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NRC HEALTH

For the period ended Dec 31, 2024. Filed Mar 17, 2025.

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A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2024 · Filed Mar 17, 2025

NRC$26.85+0.7%Stored close · as of Nov 10, 2026

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Item 8. Financial Statements and Supplementary Data

Item 8.Financial Statements and Supplementary Data

To the Shareholders and the 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, 2024 and 2023, 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, 2024, 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, 2024, 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, 2024 and 2023, and the results of its operations and its cash flows for each of the years in the three-year period ended December 31, 2024, 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, 2024 based on criteria established in Internal Control – Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the Treadway Commission.

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.

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.

Critical Audit Matter

The critical audit matter communicated below is a matter arising from the current period audit of the consolidated financial statements that was communicated or required to be communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of a critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

Sufficiency of audit evidence over new and modified subscription-based service agreement terms

As discussed in Notes 1 and 3 to the consolidated financial statements, revenue consists of service arrangement contracts with customers that can include more than one separately identifiable performance obligation. The Company’s revenue for the year ended December 31, 2024 included $134.2 million for subscription-based service agreements, a portion of which was revenue from new and modified subscription-based service agreements, that was recognized ratably over the subscription period and which agreements are renewable at the option of the customer. Subscription-based service agreements represent a single promise to stand ready to provide reporting, tools and services throughout the subscription period.

We identified the evaluation of the sufficiency of audit evidence over the key terms within new and modified subscription-based service agreements as a critical audit matter. Specifically, the nature and extent of procedures performed over the key terms within the new and modified subscription-based service agreements required subjective auditor judgment as recognition of revenue by the Company is dependent on the accuracy of the key terms within the related information technology (IT) application used to calculate revenue. The key terms within the new subscription-based service agreements included the description of service, transaction price, renewal price and contract term, and the key terms within the modified subscription-based service agreements were the transaction price and contract term.

The following are the primary procedures we performed to address this critical audit matter. We applied auditor judgment to determine the nature and extent of procedures to be performed over the accuracy of key terms within the IT application, including the identification of key terms. We evaluated the design and tested the operating effectiveness of certain internal controls related to the Company’s subscription-based service revenue process, including controls related to the key terms within the new and modified subscription-based service agreements. We also tested certain internal controls over the accurate input of the underlying key terms of the subscription-based service agreement into the related IT application. For a sample of revenue transactions, we compared the key terms used in the revenue calculation to the underlying contract with the customer. We evaluated the sufficiency of audit evidence obtained over the key terms within new and modified subscription-based service agreements by assessing the results of procedures performed, including the appropriateness of the nature and extent of audit effort.

/s/KPMG LLP

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

Omaha, Nebraska

March 17,2025

(In thousands, except share amounts)

20242023
Assets
Current assets:
Cash and cash equivalents$4,233$6,653
Trade accounts receivable, less allowance for doubtful accounts of $40 and $75, respectively11,05412,378
Prepaid expenses3,4804,228
Income taxes receivable141161
Other current assets692940
Total current assets19,60024,360
Net property and equipment38,26928,205
Intangible assets, net2,6161,471
Goodwill66,15261,614
Operating lease right-of-use assets1,6272,060
Deferred contract costs, net1,5621,453
Other noncurrent assets2,7133,274
Total assets$132,539$122,437
Liabilities and Shareholders’ Equity
Current liabilities:
Current portion of notes payable, net of unamortized debt issuance costs$4,789$7,214
Accounts payable1,1941,301
Accrued wages and bonuses4,7743,953
Accrued expenses5,0914,893
Dividends payable2,7702,906
Deferred revenue15,78614,834
Income Taxes Payable353222
Contingent consideration540—
Other current liabilities561880
Total current liabilities35,85836,203
Notes payable, net of current portion and unamortized debt issuance costs57,89529,470
Deferred income taxes3,5314,139
Contingent consideration, net of current portion319—
Other long-term liabilities3,6523,670
Total liabilities101,25573,482
Shareholders’ equity:
Preferred stock, $0.01 par value, authorized 2,000,000 shares, none issued——
Common stock, $0.001 par value; authorized 110,000,000 shares, issued 31,072,144 in 2024 and 31,002,919 in 2023, outstanding 23,083,116 in 2024 and 24,219,887 in 20233131
Additional paid-in capital180,249178,213
Retained earnings (accumulated deficit)(17,064)(30,530)
Accumulated other comprehensive loss, foreign currency translation adjustment——
Treasury stock, at cost; 7,989,028 Common shares in 2024 and 6,783,032 Common shares in 2023(131,932)(98,759)
Total shareholders’ equity31,28448,955
Total liabilities and shareholders’ equity$132,539$122,437

(In thousands, except share amounts)

202420232022
Revenue$143,060$148,580$151,568
Operating expenses:
Direct56,93356,01557,049
Selling, general and administrative44,91146,62142,699
Depreciation, amortization and impairment6,0225,8995,277
Total operating expenses107,866108,535105,025
Operating income35,19440,04546,543
Other income (expense):
Interest income125820168
Interest expense(2,595)(862)(1,209)
Reclassification of cumulative foreign currency translation adjustment into earnings——(2,569)
Other, net(34)(41)(118)
Total other income (expense)(2,504)(83)(3,728)
Income before income taxes32,69039,96242,815
Provision for income taxes7,9078,99111,015
Net income$24,783$30,971$31,800
Earnings per share of common stock:
Basic earnings per share$1.05$1.26$1.28
Diluted earnings per share$1.04$1.25$1.27
Weighted average shares and share equivalents outstanding
Basic23,70324,54024,922
Diluted23,74324,67325,052

(In thousands)

202420232022
Net income$24,783$30,971$31,800
Other comprehensive income (loss):
Cumulative foreign currency translation adjustment$—$—$(194)
Reclassification of cumulative foreign currency translation into earnings——2,569
Other comprehensive income (loss)$—$—$2,375
Comprehensive income$24,783$30,971$34,175

CONSOLIDATED STATEMENTS OF SHAREHOLDERS’** EQUITY**

(In thousands except share and per share amounts)

Common StockAdditional Paid-in CapitalRetained Earnings (Accumulated Deficit)Accumulated Other Comprehensive Income (Loss)Treasury StockTotal
Balances at December 31, 2021$31$173,942$(36,112)$(2,375)$(50,149)$85,337
Purchase of 756,817 shares treasury stock————(28,118)(28,118)
Issuance of 23,581 common shares for the exercise of stock options—311———311
Non-cash stock compensation expense—1,200———1,200
Dividends declared of $0.84 per common share——(20,872)——(20,872)
Other comprehensive income, foreign currency translation adjustment———(194)—(194)
Reclassification of cumulative foreign currency translation adjustment into earnings———2,569—2,569
Net income——31,800——31,800
Balances at December 31, 2022$31$175,453$(25,184)$—$(78,267)$72,033
Purchase of 489,024 shares treasury stock————(20,492)(20,492)
Issuance of 87,378 common shares for the exercise of stock options—1,825———1,825
Non-cash stock compensation expense—935———935
Dividends declared of $1.48 per common share——(36,317)——(36,317)
Net income——30,971——30,971
Balances at December 31, 2023$31$178,213$(30,530)$—$(98,759)$48,955
Purchase of 1,205,996 shares treasury stock————(33,173)(33,173)
Issuance of 75,283 common shares for the exercise of stock options—1,752———1,752
Non-cash stock compensation expense—284———284
Dividends declared of $0.48 per common share——(11,317)——(11,317)
Net income——24,783——24,783
Balances at December 31, 2024$31$180,249$(17,064)$—$(131,932)$31,284

(In thousands)

202420232022
Cash flows from operating activities:
Net income$24,783$30,971$31,800
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation, amortization and impairment6,0225,8995,277
Reclassification of cumulative translation adjustment into earnings——2,569
Deferred income taxes(664)(1,121)(1,729)
Reserve for uncertain tax positions258404488
Loss on disposal of property and equipment17—11
Non-cash share-based compensation expense2849351,200
Change in fair value of contingent consideration83——
Change in assets and liabilities:
Trade accounts receivable1,7572,084(733)
Prepaid expenses and other current and long-term assets1,749(1,767)1,634
Operating lease assets and liability, net(23)(127)(39)
Deferred contract costs, net(109)9881,331
Accounts payable(108)184(589)
Accrued expenses, wages and bonuses202(768)(2,947)
Income taxes receivable and payable1557956
Deferred revenue219(364)(2,014)
Net cash provided by operating activities34,62538,11336,265
Cash flows from investing activities:
Purchases of property and equipment(15,448)(15,779)(9,835)
Acquisition consideration, net of cash acquired(4,833)——
Proceeds from the sale of property and equipment—1—
Net cash used in investing activities(20,281)(15,778)(9,835)
Cash flows from financing activities:
Payments on notes payable(5,986)(4,528)(4,305)
Payment of debt issuance costs(42)(8)(92)
Borrowings on notes payable32,00019,000—
Borrowings on line of credit49,50015,000—
Payments on line of credit(49,500)(15,000)—
Payments on finance lease obligations(21)(290)(469)
Proceeds from the exercise of stock options—584—
Payment of payroll tax withholdings on share-based awards exercised(317)—(190)
Payment of deferred acquisition consideration——(1,950)
Repurchase of shares for treasury(30,945)(19,099)(27,616)
Payment of dividends on common stock(11,453)(36,366)(20,961)
Net cash used in financing activities(16,764)(40,707)(55,583)
Effect of exchange rate changes on cash—(1)(182)
Net increase (decrease) in cash and cash equivalents(2,420)(18,373)(29,335)
Cash and cash equivalents at beginning of period6,65325,02654,361
Cash and cash equivalents at end of period$4,233$6,653$25,026

CONSOLIDATED STATEMENTS OF CASH FLOWS, Continued

(In thousands)

202420232022
Supplemental disclosure of cash paid for:
Interest expense, net of capitalized amounts$2,440$803$1,227
Income taxes$8,225$8,932$12,233
Supplemental disclosure of non-cash investing and financing activities:
Purchase of property and equipment in accounts payable and accrued expenses$1,552$2,066$1,109
Stock tendered to the Company for cashless exercise of stock options in connection with equity incentive plans$1,752$1,241$311
Repurchase of shares for treasury in accounts payable and accrued expenses$311$152$—
Contingent consideration recorded in connection with acquisition$776$—$—

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. Our purpose is to humanize healthcare and support organizations in their understanding of each person they serve not as point-in-time insights, but as an ongoing relationship. We believe that understanding the story is the key to unlocking the highest-quality and truly personalized care. Our end-to-end solutions enable health care organizations to understand what matters most to each person they serve – before, during, after, and outside of clinical encounters – to gain a longitudinal understanding of how life and health intersect, with the goal of developing lasting, trusting relationships. Our portfolio of solutions represents a unique set of capabilities that individually and collectively provide value to our clients.

Principles of Consolidation

The consolidated financial statements include the accounts of the Company and our wholly-owned subsidiary, National Research Corporation Canada, until it was dissolved in August 2024. 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

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. Our Canadian subsidiary used Canadian dollars as its functional currency. We translated its assets and liabilities into U.S. dollars at the exchange rate in effect at the balance sheet date. We translated its revenue and expenses at the average exchange rate during the period. We included foreign currency translation gains and losses in accumulated other comprehensive income (loss), a component of shareholders’ equity. During December 2022, we substantially liquidated our investment in Canada. As a result, we reclassified the cumulative foreign currency translation adjustment balance into earnings and recognized a net cumulative foreign currency translation loss of $2.6 million, which is included in Other income (expense), net in our Consolidated Statements of Income. We repatriated the remaining cash from Canada in 2024.

Revenue Recognition

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;
●Determine the transaction price;
●Allocate the transaction price to the identified performance obligations; and
●Recognize revenue when, or as, we satisfy the performance obligations.

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 either annually or quarterly in advance but may also be billed on a 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.

Deferred Contract Costs

Deferred contract costs, net is stated at gross deferred costs less accumulated amortization. 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 tofive 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. We deferred incremental costs of obtaining a contract of $1.2 million, $395,000 and $454,000 in the years ended December 31, 2024, 2023 and 2022, respectively. Deferred contract costs, net of accumulated amortization was $1.6 million and $1.5 million at December 31, 2024 and 2023, respectively. Total amortization by expense classification for the years ended December 31, 2024, 2023 and 2022 was as follows:

202420232022
(In thousands)
Direct expenses$187$181$146
Selling, general and administrative expenses$864$1,161$1,625
Total amortization$1,051$1,342$1,771

Impairment of deferred contract costs due to lost clients for the years December 31, 2024, 2023 and 2022 were $57,000, $41,000 and $14,000 for the years ended December 31, 2024, 2023, and 2022, respectively.

Trade Accounts Receivable

The allowance for doubtful accounts is our best estimate of the amount of probable credit losses in our existing accounts receivable, determined based on our historical write-off experience, current economic conditions and reasonable and supportable forecasts about the future. 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, 2024, 2023 and 2022 (in thousands):

Balance at Beginning of PeriodBad Debt Expense (Benefit)Write-offsRecoveriesBalance at End of Period
Year Ended December 31, 2022$94$19$50$2$65
Year Ended December 31, 2023$65$99$99$10$75
Year Ended December 31, 2024$75$(76)$10$51$40

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 $3.7 million, $4.3 million and $3.6 million of costs incurred for the development of internal-use software for the years ended December 31, 2024, 2023 and 2022, respectively.

When a software license is included in a cloud computing arrangement and we have the legal right, ability and feasibility to download the software, it is accounted for as software, included in property and equipment, and amortized. If a software license is not included or we do not have the ability or feasibility to download software included in a cloud computing arrangement, it is accounted for as a service contract, which is expensed to direct expenses or selling, general and administrative expenses during the service period.

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 oftwo toten years for furniture and equipment, three tofive years for computer equipment, one tofive years for capitalized software, andseven toforty 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, including 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, 2024, 2023, or 2022.

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

●Significant underperformance in comparison to historical or projected operating results;
●Significant changes in the manner or use of acquired assets or 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 determine 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 an indefinite-lived intangible is less than its carrying amount, we calculate the fair value using a market or income approach. If the carrying value of the indefinite-lived intangible asset exceeds its fair value, then the intangible asset is written-down to its fair value. We didnot recognize any impairments related to indefinite-lived intangibles during 2024, 2023 or 2022.

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 unit, which is the same as our operating segment. 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 goodwill for 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 carrying value of the reporting unit exceeds the fair value, then goodwill is written down by this difference. We performed a qualitative analysis as of October 1, 2024 and determined the fair value of our reporting unit likely exceeded the carrying value. At December 31, 2024, we assessed our current market capitalization compared to book value, forecasts and margins in our last quantitative impairment testing. We concluded that it is not more likely than not that an impairment loss had been incurred at December 31, 2024. No impairments were recorded during the years ended December 31, 2024, 2023, or 2022.

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, 2024, 2023, and 2022, we recorded income tax benefits relating to these tax credits of $10,000, $2,000, and $36,000, respectively. Interest and penalties related to income taxes are included in income taxes in the Consolidated Statements 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 are as follows:

202420232022
(In thousands)
Amounts charged against income, before income tax benefit$284$935$1,200
Amount of related income tax benefit(268)(617)(436)
Net (benefit) expense to net income$16$318$764

We refer to our restricted stock awards as “non-vested” stock in these consolidated financial statements.

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 $4.2 million and $6.5 million as of December 31, 2024, and 2023, respectively, consisting primarily of money market accounts. At certain times, cash equivalent balances may exceed federally insured limits.

Leases

We determine whether a lease is included in an agreement at inception. We recognize a lease liability and a right-of-use (“ROU”) asset on the balance sheet for our operating leases under which we are lessee. 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 asset 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.

Due to remote working arrangements, we reassessed our office needs and subleased our Seattle location under an agreement considered to be an operating lease beginning in May 2021. We have not been legally released from our primary obligations under the original lease and therefore we continue to account for the original lease separately. Rent income from the sublessee are included in the statement of operations on a straight-line basis as an offset to rent expense associated with the original operating lease included in other expenses. There wereno ROU asset impairment charges in 2024, 2023 or 2022.

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 and liabilities measured at fair value on a recurring basis within the fair value hierarchy (in thousands):

Level 1 · Level 2 · Level 3 · Total
Financial Assets:
Money Market Funds$4,199$-$-$4,199
Total Cash Equivalents$4,199$-$-$4,199
Financial Liabilities:
Contingent Consideration Liability$-$-$859$859
Financial Assets:
Money Market Funds$6,471$-$-$6,471
Total Cash Equivalents$6,471$-$-$6,471

There were no transfers between levels during the years ended December 31, 2024 and 2023.

Our contingent consideration liability relates to potential future payments to the former owners of Nobl Health (“Nobl”), which was acquired in the third quarter of 2024 (See Note 2). The potential future payments are contingent upon the achievement of certain customer contract metrics. Contingent consideration was recognized at the date of acquisition and is remeasured at each reporting date at its estimated fair value. The remeasured fair value could differ materially from the initial estimates and uses significant unobservable inputs classified as Level 3 inputs. We measured fair value using a discounted cash flow model based on the present value of expected future payments, which considers the likelihood of meeting contract thresholds at future payment dates. Significant increases or decreases to any of the inputs in isolation could result in a significantly higher or lower liability. The change to the contingent consideration liability from the acquisition date, at each reporting date and the final amount paid, which is capped at $1.0 million, will be recognized in earnings. We recorded an increase of $83,000 to the fair value of contingent consideration, from $776,000 at the acquisition date to $859,000 at December 31, 2024, which is included in selling, general and administrative expenses.

Our long-term debt described in Note 8 is recorded at historical cost. The fair value of our variable rate long-term debt is believed to approximate the carrying value because we believe the current rate reasonably estimates the current market rate for our debt. The fair value of fixed rate long-term debt in 2023 was 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 (in thousands):

Level 1 · Level 2 · Total Fair Value · Carrying Amount
Variable rate long-term debt$62,801$-$62,801$62,801
Fixed rate long-term debt$-$17,403$17,403$17,787
Variable rate long-term debt19,000-19,00019,000
Total long-term debt$19,000$17,403$36,403$36,787

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 ROU assets, 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, 2024 and 2023, there wasno 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. We do not believe the final disposition of claims at December 31, 2024 will have a material adverse effect on our consolidated financial position, results of operations or liquidity.

We are self-insured for group medical and dental insurance. 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. In addition, we had aggregate claims loss coverage with a minimum aggregate deductible of $5.5 million, $5.4 million and $4.7 million, in 2024, 2023 and 2022, respectively. 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, 2024 and 2023, our accrual related to self-insurance was $364,000 and $449,000, respectively.

Earnings Per Share

Basic net income per share was computed 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.

We had 401,489,263,909 and 315,764 options of common stock for the years ended December 31, 2024, 2023 and 2022, respectively, which have been excluded from the diluted net income per share computation because their inclusion would be anti-dilutive. Performance-based stock option awards have not been included in the computation since the conditions have not been met.

The following table reconciles income and shares used to compute basic and diluted earnings per share:

202420232022
(In thousands, except per share data)
Numerator for net income per share – basic:
Net income$24,783$30,971$31,800
Allocation of distributed and undistributed income to unvested restricted stock shareholders(2)(8)(16)
Net income attributable to common shareholders$24,781$30,963$31,784
Denominator for net income per share – basic:
Weighted average common shares outstanding – basic23,70324,54024,922
Net income per share – basic$1.05$1.26$1.28
Numerator for net income per share – diluted:
Net income attributable to common shareholders for basic computation$24,781$30,963$31,784
Denominator for net income per share – diluted:
Weighted average common shares outstanding – basic23,70324,54024,922
Weighted average effect of dilutive securities – stock options40133130
Denominator for diluted earnings per share – adjusted weighted average shares23,74324,67325,052
Net income per share – diluted$1.04$1.25$1.27
(2)Acquisitions

On July 15, 2024, we entered a Stock Purchase Agreement to acquire all outstanding equity interests of Nobl, a provider of innovative rounding solutions for healthcare organizations, for cash delivered at closing of $6.0 million, subject to certain adjustments. We acquired Nobl to expand our portfolio of solutions and further support our experience partners in gathering real time employee and patient feedback. The Stock Purchase Agreement included a contingent consideration arrangement which requires payment of up to $1.0 million undiscounted to former owners of Nobl if recurring contract value exceeds $2.0 million. The amount is measured in December and June through June 2026 and paid in the following month. The potential undiscounted amount of all future contingent consideration payments that we may be required to pay ranges from $0 to $1.0 million. The fair value of the contingent consideration arrangement at acquisition of $776,000 was estimated by using a discounted cash flow model. Contingent consideration is remeasured at each reporting period through settlement with the change recognized in selling, general and administrative expenses (See Note 1).

Total consideration paid for Nobl is as follows (in thousands):

Cash paid$5,513
Estimated fair value of Contingent Consideration776
Fair value of total consideration transferred$6,289

The acquisition was accounted for as a business combination, using the acquisition method of accounting, which requires the allocation of the purchase price to the tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date. The fair values assigned to the intangible assets acquired were determined based on management’s estimates and assumptions, as well as other information compiled by management, including third-party valuations that utilize customary valuation procedures and techniques. The following table summarizes the final amounts of fair value of assets acquired and liabilities assumed at the acquisition date.

Recognized Amounts of Assets Acquired and Liabilities Assumed (In thousands)
Cash$680
Other current assets481
Property and equipment15
Customer related intangible580
Technology830
In process research & development890
Goodwill4,538
Other long-term assets72
Total assets acquired$8,086
Current liabilities1,645
Other long-term liabilities152
Total liabilities assumed1,797
Net assets acquired$6,289

Customer related and developed technology intangible assets are being amortized over their estimated useful lives of 7 and 5 years, respectively and a total weighted average of 5.8 years. The goodwill and identifiable intangible assets are not deductible for tax purposes. Goodwill related to the acquisition was primarily attributable to anticipated synergies and economies of scale expected from combining Nobl’s operations with ours, and other intangibles that do not qualify for separate recognition.

In process research and development (“IPR&D”) consists of Nobl’s development activities related to a significant upgrade to Nobl’s proprietary platform. Once the project is completed, the carrying value of the IPR&D will be reclassified to software and amortized over the estimated useful life of the asset.

The financial results associated with the Nobl assets we acquired and liabilities we assumed are included in our consolidated financial statements from the date of acquisition, although the amounts are insignificant for 2024. Pro-forma information has not been presented because the amounts for 2024 are insignificant. Acquisition-related costs of $119,000 are included in selling, general and administrative expenses for the year ended December 31, 2024.

(3)Contracts with Customers

The following table disaggregates revenue for the years ended December 31, 2024, 2023 and 2022 based on timing of revenue recognition (in thousands):

202420232022
Subscription services recognized ratably over time$134,208$140,172$141,981
Fixed, non-subscription recognized over time3,4473,5033,134
Services recognized at a point in time4,8054,0714,231
Unit price services recognized over time6008342,222
Total revenue$143,060$148,580$151,568

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

December 31, 2024 · December 31, 2023
Accounts receivables$11,054$12,378
Contract assets included in other current assets$186$84
Deferred revenue, current portion$15,786$14,834
Noncurrent Deferred Revenue included in other long-term liabilities$216$-

Significant changes in contract assets and contract liabilities during the years ended December 31, 2024 and 2023 are as follows (in thousands):

2024 · 2023
Contract Asset · Deferred Revenue · Contract Asset · Deferred Revenue
Increase (Decrease)
Revenue recognized that was included in deferred revenue at beginning of year due to completion of services$-$(15,341)$-$(15,100)
Increases due to invoicing of client, net of amounts recognized as revenue-15,608-14,837
Increases due to acquisition-948--
Decreases due to completion of services (or portion of services) and transferred to accounts receivable(84)-(102)-
Change due to cumulative catch-up adjustments arising from changes in expected contract consideration-(47)-(101)
Increases due to revenue recognized in the period with additional performance obligations before invoicing186-84-

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, 2024 approximated $109.5 million of which $41.6 million, $38.3 million, $25.1 million, $2.9 million and $1.6 million is expected to be recognized during 2025,2026,2027,2028 and 2029, 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. Our investment of $1.3 million in convertible preferred stock of PracticingExcellence.com, Inc., a privately-held Delaware corporation (“PX”) is included in non-current assets. 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. Therefore, it 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 16% of the issued and outstanding equity interests in PX.

(5)Property and Equipment

At December 31, 2024, and 2023, property and equipment consisted of the following:

20242023
(In thousands)
Furniture and equipment$3,425$3,886
Computer equipment1,6392,498
Computer software34,28834,143
Building33,38822,434
Leaseholds488488
Land425425
Property and equipment at cost73,65363,874
Less accumulated depreciation and amortization35,38435,669
Net property and equipment$38,269$28,205

Work in progress included in computer equipment, computer software and building at December 31, 2024 was $191,000, $759,000 and $25.6 million, respectively. Work in progress included in computer equipment, computer software and building at December 31, 2023 was $322,000, $129,000 and $14.6 million, respectively. Depreciation and amortization expense related to property and equipment, including assets under capital lease, for the years ended December 31, 2024, 2023, and 2022 was $5.8 million, $5.8 million and $5.1 million, respectively. We capitalize interest expense on major construction and development projects while in progress. Interest capitalized for 2024, 2023 and 2022 was $1.0 million, $566,000 and $216,000, respectively. There wereno significant impairments in property and equipment during 2024, 2023, and 2022. However, we did shorten the useful lives of certain assets to reflect our best estimate of when assets are expected to be disposed of or replaced.

(6)Goodwill and Intangible Assets

The following are the changes to the carrying amount of goodwill during the year ending December 31, 2024:

GrossAccumulated ImpairmentNet
(In thousands)
Balance at December 31, 2023$62,328$(714)$61,614
Goodwill acquired4,538-4,538
Balance at December 31, 2024$66,866$(714)$66,152

Intangible assets consisted of the following at December 31, 2024:

Useful Life · Gross · Accumulated Amortization · Net
(In years) · (In thousands)
Non-amortizing intangible assets:
Indefinite trade name1,1911,191
Amortizing intangible assets:
Customer related5-159,7729,214558
Technology3-72,7901,923867
Trade names101,5721,572—
Total amortizing intangible assets14,13412,7091,425
Total intangible assets other than goodwill$15,325$12,709$2,616

Goodwill and intangible assets consisted of the following at December 31, 2023:

GrossAccumulated ImpairmentNet
(In thousands)
Goodwill$62,328$(714)$61,614
Useful Life · Gross · Accumulated Amortization · Net
(In years) · (In thousands)
Non-amortizing intangible assets:
Indefinite trade name1,1911,191
Amortizing intangible assets:
Customer related5-159,1929,15240
Technology3-71,9591,719240
Trade names101,5721,572—
Total amortizing intangible assets12,72312,443280
Total intangible assets other than goodwill$13,914$12,443$1,471

There wereno changes in goodwill during the year ending December 2023.

Aggregate amortization expense for customer related intangibles, trade names, and technology for the years ended December 31, 2024, 2023 and 2022 was $264,000, $140,000, and $180,000, respectively. Estimated future amortization expense is $389,000, $249,000, $249,000, $249,000 and $166,000 for 2025, 2026, 2027, 2028 and 2029, respectively.

(7)Income Taxes

For the years ended December 31, 2024, 2023, and 2022, income before income taxes consists of the following:

202420232022
(In thousands)
U.S. Operations$32,690$40,031$43,156
Foreign Operations—(69)(341)
Income before income taxes$32,690$39,962$42,815

Income tax expense consisted of the following components:

202420232022
(In thousands)
Federal:
Current$6,817$8,220$9,988
Deferred(717)(891)(1,427)
Total$6,100$7,329$8,561
Foreign:
Current$12$(32)$(90)
Deferred-14—
Total$12$(18)$(90)
State:
Current$1,742$1,924$2,846
Deferred53(244)(302)
Total$1,795$1,680$2,544
Total$7,907$8,991$11,015

As a result of the Tax Cuts and Jobs Act (the “Tax Act”), we determined that we would no longer indefinitely reinvest the earnings of our Canadian subsidiary. Our Canadian subsidiary declared a deemed dividend to the Company of $1.4 million in 2022. Additionally, a withholding tax of 5% was paid for the dividend distribution. Due to the closure of the Canadian office, we also processed a return of capital from the Canadian subsidiary to the Company of $1.2 million in 2022.

We qualify for tax incentives through the Nebraska Advantage LB312 Act (“NAA”). The 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. For the year ended December 31, 2024, 2023 and 2022, the amortization of credits reduced operating expenses by approximately $265,000, $200,000 and $510,000, respectively. In addition, income tax credits of $10,000, $2,000 and $36,000 were recorded as a reduction to income tax expense for the years ended December 31, 2024, 2023 and 2022, respectively. Credits were lower in the 2023 year due to not meeting certain full time equivalent thresholds in Nebraska, causing certain credits to be recaptured and no additional credits to be earned. The NAA credit earning years are now complete. We have applied for the ImagiNE Act, the new economic development incentive program that replaces the NAA. When we meet certain investment criteria we will have the ability to earn similar credits as with the NAA.

We do not expect that Canada's enactment of Pillar Two will have a material impact to our income tax expense since all Canadian operations have ceased in 2022 and the company legally dissolved in August 2024. Pillar Two legislation has not been enacted in the other jurisdictions in which we operate, such as the United States, and we will continue to monitor our potential exposure as more jurisdictions adopt these provisions.

The differences between income taxes expected at the U.S. federal statutory income tax rate of 21 percent and the reported income tax (benefit) expense are summarized as follows:

202420232022
(In thousands)
Expected federal income taxes$6,865$8,392$8,991
Foreign tax rate differential(2)(4)(24)
State income taxes, net of federal benefit and state tax credits1,3241,3232,100
Share-based compensation(167)(334)(120)
Federal tax credits(401)(569)(408)
Uncertain tax positions1717322
Reclassification of cumulative translation adjustment into earnings——539
Withholding tax on repatriation of foreign earnings——(100)
Non-deductible expenses1139230
Other418(15)
$7,907$8,991$11,015

Deferred tax assets and liabilities at December 31, 2024 and 2023, were comprised of the following:

20242023
(In thousands)
Deferred tax assets:
Allowance for doubtful accounts$10$18
Accrued expenses526581
Share-based compensation1,1481,177
Accrued bonuses24312
Uncertain tax positions348326
Research & experimental expenditures3,9252,903
Lease liabilities422543
Gross deferred tax assets6,6225,560
Less valuation allowance——
Deferred tax assets6,6225,560
Deferred tax liabilities:
Prepaid expenses29145
Deferred contract costs387354
Property and equipment1,8461,966
Intangible assets7,2456,636
Right of Use Asset403502
Other24396
Deferred tax liabilities10,1539,699
Net deferred tax liabilities$(3,531)$(4,139)

On August 16, 2022, the Inflation Reduction Act of 2022 (“IRA”) was signed into U.S. law. The IRA includes implementation of a new alternative minimum tax, an excise tax on stock buybacks, and significant tax incentives for energy and climate initiatives, among other provisions. As a result of the IRA, we accrued excise taxes that increased the cost of treasury stock we acquired by $311,000 and $152,000 in 2024 and 2023, respectively. We have no other financial impacts from the IRA.

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 we will realize the benefits of these deductible differences.

The Tax Act amended Section 174 rules for the federal tax treatment of research or experimental (“R&E”) expenditures paid or incurred during the taxable year. The revised Section 174 rules require taxpayers to capitalize and amortize specified R&E expenditures over a period offive years (attributable to domestic research) or 15 years (attributable to foreign research), beginning with the midpoint of the taxable year in which the expenses are paid or incurred. Software development costs are expressly included in the definition of specified R&E expenditures after 2021. Due to this change in legislation we capitalized costs of $5.5 million, $7.8 million and $7.1 million for tax purposes in 2024, 2023 and 2022, respectively, resulting in deferred tax assets of $3.9 million, and $2.9 million at December 31, 2024 and 2023, respectively.

We had an unrecognized tax benefit at December 31, 2024 and 2023, of $2.2 million and $1.9 million, respectively, excluding interest of $68,000 and $43,000 at December 31, 2024 and 2023, respectively. Of these amounts, $1.9 million and $1.6 million at December 31, 2024 and 2023, 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 2024 and 2023 was as follows:

(In thousands)
Balance of unrecognized tax benefits at December 31, 2022$1,557
Reductions due to lapse of applicable statute of limitations(92)
Reductions due to tax positions of prior years—
Reductions due to settlement with taxing authorities—
Additions based on tax positions related to the current year478
Balance of unrecognized tax benefits at December 31, 2023$1,943
Reductions due to lapse of applicable statute of limitations(72)
Additions due to tax positions of prior years—
Reductions due to settlement with taxing authorities—
Additions based on tax positions related to the current year305
Balance of unrecognized tax benefits at December 31, 2024$2,176

We file income tax returns in the U.S. federal jurisdiction, various state jurisdictions, and until our Canadian subsidiary was dissolved in Canada federal and provincial jurisdictions. Tax years 2021 and forward remain subject to U.S. federal examination. Tax years 2018 and forward remain subject to state examination. Tax years 2020 and forward remain subject to Canadian federal and provincial examination.

(8)Credit Agreement

Our long-term debt consists of the following:

20242023
(In thousands)
Term Loan$14,268$17,787
Delayed Draw Term Loan48,53319,000
Less: current portion(4,789)(7,214)
Less: unamortized debt issuance costs(117)(103)
Notes payable, net of current portion$57,895$29,470

Our amended and restated credit agreement (the “Credit Agreement”) with First National Bank of Omaha (“FNB”) includes (i) a $30.0 million revolving credit facility (the “Line of Credit”), (ii) a $23.4 million term loan (the “Term Loan”) and (iii) a $75.0 million delayed draw-down term facility (the “Delayed Draw Term Loan” and, together with the Line of Credit and the Term Loan, the “Credit Facilities”). We may use the Delayed Draw Term Loan through May 2026 to fund dividends, any permitted future business acquisitions, capital expenditures or repurchases of our common stock. The Line of Credit is available to fund ongoing working capital needs and for other general corporate purposes.

Our Credit Facilities were amended on August 5, 2024, which (i) extended the maturity of the Line of Credit, (ii) extended the commitment date until which FNB will make loans available under the Delayed Draw Term Loan, (iii) revised the payments on the current balances of the Term Loan and the Delayed Draw Term Loan and any future balances on the Delayed Draw Term Loan to monthly installments amortized over ten-year periods, (iv) revised the interest rate on the Term Loan from a fixed 5% rate to a floating rate based on the 30-day Secured Overnight Financing Rate (“SOFR”), (v) extended the use of the Delayed Draw Term Loan to include dividends, stock repurchases, acquisitions and capital expenditures and (vi) increased the allowable building renovations excluded from the fixed charge coverage ratio covenant.

Borrowings under the Term Loan, Delayed Draw Term Loan and Line of Credit, if any, accrue interest at a floating rate equal to the SOFR plus 235 basis points (6.9% at December 31, 2024), which is payable monthly.

Principal payments on our amended Term Loan are due in monthly installments of $92,800 through May 2027 and a balloon payment for the remaining balance of $11.6 million is due May 28, 2027.

Principal payments are due on the Delayed Draw Term Loan in monthly installments of $318,790 through May 2027 and a balloon payment for the remaining balance of $39.4 million is due in May 28, 2027. We had the availability to borrow an additional $24 million on the Delayed Draw Term Loan at December 31, 2024.

Principal amounts outstanding under the Line of Credit are due and payable in full at maturity, in May 2027. As of December 31, 2024, we had the availability to borrow $30.0 million on the Line of Credit. The Line of Credit did not have a balance at December 31, 2024 or 2023. The weighted average borrowings on the Line of Credit for the years ended December 31, 2024 and 2023 were $8.5 million and $1.7 million, respectively. There wereno borrowings on the Line of Credit in the year ended December 31, 2022. The weighted average interest rate on borrowings on the Line of Credit during years ended December 31, 2024 and 2023 were 7.52% and 7.67%, respectively.

We are 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.

The Credit Agreement is collateralized by substantially all of our assets, subject to permitted liens and other agreed exceptions, 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. Pursuant to the Credit Agreement, we are required to maintain a minimum fixed charge coverage ratio of 1.10 x for all testing periods throughout the term(s) of the Credit Facilities, which calculation excludes, unless our liquidity falls below a specified threshold, (i) any cash dividend in a fiscal quarter that, together with all other cash dividends paid or declared during such fiscal quarter, exceeds $5.5 million in total cash dividends paid or declared, (ii) the portion of the purchase price for any permitted share repurchase of our shares paid with cash on hand, (iii) the portion of any acquisition consideration for a permitted acquisition paid with cash on hand, and (iv) up to $27.5 million of costs associated with our building renovation from or after January 1, 2023. We are also required to maintain a cash flow leverage ratio of 3.00 x or less for all testing periods throughout the term(s) of the Credit Facilities. 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. As of December 31, 2024, we were in compliance with our financial covenants.

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).

Scheduled maturities of notes payable at December 31, 2024 are as follows (in thousands):

20254,842
20264,940
202753,020
(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.

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. The 2004 Director Plan provides for grants of nonqualified stock options to each of our directors who we do not employ. 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. Stock options vest approximatelyone year following the date of grant and option terms are generally the earlier often years following the date of grant, orthree years from the termination of the outside director’s service. At December 31, 2024, there were 616,402 shares of common stock available for issuance pursuant to future grants under the 2004 Director Plan. We have accounted for grants of 2,383,598 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. 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 toten years following the date of grant. At December 31, 2024, there were 378,118 shares of common stock available for issuance pursuant to future grants under the 2006 Equity Incentive Plan. We have accounted for grants of 1,421,882 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.

Performance-Based Stock Option Awards

We grant stock options to selected executives with vesting contingent upon meeting certain Company-wide performance goals. The performance goals for options issued in 2024 are based on reaching a total recurring contract value target, measured at the end of the performance period, December 31, 2026. Vesting is also dependent upon remaining in our employment through the performance period. The performance awards issued in 2024 have a six-year contractual term. We recognize compensation expense prospectively from the date it is deemed probable that the performance goal will be met through the end of the performance period. We did not recognize compensation expense related to performance-based awards in 2024 since achieving the performance goals was not deemed probable. We granted 404,833 performance-based stock option awards during the year ended December 31, 2024. No performance-based stock options were awarded in 2023 or 2022.

The fair value of performance-based stock options granted was estimated using a Black-Scholes valuation model with the following weighted average assumptions:

Expected dividend yield at date of grant1.44%
Expected stock price volatility33.83%
Risk-free interest rate4.13%
Expected life of options (in years)4.0

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.

The following table summarizes performance-based stock option activity under the 2006 Equity Incentive Plan for the year ended December 31, 2024:

Number of OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual Terms (Years)Aggregate Intrinsic Value (In thousands)
Outstanding at December 31, 2023—$—
Granted404,833$39.54
Exercised—$—
Forfeited—$—
Outstanding at December 31, 2024404,833$39.545.05$—
Exercisable at December 31, 2024—$——$—

Service-Based Stock Option Awards

We also grant stock options to directors and selected executives with vesting based on specified service periods. Vesting terms vary with each grant and option awards are generally five toten years following the date of grant. We recognize compensation expense on a straight-line basis over the service period specified in the award. We granted 54,530,96,359 and 127,227 service-based stock option awards during the years ended December 31, 2024, 2023, and 2022, respectively.

The fair value of service-based stock options granted in 2024, 2023 and 2022 were estimated using a Black-Scholes valuation model with the following weighted average assumptions:

202420232022
Expected dividend yield at date of grant1.94%2.13%3.39%
Expected stock price volatility33.75%35.12%35.52%
Risk-free interest rate4.50%3.61%2.33%
Expected life of options (in years)5.06.856.29

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.

The following table summarizes service-based stock option activity under the 2006 Equity Incentive Plan and the 2004 Director Plan for the year ended December 31, 2024:

Number of OptionsWeighted Average Exercise PriceWeighted Average Remaining Contractual Terms (Years)Aggregate Intrinsic Value (In thousands)
Outstanding at December 31, 2023569,168$35.72
Granted54,530$29.76
Exercised75,283$23.27
Expired21,289$50.32
Forfeited56,805$43.83
Outstanding at December 31, 2024470,321$35.385.46$146
Exercisable at December 31, 2024322,711$33.454.45$146

The following table summarizes information related to stock options for the years ended December 31, 2024, 2023 and 2022:

202420232022
Weighted average grant date fair value of stock options granted$11.12$13.29$9.43
Intrinsic value of stock options exercised (in thousands)$1,275$2,037$648
Intrinsic value of stock options vested (in thousands)$146$3,894$4,369

As of December 31, 2024, the total unrecognized compensation cost related to non-vested performance-based and service-based stock option awards was approximately $5.2 million which was expected to be recognized over a weighted average period of 2.0 years.

There was $584,000 in cash received from stock options exercised for the year ended December 31, 2023. No cash was received for stock options exercised for the years ended December 31, 2024 and 2022. We recognized $440,000, $997,000, and $1.1 million of non-cash compensation for the years ended December 31, 2024, 2023, and 2022, respectively, related to options, which is included in direct and selling, general and administrative expenses. The actual tax benefit realized for the tax deduction from stock options exercised was $316,000, $498,000, and $160,000 for the years ended December 31, 2024, 2023, and 2022, respectively.

Non-vested Stock Awards

No shares of non-vested common stock were granted during the years ended December 31, 2024, 2023 or 2022.6,058 shares were forfeited during the year ended December 31, 2024. As of December 31, 2024, there wereno non-vested shares of common stock outstanding andno related remaining unrecognized compensation cost to recognize. We recognized non-cash compensation expense (benefit) of ($156,000), ($62,000), and $109,000 for the years ended December 31, 2024, 2023, and 2022, respectively, related to this non-vested stock, which is included in direct and selling, general and administrative expenses. No restricted stock vested during the years end December 31, 2024, 2023 and 2022.

The following table summarizes information regarding non-vested stock granted to associates under the 2006 Equity Incentive Plans for the year ended December 31, 2024:

Common Stock OutstandingCommon Stock Weighted Average Grant Date Fair Value Per Share
Outstanding at December 31, 20236,058$42.92
Granted—$—
Vested—$—
Forfeited6,058$42.92
Outstanding at December 31, 2024—$—
(10)Leases

We lease printing, computer, other equipment and office space in the United States. The leases remaining terms as of December 31, 2024 range from less thanone year to 6.09 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 years ended December 31, 2024, 2023 and 2022 included (in thousands):

202420232022
Operating leases$600$503$527
Finance leases:
Asset amortization25310462
Interest on lease liabilities2619
Variable lease cost3710195
Short-term lease cost82587
Sublease income(123)(125)(123)
Total net lease cost$549$820$1,067

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

December 31, 2024December 31, 2023
Operating leases:
Operating ROU assets$1,627$2,060
Current operating lease liabilities550581
Noncurrent operating lease liabilities1,1561,650
Total operating lease liabilities$1,706$2,231
December 31, 2024December 31, 2023
Finance leases:
Furniture and equipment$179$179
Computer Equipment—593
Computer Software—207
Property and equipment under finance lease, gross179979
Less accumulated amortization161937
Property and equipment under finance lease, net$18$42
Current obligations of finance leases$10$22
Noncurrent obligations of finance leases919
Total finance lease liabilities$19$41
Weighted average remaining lease term (in years):
Operating leases4.194.81
Finance leases1.922.18
Weighted average discount rate:
Operating leases5.26%5.05%
Finance leases6.40%5.78%

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

202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$693$684$563
Operating cash flows from finance leases1418
Financing cash flows from finance leases21290469
ROU assets obtained in exchange for operating lease liabilities—1,97183

Undiscounted future payments under non-cancelable finance and operating leases at December 31, 2024 were as follows (in thousands):

Finance Leases · Operating Leases
2025$10$624
202610495
2027—231
2028—184
2029—184
Thereafter—198
Total minimum lease payments201,916
Less: Amount representing interest1210
Present value of minimum lease payments191,706
Less: Current portion10550
Lease obligations, net of current portion$9$1,156

The undiscounted cash receipts due under the operating sublease agreement at December 31, 2024 are $65,000, which are due in 2025.

(11)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% of the first 6% of compensation contributed by each associate. The Employer contributions, which are discretionary, vest to participants at a rate of 20% per year. We contributed $547,000, $561,000, and $588,000, in 2024, 2023, and 2022, respectively, as a matching percentage of associate 401(k) contributions.

(12)Segment Information

We assess segment reporting in accordance with FASB Accounting Standards Codification Topic 280, Segment Reporting, each reporting period, including evaluating the reporting package provided and reviewed by the Chief Operating Decision Maker (“CODM”). We have concluded that our Chief Executive Officer is our CODM.

Based on the way our business is managed and reported to our CODM, we believe we have a single operating segment. We also have one reportable segment. Our revenue is primarily derived in the United States and our business is managed on a consolidated basis. All of our solutions within our one reporting segment provide analytics and insights that facilitate the measurement and improvement of patient and employee experience for healthcare organizations related to marketing, experience, reputation and governance.

The accounting policies for our operating segment are consistent with those described in the summary of significant accounting policies. The CODM assesses performance of our segment and allocates resources based on revenue and associate expenses based on three team categories: delivery, growth and support. The CODM uses net income, cash balances and debt availability to make decisions related to dividend distributions, acquisitions, and stock repurchases. Our segment results for our one reportable segment are the same as presented in our Consolidated Statements of Income. We do not have intra-entity sales or transfers. The measure of segment assets is reported on our consolidated balance sheet as total consolidated assets.

The table below presents our segment results, including other significant expenses reported to our CODM and other information related to our segment for the years ended December 31, 2024, 2023, and 2022 (in thousands) :

202420232022
Revenue$143,060$148,580$151,568
Less:
Delivery associate expense23,72622,06028,634
Delivery other operating expenses31,66730,20128,859
Delivery total operating expenses55,39352,26157,493
Growth associate expenses23,40724,23319,860
Growth other operating expenses6,8039,4735,580
Growth total operating expenses30,21033,70625,440
Support associate expenses5,9406,1346,507
Support other operating expenses16,32316,43415,585
Support total operating expenses22,26322,56822,092
Operating income35,19440,04546,543
Interest income125820168
Interest expense(2,595)(862)(1,209)
Reclassification of cumulative foreign currency translation adjustment into earnings--(2,569)
Other non-operating income (expense)(34)(41)(118)
Provision for income taxes(7,907)(8,991)(11,015)
Net income$24,783$30,971$31,800
202420232022
Other significant expenses provided to CODM*
Variable direct expenses$22,821$22,797$21,892
Fixed direct expenses34,11233,21835,127
IT operational expenses20,11918,91719,332
Total expenditures for purchases of long-lived assets**21,85618,7079,965
Other significant noncash items*
Depreciation, amortization and impairment expense$6,022$5,899$5,277
Deferred income tax benefits6641,1211,729
Reserve for uncertain tax positions258404488
Share-based compensation2849351,200
Contingent consideration liability assumed for acquisition776--
*Other significant expenses are also included within the team expenses captions such as associate and other operating expenses.
**Long-lived assets include property and equipment, right of use assets, intangible assets and goodwill, including those acquired in business combinations.

We closed the Canada office in 2022. As a result, no Canadian revenue is expected to be generated after 2022 and there were no long-lived assets remaining in Canada. The table below presents entity-wide information regarding our revenue and assets for the years ended and as of December 31, 2024, 2023, and 2022, by geographic area (in thousands):

202420232022
Revenue:
United States$143,060$148,580$150,775
Canada--793
Total$143,060$148,580$151,568
Long-lived assets (property and equipment, right of use assets, right of use assets, identifiable intangibles and goodwill):
United States$108,664$93,350$81,029
(13)Subsequent Events

In February 2025, we entered a new credit agreement (the “New Credit Agreement”) with a group of lenders and FNB that amends and restates the terms of our existing Credit Facility, as amended. The New Credit Agreement provides for (i) a $30,000,000 revolving credit facility (the “Revolving Loan”) and (ii) a $110,000,000 delayed draw-down term facility (“the “New Delayed Draw Term Loan” and, together with the Revolving Loan, the “New Credit Facilities”). The New Delayed Draw Term Loan includes an accordion feature that, so long as no event of default exists or would exist after giving effect to such increase, allows us to request an increase in the New Delayed Draw Term Loan of up to the lesser of (x) $25,000,000 and (y) our EBITDA as of the preceding four fiscal quarters, exercisable in increments of $10,000,000 (or the remaining available amount of the accordion, if less).

Interest accrues and is payable monthly on the New Delayed Draw Term Loan and the Revolving Loan at a floating rate equal to the one-month Term SOFR plus a percentage per annum determined by our cash flow leverage ratio, ranging from 2.25% to 2.75%. Principal amounts outstanding under the Revolving Loan are due and payable in full at maturity at February 6, 2028. Principal amounts outstanding under the New Delayed Draw Term Loan are due and payable monthly during the term of the New Delayed Draw Term Loan, in equal monthly installments to amortize the aggregate outstanding principal balance by (i)5% during each of the first three years and (ii)7.5% during each of the fourth and fifth years following the date of such loan. All outstanding principal and interest on the New Delayed Draw Term Loan are due and payable in full at the maturity date, February 6, 2030.

We are obligated to pay ongoing unused commitment fees quarterly in arrears at a percentage per annum determined by our cash flow leverage ratio, ranging from 0.15% to 0.30%, based on the actual daily unused portions of the Revolving Loan and the New Delayed Draw Term Loan, respectively.

The New 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 present and future assets (including, without limitation, fee-owned real property).

The New 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 New Credit Agreement also contains certain financial covenants with respect to minimum fixed charge coverage ratio and maximum cash flow leverage ratio. We are required to maintain a minimum fixed charge coverage ratio of 1.10 x for all testing periods throughout the terms of the New Credit Facilities, which calculation excludes certain specified items, unless our liquidity falls below a specified threshold. We are also required to maintain a cash flow leverage ratio of 3.50 x or less for all testing periods throughout the terms of the New Credit Facilities.

In February 2025, our Board of Directors appointed a new Chief Executive Officer effective June 1, 2025 (the “Effective Date”). In connection with his appointment, he will receive an annual salary, a grant of 500,000 shares of our common stock (“the Shares”), and a cash signing bonus. The Shares to be granted on the Effective Date are subject to the following restrictions: (i) we have the option to repurchase the shares for $1.00 if he is terminated for cause or resigns without good reason prior to the third anniversary of the Effective Date, (ii) prior to the third anniversary of the Effective Date, he may not transfer the shares, except (a) with the consent of the Company or (b) to certain family members, trusts for the benefit of such family members, or upon death, incompetency, or disability, and (iii) after the third anniversary of the Effective Date, only 50% of the Shares may be transferred during his employment by the Company. Based on our stock price on February 28, 2025, the estimated quarterly non-cash charge for his equity grant is $608,000, beginning in June 2025 and continuing through the third anniversary of the grant. The cash signing bonus, to be recognized in the second quarter of 2025, will be equal to the value of the Shares (based on the closing price of our common stock on the trading day prior to the Effective Date) multiplied by 66 2/3%, which is estimated at $4.9 million, based on the stock price of our common stock on February 28, 2025.

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