Stocks · Healthcare · Medical - Healthcare Information Services

NRC Health NRC

$20.35 -4.55% Close, Oct 2, 2026 · NASDAQ · Market cap $458.6M

High quality

Next earnings report: Nov 3, 2026

Scroll or pinch to zoom, drag to move. Daily prices adjusted for splits. Markers: E = earnings (green beat, red miss), S = split, D = dividend.

Three things to know

  1. Diluted EPS over the last four quarters was $0.25, down 67.0% year over year.
  2. At 80.6× trailing earnings, the shares trade at the highest P/E of the company's past five years.
  3. Operating margin narrowed to 10.5% from 19.8% a year earlier.

PromtFinance scores

Each score is a percentile within the Healthcare sector (0–100). Under each score: how the stock ranks in its sector on every component. As of Oct 5, 2026.

Growth39Weak

How fast revenue, earnings and cash flow are growing.

  • Revenue growth (TTM, YoY)Bottom 29%
  • EPS growth (TTM, YoY)Bottom 23%
  • FCF growth (TTM, YoY)Top 13%
  • Revenue growth, 3-year CAGRBottom 18%
  • Revenue growth accelerationTop 31%
Quality91Exceptional

Returns on capital, margins, earnings quality and balance-sheet strength.

  • Return on invested capitalTop 17%
  • Gross marginTop 47%
  • Operating marginTop 26%
  • Cash conversion (OCF / net income)Top 10%
  • Accruals (lower is better)Top 18%
  • Net debt / EBITDA (lower is better)Bottom 21%
  • Interest coverTop 34%
Value60Neutral

How cheap the shares are relative to earnings, cash flow and their own history.

  • Earnings yieldTop 26%
  • Free-cash-flow yieldTop 19%
  • EBITDA / enterprise valueTop 26%
  • Sales / enterprise valueTop 47%
  • P/E vs own 5-year history (lower is better)Bottom 3%
Momentum75Positive

Strength and persistence of the price trend, including versus the S&P 500.

  • 12-month return excluding last monthTop 29%
  • 6-month returnTop 40%
  • 1-year return vs S&P 500Top 23%
  • Distance from 52-week highTop 22%
  • Trend checklist (0–4)Top 39%
Revisions94Exceptional

Earnings surprises and analyst sentiment (estimate-revision history is being collected).

  • Average EPS surprise, last 4 quartersTop 4%
  • Consecutive EPS beatsBottom 49%
Stability42Weak

Low volatility, shallow drawdowns, low market sensitivity and modest leverage.

  • Volatility, 60 days (lower is better)Bottom 45%
  • Maximum drawdown, 3 yearsBottom 37%
  • Beta vs S&P 500 (lower is better)Top 27%
  • Net debt / EBITDA (lower is better)Bottom 21%

What changed

Latest four quarters versus the same period a year earlier (growth: versus one quarter earlier).

MeasureBeforeNow
Revenue growth (YoY)-1.9%-0.2%↑
EPS growth (YoY)-61.4%-67.0%↓
Gross margin58.0%66.8%↑
Operating margin19.8%10.5%↓
FCF margin6.6%15.5%↑

Fundamental momentum

MeasureNow (TTM)Year / quarter beforeSector rank
Revenue growth (TTM, YoY)-0.2%-1.9%↑Bottom 29%
EPS growth (TTM, YoY)-67.0%-61.4%↓Bottom 23%
Gross margin66.8%58.0%↑Top 47%
Operating margin10.5%19.8%↓Top 26%
Net margin4.2%12.8%↓—
Free-cash-flow margin15.5%6.6%↑—
Return on invested capital8.7%—Top 17%
Revenue growth, 3-year CAGR-3.2%—Bottom 18%

Quality of earnings and balance sheet

Cash conversion (OCF / net income)Above 1× means profits are backed by cash.
3.00×
Accruals (net income − OCF) / assetsLower is better; high accruals can signal weaker earnings quality.
-17.4%
Stock-based compensation / revenueA cost to shareholders through dilution.
8.4%
Receivables growth vs revenue growthReceivables growing much faster than sales can be a warning.
+6.4 pp
Net debt / EBITDABelow 1× is conservative; above 3× is high leverage.
3.70×
Interest cover (operating income / interest)How many times operating profit covers interest.
2.7×

Shareholder returns

Dividend yield (dividends paid, TTM)
2.77%
Net buyback yield (TTM)
4.11%
Shareholder yield
6.88%
Share count change, 1 year
-2.9%
Share count change, 3-year CAGR
-3.8%

Shareholder yield = dividends + net buybacks over the last four quarters, divided by market cap.

Based on the four quarters through Jun 30, 2026 (filed Aug 4, 2026).

Earnings and expectations

Earnings momentum

Consecutive EPS beats
1
Beats in the last 8 reports
1 of 2
Average EPS surprise, last 4
+100.0%
Average 2-day reaction, last 8
-2.1%
Positive 20 days after report
6 of 8

How the stock reacted to recent reports

Report dateEPS surprise2 days5 days20 days60 days
Jul 28, 2026+306.7%+5.0%-8.3%+3.1%—
Apr 28, 2026—-1.6%+6.5%+11.3%+21.7%
Feb 3, 2026—-19.5%-29.8%-38.9%-24.5%
Oct 27, 2025—-2.1%+14.6%+51.5%+88.8%
Jul 28, 2025—+0.4%-9.4%+10.7%-14.1%
Apr 28, 2025—+1.1%+19.1%+26.8%+37.4%
Feb 11, 2025—+1.6%+2.1%-13.6%-24.1%
Oct 25, 2024—-1.9%-0.9%+6.3%-1.4%

Returns from the close before each report. Past reactions do not determine future ones.

Earnings history

Report dateEPSEstimateSurpriseRevenue
Jul 28, 2026$0.31-$0.15+306.7%$35.4M
Apr 28, 2026$0.21——$34.8M
Feb 3, 2026$0.16——$35.2M
Oct 27, 2025$0.23——$34.6M
Jul 28, 2025$0.28——$34.0M
Apr 28, 2025$0.25——$33.6M
Feb 11, 2025$0.36——$36.9M
Oct 25, 2024$0.24——$35.8M

Valuation in context

MultipleNow5-year median5-year percentileSector rank (cheapness)
P/E (trailing)80.6×27.1×100thTop 26%
P/E (forward)23.1×———
EV / EBITDA23.3×——Top 26%
EV / Sales3.90×——Top 47%
Free-cash-flow yield4.72%——Top 19%
Earnings yield1.24%——Top 26%

P/E over the past five years

Range 12.6× – 77.6× since Jun 30, 2021. Each point: price on the filing date divided by trailing-twelve-month EPS known then.

What moved the stock over the past year

Price return, 1 year
+62.8%
Earnings per share growth (TTM)
-67.0%
Change in P/E multiple
+293.4%

Most of the move came from a change in the valuation multiple.

Technical state

Trend checklist

  • ✗ Price above 20-day average
  • ✗ Price above 50-day average
  • ✓ Price above 200-day average
  • ✓ 50-day average above 200-day
  • ✗ MACD histogram positive

Trend quality

Days above the 50-day average
0
Days above the 200-day average
144
50-day average slope (20 days)
-1.1%
200-day average slope (20 days)
+2.3%
Distance from 50-day average
-3.1%
Distance from 200-day average
+7.3%
RSI (14)
45.2
Relative volume
0.92×

Risk and drawdowns

Volatility, 60 days (annualized)
58.3%
Volatility vs own 5-year history
91th percentile · High for this stock
Beta vs S&P 500 (2 years, weekly)
0.69
Correlation with S&P 500
0.19
Current drawdown from 1-year high
-10.6%
Maximum drawdown, 3 years
-78.2%

Largest declines in the past six years

From peakTo lowDeclineLengthRecovery
Nov 11, 2020Apr 21, 2025-82.8%1113 daysNot yet recovered

Declines of 10% or more from a closing high, measured on daily closes.

Financial statements

Market cap
$458.6M
P/E (TTM)
80.6
EPS, diluted (TTM)
$0.25
Revenue (TTM)
$140.0M
Dividend yield
3.14%
52-week range
$11.01 – $23.68
FY 2021FY 2022FY 2023FY 2024FY 2025
Revenue$148.0M$151.6M$148.6M$143.1M$137.4M
Gross profit$95.6M$94.5M$92.6M$86.1M$77.4M
Operating income$50.3M$46.5M$40.0M$35.2M$22.6M
Net income$37.5M$31.8M$31.0M$24.8M$11.6M
EPS (diluted)$1.46$1.27$1.25$1.04$0.52
Q3 2024Q4 2024Q1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
Revenue$35.8M$36.9M$33.6M$34.0M$34.6M$35.2M$34.8M$35.4M
Net income$5.7M$6.6M$5.8M-$106,000$4.1M$1.8M$3.2M-$3.3M
EPS (diluted)$0.24$0.28$0.25-$0.00$0.18$0.08$0.14-$0.15
FY 2021FY 2022FY 2023FY 2024FY 2025
Operating cash flow$46.3M$36.3M$38.1M$34.6M$26.4M
Capital expenditure-$5.5M-$9.8M-$15.8M-$15.4M-$10.7M
Free cash flow$40.8M$26.4M$22.3M$19.2M$15.7M
Dividends paid-$9.2M-$21.0M-$36.4M-$11.5M-$11.0M
Net share buybacks-$4.1M-$27.6M-$19.1M-$30.9M-$20.0M

Cash outflows are shown as negative numbers.

Cash and short-term investments
$3.3M
Total assets
$136.2M
Total liabilities
$129.6M
Total debt
$90.0M
Net debt
$86.7M
Shareholders’ equity
$6.5M

As of Jun 30, 2026 (filed Aug 4, 2026).

Dividends

Ex-dateAmountPaid
Sep 25, 2026$0.16Oct 9, 2026
Jun 26, 2026$0.16Jul 10, 2026
Mar 27, 2026$0.16Apr 10, 2026
Dec 26, 2025$0.16Jan 9, 2026
Sep 26, 2025$0.12Oct 10, 2025
Jun 27, 2025$0.12Jul 11, 2025
Mar 28, 2025$0.12Apr 11, 2025
Dec 27, 2024$0.12Jan 10, 2025

Short interest

Shares sold short
685,377
Days to cover
5.93
Change vs previous report
+7.6%

FINRA short interest, settlement date Sep 15, 2026.