NRC Health
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NRC Health (NRC) investor relations material

NRC Health Q3 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q3 2026 earnings summary27 Oct, 2026

Executive summary

  • Q3 revenue rose 11% YoY to $38.399M; TRCV increased 9% to $154.1M, with a large customer launch on schedule and multi-year renewals supporting recurring revenue.

  • Q3 operating income grew 15% to $8.908M, while 9M operating income fell 37% to $11.2M, primarily reflecting executive-transition compensation and technology investment.

Financial highlights

  • Q3 revenue growth included $3.2M more recurring revenue from existing customers and $0.6M from new customers; 9M increases were $4.4M and $2.0M, respectively.

  • Q3 GAAP net income was $4.704M versus $4.122M; adjusted net income was $4.7M.

  • Q3 direct expenses rose 24% to $15.4M, including ~$1.5M for the HUB conference; SG&A declined 2% to $12.0M, partly due to lower stock compensation.

  • 9M revenue grew 6% to $108.594M; GAAP net income was $4.643M versus $9.802M.

  • 9M SG&A rose 20% to $48.4M, including $7.4M higher executive-related stock compensation; direct expenses rose 11% to $42.6M.

Outlook and guidance

  • Expanding contract value is expected to convert into revenue, with operating leverage supporting higher profitability and free cash flow over time.

  • Further sequential adjusted EBITDA margin improvement is expected in Q4 as HUB conference costs are absorbed and existing implementations contribute; Q4 revenue also benefits from seasonal Experience surveys and one-time product events.

  • The rounding platform phase of the large customer agreement remains on track to go live in Q3 2027; its revenue may lag and is expected to be meaningfully smaller than the first phase.

  • Remaining revenue for contracts with original terms over one year was $201.8M; $25.2M is expected to be recognized in the remainder of 2026.

  • Liquidity sources and operating cash flows are expected to meet projected capital and debt maturity needs for the foreseeable future.

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Frequently asked questions

National Research Corporation, doing business as NRC Health, provides analytics and insights to healthcare organizations. The company specializes in collecting and analyzing patient and consumer feedback to improve healthcare experiences and outcomes. Its solutions include real-time feedback platforms, patient satisfaction surveys, and market research tools, catering to hospitals, health systems, and other care providers. The company is headquartered in Lincoln, Nebraska, and its shares are listed on the NASDAQ.