encourage our key management personnel to continue in employment 
with us, when we grant restricted stock under the 2006 Equity Incentive Plan to executive officers, we 
generally impose a 5-year restriction period on the grant. 

In determining equity incentive awards for 2017, the Compensation Committee concluded that 

setting annual target equity awards for our named executive officers at approximately 50% of their 
respective then-current base salaries would provide competitive compensation consistent with our goals 
for equity awards.   The Compensation Committee generally grants stock options effective on a date in 
the first week of January.  Accordingly, effective January 4, 2017, the Compensation Committee granted 
options to each of our named executive officers.  To determine the number and class of options 
approximately equal to 50% of an executive officer’s base salary, the Compensation Committee allocated 
the target equity award amount between class A options and class B options using a six-to-one ratio and 
divided the applicable portion of the annual target equity award amount by the closing price per share of 
the applicable class of stock on the day prior to the date of grant.  The number of options granted to our 
named executive officers is shown in the Grants of Plan-Based Awards Table.    

For 2017, no performance-based awards were granted to our named executive officers.  Our 

Compensation Committee may, however, consider in the future conditioning awards on the achievement 
of various performance goals, including return on equity, shareholder value added, earnings from 
operations, net earnings, net earnings per share, market price of our common stock and/or total 
shareholder return. 

Other Benefits 

To assist our associates in preparing financially for retirement, we maintain a 401(k) plan for all 
associates over 21 years of age, including our executive officers.  Pursuant to the 401(k) plan, we match 
25% of the first 6% of compensation contributed by our associates up to allowable Internal Revenue 
Service limitations.  We also maintain group life, health, dental and vision insurance programs for all of 
our salaried associates, and our named executive officers are eligible to participate in these programs on 
the same basis as all other eligible associates.    

Agreements with Officers 

We do not have employment, retention, severance, change of control or similar agreements with 

any of our executive officers.  While we enter into award agreements with our executive officers and 
other participants under our long-term equity award plans, these agreements and plans do not provide for 
acceleration of vesting or other benefits upon a change of control or termination. 

18 

2017 SUMMARY COMPENSATION TABLE 

Set forth below is information regarding compensation earned by or paid or awarded to the 
following executive officers:  Michael D. Hays, our Chief Executive Officer; Kevin R. Karas, our Senior 
Vice President Finance, Chief Financial Officer, Treasurer and Secretary; and Steven D. Jackson, our  
President and Chief Operating Officer.  We had no other executive officers, as defined in Rule 3b-7 of the 
Securities Exchange Act of 1934, whose total compensation exceeded $100,000 during 2017.  The 
identification of such named executive officers is determined based on the individual’s total 
compensation for 2017, as reported below in the Summary Compensation Table, other than amounts 
reported as above-market earnings on deferred compensation and the actuarial increase in pension benefit 
accruals. 

The following table sets forth for our named executive officers with respect to 2017, 2016 and 

2015: (1) the dollar value of base salary earned during the year; (2) the aggregate grant date fair value of 
stock and option awards granted during the year, computed in accordance with Financial Accounting 
Standards Board Accounting Standards Codification Topic 718, Compensation-Stock Compensation 
(“FASB ASC Topic 718”); (3) the dollar value of earnings for services pursuant to awards granted during 
the year under non-equity incentive plans; (4) all other compensation for the year; and (5) the dollar value 
of total compensation for the year. 

Name and 
Principal Position 

Year 

Salary 

Bon-
us 

Stock 
Awards(1) 

Option 
Awards(1) 

Non-Equity  
Incentive Plan  
Compensation 

All Other 
Compensation(2) 

-- 
-- 
-- 

-- 
-- 
-- 

$42,000 
$44,261 
$47,633 

$93,955 
$99,018 
$91,866 

$61,534 
$74,656 
$11,211 

$137,655 
$167,010 
$21,622 

$4,831 
$2,079 
$3,178 

$5,724 
$4,727 
$2,862 

Total 

$235,765 
$248,396 
$189,422 

$522,334 
$554,395 
$362,050 

Michael D. Hays 
   Chief Executive Officer 

Kevin R. Karas 
   Senior Vice President 
   Finance, Chief 
     Financial Officer,  
   Treasurer and  
   Secretary 

Steven D. Jackson 
   President(3)  

2017 
2016 
2015 

2017 
2016 
2015 

$127,400 
$127,400 
$127,400 

$285,000 
$283,640 
$245,700 

2017 
2016 
2015 

$300,000 
$300,000 
$300,000 

-- 
-- 
-- 

-- 
-- 
-- 

-- 
-- 
-- 

-- 
-- 
$1,050,067 

$98,899 
$104,229 
-- 

$144,900 
$175,800 
$26,400 

$4,800 
$400,838 
$3,900 

$548,599 
$980,867 
$1,380,367 

_______________________ 
(1)  Represents the aggregate grant date fair value of the stock or option awards, as indicated, granted during the year, computed in accordance 
with FASB ASC Topic 718.  See Note 9 to the Company’s Consolidated Financial Statements included in its Annual Report on Form 10-K 
for the year ended December 31, 2017 for a discussion of assumptions made in the valuation of share-based compensation.   

(2)  Represents, for each of our named executive officers, the amount of our 401(k) matching contributions; for Messrs. Hays and Karas, the 

amount of our health saving account matching contributions; and for Messrs. Karas and Jackson, the amount of our technology allowance. 

(3)  Mr. Jackson became our President on October 1, 2015. 

19 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
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OPTION EXERCISES AND STOCK VESTED IN 2017 

Name 
Michael D. Hays 

Kevin R. Karas 

Steven D. Jackson 

Option Awards 

Stock Awards 

Number of 
Shares 
Acquired 
on Exercise 
(#) 

Value 
Realized on 
Exercise 
($)(1) 

Number of 
Shares 
Acquired on 
Vesting 
(#) 

Value 
Realized on 
Vesting 
($) 

25,068(2) 
-- 

$305,328 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

-- 
-- 

73,506(2) 
12,251(3) 

$2,741,774 
$686,791 

(1) 

(2) 

(3) 

Amounts represent the product of the number of shares acquired on exercise multiplied by the 
excess of the closing market price per share on the date of exercise over the exercise price per 
share.  
Shares of class A common stock. 
Shares of class B common stock. 

Risk Assessment of Compensation Policies and Practices 

The Board relies on the Compensation Committee to address risk exposures facing the Company 
with respect to compensation, with appropriate reporting of these risks to be made to the full Board.  The 
Committee, as part of its periodic review of compensation and benefit programs, assesses the potential 
risks arising from the Company’s compensation policies and practices and considers safeguards against 
incentives to take excessive risks.  Based on its most recent review, the Compensation Committee has 
concluded that the risks arising from the Company’s compensation policies and practices for its associates 
are not reasonably likely to have a material adverse effect on the Company. 

COMPENSATION COMMITTEE REPORT 

The Compensation Committee has reviewed and discussed the preceding Compensation 
Discussion and Analysis with management and, based on such review and discussion, has recommended 
to the Board of Directors that the Compensation Discussion and Analysis be included in the Company’s 
proxy statement. 

Barbara J. Mowry, Chairperson 
JoAnn M. Martin 
John N. Nunnelly 

23 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ADVISORY VOTE ON EXECUTIVE COMPENSATION 

This proposal provides our shareholders with the opportunity to cast a vote either for or against a 

non-binding, advisory resolution to approve the compensation of our named executive officers as 
disclosed in the Compensation Discussion and Analysis section and the accompanying compensation 
tables and narrative discussion in this proxy statement.  We are required to hold this vote by Section 14A 
of the Securities Exchange Act of 1934.  As discussed in the Compensation Discussion and Analysis 
above, beginning on page 14, we have designed our executive compensation and benefit programs for our 
executive officers, including our named executive officers, to advance the following core principles: 

(cid:20)  Market Driven.  We strive to compensate our executive officers at levels to ensure that we 

continue to attract and retain a highly competent, committed management team. 

(cid:20)  Align with Shareholders.  We seek to align the interests, perspectives and decision-making of 

our executive officers with the interests of our shareholders. 

(cid:20)  Performance Based.  We link our executive officers’ compensation, particularly annual cash 
bonuses, to established Company financial performance goals and individual performance 
goals. 

We believe that a focus on these principles will benefit us and, ultimately, our shareholders in the 

long term by ensuring that we can attract and retain highly-qualified executive officers who are 
committed to our long-term success. 

The Board invites you to review carefully the Compensation Discussion and Analysis beginning 

on page 14 and the tabular and other disclosures on compensation beginning on page 19, and cast an 
advisory vote either for or against the following resolution: 

“Resolved, that shareholders approve, on an advisory basis, the compensation of the Company’s 
named executive officers as disclosed in the Compensation Discussion and Analysis section and 
the compensation tables and narrative discussion contained in this Proxy Statement.” 

While the vote does not bind the Board to any particular action, the Board values the input of our 

shareholders, and will take into account the outcome of this vote in considering future compensation 
arrangements.   

Assuming a quorum is present at the Annual Meeting, the number of votes cast for the non-

binding resolution to approve the Company’s executive compensation program must exceed the number 
of votes cast against it. Abstentions and broker non-votes will be counted as present in determining 
whether there is a quorum; however, they will not constitute a vote “for” or “against” the non-binding 
resolution and will be disregarded in the calculation of votes cast. A broker non-vote occurs when a 
broker submits a proxy card with respect to shares that the broker holds on behalf of another person but 
declines to vote on a particular matter, either because the broker elects not to exercise its discretionary 
authority to vote on the matter or does not have authority to vote on the matter.  Shares of the Company’s 
class A common stock and class B common stock vote together as a single class on this advisory vote.  

Based on the outcome of the advisory vote on the frequency of shareholder votes on executive 

compensation at our 2017 annual shareholders meeting, the Company will ask its shareholders to consider 
an advisory vote on the compensation of our named executive officers every year until otherwise 
determined by a vote of our shareholders pursuant to applicable Securities and Exchange Commission 
rules.  The next advisory vote on the compensation of our named executive officers will occur at the 2019 
annual meeting of shareholders.   

24 

THE BOARD RECOMMENDS A VOTE “FOR” APPROVAL OF THE COMPENSATION OF 
OUR NAMED EXECUTIVE OFFICERS AS DISCLOSED IN THIS PROXY STATEMENT.  
SHARES OF THE COMPANY’S COMMON STOCK REPRESENTED BY EXECUTED BUT 
UNMARKED PROXIES WILL BE VOTED “FOR” APPROVAL OF THE COMPENSATION OF 
OUR NAMED EXECUTIVE OFFICERS AS DISCLOSED IN THIS PROXY STATEMENT. 

CEO PAY RATIO 

As required by Item 402(u) of Regulation S-K promulgated under the Securities Exchange Act of 
1934, we are providing the following information about the ratio of the median annual total compensation 
of our associates (i.e., employees) and the annual total compensation of Michael D. Hays, our Chief 
Executive Officer.  For the year ended December 31, 2017: 

(cid:20)  the median of the annual total compensation of all associates of the Company was reasonably 

estimated to be $53,064; and 

(cid:20)  the annual total compensation of Mr. Hays, was $235,765. 

(cid:20)  Based on this information, the ratio of the annual total compensation of our chief executive 
officer to the median of the annual total compensation of all other associates is estimated to 
be 4.44 to 1. 

We identified our median associate by examining total cash compensation (i.e., base wages plus 

cash bonuses and/or commissions) of all individuals employed by us on December 1, 2017 (other than 
Mr. Hays), whether full-time, part-time or on a seasonable basis.  We annualized total cash compensation 
for all permanent associates who were hired after January 1, 2017, as permitted by the rules of the 
Securities and Exchange Commission.  To calculate total cash compensation for any associate paid in 
currency other than U.S. dollars, we then applied the applicable foreign currency exchange rate in effect 
on December 1, 2017 to convert such associate’s total cash compensation into U.S. dollars.  Once we 
identified our median associate, we added together all of the elements of such associate’s compensation 
for 2017 in the same way that we calculate the annual total compensation of our named executive officers 
in the Summary Compensation Table.      

To calculate our ratio, we divided Mr. Hays’ annual total compensation by the annual total 

compensation of our median associate.  To calculate Mr. Hays’ annual total compensation, we used the 
amount reported in the “Total” column of our 2017 Summary Compensation Table. 

25 

 
 
 
 
 
APPROVAL OF AMENDMENTS TO THE NATIONAL RESEARCH CORPORATION 
2004 NON-EMPLOYEE DIRECTOR STOCK PLAN 

General 

The Company is requesting that the shareholders approve amendments to the Director Plan to (1) 
change the amount of annual stock option grants made to non-associate (i.e., non-employee) directors and 
(2) change the vesting terms of the annual stock option grants made to non-associate directors.  The Board 
has unanimously approved the amendments to the Director Plan, contingent upon shareholder approval of 
the amendments to the Director Plan at the Annual Meeting.  If the shareholders approve the amendments 
to the Director Plan, it will be effective as of the date of the Annual Meeting.  In the event the 
shareholders do not approve the proposed amendments to the Director Plan, the amendments to the 
Director Plan will not take effect and the existing Director Plan will continue to be administered in its 
current form. The Board has determined that it is in the best interests of the Company and its shareholders 
to approve the amendments to the Director Plan and is asking the Company’s shareholders to approve the 
amendments to the Director Plan. 

Amendments to the Director Plan 

The following is a summary of the proposed material amendments to the Director Plan, as 
compared to the Director Plan that was approved at the Company’s 2015 annual meeting of shareholders 
(the “Existing Plan”), both before and following the 2018 Recapitalization.  

● Prior to the 2018 Recapitalization, under the Existing Plan, on the date of each annual

meeting of shareholders, a non-associate director was automatically granted non-qualified
stock options to purchase 36,000 shares of our then-existing class A common stock and 6,000
shares of our then-existing class B common stock.  Following the 2018 Recapitalization,
under the Existing Plan, on the date of each annual meeting of shareholders, a non-associate
director is automatically granted non-qualified stock options to purchase 36,000 shares of our
Common Stock (no class B common stock options can be granted since that class of stock
was eliminated in the 2018 Recapitalization).  If the shareholders approve the amendments to
the Director Plan, on the date of each annual meeting of shareholders, a non-associate
director will automatically be granted non-qualified stock options to purchase such number of
shares of Common Stock equal to an aggregate grant date fair value of $100,000, computed
in accordance with FASB ASC Topic 718, or successor rule.

● Under the Existing Plan, an annual non-qualified stock option granted to a non-associate
director may be exercised commencing one year after the applicable grant date.  If the
shareholders approve the amendments to the Director Plan, an annual non-qualified stock
option granted to a non-associate director may be exercised on the day immediately preceding
the next following annual grant date (i.e. the next annual meeting of shareholders).

Except for the changes described above, the Director Plan has not and is not being amended in 

any material respect. 

Description of Director Plan 

The following summary description of the Director Plan as amended by such amendments is 

qualified in its entirety by reference to the full text of the Director Plan, as amended, which is attached to 
this proxy statement as Appendix A.   

26 

Purpose  

The purpose of the Director Plan is to promote the best interests of the Company and its 
shareholders by providing a means to attract and retain competent independent directors and to provide 
opportunities for additional stock ownership by such directors which will further increase their 
proprietary interest in the Company and, consequently, their identification with the interests of the 
shareholders of the Company.  

Administration and Eligibility  

The Director Plan shall be administered by the Compensation Committee of the Board (the 
“Committee”), subject to review by the Board.  The Committee may adopt such rules and regulations for 
carrying out the Director Plan as it may deem proper and in the best interests of the Company. The 
interpretation by the Board of any provision of the Director Plan or any related documents shall be final.  

Each member of the Board who is not an associate of the Company or any subsidiary of the 

Company shall be eligible to receive shares of Common Stock under the Director Plan. The Company 
currently has four non-associate directors.  

Awards Under the Director Plan; Available Shares  

The Director Plan provides for automatic and discretionary grants of non-qualified options to 
non-associate directors of the Company.  The total number of shares of Common Stock available for 
issuance under the Director Plan on and after May 30, 2018 will be 921,000.  

Terms of Awards  

The Director Plan provides that each non-associate director (if he or she continues to serve in 

such capacity) will, on the day of the Annual Meeting and each subsequent annual meeting of 
shareholders, automatically be granted options to purchase such number of shares of Common Stock 
equal to an aggregate grant date fair value of $100,000, computed in accordance with FASB ASC Topic 
718, or successor rule.  The Director Plan also provides that the Committee or the Board may make 
discretionary grants of non-qualified options under the Director Plan.   

The annual options granted to non-associate directors under the Director Plan become fully 

exercisable on the day immediately preceding the next following annual grant date (i.e. the next annual 
meeting of shareholders).  Any discretionary grant of options under the Director Plan become fully 
exercisable one year after the date of grant.  However, if a non-associate director ceases to be a director of 
the Company by reason of death within one year after the date of grant, then the options shall 
immediately vest and become exercisable in full.  Non-associate directors will be entitled to receive the 
automatic grants under the Director Plan as described above only for so long as the Director Plan remains 
in effect and a sufficient number of shares are available for the granting of such options thereunder.    

The option price per share of any option granted to a non-associate director must be 100% of the 

“fair market value” of a share of Common Stock on the date of grant of such option. The fair market 
value of a share on the date of grant to the non-associate director will be the last sale price per share for 
the Common Stock on The NASDAQ Stock Market on the grant date or, if no trading occurred on the 
grant date, then the fair market value per share will be determined with reference to the last preceding 
date on which there was such a sale.   

If a non-associate director ceases to be a director of the Company for any reason, other than the 
death of the director, then all unvested options shall immediately terminate unless otherwise determined 
by the Committee.  All vested options will terminate on the earlier of (a) ten years after the date of grant 
or (b) three years after the non-associate director ceases to be a director of the Company.  Options granted 

27 

 
to non-associate directors may be exercised under the Director Plan by payment in full of the exercise 
price, either in cash or in whole or in part by tendering previously acquired shares of Common Stock 
having a fair market value on the date of exercise equal to the option exercise price.   

Adjustments  

In the event of any change in the Common Stock by reason of a declaration of a stock dividend 
(other than a stock dividend declared in lieu of an ordinary cash dividend), stock split, spin-off, merger, 
consolidation, recapitalization or split-up, combination or exchange of shares, or otherwise, the aggregate 
number of shares available under the Director Plan, the number of shares to be issued pursuant to the 
automatic grant provisions under the Director Plan, the number of shares subject to outstanding options 
and the exercise price of outstanding options shall be appropriately adjusted in order to prevent dilution or 
enlargement of the benefits intended to be made available under the Director Plan.   

Limitations on Transferability 

Except to the extent allowed by the Board or the Committee, options granted under the Director 

Plan may not be transferred other than by will or the laws of descent and distribution.  

Amendment  

Subject to shareholder approval in certain circumstances and applicable law, the Board may 

amend the Director Plan at any time or from time to time in any manner that it may deem appropriate. 

Effective Date and Termination  

The amendments to the Director Plan will be effective on the day of their approval by the 

shareholders of the Company at the Annual Meeting.  Any and all grants made under the Director Plan 
prior to such shareholder approval are subject to such shareholder approval. The Director Plan will 
terminate on such date as may be determined by the Board.    

Certain Federal Income Tax Consequences  

The grant of a non-qualified stock option under the Director Plan creates no income tax 
consequences to a non-associate director or the Company. A non-associate director who is granted a non-
qualified stock option will generally recognize ordinary income at the time of exercise for each 
underlying share of Common Stock in an amount equal to the excess of the fair market value of the 
Common Stock at such time over the exercise price. The Company will generally be entitled to a 
deduction in the same amount and at the same time as ordinary income is recognized by the non-associate 
director. A subsequent disposition of the Common Stock will generally give rise to capital gain or loss to 
the extent the amount realized from the disposition differs from the tax basis, i.e., the fair market value of 
the Common Stock on the date of exercise. This capital gain or loss will be a long-term or short-term 
capital gain or loss depending upon the length of time the Common Stock is held prior to the disposition.  

New Plan Benefits 

Non-qualified stock options to purchase such number of shares of Common Stock equal to an 

aggregate grant date fair value of $100,000, computed in accordance with FASB ASC Topic 718, or 
successor rule, will be granted by the Company to each of the non-associate directors so serving on May 
30, 2018, subject to shareholder approval of the proposed amendments to the Director Plan at the Annual 
Meeting.  The option price per share will be the last sale price per share for the Common Stock on The 
NASDAQ Stock Market on the grant date or, if no trading occurred on the grant date, then the last 
preceding date on which there was such a sale.  In 2019 and future years, the Company will grant each 
non-associate director options to purchase such number of shares of Common Stock equal to an aggregate 

28 

grant date fair value of $100,000, computed in accordance with FASB ASC Topic 718, or successor rule.  
The Company currently cannot determine the amount, if any, of discretionary stock options the Company 
may grant to non-associate directors in the future.  Such determinations will be made from time to time by 
the Board or the Committee in the future.  

The following table sets forth the aggregate number of awards that are expected to be received by 

the Company’s non-associate directors as a group on the date of the Annual Meeting, assuming the 
amendments to the Director Plan are approved by the shareholders.  

Name of Individual or Group(1) 

All executive officers, as a group 

All directors who are not executive officers, as a group 

All employees who are not executive officers, as a group 

Number of 
Shares 
Underlying 
Stock Option 
Grants 

—   

(2)   

—   

   Dollar Value    

—  

$400,000  

—  

(1)  Executive officers and associates are not eligible to participate in the Director Plan. 

(2)  Assuming the amendments to the Director Plan are approved by the shareholders on the date of the Annual Meeting, 

each non-associate director continuing service with the Company after the meeting will be granted an annual award of non-
qualified stock options to purchase such number of shares of Common Stock equal to an aggregate grant date fair value of 
$100,000.  The actual number non-qualified stock options granted to each non-associate director will be determined on the 
date of the Annual Meeting in accordance with Financial Accounting Standards Board Accounting Standards Codification 
Topic 718, Compensation-Stock Compensation.  

No executive officers or other associates of the Company are eligible to receive awards under the 

Director Plan. See “Description of Director Plan — Administration and Eligibility.”   

On April 18, 2018, the closing price per share of Common Stock on The NASDAQ Stock Market 

was $33.95.   

Our non-associate directors have an interest in this proposal because they are eligible to receive 

awards under the Director Plan. 

Securities Authorized for Issuance under Equity Compensation Plans 

The following table sets forth information as of December 31, 2017, with respect to shares of our 

then-existing class A common stock and our then-existing class B common stock that may have been 
issued under the Company’s existing equity compensation plans.  The table does not include employee 
benefit plans intended to meet the qualification requirements of Section 401(a) of the Internal Revenue 
Code.  All equity compensation plans are described more fully in Note 9 to the Company’s consolidated 
financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2017.  

29 

 
 
 
 
 
   
   
 
 
   
   
 
 
   
   
  
  
  
 
 
 
 
 
 
 
 
 
 
 
Number of securities 
to be issued upon  
the exercise of  
outstanding options, 
warrants and rights 

Weighted-average  
exercise price of 
outstanding  
options,  
warrants and rights 

Number of securities  
remaining available for 
future issuance under  
equity compensation  
plans (excluding  
securities reflected  
in the first column) 

1,746,634 

$13.88 

1,786,465 (2) 

  -- 

 -- 

  -- 

Plan Category Class A shares 

Equity compensation plans 
approved by security holders (1)

Equity compensation plans not 
approved by security holders 

Total 

1,746,634 

        $13.88 

       1,786,465 

Number of securities 
to be issued upon  
the exercise of  
outstanding options, 
warrants and rights 

Weighted-average  
exercise price of 
outstanding  
options,  
warrants and rights 

Number of securities 
remaining available for 
future issuance under 
equity compensation 
plans (excluding 
securities reflected 
in the first column) 

276,716 

  -- 

276,716 

$31.78 

298,689 (2) 

 -- 

  -- 

        $31.78 

       298,689 

Plan Category Class B shares 

Equity compensation plans approved 
by security holders (1)

Equity compensation plans not 
approved by security holders 

Total 

Includes the Company’s 2006 Equity Incentive Plan, the Director Plan, and the 2001 Equity Incentive Plan.  

(1) 
(2)  Under the 2006 Equity Incentive Plan, the Company had authority to award up to 327,590 additional shares of restricted class A common 
stock and 54,599 additional shares of restricted class B common stock to participants, provided that the total of such shares awarded may 
not exceed the total number of shares remaining available for issuance under the 2006 Equity Incentive Plan, which totaled 865,465 
shares of  class A common stock and 145,189 shares of class B common stock as of December 31, 2017.  The Director Plan provides for 
granting options for 3,000,000 shares of Class A common stock and 500,000 shares of Class B common stock.  Option awards through 
December 31, 2017 totaled 2,079,000 shares of Class A common stock and 346,500 of Class B common stock.  No future awards are 
available under the 2001 Equity Incentive Plan due to its expiration.  

Vote Required 

The affirmative vote of the holders of a majority of the shares of Common Stock represented and 
voted at the Annual Meeting with respect to the Director Plan (assuming a quorum is present) is required 
to approve the amendments to the Director Plan.  Any shares of Common Stock not voted at the Annual 
Meeting with respect to the amendments to the Director Plan (whether as a result of broker non-votes, 
abstentions or otherwise) will have no impact on the vote.      

THE BOARD RECOMMENDS A VOTE “FOR” THE AMENDMENTS TO THE DIRECTOR 
PLAN.  SHARES OF THE COMPANY’S COMMON STOCK REPRESENTED AT THE 
ANNUAL MEETING BY EXECUTED BUT UNMARKED PROXIES WILL BE VOTED “FOR” 
THE  AMENDMENTS TO THE DIRECTOR PLAN. 

30 

Independent Registered Public Accounting Firm 

MISCELLANEOUS 

KPMG LLP acted as the independent registered public accounting firm for the Company in 2017.  

The Audit Committee is solely responsible for the selection, retention, oversight and, when appropriate, 
termination of the Company’s independent registered public accounting firm.  

The fees to KPMG LLP for the fiscal years ended December 31, 2017, and 2016 were as follows:  

2017 

2016 

Audit Fees(1) 
Audit-Related Fees(2) 
Tax Fees(3) 
All Other Fees 
Total 
___________________ 
(1)  Audit of annual financial statements, review of financial statements included in Form 10-Q and other services normally provided 

$373,000 
101,456 
94,734 
-- 
$569,190 

$498,548 
101,941 
90,567 
-- 
$691,056 

in connection with statutory and regulatory filings, including out-of-pocket expenses. 
Information security audit services, including out-of-pocket expenses.  

(2) 
(3)    Tax consultations and tax return preparation including out-of-pocket expenses.    

The Audit Committee has established pre-approval policies and procedures with respect to audit 

and permitted non-audit services to be provided by its independent registered public accounting firm.  
Pursuant to these policies and procedures, the Audit Committee may form, and delegate authority to, 
subcommittees consisting of one or more members when appropriate to grant such pre-approvals, 
provided that decisions of such subcommittee to grant pre-approvals are presented to the full Audit 
Committee at its next scheduled meeting.  The Audit Committee’s pre-approval policies do not permit the 
delegation of the Audit Committee’s responsibilities to management.  In 2017, the Audit Committee pre-
approved all services provided by our independent registered public accounting firm, and no fees to the 
independent registered public accounting firm were approved pursuant to the de minimis exception under 
the Securities and Exchange Commission’s rules. 

Expenses 

The cost of soliciting proxies will be borne by the Company.  In addition to soliciting proxies by 

mail, proxies may be solicited personally and by telephone by certain officers and regular associates of 
the Company.  Such individuals will not be paid any additional compensation for such solicitation.  The 
Company will reimburse brokers and other nominees for their reasonable expenses in communicating 
with the persons for whom they hold Common Stock. 

31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Multiple Shareholders Sharing the Same Address 

Pursuant to the rules of the Securities and Exchange Commission, services that deliver the 

Company’s communications to shareholders that hold their stock through a bank, broker or other holder 
of record may deliver to multiple shareholders sharing the same address a single copy of the Company’s 
annual report to shareholders and proxy statement, unless the Company has received contrary instructions 
from one or more of the shareholders.  Upon written or oral request, the Company will promptly deliver a 
separate copy of the annual report to shareholders and/or proxy statement to any shareholder at a shared 
address to which a single copy of each document was delivered.  For future deliveries of annual reports to 
shareholders and/or proxy statements, shareholders may also request that we deliver multiple copies at a 
shared address to which a single copy of each document was delivered.  Shareholders sharing an address 
who are currently receiving multiple copies of the annual report to shareholders and/or proxy statement 
may also request delivery of a single copy.  Shareholders may notify the Company of their requests by 
calling or writing Kevin R. Karas, Secretary, NRC Health, at (402) 475-2525 or 1245 Q Street, Lincoln, 
Nebraska 68508. 

Shareholder Proposals 

Proposals that shareholders of the Company intend to present at and have included in the 

Company’s proxy statement for the 2019 annual meeting pursuant to Rule 14a-8 under the Securities 
Exchange Act of 1934, as amended (“Rule 14a-8”), must be received by the Company by the close of 
business on December 28, 2018.  In addition, a shareholder who otherwise intends to present business at 
the 2019 annual meeting (including nominating persons for election as directors) must comply with the 
requirements set forth in the Company’s By-Laws.  Among other things, to bring business before an 
annual meeting, a shareholder must give written notice thereof, complying with the By-Laws, to the 
Secretary of the Company not less than 60 days and not more than 90 days prior to the second Wednesday 
in the month of April (subject to certain exceptions if the annual meeting is advanced or delayed a certain 
number of days).  Under the By-Laws, if the Company does not receive notice of a shareholder proposal 
submitted otherwise than pursuant to Rule 14a-8 (i.e., proposals shareholders intend to present at the 2019 
annual meeting but do not intend to include in the Company’s proxy statement for such meeting) prior to 
February 9, 2019, then the notice will be considered untimely and the Company will not be required to 
present such proposal at the 2019 annual meeting.  If the Board chooses to present such proposal at the 
2019 annual meeting, then the persons named in proxies solicited by the Board for the 2019 annual 
meeting may exercise discretionary voting power with respect to such proposal. 

By Order of the Board of Directors 
NATIONAL RESEARCH CORPORATION 

Kevin R. Karas 
Secretary 

April 27, 2018 

32 

Appendix A 

NATIONAL RESEARCH CORPORATION 

2004 NON-EMPLOYEE DIRECTOR STOCK PLAN 

1.  

Purpose. The purpose of the National Research Corporation 2004 Non-Employee 

Director Stock Plan (the “Plan”) is to promote the best interests of National Research Corporation (the 
“Company”) and its shareholders by providing a means to attract and retain competent independent 
directors and to provide opportunities for additional stock ownership by such directors which will further 
increase their proprietary interest in the Company and, consequently, their identification with the interests 
of the shareholders of the Company. 

2.  

Administration. The Plan shall be administered by the Compensation Committee of the 
Board of Directors of the Company (the “Committee”), subject to review by the Board of Directors (the 
“Board”). The Committee may adopt such rules and regulations for carrying out the Plan as it may deem 
proper and in the best interests of the Company. The interpretation by the Board of any provision of the 
Plan or any related documents shall be final. 

3.  

Stock Subject to the Plan. Subject to adjustment in accordance with the provisions of 

Section 7, the total number of shares of common stock, par value $0.001 per share, of the Company (the 
“Common Stock”) available for issuance under the Plan on and after May 30, 2018 shall be 921,000. 
Shares of Common Stock to be delivered under the Plan shall be made available from presently 
authorized but unissued Common Stock or authorized and issued shares of Common Stock reacquired and 
held as treasury shares, or a combination thereof.  In no event shall the Company be required to issue 
fractional shares of Common Stock under the Plan. Whenever under the terms of the Plan a fractional 
share of Common Stock would otherwise be required to be issued, there shall be paid in lieu thereof one 
full share of Common Stock. 

4.  

Eligible Directors. Each member of the Board who is not an employee of the Company or 

any subsidiary of the Company (each an “Outside Director”) shall be eligible to receive shares of 
Common Stock under the Plan. 

5.  

Director Grants. 

a.  

Initial Grant. On May 21, 2004, each Outside Director shall automatically be 
granted a one-time nonqualified stock option to purchase 11,000 shares of Common Stock (the “Initial 
Grant Date”); provided, however, that in the event the shareholders of the Company fail to approve the 
Plan at the 2005 annual meeting of shareholders, the options granted pursuant to this Section 5(a) shall be 
deemed to be null and void. 

b.  

Annual Grants. On the date of each annual meeting of shareholders of the 

Company (the “Annual Grant Date”), commencing with the meeting held in 2018, an Outside Director, if 
elected, reelected or retained as an Outside Director at such meeting, shall automatically be granted 
nonqualified stock options to purchase such number of shares of Common Stock equal to an aggregate 
grant date fair value of $100,000, computed in accordance with Financial Accounting Standards Board 
Accounting Standards Codification Topic 718, Compensation-Stock Compensation, or successor rule. 

c.  

Discretionary Grants. The Committee and/or the Board is hereby authorized to 

grant at any time (the “Discretionary Grant Date”) such additional nonqualified stock options to the 
Outside Directors as it deems desirable, in its sole discretion; provided, however, that in the event the 
Committee and/or the Board grants any such additional options prior to shareholder approval of the Plan 
at the 2005 annual meeting of shareholders and the shareholders fail to approve the Plan at such meeting, 
the options granted pursuant to this Section 5(c) shall be deemed to be null and void. The terms “Initial 

33 

 
 
 
 
 
 
 
 
 
 
 
Grant Date”, “Annual Grant Date” and “Discretionary Grant Date” shall be hereinafter collectively 
referred to as the “Grant Date”. 

d.

Option Terms. The exercise price of each option granted under the Plan shall be
the Fair Market Value (as defined below) of a share of Common Stock on the Grant Date, which shall be 
payable at the time of exercise in cash, previously acquired shares of Common Stock valued at their Fair 
Market Value or such other forms or combinations of forms as the Board or the Committee may approve. 
The term “Fair Market Value” as used herein shall mean the last sale price of the Common Stock as 
reported on The NASDAQ Stock Market on the Grant Date, or if no such sale shall have been made on 
that day, on the last preceding day on which there was such a sale. Notwithstanding anything in the Plan 
to the contrary, neither the Committee nor any other person may decrease the exercise price of any option 
granted under the Plan or take any action that would result in a deemed decrease of the exercise price of 
an option granted under the Plan under Section 409A of the Internal Revenue Code of 1986, as amended 
(“Section 409A”), after the date of grant, except in accordance with Section 7 hereof and Section 1.409A-
1(b)(5)(v)(D) of the Treasury Regulations, or in connection with a transaction that is considered the grant 
of a new option for purposes of Section 409A, provided that the new exercise price is not less than the 
Fair Market Value of a share of Common Stock on the date of the new grant, determined as if the date of 
new grant were the Grant Date. 

An option may be exercised in whole or in part, from time to time commencing (1) with 
respect to an option granted on an Annual Grant Date, the day immediately preceding the next following 
Annual Grant Date, and (2) with respect to any other option, one year after the Grant Date (each such 
date, the “Vesting Date”), subject to the following limitations: 

i.

If an Outside Director’s status as an Outside Director of the Company

terminates because of death prior to the Vesting Date, the option shall become immediately exercisable in 
full and may be exercised for a period of three years after the date of death. 

ii.

If for any reason other than death an Outside Director ceases to be an

Outside Director of the Company prior to the Vesting Date, the option shall be canceled as of the date of 
such termination unless otherwise determined by the Committee. 

If an Outside Director ceases to be an Outside Director of the Company
for any reason after the Vesting Date, the option shall expire ten years after the Grant Date or if earlier, 
three years after termination of Outside Director status. 

iii.

6.

Restrictions on Transfer.  Options granted under the Plan shall not be transferable other

than by will or the laws of descent and distribution, except that an Outside Director may, to the extent 
allowed by the Board or the Committee, and in a manner specified by the Board or the Committee, (a) 
designate in writing a beneficiary to exercise the option after the Outside Director’s death or (b) transfer 
any option. 

7.

Adjustment Provisions. In the event of any change in the Common Stock by reason of a

declaration of a stock dividend (other than a stock dividend declared in lieu of an ordinary cash dividend), 
stock split, spin-off, merger, consolidation, recapitalization or split-up, combination or exchange of 
shares, or otherwise, the aggregate number of shares available under the Plan, the number of shares 
subject to outstanding options and the exercise price of outstanding options shall be appropriately 
adjusted in order to prevent dilution or enlargement of the benefits intended to be made available under 
the Plan. 

8.

Amendment of Plan. The Board shall have the right to amend the Plan at any time or

from time to time in any manner that it may deem appropriate. 

34 

9.  

 Documentation of Awards. Awards made under the Plan shall be evidenced by written 
agreements or such other appropriate documentation as the Board or the Committee may prescribe. The 
Board and/or the Committee need not require the execution of any instrument or acknowledgement of 
notice of an award under the Plan, in which case acceptance of such award by the respective Outside 
Director will constitute agreement to the terms of the award. 

10.  

Governing Law. The Plan, all awards hereunder, and all determinations made and actions 
taken pursuant to the Plan shall be governed by the internal laws of the State of Wisconsin and applicable 
federal law. 

11.  

Effective Date and Termination of the Plan. The Plan shall be effective on the day of its 

adoption by the Board, May 21, 2004, subject to the approval of the Plan by the shareholders of the 
Company within twelve months of the effective date, and any and all grants made under the Plan prior to 
such approval shall be subject to such approval. The provisions of this Plan, as amended and restated, 
shall be effective May 30, 2018.  The Plan shall terminate on such date as may be determined by the 
Board. 

35 

 
 
 
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UNITED STATES 
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

FORM 10-K 

[X]  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the fiscal year ended December 31, 2017  

or 
[ ]  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 

For the transition period from _______________ to _______________ 

Commission file number: 001-35929 

 National Research Corporation  
(Exact name of registrant as specified in its charter) 

  Wisconsin   
(State or other jurisdiction 
of incorporation or organization) 

1245 Q Street 
 Lincoln, Nebraska 
(Address of principal executive offices) 

  47-0634000   
(I.R.S. Employer 
Identification No.) 

 68508 
(Zip code) 

Registrant’s telephone number, including area code: (402) 475-2525 

Securities registered pursuant to Section 12(b) of the Act: 

Title of Class       
Class A Common Stock, $.001 par value 
Class B Common Stock, $.001 par value 
Securities registered pursuant to Section 12(g) of the Act: None 
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. 
Yes ☐    No  ☒  

Name of Each Exchange on Which Registered 
The NASDAQ Stock Market 
The NASDAQ Stock Market 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. 
Yes ☐    No  ☒  

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 
1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to 
such filing requirements for the past 90 days. Yes  ☒  No ☐ 

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File 
required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the 
registrant was required to submit and post such files). Yes  ☒  No ☐ 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, 
to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any 
amendment to this Form 10-K. ☐ 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company 
or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company” and “emerging 
growth company” in Rule 12b-2 of the Exchange Act.     
Large accelerated filer ☐ 
Accelerated filer ☒ 
Non-accelerated filer ☐ (Do not check if a smaller reporting company) 

Smaller reporting company ☐ 
Emerging growth company ☐ 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with 
any new or revised financial accounting standards provided pursuant to Section 13(s) of the Exchange Act. ☐ 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act.) Yes ☐    No  ☒  

Aggregate market value of the class A common stock and the class B common stock held by non-affiliates of the registrant at June 30, 2017: 
$458,611,975. 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. 
Class A Common Stock, $0.001 par value, outstanding as of February 28, 2018: 20,970,575 shares 
Class B Common Stock, $0.001 par value, outstanding as of February 28, 2018: 3,540,857 shares 
DOCUMENTS INCORPORATED BY REFERENCE 

Portions of the Proxy Statement for the 2018 Annual Meeting of Shareholders are incorporated by reference into Part III. 

Item 1. 
Item 1A. 
Item 1B. 
Item 2. 
Item 3. 
Item 4. 

Business 
Risk Factors 
Unresolved Staff Comments 
Properties 
Legal Proceedings 
Mine Safety Disclosures 

TABLE OF CONTENTS 

PART I 

PART II 

Item 5. 
Item 6. 
Item 7. 
Item 7A. 
Item 8. 
Item 9. 
Item 9A. 
Item 9B. 

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 
Selected Financial Data 
Management’s Discussion and Analysis of Financial Condition and Results of Operations 
Quantitative and Qualitative Disclosure About Market Risk 
Financial Statements and Supplementary Data 
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 
Controls and Procedures 
Other Information 

PART III 

Item 10. 
Item 11. 
Item 12. 
Item 13. 
Item 14. 

Directors, Executive Officers and Corporate Governance 
Executive Compensation 
Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters 
Certain Relationships and Related Transactions, and Director Independence 
Principal Accountant Fees and Services 

PART IV 

Item 15. 
Item 16. 
Signatures 

Exhibits 
Form 10-K Summary 

Page 

1
8
13
13
14
14

15
17
18
28
29
57
57
57

60
60
60
61
61

62
64
66

i 
This page intentionally left blank 

Item 1.   Business 

Special Note Regarding Forward-Looking Statements 

PART I 

Certain matters discussed in this Annual Report on Form 10-K are “forward-looking statements” within the meaning of Section 21E 
of the Securities Exchange Act of 1934, as amended. These forward-looking statements can generally be identified as such because 
the  context  of  the  statement  includes  phrases  such  as  National  Research  Corporation,  doing  business  as  NRC  Health  (“NRC 
Health,”  the  “Company,”  “we,”  “our,”  “us” or  similar  terms),  “believes,”  “expects,” or  other words of  similar  import.  Similarly, 
statements that describe the Company’s future plans, objectives or goals are also forward-looking statements. Such forward-looking 
statements are subject to certain risks and uncertainties which could cause actual results or outcomes to differ materially from those 
currently anticipated. Factors that could affect actual results or outcomes include, without limitation, the following factors: 

● The possibility of non-renewal of the Company’s client service contracts and retention of key clients;

● The Company’s ability to compete in its markets, which are highly competitive, and the possibility of increased price pressure

and expenses;

● The effects of an economic downturn;

● The impact of consolidation in the healthcare industry;

● The impact of federal healthcare reform legislation or other regulatory changes;

● The Company’s ability to attract and retain key managers and other personnel;

● The  possibility  that  the  Company’s  intellectual  property  and  other  proprietary  information  technology  could  be  copied  or

independently developed by its competitors;

● The possibility that the Company could be subject to security breaches or computer viruses; and

● The factors set forth under the caption “Risk Factors” in Part I, Item 1A of this Annual Report on Form 10-K.

Shareholders, potential investors and other readers are urged to consider these and other factors in evaluating the forward-looking 
statements,  and  are  cautioned  not  to  place  undue  reliance  on  such  forward-looking  statements.  The  forward-looking  statements 
included are only made as of the date of this Annual Report on Form 10-K and the Company undertakes no obligation to publicly 
update such forward-looking statements to reflect subsequent events or circumstances, except as required by the federal securities 
laws. 

General 

The  Company  is  a  leading  provider  of  analytics  and  insights  that  facilitate  measurement  and  improvement  of  the  patient  and 
employee  experience  while  also  increasing  patient  engagement  and  customer  loyalty  for  healthcare  providers,  payers  and  other 
healthcare organizations. The Company’s solutions enable its clients to understand the voice of the customer with greater clarity, 
immediacy and depth. NRC Health’s heritage, proprietary methods, and holistic approach enable our partners to better understand 
the people they care for and design experiences that inspire loyalty and trust, while also facilitating regulatory compliance and the 
shift  to  population-based  health  management.  The  Company’s  ability  to  measure  what  matters  most  and  systematically  capture, 
analyze  and  deliver  insights  based  on  self-reported  information  from  patients,  families  and  consumers  is  critical  in  today’s 
healthcare market. NRC Health believes that access to and analysis of its extensive consumer-driven information is becoming more 
valuable  as  healthcare  providers  increasingly  need  to  more  deeply  understand  and  engage  patients  and  consumers  in  an  effort 
towards effective population-based health management.  

1NRC Health’s expertise includes the efficient capture, interpretation, transmittal and benchmarking of critical data elements from 
millions of healthcare consumers. Using its portfolio of solutions through internet-based business intelligence tools, the Company’s 
clients gain insights into what people think and feel about their organizations in real-time, allowing them to build on their strengths 
and resolve service issues with greater speed and personalization. The Company’s clients are also able to access networking groups, 
on-line education and an extensive library of performance improvement material that can be tailored to each of their unique needs.  

The Company’s portfolio of subscription-based solutions provide actionable information and analysis to healthcare organizations 
and payers across a range of mission-critical, constituent-related elements, including patient experience and satisfaction, community 
population  health  risks,  workforce  engagement,  community  perceptions,  and  physician  engagement.  NRC  Health  partners  with 
clients  across  the  continuum  of  healthcare  services.  The  Company’s  clients  range  from  integrated  health  systems  and  post-acute 
providers, such as home health, long term care and hospice, to numerous payer organizations. The Company believes this cross-
continuum positioning is a unique and an increasingly important capability as evolving payment models drive healthcare providers 
and payers towards a more collaborative and integrated service model. 

NRC Health has achieved a market leadership position through its more than 36 years of industry innovation and experience, as 
well as its long-term, recurring revenue relationships (solutions that are used or required by a client each year) with many of the 
healthcare  industry’s  largest  organizations.  Since  its  founding  in  1981,  the  Company  has  focused  on  meeting  the  evolving 
information needs of the healthcare industry through internal product development, as well as select acquisitions. The Company is a 
Wisconsin corporation headquartered in Lincoln, Nebraska. 

Industry and Market Opportunity 

According  to  the  Centers  for  Medicare  and  Medicaid  Services  (“CMS”),  health  expenditures  in  the  United  States  were 
approximately  $3.3 trillion  in  2016, or  $10,348  per  person.  In  total,  health  spending  accounted  for  17.9%  of  the  nation’s  Gross 
Domestic Product in 2016. Addressing this growing expenditure burden continues to be a major policy priority at both federal and 
state levels. In addition, increased co-pays and deductibles in healthcare plans have focused even more consumer attention on health 
spending  and  affordability.  In  the  public  sector,  Medicare  provides  health  coverage  for  individuals  aged  65  and  older,  while 
Medicaid provides coverage for low income families and other individuals in need. Both programs are administered by the CMS. 
With the aging of the U.S. population, Medicare enrollment has increased significantly.  In addition, longer life spans and greater 
prevalence of chronic illnesses among both the Medicare and Medicaid populations have placed tremendous demands on the health 
care system.  

Driven by escalating costs and a growing recognition of the challenges of chronic care and unnecessary hospitalizations, Medicare 
reimbursement for healthcare providers is shifting from a volume-based approach (fees paid for each element of service rendered, 
independent of outcome) to a more value-based model, where reimbursement is based on the value (or quality) of the healthcare 
service  delivered.  The  establishment  of  standardized  quality-focused  datasets  and  the  requirement  that  providers  capture  and 
transmit this data to CMS has enabled this shift. 

An increasing percentage of Medicare reimbursement and reimbursement from commercial payers will be determined under value 
payment models, based on factors such as patient readmission rates and provider adherence to certain quality-related protocols. At 
the same time, many hospitals and other providers are creating new models of care delivery to improve patient experience, reduce 
cost  and  provide  better  clinical  outcomes.  These  new  models  are  based  on  sharing  financial  risk  and  managing  the  health  and 
behaviors  of  large  populations  of  patients  and  consumers.  Certain  of  these  new  models  are  known  as  accountable  care 
organizations,  or  ACOs,  and  medical  homes,  in  which  multiple  provider  organizations  are  coordinated  in  providing  care  and 
bearing shared financial risk in serving a defined patient population. This transformation towards value-based payment models and 
increased  engagement  of  healthcare  consumers  is  resulting  in  a  greater  need  for  providers  to  deliver  more  customer-centric 
healthcare.   

2NRC Health believes that its current portfolio of solutions is aligned to address this evolving market opportunity. The Company 
provides  tools  and  solutions  to  capture,  interpret  and  improve  the  data  required  by  CMS  as  well  as  enhanced  capabilities  that 
capture  insights  about  patient  health  risks,  behaviors  and  perceptions.  The  information  and  analytics  provided  through  these 
solutions enable payers and providers to better understand what matters most to people at key moments in their relationship with a 
health  organization.  NRC  Health’s  solutions  enable  its  clients  to  design  experiences  to  improve  the  wellbeing  of  the  people  and 
communities  they  care  for.  In  addition,  the  Company’s  portfolio  of  experience  solutions  helps  providers  address  and  impact  the 
types  of  behaviors  that  could  result  in  reduced  hospital  re-admission  rates,  and  a  direct  and  measurable  impact  on  providers’ 
revenue.  

Finally, the Company believes that its ability to offer these insights across the entire care continuum is particularly relevant as new 
reimbursement  models  reward  collaboration  amongst  different  types  of  providers.  Bundled  payments,  medical  home,  ACOs  and 
other models of reimbursement for population-based health management all require effective coordination of care both within and 
outside of the traditional acute care settings. 

NRC Health’s Solutions 

NRC Health’s portfolio of solutions are designed to help healthcare companies understand the totality of how their organizations 
are  experienced  by  the  people  they  serve.  NRC  Health’s  solutions  address  specific  needs  around  market  insight,  experience, 
transparency,  and  governance  for  healthcare  providers,  payers  and  other  healthcare  organizations.  While  each  distinct  solution 
provides discernible value on a stand-alone basis, the Company believes that in combination, its solutions provide value through a 
comprehensive view of healthcare consumers both within healthcare settings and outside of those settings—creating a differentiated 
solution set to address the emerging needs for population-based health management.  

NRC Health’s Market Insights Solutions – NRC Health’s Market Insights solutions are subscription-based services that allow for 
improved  tracking  of  awareness,  perception,  and  consistency  of  healthcare  brands;  real-time  assessment  of  competitive 
differentiators;  and  enhanced  segmentation  tools  to  evaluate  the  needs,  wants,  and  behaviors  of  communities  through  real-time 
competitive assessments and enhanced segmentation tools. NRC Health’s Market Insights is the largest U.S. healthcare consumer 
database  of  its  kind,  measuring  the  opinions  and  behaviors  of  more  than  292,000  healthcare  consumers  in  the  top  300  markets 
across the country annually. NRC Health’s Market Insights is a syndicated survey that provides clients with an independent third-
party source of information that is used to understand consumer perception and preferences and optimize marketing strategies. NRC 
Health’s  Market  Insights  solutions  provide  clients  with  on-demand  tools  to  measure  brand  value  and  build  brand  equity  in  their 
markets,  evaluate  and  optimize  advertising  efficacy  and  consumer  recall,  and  tailor  research  to  obtain  the  real  time  voice  of 
customer feedback to support branding and loyalty initiatives. The Company’s Market Insights solutions were historically marketed 
under the Healthcare Market Guide and Ticker brands.  

NRC Health’s Experience Solutions – NRC Health’s Experience solutions provide hospitals and healthcare providers the ability to 
receive  and  take  action  on  customer  and  employee  feedback  across  all  care  settings  in  real-time.  Experience  solutions  include 
patient  and  resident  experience,  workforce  engagement,  health  risk  assessments,  transitions,  and  improvement  tools,  which  are 
provided  through  the  Experience,  Transitions  and  National  Research  Canada  Corporation  operating  segments.  These  solutions 
enable clients to comply with regulatory requirements and to improve their reimbursement under value-based purchasing models. 
More importantly, NRC Health’s Experience solutions provide quantitative and qualitative real-time feedback, improvement plans, 
and  coaching  tools  to  enable  clients  to  improve  the  experiences  of  patients,  residents,  physicians  and  staff.   By  illuminating  the 
complete  care  journey  in  real  time,  the  Company’s  clients  are  able  to  ensure  each  individual  receives  the  care,  respect,  and 
experience  he  or  she  deserves.  Developing  a  longitudinal  profile  of  what  healthcare  customers  want  and  need  allows  for 
organizational improvement, increased clinician and staff engagement, loyal relationships and personal well-being.  

3NRC Health’s Experience solutions are provided on a subscription basis via a cross-continuum platform that collects and measures 
data  and  then  delivers  business  intelligence  that  the  Company’s  clients  utilize  to  improve  patient  experience,  engagement  and 
loyalty. Patient data can be collected on a longitudinal basis for improvement and regulatory compliance purposes as well as on a 
real  time  basis  to  support  service  recovery,  rapid  cycle  improvement,  and  engagement  activities.  NRC  Health  provides  these 
performance results and prescriptive analytics to its clients via web-based improvement planning and business intelligence portals. 
These  solutions  have  previously  been  marketed  under  NRC  Picker,  My  InnerView  (“MIV”),  Customer-Connect  LLC  (doing 
business as Connect), and NRC Canada. 

NRC Health’s Health Risk Assessment solutions (formerly Payer Solutions) enable the Company’s clients to understand the health 
risks associated with populations of patients, analyze and address readmission risks, and efficiently reach out to patients to impact 
their  behaviors  outside  of  the  healthcare  provider  settings.  These  health  risk  assessment  solutions  enable  clients  to  effectively 
segment populations and manage care for those who are most at-risk, engage individuals, increase preventative care and manage 
wellness programs to improve patient experience and outcomes.  

NRC  Health’s  Transitions  solutions  are  provided  to  healthcare  organizations  on  a  subscription  basis  to  drive  effective 
communication between healthcare providers and patients in the critical 24-72 hours post discharge using a discharge call program. 
Through preference-based communications and real-time alerts, these solutions enable organizations to identify and manage high-
risk  patients  to  reduce  readmissions,  increase  patient  satisfaction  and  support  safe  care  transitions.  Tracking,  trending  and 
benchmarking tools isolate the key areas for process improvement allowing organizations to implement changes and reduce future 
readmissions.  NRC  Health’s  Transitions  solutions  were  previously  provided  by  Connect.  Connect  was  formed  in  June  2013  to 
develop and provide patient outreach and discharge call solutions. NRC Health originally had a 49% ownership interest in Connect 
but by March 2016 had acquired all of the remaining interest and subsequently dissolved Customer-Connect LLC in June 2016.  

NRC Health’s Transparency Solutions – NRC Health’s Transparency solutions allow healthcare organizations to share a picture of 
their organization and ensure that timely and relevant content informs better consumer decision-making. NRC Health’s star ratings 
solution (formerly Reputation) enables clients to publish a five-star rating metric and verified patient feedback derived from actual 
patient  survey  data  to  complement  their  online  physician  information.  Sharing  this  feedback  not  only  results  in  better-informed 
consumer  decision-making  but  also  has  the  ability  to  drive  new  patient  acquisition  and  grow  online  physician  reputation.  NRC 
Health’s  reputation  monitoring  solution  alerts  clients  to  ratings  and  reviews  on  third-party  websites  and  provides  workflows  for 
response  and  service  recovery.  These  solutions  raise  physician  awareness  of  survey  results  and  provide  access  to  improvement 
resources and educational development opportunities designed to improve the way care is delivered.  

NRC Health’s Governance Solutions – NRC Health’s Governance solutions, branded as The Governance Institute (“TGI”), serves 
not-for-profit hospital and health system boards of directors, executives, and physician leadership. TGI’s subscription-based, value-
driven  membership  services  are  provided  through  national  conferences,  publications,  advisory  services,  and  an  on-line  portal 
designed  to  improve  the  effectiveness  of  hospital  and  healthcare  systems  by  continually  strengthening  their  board  governance, 
strategic planning, medical leadership, management performance, and transparency positioning. TGI also conducts research studies 
and  tracks  industry  trends  showcasing  emerging  healthcare  trends  and  best  practice  solutions  of  healthcare  boards  across  the 
country.  

4NRC Health’s Competitive Strengths 

The Company believes that its competitive strengths include the following: 

A  leading  provider  of  patient  experience  solutions  for  healthcare  providers,  payers  and  other  healthcare  organizations.  The 
Company’s history is based on capturing the voice of the consumer in healthcare markets. The Company’s solutions build on the 
“Eight  Dimensions  of  Patient-Centered  Care,”  a  philosophy  developed  by  noted  patient  advocate  Harvey  Picker,  who  believed 
patients’ experiences are integral to quality healthcare. NRC Health has extended this philosophy to include families, caregivers, 
employees and other stakeholders. 

Premier  client  portfolio  across  the  care  continuum. NRC  Health’s  client  portfolio  encompasses  leading  healthcare  organizations 
across  the  healthcare  continuum,  from  acute  care  hospitals  and  post-acute  providers  to  healthcare  payers.  The  Company’s  client 
base is diverse, with its top ten clients representing approximately 19% of total revenue for the year ended December 31, 2017 and 
no single client representing more than 5% of the Company’s revenue.  

Highly  scalable  and  visible  revenue  model.  The  Company’s  solutions  are  offered  to  healthcare  providers,  payers  and  other 
healthcare  organizations  primarily  through  subscription-based  service  agreements.  The  solutions  NRC  Health  provides  are  also 
recurring in nature, which enables an ongoing relationship with its clients. This combination of subscription-based revenue, a base 
of ongoing client renewals and automated platforms creates a highly visible and scalable revenue model for the Company.  

Comprehensive portfolio of solutions. Since NRC Health offers solutions encompassing market insights, experience, transparency, 
and  governance,  its  clients  can  engage  with  the  Company  at  multiple  levels  and,  over  time,  increase  their  commitment  and  the 
financial value of their business relationship.  

Exclusive  focus  on  healthcare.  The  Company  focuses  exclusively  on  healthcare  and  serving  the  unique  needs  of  healthcare 
organizations across the continuum, which NRC Health believes gives it a distinct competitive advantage compared to other survey 
and  analytics  software  providers.  The  Company’s  platform  includes  features  and  capabilities  built  specifically  for  healthcare 
providers,  including  a  library  of  performance  improvement  content  which  can  be  tailored  to  the  provider  based  on  their  specific 
customer feedback profile.  

Experienced senior management team led by NRC Health’s founder. NRC Health’s senior management team has extensive industry 
and  leadership  experience.  Michael  D.  Hays,  the  Company’s  Chief  Executive  Officer,  founded  NRC  Health  in  1981.  Prior  to 
launching  the  Company,  Mr.  Hays  served  as  Vice  President  and  as  a  Director  of  SRI  Research  Center,  Inc.  (now  known  as  the 
Gallup Organization). The Chief Financial Officer, Kevin Karas, CPA, has extensive financial experience having served as CFO at 
two  previous  companies,  along  with  healthcare  experience  at  Rehab  Designs  of  America,  Inc.  and  NovaCare,  Inc.  Steven  D. 
Jackson,  the  Company’s  President,  served  as  Chief  Strategy  Officer  for  Vocera  Communications,  and  he  also  served  as  Chief 
Operating Officer for ExperiaHealth.  

Competition 

The healthcare information and market research services industry is highly competitive. The Company has traditionally competed 
with healthcare organizations’ internal marketing, market research, and/or quality improvement departments which create their own 
performance measurement tools, and with relatively small specialty research firms which provide survey-based healthcare market 
research  and/or  performance  assessment.  The  Company’s  primary  competitors  among  such  specialty  firms  include  Press  Ganey, 
which has significantly higher annual revenue than the Company, and three or four other organizations that NRC Health believes 
have less annual revenue than the Company. The Company, to a certain degree, currently competes with, and anticipates that in the 
future it may increasingly compete with, (1) market research firms and technology solutions which provide survey-based, general 
market research or Voice of the Customer feedback capabilities and (2) firms which provide services or products that complement 
healthcare performance assessments such as healthcare software or information systems. Although only a few of these competitors 
have offered specific  services  that  compete  directly  with the  Company’s  solutions,  many  of  these  competitors  have  substantially 
greater  financial,  information  gathering,  and  marketing  resources  than  the  Company  and  could  decide  to  increase  their  resource 
commitments to the Company’s market. There are relatively few barriers to entry into the Company’s market, and the Company 
expects increased competition in its market which could adversely affect the Company’s operating results through pricing pressure, 
increased marketing expenditures, and market share losses, among other factors. There can be no assurance that the Company will 
continue to compete successfully against existing or new competitors.  

5The Company believes the primary competitive factors within its market include quality of service, timeliness of delivery, unique 
service  capabilities,  credibility  of  provider,  industry  experience,  and  price.  NRC  Health  believes  that  its  industry  leadership 
position,  exclusive  focus  on  the  healthcare  industry,  cross-continuum  presence,  comprehensive  portfolio  of  solutions  and 
relationships with leading healthcare payers and providers position the Company to compete in this market. 

Growth Strategy 

NRC Health believes that the value proposition of its current solutions, combined with the favorable alignment of its solutions with 
emerging market demand, positions the Company to benefit from multiple growth opportunities. The Company believes that it can 
accelerate  its  growth  through  (1)  increasing  sales  of  its  existing  solutions  to  its  existing  clients  (or  cross-selling),  (2)  winning 
additional new clients through market share growth in existing market segments, (3) developing and introducing new solutions to 
new  and  existing  clients,  and  (4)  pursuing acquisitions of,  or  investments  in,  firms  providing  products,  solutions or  technologies 
which complement those of the Company. 

Selling additional solutions to existing clients. Approximately 22% of the Company’s existing clients purchase more than one of its 
solutions. NRC Health’s sales organization actively identifies and pursues these cross-sell opportunities in order to accelerate the 
growth of the Company.  

Adding new clients. NRC Health believes that there is an opportunity to add new clients in each of the acute care, post-acute care 
and health plan market segments. The Company’s sales organization is actively identifying and engaging new client prospects in 
each of the segments noted above, with a focus on featuring its comprehensive cross continuum portfolio of solutions.  

Adding new solutions. The need for growth, engagement and informing solutions in the market segments that NRC Health serves is 
evolving to align with emerging healthcare regulatory and reimbursement trends. The evolving market creates an opportunity for 
the  Company  to  introduce  new  solutions  that  leverage  its  existing  core  competencies.  The  Company  believes  that  there  is  an 
opportunity to drive sales growth with both existing and new clients, across all of the market segments that it serves, through the 
introduction of new solutions.  

Pursue  strategic  acquisitions  and  investments.  The  Company  has  historically  complemented  its  organic  growth  with  strategic 
acquisitions, having completed seven such transactions over the past sixteen years. These transactions have added new capabilities 
and  access  to  market  segments  that  are  adjacent  and  complementary  to  the  Company’s  existing  solutions  and  market  segments. 
NRC Health believes that additional strategic acquisition and/or investment opportunities exist for the Company to complement its 
organic growth by further expanding its service capabilities, technology offerings and end markets. 

Sales and Marketing 

The Company generates the majority of its revenue from the renewal of subscription-based client service agreements, supplemented 
by sales of other solutions to existing clients and the addition of new clients. NRC Health sales activities are carried out by a direct 
sales organization staffed with professional, trained sales associates. As compared to the typical industry practice of compensating 
sales associates with relatively high base pay and a relatively small sales commission, NRC Health compensates its sales staff with 
relatively low base pay and a relatively high commission component. The Company believes this compensation structure provides 
incentives to its sales associates to surpass sales goals and increases the Company’s ability to attract top-quality sales associates.  

6NRC  Health  conducts  various  marketing  programs  to  generate  new  opportunities  for  its  sales  organization.  The  Company  also 
maintains  an  active  public  relations  program  which  includes  (1)  an  ongoing  presence  in  leading  industry  trade  press  and  in  the 
mainstream press, (2) public speaking at strategic industry conferences, (3) fostering relationships with key industry constituencies, 
and (4) annual awards programs that recognize top-ranking healthcare organizations. 

Clients 

NRC Health’s clients include many of the nation’s largest healthcare systems. The Company provides solutions to over 47 payer 
health plans and 148 of the 200 largest health systems.  

The  Company’s  ten  largest  clients  accounted  for  19%,  17%,  and  15%  of  the  Company’s  total  revenue  in  2017,  2016  and  2015, 
respectively. Approximately 4%, 5% and 5% of the Company’s revenue was derived from foreign customers in 2017, 2016, and 
2015, respectively. 

For financial information by geographic area, see Note 15 to the Company’s consolidated financial statements. 

Intellectual Property and Other Proprietary Rights 

The Company’s success depends in part upon its data collection processes, research methods, data analysis techniques and internal 
systems, and procedures that it has developed specifically to serve clients in the healthcare industry. The Company has no patents. 
Consequently, it relies on a combination of copyright and trade secret laws and associate nondisclosure agreements to protect its 
systems, survey instruments and procedures. There can be no assurance that the steps taken by the Company to protect its rights 
will  be  adequate  to  prevent  misappropriation  of  such  rights  or  that  third  parties  will  not  independently  develop  functionally 
equivalent or superior systems or procedures. The Company believes that its systems and procedures and other proprietary rights do 
not  infringe  upon  the  proprietary  rights  of  third  parties.  There  can  be  no  assurance,  however,  that  third  parties  will  not  assert 
infringement  claims  against  the  Company  in  the  future or  that  any  such  claims  will  not  result  in protracted  and  costly  litigation, 
regardless of the merits of such claims or whether the Company is ultimately successful in defending against such claims. 

Associates 

As  of  December  31,  2017,  the  Company  employed  a  total  of  430  persons  on  a  full-time  basis.  In  addition,  as  of  such  date,  the 
Company  had  28  part-time  associates  primarily  in  its  survey  operations,  representing  approximately  14  full-time  equivalent 
associates.  None  of  the  Company’s  associates  are  represented  by  a  collective  bargaining  unit.  The  Company  considers  its 
relationship with its associates to be good.  

Executive Officers of the Company 

The following table sets forth certain information as of February 1, 2018, regarding the executive officers of the Company:  

Name 

Michael D. Hays 

Steven D. Jackson 

Kevin R. Karas 

Age 

63 

42 

60 

Position 

Chief Executive Officer 

President 

Senior  Vice  President  Finance,  Chief  Financial  Officer, 
Treasurer and Secretary 

7 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Michael D. Hays has served as Chief Executive Officer and a director since he founded the Company in 1981. He also served as 
President of the Company from 1981 to 2004 and from July 2008 to July 2011. Prior to founding the Company, Mr. Hays served for 
seven years as a Vice President and a director of SRI Research Center, Inc. (n/k/a the Gallup Organization). 

Steven D. Jackson has served as President of the Company since October 2015. He served as Group President from October 2014 
until  September  2015,  during  which  time  he  oversaw  the  Company’s  Market  Insights,  Transparency,  and  Predictive  Analytics 
business units. Prior to joining the Company, Mr. Jackson served as Chief Strategy Officer for Vocera Communications where he 
was employed from 2007 to 2014. He also served as Chief Operating Officer for ExperiaHealth, a subsidiary of Vocera. Earlier in 
his career, Mr. Jackson held positions of increasing responsibility at The Advisory Board Company, Neoforma, and Stockamp & 
Associates. 

Kevin  R.  Karas  has  served  as  Chief  Financial  Officer,  Treasurer  and  Secretary  of  the  Company  since  September  2011,  and  as 
Senior Vice President Finance since he joined the Company in December 2010. From 2005 to 2010, he served as Vice President of 
Finance  for  Lifetouch  Portrait  Studios,  Inc.,  a  national  retail  photography  company.  Mr.  Karas  also  previously  served  as  Chief 
Financial Officer at CARSTAR, Inc., an automobile collision repair franchise business, from 2000 to 2005, Chief Financial Officer 
at  Rehab  Designs  of  America,  Inc.,  a  provider  of  orthotic  and  prosthetic  services,  from  1993  to  2000,  and  as  a  regional  Vice 
President of Finance and Vice President of Operations at Novacare, Inc., a provider of physical rehabilitation services, from 1988 to 
1993.  He began his career as a Certified Public Accountant at Ernst & Young. 

Executive officers of the Company are elected by and serve at the discretion of the Company’s Board of Directors. There are no 
family relationships between any directors or executive officers of NRC Health. 

Available Information 

More  information  regarding  NRC  Health  is  available  on  the  Company's  website  at  www.nrchealth.com.  NRC  Health  is  not 
including the information contained on or available through its website as part of, or incorporating such information by reference 
into, this Annual Report on Form 10-K. The Company's Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current 
Reports on Form 8-K and any amendments to those reports are made available to the public at no charge through a link appearing 
on the Company's website. NRC Health provides access to such materials through its website as soon as reasonably practicable after 
electronically  filing  such  material  with,  or  furnishing  it  to,  the  Securities  and  Exchange  Commission.  Reports  and  amendments 
posted on the Company’s website do not include access to exhibits and supplemental schedules electronically filed with the reports 
or amendments. 

Item 1A.   Risk Factors 

You should carefully consider each of the risks described below, together with all of the other information contained in this Annual 
Report on Form 10-K, before making an investment decision with respect to our securities. If any of the following risks develop 
into actual events, our business, financial condition or results of operations could be materially and adversely affected and you may 
lose all or part of your investment. 

We  depend  on  contract  renewals,  including  retention  of  key  clients,  for  a  large  share  of  our  revenue  and  our  operating 
results could be adversely affected. 

We expect that a substantial portion of our revenue for the foreseeable future will continue to be derived from renewable service 
contracts. Substantially all contracts are renewable annually at the option of our clients, although contracts with clients under unit-
based arrangements generally have no minimum purchase commitments. Client contracts are generally cancelable on short notice 
without  penalty,  however  we  are  entitled  to  payment  for  services  through  the  cancellation  date.  To  the  extent  that  clients  fail  to 
renew or defer their renewals, we anticipate our results may be materially adversely affected. We rely on a limited number of key 
clients  for  a  substantial  portion  of  our  revenue.  The  Company’s  ten  largest  clients  accounted  for  19%,  17%,  and  15%  of  the 
Company’s total revenue in 2017, 2016, and 2015, respectively. Our ability to secure renewals depends on, among other things, our 
ability to gather and analyze performance data in a consistent, high-quality, and timely fashion. In addition, the service needs of our 
clients are affected by accreditation requirements, enrollment in  managed care plans, the level of use of satisfaction  measures in 
healthcare  organizations’  overall  management  and  compensation  programs,  the  size  of  operating  budgets,  clients’  operating 
performance, industry and economic conditions, and changes in management or ownership. As these factors are beyond our control, 
we  cannot  ensure  that  we  will  be  able  to  maintain  our  renewal  rates.  Any  material  decline  in  renewal  rates  from  existing  levels 
would have an adverse effect on our revenue and a corresponding effect on our operating and net income.  

8Our operating results may fluctuate and this may cause our stock price to decline.  

Our overall operating results may fluctuate as a result of a variety of factors, including the size and timing of orders from clients, 
client demand for our services (which, in turn, is affected by factors such as accreditation requirements, enrollment in managed care 
plans,  operating  budgets  and  clients’  operating  performance),  the  hiring  and  training  of  additional  staff,  expense  increases,  and 
industry  and  general  economic  conditions.  Because  a  significant  portion  of  our  overhead  is  fixed  in  the  short-term,  particularly 
some costs associated with owning and occupying our building and full-time personnel expenses, our results of operations may be 
materially adversely affected in any particular period if revenue falls below our expectations. These factors, among others, make it 
possible that in some future period our operating results may be below the expectations of securities analysts and investors which 
would have a material adverse effect on the market price of our class A common stock and/or our class B common stock.  

We operate in a highly competitive market and could experience increased price pressure and expenses as a result. 

The  healthcare  information  and  market  research  services  industry  is  highly  competitive.  We  have  traditionally  competed  with 
healthcare  organizations’  internal  marketing,  market  research  and/or  quality  improvement  departments  that  create  their  own 
performance  measurement  tools,  and  with  relatively  small  specialty  research  firms  that  provide  survey-based  healthcare  market 
research  and/or  performance  assessment.  The  Company’s  primary  competitors  among  such  specialty  firms  include  Press  Ganey, 
which we believe has significantly higher annual revenue than us, and three or four other firms that we believe have lower annual 
revenue  than  us.  To  a  certain  degree,  we  currently  compete  with,  and  anticipate  that  in  the  future  we  may  increasingly  compete 
with,  (1)  market  research  firms  and  technology  solutions  which  provide  survey-based,  general  market  research  or  Voice  of  the 
Customer  Feedback  capabilities  and  (2)  firms  which  provide  services  or  products  that  complement  healthcare  performance 
assessments, such as healthcare software or information systems. Although only a few of these competitors have offered specific 
services  that  compete  directly  with  our  services,  many  of  these  competitors  have  substantially  greater  financial,  information 
gathering,  and  marketing  resources  than  the  Company  and  could  decide  to  increase  their  resource  commitments  to  our  market. 
There are relatively  few barriers  to  entry  into  the  Company’s  market,  and  we  expect  increased competition  in  our  market which 
could adversely affect our operating results through pricing pressure, increased marketing expenditures, and market share losses, 
among other factors. There can be no assurance that the Company will continue to compete successfully against existing or new 
competitors.  

Because  our  clients  are  concentrated  in  the  healthcare  industry,  our  revenue  and  operating  results  may  be  adversely 
affected by changes in regulations, a business downturn or consolidation with respect to the healthcare industry. 

Substantially all of our revenue is derived from clients in the healthcare industry. As a result, our business, financial condition and 
results of operations are influenced by conditions affecting this industry, including changing political, economic, competitive and 
regulatory influences that may affect the procurement practices and operation of healthcare providers and payers. The 2010 Federal 
comprehensive  healthcare  reform  plan,  which  includes  provisions  to  control  healthcare  costs,  improve  healthcare  quality  and 
expand access to affordable health insurance, could result in lower reimbursement rates and otherwise change the environment in 
which providers and payers operate. In addition, large private purchasers of healthcare services are placing increasing cost pressure 
on providers. Healthcare providers may react to these cost pressures and other uncertainties by curtailing or deferring purchases, 
including purchases of our services. Moreover, there has been consolidation of companies in the healthcare industry, a trend which 
we believe will continue to grow. Consolidation in this industry, including the potential acquisition of certain of our clients, could 
adversely affect aggregate client budgets for our services or could result in the termination of a client’s relationship with us. The 
impact of these developments on the healthcare industry is difficult to predict and could have an adverse effect on our revenue and a 
corresponding effect on our operating and net income. 

9 
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We rely on third parties whose actions could have a material adverse effect on our business. 

We outsource certain operations and engage third parties to perform work needed to fulfill our client services. For example, we use 
vendors to perform certain printing, mailing, information transmittal and other services related to our survey operations. If any of 
these vendors cease to operate or fail to adequately perform the contracted services and alternative resources and processes are not 
utilized in a timely manner, our business could be adversely affected. The loss of any of our key vendors could impair our ability to 
perform our client services and result in lower revenues and income. It would also be time-consuming and expensive to replace, 
either directly or through other vendors, the services performed by these vendors, which could adversely impact revenues, expenses 
and  net  income.  Furthermore,  our  ability  to  monitor  and  direct  our  vendors’  activities  is  limited.  If  their  actions  and  business 
practices  violate  policies,  regulations  or  procedures  otherwise  considered  illegal,  we  could  be  subject  to  reputational  damage  or 
litigation which would adversely affect our business. 

We face several risks relating to our ability to collect the data on which our business relies. 

Our  ability  to  provide  timely  and  accurate  performance  measurement  and  improvement  services  to  our  clients  depends  on  our 
ability to collect large quantities of high-quality data through surveys and interviews. If our mail survey operations are disrupted 
and  we  are  unable  to  mail  our  surveys  in  a  timely  manner,  then  our  revenue  and  net  income  could  be  negatively  impacted.  If 
receptivity to our survey and interview methods by respondents declines, or, for some other reason, their willingness to complete 
and return surveys declines, or if we, for any reason, cannot rely on the integrity of the data we receive, then our revenue could be 
adversely affected with a corresponding effect on our operating and net income. We also rely on third-party panels of pre-recruited 
consumer  households  to  produce  NRC  Health’s  Market  Insights  in  a  timely  manner.  If  we  are  not  able  to  continue  to  use  these 
panels,  or  the  time  period  in  which  we  use  these  panels  is  altered  and  we  cannot  find  alternative  panels  on  a  timely,  cost-
competitive basis, we could face an increase in our costs or an inability to effectively produce NRC Health’s Market Insights. In 
either case, our operating and net income could be negatively affected.  

Our  principal  shareholder  effectively  controls  the  Company,  and  holders  of  class  A  common  stock  are  not  able  to 
independently  elect  directors  of NRC  Health or  control  any of the Company's  management  policies  or  business  decisions 
because the holders of class A common stock have substantially less voting power than the holders of the Company's class B 
common stock, a majority of which is beneficially owned by our principal shareholder. 

The Company's outstanding stock is divided into two classes of common stock: class A common stock and class B common stock. 
th) of
The class B common stock has one vote per share on all matters and the class A common stock has one-one-hundredth (1/100
one  vote  per  share.  As  of  February  16,  2018,  the  class  B  common  stock  constituted  approximately  94%  of  NRC  Health's  total 
voting  power.  As  a  result,  holders  of  class  B  common  stock  are  able  to  exercise  a  controlling  influence  over  the  Company's 
business, have the power to elect its directors and indirectly control decisions such as whether to issue additional shares, declare and 
pay dividends or enter into significant corporate transactions. A majority of the class B common stock was historically owned by 
Michael  D.  Hays,  our  Chief Executive Officer. However, in  January  and  February 2018  Mr. Hays, for  estate  planning purposes, 
gifted and/or transferred all of his directly owned class B common stock and class A common stock indirectly to the Amandla MK 
Trust (the “New Trust”), a trust for the benefit of Mr. Hays’ family. 

10As of February 16, 2018, approximately 53% of the outstanding class B common stock and approximately 26% of the outstanding 
class A common stock was owned by the New Trust, and that collectively constituted approximately 52% of the Company's total 
voting power. As a result, the New Trust can control matters requiring shareholder approval, including the election of directors and 
the approval of significant corporate matters such as change of control transactions. The effects of such influence could be to delay 
or prevent a change of control of the Company unless the terms are approved by the New Trust. 

The market prices of our two classes of common stock may be volatile and shareholders may be unable to resell shares at or 
above the price at which the shares were acquired. 

The market price of stock can be highly volatile. As a result, the market prices and trading volumes of each of our two classes of 
common  stock  may  also  be  highly  volatile,  and  investors  in  our  common  stock  may  experience  a  decrease  in  the  value  of  their 
shares, including decreases that are in response to factors beyond our control, including, but not limited to: 

●  Variations in our financial performance and that of similar companies; 
●  Regulatory and other developments that may impact the demand for our services; 
●  Reaction to our press releases, public announcements and filings with the Securities and Exchange Commission; 
●  Client, market and industry perception of our services and performance; 
●  Actions of our competitors; 
●  Changes in earnings estimates or recommendations by analysts who follow our stock; 
●  Loss of key personnel; 
● 
●  Changes in accounting principles; and 
●  Variations in general market, economic and political conditions or financial markets. 

Investor or management team sales of our stock; 

Any  of  these  factors,  among  others,  may  result  in  changes  in  the  trading  volumes  and/or  market  prices  of  each  of  our  classes 
common stock. Following periods of volatility in the market price of a company’s securities, shareholders have often filed securities 
class-action  lawsuits.  Our  involvement  in  a  class-action  lawsuit  would  result  in  substantial  legal  fees  and  divert  our  senior 
management’s attention from operating our business, which could harm our business and net income. 

Our business and operating results could be adversely affected if we are unable to attract or retain key managers and other 
personnel. 

Our future performance may depend, to a significant extent, upon the efforts and ability of our key personnel who have expertise in 
gathering, interpreting and marketing survey-based performance information for healthcare markets. Although client relationships 
are managed at many levels within our company, the loss of the services of Michael D. Hays, our Chief Executive Officer, or one or 
more of our other senior managers, could have a material adverse effect, at least in the short to medium term, on most significant 
aspects of our business, including strategic planning, product development, and sales and customer relations. Our success will also 
depend on our ability to hire, train and retain skilled personnel in all areas of our business. Currently, we do not have employment 
agreements with our officers or our other key personnel. Competition for qualified personnel in our industry is intense, and many of 
the  companies  that  compete  with  us  for  qualified  personnel  have  substantially  greater  financial  and  other  resources  than  us. 
Furthermore, we expect competition for qualified personnel to become more intense as competition in our industry increases. We 
cannot  assure  you  that  we  will  be  able  to  recruit,  retain  and  motivate  a  sufficient  number  of  qualified  personnel  to  compete 
successfully. 

11 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If intellectual property and other proprietary information technology were copied or independently developed by our 
competitors, our operating results could be negatively affected.  

Our success depends in part upon our data collection process, research methods, data analysis techniques, and internal systems and 
procedures that we have developed specifically to serve clients in the healthcare industry. We have no patents. Consequently, we 
rely  on  a  combination  of  copyright,  trade  secret  laws  and  associate  nondisclosure  agreements  to  protect  our  systems,  survey 
instruments and procedures. We cannot assure you that the steps we have taken to protect our rights will be adequate to prevent 
misappropriation of such rights, or that third parties will not independently develop functionally equivalent or superior systems or 
procedures. We believe that our systems and procedures and other proprietary rights do not infringe upon the proprietary rights of 
third parties. We cannot assure you, however, that third parties will not assert infringement claims against us in the future, or that 
any  such  claims  will  not  result  in  protracted  and  costly  litigation,  regardless  of  the  merits  of  such  claims,  or  whether  we  are 
ultimately successful in defending against such claims. 

Our  business  and  operating  results  could  be  adversely  affected  if  we  experience  business  interruptions  or  failure  of  our 
information technology and communication systems. 

Our  ability  to  provide  timely  and  accurate  performance  measurement  and  improvement  services  to  our  clients  depends  on  the 
efficient and uninterrupted operation of our information technology and communication systems, and those of our external service 
providers. Our systems and those of our external service providers, could be exposed to damage or interruption from fire, natural 
disasters,  energy  loss,  telecommunication  failure,  security  breach  and  computer  viruses.  An  operational  failure  or  outage  in  our 
information technology and communication systems or those of our external service providers, could result in loss of customers, 
damage to customer relationships, reduced revenue and profits, refunds of customer charges and damage our reputation and may 
result in additional expense to repair or replace damaged equipment and recover data loss resulting from the interruption. Although 
we  have  taken  steps  to  prevent  system  failures  and  have  back-up  systems  and  procedures  to  prevent  or  reduce  disruptions,  such 
steps  may  not  prevent  an  interruption  of  services  and  our  disaster  recovery  planning  may  not  account  for  all  contingencies. 
Additionally,  our  insurance  may  not  adequately  compensate  us  for  all  losses  or  failures  that  may  occur.  Any  one  of  the  above 
situations could have a material adverse effect on our business, financial condition, results of operations and reputation. 

Security breaches or computer viruses could harm our business. 

In connection with our client services, we receive, process, store and transmit sensitive business information electronically over the 
internet. Computer viruses could spread throughout our systems and disrupt operations and service delivery. Unauthorized access to 
our computer systems or databases could result in the theft or publication of confidential information or the deletion or modification 
of records or could otherwise cause interruption in our operations. We cannot be certain that the technology protecting our networks 
and information will successfully prevent computer viruses, data thefts, release of confidential information or security breaches. A 
compromise  in  our  data  security  systems  that  results  in  inappropriate  disclosure  of  our  associates',  customers'  or  vendors' 
confidential  information,  could  harm  our  reputation  and  expose  us  to  regulatory  action  and  claims.  Changes  in  privacy  and 
information security laws and standards may require we incur significant expense to ensure compliance due to increased technology 
investment  and  operational  procedures.  An  inability  to  prevent  security  breaches  or  computer  viruses  or  failure  to  comply  with 
privacy  and  information  security  laws  could  result  in  litigation  and  regulatory  risk,  loss  of  customers,  damage  to  customer 
relationships, reduced revenue and profits, refunds of customer charges and damage our reputation, which could adversely affect 
our business, financial condition, results of operations and reputation.  

Reputational harm could have a material adverse effect on our business, financial condition and results of operations. 

Our ability to maintain a good reputation is critical to selling our services. Our reputation could be adversely impacted by any of the 
following (whether or not valid): the failure to maintain high ethical and social standards; the failure to perform our client services 
in  a  timely  manner;  violations  of  laws  and  regulations;  and  the  failure  to  maintain  an  effective  system  of  internal  controls  or  to 
provide accurate and timely financial information. Damage to our reputation or loss of our clients’ confidence in our services for 
any of these, or any other reasons, could adversely impact our business, revenues, financial condition, and results of operations, as 
well as require additional resources to rebuild our reputation. 

12Our operations are subject to laws and regulations that impose significant compliance costs and create reputational and 
legal risk.  

Due  to  the  nature  of  the  services  we  offer,  we  are  subject  to  significant  commercial,  trade  and  privacy  regulations.  We  cannot 
predict  the  nature,  scope  or  effect  of  future  regulatory  requirements  to  which  our  operations  might  be  subject  or  the  manner  in 
which existing laws might be administered or interpreted, which could have a material and negative impact on our business and our 
results of operation. For example, recent years have seen an increase in the development or enforcement of legislation related to 
healthcare  reform,  privacy,  trade  compliance  and  anti-corruption.  Additionally,  some  of  the  services  we  provide  include 
information our clients need to fulfill regulatory reporting requirements. If our services result in errors or omissions in our clients’ 
regulatory reporting, we may be subject to loss of clients, reputational harm or litigation, each potentially adversely impacting our 
business. Furthermore, although we maintain a variety of internal policies and controls designed to educate, discourage, prevent and 
detect violations of such laws, we cannot guarantee that such actions will be effective or sufficient or that individual employees will 
not engage in inappropriate behavior in breach of our policies. Such conduct, or even an allegation of misbehavior, could result in 
material adverse reputational harm, costly investigations, severe criminal or civil sanctions, or could disrupt our business, and could 
negatively affect our results of operations or financial condition.  

Failure to comply with public company regulations could adversely impact our profitability. 

As a public company, we are subject to the reporting requirements of the Securities Exchange Act of 1934, the Sarbanes-Oxley Act 
of 2002, the Dodd-Frank Act Wall Street Reform and Consumer Protection Act, the listing requirements of NASDAQ and other 
applicable securities rules and regulations. Additionally, laws, regulations and standards relating to corporate governance and public 
disclosure are subject to varying interpretations and continue to develop and change. If we misinterpret or fail to comply with these 
rules and regulations, our legal and financial compliance costs and net income may be adversely affected.  

Our growth strategy includes future acquisitions and/or investments which involve inherent risk. 

In order  to  expand  services or  technologies  to  existing  clients  and  increase  our  client  base, we have historically,  and  may  in the 
future,  make  strategic  business  acquisitions  and/or  investments  that  we  believe  complement  our  business.  Acquisitions  have 
inherent  risks  which  may  have  material  adverse  effects  on  our  business,  financial  condition,  or  results  of  operations,  including, 
among other things: (1) failure to successfully integrate the purchased operations, technologies, products or services and maintain 
uniform  standard  controls,  policies  and  procedures;  (2)  substantial  unanticipated  integration  costs;  (3)  loss  of  key  associates 
including  those  of  the  acquired business;  (4) diversion of  management’s  attention from  other  operations; (5)  failure  to  retain the 
customers  of  the  acquired  business;  (6)  failure  to  achieve  any  projected  synergies  and  performance  targets;  (7)  additional  debt 
and/or  assumption  of  known  or  unknown  liabilities;  (8)  dilutive  issuances  of  equity  securities;  and  (9)  a  write-off  of  goodwill, 
software  development  costs,  client  lists,  other  intangibles  and  amortization  of  expenses.  If  we  fail  to  successfully  complete 
acquisitions or integrate acquired businesses, we may not achieve projected results and there may be a material adverse effect on 
our business, financial condition and results of operations. 

Item 1B.   Unresolved Staff Comments 

The Company has no unresolved staff comments to report pursuant to this item. 

Item 2. 

Properties 

The Company’s headquarters is located in an owned office building in Lincoln, Nebraska, of which 62,000 square feet are used for 
the Company’s operations. This facility houses all the capabilities necessary for NRC Health’s survey programming, printing and 
distribution, data processing, analysis and report generation, marketing, and corporate administration. The Company’s term note is 
secured by this property, among other things. 

13 
  
 
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company is leasing 4,000 square feet of office space in Markham, Ontario, 3,900 square feet of office space in San Diego, 
California, 8,100 square feet of office space in Seattle, Washington and 6,200 square feet of office space in Atlanta, Georgia.  

Item 3.   Legal Proceedings 

From time to time, the Company is involved in certain claims and litigation arising in the normal course of business. Management 
assesses the probability of loss for such contingencies and recognizes a liability when a loss is probable and estimable. 

Since the September 2017 announcement of the original proposed recapitalization plan (see Note 13 to the Company’s consolidated 
financial statements), three purported class action and/or derivative complaints have been filed in state or federal courts by three 
individuals claiming to be shareholders of the Company. All of the complaints name as defendants the Company and the individual 
directors  of  the  Company.  Two  of  these  lawsuits  were  filed  in  the  United  States  District  Court  for  the  District  of  Nebraska—  a 
putative class action lawsuit captioned Gennaro v. National Research Corporation, et al., which was filed on November 15, 2017, 
and a putative class and derivative action lawsuit captioned Gerson v. Hays, et al., which was filed on November 16, 2017. These 
lawsuits  were  consolidated  by  order  of  the  federal  court.  A  third  lawsuit  was  filed  the  Circuit  Court  for  Milwaukee  County, 
Wisconsin—a putative class action lawsuit captioned Apfel v. Hays, et al, which was filed on December 1, 2017. The allegations in 
all of the lawsuits are very similar. The plaintiffs allege, among other things, that the defendants breached their fiduciary duties in 
connection  with  the  allegedly  unfair  proposed  transaction,  at  an  allegedly  unfair  price,  conducted  in  an  allegedly  unfair  and 
conflicted process and in alleged violation of Wisconsin law and the Company’s Articles of Incorporation. One of the lawsuits also 
alleges  the  proposed  transaction  is  a  voidable  “conflict  of  interest  transaction”  under  Wisconsin  statutes.  The  plaintiffs  in  these 
lawsuits seek, among other things, an injunction enjoining the defendants from consummating the original proposed recapitalization 
plan, damages, equitable relief and an award of attorneys’ fees and costs of litigation. The Company believes that the allegations of 
the  complaints  are  without  merit  and  intends  to  defend  these  lawsuits  vigorously.  Despite  the  changes  to  the  original  proposed 
recapitalization  plan  that  culminated  in  the  December  13,  2017  announcement  of  a  revised  proposed  recapitalization  plan  (the 
“Proposed  Recapitalization”),  the  Company  expects  that  these  shareholders  or  other  shareholders  might  assert  similar  claims 
regarding  the  Proposed  Recapitalization.  The  Company  will  defend  any  such  lawsuits  vigorously.  As  of  December  31,  2017,  no 
losses have been accrued as the Company does not believe the losses are probable or estimable. 

Item 4.   Mine Safety Disclosures 

Not applicable. 

14PART II 

Item 5. 

Market  for  the  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and  Issuer  Purchases  of  Equity
Securities 

In  May  2013,  the  Company  consummated  a  recapitalization  (the  “May  2013  Recapitalization”)  pursuant  to  which  the  Company 
established two classes of common stock (class A common stock and class B common stock), issued a dividend of three shares of 
class A common stock for each share of the Company’s then existing common stock and reclassified each then existing share of 
common stock as one-half of one share of class B common stock. Following the May 2013 Recapitalization, the Company’s class A 
common stock and the Company’s class B common stock are traded on the NASDAQ Global Market under the symbols “NRCIA” 
and “NRCIB,” respectively. 

The following table sets forth the range of high and low sales prices for, and dividends declared on the class A common stock and 
class B common stock for the period from January 1, 2016, through December 31, 2017:  

Class A 

Class B 

High 

Low 

Dividends 
Declared Per 
Common 
Share 

High 

Low 

Dividends 
Declared Per 
Common 
Share 

  $ 
  $ 
  $ 
  $ 

  $ 
  $ 
  $ 
  $ 

16.10    $ 
16.67    $ 
17.14    $ 
20.00    $ 

20.93    $ 
28.75    $ 
41.99    $ 
39.00    $ 

13.70    $ 
12.53    $ 
13.26    $ 
14.35    $ 

16.50    $ 
19.15    $ 
26.70    $ 
31.40    $ 

0.08    $ 
0.08    $ 
0.08    $ 
0.10    $ 

0.10    $ 
0.10    $ 
0.10    $ 
0.10    $ 

36.87    $ 
44.60    $ 
38.50    $ 
46.37    $ 

41.73    $ 
49.29    $ 
57.21    $ 
58.16    $ 

32.99    $ 
33.19    $ 
32.18    $ 
32.57    $ 

38.76    $ 
39.00    $ 
47.07    $ 
50.46    $ 

0.48  
0.48  
0.48  
0.60  

0.60  
0.60  
0.60  
0.60  

2016 Quarter Ended: 
March 31 
June 30 
September 30 
December 31 
2017 Quarter Ended 
March 31 
June 30 
September 30 
December 31 

Cash dividends in the aggregate amount of $16.9 million were declared in 2017 with $12.7 million paid in 2017 and the remaining 
$4.2  million  paid  in  January  2018.  Cash  dividends  in  the  aggregate  amount  of  $14.3  million  were  declared  in  2016  with  $10.1 
million paid in 2016 and the remaining $4.2 million paid in January 2017. The payment and amount of future dividends, if any, is at 
the discretion of the Company’s Board of Directors and will depend on the Company’s future earnings, financial condition, general 
business conditions, alternative uses of the Company’s earnings and other factors. 

On February 16, 2018, there were approximately 15 shareholders of record and approximately 3,863 beneficial owners of the class 
A common stock and approximately 11 shareholders of record and approximately 1,447 beneficial owners of the class B common 
stock. 

In February 2006, the Board of Directors of the Company authorized the repurchase of 2,250,000 shares of class A common stock 
and  375,000  shares  of  class  B  common  stock  (on  a  post-May  2013  Recapitalization  basis)  in  the  open  market  or  in  privately 
negotiated transactions. Unless terminated earlier by resolution of the Company’s Board of Directors, the repurchase program will 
expire  when  the  Company  has  repurchased  all  shares  authorized  for  repurchase  thereunder.  As  of  February  16,  2018,  1,969,509 
shares of class A common stock and 305,509 shares of class B common stock have been repurchased under that authorization. No 
class A or class B common stock was repurchased during the three-month period ended December 31, 2017. The remaining shares 
that may be purchased under that authorization are 280,491 and 69,491 for class A and class B common stock, respectively.  

15 
The following graph compares the cumulative 5-year total return provided shareholders on the Company’s common stock relative 
to  the  cumulative  total  returns  of  the  NASDAQ  Composite  Index  and  the  Russell  2000  Index.  An  investment  of  $100  (with 
reinvestment of all dividends) is assumed to have been made in our common stock and in each of the indexes on December 31, 
2012 (or on May 23, 2013 for our class A common stock which was the first day it was traded), and its relative performance is 
tracked  through  December  31,  2017.  In  accordance  with  Securities  and  Exchange  Commission  guidance,  in  calculating  the 
cumulative 5-year total return on our class B common stock, we gave retroactive effect to the May 2013 Recapitalization (i.e., as if 
it had occurred on December 31, 2012).    

The stock price performance included in this graph is not necessarily indicative of future stock price performance. 

12/12    

5/23/13    

12/13    

12/14    

12/15  

12/16  

12/17  

National Research Corporation - 
Class B 

National Research Corporation - 
Class A 

100.00  

--  

116.56  

122.01  

135.26  

166.45  

235.18  

---  

100.00  

94.10  

70.25  

83.85  

101.51  

202.11  

NASDAQ Composite 

Russell 2000 

100.00  

100.00  

--  

--  

141.63  

162.09  

173.33  

187.19  

242.29  

138.82  

145.62  

139.19  

168.85  

193.58  

16Item 6. 

Selected Financial Data 

The selected statement of income data for the years ended December 31, 2017, 2016 and 2015, and the selected balance sheet data 
at December 31, 2017 and 2016, are derived from, and are qualified by reference to, the audited consolidated financial statements of 
the Company included elsewhere in this Annual Report on Form 10-K. The selected statement of income data for the year ended 
December 31,  2014  and  2013,  and  the  balance  sheet  data  at  December  31,  2015,  2014  and  2013,  are  derived  from  audited 
consolidated  financial  statements  not  included  herein.  The  Company acquired  Digital  Assent,  LLC  on  October  28,  2014  and 
disposed of selected assets and liabilities related to the clinical workflow product of its Predictive Analytics operating segment on 
December 21, 2015. The acquisition and disposal did not have a significant impact on the Company’s financial results, therefore, 
the historical data in the table below have not been adjusted.  

Statement of Income Data: 
Revenue 
Operating expenses: 

Direct 
Selling, general and administrative 
Depreciation and amortization 
Total operating expenses 

Operating income 
Other income (expense) 
Income before income taxes 
Provision for income taxes 
Net income 
Earnings per share common stock: 
Basic Earnings per share: 

Class A 
Class B 

Diluted Earnings per share: 

Class A 
Class B 

Weighted average share and share equivalents 
outstanding: 

Class A – basic 
Class B – basic 
Class A – diluted 
Class B – diluted 

2017 

Year Ended December 31, (a) 
2014 
2015 
2016 
(In thousands, except per share data) 

2013 

  $ 

117,559    $ 

109,384    $ 

102,343    $ 

98,837    $ 

92,590  

49,068  
29,686  
4,586  
83,340  
34,219  
64  
34,283  
11,340  
22,943    $ 

0.54    $ 
3.26    $ 

0.52    $ 
3.18    $ 

45,577  
28,385  
4,225  
78,187  
31,197  
159  
31,356  
10,838  
20,518    $ 

0.49    $ 
2.93    $ 

0.48    $ 
2.88    $ 

44,610  
27,177  
4,109  
75,896  
26,447  
913  
27,360  
9,750  
17,610    $ 

0.42    $ 
2.52    $ 

0.41    $ 
2.49    $ 

41,719  
25,018  
3,804  
70,541  
28,296  
(204) 
28,092  
9,936  
18,156    $ 

0.44    $ 
2.62    $ 

0.43    $ 
2.57    $ 

38,844  
25,208  
3,732  
67,784  
24,806  
(318) 
24,488  
9,004  
15,484  

0.37  
2.25  

0.37  
2.20  

  $ 

  $ 
  $ 

  $ 
  $ 

20,770  
3,514  
21,627  
3,603  

20,713  
3,505  
21,037  
3,560  

20,741  
3,478  
20,981  
3,522  

20,764  
3,473  
21,076  
3,536  

20,677  
3,447  
21,099  
3,514  

2017 

2016 

2015 
(In thousands) 

2014 

2013 

Balance Sheet Data: 
Working capital surplus (deficiency) 
Total assets 
Total debt and capital lease obligations, including 

current portion 

Total shareholders’ equity 

  $ 

19,949    $ 

127,316  

15,551    $ 
120,624  

10,890    $ 
128,049  

25,262    $ 

129,510  

12,784  
111,088  

1,225  
90,041    $ 

3,732  
82,806    $ 

5,917  
74,222    $ 

8,386  
87,748    $ 

10,546  
71,755  

  $ 

(a)  All share and per share data have been retroactively adjusted to give effect to the May 2013 Recapitalization as further 

described in Item 5. 

17Item 7. 

Management’s Discussion and Analysis of Financial Condition and Results of Operations 

Overview 

The  Company  is  a  leading  provider  of  analytics  and  insights  that  facilitate  measurement  and  improvement  of  the  patient  and 
employee  experience  while  also  increasing  patient  engagement  and  customer  loyalty  for  healthcare  providers,  payers  and  other 
healthcare organizations. The Company’s solutions enable its clients to understand the voice of the customer with greater clarity, 
immediacy and depth. NRC Health’s heritage, proprietary methods, and holistic approach enable our partners to better understand 
the people they care for and design experiences that inspire loyalty and trust, while also facilitating regulatory compliance and the 
shift  to  population-based  health  management.  The  Company’s  ability  to  measure  what  matters  most  and  systematically  capture, 
analyze  and  deliver  insights  based  on  self-reported  information  from  patients,  families  and  consumers  is  critical  in  today’s 
healthcare market. NRC Health believes that access to and analysis of its extensive consumer-driven information is becoming more 
valuable  as  healthcare  providers  increasingly  need  to  more  deeply  understand  and  engage  patients  and  consumers  in  an  effort 
towards effective population-based health management.  

The Company’s portfolio of subscription-based solutions provide actionable information and analysis to healthcare organizations 
and payers across a range of mission-critical, constituent-related elements, including patient experience and satisfaction, community 
population  health  risks,  workforce  engagement,  community  perceptions,  and  physician  engagement.  NRC  Health  partners  with 
clients  across  the  continuum  of  healthcare  services.  The  Company’s  clients  range  from  integrated  health  systems  and  post-acute 
providers, such as home health, long term care and hospice, to numerous payer organizations. The Company believes this cross-
continuum positioning is a unique and an increasingly important capability as evolving payment models drive healthcare providers 
and payers towards a more collaborative and integrated service model. 

Investments 

The Company makes equity investments to promote business and strategic objectives. For investments that do not have a readily 
determinable fair value, the Company applies either cost or equity method of accounting depending on the nature of its investment 
and  its  ability  to  exercise  significant  influence.  Investments  are  periodically  analyzed  to  determine  whether  or  not  there  are  any 
indicators of impairment and written down to fair value if the investment has incurred an other than temporary impairment. During 
2017, the Company acquired a $1.3 million investment in convertible preferred stock of PracticingExcellence.com, Inc., a privately-
held Delaware Corporation (“PX”), which is carried at cost and included in other non-current assets. The Company has a seat on 
PX's  board  of  directors  and  the  Company's  investment,  which  is  not  considered  to  be  in-substance  common  stock, represents 
approximately 15.7% of the issued and outstanding equity interests in PX. 

Divestitures 

On December 21, 2015, the Company completed the sale of selected assets and liabilities related to the clinical workflow product of 
the former Predictive Analytics operating segment, for a net cash amount of approximately $1.6 million.  The Company recorded a 
gain  of  approximately  $1.1  million  from  the  sale  in  the  fourth  quarter  of  2015,  which  is  included  in  other  income  on  the 
Consolidated  Statement  of  Income.  An  additional  gain  was  recorded  in  December  2016,  when  $223,000  was  received  from 
proceeds placed in escrow at the time of sale.  

18Critical Accounting Policies and Estimates 

The  preparation  of  financial  statements  requires  management  to  make  estimates  and  assumptions  that  affect  amounts  reported 
therein.  The  most  significant  of  these  areas  involving  difficult  or  complex  judgments  made  by  management  with  respect  to  the 
preparation of the Company’s consolidated financial statements for 2017 include: 

●
●
●

Revenue recognition;
Valuation of goodwill and identifiable intangible assets; and
Income taxes.

Revenue Recognition 

The  Company  derives  a  majority  of  its  operating  revenue  from  its  annually  renewable  services,  which  include  performance 
measurement  and  improvement  services,  healthcare  analytics  and  governance  education  services.  The  Company  provides  these 
services to its clients under annual client service contracts, although such contracts are generally cancelable on short notice without 
penalty. However, the Company is entitled to payment for services through the cancellation date.  

Services are provided under subscription-based service agreements. The Company recognizes subscription-based service revenue 
over the period of time the service is provided. Generally, the subscription periods are for twelve months and revenue is recognized 
equally over the subscription period. 

Certain  contracts,  excluding  subscription-based  service  agreements,  are  fixed-fee  arrangements  with  a  portion  of  the  project  fee 
billed in advance and the remainder billed periodically over the duration of the project. Revenue and direct expenses for services 
provided  under  these  contracts  are  recognized  under  the  proportional  performance  method.  Under  the  proportional  performance 
method,  the  Company  recognizes  revenue  based  on  output  measures  or  key  milestones  such  as  survey  set-up,  survey  mailings, 
survey returns and reporting. The Company measures its progress based on the level of completion of these output measures and 
recognizes  revenue  accordingly.  Management  judgments  and  estimates  must  be  made  and  used  in  connection  with  revenue 
recognized using the proportional performance method. If management made different judgments and estimates, then the amount 
and timing of revenue for any period could differ materially from the reported revenue. 

The  Company’s  revenue  arrangements  with  a  client  may  include  combinations  of  performance  measurement  and  improvement 
services, healthcare analytics or governance education services which may be executed at the same time, or within close proximity 
of one another (referred to as a  multiple-element arrangement). When the periods or patterns of revenue recognition differ, each 
element of a multiple-element arrangement is accounted for as a separate unit of accounting provided each delivered element is sold 
separately  by  the  Company  or  another  vendor;  and  for  an  arrangement  that  includes  a  general  right  of  return  relative  to  the 
undelivered elements, delivery or performance of the undelivered services are considered probable and substantially in the control 
of the Company. The Company’s arrangements generally do not include a general right of return related to the delivered services. If 
these criteria are not met, the arrangement is accounted for as a single unit of accounting with revenue generally recognized equally 
over the subscription period or recognized under the proportional performance method. 

When a contract contains multiple elements, revenue is allocated to each separate unit of accounting based on relative selling price 
using a selling price hierarchy: vendor specific objective evidence (“VSOE”), if available, third-party evidence (“TPE”) if VSOE is 
not available, or estimated selling price if VSOE nor TPE is available. VSOE is established based on the services normal selling 
price and discounts for the specific services when sold separately. TPE is established by evaluating similar competitor services in 
standalone arrangements. If neither exists for a deliverable, the best estimate of the selling price (“ESP”) is used for that deliverable 
based on list price, representing a component of management’s market strategy, and an analysis of historical prices for bundled and 
standalone arrangements. Revenue allocated to an element is limited to revenue that is not subject to refund or otherwise represents 
contingent revenue. VSOE, TPE, and ESP are periodically adjusted to reflect current market conditions. These adjustments are not 
expected to differ significantly from historical results. 

19Valuation of Goodwill and Identifiable Intangible Assets 

Intangible assets include customer relationships, trade names, technology, non-compete agreements and goodwill. Intangible assets 
with estimable useful lives are amortized over their respective estimated useful lives to their estimated residual values and reviewed 
for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. 
The  Company  reviews  intangible  assets  with  indefinite  lives  for  impairment  annually  as  of  October  1  and  whenever  events  or 
changes in circumstances indicate that the carrying value of an asset may not be recoverable.  

When performing the impairment assessment, the Company will first assess qualitative factors to determine whether it is necessary 
to  recalculate  the  fair  value  of  the  intangible  assets  with  indefinite  lives.  If  the  Company  believes,  as  a  result  of  the  qualitative 
assessment, that it is more likely than not that the fair value of the indefinite-lived intangibles is less than their carrying amount, the 
Company calculates the fair value using a market or income approach. If the carrying value of intangible assets with indefinite lives 
exceeds  their  fair  value,  then  the  intangible  assets  are  written-down  to  their  fair  values.  The  Company  did  not  recognize  any 
impairments related to indefinite-lived intangibles during 2017, 2016 or 2015. 

Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are 
not individually identified and separately recognized. All of the Company’s goodwill is allocated to its reporting units, which are 
the same as its six operating segments: Experience, The Governance Institute, Market Insights, Transparency, National Research 
Corporation Canada and Transitions. Goodwill is reviewed for impairment at least annually, as of October 1, and whenever events 
or changes in circumstances indicate that the carrying value of goodwill may not be recoverable.  

The  Company  reviews  for  goodwill  impairment  by  first  assessing  qualitative  factors  to  determine  whether  any  impairment  may 
exist.  If  the  Company  believes,  as  a  result  of  the  qualitative  assessment,  that  it  is  more  likely  than  not  that  the  fair  value  of  a 
reporting unit is less than its carrying amount, a quantitative analysis will be performed, and the fair value of the reporting unit is 
compared  with  its  carrying  value  (including  goodwill).  If  the  fair  value  of  the  reporting  unit  exceeds  its  carrying  value,  no 
impairment  exists.  If  the  fair  value  of  the  reporting  unit  is  less  than  its  carrying  value,  then  goodwill  is  written  down  by  this 
difference. The Company performed a qualitative analysis as of October 1, 2017 and determined the fair value of each reporting 
unit  likely  significantly  exceeded  its  carrying  value.  No  impairments  were  recorded  during  the  years  ended  December  31,  2017, 
2016 or 2015.  

Income Taxes 

The Company uses the asset and liability method of accounting for income taxes. Under that method, deferred income tax assets 
and  liabilities  are  recognized  for  the future  tax  consequences  attributable  to  differences  between  the  financial  statement  carrying 
amounts of existing assets and liabilities and their respective tax bases using enacted tax rates. The effect on deferred tax assets and 
liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances, if 
any,  are  established  when  necessary  to  reduce  deferred  tax  assets  to  the  amount  that  is  more  likely  than  not  to  be  realized.  The 
Company  recognizes  the  effect  of  income  tax  positions  only  if  those  positions  are  more  likely  than  not  of  being  sustained. 
Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in 
recognition or measurement are reflected in the period in which the change in judgment occurs. Management judgment is required 
to determine the provision for income taxes and to determine whether deferred income taxes will be realized in full or in part. Such 
judgments  include,  but  are  not  limited  to,  the  likelihood  we  would  realize  the  benefits  of  net  operating  loss  carryforwards,  the 
adequacy of valuation allowances, the election to capitalize or expense costs incurred, and the probability of outcomes of uncertain 
tax positions. It is possible that the various taxing authorities could challenge those judgments or positions and reach conclusions 
that would cause us to incur tax liabilities in excess of, or realize benefits less than, those currently recorded. In addition, changes in 
the geographical mix or estimated amount of annual pretax income could impact our overall effective tax rate. 

20On December 22, 2017, the U.S. government enacted comprehensive tax legislation commonly referred to as the Tax Cut and Jobs 
Act  (the  “Tax  Act”).  The  Tax  Act  makes  broad  and  complex  changes  to  the  U.S.  tax  code  that  affects  2017,  including,  but  not 
limited to, a federal corporate tax rate decrease from 35% to 21% for tax years beginning after December 31, 2017, the transition of 
U.S international taxation from a worldwide tax system to a territorial system, a one-time transition tax on the mandatory deemed 
repatriation of foreign earnings and accelerated depreciation that will allow for full expensing of qualified property.  

On December 22, 2017, the staff of the United States Securities and Exchange Commission issued Staff Accounting Bulletin No. 
118 (“SAB 118”), which provides guidance on accounting for the tax effects of the Tax Act.  SAB 118 provides a measurement 
period that should not extend beyond one year from the Tax Act enactment date for companies to complete the accounting under 
ASC 740, Income Taxes.  In accordance with SAB 118, a company must reflect the income tax effects of those aspects of the Tax 
Act for which the accounting under ASC 740 is complete.  To the extent that a company’s accounting for certain income tax effects 
of  the  Tax  Act  is  incomplete  but  it  is  able  to  determine  a  reasonable  estimate,  it  must  record  and  provisional  estimate  in  the 
financial statements. 

Results of Operations 

The  following  table  and  graphs  set  forth,  for  the  periods  indicated,  selected  financial  information  derived  from  the  Company’s 
consolidated financial statements, including amounts expressed as a percentage of total revenue and the percentage change in such 
items  versus  the  prior  comparable  period  (please  note  that  all  columns  may  not  add  up  to  100%  due  to  rounding).  The  trends 
illustrated  in  the  following  table  and  graphs  may  not  necessarily  be  indicative  of  future  results.  The  discussion  that  follows  the 
information should be read in conjunction with the Company’s consolidated financial statements.  

Percentage of Total Revenue 
Year Ended December 31, 

2017 

2016 

2015 

Percentage 
Increase (Decrease) 

2017 over 
2016 

2016 over 
2015 

Revenue 
Operating expenses: 

Direct 
Selling, general and administrative 
Depreciation and amortization 

Total operating expenses 
Operating income 

100.0%  

100.0%   

100.0%  

41.7  
25.3  
3.9  
70.9  
29.1%  

41.7  
25.9  
3.9  
71.5  
28.5%   

43.6  
26.6  
4.0  
74.2  
25.8%  

7.5%  

7.7  
4.6  
8.5  
6.6  
9.7%  

6.9% 

2.2  
4.4  
2.8  
3.0  
18.0% 

21 
Year Ended December 31, 2017, Compared to Year Ended December 31, 2016 

Revenue. Revenue in 2017 increased 7.5% to $117.6 million, compared to $109.4 million in 2016, which was driven primarily by a 
combination of continued gains in market share and vertical growth in our existing client base. Revenue from subscription-based 
agreements comprised 89.3% of the total revenue in 2017, compared to 88.0 % of total revenue in 2016.  

Direct expenses. Direct expenses increased 7.7% to $49.1 million in 2017, compared to $45.6 million in 2016. This was due to an 
increase in variable expenses of $555,000 and fixed expenses of $2.9 million. Variable expense increased mainly due to increased 
costs to support the larger revenue and higher contracted voice recognition technology, phone costs, and labor costs, partially offset 
by decreased postage, printing and paper costs due to a reduction in postage fees and changes in survey methodologies. Conference 
expenses also decreased over the same period in 2016. Fixed expenses increased primarily as a result of increased salary and benefit 
costs in the customer service area, partially offset by decreased contracted service costs. Direct expenses remained the same as a 
percentage of revenue at 41.7% in 2017 and 2016 as expenses increased by 7.7% while revenue for the same period increased by 
7.5%.  

Selling, general and administrative expenses. Selling, general and administrative expenses increased 4.6% to $29.7 million in 2017 
compared to $28.4 million in 2016, primarily due to expenses associated with the Proposed Recapitalization of $1.4 million, higher 
computer supplies and software license fees of $513,000, and higher recruiting fees of $412,000, partially offset by lower salary 
and  benefit  costs  of  $308,000,   lower  travel  costs  of  $234,000,  lower  development  and  training  costs  of  $205,000,  $177,000 
reduction  for shelf  registration  fees  expensed  in  2016,  and  lower  marketing  expenses  of  $162,000.  Selling,  general,  and 
administrative  expenses  decreased  as  a  percentage  of  revenue  to  25.3%  in  2017,  from  25.9%  for  the  same  period  in  2016  as 
expenses increased by 4.6% while revenue increased by 7.5% during the same period.  

Depreciation and amortization. Depreciation and amortization expenses increased 8.5% to $4.6 million in 2017 compared to $4.2 
million  in  2016  due  to  increased  depreciation  and  amortization  of  $405,000  primarily  from  additional  computer  software 
investments,  partially  offset  by  decreased  amortization  of  $45,000  as  a  result  of  certain  intangibles  becoming  fully  amortized. 
Depreciation and amortization expenses as a percentage of revenue remained the same at 3.9% in 2017 and 2016. 

Other income (expense). Other income (expense) decreased to $64,000 in 2017 compared to $159,000 in 2016. In December 2016, 
an additional gain of $223,000 was recorded due to receipt of funds placed in escrow at the time of the sale of selected assets and 
liabilities  related  to  the  clinical  workflow  product  of  the  Company’s  former  Predictive  Analytics  operating  segment.  This  was 
partially offset by lower interest expense on the term loan in 2017.  

22Provision for income taxes. Provision for income taxes was $11.3 million (33.1% effective tax rate) in 2017, compared to $10.8 
million (34.6% effective tax rate) in 2016. The effective tax rate for the year ended December 31, 2017 decreased primarily due to 
the net benefit of approximately $1.9 million associated with remeasuring deferred tax assets and liabilities to the new lower federal 
rate, partially offset by a one-time mandatory deemed repatriation tax under the Tax Act. In addition, as a result of the Tax Act, the 
Company  determined  that  it  would  no  longer  indefinitely  reinvest  the  earnings  of  its  Canadian  subsidiary  and  recorded  the 
withholding tax of $706,000 associated with this planned repatriation. The 2017 effective tax rate was also impacted by a benefit of 
$609,000 related to the vesting and exercise of stock awards, net of certain excess compensation limits, $504,000 of tax expense 
due to non-deductible recapitalization expenses and increases in the estimated state tax rates. Pursuant to the guidance in SAB 118, 
the Company’s estimate of impacts of the Tax Act are provisional and are subject to adjustment during 2018 based upon further 
analysis and interpretation of the Tax Act. See Note 7 to the Company’s consolidated financial statements for more details on tax 
adjustments related to the Tax Act. 

Year Ended December 31, 2016, Compared to Year Ended December 31, 2015 

Revenue. Revenue in 2016 increased 6.9% to $109.4 million, compared to $102.3 million in 2015, which was driven primarily by a 
combination of continued gains in market share and vertical growth in our existing client base. Revenue from subscription-based 
agreements comprised 88.0% of the total revenue in 2016, compared to 86.6% of total revenue in 2015.  

Direct expenses. Direct expenses increased 2.2% to $45.6 million in 2016, compared to $44.6 million in 2015. Variable expenses 
increased  by  $327,000  due  to  higher  survey  volumes  and  increased  contracted  survey  costs,  partially  offset  by  decreased  survey 
operations expenses due to a reduction in postage fees and changes in survey methodologies. Fixed expenses increased $641,000 as 
a  result  of  higher  salary  and  benefit  costs  in  the  client  service  area,  increased  travel  expenses  and  increased  software  license 
amortization. Direct expenses decreased as a percentage of revenue to 41.7% in 2016 from 43.6% in 2015 as expenses increased by 
2.2% while revenue for the same period increased by 6.9%.  

Selling, general and administrative expenses. Selling, general and administrative expenses increased 4.4% to $28.4 million in 2016 
compared to $27.2 million in 2015, primarily due to increased salary and benefits of $991,000 (mainly from increased incentives 
and  share  based  compensation  expense),  increased  marketing  expenses  of  $510,000,  higher  annual  incentive  trip  expenses  of 
$348,000,  Securities  and  Exchange  Commission  registration  fees  expensed  in  2016  of  $177,000,  and  increased  professional 
development costs for associates of $172,000. These were partially offset by a reduction of $238,000 in repairs and maintenance on 
the  Company’s  headquarters  building  and  the  $657,000  write  off  of  a  purchase  option  in  2015  when  the  Company  chose  not  to 
exercise the option and it expired. Selling, general, and administrative expenses decreased as a percentage of revenue to 25.9% in 
2016, from 26.6% for the same period in 2015 as expenses increased by 4.4% while revenue increased by 6.9% during the same 
period.  

Depreciation and amortization. Depreciation and amortization expenses increased 2.8% to $4.2 million in 2016 compared to $4.1 
million  in  2015  primarily  due  to  increased  depreciation  and  amortization  from  increased  computer  software  investments  and 
computer  software  license  expense  being  included  in  depreciation  and  amortization  in  2016,  resulting  from  the  adoption  of 
Accounting  Standards  Update  (“ASU”)  2015-05,  Intangibles  -  Goodwill  and  Other  -  Internal-Use  Software  (Subtopic  350-40): 
Customer's Accounting for Fees Paid in a Cloud Computing Arrangement. These increases were offset by decreased amortization 
as  a  result  of  the  sale  of  the  clinical  workflow  product  of  the  former  Predictive  Analytics  operating  segment  in  2015  and  other 
intangibles  becoming  fully  amortized.  Depreciation  and  amortization  expenses  as  a  percentage  of  revenue  decreased  to  3.9%  in 
2016 from 4.0% during in 2015. 

Other income (expense). Other income (expense) decreased to $159,000 in 2016 compared to $913,000 in 2015. This was primarily 
due  to  the  $1.1  million  gain  on  the  sale  of  selected  assets  and  liabilities  related  to  the  clinical  workflow  product  of  the  former 
Predictive Analytics operating segment in 2015. In December 2016, an additional gain of $223,000 was recorded due to receipt of 
funds placed in escrow at the time of the sale. 

23Provision  for  income  taxes.  Provision  for  income  taxes  was  $10.8  million  (34.6%  effective  tax  rate)  in  2016,  compared  to  $9.8 
million (35.6% effective tax rate) in 2015. The decrease in the effective tax rate was mainly due to the prospective adoption of ASU 
2016-09, Compensation – Stock Compensation (Topic 718) Improvements to Employee Share-Based Payment Accounting (“ASU 
2016-09”), which reduced tax expense by $460,000 in 2016. ASU 2016-09 requires excess tax benefits and tax deficiencies to be 
recorded in the income statement when share based compensation awards vest or are settled rather than to additional paid-in capital.  

Inflation and Changing Prices 

Inflation and changing prices have not had a material impact on revenue or net income in the last three years. 

Liquidity and Capital Resources 

The  Company  believes  that  its  existing  sources  of  liquidity,  including  cash  and  cash  equivalents,  borrowing  availability,  and 
operating cash flows will be sufficient to meet its projected capital and debt maturity needs and dividend policy for the foreseeable 
future. 

As  of  December  31,  2017,  our  principal  sources  of  liquidity  included  $34.7  million of  cash  and  cash  equivalents  and  up  to  $12 
million  of  unused  borrowings  under  our  revolving  credit  note.  The  amount  of  unused  borrowings  actually  available  under  the 
revolving credit note varies in accordance with the terms of the agreement. Of this cash, $14.2 million was held in Canada.  

Working Capital 

The Company had a working capital surplus of $19.9 million and $15.6 million on December 31, 2017 and 2016, respectively. 

The  change  was  primarily  due  to  increases  in  cash  and  cash  equivalents  of  $1.7  million,  $2.5  million  increase  in  trade  accounts 
receivable and $1.6 million reduction in current portion of notes payable. This was partially offset by increases in accrued wages of 
$2.1 million and deferred revenue of $1.4 million. Trade accounts receivable increased due to the timing of billings and collections 
on new and renewal contracts. Current notes payable decreased due to monthly payments on the term note that will be fully paid in 
April 2018. Accrued wages increased mainly due to a payroll tax accrual from the vesting of non-vested stock award at year end. 
The  Company’s  working  capital  is  significantly  impacted  by  its  large  deferred  revenue  balances  which  will  vary  based  on  the 
timing and frequency of billings on annual agreements. The deferred revenue balances as of December 31, 2017 and December 31, 
2016, were $16.9 million and $15.5 million, respectively. 

The deferred revenue balance is primarily due to timing of initial billings on new and renewal contracts. The Company typically 
invoices clients for performance tracking services and custom research projects before they have been completed. Billed amounts 
are recorded as billings in excess of revenue earned, or deferred revenue, on the Company’s consolidated financial statements, and 
are recognized as income when earned. In addition, when work is performed in advance of billing, the Company records this work 
as  revenue  earned  in  excess  of  billings,  or  unbilled  revenue.  Substantially  all  deferred  revenue  and  all  unbilled  revenue  will  be 
earned and billed respectively, within 12 months of the respective period ends. 

24Cash Flow Analysis 

A summary of operating, investing, and financing activities are shown in the following table: 

Provided by operating activities 
Used in investing activities 
Used in financing activities 
Effect of exchange rate changes on cash 
Net increase (decrease) in cash and cash equivalents 
Cash and cash equivalents at end of period 

Cash Flows from Operating Activities 

2017 

For the Year Ended December 31, 
2016 
(In thousands) 

2015 

  $ 

  $ 

28,091    $ 
(6,118) 
(21,116) 
855  
1,712  
34,733    $ 

26,843     $ 
(3,750 ) 
(32,502 )   

285   
(9,124 ) 
33,021     $ 

21,886  
(1,326) 
(16,869) 
(1,588) 

2,103  
42,145  

Cash  flows  from  operating  activities  consist  of  net  income  adjusted  for  non-cash  items  including  depreciation  and  amortization, 
deferred taxes, share-based compensation and related taxes, gain on sale from operating segment and the effect of working capital 
changes. 

Net cash provided by operating activities was $28.1 million for the year ended December 31, 2017, which included net income of 
$22.9 million, plus non-cash charges (benefits) for deferred tax expense, depreciation and amortization, reserve for uncertain tax 
positions, loss on disposal of property and equipment and non-cash stock compensation totaling $6.0 million. Changes in working 
capital  decreased  cash  flows  from  operating  activities  by  $806,000,  primarily  from  increases  in  prepaid  expenses,  income  taxes 
recoverable and accounts receivables, which fluctuate due to the timing and frequency of billings on new and renewal contracts. 
These decreases to cash flows were partially offset by the timing of payments on accounts payable, accrued expenses, wages, bonus 
and profit sharing, decreases in unbilled revenue and increases in deferred revenue.  

Net cash provided by operating activities was $26.8 million for the year ended December 31, 2016, which included net income of 
$20.5 million, plus non-cash charges (benefits) for deferred tax expense, depreciation and amortization, reserve for uncertain tax 
positions,  gain  on  sale  from  operating  segment,  loss  on  disposal  of  property  and  equipment  and  non-cash  stock  compensation 
totaling $6.8 million. Changes in working capital decreased cash flows from operating activities by $499,000, primarily due to the 
timing  of  payments  on  accounts  payable  and  increases  in  prepaid  expenses,  accounts  receivables,  and  unbilled  revenue,  which 
fluctuate due to the timing and frequency of billings on new and renewal contracts. These decreases to cash flows were partially 
offset  by  decreases  in  income  taxes  recoverable,  and  timing  of  payments  related  to  accrued  expenses,  wages,  bonus  and  profit 
sharing and deferred revenue.  

Net cash provided by operating activities was $21.9 million for the year ended December 31, 2015, which included net income of 
$17.6 million, plus non-cash charges (benefits) for deferred tax expense, depreciation and amortization, reserve for uncertain tax 
positions, gain on sale from operating segment, write off of purchase option, tax benefit from exercise of stock options, and non-
cash  stock  compensation  totaling  $3.8  million.  Changes  in  working  capital  increased  cash  flows  from  operating  activities  by 
$472,000,  primarily  due  to  decreases  in  income  taxes  recoverable,  and  timing  of  payments  related  to  accrued  expenses,  wages, 
bonus and profit sharing and deferred revenue. These increases were offset in part by decreases in accounts payable, and increases 
in  accounts  receivables  and  unbilled  revenues  which  fluctuate  due  to  the  timing  and  frequency  of  billings  on  new  and  renewal 
contracts and increases in prepaid expenses. . 

Cash Flows from Investing Activities 

Net  cash  of  $6.1  million  was  used  for  investing  activities  in  the  year  ended  December  31,  2017.  Purchases  of  property  and 
equipment totaled $4.6 million. In addition, the Company used $1.3 million of cash to acquire a strategic investment in convertible 
preferred stock of PX, which is carried at cost and included in other non-current assets. 

25Net  cash  of  $3.8  million  was  used  for  investing  activities  in  the  year  ended  December  31,  2016.  Purchases  of  property  and 
equipment totaled $4.0 million. The Company received $223,000 in cash from funds put in escrow at the time of the December 21, 
2015  sale  of  selected  assets  and  liabilities  related  to  the  clinical  workflow  product  of  the  former  Predictive  Analytics  operating 
segment.  

Net  cash  of  $1.3  million  was  used  for  investing  activities  in  the  year  ended  December  31,  2015.  Purchases  of  property  and 
equipment totaled $2.9 million. The Company received $1.6 million in cash for the December 21, 2015 sale of selected assets and 
liabilities related to the clinical workflow product of the former Predictive Analytics operating segment.  

Cash Flows from Financing Activities 

Net cash used in financing activities was $21.1 million in the year ended December 31, 2017. Cash was used to repay borrowings 
under  the  term  note  totaling  $2.5  million  and  for  capital  lease  obligations  of  $108,000.  Cash  was  used  to  pay  $16.9  million  of 
dividends, and repurchase shares for payroll tax withholdings related to share-based compensation of $1.7 million.  

Net cash used in financing activities was $32.5 million in the year ended December 31, 2016. Cash was used to repay borrowings 
under  the  term  note  totaling  $2.2  million  and  for  capital  lease  obligations  of  $95,000.  Cash  was  used  to  pay  $28.6  million  of 
dividends, purchase non-controlling interests in Connect totaling $2.0 million, and repurchase shares for payroll tax withholdings 
related  to  share-based  compensation  of  $204,000.  These  were  partially  offset  by  the  cash  provided  from  the  proceeds  from  the 
exercise of stock options of $548,000. 

Net cash used in financing activities was $16.9 million in the year ended December 31, 2015. Cash was used to repay borrowings 
under  the  term  note  totaling  $2.3  million  and  for  capital  lease  obligations  of  $173,000.  Cash  was  used  to  pay  $10.1  million  of 
dividends,  purchase  non-controlling  interests  in  Connect  totaling  $2.8  million,  purchase  treasury  stock  totaling  $1.7  million  and 
repurchase shares for payroll tax withholdings related to share-based compensation of $92,000. These were partially offset by the 
cash provided from the excess tax benefit from share-based compensation of $240,000.  

Capital Expenditures 

Capital expenditures for the year ended December 31, 2017 were $4.6 million. These expenditures consisted mainly of computer 
equipment  and  software.  The  Company  expects  similar  capital  expenditure  purchases  in  2018  consisting  primarily  of  computer 
equipment and software and other equipment, to be funded through cash generated from operations.  

Debt and Equity 

The  Company’s  term  note  is  payable  in  monthly  installments  of  $212,468.  Borrowings  under  the  term  note  bear  interest  at  an 
annual rate of 3.12%. The outstanding balance of the term note at December 31, 2017 was $1.1 million which will be fully paid in 
April 2018. 

The Company also has a revolving credit note which was amended and extended effective June 30, 2017 with a maturity date of 
June 30, 2018. The maximum aggregate amount available under the revolving credit note is $12.0 million. Borrowings under the 
revolving credit note bear interest at a variable annual rate, with three rate options at the discretion of management as follows: (1) 
2.1% plus the one-month London Interbank Offered Rate (“LIBOR”) or (2) 2.1% plus the one-, two- or three- month LIBOR rate, 
or (3) the bank’s one-, two, three, six, or twelve month Money Market Loan Rate. As of December 31, 2017 the revolving credit 
note did not have a balance and the Company had the capacity to borrow $12.0 million. 

26The term note and revolving credit note are secured by certain of the Company’s assets, including the Company’s land, building, 
accounts receivable and intangible assets. The term note and the revolving credit note contain various restrictions and covenants 
applicable  to  the  Company,  including  requirements  that  the  Company  maintain  certain  financial  ratios  at  prescribed  levels  and 
restrictions on the ability of the Company to consolidate or merge, create liens, incur additional indebtedness or dispose of assets. 
As of December 31, 2017, the Company was in compliance with the financial covenants.  

The Company has capital leases for computer equipment, office equipment, printing and inserting equipment. The balance of the 
capital leases as of December 31, 2017 was $158,000.  

In  December  2017,  the  Company’s  Board  of  Directors  approved  the  Proposed  Recapitalization  that  will  exchange  each  share  of 
class B common stock for one share of class A common stock plus $19.59 in cash, for total value of $53.44 per class B share. The 
Proposed Recapitalization replaces the proposed plan announced in September 2017. The Proposed Recapitalization is designed to 
eliminate the public market trading confusion related to the Company’s two classes of common stock (the class A common stock 
and class B common stock), to simplify the corporate structure of the Company and to provide a timely and cost-effective liquidity 
event for the holders of the Company’s class B common stock. The transaction will be funded by cash on hand and a $40 million 
term loan. The Proposed Recapitalization is subject to closing of financing and approval by the holders of the Company’s class A 
common stock, class B common stock and both classes of stock voting together as a group.  

In December 2017, the Company entered into a commitment letter with First National Bank of Omaha (“FNB”), which expires on 
April 30, 2018, to provide a senior secured term loan of $40 million (the “Term Loan”), a senior secured delayed draw term loan 
facility of $15 million (the “Delayed Draw Term Loan”) and a senior secured revolving line of credit facility of $15 million (“the 
“Line  of  Credit”  and,  collectively  with  the  Term  Loan  and  Delayed  Draw  Term  Loan,  the  “Credit  Facilities”).  If  the  Company 
closes on the Credit Facilities with FNB, any balances remaining on the existing term note and revolving credit note will be repaid. 
The Term Loan will be used to fund, in part, the Proposed Recapitalization and related costs. The Delayed Draw Term Loan, if 
used,  is  designated  to  fund  any  future business  acquisitions  or  repurchasing of  class A  common  stock.  The  Line of  Credit  has a 
three  year  term  and  will  be  used  to  fund  ongoing  working  capital  needs  and  for  other  general  purpose  corporate  purposes.  The 
Company will also pay loan origination fees equal to 0.25% of the amount borrowed under the Term Loan at closing. The Company 
will also be obligated to pay unused commitment fees quarterly in arrears. 

The  Company  incurred  expenses  related  to  the  Proposed  Recapitalization  of  approximately  $1.4  million  in  the  year  ended 
December 31, 2017, which are included in selling and administrative expenses.  

Contractual Obligations 

The Company had contractual obligations to make payments in the following amounts in the future as of December 31, 2017: 

Contractual Obligations

(1)

(In thousands) 

Operating leases 
Capital leases 
Uncertain tax positions(2)
Long-term debt 
Total 

Total 
Payments 

Less than 
One Year 

One to 
Three Years 

Three to 
Five Years 

After 
Five Years 

  $ 

  $ 

2,966    $ 
172  
--  
1,075  
4,213    $ 

708    $
80  
--  
1,075  
1,863    $

1,164    $ 
85  
--  
--  
1,249    $ 

567    $ 
7  
--  
--  
574    $ 

527  
--  
--  
--  
527  

(1)   Amounts are inclusive of interest payments, where applicable. 
(2)   We  have  $848,000  in  liabilities  associated  with  uncertain  tax  positions.  We  are  unable  to  reasonably  estimate  the

expected cash settlement dates of these uncertain tax positions with the taxing authorities. 

27The Company generally does not make unconditional, non-cancelable purchase commitments. The Company enters into purchase 
orders in the normal course of business, but these purchase obligations do not exceed one year. 

Stock Repurchase Program 

In February 2006, the Board of Directors of the Company authorized the repurchase of 2,250,000 shares of class A common stock 
and  375,000  shares  of  class  B  common  stock  (on  a  post-May  2013  Recapitalization  basis)  in  the  open  market  or  in  privately 
negotiated transactions. As of December 31, 2017, the remaining number of shares that could be purchased under this authorization 
was 280,491 shares of class A common stock and 69,491 shares of class B common stock.  

Off-Balance Sheet Obligations 

The Company has no significant off-balance sheet obligations other than the operating lease commitments disclosed in “Liquidity 
and Capital Resources.” 

Recent Accounting Pronouncements 

See Note 1 to the Company’s consolidated financial statements for a description of recently issued accounting pronouncements. 

Item 7A.   Quantitative and Qualitative Disclosure About Market Risk 

The Company’s primary market risk exposure is changes in foreign currency exchange rates and interest rates. 

The  Company’s  Canadian  subsidiary  uses  as  its  functional  currency  the  local  currency  of  the  country  in  which  it  operates.  It 
translates its assets and liabilities into U.S. dollars at the exchange rate in effect at the balance sheet date. It translates its revenue 
and expenses at the average exchange rate during the period. The Company includes translation gains and losses in accumulated 
other  comprehensive  income  (loss),  a  component  of  shareholders’  equity.  Foreign  currency  translation  gains  (losses)  were 
$991,000, $369,000, and ($2.2 million) in 2017, 2016 and 2015, respectively. Gains and losses related to transactions denominated 
in  a  currency  other  than  the  functional  currency  of  the  countries  in  which  the  Company  operates  and  short-term  intercompany 
accounts are included in other income (expense) in the consolidated statements of income. A portion of our cash in our Canadian 
subsidiary is denominated in foreign currencies, where fluctuations in exchange rates will impact our cash balances in U.S. dollar 
terms. A sensitivity analysis assuming a hypothetical 10% change in the value of the U.S. dollar would impact our reported cash 
balance by approximately $1.8 million. We have not entered into any foreign currency hedging transactions. We do not purchase or 
hold any derivative financial instruments for the purpose of speculation or arbitrage.  

We are exposed to interest rate risk with both our fixed-rate term debt and variable rate revolving line of credit facility. Interest rate 
changes for borrowings under our fixed-rate term debt would impact the fair value of such debt, but do not impact earnings or cash 
flow. At December 31, 2017, our fixed-rate term debt totaled $1.1 million. Based on a sensitivity analysis, a one percent change in 
market interest rates as of December 31, 2017, would not have a material effect on the estimated fair value of our fixed-rate debt 
outstanding at December 31, 2017.  

Borrowings  under  our  revolving  credit  note  bear  interest  at  a  variable  annual  rate,  with  three  rate  options  at  the  discretion  of 
management. Borrowings under the revolving credit note may not exceed the $12.0 million. There were no borrowings outstanding 
under our revolving credit note at December 31, 2017, or at any time during 2017. A sensitivity analysis assuming a hypothetical 
10%  movement  in  interest  rates  applied  to  the  average  daily  borrowings  and  the  maximum  borrowings  available  under  the 
revolving  credit  note  indicated  that  such  a  movement  would  not  have  a  material  impact  on  our  consolidated  financial  position, 
results of operations or cash flows.  

28Item 8.   Financial Statements and Supplementary Data 

Quarterly Financial Data (Unaudited) 

The following table sets forth selected financial information for each of the eight quarters in the two-year period ended December 
31, 2017. This unaudited information has been prepared by the Company on the same basis as the consolidated financial statements 
and  includes  all  normal  recurring  adjustments  necessary  to  present  fairly  this  information  when  read  in  conjunction  with  the 
Company’s audited consolidated financial statements and the notes thereto. 

(In thousands, except per share data) 

Quarter Ended 

Dec. 31, 
2017 

Sept 30, 
2017 

June 30, 
2017 

Mar. 31, 
2017 

Dec. 31, 
2016 

Sept 30, 
2016 

June 30, 
2016 

Mar. 31, 
2016 

Revenue 
Direct expenses 
Selling, general and 

  $  29,897    $  28,951    $  28,435    $  30,276    $  28,368    $  27,032    $  26,114    $  27,870  
11,539  

10,734  

12,267  

12,362  

11,468  

12,500  

11,836  

11,939  

administrative expenses 

7,665  

8,430  

6,905  

6,686  

6,619  

7,139  

7,270  

7,357  

Depreciation and 
amortization 
Operating income 
Other income (expense) 
Provision for income taxes   
Net income 
Earnings per share of 
common stock: 
Basic earnings per share 

  $ 

Class A 
Class B 

Dilutive earnings per 
share 

Class A 
Class B 

  $ 
  $ 

  $ 
  $ 

Weighted average shares 
outstanding – basic 

Class A 
Class B 

Weighted average shares 
outstanding - diluted 

Class A 
Class B 

1,209  
8,661  
(2) 
2,142  
6,517    $ 

1,132  
7,122  
51  
3,020  
4,153    $ 

1,139  
8,452  
19  
2,719  
5,752    $ 

1,106  
9,984  
(4) 
3,459  
6,521    $ 

1,079  
8,834  
171  
3,280  
5,725    $ 

1,086  
7,339  
(30) 
2,580  
4,729    $ 

1,092  
7,018  
18  
2,478  
4,558    $ 

968  
8,006  
--  
2,500  
5,506  

0.15    $ 
0.93    $ 

0.10    $ 
0.59    $ 

0.14    $ 
0.82    $ 

0.15    $ 
0.93    $ 

0.14    $ 
0.82    $ 

0.11    $ 
0.67    $ 

0.11    $ 
0.65    $ 

0.13  
0.79  

0.15    $ 
0.90    $ 

0.09    $ 
0.57    $ 

0.13    $ 
0.80    $ 

0.15    $ 
0.91    $ 

0.13    $ 
0.80    $ 

0.11    $ 
0.66    $ 

0.11    $ 
0.64    $ 

0.13  
0.77  

20,802  
3,515  

20,788  
3,514  

20,752  
3,514  

20,737  
3,513  

20,717  
3,511  

20,716  
3,511  

20,711  
3,508  

20,710  
3,489  

21,843  
3,625  

21,740  
3,620  

21,525  
3,591  

21,245  
3,576  

21,118  
3,569  

21,068  
3,556  

20,992  
3,565  

21,012  
3,549  

29  
Report of Independent Registered Public Accounting Firm 

To the Shareholders and Board of Directors 
National Research Corporation: 

Opinion on the Consolidated Financial Statements 

We have audited the accompanying consolidated balance sheets of National Research Corporation and subsidiary (the “Company”) 
as  of  December 31,  2017  and  2016,  the  related  consolidated  statements  of  income,  comprehensive  income,  shareholders’  equity, 
and  cash  flows  for  each  of  the  years  in  the  three-year  period  ended  December 31,  2017,  and  the  related  notes  (collectively,  the 
consolidated financial statements.) In our opinion, the consolidated financial statements present fairly, in all material respects, the 
financial position of the Company as of December 31, 2017 and 2016, and the results of its operations and its cash flows for each of 
the years in the three-year period ended December 31, 2017, in conformity with U.S. generally accepted accounting principles. 

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States) 
(“PCAOB”),  the  Company’s  internal  control  over  financial  reporting  as  of  December  31,  2017,  based  on  criteria  established  in 
Internal  Control  –  Integrated  Framework  (2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway 
Commission, and our report dated March 14, 2018 expressed an unqualified opinion on the effectiveness of the Company’s internal 
control over financial reporting. 

Basis for Opinion 

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an 
opinion on these consolidated financial statements based on our audits. We are a public accounting firm registered with the PCAOB 
and  are  required  to  be  independent  with  respect  to  the  Company  in  accordance  with  the  U.S. federal  securities  laws  and  the 
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 
audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether 
due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the consolidated 
financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included 
examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. Our audits also 
included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall 
presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for our opinion. 

/s/ KPMG LLP 

We have served as the Company’s auditor since 1997. 

Lincoln, Nebraska 
March 14, 2018 

30NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
CONSOLIDATED BALANCE SHEETS  
(In thousands, except share amounts) 

Current assets: 

Assets 

Cash and cash equivalents 
Trade accounts receivable, less allowance for doubtful accounts of $200 and $169, 
respectively 
Unbilled revenue 
Prepaid expenses 
Income taxes receivable 
Other current assets 

Total current assets 

Net property and equipment 
Intangible assets, net 
Goodwill 
Other 

Total assets 

Liabilities and Shareholders’ Equity 

Current liabilities: 

Current portion of notes payable 
Accounts payable 
Accrued wages, bonus and profit sharing 
Accrued expenses 
Current portion of capital lease obligations 
Income taxes payable 
Dividends payable 
Deferred revenue 

Total current liabilities 

Notes payable, net of current portion 
Deferred income taxes 
Other long term liabilities 
Total liabilities 

Shareholders’ equity: 

Preferred stock, $0.01 par value, authorized 2,000,000 shares, none issued 
Class A Common stock, $0.001 par value; authorized 60,000,000 shares, issued 25,835,230 

in 2017 and 25,656,760 in 2016, outstanding 20,936,703 in 2017 and 20,891,069 in 2016    
Class B Common stock, $0.001 par value; authorized 80,000,000 shares, issued 4,319,256 in 

2017 and 4,308,875 in 2016, outstanding 3,535,238 in 2017 and 3,539,931 in 2016 

Additional paid-in capital 
Retained earnings 
Accumulated other comprehensive (loss) income, foreign currency translation adjustment 
Treasury stock, at cost; 4,898,527 Class A shares, 784,018 Class B shares in 2017 and 

4,765,691 Class A shares, 768,944 Class B shares in 2016 

Total shareholders’ equity 

2017 

2016 

  $ 

34,733     $ 

33,021  

13,343   
1,463   
2,310   
375   
35   
52,259   

12,359   
2,764   
58,021   
1,913   

10,864  
1,546  
1,585  
14  
35  
47,065  

11,806  
3,124  
57,861  
768  

  $ 

127,316     $ 

120,624  

  $ 

1,067     $ 
593   
6,597   
2,882   
71   
--   
4,222   
16,878   
32,310   

-   
4,030   
935   
37,275   

--   

26   

4   
51,025   
77,574   
(1,635 ) 

(36,953 ) 
90,041   

2,683  
765  
4,543  
3,069  
82  
662  
4,213  
15,497  
31,514  

857  
4,670  
777  
37,818  

--  

26  

4  
46,725  
71,507  
(2,626) 

(32,830) 
82,806  

Total liabilities and shareholders’ equity 

  $ 

127,316     $ 

120,624  

See accompanying notes to consolidated financial statements. 

31NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF INCOME  
(In thousands, except share amounts) 

2017 

2016 

2015 

Revenue 

  $ 

117,559    $ 

109,384     $ 

102,343  

Operating expenses: 

Direct 
Selling, general and administrative 
Depreciation and amortization 

Total operating expenses 

Operating income 

Other income (expense): 

Interest income 
Interest expense 
Other, net 

Total other income 

Income before income taxes 

Provision for income taxes 

49,068  
29,686  
4,586  
83,340  

34,219  

96  
(82) 
50  

64  

34,283  

11,340  

45,577   
28,385   
4,225   
78,187   

31,197   

47   
(190 ) 
302   

159   

31,356   

10,838   

44,610  
27,177  
4,109  
75,896  

26,447  

60  
(220) 
1,073  

913  

27,360  

9,750  

Net income 

  $ 

22,943    $ 

20,518     $ 

17,610  

Earnings per share of common stock: 

Basic earnings per share: 

Class A 
Class B 

Diluted earnings per share: 

Class A 
Class B 

Weighted average shares and share equivalents outstanding 

Class A - basic 
Class B - basic 
Class A - diluted 
Class B - diluted 

See accompanying notes to consolidated financial statements. 

  $ 
  $ 

  $ 
  $ 

0.54    $ 
3.26    $ 

0.52    $ 
3.18    $ 

20,770  
3,514  
21,627  
3,603  

0.49     $ 
2.93     $ 

0.48     $ 
2.88     $ 

20,713   
3,505   
21,037   
3,560   

0.42  
2.52  

0.41  
2.49  

20,741  
3,478  
20,981  
3,522  

32NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME 
(In thousands) 

Net Income 

Other comprehensive income (loss): 
Cumulative translation adjustment 
Other comprehensive income (loss) 

Comprehensive Income 

See accompanying notes to consolidated financial statements. 

2017 

2016 

2015 

22,943    $ 

20,518     $ 

17,610  

991    $ 
991    $ 

369     $ 
369     $ 

(2,222) 
(2,222) 

23,934    $ 

20,887     $ 

15,388  

  $ 

  $ 
  $ 

  $ 

33NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY 
(In thousands except share and per share amounts) 

Common 
Stock A 

Common 
Stock B 

Additional
Paid-in 
Capital 

Retained 
Earnings 

Accumulated 
Other 
Comprehensive 
Income(Loss) 

Treasury 
Stock 
(30,058)   $

Total 

87,748  

Balances at December 31, 2014 

  $ 

25    $ 

4    $ 

44,864    $ 

73,686    $ 

(773)   $ 

Purchase of 163,268 shares of class A and 
4,239 shares of class B treasury stock 
Issuance of 43,983 class A common shares 
and 7,330 class B shares for the exercise 
of stock options 

Tax benefit from the exercise of options and 

restricted stock 

Issuance of restricted common shares, net of 
forfeitures (73,168 class A and 12,194 
class B) 

Non-cash stock compensation expense 
Dividends declared of $0.62 and $3.72 per A

and B common share, respectively 
Acquisition of non-controlling interest 
Other comprehensive loss, foreign currency 

--  

--  

--  

1  
--  

--  
--  

--  

--  

--  

--  
--  

--  
--  

--  

406  

240  

(1)   
1,383  

--  

--  

--  

--  
--  

--  
(2,789)   

(25,983)     

--  

--  

(2,171)   

(2,171) 

--  

--  

--  
--  

--  
--  

--    

--    

--    
--    

--    
--    

406  

240  

--  
1,383  

(25,983) 
(2,789) 

translation adjustment 

Net income 
Balances at December 31, 2015 

--  
--  
26    $ 

--  
--  
4    $ 

-- 
--  
44,103    $ 

--  
17,610  
65,313    $ 

  $ 

(2,222)   
--  
(2,995)   $ 

--    
--    
(32,229)   $

(2,222) 
17,610  
74,222  

Purchase of 21,047 shares of class A and 
7,681 shares of class B treasury stock 
Issuance of 52,383 class A common shares 

and 35,534 class B shares for the exercise 
of stock options 

Issuance of restricted common shares, net of 
forfeitures (11,565 class A and 1,928 
class B) 

Non-cash stock compensation expense 
Dividends declared of $0.34 and $2.04 per A

and B common share, respectively 
Acquisition of non-controlling interest 
Other comprehensive income, foreign 
currency translation adjustment 

Net income 
Balances at December 31, 2016 

Purchase of 132,836 shares of class A and 
15,074 shares of class B treasury stock 
Issuance of 197,784 class A common shares 
and 13,600 class B shares for the exercise 
of stock options 

Issuance of restricted common shares, net of 
forfeitures (19,314 class A and 3,219 
class B) 

Non-cash stock compensation expense 
Dividends declared of $0.40 and $2.40 per A 

and B common share, respectively 
Other comprehensive income, foreign 
currency translation adjustment 

Net income 
Balances at December 31, 2017 

--  

--  

--  
--  

--  
--  

--  

--  

--  
--  

--  
--  

--  

945  

--  
1,929  

--  

--  

--  
--  

--  
(252)   

(14,324)     

--  

--  

--  

--  
--  

--  
--  

(601)   

(601) 

--    

945  

--    
--    

--    
--    

--  
1,929  

(14,324) 
(252) 

--  
--  
26    $ 

--  
--  
4    $ 

--  
--  
46,725    $ 

--  
20,518  
71,507    $ 

  $ 

369  
--  
(2,626)   $ 

--    
--    
(32,830)   $

369  
20,518  
82,806  

-- 

--  

--  
--  

--  

-- 

--  

--  
--  

--  

--  

2,455  

--  
1,845  

--  

--  

--  
--  

--  

(16,876)     

--  

(4,123)   

(4,123) 

--  

--  
--  

--  

--    

2,455  

--    
--    

--  
1,845  

--    

(16,876) 

--  
--  
26    $ 

--  
--  
4    $ 

--  
--  
51,025    $ 

--  
22,943  
77,574    $ 

  $ 

991  
--  
(1,635)   $ 

--    
--    
(36,953)   $

991  
22,943  
90,041  

See accompanying notes to consolidated financial statements. 

34  
NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
CONSOLIDATED STATEMENTS OF CASH FLOWS 
(In thousands) 

Cash flows from operating activities: 

Net income 
Adjustments to reconcile net income to net cash provided by operating 

activities: 

Depreciation and amortization 
Deferred income taxes 
Reserve for uncertain tax positions 
Loss on disposal of property and equipment 
Gain on sale from operating segment 
Write-off of purchase option 
Tax benefit from exercise of stock options 
Non-cash share-based compensation expense 
Change in assets and liabilities, net of effect of acquisition and disposal: 

Trade accounts receivable 
Unbilled revenue 
Prepaid expenses and other current assets 
Accounts payable 
Accrued expenses, wages, bonus and profit sharing 
Income taxes receivable and payable 
Deferred revenue 
Net cash provided by operating activities 

Cash flows from investing activities: 

Purchases of property and equipment 
Purchase of equity investment  
Purchase of intangible content license  
Net proceeds from sale of operating segment 

Net cash used in investing activities 

Cash flows from financing activities: 

Payments on notes payable 
Payments on capital lease obligations 
Cash paid for non-controlling interest 
Proceeds from exercise of stock options 
Excess tax benefit from share-based compensation 
Repurchase of shares for payroll tax withholdings related to share-based 

compensation 

Purchase of Treasury Stock 
Payment of dividends on common stock 

Net cash used in financing activities 

Effect of exchange rate changes on cash 
Net increase (decrease) in cash and cash equivalents 

Cash and cash equivalents at beginning of period 

Cash and cash equivalents at end of period 

Supplemental disclosure of cash paid for: 

Interest expense, net of $0, $10, and $14 capitalized, respectively 
Income taxes 

Supplemental disclosure of non-cash investing and financing activities: 

Capital lease obligations originated for property and equipment 
Stock tendered to the Company for cashless exercise of stock options in 
connection with equity incentive plans 

See accompanying notes to consolidated financial statements. 

2017 

2016 

2015 

   $ 

22,943      $ 

20,518       $ 

17,610  

4,586  
(684) 
181  
26  
--  
--  
--  
1,845  

(2,463) 
123  
(565) 
12  
1,759  
(1,023) 
1,351  
28,091  

(4,568) 
(1,300) 
(250) 
--  
(6,118) 

(2,473) 
(108) 
--  
--  
--  

(1,668) 
--  
(16,867) 
(21,116) 

855  
1,712  

33,021  

4,225   
798   
73   
22   
(223 ) 
--   
--   
1,929   

(1,044 ) 
(93 ) 
(535 ) 
(15 ) 
440   
105   
643   
26,843   

(3,973 ) 
--   
--   
223   
(3,750 ) 

(2,199 ) 
(95 ) 
(2,000 ) 
548   
-   

(204 ) 
--   
(28,552 ) 
(32,502 ) 

285   
(9,124 ) 

42,145   

4,109  
(1,387) 
119  
-  
(1,102) 
657  
25  
1,383  

(1,777) 
(390) 
207  
(224) 
755  
1,504  
397  
21,886  

(2,939) 
--  
--  
1,613  
(1,326) 

(2,328) 
(173) 
(2,789) 
-  
240  

(92) 
(1,673) 
(10,054) 
(16,869) 

(1,588) 
2,103  

40,042  

   $ 

   $ 
   $ 

   $ 

   $ 

34,733      $ 

33,021       $ 

42,145  

76      $ 
12,827      $ 

74      $ 

2,455      $ 

192       $ 
9,963       $ 

109       $ 

397       $ 

207  
9,377  

32  

406  

35 
NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 

(1) 

Summary of Significant Accounting Policies 

Description of Business and Basis of Presentation 

National  Research  Corporation,  doing  business  as  NRC  Health  (“NRC  Health,”  the  “Company,”  “we,”  “our,”  “us”  or  similar 
terms),  is  a  leading  provider  of  analytics  and  insights  that  facilitate  measurement  and  improvement  of  the  patient  and  employee 
experience  while  also  increasing  patient  engagement  and  customer  loyalty  for  healthcare  providers,  payers  and  other  healthcare 
organizations in the United States and Canada. The Company’s solutions enable its clients to understand the voice of the customer 
with greater clarity, immediacy and depth.  

Principles of Consolidation 

The  consolidated  financial  statements  include  the  accounts  of  the  Company  and  its  wholly-owned  subsidiary,  National  Research 
Corporation  Canada.  Prior  to  becoming  a  wholly-owned  subsidiary  in  March  2016,  the  accounts  of  Customer-Connect  LLC 
(“Connect”),  then  a  variable  interest  entity  for  which  NRC  Health  was  deemed  the  primary  beneficiary,  were  included  in  the 
consolidated  financial  statements  of  the  Company.  On  June  30,  2016,  Customer-Connect  LLC  was  dissolved.  All  significant 
intercompany transactions and balances have been eliminated. 

Use of Estimates 

The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America 
requires management to make certain estimates and assumptions that affect the reported amounts of assets and liabilities at the date 
of  the  financial  statements  and  the  reported  amounts  of  revenue  and  expenses  during  the  reporting  period.  Actual  results  could 
differ from those estimates. 

Translation of Foreign Currencies 

The  Company’s  Canadian  subsidiary  uses  as  its  functional  currency  the  local  currency  of  the  country  in  which  it  operates.  It 
translates its assets and liabilities into U.S. dollars at the exchange rate in effect at the balance sheet date. It translates its revenue 
and expenses at the average exchange rate during the period. The Company includes translation gains and losses in accumulated 
other comprehensive income (loss), a component of shareholders’ equity. Gains and losses related to transactions denominated in a 
currency other than the functional currency of the country in which the Company operates and short-term intercompany accounts 
are included in other income (expense) in the consolidated statements of income.  

Revenue Recognition 

The  Company  derives  a  majority  of  its  operating  revenue  from  its  annually  renewable  services,  which  include  performance 
measurement  and  improvement  services,  healthcare  analytics  and  governance  education  services.  The  Company  provides  these 
services to its clients under annual client service contracts, although such contracts are generally cancelable on short or no notice 
without penalty. Services are provided under subscription-based service agreements. The Company recognizes subscription-based 
service  revenue  over  the  period  of  time  the  service  is  provided.  Generally,  the  subscription  periods  are  for  twelve  months  and 
revenue is recognized equally over the subscription period. 

Certain  contracts,  excluding  subscription-based  service  agreements,  are  fixed-fee  arrangements  with  a  portion  of  the  project  fee 
billed in advance and the remainder billed periodically over the duration of the project. Revenue for services provided under these 
contracts are recognized under the proportional performance method. Under the proportional performance  method, the Company 
recognizes  revenue  based  on  output  measures  or  key  milestones  such  as  survey  set-up,  survey  mailings,  survey  returns  and 
reporting. The Company measures its progress based on the level of completion of these output measures and recognizes revenue 
accordingly.  Management  judgments  and  estimates  must  be  made  and  used  in  connection  with  revenue  recognized  using  the 
proportional performance method. If management made different judgments and estimates, then the amount and timing of revenue 
for any period could differ materially from the reported revenue. 

36The  Company’s  revenue  arrangements  with  a  client  may  include  combinations  of  NRC  Health’s  Experience,  Transparency, 
Governance,  and  Market  Insights  solutions  which  may  be  executed  at  the  same  time,  or  within  close  proximity  of  one  another 
(referred  to  as  a  multiple-element  arrangement).  When  the  periods  or  patterns  of  revenue  recognition  differ,  each  element  of  a 
multiple-element arrangement is accounted for as a separate unit of accounting provided each delivered element is sold separately 
by  the  Company  or  another  vendor;  and  for  an  arrangement  that  includes  a  general  right  of  return  relative  to  the  undelivered 
elements,  delivery  or  performance  of  the  undelivered  services  are  considered  probable  and  substantially  in  the  control  of  the 
Company. The Company’s arrangements generally do not include a general right of return related to the delivered services. If these 
criteria are not met, the arrangement is accounted for as a single unit of accounting with revenue generally recognized equally over 
the subscription period or recognized under the proportional performance method. 

When a contract contains multiple elements, revenue is allocated to each separate unit of accounting based on relative selling price 
using a selling price hierarchy: vendor-specific objective evidence (“VSOE”), if available, third-party evidence (“TPE”) if VSOE is 
not available, or estimated selling price if VSOE nor TPE is available. VSOE is established based on the services normal selling 
price and discounts for the specific services when sold separately. TPE is established by evaluating similar competitor services in 
standalone arrangements. If neither exists for a deliverable, the best estimate of the selling price (“ESP”) is used for that deliverable 
based on list price, representing a component of management’s market strategy, and an analysis of historical prices for bundled and 
standalone arrangements. Revenue allocated to an element is limited to revenue that is not subject to refund or otherwise represents 
contingent revenue. VSOE, TPE and ESP are periodically adjusted to reflect current market conditions. These adjustments are not 
expected to differ significantly from historical results. 

Business Combinations 

The  Company  uses  the  acquisition  method  of  accounting  for  acquired  businesses.  Under  the  acquisition  method,  the  financial 
statements reflect the operations of an acquired business starting from the completion of the acquisition. The assets acquired and 
liabilities assumed are recorded at their respective estimated fair values at the date of the acquisition. Any excess of the purchase 
price over the estimated fair values of the identifiable net assets acquired is recorded as goodwill. Significant judgment is required 
in estimating the fair value of assets acquired, especially  intangible assets. As a result, in the case of significant acquisitions the 
Company  typically  engages  third-party  valuation  specialists  in  estimating  fair  values  of  tangible  and  intangible  assets.  The  fair 
value estimates are based on available historical information and on expectations and assumptions about the future, considering the 
perspective of marketplace participants.  

37Trade Accounts Receivable 

Trade accounts receivable are recorded at the invoiced amount. The allowance for doubtful accounts is the Company’s best estimate 
of  the  amount  of  probable  credit  losses  in  the  Company’s  existing  accounts  receivable.  The  Company  determines  the  allowance 
based on the Company’s historical write-off experience and current economic conditions. The Company reviews the allowance for 
doubtful  accounts  monthly.  Account  balances  are  charged  off  against  the  allowance  after  all  means  of  collection  have  been 
exhausted  and  the  potential  for  recovery  is  considered  remote.  The  following  table  provides  the  activity  in  the  allowance  for 
doubtful accounts for the years ended December 31, 2017, 2016 and 2015: 

Year Ended December 31, 2015 
Year Ended December 31, 2016 
Year Ended December 31, 2017 

Property and Equipment 

Balance at 
Beginning 
of Year 

Bad Debt 
Expense 

Write-offs 
Net of 
Recoveries 

Balance 
at End 
of Year 

  $ 
  $ 
  $ 

206    $ 
173    $ 
169    $ 

(In thousands) 
111    $ 
218    $ 
249    $ 

144    $ 
222    $ 
218    $ 

173  
169  
200  

Property  and  equipment  is  stated  at  cost.  Major  expenditures  to  purchase  property  or  to  substantially  increase  useful  lives  of 
property are capitalized. Maintenance, repairs and minor renewals are expensed as incurred. When assets are retired or otherwise 
disposed  of,  their  costs  and  related  accumulated  depreciation  are  removed  from  the  accounts  and  resulting  gains  or  losses  are 
included in income. 

The Company capitalizes certain costs incurred in connection with obtaining or developing internal-use software, including payroll 
and payroll-related costs for employees who are directly associated with the internal-use software projects and external direct costs 
of materials and services. Capitalization of such costs ceases when the project is substantially complete and ready for its intended 
purpose.  Costs  incurred  during  the  preliminary  project  and  post-implementation  stages,  as  well  as  software  maintenance  and 
training costs are expensed as incurred. The Company capitalized approximately $3.0 million and $2.5 million of costs incurred for 
the development of internal-use software for the years ended December 31, 2017 and 2016, respectively.  

The  Company  provides  for  depreciation  and  amortization  of  property  and  equipment  using  annual  rates  which  are  sufficient  to 
amortize the cost of depreciable assets over their estimated useful lives. The Company uses the straight-line method of depreciation 
and  amortization  over  estimated  useful  lives  of  three  to  ten  years  for  furniture  and  equipment,  three  to  five  years  for  computer 
equipment,  one  to  five  years  for  capitalized  software,  and  seven  to  forty  years  for  the  Company’s  office  building  and  related 
improvements.  

Leases are categorized as operating or capital at the inception of the lease. Assets under capital lease obligations are reported at the 
lower of fair value or the present value of the aggregate future minimum lease payments at the beginning of the lease term. The 
Company depreciates capital lease assets without transfer-of-ownership or bargain-purchase-options using the straight-line method 
over  the  lease  terms,  excluding  any  lease  renewals,  unless  the  lease  renewals  are  reasonably  assured.  Capital  lease  assets  with 
transfer-of-ownership or bargain-purchase-options are depreciated using the straight-line method over the assets’ estimated useful 
lives. 

Impairment of Long-Lived Assets and Amortizing Intangible Assets 

Long-lived  assets,  such  as  property  and  equipment  and  purchased  intangible  assets  subject  to  depreciation  or  amortization,  are 
reviewed  for  impairment  whenever  events or changes  in circumstances  indicate  that  the  carrying  amount  of  an  asset  may  not be 
recoverable.  If  circumstances  require  a  long-lived  asset  or  asset  group  be  tested  for  possible  impairment,  the  Company  first 
compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying value. If the carrying value 
of  the  long-lived  asset  or  asset  group  is not  recoverable  on  an undiscounted cash  flow  basis,  an  impairment  is  recognized  to  the 
extent  that  the  carrying  value  exceeds  its  fair  value.  Fair  value  is  determined  through  various  valuation  techniques  including 
discounted  cash  flow  models,  quoted  market  values  and  third-party  independent  appraisals,  as  considered  necessary.  No 
impairments were recorded during the years ended December 31, 2017, 2016, or 2015.  

38    
Among others, management believes the following circumstances are important indicators of potential impairment of such assets 
and as a result may trigger an impairment review: 

●

●

●

●

●

Significant underperformance in comparison to historical or projected operating results;

Significant changes in the manner or use of acquired assets or the Company’s overall strategy;

Significant negative trends in the Company’s industry or the overall economy;

A significant decline in the market price for the Company’s common stock for a sustained period; and

The Company’s market capitalization falling below the book value of the Company’s net assets.

Goodwill and Intangible Assets 

Intangible assets include customer relationships, trade names, technology, non-compete agreements and goodwill. Intangible assets 
with estimable useful lives are amortized over their respective estimated useful lives to their estimated residual values and reviewed 
for impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. 
The  Company  reviews  intangible  assets  with  indefinite  lives  for  impairment  annually  as  of  October  1  and  whenever  events  or 
changes in circumstances indicate that the carrying value of an asset may not be recoverable.  

When performing the impairment assessment, the Company will first assess qualitative factors to determine whether it is necessary 
to  recalculate  the  fair  value  of  the  intangible  assets  with  indefinite  lives.  If  the  Company  believes,  as  a  result  of  the  qualitative 
assessment, that it is more likely than not that the fair value of the indefinite-lived intangibles is less than their carrying amount, the 
Company calculates the fair value using a market or income approach. If the carrying value of intangible assets with indefinite lives 
exceeds  their  fair  value,  then  the  intangible  assets  are  written-down  to  their  fair  values.  The  Company  did  not  recognize  any 
impairments related to indefinite-lived intangibles during 2017, 2016 or 2015. 

Goodwill is an asset representing the future economic benefits arising from other assets acquired in a business combination that are 
not individually identified and separately recognized. All of the Company’s goodwill is allocated to its reporting units, which are 
the same as its operating segments. Goodwill is reviewed for impairment at least annually, as of October 1, and whenever events or 
changes in circumstances indicate that the carrying value of goodwill may not be recoverable.  

In January 2017, the FASB issued Accounting Standards Update (“ASU”) 2017-04, Intangibles—Goodwill and Other (Topic 350), 
Simplifying  the  Test  for  Goodwill  Impairment  (“ASU  2017-04”).  In  connection  with  the  October  1,  2017  annual  impairment 
analysis, the Company early adopted ASU 2017-04, which eliminates the need to determine the fair value of individual assets and 
liabilities of a reporting unit to measure goodwill impairment (Step 2). The new guidance may result in more or less impairment 
than could previously be recognized. The adoption of this guidance did not impact the Company's results of operations or financial 
position since only a qualitative analysis was performed as part of the October 1, 2017 annual impairment analysis. 

The  Company  reviews  for  goodwill  impairment  by  first  assessing  qualitative  factors  to  determine  whether  any  impairment  may 
exist.  If  the  Company  believes,  as  a  result  of  the  qualitative  assessment,  that  it  is  more  likely  than  not  that  the  fair  value  of  a 
reporting unit is less than its carrying amount, a quantitative analysis will be performed, and the fair value of the reporting unit is 
compared  with  its  carrying  value  (including  goodwill).  If  the  fair  value  of  the  reporting  unit  exceeds  its  carrying  value,  then 
goodwill is written down by this difference. The Company performed a qualitative analysis as of October 1, 2017 and determined 
the fair value of each reporting unit likely significantly exceeded its carrying value. No impairments were recorded during the years 
ended December 31, 2017, 2016 or 2015.  

39Income Taxes 

The Company uses the asset and liability method of accounting for income taxes. Under that method, deferred income tax assets 
and  liabilities  are  recognized  for  the future  tax  consequences  attributable  to  differences  between  the  financial  statement  carrying 
amounts of existing assets and liabilities and their respective tax basis using enacted tax rates. The effect on deferred tax assets and 
liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances, if 
any,  are  established  when  necessary  to  reduce  deferred  tax  assets  to  the  amount  that  is  more  likely  than  not  to  be  realized.  The 
Company  uses  the  deferral  method  of  accounting  for  its  investment  tax  credits  related  to  state  tax  incentives.  During  the  years 
ended  December  31,  2017,  2016  and  2015,  the  Company  recorded  income  tax  benefits  relating  to  these  tax  credits  of  $4,000, 
$77,000, and $156,000, respectively. 

The  Company  recognizes  the  effect  of  income  tax  positions  only  if  those  positions  are  more  likely  than  not  of  being  sustained. 
Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in 
recognition or measurement are reflected in the period in which the change in judgment occurs.  

Share-Based Compensation 

The compensation expense on share-based payments is recognized based on the grant-date fair value of those awards. All of the 
Company’s  existing  stock option  awards  and  non-vested  stock  awards have  been determined  to be  equity-classified  awards.  The 
Company prospectively elected ASU 2016-09, Compensation – Stock Compensation (Topic 718) Improvements to Employee Share-
Based Payment Accounting (“ASU 2016-09”) in 2016. As a result, the tax benefit from stock options exercised was recognized as a 
reduction to our provision for income taxes for the years ended December 31, 2017 and 2016 rather than as an increase to additional 
adoption. 
paid-in 

December 

capital 

ended 

2015 

prior 

year 

31, 

the 

for 

to 

Amounts recognized in the financial statements with respect to these plans:  

Amounts charged against income, before income tax benefit 
Amount of related income tax benefit 
Net (benefit) expense to net income 

  $ 

  $ 

1,845    $ 
(2,310)   

(465)   $ 

1,929    $ 
(1,164)     
765    $ 

1,383  
(505) 
878  

2017 

2016 
(In thousands) 

2015 

Cash and Cash Equivalents 

The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents. Cash 
equivalents were $34.5 million and $32.7 million as of December 31, 2017, and 2016, respectively, consisting primarily of money 
market  accounts,  Eurodollar  deposits  and  funds  invested  in  commercial  paper.  At  certain  times,  cash  equivalent  balances  may 
exceed federally insured limits. 

Reclassifications 

Reclassifications  of  $191,000  have  been  made  from  noncurrent  deferred  income  taxes  to  other  noncurrent  liabilities  in  the  2016 
consolidated  balance  sheet  to  present  the  unrecognized  tax  benefits  related  to  state  taxes  gross of federal  tax  benefits,  consistent 
with the 2017 financial statement presentation. There was no impact on the previously reported net income and earnings per share. 

40 
Fair Value Measurements 

The Company’s valuation techniques are based on maximizing observable inputs and minimizing the use of unobservable inputs 
when measuring fair value. Observable inputs reflect readily obtainable data from independent sources, while unobservable inputs 
reflect the Company’s market assumptions. The inputs are then classified into the following hierarchy: (1) Level 1 Inputs—quoted 
prices in active markets for identical assets and liabilities; (2) Level 2 Inputs—observable market-based inputs other than Level 1 
inputs,  such  as  quoted  prices  for  similar  assets  or  liabilities  in  active  markets,  quoted  prices  for  similar  or  identical  assets  or 
liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data; (3) 
Level 3 Inputs—unobservable inputs. 

Commercial paper and Eurodollar deposits are included in cash equivalents and are valued at amortized cost, which approximates 
fair value due to its short-term nature. Eurodollar deposits are United States dollars deposited in a foreign bank branch of a United 
States bank and have daily liquidity. Both of these are included as a Level 2 measurement in the table below.  

The following details the Company’s financial assets within the fair value hierarchy at December 31, 2017 and 2016: 

As of December 31, 2017 
Money Market Funds 
Commercial Paper 
Eurodollar Deposits 

Total Cash Equivalents 
As of December 31, 2016 
Money Market Funds 
Commercial Paper 

Total Cash Equivalents 

Level 1 

Level 2 

Level 3 

Total 

(In thousands) 

  $ 

  $ 

  $ 

  $ 

13,971    $ 
--  
--  
13,971    $ 

11,200    $ 
--  
11,200    $ 

--    $ 

10,490  
10,017  
20,507    $ 

--    $ 

21,450  
21,450    $ 

--    $ 
--  
--  
--    $ 

--    $ 
--  
--    $ 

13,971  
10,490  
10,017  
34,478  

11,200  
21,450  
32,650  

There were no transfers between levels during the years ended December 31, 2017 and 2016. 

The Company's long-term debt described in Note 8 is recorded at historical cost. The fair value of long-term debt is classified in 
Level  2  of  the  fair  value  hierarchy  and  was  estimated  based  primarily  on  estimated  current  rates  available  for  debt  of  the  same 
remaining duration and adjusted for nonperformance and credit.  

The following are the carrying amount and estimated fair values of long-term debt:  

Total carrying amount of long-term debt 
Estimated fair value of long-term debt 

December 31, 2017      December 31, 2016 
(In thousands) 
1,067    $ 
1,066    $ 

3,540  
3,533  

  $ 
  $ 

The  carrying  amounts  of  accounts  receivable,  accounts  payable,  and  accrued  expenses  approximate  their  fair  value.  All  non-
financial  assets  that  are  not  recognized  or disclosed  at fair  value  in  the  financial  statements  on  a  recurring basis,  which  includes 
property and equipment, goodwill, intangibles and cost method investments, are measured at fair value in certain circumstances (for 
example, when there is evidence of impairment). As of December 31, 2017 and 2016, there was no indication of impairment related 
to these assets. 

Contingencies 

From time to time, the Company is involved in certain claims and litigation arising in the normal course of business. Management 
assesses the probability of loss for such contingencies and recognizes a liability when a loss is probable and estimable.   

41Since the September 2017 announcement of the original proposed recapitalization plan (see Note 13), three purported class action 
and/or  derivative  complaints  have  been  filed  in  state  or  federal  courts  by  three  individuals  claiming  to  be  shareholders  of  the 
Company.  All  of  the  complaints  name  as  defendants  the  Company  and  the  individual  directors  of  the  Company.  Two  of  these 
lawsuits  were  filed  in  the  United  States  District  Court  for  the  District  of  Nebraska—  a  putative  class  action  lawsuit  captioned 
Gennaro v. National Research Corporation, et al., and a putative class and derivative action lawsuit captioned Gerson v. Hays, et 
al.,.  These  lawsuits  were  consolidated  by  order  of  the  federal  court.  A  third  lawsuit  was  filed  the  Circuit  Court  for  Milwaukee 
County, Wisconsin—a putative class action lawsuit captioned Apfel v. Hays, et al. The allegations in all of the lawsuits are very 
similar.  The  plaintiffs  allege,  among  other  things,  that  the  defendants  breached  their  fiduciary  duties  in  connection  with  the 
allegedly unfair proposed transaction, at an allegedly unfair price, conducted in an allegedly unfair and conflicted process and in 
alleged  violation  of  Wisconsin  law  and  the  Company’s  Articles  of  Incorporation.  One  of  the  lawsuits  also  alleges  the  proposed 
transactions is a voidable “conflict of interest transaction” under Wisconsin statutes. The plaintiffs in these lawsuits seek, among 
other  things,  an  injunction  enjoining  the  defendants  from  consummating  the  original  proposed  recapitalization  plan,  damages, 
equitable relief and an award of attorneys’ fees and costs of litigation. The Company believes that the allegations of the complaints 
are without merit and intends to defend these lawsuits vigorously. Despite the changes to the original proposed recapitalization plan 
that  culminated  in  the  December  13,  2017  announcement  of  a  revised  proposed  recapitalization  plan,  the  Company  expects  that 
these shareholders or other shareholders might assert similar claims regarding the proposed recapitalization plan. The Company will 
defend any such lawsuits vigorously. As of December 31, 2017, no losses have been accrued as the Company does not believe the 
losses are probable or estimable. 

Earnings Per Share 

Net  income  per  share  of  class  A  common  stock  and  class  B  common  stock  is  computed  using  the  two-class  method.  Basic  net 
income per share is computed by allocating undistributed earnings to common shares and using the weighted-average number of 
common shares outstanding during the period. 

Diluted  net  income  per  share  is  computed  using  the  weighted-average  number  of  common  shares  and,  if  dilutive,  the  potential 
common shares outstanding during the period. Potential common shares consist of the incremental common shares issuable upon 
the exercise of stock options and vesting of restricted stock. The dilutive effect of outstanding stock options is reflected in diluted 
earnings per share by application of the treasury stock method. 

The liquidation rights and the rights upon the consummation of an extraordinary transaction are the same for the holders of class A 
common stock and class B common stock. Other than share distributions and liquidation rights, the amount of any dividend or other 
th) of the amount of any such dividend or
distribution payable on each share of class A common stock will be equal to one-sixth (1/6
other distribution payable on each share of class B common stock. As a result, the undistributed earnings for each year are allocated 
based  on  the  contractual  participation  rights  of  the  class  A  and  class  B  common  stock  as  if  the  earnings  for  the  year  had  been 
distributed. 

At December 31, 2016, and 2015, the Company had 156,610 and 487,639 options of class A shares and 49,262, and 58,429 options 
of class B shares, respectively, which have been excluded from the diluted net income per share computation because the exercise 
price exceeds the fair market value. At December 31, 2017, 2016, and 2015 an additional 104,647, 390,300, and 68,779 options of 
class A shares and 1,858, 34,178, and 1,101 options of class B shares, respectively were excluded as their inclusion would be anti-
dilutive.  

42Numerator for net income per share - 

2017 

2016 

2015 

Class A 

Class B 

Class A 

Class B 

Class A 

Class B 

(In thousands, except per share data) 

basic: 
Net income 
Allocation of distributed and 
undistributed income to unvested 
restricted stock shareholders 
Net income attributable to common 
shareholders 

  $ 

  $ 

11,388    $ 

11,555    $ 

10,178    $ 

10,341    $ 

8,759    $ 

8,851  

(88) 

(87) 

(88) 

(88) 

(76) 

(77) 

11,300    $ 

11,468    $ 

10,090    $ 

10,253    $ 

8,683    $ 

8,774  

Denominator for net income per 

share - basic:  
Weighted average common shares 
outstanding - basic 
Net income per share - basic 

20,770  

  $ 

0.54    $ 

3,514  
3.26    $ 

20,713  

0.49    $ 

3,505  
2.93    $ 

20,741  

0.42    $ 

3,478  
2.52  

Numerator for net income per share - 

diluted: 
Net income attributable to common 

shareholders for 
basic computation 

Denominator for net income per 

share - diluted: 

Weighted average common shares 

outstanding - basic  

Weighted average effect of dilutive 

securities – stock options: 

Denominator for diluted earnings per 
share – adjusted weighted average 
shares 

  $ 

11,300    $ 

11,468    $ 

10,090    $ 

10,253    $ 

8,683    $ 

8,774  

20,770  

3,514  

20,713  

3,505  

20,741  

3,478  

857  

89  

324  

55  

240  

44  

Net income per share - diluted 

  $ 

0.52    $ 

Recent Accounting Pronouncements Not Yet Adopted 

21,627  

3,603  
3.18    $ 

21,037  

0.48    $ 

3,560  
2.88    $ 

20,981  

0.41    $ 

3,522  
2.49  

In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers (Topic 606) (“ASU 2014-09”). ASU 2014-
09 requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or 
services  to  customers.  ASU  2014-09  will  replace  most  existing  revenue  recognition  guidance  in  accounting  principles  generally 
accepted in the United States when it becomes effective. The standard is effective for annual and interim reporting periods in fiscal 
years  beginning  after  December  15,  2017.  An  entity  may  choose  to  adopt  ASU  2014-09  either  retrospectively  or  through  a 
cumulative effect adjustment as of the start of the first period for which it applies the standard. The Company has completed system 
changes  and  is  analyzing  the  resulting  impact  that  this  new  guidance  will  have  on  its  consolidated  financial  statements.  The 
Company  will  adopt  this  new  guidance  using  the  modified  retrospective  approach  beginning  January  1,  2018  by  recording  a 
cumulative  effect  adjustment.  The  Company  expects  the  most  significant  change  to  result  from  deferring  direct  and  incremental 
costs of obtaining a contract, consisting of commissions and incentives, and recognizing the expense over the estimated life of the 
client  contract,  including  renewal  periods,  rather  than  expensing  as  incurred,  which  is  the  Company’s  current  practice.  The 
Company  expects  adjustments  to  retained  earnings  of  no  more  than  $2.7  million,  net  of  related  tax  effects,  upon  adoption  of 
deferring and amortizing direct and incremental contract costs. The Company also expects to record other immaterial adjustments, 
related to performance obligation determinations and estimating variable contingent consideration for certain contracts which were 
previously only recognized once the contingency was resolved and the services were performed. These amounts are only estimates 
and  involve  significant  judgements  by  management  including  estimating  the  lives  of  its  contracts,  the  value  of  performance 
deliverables  and  the  expected  amount  to  be  earned  from  the  satisfaction  of  those  deliverables.  The  Company  will  finalize  its 
calculation  of  the  financial  impact  of  the  adoption  of  ASU  2014-09  in  the  first  quarter  of  2018.  ASU  2014-09  also  requires 
additional disclosure about the nature, amount, timing and uncertainty of revenue and cash flows arising from customer contracts, 
including significant judgments and changes in judgments and assets recognized from costs incurred to obtain or fulfill a contract.  

43 
In  January  2016,  the  FASB  issued  ASU  2016-01,  Financial  Instruments—Overall:  Recognition  and  Measurement  of  Financial 
Assets  and  Financial  Liabilities.  ASU  2016-01  changes  certain  recognition,  measurement,  presentation  and  disclosure  aspects 
related to financial instruments. ASU 2016-01 is effective for financial statements issued for fiscal years beginning after December 
15, 2017, and interim periods within those fiscal years. Early adoption is not permitted. The Company believes its adoption will not 
significantly impact the Company’s results of operations and financial position.  

In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842). This ASU requires lessees to recognize a lease liability and 
a right-to-use asset for all leases, including operating leases, with a term greater than twelve months on its balance sheet. This ASU 
is effective in fiscal years beginning after December 15, 2018, with early adoption permitted, and requires a modified retrospective 
transition method. As of December 31, 2017, the Company had approximately $3.0 million of operating lease commitments which 
would  be  recorded  on  the  balance  sheet  under  the  new  guidance.  However,  the  Company is  currently  in  the  process  of  further 
evaluating  the  impact  that  this  new  guidance  will  have  on  its  consolidated  financial  statements  and  does  not  plan  to  elect  early 
adoption.   

In June 2016, the FASB issued ASU 2016-13, Financial Instruments – Credit Losses (Topic 326):  Measurement of Credit Losses 
on Financial Instruments.  This ASU will require the measurement of all expected credit losses for financial assets, including trade 
receivables, held at the reporting date based on historical experience, current conditions, and reasonable and supportable forecasts. 
The guidance is effective for annual reporting periods beginning after December 15, 2019 and interim periods within those fiscal 
years. The Company believes its adoption will not significantly impact the Company’s results of operations and financial position.   

In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230) Classification of Certain Cash Receipts and 
Cash Payments which eliminates the diversity in practice related to eight cash flow classification issues.  This ASU is effective for 
the  Company  on  January  1,  2018  with  early  adoption  permitted.   The  Company will  adopt  this  ASU  on  January  1,  2018  and 
believes it will not impact the Company’s results of operations and financial position. 

In October 2016, the FASB issued ASU 2016-16, Intra-Entity Transfers of Asset Other Than Inventory (“ASU 2016-16”), which 
requires entities to recognize the tax consequences of intercompany asset transfers other than inventory transfers in the period in 
which  the  transfer  takes  place.  ASU  2016-16  is  effective  for  fiscal  years  and  interim  periods  within  fiscal  years  beginning  after 
December 15, 2017. ASU 2016-16 is to be adopted using a modified retrospective approach with a cumulative effect adjustment to 
retained earnings as of the beginning of the period of adoption. The cumulative effect adjustment will include recognition of the 
income tax consequences of intra-entity transfers of assets other than inventory that occur before the adoption date.  The Company 
believes the adoption of ASU 2016-16 will not impact the Company’s consolidated financial statements.  

(2)   Equity Investments 

The Company makes equity investments to promote business and strategic objectives. For investments that do not have a readily 
determinable fair value, the Company applies either cost or equity method of accounting depending on the nature of its investment 
and  its  ability  to  exercise  significant  influence.  Investments  are  periodically  analyzed  to  determine  whether  or  not  there  are  any 
indicators of impairment and written down to fair value if the investment has incurred an other than temporary impairment. During 
2017,  the  Company  acquired  a  $1.3  million  investment  in  convertible  preferred  stock  of  Practicing  Excellence.com,  Inc.,  a 
privately-held Delaware Corporation (“PX”), which is carried at cost and included in other non-current assets. The Company has a 
seat on PX's board of directors and the Company's investment, which is not considered to be in-substance common stock, represents 
approximately 15.7% of the issued and outstanding equity interests in PX.  

44(3) 

Divestitures 

On December 21, 2015, the Company completed the sale of selected assets and liabilities related to the clinical workflow product of 
the Predictive Analytics operating segment, for a net cash amount of approximately $1.6 million.  The Company recorded a gain of 
approximately $1.1 million from the sale, which is included in other income on the Statement of Income.  In connection with the 
closing  of  the  transaction,  $300,000  was  placed  in  escrow  to  cover  certain  indemnification  claims  for  one  year  following  the 
transaction pursuant to the purchase agreement. Due to the uncertainty related to the settlement of the claims, escrowed amounts 
were recognized when the contingency was removed and the cash was released from escrow rather than at the time of sale. The 
Company received $223,000 of the escrow funds in December 2016 upon final resolution of the claims and recorded an additional 
gain on the sale from these funds.  The lack of operating results from this business due to its divestiture did not have a major effect 
on  our  operations  and financial  results,  and,  accordingly, it  was  not  classified  as  a  discontinued operation for  any of  the periods 
presented.  

(4) 

Connect 

Customer-Connect LLC was formed in June 2013 to develop and commercialize the Connect programs. Connect programs provide 
healthcare organizations the technology to engage patients through real-time identification and management of individual patient 
needs, preferences, risks, and experiences.  The platform ensures that organizations have access to a longitudinal view of the patient 
to  more  effectively  manage  patient  engagement  across  the  continuum  of  care.  At  inception,  NRC  Health  had  a  49%  ownership 
interest in Connect. NG Customer-Connect, LLC held a 25% interest, and the remaining 26% was held by Illuminate Health, LLC. 
Profits and losses were allocated under the hypothetical liquidation at book value approach. 

In July 2015, the Company acquired all of NG Customer-Connect, LLC’s interest in Connect and a portion of Illuminate Health 
LLC’s interest in Connect for combined consideration of $2.8 million. As a result, as of December 31, 2015, the Company owned 
approximately 89% of Connect and Illuminate Health, LLC owned 11%. Under the amended operating agreement, NRC Health had 
the  option  to  acquire  additional  equity  units  from  Illuminate  Health  when  new  annual  recurring  contract  value  reached  targeted 
levels. On March 7, 2016, the Company elected to exercise its first option to acquire one-third of the outstanding non-controlling 
interest for $1.0 million. Subsequently, on March 28, 2016, NRC Health and Illuminate Health reached an agreement whereby NRC 
Health acquired the remaining interest held by Illuminate Health for $1.0 million. Following these transactions, Customer-Connect 
LLC was a wholly owned subsidiary of NRC Health. All of Connect’s previous net income (losses) had been attributable to NRC 
Health. Since the Company previously consolidated Connect, the transactions to acquire additional ownership interests in Connect 
were accounted for as equity transactions, resulting in a reduction to additional paid-in capital of $252,000 and $2.8 million in 2016 
and  2015,  respectively.  The  acquisition  of  the  remaining  interest  resulted  in  differences  between  the  book  and  tax  basis  of 
Connect’s assets. As a result, the Company recorded deferred tax assets of $1.7 million, with a corresponding increase to additional 
paid-in capital during 2016.   On June 30, 2016, Customer-Connect LLC was dissolved.  

45(5)  

Property and Equipment 

At December 31, 2017, and 2016, property and equipment consisted of the following: 

Furniture and equipment 
Computer equipment 
Computer software 
Building 
Leaseholds 
Land 
Property and equipment at cost 
Less accumulated depreciation and amortization 
Net property and equipment 

2017 

2016 

(In thousands) 
5,064    $ 
2,721  
22,569  
9,386  
41  
425  
40,206  
27,847  
12,359    $ 

4,737  
2,750  
20,592  
9,386  
--  
425  
37,890  
26,084  
11,806  

  $

  $

Depreciation and amortization expense related to property and equipment, including assets under capital lease, for the years ended 
December 
and 
$3.1 million, respectively. 

million, 

million, 

2016, 

2017, 

2015 

$4.0 

$3.6 

was 

and 

31, 

Property and equipment included the following amounts under capital lease: 

Furniture and equipment 
Property and equipment under capital lease, gross 
Less accumulated amortization 
Net assets under capital lease 

2017 

2016 

(In thousands) 
843    $ 
843  
684  
159    $ 

769  
769  
530  
239  

  $

  $

(6)  

Goodwill and Intangible Assets  

Goodwill and intangible assets consisted of the following at December 31, 2017: 

Goodwill 
Non-amortizing intangible assets: 

Indefinite trade name 
Amortizing intangible assets: 

Customer related 
Technology 
Trade names 

Total amortizing intangible assets 
Total intangible assets other than goodwill 

 5- 15 
7 
 5- 10 

Useful Life 

(In years) 

Accumulated 
Amortization    Net 

Gross    

(In 
thousands) 

  $ 58,021  

  $ 58,021 

1,191  

1,191 

9,347  
1,360  
1,572  
  12,279  
  $ 13,470  $ 

736 
8,611  
837 
523  
1,572  
-- 
10,706   1,573 
10,706  $  2,764 

46 
Goodwill and intangible assets consisted of the following at December 31, 2016: 

Goodwill 
Non-amortizing intangible assets: 

Indefinite trade name 
Amortizing intangible assets: 

Customer related 
Technology 
Trade names 

Total amortizing intangible assets 
Total intangible assets other than goodwill 

 5- 15 
7 
 5- 10 

Useful Life 

(In years) 

Accumulated 
Amortization    Net 

Gross    

(In 
thousands) 

  $ 57,861  

  $ 57,861 

1,191  

1,191 

9,331  
1,110  
1,572  
  12,013  
  $ 13,204  $ 

8,164   1,167 
766 
344  
-- 
1,572  
10,080   1,933 
10,080  $  3,124 

The following represents a summary of changes in the Company’s carrying amount of goodwill for the years ended December 31, 
2017, and 2016 (in thousands):  

Balance as of December 31, 2015 
Foreign currency translation 
Balance as of December 31, 2016 
Foreign currency translation 
Balance as of December 31, 2017 

  $

  $

  $

57,792  
69  
57,861  
160  
58,021  

Aggregate amortization expense for customer related intangibles, trade names, technology and non-competes for the years ended 
December 31, 2017, 2016 and 2015 was $610,000, $654,000, and $995,000, respectively. Estimated amortization expense for the 
next five years is: 2018—$662,000; 2019—$374,000; 2020—$318,000; 2021—$180,000; 2022—$39,000. 

(7)  

Income Taxes  

For the years ended December 31, 2017, 2016, and 2015, income before income taxes consists of the following: 

U.S. Operations 
Foreign Operations 
Income before income taxes 

2017 

2016 
(In thousands) 

2015 

  $

  $

32,750    $
1,533  
34,283    $

29,848     $ 
1,508   
31,356     $ 

25,536  
1,824  
27,360  

47 
 
Income tax expense consisted of the following components: 

Federal: 
Current 
Deferred 
Total 

Foreign: 
Current 
Deferred 
Total 

State: 
Current 
Deferred 
Total 

Total 

2017 

2016 
(In thousands) 

2015 

10,947    $
(1,596)   
9,351    $

8,930     $ 
847   
9,777     $ 

9,955  
(1,232) 
8,723  

387    $
704  
1,091    $

837    $
61  
898    $

409     $ 
(18 )   
391     $ 

634     $ 
36   
670     $ 

455  
(23) 
432  

680  
(85) 
595  

11,340    $

10,838     $ 

9,750  

  $

  $

  $

  $

  $

  $

  $

Federal Tax Reform 

On  December  22,  2017,  the  Tax  Cut  and  Jobs  Act  (the  “Tax  Act”)  was  enacted  which,  among  other  changes,  reduces  the  U.S. 
federal corporate tax rate from 35% to 21% effective January 1, 2018. The Tax Act makes broad and complex changes to the U.S. 
tax  code  and  it  will  take  time  to  fully  analyze  the  impact  of  the  changes.  Based  on  the  information  available,  and  the  current 
interpretation  of  the  Tax  Act,  the  Company  was  able  to  make  a  reasonable  estimate  and  recorded  a  provisional  net  tax  benefit 
related  to  the  remeasurement  of  the  deferred  tax  assets  and  liabilities  due  to  the  reduction  in  the  U.S.  federal  corporate  tax  rate, 
offset  by  the  one-time  mandatory  deemed  repatriation  tax,  payable  over  eight  years.  Pursuant  to  the  Staff  Accounting  Bulletin 
published  by  the  United  States  Securities  and  Exchange  Commission  on  December  22,  2017,  addressing  the  challenges  in 
accounting for the effects of the Tax Act in the period of enactment, companies must report provisional amounts for those specific 
income  tax  effects  of  the  Tax  Act  for  which  the  accounting  is  incomplete  but  a  reasonable  estimate  can  be  determined.  Those 
provisional amounts will be subject to adjustment during a measurement period of up to one year from the enactment date. Pursuant 
to  this  guidance,  the  estimated  impact  of  the  Tax  Act  is  based  on  a  preliminary  review  of  the  new  tax  law  and  projected  future 
financial results and is subject to revision based upon further analysis and interpretation of the Tax Act and to the extent that future 
results  differ  from  currently  available  projections.  The  Company’s  accounting  for  the  following  elements  of  the  Tax  Act  is 
incomplete.  However,  the  Company  was  able  to  make  reasonable  estimates  and  recorded  a  provisional  net  tax  benefit  of  $1.9 
million related to the following elements of the Tax Act pursuant to the Staff Accounting Bulletin referred to above: 

● Reduction of U.S. Federal Corporate Tax Rate: The Tax Act reduces the corporate tax rate to 21%, effective January 1, 2018.
Consequently, we have recorded a decrease related to deferred tax assets and liabilities with a corresponding net adjustment to
deferred  income  tax  benefit  for  the  year  ended  December  31,  2017.  Since  the  Company  has  recorded  provisional  amounts
related to certain portions of the Tax Act, any corresponding deferred tax remeasurement is also provisional. For example, the
Tax Act had several changes that were depreciation related.  The primary change for the Company would be the availability of
100% bonus depreciation on assets placed in service after September 27, 2017. The Company is still evaluating which assets
meet the requirements of this and therefore, no adjustments have been recorded related to this portion of the Tax Act as of
December 31, 2017. In addition, under the Tax Act, expense under certain stock compensation plans may now be subject to
limitations as to deductibility and the Company is still reviewing and analyzing each plan to determine the impact.

48 
● One-Time Mandatory Deemed Repatriation Tax: Under the Tax Act, the Company will be subject to a one-time mandatory
deemed  repatriation  tax  on  accumulated  non-U.S.  earnings.  The estimated  impact  of  the  Tax Act  is  based  on  a  preliminary
review  of  the  new  law.  Several  estimates  were  used  in  these  calculations  and  the  Company  is  still  finalizing  the  material
inputs, therefore all repatriation adjustments are considered provisional. For example, the Company’s expected use of foreign
tax credits and credit carryforwards may be impacted once the analysis is completed. Currently, the Company estimates that it
will be unable to use approximately $535,000 of foreign tax credit carryforwards and has provided a full valuation allowance
against such amount.

● Global Intangible Low-Taxed Income (“GILTI”) Policy Election: The GILTI provisions of the Tax Act do not apply to the
Company  until  2018  and  we  are  still  evaluating  its  impact.  The  FASB  allows  companies  to  adopt  an  accounting  policy  to
either recognize deferred taxes for GILTI or treat such tax cost as a current-period expense when incurred. We have not yet
determined our accounting policy because determining the impact of the GILTI provisions requires analysis of our existing
legal entity structure, the reversal of our U.S. generally accepted accounting principles and U.S. tax basis differences in the
assets and liabilities of our foreign subsidiary, and our ability to offset any tax with foreign tax credits. As such, we have not
made a policy decision regarding whether to record deferred taxes on GILTI or treat such tax cost as a current-period expense.

In  addition,  as  a  result  of  the  Tax  Act,  the  Company  determined  that  it  would  no  longer  indefinitely  reinvest  the  earnings  of  its 
Canadian subsidiary and recorded the withholding tax of $706,000 associated with this planned repatriation. 

The difference between the Company’s income tax expense as reported in the accompanying consolidated financial statements and 
the  income  tax  expense  that would  be  calculated  applying  the U.S. federal  income  tax rate  of 35% for 2017,  2016,  and  2015  on 
pretax income was as follows: 

Expected federal income taxes 
Foreign tax rate differential 
State income taxes, net of federal benefit and state tax 

  $

credits 

Federal tax credits 
Uncertain tax positions 
Nondeductible expenses related to proposed 

recapitalization 

Share based compensation 
Compensation limit for covered employees 
Impact of 2017 Tax Act 
Valuation allowance 
Withholding tax on repatriation of foreign earnings 
Other 

Total 

  $

2017 

2016 
(In thousands) 

11,999    $
(131)   

10,975     $ 
(129 )     

2015 

608  
(130)   
151  

504  
(1,564)   
955  
(2,415)   
535  
706  
122  
11,340    $

436   
(165 )   
6   

--   
(441 )   
--   
--   
--   
--   
156   
10,838     $ 

9,576  
(139) 

391  
(150) 
93  

--  
--  
--  
--  
--  
--  
(21) 
9,750  

49 
Deferred tax assets and liabilities at December 31, 2017 and 2016, were comprised of the following: 

Deferred tax assets: 

Allowance for doubtful accounts 
Accrued expenses 
Share based compensation 
Accrued bonuses 
Foreign tax credit from repatriation 
Other 

Gross deferred tax assets 

Less Valuation Allowance 
Deferred Tax Assets 

Deferred tax liabilities: 
Prepaid expenses 
Property and equipment 
Intangible assets 
Repatriation withholding 

Deferred tax liabilities 
Net deferred tax liabilities 

2017 

2016 

(In thousands) 

  $

  $

46    $
416  
1,457  
113  
535  
166  
2,733  
(535)   
2,198  

169  
856  
4,497  
706  
6,228  
(4,030)   $

62  
580  
2,357  
84  
--  
244  
3,327  
--  
3,327  

270  
1,206  
6,521  
--  
7,997  
(4,670) 

In assessing the realizability of deferred tax assets, the Company considers whether it is more likely than not that some portion, or 
all, of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of 
future  taxable  income  during  the  periods  in  which  those  temporary  differences  become  deductible.  The  Company  considers 
projected future taxable income, carry-back opportunities, and tax planning strategies in making this assessment. Based upon the 
level  of  historical  taxable  income  and  projections  for  future  taxable  income  over  the  periods  which  the  deferred  tax  assets  are 
deductible, the Company believes it is more likely than not that it will realize the benefits of these deductible differences excluding 
the foreign tax credit carryforward.  

The Company had an unrecognized tax benefit at December 31, 2017 and 2016, of $843,000 and $662,000, respectively, excluding 
interest of $5,000 and $2,000 at December 31, 2017 and 2016, respectively. Of these amounts, $620,000 and $472,000 at December 
31,  2017  and  2016,  respectively,  represents  the  net  unrecognized  tax  benefits  that,  if  recognized,  would  favorably  impact  the 
effective income tax rate. The change in the unrecognized tax benefits for 2017 and 2016 is as follows:  

Balance of unrecognized tax benefits at December 31, 2015 
Reductions due to lapse of applicable statute of limitations 
Additions based on tax positions of prior years 
Additions based on tax positions related to the current year 

Balance of unrecognized tax benefits at December 31, 2016 
Reductions due to lapse of applicable statute of limitations 
Reductions due to tax positions of prior years 
Additions based on tax positions related to the current year 

Balance of unrecognized tax benefits at December 31, 2017 

(In thousands) 

589  
(148) 
5  
216  
662  
--  
(7) 
188  
843  

  $

  $

  $

50The Company files a U.S. federal income tax return, various state jurisdictions returns and a Canada federal and provincial income 
tax return. All years prior to 2014 are now closed for US federal income tax and for years prior to 2014 for state income tax returns, 
and no exposure items exist for these years. The Company completed a United States federal tax examination for the tax year ended 
December 31, 2013 in the first quarter of 2016. The 2013 to 2017 Canada federal and provincial income tax returns remain open to 
examination. 

(8)  

Notes Payable 

Notes payable consisted of the following: 

Revolving credit note with U.S. Bank, maximum available $12.0 million, 

matures June 30, 2018 

Note payable to U.S. Bank for $11.8 million, interest at a 3.12% fixed rate, 
monthly principal and interest payments of $212,468 through April 2018 

Total notes payable 
Less current portion 
Note payable, net of current portion 

2017 

2016 

(In thousands) 

  $

  $

--    $ 

1,067  
1,067  
1,067  

--    $ 

--  

3,540  
3,540  
2,683  
857  

The Company’s revolving credit note was amended and extended effective June 30, 2017 with a maturity date of June 30, 2018. 
The maximum aggregate amount available under the revolving credit note is $12.0 million. Borrowings under the revolving credit 
note bear interest at a variable annual rate, with three rate options at the discretion of management as follows: (1) 2.1% plus the 
one-month  London  Interbank  Offered  Rate  (“LIBOR”)  or  (2)  2.1%  plus  the  one-,  two-  or  three-  month  LIBOR  rate,  or  (3)  the 
bank’s one-, two, three, six, or twelve month Money Market Loan Rate. As of December 31, 2017 the revolving credit note did not 
have a balance and the Company had the capacity to borrow $12.0 million. 

The term note and revolving credit note are secured by certain of the Company’s assets, including the Company’s land, building, 
accounts receivable and intangible assets. The term note and the revolving credit note contain various restrictions and covenants 
applicable  to  the  Company,  including  requirements  that  the  Company  maintain  certain  financial  ratios  at  prescribed  levels  and 
restrictions on the ability of the Company to consolidate or merge, create liens, incur additional indebtedness or dispose of assets. 
As of December 31, 2017, the Company was in compliance with the financial covenants.  

(9) 

Share-Based Compensation 

The Company measures and recognizes compensation expense for all share-based payments based on the grant-date fair value of 
those awards. All of the Company’s existing stock option awards and non-vested stock awards have been determined to be equity-
classified awards.  

The National Research Corporation 2001 Equity Incentive Plan (“2001 Equity Incentive Plan”) provided for the granting of stock 
options, stock appreciation rights, restricted stock, performance shares and other share-based awards and benefits up to an aggregate 
of 1,800,000 shares of class A common stock and 300,000 shares of class B common stock. Stock options granted could have been 
either nonqualified or incentive stock options. Stock options vest over one to five years following the date of grant and option terms 
are generally five to ten years following the date of grant. Due to the expiration of the 2001 Equity Incentive Plan, at December 31, 
2015, there were no shares of stock available for future grants. The Company has accounted for grants of 1,683,309 class A and 
280,552 class B options and restricted stock under the 2001 Equity Incentive Plan using the date of grant as the measurement date 
for financial accounting purposes. 

51 
The  Company’s  2004  Non-Employee  Director  Stock  Plan,  as  amended  (the  “2004  Director  Plan”),  is  a  nonqualified  plan  that 
provides  for  the  granting  of  options  with  respect  to  3,000,000  shares  of  class  A  common  stock  and  500,000  shares  of  class  B 
common stock. The 2004 Director Plan provides for grants of nonqualified stock options to each director of the Company who is 
not employed by the Company. On the date of each annual meeting of shareholders of the Company, options to purchase 36,000 
shares of class A common stock and 6,000 shares of class B common stock are granted to directors that are elected or retained as a 
director at such meeting. Stock options vest one year following the date of grant and option terms are generally ten years following 
the  date  of  grant,  or  three  years  in  the  case  of  termination  of  the  outside  director’s  service.  At  December  31,  2017,  there  were 
921,000 shares  of  class A  common  stock  and 153,500  shares  of  class  B  common  stock  available  for  issuance  pursuant  to  future 
grants  under  the  2004  Director  Plan.  The  Company  has  accounted  for  grants  of  2,079,000  class  A  and  346,500  class  B  options 
under the 2004 Director Plan using the date of grant as the measurement date for financial accounting purposes. 

The  National  Research  Corporation  2006  Equity  Incentive  Plan  (the  “2006  Equity  Incentive  Plan”)  provides  for  the  granting  of 
stock options, stock  appreciation  rights, restricted  stock,  performance  shares  and  other  share-based  awards  and  benefits  up  to an 
aggregate of 1,800,000 shares of class A common stock and 300,000 shares of class B common stock. Stock options granted may 
be either incentive stock options or nonqualified stock options. Vesting terms vary with each grant and option terms are generally 
five  to  ten  years  following  the  date  of  grant.  At  December  31,  2017,  there  were  865,465  shares  of  class  A  common  stock  and 
145,189 shares of class B common stock available for issuance pursuant to future grants under the 2006 Equity Incentive Plan. The 
Company  has  accounted  for  grants  of  934,535  class  A  and  154,811  class  B  options  and  restricted  stock  under  the  2006  Equity 
Incentive Plan using the date of grant as the measurement date for financial accounting purposes. 

The Company granted options to purchase 299,917 shares of class A common stock and 49,986 shares of class B common stock 
during 2017. During 2016, the Company granted options to purchase 315,620 shares of class A common stock and 52,603 shares of 
class B common stock, and during 2015 granted options to purchase 261,306 shares of class A common stock and 43,551 shares of 
class  B  common  stock.  Options  to  purchase  shares  of  common  stock  are  typically  granted  with  exercise  prices  equal  to  the  fair 
value of the common stock on the date of grant. The Company does, in certain limited situations, grant options with exercise prices 
that exceed the fair value of the common shares on the date of grant. The fair value of stock options granted was estimated using a 
Black-Scholes valuation model with the following weighted average assumptions: 

2017 

2016 

2015 

Class A 

Class B 

Class A 

Class B 

Class A 

Class B 

Expected dividend yield at 

date of grant 

Expected stock price 
volatility 
Risk-free interest rate 
Expected life of options (in 
years) 

2.62%  

8.06%  

2.99%  

7.29%  

2.22%   

5.48% 

32.45%  
2.18%  

26.75%  
2.18%  

32.74%  
1.69%  

29.41%  
1.69%  

31.97%   
1.58%   

31.17% 
1.60% 

6.80  

6.80  

6.86  

6.86  

5.49  

5.62  

The risk-free interest rate assumptions were based on the U.S. Treasury yield curve in effect at the time of the grant. The expected 
volatility was based on historical monthly price changes of the Company’s stock based on the expected life of the options at the 
date of grant. The expected life of options is the average number of years the Company estimates that options will be outstanding. 
The Company considers groups of associates that have similar historical exercise behavior separately for valuation purposes.  

52The following table summarizes stock option activity under the 2001 and 2006 Equity Incentive Plans and the 2004 Director Plan 
for the year ended December 31, 2017: 

Class A 
Outstanding at December 31, 2016 
Granted 
Exercised 
Forfeited 
Outstanding at December 31, 2017 
Exercisable at December 31, 2017 

Class B 
Outstanding at December 31, 2016 
Granted 
Exercised 
Forfeited 
Outstanding at December 31, 2017 
Exercisable at December 31, 2017 

Weighted 
Average 
Exercise 
Price 

Weighted 
Average 
Remaining 
Contractual 
Terms (Years)     

Aggregate 
Intrinsic 
Value 
(In thousands)   

12.31   
22.13   
10.55   
21.35   
13.88   
12.14   

29.70   
42.90   
27.04   
41.53   
31.78   
29.16   

  $ 

2,681  

5.39    $ 
4.32    $ 

40,901  
32,060  

  $ 

202  

5.52    $ 
4.44    $ 

6,719  
5,353  

Number of 
Options 

1,705,483    $ 
299,917    $ 
(197,784)   $ 
(60,982)   $ 
1,746,634    $ 
1,274,361    $ 

250,493    $ 
49,986    $ 
(13,600)   $ 
(10,163)   $ 
276,716    $ 
198,950    $ 

The following table summarizes information related to stock options for the years ended December 31, 2017, 2016 and 2015: 

2017 

2016 

2015 

Class A 

Class B 

Class A 

Class B 

Class A 

Class B 

Weighted average grant 

date fair value of stock 
options granted 

Intrinsic value of stock 
options exercised (in 
thousands) 

Intrinsic value of stock 
options vested (in 
thousands) 

  $ 

5.83    $ 

3.66    $ 

3.62    $ 

3.90    $ 

3.49    $ 

5.45  

2,681  

202  

459  

632  

350  

151  

5,258  

787  

1,627  

535  

1,351  

415  

As of December 31, 2017, the total unrecognized compensation cost related to non-vested stock option awards was approximately 
$1.2 million and $152,000 for class A and class B common stock shares, respectively, which was expected to be recognized over a 
weighted average period of 2.53 years and 2.57 years for class A and class B common stock shares, respectively.  

Cash  received  from  stock  options  exercised  for  the  years  ended  December 31,  2016  was  $548,000.  There  was  no  cash  received 
from stock options exercised for the year ended December 31, 2017 or 2015. The Company recognized $1.2 million, $964,000 and 
$828,000 of non-cash compensation for the years ended December 31, 2017, 2016, and 2015, respectively, related to options, which 
is included in selling, general and administrative expenses. 

The actual tax benefit realized for the tax deduction from stock options exercised was $1.1 million, $398,000 and $183,000 for the 
years ended December 31, 2017, 2016 and 2015, respectively. The Company prospectively elected ASU 2016-09, Compensation – 
Stock  Compensation  (Topic  718)  Improvements  to  Employee  Share-Based  Payment  Accounting  (“ASU  2016-09”)  in  2016.  As  a 
result, the excess tax benefit from stock options exercised was recognized as a reduction to our provision for income taxes for the 
years ended December 31, 2017 and 2016 rather than as an increase to additional paid-in capital for the years ended December 31, 
2015 prior to adoption.  

53  
 
During 2016  and 2015,  the Company  granted  20,578  and  89,416 non-vested  shares of  class  A  and  3,430 and 14,902 non-vested 
shares of class B common stock, respectively, under the 2006 Equity Incentive Plan. No shares were granted during the year ended 
December  31,  2017.  As  of  December  31,  2017,  the  Company  had  81,677  and  13,611  non-vested  shares  of  class  A  and  class  B 
common stock, respectively, outstanding under the 2006 Equity Incentive Plan. These shares vest over five years following the date 
of grant and holders thereof are entitled to receive dividends from the date of grant, whether or not vested. The fair value of the 
awards is calculated as the fair market value of the shares on the date of grant. The Company recognized $629,000, $966,000 and 
$555,000  of  non-cash  compensation  for  the  years  ended  December  31,  2017,  2016,  and  2015,  respectively,  related  to  this  non-
vested stock, which is included in selling, general and administrative expenses. The actual tax benefit realized for the tax deduction 
from  vesting  of  restricted  stock  was  $1.3  million  and  $161,000  for  the  years  ended  December  31,  2017  and  2016,  respectively. 
There were no shares that vested in the year ended December 31, 2015. 

The  following  table  summarizes  information  regarding  non-vested  stock  granted  to  associates  under  the  2006  Equity  Incentive 
Plans for the year ended December 31, 2017: 

Outstanding at December 31, 2016 
Granted 
Vested 
Forfeited 
Outstanding at December 31, 2017 

Class A 
Weighted  
Average 
Grant  
Date Fair 
Value 
Per Share 

Class B 
Shares 
Outstanding 

Class B 
Weighted 
Average 
Grant 
Date Fair 
Value  
Per Share 

Class A 
Shares 
Outstanding 

174,487    $ 
--    $ 
(73,506)   $ 
(19,314)   $ 
81,677    $ 

13.93  
--  
13.99  
14.27  
13.80  

29,081    $ 
--    $ 
(12,251)   $ 
(3,219)   $ 
13,611    $ 

37.21  
--  
38.50  
34.69  
36.65  

As  of  December  31,  2017,  the  total  unrecognized  compensation  cost  related  to  non-vested  stock  awards  was  approximately 
$806,000 and is expected to be recognized over a weighted average period of 2.54 years. 

(10)   Leases 

The  Company  leases  printing  equipment  in  the  United  States,  and  office  space  in  Canada,  California,  Georgia,  and  Washington. 
The  Company  also  leased  additional  office  space  in  Nebraska  through  June  2016.  The  Company  recorded  rent  expense  in 
connection with its operating leases of $869,000, $920,000 and $1.0 million in 2017, 2016, and 2015, respectively. The Company 
also has capital leases for production, mailing and computer equipment.  

Payments under non-cancelable operating leases and capital leases at December 31, 2017 for the next five years are: 

Year Ending December 31, 

2018 
2019 
2020 
2021 
2022 
Total minimum lease payments 
Less: Amount representing interest 
Present value of minimum lease payments 
Less: Current maturities 
Capital lease obligations, net of current portion 

Capital 
Leases 

     Operating Leases   

708  
679  
485  
377  
190  

  $ 

  $ 

(In thousands) 
80    $ 
51  
34  
6  
1  
172  
14  
158  
71  
87  

54(11) 

Related Party 

A  director  of  the  Company  also  serves  as  an  officer  of  Ameritas  Life  Insurance  Corp.  (“Ameritas”).  In  connection  with  the 
Company’s regular assessment of its insurance-based associate benefits, which is conducted by an independent insurance broker, 
and the costs associated therewith, the Company purchases dental and vision insurance for certain of its associates from Ameritas. 
The total value of these purchases was $248,000, $232,000 and $227,000 in 2017, 2016 and 2015 respectively.  

Mr. Hays, the Chief Executive Officer and director of the Company, is an owner of 14% of the equity interest of Nebraska Global 
Investment  Company  LLC  (“Nebraska  Global”).   The  Company,  directly  or  indirectly  through  its  former  subsidiary  Customer-
Connect LLC, purchased certain services from Nebraska Global, primarily consisting of software development services.  The total 
value of these purchases were $12,500, $488,000 and $440,000 in 2017, 2016 and 2015, respectively.  

Mr. Hays personally incurred approximately $538,000 of fees and expenses in connection with exploring strategic alternatives for 
the  Company,  including  the  proposed  recapitalization  (see  Note  13),  for  which  the  Company  has  reimbursed  Mr.  Hays  in  2017. 
These  fees  and  expenses  were  attributable  to  the  evaluation of  alternatives  and  the  sourcing  and negotiating of financing for  the 
alternatives,  all  of  which  would  have  been  borne  directly  by  the  Company  if  they  had  been  advanced  by  Mr.  Hays.  Mr.  Hays 
advanced  these  funds  personally  in  order  to  maintain  the  confidentiality  of  the  evaluation  of  such  alternatives  and  allow  the 
management team to maintain its focus on the Company’s business and operations. 

During 2017, the Company acquired a cost method investment in convertible preferred stock of PX (see Note 2). Also in 2017, the 
Company paid $250,000 to acquire certain perpetual content licenses from PX for content the Company includes in certain of its 
subscription services. The Company also has an agreement with PX which commenced in 2016 under which the Company acts as a 
reseller of PX services and receives a portion of the revenues. The total revenue earned from the PX reseller agreement in the years 
ended December 31, 2017 and 2016 was $633,000 and $28,000, respectively.  

(12) 

Associate Benefits 

The Company sponsors a qualified 401(k) plan covering substantially all associates with no eligibility service requirement. Under 
the  401(k)  plan,  the  Company  matches  25.0%  of  the  first  6.0%  of  compensation  contributed  by  each  associate.  Employer 
contributions, which are discretionary, vest to participants at a rate of 20% per year. The Company contributed $350,000, $291,000 
and $330,000 in 2017, 2016 and 2015, respectively, as a matching percentage of associate 401(k) contributions.  

(13) 

Proposed Recapitalization 

In December 2017, the Company’s Board of Directors approved a recapitalization plan that will exchange each share of class B 
common  stock  for  one  share  of  class  A  common  stock  plus  $19.59  in  cash,  for  total  value  of  $53.44  per  class  B  share.  This 
proposed recapitalization plan replaces the proposed plan announced in September 2017.  

In December 2017, the Company entered into a commitment letter with First National Bank of Omaha, which expires on April 30, 
2018, to provide a senior secured term loan of $40 million, a delayed draw term loan facility of $15 million and a senior secured 
revolving line of credit facility of $15 million. 

The  proposed  recapitalization  is  subject  to  closing  of  financing  and  approval  by  the  holders  of  the  Company’s  class  A  common 
stock, class B common stock and both classes of stock voting together as a group. The Company incurred expenses related to the 
proposed recapitalization of approximately $1.4 million in the year ended December 31, 2017, which are included in selling and 
administrative expenses. These expenses include certain amounts reimbursed to Mr. Hays (see Note 11). 

55(14) 

Segment Information 

The  Company’s  six  operating  segments  are  aggregated  into  one  reporting  segment  because  they  have  similar  economic 
characteristics and meet the other aggregation criteria from the FASB guidance on segment disclosure. The six operating segments 
are Experience, The Governance Institute, Market Insights, Transparency, National Research Corporation Canada and Transitions, 
which offer a portfolio of solutions that address specific needs around market insight, experience, transparency and governance for 
healthcare  providers,  payers  and  other  healthcare  organizations.  On  December  21,  2015,  selected  assets  and  liabilities  were  sold 
from  a  seventh  operating  segment,  Predictive  Analytics,  reducing  the  number  of  operating  segments  from  seven  to  six  as  of 
December 31, 2015. 

The table below presents entity-wide information regarding the Company’s revenue and assets by geographic area: 

Revenue: 

United States 
Canada 
Total 
Long-lived assets: 
United States 
Canada 
Total 
Total assets: 

United States 
Canada 
Total 

2017 

2016 
(In thousands) 

2015 

  $

  $

  $

  $

  $

  $

112,885    $
4,674  
117,559    $

72,562    $
2,495  
75,057    $

110,785    $
16,531  
127,316    $

104,445    $
4,939  
109,384    $

71,192    $
2,367  
73,559    $

106,288    $
14,336  
120,624    $

97,097  
5,246  
102,343  

70,624  
2,364  
72,988  

115,480  
12,569  
128,049  

56Item 9.  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

Not applicable. 

Item 9A.   Controls and Procedures 

Evaluation of Disclosure Controls and Procedures 

In  accordance  with  Rule  13a-15(b)  of  the  Securities  Exchange  Act  of  1934  (the  “Exchange  Act”),  the  Company’s  management 
evaluated,  with  the  participation  of  the  Company’s  Chief  Executive  Officer  and  the  Company’s  Chief  Financial  Officer,  the 
effectiveness of the design and operation of the Company’s disclosure controls and procedures (as defined in Rule 13a-15(e) and 
15d-15(e)  under  the  Exchange  Act)  as  of  December  31,  2017.  Based  upon  their  evaluation  of  these  disclosure  controls  and 
procedures, the Chief Executive Officer and the Chief Financial Officer concluded that the disclosure controls and procedures were 
effective as of December 31, 2017. 

Management’s Report on Internal Control over Financial Reporting 

The Company’s management is responsible for establishing and maintaining adequate internal control over financial reporting (as 
defined  in  Rule  13a-15(f)  of  the  Exchange  Act).  The  Company’s  internal  control  over  financial  reporting  is  designed  to  provide 
reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes 
in  accordance  with  generally  accepted  accounting  principles.  Because  of  its  inherent  limitations,  however,  internal  control  over 
financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods 
are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with 
the policies of procedures may deteriorate. 

The  Company’s  management,  with  the  participation  of  the  Company’s  Chief  Executive  Officer  and  Chief  Financial  Officer,  has 
evaluated the effectiveness of the Company’s internal control over financial reporting using the framework in Internal Control – 
Integrated  Framework  (2013)  issued  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  (“COSO”). 
Based on such evaluation, the Company’s management concluded that the Company’s internal control over financial reporting was 
effective as of December 31, 2017.  

The  effectiveness  of  the  Company’s  internal  control  over  financial  reporting  as  of  December 31,  2017,  has  been  audited  by 
KPMG LLP, an independent registered public accounting firm, as stated in their report, a copy of which is included in this Annual 
Report on Form 10-K. 

Changes in Internal Control over Financial Reporting 

There was no change in the Company’s internal control over financial reporting that occurred during the quarter ended December 
31,  2017,  that  has  materially  affected,  or  is  reasonably  likely  to  materially  affect,  the  Company’s  internal  control  over  financial 
reporting. 

Item 9B.   Other Information 

The Company has no other information to report pursuant to this item.  

57 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm 

To the Shareholders and Board of Directors 
National Research Corporation: 

Opinion on Internal Control Over Financial Reporting 

We have audited National Research Corporation and subsidiary’s (the “Company”) internal control over financial reporting as of 
December 31, 2017, based on criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of 
Sponsoring Organizations of the Treadway Commission. In our opinion, the Company maintained, in all material respects, effective 
internal  control  over  financial  reporting  as  of  December 31,  2017,  based  on  criteria  established  in  Internal  Control  –  Integrated 
Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission.  

We  also  have  audited,  in  accordance  with  the  standards  of  the  Public  Company  Accounting  Oversight  Board  (United  States) 
(“PCAOB”),  the  consolidated  balance  sheets  of  the  Company  as  of  December 31,  2017  and  2016,  the  related  consolidated 
statements of income, comprehensive income, shareholders’ equity, and cash flows for each of the years in the three-year period 
ended December 31, 2017, and the related notes (collectively, the consolidated financial statements), and our report dated March 
14, 2018 expressed an unqualified opinion on those consolidated financial statements. 

Basis for Opinion 

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment 
of  the  effectiveness  of  internal  control  over  financial  reporting,  included  in  the  accompanying  Management’s  Report  on  Internal 
Control  over  Financial  Reporting.  Our  responsibility  is  to  express  an  opinion  on  the  Company’s  internal  control  over  financial 
reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with 
respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities 
and Exchange Commission and the PCAOB. 

We  conducted  our  audit  in  accordance  with  the  standards  of  the  PCAOB.  Those  standards  require  that  we  plan and perform  the 
audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material 
respects. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial 
reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of 
internal control based on the assessed risk. Our audit also included performing such other procedures as we considered necessary in 
the circumstances. We believe that our audit provides a reasonable basis for our opinion. 

Definition and Limitations of Internal Control Over Financial Reporting 

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability 
of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally  accepted 
accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain 
to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of 
the  company;  (2) provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial 
statements  in  accordance  with  generally  accepted  accounting  principles,  and  that  receipts  and  expenditures  of  the  company  are 
being  made  only  in  accordance  with  authorizations  of  management  and  directors  of  the  company;  and  (3) provide  reasonable 
assurance  regarding  prevention  or  timely  detection  of  unauthorized  acquisition,  use,  or  disposition  of  the  company’s  assets  that 
could have a material effect on the financial statements. 

58Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because 
of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. 

/s/ KPMG LLP 

Lincoln, Nebraska 
March 14, 2018 

59PART III 

Item 10.   Directors, Executive Officers and Corporate Governance 

The information required by this Item with respect to directors and Section 16 compliance is included under the captions “Election 
of  Directors”  and  “Section 16(a)  Beneficial  Ownership  Reporting  Compliance,”  respectively,  in  the  Company’s  definitive  Proxy 
Statement  for  its  2018  Annual  Meeting  of  Shareholders  (“Proxy  Statement”)  and  is  hereby  incorporated  herein  by  reference. 
Information  with  respect  to  the  executive  officers  of  the  Company  appears  in  Item 1  of  this  Annual  Report  on  Form  10-K.  The 
information  required  by  this  Item  with  respect  to  audit  committees  and  audit  committee  financial  experts  is  included  under  the 
caption “Corporate Governance” in the Proxy Statement and is incorporated herein by reference. 

The Company has adopted a Code of Business Conduct and Ethics that applies to all of the Company’s associates, including the 
Company’s Chief Executive Officer and Chief Financial Officer and other persons performing similar functions. The Company has 
posted  a  copy  of  the  Code  of  Business  Conduct  and  Ethics  on  its  website  at  www.nrchealth.com,  and  such  Code  of  Business 
Conduct and Ethics is available, in print, without charge, to any shareholder who requests it from the Company’s Secretary. The 
Company intends to satisfy the disclosure requirements under Item 5.05 of Form 8-K regarding amendments to, or waivers from, 
the Code of Business Conduct and Ethics by posting such information on its website at www.nrchealth.com. The Company is not 
including the information contained on its website as part of, or incorporating it by reference into, this report. 

Item 11.  

Executive Compensation 

The information required by this Item is included under the captions “Compensation Discussion and Analysis,” “2017 Summary 
Compensation  Table,”  “Grants  of  Plan-Based  Awards  in  2017,”  “Outstanding  Equity  Awards  at  December  31,  2017,”  “2017 
Director  Compensation,”  “Compensation  Committee  Report,”  “Corporate  Governance-Transactions  with  Related  Persons”  and 
“CEO Pay Ratio” in the Proxy Statement and is hereby incorporated herein by reference. 

Item 12.  

Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters 

The information required by this Item with respect to security ownership of certain beneficial owners and management is included 
under the caption “Principal Shareholders” in the Proxy Statement and is hereby incorporated by reference. 

60The following table sets forth information with respect to compensation plans under which equity securities of the Company are 
authorized for issuance as of December 31, 2017. 

Number of 
securities 
to be issued upon 
the exercise of 
outstanding options, 
warrants and rights   

Weighted-average 
exercise price of 
outstanding 
options,  
warrants and rights    

Number of 
securities 
remaining available 
for 
future issuance 
under 
equity 
compensation 
plans (excluding 
securities reflected 
in the first column)   

1,746,634    $ 

--  

1,746,634    $ 

13.88  

--  
13.88  

1,786,465 

(2)

--   
1,786,465   

Number of 
securities 
to be issued upon 
the exercise of 
outstanding options, 
warrants and rights   

Weighted-average 
exercise price of 
outstanding 
options,  
warrants and rights    

Number of 
securities 
remaining available 
for 
future issuance 
under 
equity 
compensation 
plans (excluding 
securities reflected 
in the first column)   

276,716    $ 

--  

276,716    $ 

31.78  

--  
31.78  

(2)

298,689 

--   
298,689   

Plan Category Class A shares 
Equity compensation plans approved by security holders 
(1)

Equity compensation plans not approved by security 
holders 
Total 

Plan Category Class B shares 
Equity compensation plans approved by security holders 
(1)

Equity compensation plans not approved by security 
holders 
Total 

(1)  Includes the Company’s 2006 Equity Incentive Plan, 2004 Director Plan, and the 2001 Equity Incentive Plan. 
(2)  Under the 2006 Equity Incentive Plan, the Company had authority to award up to 327,590 additional shares of restricted class A 
common stock and 54,599 additional shares of restricted class B common stock to participants, provided that the total of such
shares  awarded  may  not  exceed  the  total  number  of  shares  remaining  available  for  issuance  under  the  2006  Equity  Incentive
Plan, which totaled 865,465 shares of class A common stock and 145,189 shares of class B common stock as of December 31,
2017.  The  Director  Plan  provides  for  granting  options  for  3,000,000  shares  of  Class  A  common  stock  and  500,000  shares  of
Class  B  common  stock.  Option  awards  through  December  31,  2017  totaled  2,079,000  shares  of  Class  A  common  stock  and
346,500 of Class B common stock. No future awards are available under the 2001 Equity Incentive Plan due to its expiration.  

Item 13.     Certain Relationships and Related Transactions, and Director Independence 

The information required by this Item is included under the caption “Corporate Governance” in the Proxy Statement and is hereby 
incorporated by reference. 

Item 14.     Principal Accountant Fees and Services 

The information required by this Item is included under the caption “Miscellaneous — Independent Registered Public Accounting 
Firm” in the Proxy Statement and is hereby incorporated by reference. 

61  
  
Item 15. 

Exhibits, Financial Statement Schedules 

PART IV 

1.

2.

3.

Consolidated financial statements. The consolidated financial statements listed in the accompanying index to the consolidated
financial statements are filed as part of this Annual Report on Form 10-K.

Financial  statement  schedules.  All  financial  statement  schedules  have  been  omitted  because  they  are  not  applicable  or  the
required information is included in the consolidated financial statements and the related notes thereto.

Exhibits. The exhibits listed in the exhibit index below are filed as part of this Annual Report on Form 10-K.

Exhibit 
Number 

(3.1) 

(3.2) 

(4) 

(10.1)* 

(10.2)* 

(10.3)* 

(10.4)* 

(10.5)* 

EXHIBIT INDEX 

Exhibit Description 

Amended  and  Restated  Articles  of  Incorporation  of  National  Research  Corporation,  effective  May  22,  2013
[Incorporated by reference to Exhibit (3.2) to National Research Corporation’s Current Report on Form 8-K dated 
May 22, 2013 and filed May 24, 2013 (File No. 0-29466)] 

By-Laws  of  National  Research  Corporation,  as  amended  to  date  [Incorporated  by  reference  to  Exhibit  (3.2)  to
National Research Corporation’s Current Report on Form 8-K dated October 26, 2015 and filed on October 28, 
2015 (File No. 0-29466)] 

Installment  Note,  dated  as  of  May  9,  2013,  from  National  Research  Corporation  to  U.S.  Bank  National
Association  [Incorporated  by  reference  to  Exhibit  (4)  to  National  Research  Corporation’s  Quarterly  Report  on 
Form 10-Q for the quarter ended June 30, 2013 and filed on August 8, 2015 (File No. 0-29466)] 

National Research Corporation 2001 Equity Incentive Plan [Incorporated by reference to Appendix A to National
Research Corporation’s Proxy Statement for the 2002 Annual Meeting of Shareholders filed on April 3, 2002 (File
No. 0-29466)] 

National  Research  Corporation  2006  Equity  Incentive  Plan,  as  amended  [Incorporated  by  reference  to  Exhibit
(4.3) to National Research Corporation’s Registration Statement on Form S-8 (Registration No. 333-189141) filed 
on June 6, 2013]  

National Research Corporation 2004 Non-Employee Director Stock Plan, as amended [Incorporated by reference
to Appendix A to National Research Corporation’s Proxy Statement for its 2015 Annual Meeting of Shareholders
filed on April 1, 2015] 

Form  of  Nonqualified  Stock  Option  Agreement  (for  new  associates)  used  in  connection  with  the  2001  Equity
Incentive  Plan  [Incorporated  by  reference  to  Exhibit  4.4  to  National  Research  Corporation’s  Registration
Statement on Form S-8 (Registration No. 333-120530) filed on November 16, 2004] 

Form of Nonqualified Stock Option Agreement (for officers) used in connection with the 2001 Equity Incentive 
Plan [Incorporated by reference to Exhibit 4.5 to National Research Corporation’s Registration Statement on Form
S-8 (Registration No. 333-120530) filed on November 16, 2004] 

62Exhibit 
Number 

(10.6)* 

 (10.7)* 

(10.8)* 

(10.9)* 

Exhibit Description 

Form of Restricted Stock Agreement for executive officers used in connection with the 2001 Equity Incentive Plan
[Incorporated by reference to Exhibit 10.2 to National Research Corporation’s Current Report on Form 8-K dated 
March 19, 2005 and filed on March 23, 2005 (File No. 0-29466)] 

Form of Restricted Stock Agreement (one year vesting) used in connection with the 2001 Equity Incentive Plan
[Incorporated by reference to Exhibit 4.6 to National Research Corporation’s Registration Statement on Form S-8 
(Registration No. 333-120530) filed on November 16, 2004] 

Form of Restricted Stock Agreement (five year vesting) used in connection with the 2001 Equity Incentive Plan
[Incorporated by reference to Exhibit 4.7 to National Research Corporation’s Registration Statement on Form S-8 
(Registration No. 333-120530) filed on November 16, 2004] 

Form  of  Nonqualified  Stock  Option  Agreement  used  in  connection  with  the  2006  Equity  Incentive  Plan
[Incorporated by reference to Exhibit (10.14) to National Research Corporation’s Annual Report on Form 10-K 
for the year ended December 31, 2006 and filed on April 2, 2007 (File No. 0-29466)] 

(10.10)* 

Form  of  Restricted  Stock  Agreement  used  in  connection  with  the  2006  Equity  Incentive  Plan  [Incorporated  by 
reference to Exhibit (10.15) to National Research Corporation’s Annual Report on Form 10-K for the year ended 
December 31, 2006 and filed on April 2, 2007 (File No. 0-29466)] 

(11) 

(21) 

(23) 

Computation of per share earnings (contained in Note 1 of “Notes to Consolidated Financial Statements” of the
Company’s Annual Report in Form 10-K for the year ended December 31, 2017). 

Subsidiary of National Research Corporation 

Consent of Independent Registered Public Accounting Firm 

(31.1) 

Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 

(31.2) 

Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 

(32) 

(99) 

Certification of Periodic Financial Report by the Chief Executive Officer and Chief Financial Officer pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002 

Proxy  Statement  for  the  2018  Annual  Meeting  of  Shareholders  [To  be  filed  with  the  Securities  and  Exchange 
Commission  under  Regulation  14A  within  120  days  after  December  31,  2017;  except  to  the  extent  specifically
incorporated by reference, the Proxy Statement for the 2018 Annual Meeting of Shareholders shall not be deemed
to be filed with the Securities and Exchange Commission as part of this Annual Report on Form 10-K] 

63Exhibit 
Number 

(101)** 

Exhibit Description 

Financial  statements  from  the  Annual  Report  on  Form  10-K  of  National  Research  Corporation  for  the  year  ended
December 31, 2017, formatted in eXtensible Business Reporting Language (XBRL): (i) the Consolidated Balance Sheets,
(ii)  the  Consolidated Statements of Income,  (iii)  Consolidated  Statements  of  Comprehensive  Income, (iv)  Consolidated
Statements of Shareholders’ Equity, (v) the Consolidated Statements of Cash Flows, (vi) the Notes to the Consolidated
Financial Statements, and (vii) document and entity information. 

* A management contract or compensatory plan or arrangement.

**  In accordance with Rule 406T of Regulation S-T, the information in these exhibits shall not be deemed to be “filed” for purposes
of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to liability under that section, and shall not
be incorporated by reference into any registration statement or other document filed under the Securities Act of 1933, as amended, 
except as expressly set forth by specific reference in such filing. 

Item 16. 

Form 10-K Summary 

None. 

64 
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS  

Report of Independent Registered Public Accounting Firm 

Consolidated Balance Sheets as of December 31, 2017 and 2016 

Consolidated Statements of Income for the Three Years Ended December 31, 2017 

Consolidated Statements of Comprehensive Income for the Three Years Ended December 31, 2017 

Consolidated Statements of Shareholders’ Equity for the Three Years Ended December 31, 2017 

Consolidated Statements of Cash Flows for the Three Years Ended December 31, 2017 

Notes to Consolidated Financial Statements 

Page in 
this  
Form 10-
K 

30 

31 

32 

33 

34 

35 

36 

All other financial statement schedules are omitted since the required information is not present or is not present in amounts 
sufficient to require submission of the schedules, or because the information required is included in the consolidated financial 
statements and notes thereto. 

65 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused 

this report to be signed on its behalf by the undersigned, thereunto duly authorized, on this 14th day of March 2018. 

SIGNATURES 

NATIONAL RESEARCH CORPORATION 

By: /s/ Michael D. Hays 
Michael D. Hays 
Chief Executive Officer 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following 

persons on behalf of the Registrant and in the capacities and on the dates indicated. 

Signature 

Title 

/s/ Michael D. Hays 
Michael D. Hays 

/s/ Kevin R. Karas 
Kevin R. Karas 

/s/ Donald M. Berwick 
Donald M. Berwick 

/s/ JoAnn M. Martin 
JoAnn M. Martin 

/s/ Barbara J. Mowry 
Barbara J. Mowry 

/s/ John N. Nunnelly 
John N. Nunnelly 

Chief Executive Officer and Director 
(Principal Executive Officer) 

Senior Vice President Finance, Chief Financial  
Officer, Treasurer and Secretary (Principal 
Financial and Accounting Officer) 

Director 

Director 

Director 

Director 

Date 

March 14, 2018 

March 14, 2018 

March 14, 2018 

March 14, 2018 

March 14, 2018 

March 14, 2018 

66Exhibit 21 

Subsidiary of National Research Corp.  

National Research Corporation’s subsidiary as of December 31, 2017 is listed below: 

Subsidiary 

Jurisdiction of organization 

National Research Corporation Canada  

Ontario 

 
  
 
 
  
  
  
  
  
                                     
  
                         
  
 
 
Exhibit 23 

Consent of Independent Registered Public Accounting Firm 

The Board of Directors 
National Research Corporation: 

We consent to the incorporation by reference in the registration statements (File Nos. 333-120530, 333-137763, 333-137769, 333-
173097, 333-189139, 333-189140, 333-189141, and 333-209934) on Forms S-8 and (File Nos. 333-120529 and 333-211190) on 
Forms S-3 of National Research Corporation of our reports dated March 14, 2018, with respect to the consolidated balance sheets of 
National  Research  Corporation  and  subsidiary  as  of  December 31,  2017  and  2016,  and  the  related  consolidated  statements  of 
income,  comprehensive  income,  shareholders’  equity,  and  cash  flows  for  each  of  the  years  in  the  three-year  period  ended 
December 31,  2017,  and  the  related  notes  (collectively,  the  consolidated  financial  statements),  and  the  effectiveness  of  internal 
control over financial reporting as of December 31, 2017, which reports appear in the December 31, 2017 annual report on Form 
10-K of National Research Corporation. 

/s/ KPMG LLP 

Lincoln, Nebraska 
March 14, 2018 

Exhibit 31.1 

Certification of Chief Executive Officer 
Pursuant to Rule 13a-14(a) or 15d-14(a) under the Securities Exchange Act of 1934 

I, Michael D. Hays, certify that: 

1. 

I have reviewed this Annual Report on Form 10-K of National Research Corporation; 

2.  Based  on  my  knowledge,  this  report  does  not  contain  any  untrue  statement  of  a  material  fact  or  omit  to  state  a  material  fact
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with 
respect to the period covered by this report;  

3.  Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all 
material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented
in this report;  

4.  The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures 
(as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange
Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

(a)  Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under 
our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiary, is made 
known to us by others within those entities, particularly during the period in which this report is being prepared; 

(b)  Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed 
under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of 
financial statements for external purposes in accordance with generally accepted accounting principles;  

(c)  Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions 
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and 

(d)  Disclosed  in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the 
registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially 
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 

5.  The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial 
reporting,  to  the  registrant’s  auditors  and  the  audit  committee  of  the  registrant’s  board  of  directors  (or  persons  performing  the 
equivalent functions): 

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting
which  are  reasonably  likely  to  adversely  affect  the  registrant’s  ability  to  record,  process,  summarize  and  report  financial
information; and 

(b)  Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the

registrant’s internal control over financial reporting. 

Date: March 14, 2018 

/s/ Michael D. Hays       
Michael D. Hays 
Chief Executive Officer 

 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Exhibit 31.2 

Certification of Chief Financial Officer 
Pursuant to Rule 13a-14(a) or 15d-14(a) under the Securities Exchange Act of 1934 

I, Kevin R. Karas, certify that: 

1.

I have reviewed this Annual Report on Form 10-K of National Research Corporation;

2. Based  on  my  knowledge,  this  report  does  not  contain  any  untrue  statement  of  a  material  fact  or  omit  to  state  a  material  fact
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with
respect to the period covered by this report;

3. Based  on  my  knowledge,  the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all
material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented
in this report;

4. The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures
(as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange
Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)  Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under
our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiary, is made 
known to us by others within those entities, particularly during the period in which this report is being prepared; 

(b)  Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed 
under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of 
financial statements for external purposes in accordance with generally accepted accounting principles;  

(c)  Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions 
about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on
such evaluation; and 

(d)  Disclosed  in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the 
registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially 
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial
reporting,  to  the  registrant’s  auditors  and  the  audit  committee  of  the  registrant’s  board  of  directors  (or  persons  performing  the
equivalent functions):

(a)  All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial  reporting
which  are  reasonably  likely  to  adversely  affect  the  registrant’s  ability  to  record,  process,  summarize  and  report  financial
information; and 

(b)  Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the

registrant’s internal control over financial reporting. 

Date: March 14, 2018 

/s/ Kevin R. Karas  
Kevin R. Karas 
Chief Financial Officer 

Certification Pursuant to 18 U.S.C. Section 1350 
as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 

Exhibit 32 

In  connection  with  the  accompanying  Annual  Report  on  Form  10-K  of  National  Research  Corporation  (the  “Company”)  for  the 
year ended December 31, 2017 (the “Report”), I, Michael D. Hays, Chief Executive Officer of the Company, and I, Kevin R. Karas, 
Chief Financial Officer, certify pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act 
of 2002, based on my knowledge, that: 

1) The  Report  fully  complies  with  the  requirements  of  Section  13(a)  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  as

amended; and

2) The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of

operations of the Company.

/s/ Michael D. Hays 
Michael D. Hays 
Chief Executive Officer 

/s/ Kevin R. Karas 
Kevin R. Karas 
Chief Financial Officer 

Date: March 14, 2018 

A signed original of this written statement required by Section 906 has been provided to National Research Corporation and will be 
retained by National Research Corporation and furnished to the Securities and Exchange Commission or its staff upon request. 

This page intentionally left blank 

Directors and Officers

Board of Directors

Michael D. Hays
Chief Executive Officer
National Research Corporation

John N. Nunnelly, Lead Director
Adjunct Professor
University of Massachusetts
Member of Strategy (Chair), Audit,  

Donald M. Berwick, M.D.
President Emeritus and Senior Fellow
Institute for Healthcare Improvement
Member of Strategy, Nominating (Chair)

Nominating, Compensation and 

Committees

Talent Committees

JoAnn M. Martin
President and Chief Executive Officer
Ameritas Mutual Holding Company
Member of Strategy, Audit (Chair),

Barbara J. Mowry
Chief Executive Officer  
GoreCreek Advisors
Member of Strategy, Audit, Nominating,

Compensation and Talent Committees

Compensation and Talent (Chair) Committees

Executive Officers

Michael D. Hays
Chief Executive Officer

Corporate Data

Corporate Headquarters
National Research Corporation
1245 Q Street
Lincoln, Nebraska 68508
Phone: 402.475.2525
Fax: 402.475.9061
www.nrchealth.com

Kevin R. Karas
Chief Financial Officer
Treasurer and Secretary

Steven D. Jackson
President

Transfer Agent
American Stock Transfer & Trust Company LLC
200 S. Wacker Drive, Suite 3144
Chicago, Illinois 60606
Phone: 718.921.8588
Fax: 718.765.8717

Corporate Counsel 
Foley & Lardner LLP
Milwaukee, Wisconsin

Woods & Aitken LLP
Lincoln, Nebraska

Common Stock
National Research Corporation’s
common stock is traded on The  
NASDAQ Stock Market under the  
symbol NRC.

Independent Registered
Public Accounting Firm
KPMG LLP
Lincoln, Nebraska

1.800.388.4264 | nrchealth.com
1245 Q Street | Lincoln, Nebraska | 68508