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NRC Health

NRC
45
Medical - Healthcare Information Services · Healthcare
Price
$21.78
-0.16 (-0.73%)
Market Cap
$490.8M
Exchange
NASDAQ
Winston Score
45
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

Share count falling — buybacks

12.7% over 4y

The company has reduced its share count over this period, returning value to shareholders through buybacks.

Diluted shares outstanding: 25.6M (2021) → 22.4M (2025)

National Research Corporation provides analytics and insights that facilitate measurement and enhancement of the patient and employee experience in the United States and Canada. Its 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, an

Winston Score History

Score breakdown

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Quality

Gross Margin
54.6%
Healthy — 54.6% gross margin
Operating Margin
16.0%
Healthy — 16.0% operating margin
ROCE
6.1%
Weak — 6.1% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales YoY
-1.9%
Shrinking sales (-1.9% YoY)
EPS YoY
-60.4%
Earnings shrinking (-60.4% YoY)

Earnings per share down more than 10%. Either a bad year, or a real decline.

EPS Consistency
0/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
299%
Turns 299% of profit into real cash
FCF Margin
12.6%
Converts sales into free cash efficiently (12.6%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

Debt / Equity
5.78
Heavy debt load (5.78)
Interest Cover
3.82x
Tight — interest eats into profit (3.8x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

P/E Ratio (TTM)
53.4x
Expensive — P/E 53.4

P/E over 35. The market is pricing in heavy, sustained growth.

P/E vs Forward
+28.0
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (53.4 → 25.5)

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Dividends

Dividend Yield
2.68%
Moderate income — 2.68% yield

Standard yield zone for stable dividend payers. A meaningful piece of total return.

Dividend Growth
+25.0%
Dividend growing fast (25.0% YoY)

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