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National Research Corporation
Annual Report 2019

NRC · NASDAQ Healthcare
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Industry Medical - Healthcare Information Services
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FY2019 Annual Report · National Research Corporation
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NATIONAL RESEARCH CORPORATION 
D/B/A NRC Health 

NOTICE OF ANNUAL MEETING OF SHAREHOLDERS 
To Be Held May 18, 2020 

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 Monday, May 18, 2020, at 12:30 P.M., Central Time, via the Internet at 
www.virtualshareholdermeeting.com/nrc2020, for the following purposes:  

1. 

To elect one director to hold office until the 2023 annual meeting of shareholders 

and until her successor is duly elected and qualified. 

2. 

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

accounting firm for 2020. 

3. 

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

executive officers as disclosed in the accompanying proxy statement. 

4. 

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 March 20, 2020, 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 7, 2020  

Important Notice Regarding the Availability of Proxy Materials for the Shareholder Meeting To Be 
Held on May 18, 2020.  The National Research Corporation proxy statement for the 2020 Annual 
Meeting of Shareholders and the 2019 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. 

 
 
 
 
 
 
 
 
 
 
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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 18, 2020   

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

of National Research Corporation, doing business as NRC Health (“NRC Health,” the “Company,” “we,” 
“our,” “us” or similar terms), beginning on or about April 7, 2020, in connection with a solicitation of 
proxies by the Board for use at the Annual Meeting of Shareholders to be held on Monday, May 18, 2020, 
at 12:30 P.M., Central Time, virtually via the Internet at www.virtualshareholdermeeting.com/nrc2020, 
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 
vote their shares during the Annual Meeting.  Participation 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 us in writing or in open meeting.  Instructions on 
how to vote while participating in the Annual Meeting live via the Internet are posted at 
www.virtualshareholdermeeting.com/nrc2020. 

A proxy, in the enclosed form, which is properly executed, duly returned to us 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 person nominated for election as a director referred to herein; 

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

accounting firm for 2020; 

(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); 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 one director, the ratification of the appointment of KPMG LLP as our 

independent registered public accounting firm for 2020 and the advisory vote to approve the 
compensation of our named executive officers, 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 our common stock, $0.001 par value per share (the “Common Stock”), 

at the close of business on March 20, 2020 (the “Record Date”), are entitled to vote at the Annual 
Meeting.  On that date, we had outstanding and entitled to vote 25,108,892 shares of Common Stock, 
each of which is entitled to one vote per share. The presence at the Annual Meeting, via live webcast or 
by proxy, of a majority of the votes entitled to be cast shall constitute a quorum for the purpose of 

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transacting business at the Annual Meeting. Abstentions and broker non-votes will be counted as present 
in determining whether there is a quorum.  

Information Regarding Participation in the Annual Meeting via the Internet 

Due to the emerging public health impact of the coronavirus outbreak (COVID-19) and to support 

the health and well-being of our associates and shareholders, we will be hosting the Annual Meeting live 
via the Internet.  You will not be able to attend the Annual Meeting in person.  Any stockholder can listen 
to and participate in the Annual Meeting live via the Internet at www.virtualshareholdermeeting.com/ 
nrc2020.  The Annual Meeting webcast will begin promptly at 12:30 P.M., Central Time.  We encourage 
you to access the Annual Meeting webcast prior to the start time.  Online check-in will begin, and 
stockholders may begin submitting written questions, at 12:15 P.M., Central Time, and you should allow 
ample time for the check-in procedures.   

You will need the 16-digit control number included on your proxy card or voting instruction 

form, or included in the e-mail to you if you received the proxy materials by e-mail, in order to be able to 
vote your shares or submit questions during the Annual Meeting.  Instructions on how to connect to the 
Annual Meeting and participate via the Internet, including how to demonstrate proof of stock ownership, 
are posted at www.virtualshareholdermeeting.com/nrc2020.  If you do not have your 16-digit control 
number, you will be able to access and listen to the Annual Meeting but you will not be able to vote your 
shares or submit questions during the Annual Meeting.  Our virtual meeting platform vendor will have 
technicians ready to assist you with any technical difficulties you may have accessing the virtual meeting 
or submitting questions.  If you encounter any difficulties accessing the virtual meeting during the check-
in or meeting time, please call the technical support number that will be posted on the Virtual Shareholder 
Meeting login page. 

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ELECTION OF DIRECTORS 

Our 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 one director to hold office until 
the 2023 annual meeting of shareholders and until her successor is duly elected and qualified.  Unless 
shareholders otherwise specify, the shares represented by the proxies received will be voted in favor of 
the election as director of the person named as a nominee herein.  The Board has no reason to believe that 
the listed nominee will be unable or unwilling to serve as a director if elected.   However, in the event that 
such 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.  Such 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 director.  Votes will be tabulated by an inspector of elections 
appointed by the Board.  

The following sets forth certain information, as of March 20, 2020, about the Board’s nominee 
for election at the Annual Meeting and each director of the Company whose term will continue after the 
Annual Meeting.  Barbara J. Mowry’s term as director is expiring at the Annual Meeting and Ms. Mowry 
is not standing for reelection.   

Nominee for Election at the Annual Meeting   

Term expiring at the 2023 Annual Meeting  

JoAnn M. Martin, 65, has served as a director of the Company since June 2001. Ms. Martin is 

the Vice Chair of the Board of Ameritas Mutual Holding Company, Ameritas Holding Company, and 
Ameritas Life Insurance Company (“Ameritas”).  Ms. Martin was elected President and Chief Executive 
Officer of Ameritas, an insurance and financial services company, in July 2005 and served as Chair and 
Chief Executive Officer until January 2020. From April 2003 to July 2005, she served Ameritas as 
President and Chief Operating Officer. Prior to that role, Ms. Martin served as Senior Vice President and 
Chief Financial Officer of Ameritas for more than the preceding 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 preceding five years, and served as Chief 
Executive Officer of Ameritas Mutual Holding Company until January 2020. Prior to her retirement from 
the position of Chief Executive Officer in January 2020, Ms. Martin had served as an officer of Ameritas 
and/or its affiliates since 1988. Ms. Martin has also served as a director of Nelnet, Inc. (NYSE: NNI), a 
diversified educational services, technology solutions, telecommunications, and asset management 
company, since March 2020. Ms. Martin’s financial background as a certified public accountant and as 
the former Chief Financial Officer and 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.  

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

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Directors Continuing in Office 

Terms expiring at the 2021 Annual Meeting  

Michael D. Hays, 65, 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, 67, 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.  

Term expiring at the 2022 Annual Meeting 

Donald M. Berwick, 73, 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.  

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 typically expected to attend our annual meeting of shareholders each year.  For the 

2020 Annual Meeting, such attendance will be through the Internet via live webcast.  Each of the 
directors attended our 2019 annual meeting of shareholders. 

Currently, we do 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 

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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 our chief executive officer as the primary executive leader 
with one vision and eliminates ambiguity as to who has primary responsibility for our 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 five meetings in 2019.  All incumbent directors attended all of the meetings of the 

Board and the committees on which they served during 2019.  

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

Committee and Strategic Planning Committee.  Each of these committees has the responsibilities set forth 
in formal written charters adopted by the Board.  We make available copies of each of these charters free 
of charge on our website located at www.nrchealth.com/our-purpose/investor-relations/corporate-
governance/. Other than the text of the charters, we are not including the information contained on or 
available through our 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 our systems of internal controls regarding finance, accounting, legal 
compliance and ethics that management and the Board have established; our accounting and financial 
reporting processes; and the audits of our financial statements.  The Audit Committee presently consists 
of JoAnn M. Martin (Chairperson), Barbara J. Mowry, John N. Nunnelly, and Donald M. Berwick, 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 2019. 

The Compensation and Talent Committee determines compensation programs for our executive 

officers, reviews management’s recommendations as to the compensation to be paid to other key 
personnel and administers our equity-based compensation plans.  The Compensation and Talent 
Committee presently consists of Barbara J. Mowry (Chairperson), JoAnn M. Martin, John N. Nunnelly, 
and Donald M. Berwick, each of whom meets the independence standards of The NASDAQ Stock 
Market and the Securities and Exchange Commission for compensation committee members.  The 

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Compensation and Talent Committee held three meetings in 2019.  From time to time, with the last time 
being in 2015, the Compensation and Talent Committee or our management has engaged a nationally 
recognized compensation consultant to assist us in our review of our compensation and benefits 
programs, including the competitiveness of pay levels, executive compensation design issues, market 
trends and technical considerations.  The Compensation and Talent Committee, however, did not use this 
information in setting the compensation of our executive officers in 2019. 

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 one meeting in 
2019. 

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

strategic plan, reviewing industry trends and their effects, if any, on us and assessing our products, 
services and offerings and the viability of such portfolio in meeting the needs of the markets that we 
serve.  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 2019. 

Ms. Mowry’s term as director is expiring at the Annual Meeting and she is not standing for 

reelection.  Accordingly, Ms. Mowry will cease to serve on the abovementioned committees upon the 
expiration of her term at the Annual Meeting. 

Board Oversight of Risk 

The full Board is responsible for the oversight of our operational and strategic risk management 

process.  The Board relies on its Audit Committee to address significant financial risk exposures facing us 
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 and Talent 
Committee to address significant risk exposures facing us with respect to compensation, with appropriate 
reporting of these risks to be made to the full Board.  The Board’s role in our 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 
information concerning each proposed nominee.  Our 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 the event, however, 
that the date of the annual meeting is advanced by more than 30 days or delayed by more than 60 days 
from the second Wednesday in the month of April, in order to be timely notice by the shareholder must be 
received not earlier than the 90th day prior to the date of such annual meeting and not later than the close 
of business on the later of (i) the 60th day prior to such annual meeting and (ii) the 10th day following the 
day on which public announcement of the date of such meeting is first made. 

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 

6 

 
 
of directors who have broad and diverse backgrounds, possessing knowledge in areas that are of 
importance to us.  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. 

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. 

Compensation Committee Interlocks and Insider Participation 

Ms. Mowry, Ms. Martin, Mr. Nunnelly, and Mr. Berwick served on the Compensation and Talent 

Committee during 2019. None of such individuals were our officers or employees at any time during 
2019 or as of the date of this Proxy Statement, nor was any such individual a former officer of the 
Company. In 2019 we purchased dental and vision insurance for certain of our associates from Ameritas, 

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a company for whom Ms. Martin served as Chair and Chief Executive Officer during 2019, in arms’ 
length transactions for $241,500.  See Transactions with Related Persons for additional information on 
this transaction.  Otherwise, in 2019, no member of our Compensation and Talent Committee had any 
relationship or transaction with us that would require disclosure as a "related person transaction" under 
Item 404 of Securities and Exchange Commission Regulation S-K in this Proxy Statement under the 
section entitled Transactions with Related Persons. 

During 2019, none of our executive officers served as a member of the board of directors or 

compensation committee (or other board committee performing equivalent functions) of another entity, 
one of whose executive officers served on our Compensation and Talent Committee.  Additionally, during 
2019, none of our executive officers served as a member of the compensation committee (or other board 
committee performing equivalent functions) of another entity, one of whose executive officers served as a 
member of our Board or Compensation and Talent Committee. 

Transactions with Related Persons 

Except as otherwise disclosed in this section, we had no related person transactions during 2019, 

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. 

Until January 2020, Ms. Martin served as Chair and Chief Executive Officer of Ameritas and Ms. 
Martin continues to serve on the board of directors of Ameritas and certain of its affiliated companies.  In 
connection with our regular assessment of our insurance-based associate benefits and the costs associated 
therewith, which is conducted by an independent insurance broker, in 2007 we began purchasing dental 
insurance for certain of our associates from Ameritas and, in 2009, we also began purchasing vision 
insurance for certain of our associates from Ameritas.  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 $241,500 in 2019. 

During 2017, we acquired a cost method investment in convertible preferred stock of 
PracticingExcellence.com, Inc., a privately-held Delaware corporation (“PX”).  Our President, Steve 
Jackson, serves on the board of directors of PX pursuant to board appointment rights we obtained in 
connection with our investment. Prior to the investment, we entered into an agreement with PX, under 
which we act as a reseller of PX services (the “PX reseller agreement”).  The total revenue earned from 

8 

 
 
 
 
the PX reseller agreement was $578,000 in 2019.  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. 

Information About Our Executive Officers  

Set forth below is certain information regarding our current executive officers (other than our 

CEO, Mr. Hays, for whom information is set forth above under Directors Continuing in Office). 

Steven D. Jackson, 44, has served as our President since October 2015. He served as Group 

President from October 2014 until September 2015, during which time he oversaw our Market Insights, 
Transparency, and Predictive Analytics business units. Prior to joining us, 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, 62, has served as our Chief Financial Officer, Treasurer and Secretary since 

September 2011, and as Senior Vice President Finance since he joined us 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. 

Our executive officers are elected by and serve at the discretion of the Board. There are no 

family relationships between any of our directors or executive officers.  There are no arrangements or 
understandings between any of our executive officers and any other person pursuant to which any of our 
executive officers was or is to be selected as an officer. 

Employee, Officer and Director Hedging 

We do not have practices or policies regarding the ability of employees (including officers) or 

directors of the Company, or any of their designees, to purchase financial instruments, or otherwise 
engage in transactions, that hedge or offset, or are designed to hedge or offset, any decrease in the market 
value of our equity securities.  Our officers and Named Executive Officers have not historically engaged 
in any such hedging transactions and as of the Record Date none of our officers or Named Executive 
Officers were party to any such hedging transactions. 

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2019 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 receive 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 our lead director from 2007 to May 2012, and Mr. 
Nunnelly has served as our lead director since May 2012. 

Pursuant to the National Research Corporation 2004 Non-Employee Director Stock Plan, as 
amended (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, 2019 to December 31, 2019, each director who 
was not an associate of the Company received a grant of options to purchase shares of our Common Stock 
with a target 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 our 2019 annual meeting of shareholders.  
The options were granted with an exercise price equal to the fair market value of our common stock on 
the date of grant, and are scheduled to vest the day immediately preceding the Annual Meeting. 

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

directors during 2019: 

Name 

Donald M. Berwick 

JoAnn M. Martin 

Barbara J. Mowry(2) 

John N. Nunnelly 

Fees Earned or  
Paid in Cash 

Option Awards(1) 

Total 

$ 50,000 

$ 50,000 

$ 50,000 

$ 75,000 

$ 99,996 

$ 99,996 

$ 99,996 

$ 99,996 

$ 149,996 

$ 149,996 

$ 149,996  

$ 174,996  

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 9 to our Consolidated Financial Statements included in our Annual Report on Form 
10-K for the years ended December 31, 2019, December 31, 2018, and December 31, 2017, for a discussion of 
assumptions made in the valuation of share-based compensation.   As of December 31, 2019, the outstanding option 
awards for each director were as follows: Dr. Berwick – 6,821 options; Ms. Martin – 269,261 options; Ms. Mowry – 
150,821 options; and Mr. Nunnelly – 55,283 options. 
2 Ms. Mowry’s term is expiring at the Annual Meeting and she is not standing for reelection. 

10 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 2019 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.  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, 2019, 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 
Donald M. Berwick 

11 

 
 
 
 
PRINCIPAL SHAREHOLDERS 

The following table sets forth certain information regarding the beneficial ownership of Common 
Stock as of the Record Date (i.e., March 20, 2020) 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 25,108,892 shares of Common Stock outstanding. 

Name of Beneficial Owner 

Shares 

% (1) 

Shares Beneficially Owned 

Directors and Executive Officers (2) 

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

224,246 (3)(4) 

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

84,696  

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

62,311 (4)(5)  

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

0  

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

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

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

465,479 (4) 

150,902 (4) 

75,356 (4) 

All directors, nominees and executive 

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

1,062,990(4) 

  * 

* 

* 

* 

1.8% 

* 

* 

4.2% 

Other Holders 

Amandla MK Trust and Patrick E. Beans, as the Special Holdings Direction 
Advisor under this Trust (6) ..........................................................................  

6,421,545 

25.6% 

The K/I/E Trust Under Agreement dated 10/24/18 and Patrick E. Beans, as 

the Special Holdings Direction Advisor under this Trust (7).........................  

4,755,013 

19.0% 

Kayne Anderson Rudnick Investment Management 

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

2,987,062 

11.9% 

_______________________ 
* Denotes less than 1%. 

(1) 

(2) 
(3) 
(4) 

In accordance with applicable rules under the Securities Exchange Act of 1934, as amended, the number of shares indicated as beneficially 
owned by a person includes shares of common stock and shares underlying options that are currently exercisable or will be exercisable 
within 60 days of March 20, 2020. Shares of common stock underlying stock options that are currently exercisable or will be exercisable 
within 60 days of March 20, 2020 are deemed to be outstanding for purposes of computing the percentage ownership of the person holding 
such options, but are not deemed outstanding for purposes of computing the percentage ownership of any other person. 
The address of all directors and officers is 1245 Q Street, Lincoln, Nebraska 68508. 
Includes 139,095 shares of Common Stock held by Mr. Hays’ wife.  Mr. Hays disclaims beneficial ownership of the shares held by his wife. 
Includes shares of Common Stock that may be purchased under stock options which are currently exercisable or exercisable within 60 days 
of March 20, 2020, as follows:  Mr. Hays, 56,550 shares; Mr. Karas, 44,735 shares; Ms. Martin, 190,440 shares; Mr. Nunnelly, 48,462 
shares; Ms. Mowry, 144,000 shares; and all directors, nominees and executive officers as a group, 484,187 shares.  
Includes 13,576 shares of Common Stock pledged as security.  
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.   
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 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, 2019 as reported by Kayne Anderson Rudnick 

(5) 
(6) 

(7) 

Investment Management LLC (“Kayne Anderson”) in its amended Schedule 13G filed with the Securities and Exchange Commission.  The 
address for Kayne Anderson is 1800 Avenue of the Stars, 2nd Floor, Los Angeles, California 90067.  Kayne Anderson reports sole voting 
and dispositive power with respect 576,424 of these shares and shared voting and dispositive power with respect to 2,410,638 of these 
shares. The amended Schedule 13G further provides that the shares noted as beneficially owned by Kayne Anderson include: (i) 2,420,638 

12 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
shares beneficially owned by Virtus Investment Advisers, Inc., One Financial Plaza, Hartford, Connecticut 06103, for which such person 
has shared voting and dispositive power, and (ii) 2,359,518 shares beneficially owned by Virtus Equity Trust, on behalf of Virtus KAR 
Small Cap Growth Fund, 101 Munson Street, Greenfield, Massachusetts 01301, for which such person has shared voting and dispositive 
power. 

DELINQUENT SECTION 16(A) REPORTS 

Section 16(a) of the Securities Exchange Act of 1934 requires our directors, executive officers 

and any owner of greater than 10% of our Common Stock to file reports with the Securities and Exchange 
Commission concerning their ownership of our Common Stock.  Based solely upon information provided 
to us by individual directors and executive officers, we believe that, during the fiscal year ended 
December 31, 2019, all of our directors and executive officers and owners of greater than 10% of our 
Common Stock complied with the Section 16(a) filing requirements, except that (i) a Form 4 for each of 
Mr. Berwick, Ms. Martin, Ms. Mowry and Mr. Nunnelly (each reporting a grant of an option to purchase 
shares of Common Stock on the date of the 2019 annual meeting of shareholders pursuant to the National 
Research Corporation 2004 Non-Employee Director Stock Plan, as amended) and (ii) a Form 4 for The 
K/I/E Trust Under Agreement 10/24/18 and Patrick E. Beans, as Special Holdings Direction Advisor 
under the K/I/E Trust Under Agreement 10/24/18 (reporting a stock sale) were not timely filed.  

13 

 
 
 
 
 
 
 
 
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, 2020.  

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 participate in the Annual Meeting via the live 

webcast 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, 2020 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. 

14 

 
 
 
 
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  

Key features of our compensation program include the following: 

(cid:57)  Conservative  pay  policy  with  total  named  executive  officer  and  director 

compensation positioned below the median 

(cid:57)  Direct  link  between  pay  and  performance  that  aligns  business  strategies  with 

stockholder value creation 

(cid:57)  Annual say-on-pay votes 
(cid:57)  No tax gross-ups 
(cid:57)  No excessive perquisites for executives 
(cid:57)  No  change  of  control  or  severance  obligations  to  named  executive  officers, 

including no accelerated vesting of equity awards upon a change of control 

(cid:57)  No re-pricing or back-dating of stock options or similar awards 
(cid:57)  Appropriate balance between short- and long-term compensation that discourages 

short-term risk taking at the expense of long-term results 

(cid:57)  Five year vesting period for executive option grants 

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)  Competitive Pay for Our Market.  We strive to compensate our executive officers at levels to 
ensure that we continue to attract and retain a highly competent, committed management 
team.  Our Midwest headquarters provides a low cost of living that allows us to provide 
compensation that accomplishes this goal while keeping total compensation below that of 
many similar companies. 

(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)  Incentivize Performance.  We link our executive officers’ compensation, particularly annual 

cash bonuses, to our established financial 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 and Talent Committee 

The Board appoints the Compensation and Talent Committee (the “Committee”), which consists 

entirely of directors who are “non-employee directors” for purposes of the Securities Exchange Act of 
1934.  The following individuals are members of the Committee:  

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

(cid:20)  JoAnn M. Martin 

15 

 
 
 
(cid:20)  John N. Nunnelly 

(cid:20)  Donald M. Berwick 

The Committee is responsible for discharging the Board’s responsibilities with respect to all 
significant aspects of our compensation policies, programs and plans, and accordingly the 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 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 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 Committee recommended, and our Board approved, our named executive 

officers’ 2019 compensation, our most recent review of our compensation and benefit programs was in 
late 2015, when our Committee engaged Aon Hewitt to review our programs before determining 
compensation for 2016.   

In determining compensation levels for our named executive officers in 2019, our Committee did 

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

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

Chief Executive Officer, is to establish base salary at a level that will attract and retain highly-qualified 
individuals.  The 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 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 Committee considers internal comparisons and other existing compensation awards or arrangements 
in making compensation decisions and recommendations.  In its decision-making process, the 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 Committee considers relevant factors, including our performance and relative 
shareholder return and the awards given to the executive officer in past years.  The 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 Committee took the following steps in 

determining 2019 compensation levels for our named executive officers: 

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

compensation; 

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

employees) with assistance from our Chief Executive Officer; and 

16 

 
 
(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 Committee’s consideration of 
the Company’s and the individual officer’s performance. 

2019 Say on Pay Vote 

In May 2019 (after the 2019 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 2019 was consistent with our financial performance and 
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 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 Committee has not proposed an 
increase in his salary or overall compensation since 2005. 

Elements of Compensation 

Base Salary 

The objective of the 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 executive 
compensation expense if we do not meet our objectives for financial growth under our incentive 
compensation program.   

Consistent with this practice, the Committee left Mr. Hays’, Mr. Karas’ and Mr. Jackson’s base 
salaries unchanged in 2019, maintaining the salary levels in place since 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 our performance and the belief that that Mr. Karas’ and 
Mr. Jackson’s salaries were at an appropriate 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). 

17 

 
 
 
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 

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

Under our incentive compensation program, the Committee establishes performance measures for 

our named executive officers at the beginning of each year.  For 2019, the Committee used our overall 
revenue and net income as performance measures because the 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 Committee weighted the two performance measures equally in determining bonus 
payouts.  The 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 
2019 over 2018, starting from “dollar one” of such growth.  Consistent with past years, the 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 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 2019.  The 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 

Committee concluded that their 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. 

18 

 
 
The following table shows amounts actually earned by our named executive officers for 2019, 

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 

2019 Actual Bonus 
Percentage of 
Total Compensation 

2019 Actual 
Bonus Amount 

20% 

20% 

20% 

 $ 47,265 

$ 105,735 

$ 111,300 

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 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 with respect to our 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 each share 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, pursuant to which the options do not become fully vested and 
exercisable until the fifth anniversary of the grant date. 

In determining equity incentive awards for 2019, the Committee concluded that setting annual 

equity awards for our named executive officers at a grant date target fair value of approximately 50% of 
their respective then-current base salaries would provide competitive compensation consistent with our 
goals for equity awards.   The Committee generally grants stock options effective on a date in the first 
week of January.  Accordingly, effective January 3, 2019, the Committee granted options to each of our 
named executive officers.  To determine the number of option shares with a grant date target fair value 
approximately equal to 50% of an executive officer’s base salary, the Committee divided 50% of the 
current base salary by the most recent Common Stock closing price to determine the number of shares 
that equal 50% of the current base salary.   The number of shares were then multiplied by a factor of three 
to determine the number of option shares to be granted.   The number of options granted to our named 
executive officers is shown in the Grants of Plan-Based Awards Table.    

For 2019, no performance-based equity awards were granted to our named executive officers. 

Our 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. 

19 

 
 
 
 
 
 
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. 

20 

 
 
 
 
 
 
2019 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.  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 2019.  The identification of such named 
executive officers is determined based on the individual’s total compensation for 2019, 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 2019, 2018, and 

2017: (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 

Michael D. Hays 
   Chief Executive Officer 

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

Steven D. Jackson 
   President 

Option 
Awards 
($)(1) 

$ 54,890 
$ 53,332 
$ 42,000 

$ 122,782 
$ 119,307  
$ 93,995  

Non-Equity  
Incentive Plan  
Compensation 
($) 

All Other 
Compensation 
($)(2) 

$47,265 
$104,468 
$ 61,534 

$105,735 
$ 233,700 
$ 137,655 

$ 4,323 
$ 4,267 
$ 4,831 

$ 6,529 
$ 6,604 
$ 5,724 

Total ($) 

$ 233,878 
$ 289,467 
$ 235,765 

$ 520,046 
$ 644,611 
$ 522,334 

Year  Salary ($) 

 2019 
 2018 
 2017 

 2019 
 2018 
 2017 

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

$ 285,000 
$ 285,000 
$ 285,000 

 2019 
 2018 
 2017 

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

$ 129,239 
$ 125,582 
$ 98,899 

$111,300 
$ 246,000 
$ 144,900 

$ 5,100 
$ 5,025 
$ 4,800 

$ 545,639 
$ 676,607 
$ 548,599 

(1)  Represents the aggregate grant date fair value of the option awards granted during the year, computed in accordance with FASB ASC Topic 

718.  See Note 9 to our Consolidated Financial Statements included in our Annual Report on Form 10-K for the year ended December 31, 
2019 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. 

21 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
OPTION EXERCISES AND STOCK VESTED IN 2019 

Option Awards 

Number of 
Shares 
Acquired 
on Exercise 
(#)(1) 

Value 
Realized on 
Exercise 
($)(2) 

20,109 
26,403 
-- 

$ 602,265 
$ 1,407,280 
-- 

Name 
Michael D. Hays 
Kevin R. Karas 
Steven D. Jackson 

(1) 
(2) 

Shares of common stock.  
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. 

Risk Assessment of Compensation Policies and Practices 

The Board relies on the Committee to address risk exposures facing us 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 
our compensation policies and practices and considers safeguards against incentives to take excessive 
risks.  Based on its most recent review, the Committee has concluded that the risks arising from our 
compensation policies and practices for its associates are not reasonably likely to have a material adverse 
effect on us. 

COMPENSATION COMMITTEE REPORT 

The 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 
Donald M. Berwick 

25 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 15, 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)  Competitive Pay for Our Market.  We strive to compensate our executive officers at levels to 
ensure that we continue to attract and retain a highly competent, committed management 
team.  Our Midwest headquarters provides a low cost of living that allows us to provide 
compensation that accomplishes this goal while keeping total compensation below that of 
many similar companies. 

(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)  Incentivize Performance.  We link our executive officers’ compensation, particularly annual 

cash bonuses, to our established financial 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 15 and the tabular and other disclosures on compensation beginning on page 21, 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.   

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 2021 
annual meeting of shareholders.   

26 

 
 
 
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, 2019: 

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

estimated to be $63,703; and 

(cid:20)  the annual total compensation of Mr. Hays was $233,878. 

(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 3.67 to 1. 

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

cash bonuses and/or commissions) for 2019 of all individuals employed by us on December 1, 2019 
(other than Mr. Hays), whether full-time, part-time or on a seasonal basis.  We annualized total cash 
compensation for all permanent associates who were hired after January 1, 2019, 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, 2019 to convert such associate’s total cash compensation into U.S. dollars.   

To calculate the 2019 annual total compensation of our median associate for purposes of this 

disclosure, we added together all of the elements of our median associate’s compensation for 2019 in the 
same way that we calculate the annual total compensation of our named executive officers in the 
Summary Compensation Table.  To calculate Mr. Hays’ annual total compensation, we used the amount 
reported in the “Total” column of our 2019 Summary Compensation Table.  To calculate our ratio, we 
divided Mr. Hays’ annual total compensation by the annual total compensation of our median associate.   

27 

 
 
 
 
 
Independent Registered Public Accounting Firm 

MISCELLANEOUS 

KPMG LLP acted as the independent registered public accounting firm for us in 2019.  The Audit 
Committee is solely responsible for the selection, retention, oversight and, when appropriate, termination 
of our independent registered public accounting firm.  

The fees to KPMG LLP for the fiscal years ended December 31, 2019 and 2018 were as follows: 

2019 

2018 

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 

$449,748 
134,726 
203,336 
-- 
$787,810  

$416,115 
101,299 
122,500 
25,000 
$664,914 

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.  Of this amount, $68,834 related to tax return 

preparation services and $134,502 related to tax consulting services. 

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

and permitted non-audit services to be provided by our 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 2019, 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.  We 
will reimburse brokers and other nominees for their reasonable expenses in communicating with the 
persons for whom they hold Common Stock. 

28 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
Multiple Shareholders Sharing the Same Address 

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

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 our annual report to 
shareholders and proxy statement, unless we have received contrary instructions from one or more of the 
shareholders.  Upon written or oral request, we 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 us 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 our shareholders intend to present at and have included in our proxy statement for 
the 2021 annual meeting pursuant to Rule 14a-8 under the Securities Exchange Act of 1934, as amended 
(“Rule 14a-8”), must be received by us by the close of business on December 8, 2020.  In addition, a 
shareholder who otherwise intends to present business at the 2021 annual meeting (including nominating 
persons for election as directors) must comply with the requirements set forth in our 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.  In the event, however, that the date of the 
annual meeting is advanced by more than 30 days or delayed by more than 60 days from the second 
Wednesday in the month of April, in order to be timely notice by the shareholder must be received not 
earlier than the 90th day prior to the date of such annual meeting and not later than the close of business 
on the later of (i) the 60th day prior to such annual meeting and (ii) the 10th day following the day on 
which public announcement of the date of such meeting is first made.  Under the By-Laws, if we do not 
receive notice of a shareholder proposal submitted otherwise than pursuant to Rule 14a-8 (i.e., proposals 
shareholders intend to present at the 2021 annual meeting but do not intend to include in our proxy 
statement for such meeting) prior to February 14, 2021, then the notice will be considered untimely and 
we will not be required to present such proposal at the 2021 annual meeting.  If the Board chooses to 
present such proposal at the 2021 annual meeting, then the persons named in proxies solicited by the 
Board for the 2021 annual meeting may exercise discretionary voting power with respect to such 
proposal. 

By Order of the Board of Directors 
NATIONAL RESEARCH CORPORATION 

April 7, 2020 

Kevin R. Karas 
Secretary 

29 

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

FORM 10-K 

(cid:1409) 

or 
(cid:1407) 

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

For the fiscal year ended December 31, 2019      

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) 

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

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

   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                 
Common Stock, $.001 par value 

Trading Symbol 
NRC 

Name of Each Exchange on Which Registered 
The NASDAQ Stock Market 

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 (cid:1407)    No  (cid:1409)  

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 (cid:1407)    No  (cid:1409)  

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  (cid:1409)  No (cid:1407) 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such 
files). Yes  (cid:1409)  No (cid:1407) 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, 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 
Non-accelerated filer 

(cid:1407) 
(cid:1407)     

Accelerated filer      
Smaller reporting company 
Emerging growth company 

(cid:1409) 
(cid:1407) 
(cid:1407) 

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. (cid:1407) 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act.)   Yes (cid:1407)    No  (cid:1409)  

Aggregate market value of the common stock held by non-affiliates of the registrant at June 28, 2019: $566,163,144. 

Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date. 

Common Stock, $0.001 par value, outstanding as of February 28, 2020: 25,027,889 shares 

Portions of the Proxy Statement for the 2020 Annual Meeting of Shareholders are incorporated by reference into Part III. 

DOCUMENTS INCORPORATED BY REFERENCE 

 
 
  
  
  
  
  
  
  
  
  
  
 
 
  
  
  
  
  
  
  
 
  
  
  
  
 
 
TABLE OF CONTENTS 

PART I 

Item 1. 
Business ................................................................................................................................................................  
Item 1A.  Risk Factors ..........................................................................................................................................................  
Item 1B.  Unresolved Staff Comments .................................................................................................................................  
Properties ..............................................................................................................................................................  
Item 2. 
Legal Proceedings ................................................................................................................................................  
Item 3. 
Mine Safety Disclosures .......................................................................................................................................  
Item 4. 

PART II 

Item 5. 

Market  for  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and Issuer  Purchases  of  Equity
Securities ..............................................................................................................................................................  
Selected Financial Data ........................................................................................................................................  
Item 6. 
Item 7. 
Management’s Discussion and Analysis of Financial Condition and Results of Operations ................................  
Item 7A.  Quantitative and Qualitative Disclosure About Market Risk................................................................................  
Financial Statements and Supplementary Data .....................................................................................................  
Item 8. 
Changes in and Disagreements with Accountants on Accounting and Financial Disclosure ...............................  
Item 9. 
Item 9A.  Controls and Procedures .......................................................................................................................................  
Item 9B.  Other Information .................................................................................................................................................  

PART III 

Item 10.  Directors, Executive Officers and Corporate Governance ....................................................................................  
Executive Compensation ......................................................................................................................................  
Item 11. 
Security Ownership of Certain Beneficial Owners and Management and Related Shareholder Matters .............  
Item 12. 
Certain Relationships and Related Transactions, and Director Independence ......................................................  
Item 13. 
Principal Accountant Fees and Services ...............................................................................................................  
Item 14. 

PART IV 

Exhibits .................................................................................................................................................................  
Item 15. 
Form 10-K Summary ............................................................................................................................................  
Item 16. 
Signatures .................................................................................................................................................................................  

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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  our  future  plans,  objectives  or  goals  are  also  forward-looking  statements.  In  this  Annual  Report  on  Form  10-K, 
statements regarding the future value and utility of, and market demand for, our service offerings, our ability to compete successfully 
in  the  future,  future  opportunities  for  growth  with  respect  to  new  and  existing  clients,  future  acquisition  opportunities,  future 
consolidation  in  the  healthcare  industry,  the  future  adequacy  of  our  liquidity  sources,  future  revenue  sources,  future  capital 
expenditures, and the future phase out of LIBOR and applicable replacement benchmark rates, among others, are 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: 

(cid:404)  The possibility of non-renewal of our client service contracts and retention of key clients; 

(cid:404)  Our  ability  to  compete  in  our markets,  which  are  highly  competitive  with  new  market  entrants,  and  the  possibility  of 

increased price pressure and expenses; 

(cid:404)  The effects of an economic downturn; 

(cid:404)  The impact of consolidation in the healthcare industry; 

(cid:404)  The impact of federal healthcare reform legislation or other regulatory changes; 

(cid:404)  Our ability to attract and retain key managers and other personnel; 

(cid:404)  The  possibility  that  our  intellectual  property  and  other  proprietary  information  technology  could  be  copied  or 

independently developed by our competitors; 

(cid:404)  The possibility for failures or deficiencies in our information technology platform; 

(cid:404)  The possibility that we could be subject to security breaches or computer viruses; and 

(cid:404)  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 we undertake no obligation to publicly update such 
forward-looking statements to reflect subsequent events or circumstances, except as required by the federal securities laws. 

General 

We  are  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 organizations. Our solutions enable our 
clients to understand the voice of the customer with greater clarity, immediacy and depth. Our 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. Our 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. We believe that access to and analysis of our extensive consumer-driven 
information is becoming more valuable as healthcare providers increasingly need to more deeply understand and engage the people 
they serve to build customer loyalty. 

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Our expertise includes the efficient capture, transmittal, benchmarking, analysis and interpretation of critical data elements from 
millions of healthcare consumers. Using our digital Voice of the Customer platform, our 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. We also provide legacy experience-based solutions and shared intelligence from industry thought leaders 
and the nation’s largest member network focused on healthcare governance and strategy to member boards and executives. 

Our portfolio of subscription-based solutions provides actionable information and analysis to healthcare organizations across a range 
of  mission-critical,  constituent-related  elements,  including  patient  experience,  service  recovery,  care  transitions,  health  risk 
assessments, employee engagement, reputation management and brand loyalty. We partner with clients across the continuum of 
healthcare services. Our clients include integrated health systems, post-acute providers and payer organizations. We believe 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. 

We have achieved a market leadership position through our more than 38 years of industry innovation and experience, as well as 
our 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 our founding in 1981, we have focused on meeting the evolving information needs of the 
healthcare  industry  through  internal  product  development,  as  well  as  select  acquisitions.  We  are  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  $3.6 trillion  in 2018, or  $11,172  per  person.  In  total,  health  spending  accounted  for  17.7% of  the  nation’s Gross 
Domestic Product in 2018. 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. 

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. This transformation towards value-based payment models and increased 
engagement of healthcare consumers is resulting in a greater need for existing healthcare providers to deliver more customer-centric 
healthcare. At the same time, organizations that have successfully developed effective customer service models and brand loyalty 
in other industry verticals are entering the healthcare services market. 

We believe that our current portfolio of solutions is uniquely aligned to address these healthcare market trends and related business 
opportunity. We provide tools and solutions to capture, interpret and improve the Consumer Assessment of Healthcare Providers 
and Systems ("CAHPS") data required by CMS as well as real time feedback that enables clients to better understand what matters 
most to people  at key moments in their relationship with a health organization. Our solutions enable our clients to both satisfy 
patient  survey  compliance  requirements  and  design  experiences  to  build  loyalty  and  improve  the  wellbeing  of  the  people  and 
communities they care for. 

Our Solutions 

Our portfolio of solutions represent a unique set of capabilities that individually and collectively provide value to our clients. The 
solutions  are  offered  at  an  enterprise  level  through  the  Voice  of  the  Customer  platform,  The  Governance  Institute,  and  legacy 
Experience solutions. 

Voice of the Customer Platform Solutions 

Our Voice of the Customer (“VoC”) platform represents a portfolio of solutions that collectively provide a comprehensive set of 
capabilities that enable healthcare providers to collect, measure and analyze data collected across the patient journey to understand 
the preferences, experiences and needs of the people they serve. The digital platform consists of three primary solution categories 
which can be implemented both collectively as an enterprise solution or individually to meet specific needs within the organization. 
The primary solution categories include Market Insights solutions, Transparency solutions, and certain Experience solutions. 

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Market  Insights  Solutions  – Our  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.  Market  Insights  is  the  largest  U.S.  healthcare  consumer  database  of  its  kind,  measuring  the 
opinions and behaviors of approximately 300,000 healthcare consumers in over the top 300 markets across the country annually. 
Our 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. Our 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. 
Our Market Insights solutions were historically marketed under the Healthcare Market Guide and Ticker brands. 

Experience Solutions – Our Experience solutions are provided on a subscription basis via a cross-continuum VoC platform that 
collects and measures data and then delivers business intelligence that our clients utilize to improve patient experience, engagement 
and loyalty. Patient experience data can also be collected on a periodic basis using CAHPS compliant mail and telephone survey 
methods for regulatory compliance purposes and to monitor and measure improvement in CAHPS survey scores. CAHPS survey 
data can be collected and measured as an integrated service within the VoC platform or independently as a legacy service offering. 
Our 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,  our  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, our 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. These solutions have previously been marketed under the NRC Picker, My InnerView (“MIV”), Customer-
Connect LLC (“Connect”), and NRC Canada brands. 

Our Health Risk Assessment solutions (formerly Payer solutions) enable our 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. 

Our 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. Our Transitions 
solutions were previously provided by Connect. 

Transparency Solutions – Our Transparency solutions allow healthcare organizations to share a picture of their organization and 
ensure that timely and relevant content informs better consumer decision-making. Our 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. Our 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. 

The Governance Institute 

Our 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 online 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. TGI thought leadership helps our client board 
members and executives inform and guide their organization’s strategic priorities in alignment with the rapidly changing healthcare 
market. 

For  additional  information  on  our  operating  segments  and  our  revenue  and  assets  by  geographic  area,  see  Note  13,  “Segment 
Information,” to our consolidated financial statements. 

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Our Competitive Strengths 

We believe that our competitive strengths include the following: 

A leading provider of patient experience solutions for healthcare providers, payers and other healthcare organizations. Our history 
is based on capturing the voice of the consumer in healthcare markets. Our 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. This foundation has been enhanced through the digital VoC platform offering that provides the delivery of 
data and insights on a real time basis. 

Premier client portfolio across the care continuum. Our client portfolio encompasses leading healthcare organizations across the 
healthcare continuum, from acute care hospitals and post-acute providers to healthcare payers. Our client base is diverse, with our 
top  ten  clients  representing  approximately  16%  of  total  revenue  for  the  year  ended  December  31,  2019  and  no  single  client 
representing more than 4% of our revenue. 

Highly  scalable  and  visible  revenue  model.  Our  solutions  are  offered  to  healthcare  providers,  payers  and  other  healthcare 
organizations primarily through subscription-based service agreements. The solutions we provide are also recurring in nature, which 
enables an ongoing relationship with our clients. This combination of subscription-based revenue, a base of ongoing client renewals 
and automated platforms creates a highly visible and scalable revenue model. 

Comprehensive portfolio of solutions. We offer a portfolio of solutions that provide insights across the patient journey, which is 
unique in the healthcare industry, enabling our clients to initially establish an enterprise relationship utilizing the entire portfolio or 
begin with an individual solution and increase the scope of services over time, increasing overall contract value. 

Exclusive focus on healthcare. We focus exclusively on healthcare and serving the unique needs of healthcare organizations across 
the  continuum,  which  we  believe  gives  us  a  distinct  competitive  advantage  compared  to  other  survey  and  analytics  software 
providers.  Our  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  our  founder.  Our  senior  management  team  has  extensive  industry  and  leadership 
experience. Michael D. Hays, our 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). Our 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, our 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.  We  have  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.  Our  primary  competitors  among  such  specialty  firms  include  Press  Ganey,  which  we 
believe has significantly higher annual revenue than us, and several other organizations that we believe have less annual revenue 
than us. We, to a certain degree, 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 that provide services or products that complement healthcare performance assessments such as 
healthcare software or information systems. 

We  believe  the  primary  competitive  factors within  our  market  include  quality  of  service, timeliness  of  delivery,  unique service 
capabilities, credibility of provider, industry experience, and price. We believe that our 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 us to compete in this market. 

Although only a few of these competitors have offered specific services that compete directly with our solutions, many of these 
competitors have substantially greater financial, information gathering, and marketing resources than us and could decide to increase 
their  resource  commitments  to  our  market.  There  are  relatively  few  barriers  to  entry  into  our  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 we will continue to compete successfully 
against existing or new competitors. 

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Growth Strategy 

We believe that the value proposition of our current solutions, combined with the favorable alignment of our solutions with emerging 
market demand, positions us to benefit from multiple growth opportunities. We believe that we can accelerate our growth through 
(1) increasing scope of services and sales of our existing solutions to our 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 ours. 

Increasing contract value with existing clients. Approximately 27% of our existing clients purchase more than one of our solutions. 
Our  sales  organization  actively  identifies  and  pursues  cross-sell  opportunities  for  clients  to  add  additional  solutions  in  order  to 
accelerate our growth. Organic contract value growth is also realized by the increased scope of solution adoption as the size of client 
organizations increase from market expansion and consolidation. 

Adding  new  clients.  We  believe  that  there  is  an  opportunity  to  add  new  clients  across  all  existing  market  segments.  Our  sales 
organization is actively identifying and engaging new client prospects with a focus on demonstrating the economic value derived 
from adopting the portfolio of solutions in alignment with the prospect’s strategic objectives. 

Adding new solutions. The need for effective solutions in the market segments that we serve is evolving to align with emerging 
healthcare consumerism trends. The evolving market creates an opportunity for us to introduce new solutions that leverage and 
extend our existing core competencies. We believe that there is an opportunity to drive sales growth with both existing and new 
clients, across all of the market segments that we serve, through the introduction of new solutions. 

Pursue strategic acquisitions and investments. We have historically complemented our organic growth with strategic acquisitions, 
having completed seven such transactions over the past eighteen years. These transactions have added new capabilities and access 
to market segments that are adjacent and complementary to our existing solutions and market segments. We believe that additional 
strategic  acquisition  and/or  investment  opportunities  will  exist  from  time  to  time  to  complement  our  organic  growth  by  further 
expanding our service capabilities, technology offerings and end markets. 

Sales and Marketing 

We generate the majority of our revenue from the renewal of subscription-based client service agreements, supplemented by sales 
of  additional  solutions  to  existing  clients  and  the  addition  of  new  clients.  Our  sales  activities  are  carried  out  by  a  direct  sales 
organization staffed with professional, trained sales associates. 

We  engage  in  marketing  activities  that  enhance  our  brand  visibility  in  the  marketplace,  generate  demand  for  our  solutions  and 
engage  existing  clients.  Strategic  campaigns  and  programs  focus  on  (1)  ensuring  coverage  of  prospective  clients  via  targeted 
advertising and account-based campaigns, (2) elevating client value evidence and success stories to an executive level profile, (3) 
engaging key stakeholders with content, programming and events and (4) amplifying thought leadership through public and media 
relations programs that include earning placement in national media and trade publications, securing podium presentations at key 
industry events and winning awards on behalf of us and our executives. 

Clients 

We  partner  with  clients  across  the  continuum  of  healthcare  services.  Our  clients  include  integrated  health  systems,  post-acute 
providers and payer organizations. Our ten largest clients accounted for 16%, 17%, and 19% of our total revenue in 2019, 2018 and 
2017, respectively. Approximately 3%, 4% and 4% of our revenue was derived from foreign customers in 2019, 2018, and 2017, 
respectively. 

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Intellectual Property and Other Proprietary Rights 

Our success depends in part upon our 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. We have no patents. Consequently, we 
rely on a combination of copyright and trade secret laws and associate nondisclosure agreements to protect our systems, survey 
instruments and procedures. There can be no assurance 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. There can be no assurance, 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. 

Associates 

As of December 31, 2019 we employed a total of 464 persons on a full-time basis. In addition, as of such date, we had 16 part-time 
associates primarily in our survey operations, representing approximately 8 full-time equivalent associates. None of our associates 
are represented by a collective bargaining unit. We consider our relationship with our associates to be good.  

Information About Our Executive Officers  

The following table sets forth certain information as of February 1, 2020, regarding our executive officers: 

Name 

Age 

 Position 

Michael D. Hays 

65 

 Chief Executive Officer 

Steven D. Jackson 

44 

 President 

Kevin R. Karas 

62 

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

Michael D. Hays has served as our Chief Executive Officer and a director since he founded the Company in 1981. He also served 
as our President 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 our President since October 2015. He served as Group President from October 2014 until September 
2015, during which time he oversaw our Market Insights, Transparency, and Predictive Analytics business units. Prior to joining 
us, 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  our  Chief  Financial  Officer,  Treasurer  and  Secretary  since  September  2011,  and  as  Senior  Vice 
President Finance since he joined us 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. 

Our executive officers are elected by and serve at the discretion of our Board of Directors. There are no family relationships between 
any of our directors or executive officers. 

Available Information 

More information regarding NRC Health is available on our website at www.nrchealth.com. We are not including the information 
contained on or available through our website as part of, or incorporating such information by reference into, this Annual Report on 
Form  10-K.  Our  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 our website. We provide 
access  to  such materials  through  our  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 our website do not include access to 
exhibits and supplemental schedules electronically filed with the reports or amendments. 

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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. Our ten largest clients accounted for 16%, 17%, and 19% of our total revenue in 
2019, 2018, and 2017, 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. 

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 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.  Our  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 that 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 us and could decide to increase their resource commitments to our market. There are relatively few barriers to entry 
into our 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 
we 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. Future legislative 
changes,  including  additional  provisions  to  control  healthcare  costs,  improve  healthcare  quality  and  expand  access  to  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. 

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Consolidation in this industry, including the potential acquisition of certain of our clients, could adversely affect aggregate client 
budgets for our services, could result in client’s performing more marketing, market research and/or quality improvement functions 
internally 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. 

We rely on third parties for data collection and other services 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 our 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 our Market Insights. In either case, our operating and net income could 
be negatively affected. 

Our principal shareholders effectively control the Company. 

A majority of our common stock and voting power was historically owned and/or held by Michael D. Hays, our Chief Executive 
Officer. However, over the years Mr. Hays, for estate planning purposes, gifted and/or transferred almost all of his directly owned 
shares to two trusts for the benefit of his family, The K/I/E Trust under agreement dated October 24, 2018 and the Amandla MK 
Trust (collectively the “Trusts”). 

As  of  February  27,  2020,  approximately  44.7%  of  our  outstanding  common  stock  was  owned  by  the  Trusts  and  approximately 
54.2% of our outstanding common stock was held by the Trusts and other entities owned or controlled by members of Mr. Hays’ 
family.  As  a  result,  the  Trusts  and  these  other  entities  have  the  power  to  indirectly  control  decisions  such  as  whether  to  issue 
additional shares or declare and pay dividends and 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 Trusts and these other entities. 

The market price of our 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 and trading volume of our common stock has historically been and may continue to 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: 

(cid:404)  Variations in our financial performance and that of similar companies; 
(cid:404)  Regulatory and other developments that may impact the demand for our services; 
(cid:404)  Reaction to our press releases, public announcements and filings with the Securities and Exchange Commission; 
(cid:404)  Client, market and industry perception of our services and performance; 
(cid:404)  Actions of our competitors; 
(cid:404)  Changes in earnings estimates or recommendations by analysts who follow our stock; 
(cid:404)  Loss of key personnel; 
(cid:404) 
(cid:404)  Changes in accounting principles; and 
(cid:404)  Variations in general market, economic and political conditions or financial markets. 

Investor, management team or large stockholder sales of our stock; 

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Any of these factors, among others, may result in changes in the trading volume and/or market price of our common stock. Following 
periods of volatility in the market price of our 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. 

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. 

Failures or deficiencies in our information technology platform could negatively impact our operating results. 

Our ability to provide client service is dependent, to a significant extent, upon the technology that we develop internally. Investment 
in  the  enhancement  of  existing  and  development  of  new  information  technology  processes  is  costly  and  affects  our  ability  to 
successfully serve our clients. The failure or deficiency of the technology we develop could negatively impact the willingness or 
ability for our clients to use our services and our ability to perform our services. Our failure to anticipate clients’ expectation and 
needs, adapt to emerging technological trends, or design efficient and effective information technology platforms, could result in 
lower  utilization,  loss  of  customers,  damage  to  customer  relationships,  reduced  revenue  and  profits,  refunds  to  customers  and 
damage  to  our  reputation.  Although  we  have  procedures  to  monitor  the  efficacy  of  our  information  technology  platforms,  the 
procedures may not prevent failures or deficiencies in the information technology platforms we develop, we may not adapt quickly 
enough and may incur significant costs and delays that could harm our business. 

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 to 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. 

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If  we  sustain  cyber-attacks  or  other  privacy  or  data  security  incidents  that  result  in  security  breaches  that  disrupt  our 
operations  or  result  in  the  unintended  dissemination  of  protected  personal  information  or  proprietary  or  confidential 
information, we could suffer a loss of revenue and increased costs, exposure to significant liability, reputational harm and 
other serious negative consequences.  

In  connection  with  our  client  services,  we  receive,  process,  store  and  transmit  sensitive  business  information  and,  in  certain 
circumstances, personal medical information of our clients’ patients, electronically over the internet. We may become the target of 
attempted cyber-attacks and other security threats and may be subject to breaches of the information technology systems we use. 
Experienced  computer  programmers  and  hackers  may  be  able  to  penetrate  our  security  controls  and  access,  misappropriate  or 
otherwise  compromise  protected  personal  information  or  proprietary  or  confidential  information  or  that  of  third-parties,  create 
system disruptions or cause system shutdowns that could negatively affect our operations. They also may be able to develop and 
deploy viruses, worms, ransomware, and other malicious software programs that attack our systems or otherwise exploit any security 
vulnerabilities.  Hardware,  software,  or  applications  we  develop  or  procure  from  third  parties  may  contain  defects  in  design  or 
manufacture or other problems that could unexpectedly compromise information security. 

We  were  the  target  of  an  external  cyber-attack  in  February  2020  which  resulted  in  a  temporary  suspension  of  our  services  to 
clients.  We will likely continue to be the target of other attempted cyber-attacks and security threats. Such cyber-attacks may subject 
us  to  litigation  and  regulatory  risk,  civil  and  criminal  penalties,  additional  costs  and  diversion  of  management  attention  due  to 
investigation, remediation efforts and engagement of third party consultants and legal counsel in connection with such incidents, 
payment  of  “ransoms”  to  regain  access  to  our  systems  and  information,  loss  of  clients,  damage  to  client  relationships,  reduced 
revenue and profits, refunds of client charges and damage to our reputation, any of which could have a material adverse effect on 
our business, cash flows, financial condition and results of operations. While we have contingency plans and insurance coverage 
for potential liabilities of this nature, they may not be sufficient to cover all claims and liabilities and in some cases are subject to 
deductibles and layers of self-insured retention. 

We cannot ensure that we will be able to identify, prevent or contain the effects of cyber-attacks or other cybersecurity risks that 
bypass our security measures or disrupt our information technology systems or business. We have security technologies, processes 
and procedures in place to protect against cybersecurity risks and security breaches. However, hardware, software or applications 
we  develop  or  procure  from  third  parties  may  contain  defects  in  design,  manufacturer  defects  or  other  problems  that  could 
unexpectedly compromise information security. In addition, because the techniques used to obtain unauthorized access, disable or 
degrade service or sabotage systems change frequently, are becoming increasingly sophisticated, and may not immediately produce 
signs  of  intrusion,  we  may  be  unable  to  anticipate  these  techniques,  timely  discover  or  counter  them  or  implement  adequate 
preventative measures. 

In addition, we use third-party technology, systems and services for a variety of reasons, including, without limitation, encryption 
and authentication technology, employee email, content delivery to clients, back-office support, and other functions that in some 
cases involve processing, storing and transmitting large amounts of data for our business. These third-party providers may also 
experience  security  breaches  or  interruptions  to  their  information  technology  hardware  and  software  infrastructure  and 
communications systems that could adversely impact us. 

Under the Health Insurance Portability and Accountability Act of 1996, as amended by the Health Information Technology for 
Economic and Clinical Health Act of 2009, or HITECH, implementing regulations promulgated by the U.S. Department of Health 
and  Human  Services,  or  “HHS,”  including  what  are  referred  to  as  the  “Privacy  Rule”  and  the  “Security  Rule”  (collectively, 
“HIPAA”), we face potential liability related to the privacy of health information we obtain.  We are required through our contracts 
with our clients and by HIPAA to protect the privacy and security of certain health information and to make certain disclosures to 
our clients or to the public if this information is unlawfully accessed.  

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. Noncompliance with any privacy or security laws and regulations, 
including, without limitation, HIPPA, or any security breach, cyber-attack or cybersecurity breach, and any incident involving the 
misappropriation, loss or other unauthorized disclosure or use of, or access to, sensitive or confidential information, whether by us 
or by one of our third-party service providers, could require us to expend significant resources to continue to modify or enhance our 
protective measures and to remediate any damage. In addition, this could negatively affect our operations, cause system disruptions, 
damage our reputation, cause client losses and contract breaches, and could also result in regulatory enforcement actions, material 
fines  and  penalties,  litigation  or  other  actions  that  could  have  a  material  adverse  effect  on  our  business,  cash  flows,  financial 
condition  and  results  of  operations.   Even  if  cyber-attacks  or other  cybersecurity  breaches  do  not  result  in  noncompliance  with 
privacy or security laws, the perception that such noncompliance may have occurred by our clients or in the news media may have 
an adverse impact on our stock price and could result in damage to our reputation or loss of clients, which could have a material 
adverse effect on our business, cash flows, financial condition and results of operations. 

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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. 

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. 

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Item 1B.   Unresolved Staff Comments 

We have no unresolved staff comments to report pursuant to this item. 

Item 2. 

Properties 

Our  headquarters  is  located  in  an  owned  office  building  in  Lincoln,  Nebraska,  of  which  62,000 square  feet  are  used  for  our 
operations. This facility houses all the capabilities necessary for our survey programming, printing and distribution, data processing, 
analysis and report generation, marketing, and corporate administration. Our credit facilities are secured by this property and our 
other assets. 

We are leasing 4,000 square feet of office space in Markham, Ontario, 4,300 square feet of office space in Seattle, Washington, 
6,200 square feet of office space in Atlanta, Georgia and 200 square feet of office space in Nashville, Tennessee. 

Item 3. 

Legal Proceedings 

From time to time, we are 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.  There  were  no 
outstanding  claims  as  of  December  31,  2019.  For  additional  information,  see  Note  1,  under  the  heading  “Commitments  and 
Contingencies,” to our consolidated financial statements. 

Item 4.   Mine Safety Disclosures 

Not applicable. 

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PART II 

Item 5.   Market  for  the  Registrant’s  Common  Equity,  Related  Stockholder  Matters  and  Issuer  Purchases  of  Equity

Securities 

In May 2013, we consummated a recapitalization pursuant to which we 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 our 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, our class A common stock and our class B common stock were traded on the NASDAQ 
Global Market under the symbols “NRCIA” and “NRCIB,” respectively. 

On  April  16,  2018,  our  shareholders  approved,  among  other  things,  an  amendment  to  our  Amended  and  Restated  Articles  of 
Incorporation (the “Articles”) to effect a recapitalization (the “Recapitalization”) pursuant to which each share of our then-existing 
class B common stock was exchanged for one share of the our then-existing Class A common stock plus $19.59 in cash, without 
interest. On April 17, 2018, we filed an amendment to our Articles effecting the Recapitalization, followed by an amendment and 
restatement of our Articles, which resulted in the elimination of our class B common stock and the reclassification of our class A 
common stock as a share of Common Stock, par value $0.001 per share (“Common Stock”). We issued 3,617,615 shares of Common 
Stock and paid $72.4 million in exchange for all class B shares outstanding and to settle outstanding share-based awards for class 
B common stock. The Common Stock continues to trade on the NASDAQ Global Market under the revised symbol “NRC.” 

Cash dividends in the aggregate amount of $19.4 million were declared in 2019 with $14.2 million paid in 2019 and the remaining 
$5.2 million paid in January 2020. Cash dividends in the aggregate amount of $29.7 million were declared in 2018 with $12.6 
million paid in 2018 and the remaining $17.1 million paid in January 2019. The payment and amount of future dividends, if any, is 
at the discretion our Board of Directors and will depend on the our future earnings, financial condition, general business conditions, 
alternative uses of our earnings and other factors. 

On February 14, 2020, there were approximately 15 shareholders of record and approximately 6,201 beneficial owners of common 
stock. 

In February 2006 and subsequently amended in May 2013, our Board of Directors authorized the repurchase of 2,250,000 shares of 
class A common stock and 375,000 shares of class B common stock in the open market or in privately negotiated transactions. In 
connection  with  the  Recapitalization  in  April  2018,  our  Board  of  Directors  further  amended  the  stock  repurchase  program  to 
eliminate the repurchase of the former class B common stock. Unless terminated earlier by resolution of our Board of Directors, the 
repurchase program will expire when the we have repurchased all shares authorized for repurchase thereunder. No Common Stock 
was repurchased during the three-month period ended December 31, 2019. The remaining shares of Common Stock that may be 
purchased under that authorization are 280,491. 

13 

  
  
  
  
  
  
  
  
 
 
The  following  graph  compares  the  cumulative  5-year  total  return  provided  shareholders  on  our  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, 2014, and our 
relative performance is tracked through December 31, 2019.  

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

12/14     

12/15    

12/16    

12/17     

12/18    

12/19  

National Research Corporation – Formerly Class B 

     100.00        110.85       136.77       193.65      

--      

--  

National Research Corporation Common Stock – 
Formerly Class A 

     100.00        119.36       144.49       287.71       303.13       531.90  

NASDAQ Composite 

     100.00        106.96       116.45       150.96       146.67       200.49  

Russell 2000 

     100.00        95.59       115.95       132.94       118.30       148.49  

14 

  
 
 
  
  
  
  
      
        
        
        
        
        
  
  
      
        
        
        
        
        
  
  
      
        
        
        
        
        
  
  
      
        
        
        
        
        
  
  
 
 
Item 6.  

Selected Financial Data 

The selected statement of income data for the years ended December 31, 2019, 2018 and 2017, and the selected balance sheet data 
at December 31, 2019 and 2018, are derived from, and are qualified by reference to, our audited consolidated financial statements 
included elsewhere in this Annual Report on Form 10-K. The selected statement of income data for the year ended December 31, 
2016 and 2015, and the balance sheet data at December 31, 2017, 2016 and 2015, are derived from audited consolidated financial 
statements  not  included  herein.  We disposed  of  selected  assets  and  liabilities  related  to  the  clinical  workflow  product  of  our 
Predictive Analytics operating segment on December 21, 2015. The acquisition and disposal did not have a significant impact on 
our financial results. 

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: 

Common Stock (formerly Class A) 
Class B 

Diluted Earnings per share: 

Common Stock (formerly Class A) 
Class B 

Weighted average share and share equivalents 

outstanding: 
Common Stock (formerly Class A) – basic 
Class B – basic 
Common Stock (formerly Class A) – diluted 
Class B – diluted 

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

unamortized debt issuance costs 

Total shareholders’ equity 
Cash dividends declared per share: 

Common stock (formerly class A) 
Class B common stock 

   2019(2)(3) 

     2018(1)(2) 

Year Ended December 31,  
2016 
2017 
(In thousands, except per share data) 

2015 

  $ 

127,982    $ 

119,686    $ 

117,559    $ 

109,384    $ 

102,343  

46,435      
32,973      
5,539      
84,947      
43,035      
(2,516)     
40,519      
8,113      
32,406    $ 

47,577      
31,371      
5,463      
84,411      
35,275      
(566)     
34,709      
4,662      
30,047    $ 

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

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

1.30    $ 
--    $ 

1.26    $ 
--    $ 

1.08    $ 
1.31    $ 

1.04    $ 
1.27    $ 

0.54    $ 
3.26    $ 

0.52    $ 
3.18    $ 

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  

  $ 

  $ 
  $ 

  $ 
  $ 

24,809      
--      
25,653      
--      

23,562      
3,527      
24,448      
3,628      

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

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

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

   2019(2)(3) 

     2018(1)(2) 

2016 
2017 
(In thousands, except per share data) 

2015 

  $ 

(8,998)   $ 
110,685      

(18,699)   $ 
108,032      

19,949    $ 
127,316      

15,551    $ 
120,624      

10,890  
128,049  

34,959      
32,892      

38,723      
19,083      

1,225      
90,041      

3,732      
82,806      

5,917  
74,222  

  $ 

0.78      
--    $ 

1.13      
.60    $ 

.40      
2.40    $ 

.34      
2.04    $ 

.62  
3.72  

(1)On  January  1,  2018,  we  adopted  Accounting  Standards  Update  2014-09,  Revenue-  Revenue  from  Contracts  with 
Customers and all related amendments using the modified retrospective method for all incomplete contracts as of the date 
of adoption. See Notes 1 and 3 to our consolidated financial statements. 
(2)As described in Note 2 to our consolidated financial statements, we completed the Recapitalization in April 2018 which 
settled all then-existing outstanding class B share-based awards, resulting in the elimination of the class B common stock 
and reclassified class A common stock to Common Stock. 
(3)On January 1, 2019, we adopted Accounting Standards Update 2016-02, Leases, and all related amendments using the 
modified  retrospective  method  for  all  incomplete  contracts  as  of  the  date  of  adoption.  See  Notes  1  and  10  to  our 
consolidated financial statements. 

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Item 7.   Management’s Discussion and Analysis of Financial Condition and Results of Operations  

Overview 

We  are  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 organizations. Our solutions enable our 
clients to understand the voice of the customer with greater clarity, immediacy and depth. Our 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. Our 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. We believe that access to and analysis of our extensive consumer-driven 
information is becoming more valuable as healthcare providers increasingly need to more deeply understand and engage the people 
they serve to build customer loyalty. 

Our portfolio of subscription-based solutions provides actionable information and analysis to healthcare organizations across a range 
of  mission-critical,  constituent-related  elements,  including  patient  experience,  service  recovery,  care  transitions,  health  risk 
assessments, employee engagement, reputation management, and brand loyalty. We partner with clients across the continuum of 
healthcare services. Our clients include integrated health systems, post-acute providers and payer organizations. We believe 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. 

Critical Accounting Policies and Estimates 

The  preparation  of  financial  statements  requires  management  to  make  estimates  and  assumptions  that  affect  amounts  reported 
therein. The following areas are considered critical accounting estimates because they involve significant judgments or assumptions, 
involve complex or uncertain matters or they are susceptible to change and the impact could be material to our financial condition 
or operating results: 

(cid:404) 
(cid:404) 
(cid:404) 

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

Revenue Recognition 

We derive a majority of our revenue from annually renewable subscription-based service agreements with our customers. See Notes 
1 and 3 to our consolidated financial statements for a description of our revenue recognition policies. 

Our revenue arrangements with a client may include combinations of more than one service offering which may be executed at the 
same  time,  or  within  close  proximity  of  one  another.  We  combine  contracts  with  the  same  customer  into  a  single  contract  for 
accounting  purposes  when  the  contract  is  entered  into  at  or  near  the  same  time  and  the  contracts  are  negotiated  as  a  single 
performance obligation. For contracts that contain more than one separately identifiable performance obligation, the total transaction 
price is allocated to the identified performance obligations based upon the relative stand-alone selling prices of the performance 
obligations. The stand-alone selling prices are based on an observable price for services sold to other comparable customers, when 
available, or an estimated selling price using a cost-plus margin or residual approach. We estimate the total contract consideration 
we expect to receive for variable arrangements based on the most likely amount we expect to earn from the arrangement based on 
the expected quantities. We only include some or a portion of variable consideration in the transaction price when it is probable that 
a significant reversal in the amount of cumulative revenue recognized will not occur. We consider the sensitivity of the estimate, 
our relationship and experience with the client and variable services being performed, the range of possible revenue amounts and 
the magnitude of the variable consideration to the overall arrangement. 

Our fixed, non-subscription arrangements typically require us to perform an unspecified amount of services for a fixed price during 
a fixed period of time. Revenues are recognized over time based upon the costs incurred to date in relation to the total estimated 
contract  costs.  In  determining  cost  estimates,  management  uses  historical  and  forecasted  cost  information  which  is  based  on 
estimated volumes, external and internal costs and other factors necessary in estimating the total costs over the term of the contract. 
Changes  in  estimates  are  accounted  for  using  a  cumulative  catch  up  adjustment  which  could  impact  the  amount  and  timing  of 
revenue for any period. 

If management made different judgments and estimates, then the amount and timing of revenue for any period could differ from the 
reported revenue.  

16 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Valuation of Goodwill and Identifiable Intangible Assets 

Intangible assets include customer relationships, trade names, technology, 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 with 
other long-lived assets in the related asset group whenever events or changes in circumstances indicate that the carrying amount of 
the assets may not be recoverable. We review 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,  we  will  first  assess  qualitative  factors  to  determine  whether  it  is  necessary  to 
recalculate the fair value of the intangible assets with indefinite lives. If we believe, 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, we calculate 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. We did not recognize any impairments related to indefinite-lived 
intangibles during 2019, 2018 or 2017. 

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 our goodwill is allocated to our reporting units, which are the same as 
our 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. 

We review for goodwill impairment by first assessing qualitative factors to determine whether any impairment may exist. If we 
believe, 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. We performed a qualitative 
analysis as of October 1, 2019 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, 2019, 2018 or 2017. 

Our Canadian reporting unit generates service revenue from a relatively small number of customers with approximately 56.5% of 
its revenue concentrated in one customer contract which currently expires in March 2021. While historically we have been successful 
in renewing or retaining contracts with our customers, should we be unable to or choose not to renew a significant contract, it would 
likely result in an impairment of goodwill at this reporting unit. The carrying amount of goodwill related to our Canadian reporting 
unit at December 31, 2019 was $2.3 million. 

Income Taxes 

We use 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. We recognize 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. 

17 

  
  
  
  
  
  
  
  
  
 
 
Results of Operations 

The following table and graphs set forth, for the periods indicated, selected financial information derived from our 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 our consolidated financial statements. 

Revenue 
Operating expenses: 

Direct 
Selling, general and administrative 
Depreciation and amortization 

Total operating expenses 
Operating income 

Percentage of Total Revenue 
Year Ended December 31, 

2019 

2018 

2017 

Percentage 
Increase (Decrease) 

2019 over 
2018 

2018 over 
2017 

100.0 %     

100.0%     

100.0%     

6.9%     

1.8 % 

36.3        
25.8        
4.3        
66.4        
33.6 %     

39.7       
26.2       
4.6       
70.5       
29.5%     

41.7       
25.3       
3.9       
70.9       
29.1%     

(2.4)      
5.1       
1.4       
0.6       
22.0%     

(3.0 ) 
5.7   
19.1   
1.3   
3.1 % 

Year Ended December 31, 2019, Compared to Year Ended December 31, 2018 

Revenue. Revenue in 2019 increased 6.9% to $128.0 million, compared to $119.7 million in 2018, which was driven primarily due 
to  new  customer  sales,  as  well  as  increases  in  sales  to  the  existing  client  base.  Our  solutions  within  the  VoC  platform  in  2019 
accounted  for  62.7%  of  total  revenue  compared  to  49.6%  in  2018.  The  remaining  revenue  consists  of  legacy  Experience  and 
Governance Solutions. Clients with agreements for multiple solutions represented 27% of our client base at the end of 2019, up 
from 24% at the end of 2018. 

Direct expenses. Direct expenses decreased 2.4% to $46.4 million in 2019, compared to $47.6 million in 2018. This was due to a 
decrease in variable expenses of $2.6 million, partially offset by an increase in fixed expenses of $1.4 million. Variable expenses 
decreased mainly due to less postage, printing and paper costs due to lower volumes and changes in survey methodologies. Fixed 
expenses increased primarily as a result of increased salary and benefit costs in the customer service and information technology 
areas partially offset by $730,000 of state payroll and sales tax incentives and lower contracted services. Direct expenses decreased 
as a percentage of revenue to 36.3% in 2019, from 39.7% in 2018, as expenses decreased by 2.4% while revenue for the same period 
increased by 6.9%. 

Selling, general and administrative expenses. Selling, general and administrative expenses increased 5.1% to $33.0 million in 2019 
compared to $31.4 million in 2018, primarily due to increased software license fees and platform hosting expenses of $790,000, 
sales  tax  expense  of  $775,000  as  a  result  of  a  recent  sales  tax  analysis,  higher  salary  and  benefit  costs  of  $690,000,  additional 
insurance  costs  of  $285,000,  increased  travel  costs  of  $196,000, higher  marketing  program  expenses  of $89,000  and  additional 
company incentive event costs of $81,000. These were partially offset by decreased contract services of $529,000, a reduction in 
legal and accounting costs of $469,000 mainly associated with the Recapitalization, the Tax Cut and Jobs Act and adoption of ASC 
606 in 2018 and state payroll and sales tax incentives of $917,000. Selling, general, and administrative expenses decreased as a 
percentage of revenue to 25.8% in 2019, from 26.2% in 2018 as expenses increased by 5.1% while revenue increased by 6.9% 
during the same period. 

18 

  
  
  
  
     
  
  
  
     
     
     
     
  
  
      
         
         
         
         
  
    
      
         
         
         
         
  
    
    
    
    
    
   
 
  
  
  
  
Depreciation and amortization. Depreciation and amortization expenses remained at $5.5 million for the twelve-month period ended 
December 31, 2019 and 2018, however, there was increased amortization from additional computer software investments primarily 
offset by an intangible asset that has been fully amortized. Depreciation and amortization expenses decreased as a percentage of 
revenue to 4.3% in 2019, from 4.6% in 2018 as depreciation and amortization expenses increased by 1.4% while revenue increased 
by 6.9% during the same period. 

Other income (expense). Other expense, net was $2.5 million for the twelve-month period ended December 31, 2019, compared to 
$566,000  for  the  same  period  in  2018.   Interest  expense  increased  $578,000  due  to  additional  interest  related  to  the  term  loan 
originated in April 2018 and borrowings on the line of credit. Other expense, net increased $1.3 million primarily due to revaluation 
of intercompany transactions for changes in the foreign exchange rates. 

Provision for income taxes. Provision for income taxes was $8.1 million (20.0% effective tax rate) in 2019, compared to $4.7 million 
(13.4% effective tax rate) in 2018. The effective tax rate for the twelve-month period ended December 31, 2019, was higher mainly 
due  to  lower  income  tax  benefits  from  the  exercise  of  share-based  compensation  awards  and  higher  state  income  taxes  due  to 
requirements to file in more states. 

 Year Ended December 31, 2018, Compared to Year Ended December 31, 2017 

Revenue. Revenue in 2018 increased 1.8% to $119.7 million, compared to $117.6 million in 2017, which was due to new customer 
sales and increases in sales to the existing client base. Our solutions within the VoC platform in 2018 accounted for 49.6% of total 
revenue compared to 33.9% in 2017. The remaining revenue consists of legacy Experience and Governance Solutions. Clients with 
agreements for multiple solutions represented 24% of our client base at the end of 2018, up from 22% at the end of 2017. 

Direct expenses. Direct expenses decreased 3.0% to $47.6 million in 2018, compared to $49.1 million in 2017. This was due to a 
decrease  in  variable  expenses  of  $2.2  million  partially  offset  by  an  increase  in  fixed  expenses  of  $689,000.  Variable  expenses 
decreased mainly due to less postage, printing and paper costs due to lower volumes and changes in survey methodologies. Fixed 
expenses increased primarily as a result of increased salary and benefit costs in the customer service and information technology 
areas. Direct expenses decreased as a percentage of revenue to 39.7% in 2018 from 41.7% for the same period in 2017 as expenses 
decreased by 3.0% while revenue for the same period increased by 1.8%. 

Selling, general and administrative expenses. Selling, general and administrative expenses increased 5.7% to $31.4 million in 2018 
compared to $29.7 million in 2017 primarily due to increased software and platform hosting expenses of $1.8 million, higher salary 
and benefit costs of $685,000, including acceleration of share-based compensation expense from the vesting of restricted stock and 
settlement of stock options associated with the Recapitalization of $331,000, and increased contracted services of $529,000. These 
were offset by decreased legal and accounting expenses primarily associated with the Recapitalization of $516,000, lower recruiting 
expenses of $568,000 and a reduction in marketing expense of $239,000. Selling, general, and administrative expenses increased as 
a percentage of revenue to 26.2% in 2018, from 25.3% for the same period in 2017 as expenses increased by 5.7% while revenue 
increased by 1.8% during the same period. 

Depreciation and amortization. Depreciation and amortization expenses increased 19.1% to $5.5 million in 2018 compared to $4.6 
million  in  2017  due  to  increased  amortization  from  additional  computer  software  investments.  Depreciation  and  amortization 
expenses as a percentage of revenue increased to 4.6% in 2018, from 3.9% for the same period in 2017. 

Other income (expense). Other income (expense) decreased to other expense of $566,000 in 2018, compared to other income of 
$64,000 in 2017 primarily due to increased interest expense, partially offset by other income. Interest expense increased to $1.5 
million due to interest related to the new term loan originated in April 2018. Other income increased to $885,000 primarily due to 
revaluation on intercompany transactions due to changes in the foreign exchange rate. 

Provision for income taxes. Provision for income taxes was $4.7 million (13.4% effective tax rate) in 2018, compared to $11.3 
million (33.1% effective tax rate) in 2017. The effective tax rate was lower in 2018 mainly due to income tax benefits from the 
Recapitalization, due to accelerated vesting of restricted stock and settlement of options of $1.1 million, and the reduction in the 
corporate tax rate from 35% to 21% as a result of the Tax Act. In addition, we had increased tax benefits of $1.6 million related to 
the vesting and exercise of stock awards, net of certain excess compensation limits, a tax depreciation method change election for 
software development costs creating an income tax benefit of $308,000 and decreased non-deductible Recapitalization expenses of 
$361,000. This was partially offset by decreased tax expense of $1.1 million in 2017 due to Tax Act related adjustments. See Note 
7 to our consolidated financial statements for more details on tax adjustments related to the Tax Act. 

Inflation and Changing Prices 

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

19 

  
  
  
  
  
  
  
  
  
  
 
  
 
 
 
Liquidity and Capital Resources 

We believe that our existing sources of liquidity, including cash and cash equivalents, borrowing availability, and operating cash 
flows will be sufficient to meet our projected capital and debt maturity needs and dividend policy for the foreseeable future and 
therefore we feel that our working capital deficit has little impact on our liquidity. Cash dividends in the aggregate amount of $19.4 
million were declared in 2019 with $14.2 million paid in 2019 and the remaining $5.2 million paid in January 2020. The dividends 
were paid from cash on hand and $4.5 million in borrowings on our line of credit. 

As of December 31, 2019, our principal sources of liquidity included $13.5 million of cash and cash equivalents, up to $15 million 
of unused borrowings under our line of credit and up to $15 million on our delayed draw term note. Of this cash, $3.9 million was 
held in Canada. The delayed draw term note can only be used to fund permitted future business acquisitions or repurchasing our 
Common Stock. 

Working Capital 

We had a working capital deficit of $9.0 million and $18.7 million on December 31, 2019 and 2018, respectively. 

The change was primarily due to a decrease in dividends payable of $11.9 million, and an increase in other current assets of $1.7 
million. These were partially offset by an increase in other current liabilities of $841,000, an increase in current portion of notes 
payable of $711,000, an increase of accounts payable of $666,000, an increase in accrued expenses $574,000, and a decrease of 
$887,000 in prepaid expenses. Dividends payable decreased due to a special dividend of $12.4 million that was declared in 2018 
and paid in January of 2019. Deferred contract costs, net increased due to growth in capitalized commission and incentives directly 
related to new sales. Other current liabilities increased due to adoption of Accounting Standards Update (“ASU”) 2016-02, Leases 
(Topic  842)  (“Topic  842”  or  the  “New  Leases  Standard”)  and  deferred  income  benefits  from  the  state  payroll  and  sales  tax 
incentives.  Topic  842  requires  lessees  to  recognize  a  lease  liability  and  a  right-of-use  (“ROU”)  asset  on  the  balance  sheet  for 
operating leases. Accounts payable and accrued expenses increased and prepaid expenses decreased due to timing of payment for 
services and supplies. Our working capital is significantly impacted by our 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,  2019  and 
December 31, 2018, were $16.4 million and $16.2 million, respectively. 

The deferred revenue balance is primarily due to timing of initial billings on new and renewal contracts. We typically invoice clients 
for services before they have been completed. Billed amounts are recorded as billings in excess of revenue earned, or deferred 
revenue, on our consolidated financial statements, and are recognized as income when earned. In addition, when work is performed 
in advance of billing, we record 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. 

Cash Flow Analysis 

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

2019 

For the Year Ended December 31, 
2018 
(In thousands) 

2017 

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 

  $ 

  $ 

40,917    $ 
(4,656)     
(36,346)     
611      
526      
13,517    $ 

39,848    $ 
(5,971)     
(54,497)     
(1,122)     
(21,742)     
12,991    $ 

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

Cash flows from operating activities consist of net income adjusted for non-cash items including depreciation and amortization, 
deferred income taxes, share-based compensation and related taxes, reserve for uncertain tax positions, loss on disposal of property 
and equipment and the effect of working capital changes. 

Net cash provided by operating activities was $40.9 million for the year ended December 31, 2019, which included net income of 
$32.4 million, plus non-cash charges (benefits) for deferred income taxes, depreciation and amortization, reserve for uncertain tax 
positions, loss on disposal of property and equipment and non-cash share based compensation totaling $7.9 million. Changes in 
working capital increased cash flows from operating activities by $616,000, primarily from increases in accounts payable, accrued 
expenses, wages, bonus and profit sharing, deferred tax incentives, and deferred contract costs, net, which fluctuate due to the timing 
of payments of prepaids, accounts payable and accrued expenses, and the timing of direct and incremental costs directly related to 
sales. These increases to cash flows were partially offset by decreases in prepaid expenses and other current assets. 

20 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
    
    
  
  
  
  
    
    
    
    
  
  
  
Net cash provided by operating activities was $39.8 million for the year ended December 31, 2018, which included net income of 
$30.0 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 share based compensation totaling $8.4 million. Changes in 
working capital increased cash flows from operating activities by $1.5 million, primarily from increases in income taxes payable 
and decreases in accounts receivables, which fluctuate due to the timing of income tax payments and the timing and frequency of 
billings on new and renewal contracts, respectively. These increases to cash flows were partially offset by an increase in prepaid 
expenses and other current assets and decreases due to the timing of payments on accounts payable, accrued expenses, wages, bonus 
and profit sharing, deferred contract costs and a decrease in deferred revenue.  

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 share based 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, and an increase in deferred revenue. 

Cash Flows from Investing Activities 

Net  cash  of  $4.7  million  was  used  for  investing  activities  in  the  year  ended  December  31,  2019  for  purchases  of  property  and 
equipment. These expenditures consisted mainly of computer software classified in property and equipment. 

Net  cash  of  $6.0  million  was  used  for  investing  activities  in  the  year  ended  December  31,  2018  for  purchases  of  property  and 
equipment. 

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, we used $1.3 million of cash to acquire a strategic investment in convertible preferred stock of 
PracticingExcellence.com, a privately-held Delaware corporation, which is carried at cost and included in other non-current assets. 

Cash Flows from Financing Activities 

Net cash used in financing activities was $36.3 million in the year ended December 31, 2019. Cash was used to repay borrowings 
under the term notes totaling $3.7 million, to repay borrowings on the line of credit of $21.0 million and for finance lease obligations 
of $229,000. Cash was also used to pay $31.3 million of dividends on our common stock, and to pay payroll tax withholdings related 
to share-based compensation of $1.1 million. Cash of $21.0 million was provided from borrowings on the line of credit. 

Net cash used in financing activities was $54.5 million in the year ended December 31, 2018. Cash was used for the Recapitalization 
of $72.4 million (see Note 2 to our consolidated financial statements), to repay borrowings under the term notes totaling $3.1 million, 
to repay borrowings on the line of credit of $2.5 million, to pay loan origination fees on the new credit agreement of $187,000 and 
for finance lease obligations of $157,000. Cash was also used to pay $16.9 million of dividends on our common stock, and to pay 
payroll tax withholdings related to share-based compensation of $1.9 million. Cash was provided from proceeds of the new term 
loan of $40 million and the new line of credit of $2.5 million. 

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 finance lease obligations of $108,000. Cash was used to pay $16.9 million of 
dividends, and to pay payroll tax withholdings related to share-based compensation of $1.7 million. 

Capital Expenditures 

Capital expenditures for the year ended December 31, 2019 were $4.7 million. These expenditures consisted mainly of computer 
equipment and software. We expect similar capital expenditure purchases in 2020 consisting primarily of computer equipment and 
software and other equipment, to be funded through cash generated from operations. 

Debt and Equity 

On April 18, 2018, in connection with the Recapitalization, we entered into a credit agreement (the “Credit Agreement”) with First 
National Bank of Omaha (“FNB”) providing for (i) a $15,000,000 revolving credit facility (the “Line of Credit”), (ii) a $40,000,000 
term loan (the “Term Loan”) and (iii) a $15,000,000 delayed draw-dawn term facility (the “Delayed Draw Term Loan” and, together 
with the Line of Credit and the Term Loan, the “Credit Facilities”). We used the Term Loan to fund, in part, the cash portion paid 
to holders of our then-existing class B common stock in connection with the Recapitalization and the accompanying exchange of 
outstanding equity awards tied to the class B common stock, as well as for the costs of the Recapitalization. The Delayed Draw 
Term Loan may be used to fund any permitted future business acquisitions or repurchases of our Common Stock and the Line of 
Credit will be used to fund ongoing working capital needs and for other general corporate purposes. 

21 

 
  
  
  
  
  
  
  
  
  
  
 
  
The Term Loan is payable in monthly installments of $462,988 through April 2020 and $526,362 thereafter, with a balloon payment 
due at maturity in April 2023. The Term Loan bears interest at a fixed rate per annum of 5%. 

Borrowings under the Line of Credit and the Delayed Draw Term Loan, if any, bear interest at a floating rate equal to the 30 day 
London Interbank Offered Rate (“LIBOR”) plus 225 basis points (3.94% at December 31, 2019). Interest on the Line of Credit 
accrues and is payable monthly. Principal amounts outstanding under the Line of Credit are due and payable in full at maturity, in 
April 2021. As of December 31, 2019, the Line of Credit did not have a balance. There were no borrowings on the line of credit for 
the three-month period ended December 31, 2019. The weighted average borrowings on the Line of Credit for year ended December 
31, 2019 was $2.4 million. The weighted average interest on borrowings on the Line of Credit for the year ended December 31, 
2019 was 4.72%. 

In the event that the Delayed Draw Term Loan is used, interest-only payments will be due through the calendar year in which the 
Delayed Draw Term Loan is drawn upon. After that, amortization will occur at the then current Term Loan rate and schedule with 
principal and accrued interest amounts outstanding under the Delayed Draw Term Loan due and payable monthly during the term 
of the Delayed Draw Term Loan, which expires on April 18, 2023.  There have been no borrowings on the Delayed Draw Term 
Loan since origination. 

We paid a one-time fee equal to 0.25% of the amount borrowed under the Term Loan at the closing of the Credit Facilities. We are 
also obligated to pay ongoing unused commitment fees quarterly in arrears pursuant to the Line of Credit and the Delayed Draw 
Term Loan facility at a rate of 0.20% per annum based on the actual daily unused portions of the Line of Credit and the Delayed 
Draw Term Loan facility, respectively. 

All obligations under the Credit Facilities are to be guaranteed by each of our direct and indirect wholly owned domestic subsidiaries, 
if  any,  and,  to  the  extent  required  by  the  Credit  Agreement,  direct  and  indirect  wholly  owned  foreign  subsidiaries  (each,  a 
“guarantor”). 

The Credit Facilities are secured, subject to permitted liens and other agreed upon exceptions, by a first-priority lien on and perfected 
security interest in substantially all of our and our guarantors’ present and future assets (including, without limitation, fee-owned 
real property, and limited, in the case of the equity interests of foreign subsidiaries, to 65% of the outstanding equity interests of 
such subsidiaries). 

The  Credit  Agreement  contains  customary  representations,  warranties,  affirmative  and  negative  covenants  (including  financial 
covenants)  and  events  of  default.  The  negative  covenants  include,  among  other  things,  restrictions  regarding  the  incurrence  of 
indebtedness and liens, repurchases of our Common Stock and acquisitions, subject in each case to certain exceptions. The Credit 
Agreement also contains certain financial covenants with respect to minimum fixed charge coverage ratio and maximum cash flow 
leverage ratio. Pursuant to the Credit Agreement, we are required to maintain a minimum fixed charge coverage ratio of 1.10x for 
all testing periods throughout the terms of the Credit Facilities. We are also required to maintain a maximum cash flow leverage 
ratio of 3.00x for all testing periods throughout the terms of the Credit Facilities. As of December 31, 2019, we were in compliance 
with our financial covenants.  

We have finance leases for computer equipment, office equipment, printing and inserting equipment. The balance of the finance 
leases as of December 31, 2019 was $786,000. 

We incurred expenses related to the Recapitalization of approximately $721,000 and $1.4 million in the year ended December 31, 
2018 and 2017, respectively, which were included in selling and administrative expenses. 

A sales tax accrual was recorded in 2019 after we became aware that a state sales tax liability was both probable and estimable as 
of December 31, 2019, due to sales taxes that should have been collected from customers in 2019 and certain previous years. As a 
result, we recorded an expense of $775,000 through selling and administrative expenses and an associated liability through accrued 
expenses. We are working through voluntary disclosure agreements with certain states and will have procedures in place to start 
collecting and remitting sales tax in the second quarter of 2020. State and local jurisdictions have differing rules and regulations 
governing sales, use, and other taxes and these rules and regulations can be complex and subject to varying interpretations that may 
change  over  time.  As  a  result,  we  could  face  the  possibility  of  tax  assessment  and  audits,  and  our  liability  for  these  taxes  and 
associated interest and penalties could exceed our original estimates. In addition, we will incur additional sales tax expense in the 
first quarter of 2020, since we will not start collecting sales tax from customers until the 2nd quarter of 2020. 

22 

  
    
  
  
  
  
  
  
  
  
  
 
 
Contractual Obligations 

We had contractual obligations to make payments in the following amounts in the future as of December 31, 2019: 

Contractual Obligations(1) 
(In thousands) 

Operating leases 
Finance 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    

  $ 

  $ 

1,837    $ 
848      
--      
38,838      
41,523    $ 

591    $ 
257      
--      
6,063      
6,911    $ 

679    $ 
455      
--      
12,633      
13,767    $ 

449    $ 
136      
--      
20,142      
20,727    $ 

118  
--  
--  
--  
118  

(1)   Amounts are inclusive of interest payments, where applicable. 
(2)   We have $599,000 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. 

We generally do not make unconditional, non-cancelable purchase commitments. We enter into purchase orders in the normal course 
of business, but these purchase obligations do not exceed one year. 

Stock Repurchase Program 

Our Board of Directors authorized the repurchase of up to 2,250,000 then-existing class A shares and 375,000 then-existing class B 
shares  of  common  stock  in  the  open  market  or  in  privately  negotiated  transactions  under  a  stock  repurchase  program  that  was 
originally approved in February 2006 and subsequently amended in May 2013. In connection with the Recapitalization in April 
2018,  our  Board  of  Directors  further  amended  the  stock  repurchase  program  to  eliminate  the  repurchase  of  the  former  class  B 
common stock. As of December 31, 2019, the remaining number of shares of Common Stock that could be purchased under this 
authorization was 280,491 shares.  

Off-Balance Sheet Obligations 

We have no significant off-balance sheet obligations. 

Recent Accounting Pronouncements  

See Note 1 to our consolidated financial statements for a description of recently issued accounting pronouncements. 

23 

  
  
  
    
    
      
        
        
        
        
  
    
    
    
  
  
  
  
  
  
  
  
  
 
 
Item 7A.   Quantitative and Qualitative Disclosure About Market Risk  

Our primary market risk exposures are changes in foreign currency exchange rates and interest rates. 

Our 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. We include translation gains and losses in accumulated other comprehensive income (loss), 
a component of shareholders’ equity. Foreign currency translation gains (losses) were, $707,000, ($1.3 million), and 991,000 in 
2019, 2018 and 2017, respectively. Gains and losses related to transactions denominated in a currency other than the functional 
currency of the countries in which we operate and short-term intercompany accounts are included in other income (expense) in the 
consolidated statements of income and amounted to ($483,000), $893,000 and $63,000 in 2019, 2018 and 2017, respectively. The 
increase is primarily the result of exchange rate changes applied to an intercompany loan from our Canadian subsidiary. 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 $507,000. We have not entered into any foreign currency hedging transactions. 
We do not purchase or hold any derivative financial instruments for trading or otherwise 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, 2019, our fixed-rate term debt totaled $34.3 million. Based on a sensitivity analysis, a one percent change 
in  market  interest  rates  as  of  December  31,  2019,  would  impact  the  estimated  fair  value  of  our  fixed-rate  debt  outstanding  at 
December 31, 2019 by approximately $863,000. 

Borrowings under our Line of Credit and  Delayed Draw Term Loan, if any, bear interest at a floating rate  equal to the 30-day 
London Interbank Offered Rate plus 225 basis points. Borrowings under the Line of Credit and Delayed Draw Term Note may not 
exceed $15.0 million and $15.0 million, respectively. There were no borrowings outstanding under the Line of Credit at December 
31, 2019. There were no borrowings outstanding under the Delayed Draw Term Note at December 31, 2019, or at any time during 
2019. A sensitivity analysis assuming a hypothetical 10% movement in interest rates applied to the average daily borrowings and 
the maximum borrowings available under the Line of Credit for 2019 indicated that such a movement would not have a material 
impact on our consolidated financial position, results of operations or cash flows. We have not entered into any interest rate swaps 
or hedging transactions.  

LIBOR is currently expected to be phased out in 2021. We are required to pay interest on borrowings under our Line of Credit and 
Delayed Draw Term Loan at floating rates based on LIBOR. Future debt that we may incur may also require that we pay interest 
based upon LIBOR. Under the terms of our Credit Agreement with FNB, if LIBOR becomes unavailable during the term of the 
agreement, FNB may, in its reasonable discretion and in a manner consistent with market practice, designate a substitute index. We 
currently expect that the determination of interest under our Credit Agreement would be revised as to provide for an interest rate 
that approximates the existing interest rate as calculated in accordance with LIBOR. Despite our current expectations, we cannot be 
sure  that  if  LIBOR  is  phased  out  or  transitioned,  the  changes  to  the  determination  of  interest  under  our  agreements  would 
approximate the current calculation in accordance with LIBOR. We do not know what standard, if any, will replace LIBOR if it is 
phased out or transitioned. 

24 

  
  
  
 
 
  
 
 
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, 2019. This unaudited information has been prepared 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 our audited consolidated 
financial statements and the notes thereto. 

(In thousands, except per share data) 

Quarter Ended 

Dec. 31,  
2019 

Sept 30,  
2019 

June 30,  
2019 

Mar. 31,  
2019 

Dec. 31,  
2018 

Sept 30,  
2018 

June 30,  
2018 

Mar. 31,  
2018 

  $  32,623    $  32,465    $  31,414    $  31,480    $  30,639    $  30,013    $  28,017    $  31,017  
     11,166       12,109       11,506       11,654       11,892       11,780       10,996       12,909  

8,241      

8,706      

8,319      

7,707      

7,885      

7,679      

7,940      

7,867  

1,254      

1,415      
     11,962       10,220       10,149       10,704      
(844)     

1,430      

1,440      

(597)     

(664)     

(411)     

1,467      
9,395      
145      

1,388      
9,166      
(783)     

1,325      
7,756      
63      

1,283  
8,958  
9  

2,667      
8,698    $ 

1,690      
8,119    $ 

2,092      
7,393    $ 

1,664      
8,196    $ 

1,739      
7,801    $ 

1,391      
6,992    $ 

(129)     
7,948    $ 

1,661  
7,306  

  $ 

Revenue 
Direct expenses 
Selling, general and 
administrative 
expenses 

Depreciation and 
amortization 
Operating income 
Other income (expense) 
Provision for income 

taxes 
Net income 
Earnings per share of 
common stock: 
Basic earnings per 

share 
Common (formerly 

class A) 

Class B 

  $ 
  $ 

0.35    $ 
-    $ 

0.33    $ 
-    $ 

0.30    $ 
-    $ 

0.33    $ 
-    $ 

0.32    $ 
-    $ 

0.28    $ 
-    $ 

0.29    $ 
0.27    $ 

0.17  
1.04  

Dilutive earnings per 

share 
Common (formerly 

class A) 

Class B 

  $ 
  $ 

0.34    $ 
-    $ 

0.31    $ 
-    $ 

0.29    $ 
-    $ 

0.32    $ 
-    $ 

0.30    $ 
-    $ 

0.27    $ 
-    $ 

0.28    $ 
0.26    $ 

0.17  
1.01  

Weighted average 

shares outstanding – 
basic 
Common (formerly 

class A) 

Class B 

Weighted average 

shares outstanding – 
diluted 
Common (formerly 

class A) 

Class B 

     24,852       24,827       24,789       24,766       24,684       24,671       23,957       20,884  
3,527  
-      

3,527      

-      

-      

-      

-      

-      

     25,715       25,741       25,586       25,509       25,534       25,526       24,846       21,837  
3,630  
-      

3,620      

-      

-      

-      

-      

-      

25 

  
  
  
  
  
  
  
  
  
  
  
  
    
    
    
    
    
    
    
  
  
      
        
        
        
        
        
        
        
  
    
    
    
    
      
        
        
        
        
        
        
        
  
      
        
        
        
        
        
        
        
  
      
        
        
        
        
        
        
        
  
      
        
        
        
        
        
        
        
  
    
      
        
        
        
        
        
        
        
  
    
  
  
 
 
Report of Independent Registered Public Accounting Firm 

To the Shareholders and Board of Directors 
National Research Corporation: 

Opinions on the Consolidated Financial Statements and Internal Control Over Financial Reporting 

We have audited the accompanying consolidated balance sheets of National Research Corporation and subsidiary (the Company) 
as of December 31, 2019 and 2018, 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, 2019, and the related notes (collectively, the 
consolidated financial statements). We also have audited the Company’s internal control over financial reporting as of December 31, 
2019, 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 consolidated financial statements referred to above present fairly, in all material respects, the financial position 
of the Company as of December 31, 2019 and 2018, and the results of its operations and its cash flows for each of the years in the 
three-year period ended December 31, 2019, in conformity with U.S. generally accepted accounting principles. Also in our opinion, 
the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2019 based 
on criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of 
the Treadway Commission. 

Change in Accounting Principle 

As discussed in Note 1 to the consolidated financial statements, the Company changed its method for accounting for revenue from 
contracts with customers in 2018 due to the adoption of Accounting Standards Update No. 2014-09, Revenue from Contracts with 
Customers, as amended. 

Basis for Opinions 

The Company’s management is responsible for these consolidated financial statements, 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 consolidated financial statements and an opinion on the Company’s internal control over financial reporting based 
on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) 
(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 
audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether 
due to error or fraud, and whether effective internal control over financial reporting was maintained in all material respects. 

Our audits of the consolidated financial statements 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.  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 audits 
also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide 
a reasonable basis for our opinions. 

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. 

26 

  
  
  
  
  
  
  
  
  
  
 
  
  
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 

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

Lincoln, Nebraska 
March 6, 2020 

27 

  
  
  
  
  
  
  
 
 
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 $144 and $175, 

  $ 

13,517     $ 

12,991   

2019  

2018  

respectively 
Prepaid expenses 
Income taxes receivable 
Other current assets 

Total current assets 

Net property and equipment 
Intangible assets, net 
Goodwill 
Operating lease right-of-use assets 
Deferred contract costs, net 
Other 

Total assets 

Current liabilities: 

Liabilities and Shareholders’ Equity 

Current portion of notes payable, net of unamortized debt issuance costs 
Accounts payable 
Accrued wages, bonus and profit sharing 
Accrued expenses 
Income taxes payable 
Dividends payable 
Deferred revenue 
Other current liabilities 

Total current liabilities 

Notes payable, net of current portion and unamortized debt issuance costs 
Deferred income taxes 
Other long term liabilities 

Total liabilities 

Shareholders’ equity: 

Preferred stock, $0.01 par value, authorized 2,000,000 shares, none issued 
Common stock (formerly Class A), $0.001 par value; authorized 60,000,000 shares, 

issued 30,151,574 in 2019 and 29,917,667 in 2018, outstanding 24,947,500 in 2019 
and 24,800,796 in 2018 
Additional paid-in capital 
Retained earnings (accumulated deficit) 
Accumulated other comprehensive loss, foreign currency translation adjustment 
Treasury stock, at cost; 5,204,074 Common (formerly Class A) shares in 2019 and 

5,116,871 in 2018 

Total shareholders’ equity 

11,639       
2,038       
69       
1,894       
29,157       

13,530       
1,728       
57,935       
1,628       
4,204       
2,503       

11,922   
2,925   
348   
224   
28,410   

14,153   
2,102   
57,831   
--   
3,484   
2,052   

  $ 

110,685     $ 

108,032   

  $ 

4,378     $ 
1,279       
6,086       
3,408       
366       
5,239       
16,354       
1,045       
38,155       

29,795       
7,399       
2,444       
77,793       

3,667   
613   
5,798   
2,834   
636   
17,113   
16,244   
204   
47,109   

34,176   
6,276   
1,388   
88,949   

--       

--   

30       
162,154       
(93,357 )     
(2,209 )     

(33,726 )     
32,892       

30   
157,312   
(106,339 ) 
(2,916 ) 

(29,004 ) 
19,083   

Total liabilities and shareholders’ equity 

  $ 

110,685     $ 

108,032   

See accompanying notes to consolidated financial statements. 

28 

  
  
  
    
  
    
  
      
  
  
      
        
  
    
    
    
    
    
  
      
        
  
    
    
    
    
    
    
  
      
        
  
  
      
        
  
    
  
      
  
  
      
        
  
    
    
    
    
    
    
    
    
  
      
        
  
    
    
    
    
  
      
        
  
      
        
  
    
    
    
    
    
    
    
  
      
        
  
  
  
  
  
 
 
NATIONAL RESEARCH CORPORATION AND SUBSIDIARY 

CONSOLIDATED STATEMENTS OF INCOME 
(In thousands, except share amounts) 

2019 

2018 

2017  

  $ 

127,982    $ 

119,686    $ 

117,559  

Revenue 

Operating expenses: 

Direct, exclusive of depreciation and amortization 
Selling, general and administrative, exclusive of depreciation and 

amortization 

Depreciation and amortization 

Total operating expenses 

46,435      

47,577      

49,068  

32,973      
5,539      
84,947      

31,371      
5,463      
84,411      

29,686  
4,586  
83,340  

Operating income 

43,035      

35,275      

34,219  

Other income (expense): 

Interest income 
Interest expense 
Other, net 

Total other income (expense) 

Income before income taxes 

37      
(2,091)     
(462)     

62      
(1,513)     
885      

(2,516)     

(566)     

96  
(82) 
50  

64  

40,519      

34,709      

34,283  

Provision for income taxes 

8,113      

4,662      

11,340  

Net income 

  $ 

32,406    $ 

30,047    $ 

22,943  

Earnings per share of common stock: 

Basic earnings per share: 

Common (formerly Class A) 
Class B 

Diluted earnings per share: 

Common (formerly Class A) 
Class B 

Weighted average shares and share equivalents outstanding 

Common (formerly Class A) – basic 
Class B – basic 
Common (formerly Class A) – diluted 
Class B – diluted 

See accompanying notes to consolidated financial statements. 

  $ 
  $ 

  $ 
  $ 

1.30    $ 
--    $ 

1.26    $ 
--    $ 

1.08    $ 
1.31    $ 

1.04    $ 
1.27    $ 

24,809      
--      
25,653      
--      

23,562      
3,527      
24,448      
3,628      

0.54  
3.26  

0.52  
3.18  

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

29 

  
  
  
  
    
    
  
  
      
        
        
  
  
      
        
        
  
      
        
        
  
    
    
    
    
  
      
        
        
  
    
  
      
        
        
  
      
        
        
  
    
    
    
  
      
        
        
  
    
  
      
        
        
  
    
  
      
        
        
  
    
  
      
        
        
  
  
      
        
        
  
      
        
        
  
      
        
        
  
      
        
        
  
  
      
        
        
  
      
        
        
  
    
    
    
    
  
  
  
  
 
 
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. 

2019 

2018 

2017 

32,406    $ 

30,047    $ 

22,943  

707    $ 
707    $ 

(1,281)   $ 
(1,281)   $ 

991  
991  

33,113    $ 

28,766    $ 

23,934  

  $ 

  $ 
  $ 

  $ 

30 

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

Balances at December 31, 2016 
Purchase of 132,836 class A and 15,074 

class B shares of treasury stock 

Common 
Stock  
(formerly 
Class A)      

Class B 
Common 
Stock 

Additional 
Paid-in 
Capital 

Retained 
Earnings      

Accumulated 
Other 
Comprehensive 
Income (Loss) 

Treasury 
Stock  

     Total 

  $ 

26    $ 

4    $ 

46,725    $ 

71,507    $ 

(2,626)   $ 

(32,830)   $  82,806  

--      

--      

--      

--      

--      

(4,123)     

(4,123) 

Issuance of 197,784 class A and 13,600 

class B common shares for the exercise 
of stock options 

Issuance of 19,314 class A and 3,219 class 

B restricted common shares, net of 
(forfeitures) 

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 
Purchase of 218,344 class A and 3,677 
class B shares of treasury stock 
Issuance of 468,318 class A and 9,296 

  $ 

class B common shares for the exercise 
of stock options 

Issuance of 3,496 class A restricted 

common shares, net of (forfeitures) 
Non-cash stock compensation expense 
Settlement of class B restricted common 
shares and stock options in connection 
with Recapitalization for cash of $3,271 
and 90,369 class A common shares 
Settlement of class B common shares in 
connection with Recapitalization 
(3,527,246 class B common shares 
exchanged for $69,099 cash and 
3,527,246 class A common shares) 
Retirement of 4,328,552 class B common 

shares in connection with 
Recapitalization 

Dividends declared of $1.13 and $0.60 per 
A and B common share, respectively 
Cumulative effect adjustment for adoption 

  $ 

of ASC 606, net of income tax 
Other comprehensive income, foreign 
currency translation adjustment 

Net income 
Balances at December 31, 2018 
Purchase of 87,203 shares of treasury 

stock 

Issuance of 227,902 common shares for 

the exercise of stock options 

Issuance of 6,005 restricted common 

shares 

Non-cash stock compensation expense 
Dividends declared of $0.78 per common 

share 

Other comprehensive income, foreign 
currency translation adjustment 

Net income 
Balances at December 31, 2019 

  $ 

--      

--      

2,455      

--      

--      

--      

2,455  

--      
--      

--      

--      
--      
26    $ 

--      
--      

--      

--      
--      
4    $ 

--      
1,845      

--      
--      

--      

(16,876)     

--      
--      

--      

--      
--      

--  
1,845  

--       (16,876) 

--      
--      
51,025    $ 

--      
22,943      
77,574    $ 

991      
--      
(1,635)   $ 

--      
991  
--       22,943  
(36,953)   $  90,041  

--      

--      

--      

--      

--      

(7,950)     

(7,950) 

--      

--      
--      

--      

--      
--      

6,098      

--      
1,514      

--      

--      
--      

--      

--      
--      

--      

6,098  

--      
--      

--  
1,514  

-      

--      

(2,548)     

--      

--      

(723)     

(3,271) 

4      

--      

118,335      

--      

--      

(187,438)      (69,099) 

--      

--      

--      

--      
--      
30    $ 

--      

--      

--      
--      

--      

--      
--      
30    $ 

(4)     

(17,112)     

(186,944)     

--      

204,060      

--  

--      

--      

--      
--      
--    $ 

--      

--      

--      
--      

--      

--      

(29,751)     

--      

2,735      

--      

--      

--       (29,751) 

--      

2,735  

--      
--      

--      
30,047      
157,312    $  (106,339)   $ 

(1,281)     
--      
(2,916)   $ 

--      
(1,281) 
--       30,047  
(29,004)   $  19,083  

--      

3,618      

--      
1,224      

--      

--      

--      
--      

--      

(19,424)     

--      

(4,722)     

(4,722) 

--      

--      
--      

--      

--      

3,618  

--      
--      

--  
1,224  

--       (19,424) 

--      
--      
--    $ 

--      
--      
162,154    $ 

--      
32,406      
(93,357)   $ 

707      
--      
(2,209)   $ 

707  
--      
--       32,406  
(33,726)   $  32,892  

See accompanying notes to consolidated financial statements. 

31 

  
  
  
    
    
    
  
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
  
  
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 
Liability for uncertain tax positions 
Loss on disposal of property and equipment 
Non-cash share-based compensation expense 
Change in assets and liabilities: 
Trade accounts receivable 
Prepaid expenses and other current assets 
Operating lease assets and liability, net 
Deferred contract costs, net 
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 cash used in investing activities 

Cash flows from financing activities: 

Payments related to Recapitalization 
Proceeds from issuance of note payable 
Borrowings on line of credit 
Payments on line of credit 
Payments on notes payable 
Payment of debt issuance costs 
Payments on finance lease obligations 
Payment of employee payroll tax withholdings on share-based 

awards exercised 

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 

2019 

2018 

2017 

  $ 

32,406    $ 

30,047    $ 

22,943  

5,539      
1,099      
39      
(6)     
1,224      

311      
(529)     
(8)     
(719)     
647      
806      
11      
97      
40,917      

(4,656)     
--      
--      
(4,656)     

--      
--      
21,000      
(21,000)     
(3,715)     
--      
(229)     

(1,103)     
(31,299)     
(36,346)     

611      
526      

5,463      
1,476      
(288)     
186      
1,514      

2,767      
(833)     
--      
(113)     
(39)     
(566)     
686      
(452)     
39,848      

(5,971)     
--      
--      
(5,971)     

(72,370)     
40,000      
2,500      
(2,500)     
(3,071)     
(187)     
(157)     

(1,853)     
(16,859)     
(54,497)     

(1,122)     
(21,742)     

4,586  
(684) 
181  
26  
1,845  

(2,340) 
(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  

Cash and cash equivalents at beginning of period 

12,991      

34,733      

33,021  

Cash and cash equivalents at end of period 

  $ 

13,517    $ 

12,991    $ 

34,733  

Supplemental disclosure of cash paid for: 
Interest expense, (none capitalized) 
Income taxes 

  $ 
  $ 
Supplemental disclosure of non-cash investing and financing activities:       

Common stock (formerly class A) issued in the Recapitalization in 

exchange for then-existing class B shares and options. 

Finance lease obligations originated for property and equipment 
Stock tendered to the Company for cashless exercise of stock options 

  $ 
  $ 

2,014    $ 
6,946    $ 

1,282    $ 
2,635    $ 

76  
12,827  

--    $ 
192    $ 

121,371    $ 
879    $ 

--  
74  

in connection with equity incentive plans 

  $ 

3,618    $ 

6,098    $ 

2,455  

See accompanying notes to consolidated financial statements. 

32 

  
  
  
    
    
  
      
        
        
  
      
        
        
  
    
    
    
    
    
      
        
        
  
    
    
    
    
    
    
    
    
    
  
      
        
        
  
      
        
        
  
    
    
    
    
  
      
        
        
  
      
        
        
  
    
    
    
    
    
    
    
    
    
    
  
      
        
        
  
    
    
  
      
        
        
  
    
  
      
        
        
  
  
      
        
        
  
      
        
        
  
        
        
  
  
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 organizations in the United States and Canada. Our 
portfolio  of  solutions  represent  a  unique  set  of  capabilities  that  individually  and  collectively  provide  value  to  our  clients.  The 
solutions are offered at an enterprise level through the Voice of the Customer ("VoC") platform, The Governance Institute, and 
legacy Experience solutions  

Principles of Consolidation 

The consolidated financial statements include the accounts of the Company and our wholly-owned subsidiary, National Research 
Corporation Canada. 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 

Our 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. We include 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 we operate and short-term intercompany accounts are included in other income (expense) in the 
consolidated statements of income. 

Revenue Recognition 

On January 1, 2018, we adopted Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers and all 
related amendments (“ASC 606” or “new revenue standard”) using the modified retrospective method for all incomplete contracts 
as  of  the  date  of  adoption.  We  applied  the  practical  expedient to  reflect  the  total  of  all  contract  modifications  occurring  before 
January  1,  2018  in  the  transaction  price  and  performance  obligations  at  transition  rather  than  accounting  for  each  modification 
separately. Results for reporting periods beginning on or after January 1, 2018 are presented under ASC 606, while prior period 
amounts are not adjusted and continue to be reported under the accounting standards in effect for the prior period. As discussed in 
more  detail  below  and  under  “Deferred  Contract  Costs”,  the largest  impact of  implementing  the  new  revenue  standard  was  the 
deferral and amortization of direct and incremental costs of obtaining contracts. In addition, there were other revisions to revenue 
recognition  primarily  related  to  performance  obligation  determinations  and  estimating  variable  consideration.  We  recorded  a 
transition adjustment of approximately $2.7 million, net of $814,000 of tax, to the opening balance of retained earnings. 

We  derive  a  majority  of  our  revenues  from  our  annually  renewable  subscription-based  service  agreements  with  our  customers, 
which include performance measurement and improvement services, healthcare analytics and governance education services. Such 
agreements are generally cancelable on short or no notice without penalty. See Note 3 for further information about our contracts 
with customers. We account for revenue using the following steps: 

Identify the contract, or contracts, with a customer; 
Identify the performance obligations in the contract; 

(cid:404) 
(cid:404) 
(cid:404)  Determine the transaction price; 
(cid:404)  Allocate the transaction price to the identified performance obligations; and 
(cid:404)  Recognize revenue when, or as, we satisfy the performance obligations. 

33 

   
   
  
  
  
  
 
  
  
  
 
  
  
  
  
  
  
  
  
  
  
 
 
Our revenue arrangements with a client may include combinations of more than one service offering which may be executed at the 
same  time,  or  within  close  proximity  of  one  another.  We  combine  contracts  with  the  same  customer  into  a  single  contract  for 
accounting purposes when the contract is entered into at or near the same time and the contracts are negotiated together. For contracts 
that contain more than one separately identifiable performance obligation, the total transaction price is allocated to the identified 
performance obligations based upon the relative stand-alone selling prices of the performance obligations. The stand-alone selling 
prices are based on an observable price for services sold to other comparable customers, when available, or an estimated selling 
price using a cost-plus margin or residual approach. We estimate the amount of total contract consideration we expect to receive for 
variable arrangements based on the most likely amount we expect to earn from the arrangement based on the expected quantities of 
services we expect to provide and the contractual pricing based on those quantities. We only include some or a portion of variable 
consideration in the transaction price when it is probable that a significant reversal in the amount of cumulative revenue recognized 
will not occur. We consider the sensitivity of the estimate, our relationship and experience with the client and variable services 
being performed, the range of possible revenue amounts and the magnitude of the variable consideration to the overall arrangement. 
Our revenue arrangements do not contain any significant financing element due to the contract terms and the timing between when 
consideration is received and when the service is provided. 

Our  arrangements  with  customers  consist  principally  of  four  different  types  of  arrangements:  1)  subscription-based  service 
agreements; 2) one-time specified services performed at a single point in time; 3) fixed, non-subscription service agreements; and 
4) unit-priced service agreements. 

Subscription-based services - Services that are provided under subscription-based service agreements are usually for a twelve month 
period and represent a single promise to stand ready to provide reporting, tools and services throughout the subscription period as 
requested by the customer. These agreements are renewable at the option of the customer at the completion of the initial contract 
term  for  an  agreed  upon  price  increase  each  year.  These  agreements  represent  a  series  of  distinct  monthly  services  that  are 
substantially  the  same,  with  the  same  pattern  of  transfer  to  the  customer  as  the  customer  receives  and  consumes  the  benefits 
throughout the contract period. Accordingly, subscription services are recognized ratably over the subscription period. Subscription 
services are typically billed annually in advance but may also be billed on a quarterly and monthly basis. 

One-time services – These agreements typically require us to perform a specific one-time service in a particular month. We are 
entitled to a fixed payment upon completion of the service. Under these arrangements, we recognize revenue at the point in time we 
complete the service and it is accepted by the customer. 

Fixed, non-subscription services – These arrangements typically require us to perform an unspecified amount of services for a fixed 
price during a fixed period of time. Revenues are recognized over time based upon the costs incurred to date in relation to the total 
estimated contract costs. In determining cost estimates, management uses historical and forecasted cost information which is based 
on  estimated  volumes,  external  and  internal  costs  and  other  factors  necessary  in  estimating  the  total  costs  over  the  term  of  the 
contract. Changes in estimates are accounted for using a cumulative catch up adjustment which could impact the amount and timing 
of revenue for any period. 

Unit-price services – These arrangements typically require us to perform certain services on a periodic basis as requested by the 
customer for a per-unit amount which is typically billed in the month following the performance of the service. Revenue under these 
arrangements is recognized over the time the services are performed at the per-unit amount. Revenue is presented net of any sales 
tax charged to our clients that we are required to remit to taxing authorities. We recognize contract assets or unbilled receivables 
related to revenue recognized for services completed but not invoiced to the clients. Unbilled receivables are classified as receivables 
when  we  have  an  unconditional  right  to  contract  consideration. A  contract  liability  is  recognized  as  deferred  revenue  when  we 
invoice clients in advance of performing the related services under the terms of a contract. Deferred revenue is recognized as revenue 
when we have satisfied the related performance obligation.   

34 

  
  
  
  
  
  
  
 
 
Deferred Contract Costs  

Deferred contract costs, net is stated at gross deferred costs less accumulated amortization. Beginning January 1, 2018, with the 
adoption of the new revenue standard, we defer commissions and incentives, including payroll taxes, if they are incremental and 
recoverable costs of obtaining a renewable customer contract. Deferred contract costs are amortized over the estimated term of the 
contract,  including  renewals,  which  generally  ranges  from  three  to  five  years.  The  contract  term  was  estimated  by  considering 
factors such as historical customer attrition rates and product life. The amortization period is adjusted for significant changes in the 
estimated remaining term of a contract.  An impairment of deferred contract costs is recognized when the unamortized balance of 
deferred contract costs exceeds the remaining amount of consideration we expect to receive net of the expected future costs directly 
related  to  providing  those  services.  We  have  elected  the  practical  expedient  to  expense  contract  costs  when  incurred  for  any 
nonrenewable contracts with a term of one year or less. Prior to 2018, all commissions and incentives were expensed as incurred. 
We recorded a transition adjustment on January 1, 2018 as an increase to retained earnings of $2.6 million, net of $776,000 of tax, 
to reflect $3.4 million of commissions and incentives related to contracts that began prior to 2018, net of accumulated amortization. 
We deferred incremental costs of obtaining a contract of $3.6 million and $2.6 million in the years ended December 31, 2019 and 
2018, respectively. Deferred contract costs, net of accumulated amortization was $4.2 million and $3.5 million at December 31, 
2019 and 2018, respectively. Total amortization by expense classification for the years ended December 31, 2019 and 2018 was as 
follows: 

Direct expenses 
Selling, general and administrative expenses 

Total amortization 

2019 

2018 

(In thousands) 
34    $ 
2,874    $ 
2,908    $ 

83  
2,400  
2,483  

  $ 
  $ 
  $ 

Additional expense included in selling, general and administrative expenses for impairment of costs capitalized due to lost clients 
was $22,000 and $51,000 for the years December 31, 2019 and 2018, respectively. 

Trade Accounts Receivable 

Trade accounts receivable are recorded at the invoiced amount. The allowance for doubtful accounts is our best estimate of the 
amount of probable credit losses in the Company’s existing accounts receivable. We determine the allowance based on our historical 
write-off experience and current economic conditions. We review 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, 2019, 2018 and 
2017: 

Balance at 
Beginning 
of Year 

Bad Debt 
Expense 

Write-offs, 
net of 

Recoveries      

Balance 
at End 
of Year 

Year Ended December 31, 2017 
Year Ended December 31, 2018 
Year Ended December 31, 2019 

  $ 
  $ 
  $ 

169    $ 
200    $ 
175    $ 

249    $ 
80    $ 
75    $ 

218    $ 
105    $ 
106    $ 

200   
175   
144   

35 

  
  
  
  
    
  
  
  
  
  
  
  
  
  
  
  
    
    
  
  
      
        
        
        
  
  
  
 
 
Property and Equipment 

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. 

We capitalize 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. We capitalized approximately $4.1 million and $4.0 million of costs incurred for the development of internal-
use software for the years ended December 31, 2019 and 2018, respectively. 

We provide 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. We use 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 our office building and related improvements. Software licenses are amortized 
over the term of the license. 

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,  we  first  compare 
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 significant impairments were 
recorded during the years ended December 31, 2019, 2018, or 2017. 

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: 

(cid:404) 
(cid:404) 
(cid:404) 
(cid:404) 
(cid:404) 

Significant underperformance in comparison to historical or projected operating results; 
Significant changes in the manner or use of acquired assets or our overall strategy; 
Significant negative trends in our industry or the overall economy; 
A significant decline in the market price for our common stock for a sustained period; and 
Our market capitalization falling below the book value of our net assets. 

Goodwill and Intangible Assets 

Intangible assets include customer relationships, trade names, technology, 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. We review 
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,  we  will  first  assess  qualitative  factors  to  determine  whether  it  is  necessary  to 
recalculate the fair value of the intangible assets with indefinite lives. If we believe, 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, we calculate 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. We did not recognize any impairments related to indefinite-lived 
intangibles during 2019, 2018 or 2017. 

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 our goodwill is allocated to our reporting units, which are the same as 
our 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. 

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We review for goodwill impairment by first assessing qualitative factors to determine whether any impairment may exist. If we 
believe, 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 the carrying value, then goodwill is written down by this 
difference. We performed a qualitative analysis as of October 1, 2019 and determined the fair value of each reporting unit likely 
significantly exceeded the carrying value. No impairments were recorded during the years ended December 31, 2019, 2018 or 2017. 
The carrying amount of goodwill related to our Canadian subsidiary at December 31, 2019 was $2.3 million. A substantial portion 
of the revenue earned by our Canadian subsidiary is concentrated with one customer. If we are unable to renew or retain our contract, 
which expires in March 2021, our goodwill associated with our Canadian subsidiary would likely be impaired. 

Income Taxes 

We use 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. We use the deferral 
method of accounting for our investment tax credits related to state tax incentives. During the years ended December 31, 2019, 2018 
and  2017,  we  recorded  income  tax  benefits  relating  to  these  tax  credits  of  $24,000,  $0,  and  $4,000,  respectively.  Interest  and 
penalties related to income taxes are included in income taxes in the Statement of Income. 

We recognize 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 

All of our existing stock option awards and non-vested stock awards have been determined to be equity-classified awards. The 
compensation expense on share-based payments is recognized based on the grant-date fair value of those awards. We recognize the 
excess tax benefits and tax deficiencies in the income statement when options are exercised. 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 

  $ 

  $ 

1,224    $ 
(2,081)     
(857)   $ 

1,514    $ 
(3,566)     
(2,052)   $ 

1,845  
(2,310) 
(465) 

2019 

2018 
(In thousands) 

2017 

Cash and Cash Equivalents 

We consider all highly liquid investments with original maturities of three months or less to be cash equivalents. Cash equivalents 
were $3.7 million and $1.8 million as of December 31, 2019, and 2018, respectively, consisting primarily of money market accounts. 
At certain times, cash equivalent balances may exceed federally insured limits. 

Leases 

We adopted Accounting Standards Update (“ASU”) 2016-02, Leases (Topic 842) (“Topic 842” or the “New Leases Standard”) 
effective January 1, 2019 using a modified retrospective transition and did not adjust prior periods. We elected practical expedients 
related to existing leases at transition to not reassess whether contracts are or contain leases, to not reassess lease classification, 
initial direct costs, or lease terms. Additionally, we elected the practical expedient to account for lease and non-lease components 
as a single lease component for all asset classifications. We have also made a policy election to not record short-term leases with a 
duration of 12 months or less on the balance sheet. 

Topic 842 requires lessees to recognize a lease liability and a right-of-use (“ROU”) asset on the balance sheet for operating leases. 
We recorded $2.3 million of ROU assets and $2.3 million of lease liabilities related to operating leases at the date of transition. The 
ROU assets recorded were net of $43,000 of accrued liabilities and prepaid expenses representing previously deferred (prepaid) 
rent. There was no significant impact to the consolidated statements of income, comprehensive income, shareholders’ equity or cash 
flows. Accounting for finance leases is substantially unchanged. 

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We determine whether a lease is included in an agreement at inception. Operating lease ROU assets are included in operating lease 
right-of-use assets in our consolidated balance sheet. Finance lease assets are included in property and equipment. Operating and 
finance lease liabilities are included in other current liabilities and other long term liabilities. Certain lease arrangements may include 
options to extend or terminate the lease. We include these provisions in the ROU and lease liabilities only when it is reasonably 
certain that we will exercise that option. Lease expense for operating lease payments is recognized on a straight-line basis over the 
lease term and is included in direct expenses and selling, general and administrative expenses. Our lease agreements do not contain 
any residual value guarantees. 

ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make 
lease payments during the lease term. ROU assets and lease liabilities are recorded at lease commencement based on the estimated 
present value of lease payments. Because the rate of interest implicit in each lease is not readily determinable, we use our estimated 
incremental  collateralized  borrowing  rate  at  lease  commencement,  to  calculate  the  present  value  of  lease  payments.  When 
determining the appropriate incremental borrowing rate, we consider our available credit facilities, recently issued debt and public 
interest rate information 

Fair Value Measurements 

Our  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 
our 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. 

The following details our financial assets within the fair value hierarchy at December 31, 2019 and 2018: 

As of December 31, 2019 
Money Market Funds 

Total Cash Equivalents 

As of December 31, 2018 
Money Market Funds 

Total Cash Equivalents 

   Level 1 

     Level 2 

     Level 3 

Total 

(In thousands) 

  $ 
  $ 

  $ 
  $ 

3,662    $ 
3,662    $ 

1,848      
1,848    $ 

--    $ 
--    $ 

--      
--    $ 

--    $ 
--    $ 

3,662  
3,662  

--      
--    $ 

1,848  
1,848  

There were no transfers between levels during the years ended December 31, 2019 and 2018. 

Our 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, 
2019 

December 31, 
2018 

  $ 
  $ 

(In thousands) 
34,281     $ 
35,205     $ 

37,966  
38,257  

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, 2019 and 2018, there was no indication of impairment related to these 
assets. 

Commitments and Contingencies 

From time to time, we are 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. Legal fees, net of 
estimated insurance recoveries, are expensed as incurred. There were no outstanding claims at December 31, 2019. 

38 

  
  
  
  
  
  
    
  
  
  
  
      
        
        
        
  
  
      
        
        
        
  
      
        
        
        
  
  
  
  
  
  
  
    
  
  
  
  
  
  
 
A sales tax accrual was recorded in 2019 after we became aware that a state sales tax liability was both probable and estimable as 
of December 31, 2019, due to sales taxes that should have been collected from customers in 2019 and certain previous years. As a 
result, we recorded an expense of $775,000 in selling and administrative expenses and an associated liability in accrued expenses. 
We are working through voluntary disclosure agreements with certain states and will have procedures in place to start collecting 
and remitting sales tax in the second quarter of 2020. State and local jurisdictions have differing rules and regulations governing 
sales, use, and other taxes and these rules and regulations can be complex and subject to varying interpretations that may change 
over time. As a result, we could face the possibility of tax assessment and audits, and our liability for these taxes and associated 
interest and penalties could exceed our original estimates. In addition, we will incur additional sales tax expense in the first quarter 
of 2020, since we will not start collecting sales tax from customers until the second quarter of 2020. 

We became self-insured for group medical and dental insurance on January 1, 2019.   We carry excess loss coverage in the amount 
of $150,000 per covered person per year for group medical insurance.  We do not self-insure for any other types of losses, and 
therefore do not carry any additional excess loss insurance.  We record a reserve for our group medical and dental insurance for all 
unresolved claims and for an estimate of incurred but not reported (“IBNR”) claims.  On a quarterly basis, we adjust our accrual 
based on a review of our claims experience and a third-party actuarial IBNR analysis.  As of December 31, 2019, our accrual related 
to self-insurance was $270,000. 

Earnings Per Share 

Prior to the Recapitalization, net income per share of our former class A common stock and former class B common stock was 
computed using the two-class method. Basic net income per share was 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 was 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 were the same for the holders of our 
former class A common stock and former class B common stock. Other than share distributions and liquidation rights, the amount 
of any dividend or other distribution payable on each share of former class A common stock was equal to one-sixth (1/6th) of the 
amount  of  any  such  dividend  or  other  distribution  payable  on  each  share  of  former  class  B  common  stock.  As  a  result,  the 
undistributed earnings for each period were allocated based on the participation rights of the former class A and former class B 
common stock under our then-effective Articles of Incorporation as if the earnings for the year had been distributed. 

As described in Note 2, we completed a Recapitalization in April 2018, resulting in the elimination of the class B common stock 
and  settlement  of  all  then-existing  outstanding  class  B  share-based  awards  and  reclassification  of  all  class  A  common  stock  to 
Common Stock. The Recapitalization was effective on April 17, 2018. Therefore, income was allocated between the former class 
A and class B stock using the two-class method through April 16, 2018, and fully allocated to the Common Stock (formerly class 
A) following the Recapitalization. 

We had 16,221, 93,346 and 104,647 options of Common Stock (former class A shares) for the years ended December 31, 2019, 
2018 and 2017, respectively and 1,858 options of former class B shares for the year ended December 31, 2017, respectively which 
have been excluded from the diluted net income per share computation because their inclusion would be anti-dilutive. 

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2019 

2018 

2017 

Common 
Stock 

Common 
Stock 
(formerly 
Class A) 

Class B 
Common 
Stock 
(In thousands, except per share data) 

Common 
Stock 
(formerly 
Class A) 

Class B 
Common 
Stock 

  $ 

32,406    $ 

25,423    $ 

4,624    $ 

11,388    $ 

11,555  

(109)     
32,297    $ 

(82)     
25,341    $ 

(18)     
4,606    $ 

(88)     
11,300    $ 

(87) 
11,468  

Numerator for net income per share - basic: 

Net income 
Allocation of distributed and undistributed 

income to unvested restricted stock 
shareholders 

Net income attributable to common shareholders    $ 

Denominator for net income per share - basic: 

Weighted average common shares outstanding – 

basic 

Net income per share – basic 

24,809      
1.30    $ 

23,562      
1.08    $ 

3,527      
1.31    $ 

20,770      
0.54    $ 

3,514  
3.26  

  $ 

Numerator for net income per share - diluted: 

Net income attributable to common shareholders 

for basic computation 

  $ 

32,297    $ 

25,341    $ 

4,606    $ 

11,300    $ 

11,468  

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 

Net income per share – diluted 

24,809      

23,562      

3,527      

20,770      

3,514  

844      

886      

101      

857      

89  

25,653      
1.26    $ 

24,448      
1.04    $ 

3,628      
1.27    $ 

21,627      
0.52    $ 

3,603  
3.18  

  $ 

Recent Accounting Pronouncements Not Yet Adopted  

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. We believe our adoption on January 1, 2020 will not significantly impact our results of operations and financial position.   

In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal Use Software (Subtopic 350-40). This 
ASU aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with 
the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software (and hosting arrangements 
that include an internal use software license). The guidance is effective for annual reporting periods beginning after December 15, 
2019 and interim periods within those fiscal years. Early adoption is permitted. We plan to adopt the guidance prospectively and 
believe our adoption on January 1, 2020 will not significantly impact our results of operations and financial position.    

In  December  2019,  the  FASB  issued  ASU  2019-12,  Simplifying  the  Accounting  for  Income  Taxes  (Topic  740).  Among  other 
clarifications  and  simplifications  related  to  income  tax  accounting,  this  ASU  simplifies  the  accounting  for  income  taxes  by 
eliminating certain exceptions related to the approach for intraperiod tax allocation, the methodology for calculating income taxes 
in  an  interim  period,  hybrid  taxes  and  the  recognition  of  deferred  tax  liabilities  for  outside  basis  differences.   The  guidance  is 
effective  for  fiscal  years  beginning  after  December  15,  2020  and  interim  periods  within  those  fiscal  years.   Early  adoption  is 
permitted in interim or annual periods with any adjustments reflected as of the beginning of the annual period that includes that 
interim period.  Additionally, entities that elect early adoption must adopt all the amendments in the same period.  Amendments are 
to  be  applied  prospectively,  except  for  certain  amendments  that  are  to  be  applied  either  retrospectively  or  with  a  modified 
retrospective approach through a cumulative effect adjustment recorded to retained earnings.  We are currently in the process of 
further evaluating the impact that this new guidance will have on our consolidated financial statements. 

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(2)   Recapitalization 

On  April  16,  2018,  our  shareholders  approved,  among  other  things,  an  amendment  to  our  Amended  and  Restated  Articles  of 
Incorporation (the “Articles”) to effect a recapitalization (the “Recapitalization”) pursuant to which each share of our then-existing 
class B common stock was exchanged for one share of the our then-existing Class A common stock plus $19.59 in cash, without 
interest. On April 17, 2018, we filed an amendment to our Articles effecting the Recapitalization, followed by an amendment and 
restatement of our Articles, which resulted in the elimination of our class B common stock and the reclassification of our class A 
common stock as a share of Common Stock, par value $0.001 per share (“Common Stock”). We issued 3,617,615 shares of Common 
Stock and paid $72.4 million in exchange for all class B shares outstanding and to settle outstanding share-based awards for class 
B common stock. The Common Stock continues to trade on the NASDAQ Global Market under the revised symbol “NRC.” 

In connection with the Recapitalization, on April 18, 2018, we entered into a credit agreement with First National Bank of Omaha, 
a national banking association (“FNB”), as described in Note 8.  

 (3)   Contracts with Customers 

The following table disaggregates revenue for the years ended December 31, 2019 and 2018 based on timing of revenue recognition 
(In thousands): 

Subscription services recognized ratably over time 
Services recognized at a point in time 
Fixed, non-subscription recognized over time 
Unit price services recognized over time 

Total revenue 

2019 

2018 

114,329    $ 
4,992      
2,766      
5,895      
127,982    $ 

104,777  
4,775  
3,163  
6,971  
119,686  

  $ 

  $ 

Our solutions within the digital VoC platform in 2019, 2018 and 2017 accounted for 62.7%, 49.6% and 33.9% of total revenue, 
respectively. The remaining revenue consists of legacy Experience and Governance Solutions.   

The following table provides information about receivables, contract assets, and contract liabilities from contracts with customers 
(In thousands): 

Accounts receivables 
Contract assets included in other current assets 
Deferred revenue 

December 31, 
2019 

December 31, 
2018 

  $ 
  $ 
  $ 

11,639     $ 
103     $ 
(16,354 )   $ 

11,922   
53   
(16,244 ) 

41 

  
  
  
   
  
  
  
  
    
  
    
    
    
  
  
  
  
  
    
  
  
  
 
 
Significant changes in contract assets and contract liabilities during the years ended December 31, 2019 and 2018 are as follows (in 
thousands): 

2019 

2018 

Contract 
Asset 

Deferred 
Revenue 

Contract 
Asset 
Increase (Decrease) 

Deferred 
Revenue 

Revenue recognized that was included in deferred revenue at 

beginning of year due to completion of services 

  $ 

-    $ 

(15,785)   $ 

-    $ 

(16,372) 

Increases due to invoicing of client, net of amounts recognized as 

revenue 

Decreases due to completion of services (or portion of services) 

and transferred to accounts receivable 

Change due to cumulative catch-up adjustments arising from 

changes in expected contract consideration 

Decreases due to impairment 
Increases due to revenue recognized in the period with additional 

performance obligations before invoicing 

-      

15,631      

-      

16,119  

(53)     

-      

(74)     

-  

-      

264      
-      

-      

(145) 
-  

103      

-      

53      

-  

We have elected to apply the practical expedient to not disclose the value of unsatisfied performance obligations for contracts with 
an original expected length of one year or less. Total remaining contract revenue for contracts with original duration of greater than 
one  year  expected  to  be  recognized  in  the  future  related  to  performance  obligations  that  are  unsatisfied  at  December  31,  2019 
approximated $1,097,000, of which $1,037,000 and $60,000 are expected to be recognized during 2020 and 2021, respectively. 

(4)   Equity Investments 

We make equity investments to promote business and strategic objectives. For investments that do not have a readily determinable 
fair value, we apply either cost or equity method of accounting depending on the nature of our investment and our 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, we acquired a $1.3 
million investment in convertible preferred stock of PracticingExcellence.com, Inc., a privately-held Delaware corporation (“PX”). 
It is not practicable for us to estimate fair value at each reporting date due to the cost and complexity of the calculations for this 
non-public  entity.  Our  investment  in  PX  is  included  in  non-current  assets  and  is  carried  at cost  less  impairment,  plus  or minus 
changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer, 
if  any.  We  have  a  seat  on  PX's  board  of  directors  and  our  investment,  which  is  not  considered  to  be  in-substance  common 
stock, represents approximately 15.7% of the issued and outstanding equity interests in PX. 

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(5) 

Property and Equipment 

At December 31, 2019, and 2018, 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 

2019 

2018 

(In thousands) 
5,025    $ 
2,706      
24,532      
9,349      
41      
425      
42,078      
28,548      
13,530    $ 

5,321  
2,900  
26,694  
9,349  
41  
425  
44,730  
30,577  
14,153  

  $ 

  $ 

Depreciation and amortization expense related to property and equipment, including assets under capital lease, for the years ended 
December  31,  2019,  2018,  and  2017  was  $5.4  million,  $4.8  million,  and  $4.0  million,  respectively.  There  were  no  significant 
impairments in property and equipment during 2019, 2018, and 2017. 

(6)   Goodwill and Intangible Assets  

Goodwill and intangible assets consisted of the following at December 31, 2019: 

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 

Useful Life 
(In years) 

Gross 

Accumulated 
Amortization 
     (In thousands) 

Net 

      $ 

57,935       

      $ 

57,935   

5 

5 

-  15 
7 
-  10 

      $ 

1,191       

9,338       
1,360       
1,572       
12,270       
13,461     $ 

9,154       
1,007       
1,572       
11,733       
11,733     $ 

1,191   

184   
353   
--   
537   
1,728   

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Goodwill and intangible assets consisted of the following at December 31, 2018: 

Useful Life 
(In years) 

Gross 

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 

5 

-  15 
7 
-  10 

Accumulated 
Amortization 
     (In thousands)        
      $ 

57,831       

1,191       

9,327       
1,360       
1,572       
12,259       
13,450     $ 

9,011       
765       
1,572       
11,348       
11,348     $ 

Net 

57,831   

1,191   

316   
595   
--   
911   
2,102   

 The following represents a summary of changes in the carrying amount of goodwill for the years ended December 31, 2019 and 
2018 (in thousands): 

Balance as of December 31, 2017 
Foreign currency translation 
Balance as of December 31, 2018 
Foreign currency translation 
Balance as of December 31, 2019 

  $ 

  $ 

  $ 

58,021  
(190) 
57,831  
104  
57,935  

Aggregate amortization expense for customer related intangibles, trade names, and technology for the years ended December 31, 
2019, 2018 and 2017 was $374,000, $662,000, and $610,000, respectively. Estimated future amortization expense for 2020, 2021 
and 2022 is $318,000, $180,000, and $39,000, respectively. 

(7)  

Income Taxes  

For the years ended December 31, 2019, 2018, and 2017, income before income taxes consists of the following: 

U.S. Operations 
Foreign Operations 
Income before income taxes 

Income tax expense consisted of the following components: 

Federal: 
Current 
Deferred 
Total 

Foreign: 
Current 
Deferred 
Total 

State: 
Current 
Deferred 
Total 

Total 

2019 

2018 
(In thousands) 

2017 

40,045    $ 
474      
40,519    $ 

32,056    $ 
2,653      
34,709    $ 

32,750   
1,533   
34,283   

2019 

2018 
(In thousands) 

2017 

5,574    $ 
718      
6,292    $ 

94    $ 
33      
127    $ 

1,322    $ 
372      
1,694    $ 

2,144    $ 
1,328      
3,472    $ 

882    $ 
(178)     
704    $ 

204    $ 
282      
486    $ 

10,947   
(1,596 ) 
9,351   

387   
704   
1,091   

837   
61   
898   

8,113    $ 

4,662    $ 

11,340   

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

44 

  
  
  
 
    
 
    
    
 
  
  
  
      
  
  
  
  
  
  
    
  
  
         
         
         
  
  
  
  
        
        
    
  
  
         
         
         
  
  
      
    
  
      
  
      
  
  
  
        
  
  
  
  
  
    
    
  
   
  
  
  
  
  
    
    
  
  
  
  
    
  
  
  
  
    
    
  
  
  
  
      
        
        
  
    
  
      
        
        
  
      
        
        
  
    
  
      
        
        
  
      
        
        
  
    
  
      
        
        
  
Federal Tax Reform 

On December 22, 2017, the Tax Cut and Jobs Act (the “Tax Act”) was enacted which, among other changes, reduced the U.S. 
federal corporate tax rate from 35% to 21% effective January 1, 2018. The Tax Act made broad and complex changes to the U.S. 
tax code. Based on the information available, and the current interpretation of the Tax Act, we made a reasonable estimate as of 
December 31, 2017, and recorded a provisional net tax benefit of $1.9 million related to the remeasurement of the deferred tax 
assets and liabilities related to the following elements of the Tax Act: 

(cid:404)  Reduction in the U.S. Federal Corporate Tax Rate: The Tax Act reduced the corporate tax rate to 21%, effective January 

1, 2018. 

(cid:404)  Availability of 100% bonus depreciation on assets placed in service after September 27, 2017. 
(cid:404)  Certain stock compensation plans potentially subject to limitations as to deductibility. 

The above items were final as of December 31, 2018, and no material adjustments were made to the provisional amounts recorded 
as of December 31, 2017.  Under the Tax Act, we were also subject to a one-time mandatory deemed repatriation tax on accumulated 
non-U.S. earnings, payable over eight years.   

In addition, as a result of the Tax Act, we determined that we would no longer indefinitely reinvest the earnings of our Canadian 
subsidiary and recorded the withholding tax of $706,000 associated with this planned repatriation in December 2017. In December 
2018, the Canadian subsidiary declared a deemed dividend for $3 million to the Company. Withholding tax of $150,000 was paid 
in 2018. In 2019, we recorded additional withholding tax of $107,000 for the unremitted Canadian earnings.   

The Tax Act subjects a U.S. corporation to tax on its Global Intangible Low Taxed Income (“GILTI”). Due to the complexity of the 
new GILTI tax rules, we are continuing to evaluate this provision of the Tax Act. Under Generally Accepted Accounting Principles, 
we can make an accounting policy election to either treat taxes due on the GILTI inclusion as a current period expense or factor 
such amounts into the measurement of deferred taxes. We elected the current period expense method and have not reflected any 
corresponding deferred tax assets and liabilities associated with the GILTI tax in the table of deferred tax assets and liabilities. 
GILTI tax has been recorded as current period expense of $13,000 and $40,000 in 2019 and 2018, respectively. 

We received notice in December 2019, that we met qualification requirements for the Nebraska Advantage LB312 Act (“NAA”) 
related to certain investment and full-time equivalent employee thresholds in the year ended 2017. NAA provides direct refunds of 
sales tax on qualified property, as well as investment credits and employment credits that can be claimed through credits of Nebraska 
income  tax,  employment  tax,  and  sales  tax  on  non-qualified  property.  We  will  receive  direct  refunds  of  Nebraska  sales  tax  on 
qualified property incurred from 2014 to 2023. Investment credits started to accumulate in 2014 and can be earned through 2023. 
These  credits  can  be  claimed  against  Nebraska  income  taxes  or  through  sales  tax  on  non-qualified  property  through  2028.  The 
employment credits are earned from 2017 through 2023, and they can be claimed against Nebraska payroll taxes through 2028. In 
December, we recorded cumulative adjustments for direct refunds and credits earned through the year ending December 31, 2019, 
which reduced operating expenses by approximately $1.9 million. In addition, income tax credits for the years 2017 to 2019 of 
$24,000 were recorded as a reduction to income tax expense. 

The difference between our 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 21% for 2019 and 2018 and 35% for 2017 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 (income) related to recapitalization 
Share based compensation 
Compensation limit for covered employees 
Impact of 2017 Tax Act 
Tax depreciation method change 
Valuation allowance 
Withholding tax on repatriation of foreign earnings 
GILTI 
Other 

Total 

  $ 

  $ 

45 

2019 

2018 
(In thousands) 

2017 

8,509    $ 
26      
1,344      
(419)     
34      
(24)     
(1,579)     
--      
--      
--      
--      
107      
13      
102      
8,113    $ 

7,285    $ 
146      
376      
(150)     
90      
151      
(3,041)     
--      
--      
(308)     
--      
--      
40      
73      
4,662    $ 

11,999   
(131 ) 
608   
(130 ) 
151   
504   
(1,564 ) 
955   
(2,415 ) 
--   
535   
706   
--   
122   
11,340   

  
  
  
  
  
  
  
  
  
  
  
  
  
    
    
  
  
  
  
    
    
    
    
    
    
    
    
    
    
    
    
    
  
Deferred tax assets and liabilities at December 31, 2019 and 2018, 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 
Deferred contract costs 
Property and equipment 
Intangible assets 
Repatriation withholding 
Unrealized translation gain on intercompany loan 
Other 

Deferred tax liabilities 
Net deferred tax liabilities 

2019 

2018 

(In thousands) 

  $ 

  $ 

35    $ 
537      
1,267      
120      
535      
--      
2,494      
(535)     
1,959      

135      
990      
1,926      
5,553      
528      
214      
12      
9,358      
(7,399)   $ 

41  
424  
1,264  
198  
535  
46  
2,508  
(535) 
1,973  

95  
786  
1,944  
4,919  
505  
--  
--  
8,249  
(6,276) 

In assessing the realizability of deferred tax assets, we consider 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. We consider 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, we believe it is more 
likely than not that it will realize the benefits of these deductible differences excluding the foreign tax credit carryforward. 

We had an unrecognized tax benefit at December 31, 2019 and 2018, of $592,000 and $554,000, respectively, excluding interest of 
$7,000 and $6,000 at December 31, 2019 and 2018, respectively. Of these amounts, $515,000 and $482,000 at December 31, 2019 
and 2018, 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 2019 and 2018 is as follows: 

Balance of unrecognized tax benefits at December 31, 2017 
Reductions due to lapse of applicable statute of limitations 
Reductions due to tax positions of prior years 
Reductions due to settlement with taxing authorities 
Additions based on tax positions related to the current year 

Balance of unrecognized tax benefits at December 31, 2018 
Reductions due to lapse of applicable statute of limitations 
Reductions due to tax positions of prior years 
Reductions due to settlement with taxing authorities 
Additions based on tax positions related to the current year 

Balance of unrecognized tax benefits at December 31, 2019 

(In thousands) 

843   
(35 ) 
(66 ) 
(300 ) 
112   
554   
(43 ) 
--   
(300 ) 
381   
592   

  $ 

  $ 

  $ 

We file a U.S. federal income tax return, various state jurisdictions returns and a Canada federal and provincial income tax return. 
All years prior to 2016 are now closed for US federal income tax and for years prior to 2016 for state income tax returns, and no 
exposure items exist for these years. The 2015 to 2019 Canada federal and provincial income tax returns remain open to examination. 

46 

  
  
  
    
  
  
  
  
       
         
  
    
    
    
    
    
    
    
    
       
         
  
    
    
    
    
    
    
    
    
  
  
  
  
  
  
    
    
    
    
    
    
    
    
  
  
  
 
 
(8)   Notes Payable 

Our long-term debt consists of the following:   

Term Loans 

Less: current portion 
Less: unamortized debt issuance costs 

Notes payable, net of current portion 

2019 

2018 

(In thousands) 

  $ 

  $ 

34,281     $ 
(4,378 )     
(108 )     
29,795     $ 

37,996   
(3,667 ) 
(153 ) 
34,176   

On April 18, 2018, in connection with the Recapitalization, we entered into a credit agreement (the “Credit Agreement”) with FNB 
providing for (i) a $15,000,000 revolving credit facility (the “Line of Credit”), (ii) a $40,000,000 term loan (the “Term Loan”) and 
(iii) a $15,000,000 delayed draw-dawn term facility (the “Delayed Draw Term Loan” and, together with the Line of Credit and the 
Term Loan, the “Credit Facilities”). We used the Term Loan to fund, in part, the cash portion paid to holders of our then-existing 
class B common stock in connection with the Recapitalization and the accompanying exchange of outstanding share-based awards 
tied to the class B common stock, as well as for the costs of the Recapitalization. The Delayed Draw Term Loan may be used to 
fund any permitted future business acquisitions or repurchases of our Common Stock and the Line of Credit will be used to fund 
ongoing working capital needs and for other general corporate purposes. 

The Term Loan is payable in monthly installments of $462,988 through April 2020 and $526,362 thereafter, with a balloon payment 
due at maturity in April 2023. The Term Loan bears interest at a fixed rate per annum of 5%. 

Borrowings under the Line of Credit and the Delayed Draw Term Loan, if any, bear interest at a floating rate equal to the 30-day 
London Interbank Offered Rate plus 225 basis points (3.94% at December 31, 2019). Interest on the Line of Credit accrues and is 
payable monthly. Principal amounts outstanding under the Line of Credit are due and payable in full at maturity, in April 2021. As 
of December 31, 2019 and 2018, the Line of Credit did not have a balance. The weighted average borrowings on the Line of Credit 
for year ended December 31, 2019 was $2.4 million. The weighted average interest on borrowings on the Line of Credit for the year 
ended December 31, 2019 was 4.72%. There have been no borrowings on the Delayed Draw Term Loan since origination. 

We paid a one-time fee equal to 0.25% of the amount borrowed under the Term Loan at the closing of the Credit Facilities. We are 
also obligated to pay ongoing unused commitment fees quarterly in arrears pursuant to the Line of Credit and the Delayed Draw 
Term Loan facility at a rate of 0.20% per annum based on the actual daily unused portions of the Line of Credit and the Delayed 
Draw Term Loan facility, respectively. 

The  Credit  Agreement  is  collateralized  by  substantially  all  of  our  assets  and  contains  customary  representations,  warranties, 
affirmative and negative covenants (including financial covenants) and events of default. The negative covenants include, among 
other things, restrictions regarding the incurrence of indebtedness and liens, repurchases of our Common Stock and acquisitions, 
subject in each case to certain exceptions. The Credit Agreement also contains certain financial covenants with respect to a minimum 
fixed charge coverage ratio of 1.10x and a maximum cash flow leverage ratio of 3.00x. As of December 31, 2019, we were in 
compliance with our financial covenants.  

Scheduled maturities of notes payable at December 31, 2019 are as follows: 

2020 
2021 
2022 
2023 

  $ 

4,418  
4,916  
5,171  
19,776  

47 

  
  
  
  
    
  
  
  
  
    
    
  
  
  
   
   
  
  
    
    
    
  
  
 
 
(9) 

Share-Based Compensation 

We measure and recognize compensation expense for all share-based payments based on the grant-date fair value of those awards. 
All of our existing stock option awards and unvested stock awards have been determined to be equity-classified awards. We account 
for forfeitures as they occur. As described in Note 2, we completed a Recapitalization in April 2018 which, among other things, 
settled all then-existing outstanding class B share-based awards and resulted in the elimination of the class B common stock. As a 
result, we accelerated vesting of all outstanding class B share based awards, resulting in accelerated share-based compensation of 
$331,000 in the year ended December 31, 2018. All outstanding class B share-based awards were then settled for the same stock to 
cash proportion of the class B common stock described in Note 2, less the exercise price, if any, which approximated the awards’ 
intrinsic values. 

Our 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 our former class A common stock and 
300,000 shares of our former 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. 

Our 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 our Common Stock and, prior to the Recapitalization, 500,000 shares of our 
former class B common stock. The 2004 Director Plan provides for grants of nonqualified stock options to each of our directors 
who  we  do  not  employ.  Beginning  in  2018,  on  the  date  of  each  annual  meeting  of  shareholders,  options  to  purchase  shares  of 
Common Stock equal to an aggregate grant date fair value of $100,000 are granted to each non-employee director that is elected or 
retained as a director at each such meeting. Prior to 2018, on the date of each annual meeting of shareholders, options to purchase 
36,000 shares of our former class A common stock and 6,000 shares of our former class B common stock were granted to directors 
that were elected or retained as a director at such meeting. Stock options vest approximately one year following the date of grant 
and option terms are generally the earlier of ten years following the date of grant, or three years from the termination of the outside 
director’s service. At December 31, 2019, there were 851,956 shares of Common Stock available for issuance pursuant to future 
grants under the 2004 Director Plan. We have accounted for grants of 2,148,044 shares of Common Stock under the 2004 Director 
Plan using the date of grant as the measurement date for financial accounting purposes. 

Our 2006 Equity Incentive Plan (the “2006 Equity Incentive Plan”), as amended, 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 Common Stock and, prior to the Recapitalization, 300,000 shares of our former 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, 2019, there were 736,492 shares of Common Stock 
available for issuance pursuant to future grants under the 2006 Equity Incentive Plan. We have accounted for grants of 1,063,508 
shares of Common Stock and restricted stock under the 2006 Equity Incentive Plan using the date of grant as the measurement date 
for financial accounting purposes. 

During 2019 and 2018, we granted options to purchase 100,615 and 116,276 shares of Common Stock, respectively. We granted 
options to purchase 299,917 shares of our former class A common stock and 49,986 shares of our former class B common stock 
during 2017. 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. We do, 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: 

Expected dividend yield at date of grant 
Expected stock price volatility 
Risk-free interest rate 
Expected life of options (in years) 

2019 

2018 

2017 

Common 
Stock 

Common 
Stock 

Common 
Stock 
(former 
Class A) 

Former Class 
B Common 
Stock 

2.60 %     
34.01 %     
2.38 %     
7.46        

2.59%     
32.47%     
2.51%     
7.28       

2.62%     
32.45%     
2.18%     
6.80       

8.06% 
26.75% 
2.18% 
6.80  

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 our 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 we estimate that options will be outstanding. We consider groups of 
associates that have similar historical exercise behavior separately for valuation purposes. 

48 

  
  
  
  
  
  
  
  
     
     
  
  
  
     
     
     
  
    
    
    
    
  
 
 
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, 2019: 

Common Stock  
Outstanding at December 31, 2018 
Granted 
Exercised 
Forfeited 
Outstanding at December 31, 2019 
Exercisable at December 31, 2019 

Number of 
Options 

Weighted 
Average 
Exercise 
Price 

1,373,209     $ 
100,615     $ 
(227,902 )   $ 
--     $ 
1,245,922     $ 
807,537     $ 

15.99      
41.64      
15.88      
--      
18.08      
14.33      

Weighted 
Average 
Remaining 
Contractual 
Terms 
(Years) 

Aggregate 
Intrinsic 
Value 
(In thousands)   

      $ 

8,280  

4.45     $ 
3.02     $ 

59,631  
41,677  

The following table summarizes information related to stock options for the years ended December 31, 2019, 2018 and 2017: 

2019 

Common 
Stock 

2018 
Common 
Stock (former 
Class A) 

2017 

Common 
Stock (former 
Class A) 

Former Class 
B Common 
Stock 

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) 

  $ 
  $ 
  $ 

11.99    $ 
8,280    $ 
1,891    $ 

10.02    $ 
10,621    $ 
2,719    $ 

5.83    $ 
2,681    $ 
5,258    $ 

3.66  
202  
787  

As of December 31, 2019, the total unrecognized compensation cost related to non-vested stock option awards was approximately 
$1.5 million which was expected to be recognized over a weighted average period of 2.90 years. 

There was no cash received from stock options exercised for the year ended December 31, 2019, 2018 or 2017. We recognized 
$934,000,  $1.1  million  and  $1.2  million  of  non-cash  compensation  for  the  years  ended  December  31,  2019,  2018,  and  2017, 
respectively, related to options, which is included in direct fixed and selling, general and administrative expenses. The actual tax 
benefit realized for the tax deduction from stock options exercised was $1.9 million, $3.8 million and $1.1 million for the years 
ended December 31, 2019, 2018 and 2017, respectively. 

During  2019  and  2018,  we  granted  6,005  and  6,793  non-vested  shares  of  Common  Stock,  respectively,  under  the  2006  Equity 
Incentive Plan. No shares were granted during the year ended December 31, 2017. As of December 31, 2019, we had 84,176 non-
vested shares of Common Stock 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. We recognized $290,000, $428,000 and $629,000 
of non-cash compensation for the years ended December 31, 2019, 2018, and 2017, respectively, related to this non-vested stock, 
which  is  included  in  direct  fixed  and  selling,  general  and  administrative  expenses.  The  actual  tax  benefit  realized  for  the  tax 
deduction  from  vesting  of  restricted  stock  was  $168,000  and  $1.3  million  for  the  years  ended  December  31,  2018  and  2017, 
respectively. No restricted stock vested during the year end December 31, 2019. 

49 

  
  
  
    
    
    
      
        
        
        
  
    
        
   
    
        
   
    
    
        
   
    
    
  
  
  
  
    
    
  
  
  
    
    
    
  
  
  
  
  
  
 
 
The following table summarizes information regarding non-vested stock granted to associates under the 2006 Equity Incentive Plans 
for the year ended December 31, 2019: 

Outstanding at December 31, 2018 
Granted 
Vested 
Forfeited 
Outstanding at December 31, 2019 

Common Stock 
Weighted 
Average Grant 
Date Fair Value 
Per Share 

Common Stock 
Outstanding 

78,171     $ 
6,005     $ 
--     $ 
--     $ 
84,176     $ 

15.61  
38.30  
--  
--  
17.23  

As of December 31, 2019, the total unrecognized compensation cost related to non-vested stock awards was approximately $411,000 
and is expected to be recognized over a weighted average period of 3.03 years. 

(10)   Leases 

We lease printing, computer, other equipment and office space in the United States and Canada. The leases remaining terms as of 
December 31, 2019 range from less than one year to 5.7 years. 

Certain  equipment  and  office  lease  agreements  include  provisions  for  periodic  adjustments  to  rates  and  charges.  The  rates  and 
charges are adjusted based on actual usage or actual costs for internet, common area maintenance, taxes or insurance, as determined 
by the lessor and are considered variable lease costs. 

The components of lease expense for the year ended December 31, 2019 included (in thousands): 

Operating leases 
Finance leases: 

Asset amortization 
Interest on lease liabilities 

Variable lease cost 
Short-term lease cost 
Total net lease cost 

  $ 

  $ 

2019 

781  

252  
39  
86  
42  
1,200  

We recorded rent expense in connection with our operating leases of $779,000 and $869,000 in 2018 and 2017, respectively. 

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Supplemental balance sheet information related to leases (in thousands):      

Operating leases:  

Operating ROU assets 

Current operating lease liabilities 
Noncurrent operating lease liabilities 
Total operating lease liabilities 

   December 31, 2019     

January 1, 2019 

  $ 

  $ 

1,628    $ 

2,287(1) 

524      
1,139      
1,663    $ 

692(1) 
1,639(1) 
2,331(1) 

(1) Represents the December 31, 2018 balance recorded at implementation of Topic 842 

   December 31, 2019      December 31, 2018    

Finance leases: 

Furniture and equipment 
Computer Equipment 
Computer Software 

Property and equipment under finance lease, gross 
Less accumulated amortization 

Property and equipment under finance lease, net 

Current obligations of finance leases 
Noncurrent obligations of finance leases 

Total finance lease liabilities 

Weighted average remaining lease term (in years): 
Operating leases 
Finance leases 

Weighted average discount rate: 
Operating leases 
Finance leases 

  $ 

  $ 

  $ 

  $ 

802    $ 
511      
207      
1,520      
(734)     
786    $ 

227    $ 
559      
786    $ 

Supplemental cash flow and other information related to leases was as follows (in thousands): 

Cash paid for amounts included in the measurement of lease liabilities: 

Operating cash flows from operating leases 
Operating cash flows from finance leases 
Financing cash flows from finance leases 

ROU assets obtained in exchange for operating lease liabilities 
ROU assets obtained in exchange for finance lease liabilities 

2019 

  $ 

1,062  
487  
224  
1,773  
(839) 
934  

204  
676  
880  

4.17  
3.56  

4.81% 
4.60% 

789  
38  
229  

16  
192  

Undiscounted payments under non-cancelable finance and operating leases at December 31, 2019 are as follows (in thousands): 

2020 
2021 
2022 
2023 
2024 
Thereafter 

Total minimum lease payments 

Less: Amount representing interest 
Present value of minimum lease payments 
Current portion 

Lease obligations, net of current portion 

Finance Leases 

     Operating Leases 

  $ 

  $ 

257    $ 
251      
204      
123      
13      
--      
848      
(62)     
786      
(227)     
559    $ 

591  
453  
226  
246  
203  
118  
1,837  
(174) 
1,663  
(524) 
1,139  

51 

  
  
  
      
        
  
  
      
        
  
    
    
  
  
  
       
         
  
    
    
    
    
  
       
         
  
    
  
      
  
    
    
  
      
  
      
  
    
    
  
  
  
  
  
       
  
    
    
  
       
  
    
    
  
  
  
  
  
    
    
    
    
    
    
    
    
    
  
 
 
Undiscounted  payments  under  non-cancelable  operating  leases  and  finance  leases  at  December  31,  2018  were  as  follows  (in 
thousands): 

Year Ending December 31, 
2019 
2020 
2021 
2022 
2023 
Total minimum lease payments 
Less: Amount representing interest 
Present value of minimum lease payments 
Less: Current maturities 
Capital lease obligations, net of current portion 

(11)   Related Party 

   Finance Leases       Operating Leases   
882  
258    $ 
  $ 
672  
241      
564  
214      
273  
168      
262  
85      
966      
(86)     
880      
(204)     
676      

  $ 

One of our directors also served as an officer and director of Ameritas Life Insurance Corp. (“Ameritas”) as of December 31, 2019. 
In  connection  with  our  regular  assessment  of  our  insurance-based  associate  benefits,  which  is  conducted  by  an  independent 
insurance broker, and the costs associated therewith, we purchase dental and vision insurance for certain of our associates from 
Ameritas. The total value of these purchases was $242,000, $200,000 and $248,000 in 2019, 2018 and 2017 respectively. 

Mr.  Hays,  our  Chief  Executive  Officer  and  director,  is  an  owner  of  14%  of  the  equity  interest  of  Nebraska  Global  Investment 
Company LLC (“Nebraska Global”).  We, directly or indirectly through our 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 in 2017. 

Mr. Hays personally incurred approximately $538,000 of fees and expenses in connection with exploring our strategic alternatives, 
including the Recapitalization (see Note 2), for which we 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 we  would  have 
directly borne if they had not been advanced by Mr. Hays. 

During  2017,  we  acquired  a  cost  method  investment  in  convertible  preferred  stock  of  PX  (see  Note  4).  Also  in  2017,  we  paid 
$250,000 to acquire certain perpetual content licenses from PX for content we include in certain of our subscription services. We 
also have an agreement with PX which commenced in 2016 under which we act as a reseller of PX services and receive a portion 
of the revenues. The total revenue earned from the PX reseller agreement in the years ended December 31, 2019, 2018 and 2017 
was $578,000, $439,000 and $633,000, respectively. We will no longer earn revenue under this agreement after December 31, 2020. 

 (12)   Associate Benefits 

We sponsor a qualified 401(k) plan covering substantially all associates with no eligibility service requirement. Under the 401(k) 
plan,  we  match  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. We contributed $447,000, $396,000 and $350,000 in 2019, 2018 and 
2017, respectively, as a matching percentage of associate 401(k) contributions. 

52 

  
    
    
    
    
    
   
    
   
    
   
    
   
   
   
  
  
  
  
  
   
  
  
  
  
 
 
(13)   Segment Information 

Our 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. 

The table below presents entity-wide information regarding our revenue and assets by geographic area: 

Revenue: 

United States 
Canada 
Total 
Long-lived assets: 
United States 
Canada 
Total 
Total assets: 

United States 
Canada 
Total 

2019 

2018 
(In thousands) 

2017 

  $ 

  $ 

  $ 

  $ 

  $ 

  $ 

124,369    $ 
3,613      
127,982    $ 

78,906    $ 
2,622      
81,528    $ 

95,668    $ 
15,017      
110,685    $ 

115,451    $ 
4,235      
119,686    $ 

77,330    $ 
2,291      
79,621    $ 

91,080    $ 
16,952      
108,032    $ 

112,885   
4,674   
117,559   

72,562   
2,495   
75,057   

110,785   
16,531   
127,316   

53 

  
 
  
  
  
    
    
  
  
  
  
       
         
         
  
    
       
         
         
  
    
       
         
         
  
    
   
  
 
 
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”), our management evaluated, with 
the participation of our Chief Executive Officer and our Chief Financial Officer, the effectiveness of the design and operation of 
our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Exchange Act) as of December 31, 
2019. 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, 2019. 

Management’s Report on Internal Control over Financial Reporting 

Our management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in 
Rule  13a-15(f)  of  the  Exchange  Act).  Our  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. 

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness 
of our 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, our management 
concluded that our internal control over financial reporting was effective as of December 31, 2019. 

The effectiveness of our internal control over financial reporting as of December 31, 2019, 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 our internal control over financial reporting that occurred during the quarter ended December 31, 2019, that 
has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. 

Item 9B.   Other Information 

We have no other information to report pursuant to this item. 

54 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Item 10.   Directors, Executive Officers and Corporate Governance 

PART III 

The information required by this Item with respect to directors and Section 16 compliance is included under the captions “Election 
of Directors,” “Corporate Governance – Committees” and “Delinquent Section 16(a) Reports,” respectively, in our definitive Proxy 
Statement  for  our  2020  Annual  Meeting  of  Shareholders  (“Proxy  Statement”)  and  is  hereby  incorporated  herein  by  reference. 
Information with respect to our executive officers 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. 

We have adopted a Code of Business Conduct and Ethics that applies to all of our associates, including our Chief Executive Officer 
and Chief Financial Officer and other persons performing similar functions. We have posted a copy of the Code of Business Conduct 
and Ethics on our 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 our Secretary. We intend 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 our 
website at www.nrchealth.com. We are not including the information contained on our 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,” “2019 Summary 
Compensation  Table,”  “Grants  of  Plan-Based  Awards  in  2019,”  “Outstanding  Equity  Awards  at  December  31,  2019,”  “2019 
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. 

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, 2019. 

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) 

1,245,922     $ 
--       
1,245,922     $ 

18.08      
--      
18.08      

1,588,448(2) 

--  
1,588,448  

Plan Category Common Shares  
Equity compensation plans approved by security holders (1) 
Equity compensation plans not approved by security holders 
Total 

Includes our 2006 Equity Incentive Plan, 2004 Director Plan, and the 2001 Equity Incentive Plan. 

(1) 
(2)  Under the 2006 Equity Incentive Plan, we had authority to award up to 325,081 additional shares of restricted Common Stock 
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  736,492  shares  of  Common  Stock  as  of  December  31,  2019.  The Director  Plan 
provides for granting options for 3,000,000 shares of Common Stock. Option awards through December 31, 2019 totaled 2,148,044 
shares of 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. 

55 

  
  
  
  
  
  
  
  
  
  
    
    
  
    
    
    
  
  
  
  
  
  
  
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) 

(4.1) 

(4.2) 

EXHIBIT INDEX 

Exhibit Description 

Amended and Restated Articles of Incorporation of National Research Corporation, effective as of 5:01 pm, CT, on 
April 17, 2018 [Incorporated by reference to Exhibit 3.3 to National Research Corporation’s Current Report on Form 
8-K dated April 16, 2018 and filed on April 20, 2018 (File No. 001-35929)]  

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. 001-35929)] 

Amended and Restated Articles of Incorporation of National Research Corporation, effective as of 5:01 pm, CT, on 
April 17, 2018 [Incorporated by reference to Exhibit 3.3 to National Research Corporation’s Current Report on Form 
8-K dated April 16, 2018 and filed on April 20, 2018 (File No. 001-35929)]  

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. 001-35929)] 

(4.3)** 

Description of the Securities of the Registrant. 

(10.1) 

(10.2)* 

(10.3)* 

(10.4)* 

(10.5)* 

Credit Agreement, dated April 18, 2018, between National Research Corporation and First National Bank of Omaha 
[Incorporated by reference to Exhibit 10 to National Research Corporation’s Current Report on Form 8-K dated April 
16, 2018 and filed on April 20, 2018 (File No. 001-35929)]. 

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 the 2018 Annual Meeting of Shareholders filed 
on April 27, 2018 (File No. 001-35929)] 

Form of Nonqualified Stock Option Agreement (for new associates) used in connection with the National Research 
Corporation 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  National  Research 
Corporation 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] 

Form  of  Restricted  Stock  Agreement  for  executive  officers  used  in  connection  with  the  National  Research 
Corporation  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. 000-29466)] 

56 

  
  
  
  
  
  
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Exhibit 
Number 

(10.6)* 

(10.7)* 

(10.8)* 

(10.9)* 

(10.10)* 

(10.11)* 

Exhibit Description 

Form of Restricted Stock Agreement (one year vesting) used in connection with the National Research Corporation 
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 National Research Corporation 
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 National Research Corporation 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. 000-29466)] 

Form  of  Restricted  Stock  Agreement  used  in  connection  with  the  National  Research  Corporation  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. 000-29466)] 

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. 000-29466)]] 

National Research Corporation 2006 Equity Incentive Plan, [Incorporated by reference to Appendix A to National 
Research Corporation’s Proxy Statement for the 2006 Annual Meeting of Shareholders filed on April 3, 2006 (File 
No. 000-29466)] 

(10.12)* **  Form of Grant used in connection with the National Research Corporation 2004 Non-Employee Director Stock Plan, 

as amended 

(21)** 

Subsidiary of National Research Corporation 

(23)** 

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)** 

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 

(101)** 

Financial statements from the Annual Report on Form 10-K of National Research Corporation for the year ended 
December 31, 2019, 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. 

**  Filed herewith. 

Item 16. 

Form 10-K Summary 

None. 

57 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
  
  
      
  
  
 
 
 INDEX TO CONSOLIDATED FINANCIAL STATEMENTS  

Page in this  
Form 10-K 

Report of Independent Registered Public Accounting Firm ..........................................................................................  

Consolidated Balance Sheets as of December 31, 2019 and 2018 ................................................................................  

Consolidated Statements of Income for the Three Years Ended December 31, 2019 ...................................................  

Consolidated Statements of Comprehensive Income for the Three Years Ended December 31, 2019 .........................  

Consolidated Statements of Shareholders’ Equity for the Three Years Ended December 31, 2019 .............................  

Consolidated Statements of Cash Flows for the Three Years Ended December 31, 2019 ............................................  

Notes to Consolidated Financial Statements .................................................................................................................  

26 

28 

29 

30 

31 

32 

33 

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. 

58 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
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 6th day of March 2020. 

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 

Date 

/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) 

   March 6, 2020 

Senior Vice President Finance, Chief Financial 
Officer, Treasurer and Secretary (Principal 
Financial and Accounting Officer) 

Director 

Director 

Director 

Director 

    March 6, 2020 

   March 6, 2020 

   March 6, 2020 

   March 6, 2020 

   March 6, 2020 

59 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
DESCRIPTION OF THE REGISTRANT’S SECURITIES 
REGISTERED PURSUANT TO SECTION 12 OF THE 
SECURITIES EXCHANGE ACT OF 1934 

 Exhibit 4.3 

As of December 31, 2019, National Research Corporation (the “Company,” “we,” “us” or “our”) has one class of securities 
registered under Section 12 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), our common stock, par 
value $.001 (“Common Stock”). 

The summary of the general terms and provisions of the Common Stock set forth below does not purport to be complete 
and is subject to and qualified by reference to the Company’s Amended and Restated Articles of Incorporation (“Articles”) and 
Bylaws (“Bylaws”), each of which is incorporated by reference as exhibits to the Annual Report on Form 10-K. For additional 
information, please read the Articles and Bylaws and the applicable provisions of the Wisconsin Business Corporation Law. 

Authorized Capital Stock 

Our authorized capital stock consists of 62,000,000 shares, consisting of: (i) 60,000,000 shares of Common Stock, par 
value  $0.001  per  share,  and  (ii)  2,000,000  shares  of  Preferred  Stock,  par  value  $0.01  per  share.  As  of  February  28,  2020, 
25,027,889 shares of Common Stock were issued and outstanding, and no shares of our preferred stock were issued and outstanding. 

Common Stock 

After all cumulative dividends have been paid or declared and set apart for payment on any shares of preferred stock that 
are outstanding, the Common Stock is entitled to such dividends as may be declared from time to time by our board of directors in 
accordance with applicable law. 

Except as provided under Wisconsin law and except as may be determined by our board of directors with respect to any 
series of preferred stock, only the holders of Common Stock shall be entitled to vote for the election of directors of the Company 
and on all other matters. Holders of Common Stock are entitled to one vote for each share of Common Stock held by them on all 
matters properly submitted to a vote of shareholders, subject to Section 180.1150 of the Wisconsin Business Corporation Law. 
Shareholders have no cumulative voting rights, which means that the holders of shares entitled to exercise more than 50% of the 
voting power are able to elect all of the directors to be elected. 

All shares of Common Stock are entitled to participate equally in distributions in liquidation, subject to the prior rights of 
any preferred stock which may be outstanding. Holders of Common Stock have no preemptive rights to subscribe for or purchase 
shares of our capital stock. There are no conversion rights, sinking fund or redemption provisions applicable to Common Stock. 
The outstanding shares of our Common Stock are fully paid and nonassessable. 

Our Common Stock is listed on the NASDAQ Global Market under the trading symbol “NRC.” The transfer agent for our 

Common Stock is American Stock Transfer & Trust Company LLC. 

Preferred Stock 

Pursuant to our Amended and Restated Articles of Incorporation, the board of directors has the authority, without further 
action by the shareholders, to issue up to 2,000,000 shares of preferred stock in one or more series and to fix the designations, 
powers, preferences, privileges and relative participating, optional or special rights and the qualifications, limitations or restrictions 
thereof, including dividend rights, conversion rights, voting rights, terms of redemption and liquidation preferences, any or all of 
which may be greater than the rights of our Common Stock. The board of directors, without shareholder approval, can issue preferred 
stock with voting, conversion or other rights that could adversely affect the voting power and other rights of the holders of Common 
Stock. As a result, preferred stock could be issued quickly with terms calculated to delay or prevent a change of control of the 
company  or  make  removal  of  management  more  difficult.  Additionally,  the  issuance  of  preferred  stock  may  have  the  effect  of 
decreasing the market price of our Common Stock and may adversely affect the voting and other rights of the holders of Common 
Stock. 

As  of  the  date  of  the  Annual  Report  on  Form  10-K  of  which  this  Exhibit  is  a  part,  no  shares  of  preferred  stock  are 

outstanding. 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
Anti-Takeover Effects of Various Provisions of Wisconsin Law and Our Amended and Restated Articles of Incorporation 
and By-Laws 

Certain  anti-takeover  provisions  in  the  Wisconsin  Business  Corporation  Law  are  applicable  to  “resident  domestic 
corporations” (we do not believe we are a resident domestic corporation but it is a fact-specific determination). Through Article 10 
of our Amended and Restated Articles of Incorporation, we have elected to be treated as an “issuing public corporation” for purposes 
of the “Fair Price” and “Control Share” statutes described below. In addition, Article 9 of our Amended and Restated Articles of 
Incorporation incorporates a substantial portion of the “Business Combination” statute described below. Because these provisions 
are set forth in our Amended and Restated Articles of Incorporation rather than by statute, assuming we are not otherwise a resident 
domestic corporation, future amendments could eliminate or modify these provisions. 

Control Share Statute. Section 180.1150 of the Wisconsin Business Corporation Law provides that the voting power of 
shares of public Wisconsin corporations such as us held by any person or persons acting as a group in excess of 20% of the voting 
power in the election of directors is limited to 10% of the full voting power of those shares. This statutory voting restriction does 
not apply to shares acquired directly from us or in certain specified transactions or shares for which full voting power has been 
restored pursuant to a vote of shareholders. 

Fair Price Statute. Section 180.1130 to 180.1133 of the Wisconsin Business Corporation Law provide that some “business 
combinations” not meeting specified adequacy-of-price standards must be approved by a vote of at least 80% of the votes entitled 
to be cast by shareholders and by two-thirds of the votes entitled to be cast by shareholders other than a “significant shareholder” 
who is a party to the transaction. The term “business combination” is defined to include, subject to some exceptions, a merger or 
consolidation of us (or any subsidiary of ours) with, or the sale or other disposition of substantially all of our assets to, any significant 
shareholder or affiliate thereof. “Significant shareholder” is defined generally to include a person that is the beneficial owner of 
10% or more of the voting power of the common stock. 

Business Combinations. Sections 180.1140 to 180.1144 of the Wisconsin Business Corporation Law regulate a broad 
range  of  “business  combinations”  between  a  Wisconsin  corporation  and  an  “interested  stockholder.”  Wisconsin  Business 
Corporation Law defines a “business combination” to include a merger or share exchange, sale, lease, exchange, mortgage, pledge, 
transfer, or other disposition of assets equal to at least 5% of the market value of the stock or assets of a corporation or 10% of its 
earning power, issuance of stock or rights to purchase stock with a market value equal to 5% of the outstanding stock, adoption of 
a plan of liquidation, and certain other transactions involving an “interested stockholder.” An “interested stockholder” is defined as 
a person who beneficially owns, directly or indirectly, 10% of the voting power of the outstanding voting stock of a corporation, or 
who is an affiliate or associate of the corporation and beneficially owned 10% of the voting power of the then outstanding voting 
stock within the last three years. Sections 180.1140 to 180.1144 prohibit a corporation from engaging in a business combination 
(other than a business combination of a type specifically excluded from the coverage of the statute) with an interested stockholder 
for a period of three years following the date such person becomes an interested stockholder, unless the board of directors approved 
the business combination or the acquisition of the stock that resulted in a person becoming an interested stockholder before such 
acquisition. Business combinations after the three-year period following the stock acquisition date are permitted only if: 

(cid:404) 

(cid:404) 

(cid:404) 

(cid:404) 

the board of directors approved the acquisition of the stock prior to the acquisition date; or 

the business combination is approved by a majority of the outstanding voting stock not beneficially owned by 
the interested stockholder; or 

the consideration to be received by shareholders meets certain requirements with respect to form and amount; 
or 

the business combination is of a type specifically excluded from the coverage of the statute. 

Our Amended and Restated Articles of Incorporation contain provisions that are similar to the provisions of Sections 180.1140 to 
180.1144. 

Section 180.1134 provides that, in addition to the vote otherwise required by law or the articles of incorporation of an 
issuing public corporation, the approval of the holders of a majority of the shares entitled to vote is required before such corporation 
can take certain action while a takeover offer is being made or after a takeover offer has been publicly announced and before it is 
concluded. Under Section 180.1134, shareholder approval is required for the corporation to: 

(cid:404) 

acquire more than 5% of the outstanding voting shares at a price above the market price from any individual or 
organization that owns more than 3% of the outstanding voting shares and has held such shares for less than two 
years, unless a similar offer is made to acquire all voting shares; or 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
(cid:404) 

 sell or option assets of the corporation that amount to at least 10% of the market value of the corporation, unless 
the corporation has at least three independent directors and a majority of the independent directors vote not to 
have the provision apply to the corporation. 

The restrictions described in the first bullet point above may have the effect of deterring a shareholder from acquiring our shares 
with the goal of seeking to have us repurchase such shares at a premium over the market price. 

Under our Amended and Restated Articles of Incorporation and by-laws, our board of directors is divided into three classes, 
with  staggered  terms  of  three  years  each.  Each  year  the  term  of  one  class  expires.  The  Amended  and  Restated  Articles  of 
Incorporation provide that any vacancies on the board of directors shall be filled only by the affirmative vote of a majority of the 
directors in office, even if less than a quorum. Any director so elected will serve until the next election of the class for which such 
director is chosen and until his or her successor is duly elected and qualified. 

Our Amended and Restated Articles of Incorporation provide that any directors may be removed from office, but only for 
cause by the affirmative vote of at least 66-2/3% of all outstanding shares entitled to vote in the election of directors. However, if 
at least two-thirds of the board of directors plus one director vote to remove a director, such director may be removed without cause 
by a majority of the voting power of our outstanding shares of capital stock entitled to vote thereon. 

In addition, our by-laws establish a procedure that shareholders seeking to call a special meeting of shareholders must 
satisfy. This procedure involves notice to us, our receipt of written demands for a special meeting from holders of 10% or more of 
the issued and outstanding shares of Common Stock, a review of the validity of such demands by an independent inspector appointed 
by us and the fixing of the record and meeting dates by the board of directors. In addition, shareholders demanding such a special 
meeting must deliver to us a written agreement to pay the costs we incur in holding a special meeting, including the costs of preparing 
and mailing the notice of meeting and the proxy material for our solicitation of proxies for use at such meeting, in the event such 
shareholders are unsuccessful in their proxy solicitation. 

Our  by-laws  also  provide  the board  of  directors  with  discretion  in  postponing  shareholder meetings,  including,  within 
some limits, special meetings of shareholders. Additionally, the chief executive officer or the board of directors, acting by resolution, 
may adjourn a shareholder meeting at any time prior to the transaction of business at such meeting. Our by-laws also contain strict 
time deadlines and procedures applicable to shareholders seeking to nominate a person for election as a director or to otherwise 
bring business before a meeting. 

These  provisions  of  our  Articles  and  Bylaws  and  the  Wisconsin  Business  Corporation  Law  could  have  the  effect  of 

delaying or preventing a change of control of the Company. 

 
  
  
  
  
  
  
  
  
 
 
FORM OF GRANT USED IN CONNECTION WITH THE NATIONAL RESEARCH CORPORATION 
2004 NON-EMPLOYEE DIRECTOR STOCK PLAN, AS AMENDED 

Exhibit 10.12 

[Director name] 

Re:     Stock Option Grant National Research Corporation Director Stock Plan 

This letter is to confirm that on [date], you were automatically granted a nonqualified stock option to purchase [# of shares] shares 
of  Common  Stock,  $.001  par  value,  of  National  Research  Corporation  (“Company”)  pursuant  to  the  terms  of  the  2004  Non-
Employee Director Stock Plan (the “Plan”). 

Your stock option to purchase up to [# of shares] shares of Common Stock is subject to the terms and conditions of the Plan. The 
option price is [price] per share, which was the last sale price of a share of Common Stock on the NASDAQ Stock Market on [date 
of grant], the date of grant. 

In accordance with the terms of the Plan, your options are not exercisable until one year after the date of grant unless your status as 
a director of the Company terminates because of death prior to that time, in which event the options become immediately exercisable 
in full and may be exercised for a period of three (3) years after the date of death. If for any reason other than death you cease to be 
an  outside  director  of  the  Company  within  one  year  of  the  date  of  grant,  the  options  will  be  cancelled  as  of  the  date  of  such 
termination. Subject to the foregoing, the options expire ten (10) years after the date of grant, or if earlier, three (3) years after you 
cease to be an outside director of the Company. 

The other terms which govern your stock options are as set forth below and as provided in the Plan. 

Procedure for Exercise. You may exercise your options in whole or in part at any time after the options have become exercisable 
(as discussed above) by delivering written notice to the Company together with payment of the option price in cash, previously 
acquired shares of Common Stock valued at their fair market value or such other forms as the Board or Plan administrator approves. 

Securities Laws Matters. Applicable federal and state securities laws govern the disposition by you of shares purchased through the 
exercise of your options. You may sell such shares only (1) pursuant to an effective registration statement under the Securities Act 
of 1933, as amended (“Act”), or (2) in a transaction which is exempt from registration under the Act, such as a sale which fully 
complies with Rule 144 under the Act. 

Non-Transferability. Your options may not be sold or transferred other than by will or under the laws of descent and distribution, 
except  that  an  option  may  be  transferred  to  the  extent  allowed  by  the  Board  or  the  Plan  administrator.  The  designation  of  a 
beneficiary will not constitute a transfer. 

Conformity with Plan. Your options are intended to conform in all respects with, and are subject to all applicable provisions of, the 
Plan. Inconsistencies between this letter and the Plan will be resolved in accordance with the terms of the Plan. 

Please execute and return the enclosed copy of this letter to the Company. By doing so, you agree to be bound by all of the terms of 
this letter and of the Plan. 

Very truly yours, 

NATIONAL RESEARCH CORPORATION 

By:     [Authorized Officer] 

Accepted on this _____ day of _______________, [yyyy]. 

[Director name], Director 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
Subsidiary of National Research Corp. 

National Research Corporation’s subsidiary as of December 31, 2019 is listed below: 

Subsidiary 

Jurisdiction of organization 

National Research Corporation Canada  

Ontario 

 Exhibit 21 

 
  
  
  
  
  
  
  
 
 
Consent of Independent Registered Public Accounting Firm 

Exhibit 23 

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,  333-209934,  333-226715,  and  333-226716)  on  Forms  S-8  and  (File  Nos.  333-
120529, 333-211190, and 333-232534) on Forms S-3 of National Research Corporation of our report dated March 6, 2020, with 
respect to the consolidated balance sheets of National Research Corporation and subsidiary as of December 31, 2019 and 2018, 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, 2019, and the related notes (collectively, the consolidated financial statements), and the 
effectiveness of internal control over financial reporting as of December 31, 2019, which report appears in the December 31, 2019 
annual report on Form 10-K of National Research Corporation. 

Our  report  dated  March  6,  2020,  refers  to  a  change  in  the  Company’s  method  for  accounting  for  revenue  from  contracts  with 
customers in 2018 due to the adoption of Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers, as 
amended. 

/s/ KPMG LLP 

Lincoln, Nebraska 
March 6, 2020 

 
  
  
  
  
  
  
  
  
 
 
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 6, 2020 

/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 6, 2020 

/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, 2019 (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 6, 2020                                  

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. 

 
  
  
  
  
  
  
  
  
  
  
  
  
  
 
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