NATIONAL RESEARCH CORP
10-K405, 2000-03-29
TESTING LABORATORIES
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-K

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

     For the fiscal year ended December 31, 1999

                                       or

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

     For the transition period from _______________ to _______________

                         Commission file number: 0-29466

                          NATIONAL RESEARCH CORPORATION
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)

                 Wisconsin                                 47-0634000
     ---------------------------------                 -------------------
       (State or other jurisdiction                     (I.R.S. Employer
     of incorporation or organization)                 Identification No.)

              1033 "O" Street
             Lincoln, Nebraska                               68508
  ----------------------------------------                 ----------
  (Address of principal executive offices)                 (Zip code)

Registrant's telephone number, including area code:  (402) 475-2525

Securities registered pursuant to Section 12(b) of the Act:  None

Securities registered pursuant to Section 12(g) of the Act:

                                 Title of Class

                          Common Stock, $.001 par value

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days. Yes X   No
                                      ---    ---

Indicate by check mark if disclosure of delinquent  filers  pursuant to Item 405
of Regulation  S-K is not contained  herein,  and will not be contained,  to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. [X]

Aggregate  market  value  of the  voting  stock  held  by  nonaffiliates  of the
registrant at March 1, 2000: $9,046,238.

Number of shares of the registrant's  common stock outstanding at March 1, 2000:
7,006,300 shares.

                       DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Proxy Statement for the 2000 Annual Meeting of Shareholders  are
incorporated by reference into Part III


<PAGE>


                                     PART I

Item 1.   Business

General

          National Research  Corporation ("NRC" or the "Company") believes it is
a leading provider of ongoing survey-based performance measurement, analysis and
tracking  services  to the  healthcare  industry.  The  Company  believes it has
achieved  this  leadership  position  based on its  over 19  years  of  industry
experience and its relationships  with many of the industry's largest payers and
providers.  The Company  addresses the growing need of healthcare  providers and
payers to  measure  the care  outcomes,  specifically  satisfaction  and  health
status,  of their patients and/or members.  NRC has been at the forefront of the
industry in  developing  tools that enable  healthcare  organizations  to obtain
service  quality  information  necessary to comply with industry and  regulatory
standards and to improve their business  practices so that they can maximize new
member and/or patient attraction, member retention and profitability.

          Since its founding 19 years ago as a Nebraska corporation (the Company
reincorporated  in  Wisconsin  in  September  1997),  NRC  has  focused  on  the
information  needs of the healthcare  industry.  The Company's  primary types of
information  services  are  renewable  performance  tracking  services,   custom
research and a renewable syndicated service.  During 1999, NRC provided services
to  more  than  267  healthcare  organizations,   including  health  maintenance
organizations  ("HMOs"),  integrated  healthcare  systems,  medical  groups  and
industry  regulatory  bodies.  The Company  gathered and analyzed over 1,407,000
completed surveys for these clients in 1999.

          One of the Company's  growth  strategies has been to expand its client
base by adding new sales associates and by pursuing  strategic  opportunities to
acquire other healthcare  performance  information  providers.  During 1999, the
Company followed this strategy by hiring new sales associates. In June 1998, the
Company also acquired Healthcare  Research Systems,  Ltd. ("HRS"), an Ohio-based
provider of survey-based performance measurement, analysis and tracking services
to the healthcare industry.

          While  performance  data has always  been of  interest  to  healthcare
providers and payers,  such  information  has become  increasingly  important to
these entities as a result of regulatory, industry and competitive requirements.
In recent years,  the healthcare  industry has been under  significant  pressure
from  consumers,  employers  and the  government  to reduce  costs.  Through the
implementation  of  managed  care,  which  currently  covers a  majority  of all
Americans,  the rate of  growth  in  healthcare  costs  has  been  substantially
reduced.  However,  the same  parties  that  demanded  cost  reductions  are now
concerned that  healthcare  service quality is being  compromised  under managed
care.  This concern has created a demand for consistent,  objective  performance
information  by which  healthcare  providers  and  payers  can be  measured  and
compared and on which physicians' compensation can, in part, be based.

The NRC Solution

          The Company addresses healthcare  organizations' growing need to track
their performance at the enterprise-wide,  departmental and  physician/caregiver
levels.  The Company has been at the  forefront  of the  industry in  developing
tools  that  enable  its  clients  to  collect,  in  an  unobtrusive  manner,  a
substantial  amount  of  comparative  service  quality  information  in order to
analyze and  improve  their  practices  to maximize  new member  and/or  patient
attraction,  member retention and profitability.



                                      -2-
<PAGE>


NRC's performance  assessments offer the tangible  measurement of health service
quality  currently  demanded by  consumers,  employers,  industry  accreditation
organizations and lawmakers.

          The Company's innovative solutions respond to managed care's redefined
relationships  among  consumers,  employers,  payers and  providers.  While many
vendors exclusively use static, mass produced questionnaires,  NRC also utilizes
its dynamic data collection process to create a personalized  questionnaire that
evaluates  service  issues  specific to each  respondent's  specific  healthcare
experience.  The  flexibility  of the Company's data  collection  process allows
healthcare  organizations  to add timely,  market driven  questions  relevant to
matters such as industry performance mandates,  employer performance  guarantees
and internal quality improvement initiatives.  In addition, the Company assesses
core service factors  relevant to all healthcare  respondent  groups  (patients,
members, employers, employees,  physicians, etc.) and to all service points of a
healthcare  system  (inpatient,   emergency  room,   outpatient,   home  health,
rehabilitation, long-term care, hospice, etc.).

          NRC offers renewable  performance  tracking services,  custom research
and a renewable  syndicated  service.  The NRC Listening  System (the "Listening
System") is a renewable  performance  tracking  tool for gathering and analyzing
data  from  survey  respondents.   The  Company  has  the  capacity  to  measure
performance beyond the enterprise-wide  level and has the ability and experience
to  determine  key  performance  indicators  at the  department  and  individual
physician/caregiver  measurement  levels,  where the Company's services can best
guide the efforts of its clients to improve  quality  and enhance  their  market
position.  Additional  offerings include functional  disease-specific and health
status measurement tools. The Company's custom research enables NRC's clients to
conduct  specific  studies in order to identify areas of improvement and measure
market issues and opportunities. The syndicated NRC Healthcare Market Guide (the
"Market Guide"), a stand-alone  market information and competitive  intelligence
source as well as a  comparative  performance  database,  allows  the  Company's
clients to assess their  performance  relative to the  industry,  to access best
practice examples and to utilize competitive information for marketing purposes.
Recognizing   the   increasing   applications   for   self-reported   healthcare
assessments,  NRC works with its clients to integrate  satisfaction  measurement
into various areas of their businesses, including physician compensation. As the
Company partners with its clients, it seeks to enhance relationships  throughout
the healthcare organization and thereby both broaden and deepen the scope of its
projects.

Growth Strategy

          The  Company  believes  that  it can  continue  to grow  through:  (i)
expanding  the depth and breadth of its current  clients'  performance  tracking
programs,   since  healthcare   organizations  are  increasingly  interested  in
gathering  performance  information at deeper levels of their  organizations and
from more of their  constituencies,  (ii)  increasing the  cross-selling  of its
complementary  services,  (iii)  adding  new  clients  through  penetrating  the
sizeable  portion  of  the  healthcare  industry  that  is  not  yet  conducting
performance   assessments  beyond  the  enterprise-wide  level  or  is  not  yet
outsourcing this function and (iv) pursuing  acquisitions of, or investments in,
firms providing products,  services or technologies that complement those of the
Company.

Information Services

          The Listening System is NRC's state-of-the-art data collection process
which  provides  ongoing,   renewable  performance  tracking.  This  performance
tracking  program  efficiently  coordinates  and  centralizes an  organization's
satisfaction  monitoring,  thereby establishing a uniform methodology and survey
instrument needed to obtain valid  performance  information and improve quality.
Using the



                                      -3-
<PAGE>


industry method of mail and/or telephone based data collection,  this assessment
process monitors  satisfaction  across  healthcare  respondent groups (patients,
members,   employers,   employees,   physicians,   etc.)  and  service  settings
(inpatient,  emergency room,  outpatient,  etc.). Rather than be limited to only
static,  mass  produced  questionnaires  that provide  limited  flexibility  and
performance  insights,   NRC's  proprietary  software  generates  individualized
questionnaires,  which include  personalization  such as patient name,  treating
caregiver name,  encounter date and, in some cases, the services received.  This
personalization  enhances the response  rates and the  relevance of  performance
data. Flexible and responsive to healthcare  organizations  changing information
needs,  NRC creates  personalized  questionnaires  that evaluate  service issues
specific  to  each  respondent's  specific  healthcare  experience  and  include
questions   that   address  core   service   factors   throughout  a  healthcare
organization.

          As  differentiated  from other  competitors,  the Company gathers data
through one efficient questionnaire, the contents of which are selected from the
Company's library of questions after a client's needs are determined, as opposed
to multiple questionnaires that often bombard the same respondents. As a result,
the  Company's  renewable  performance  tracking  programs  and data  collection
process (i) realize higher response  rates,  obtain data more  efficiently,  and
thereby  provide  healthcare  organizations  with more feedback,  (ii) eliminate
oversurveying  (where one respondent  receives multiple surveys) and (iii) allow
healthcare  organizations to adapt  questionnaire  content to address management
objectives  and  to  assess  quality   improvement   programs  or  other  timely
marketplace issues.

          Recognizing that  performance  programs must do more than just measure
satisfaction,  NRC has  developed  a one-page  reporting  format  called the NRC
Action  Plan that  provides  a basis on which to make  improvements.  NRC Action
Plans show healthcare  organizations which service factors their customer groups
value,  which  have the  greatest  impact on  satisfaction  levels and how their
performance in relationship  to these key indicators  changes over time. NRC has
also developed  on-line access to satisfaction  performance  results,  which, in
2000,  is  anticipated  to provide  NRC's clients the fastest and easiest way to
access measurement results. IDEAS, NRC's exclusive web-based electronic delivery
system,  will provide clients the ability to review results and reports on-line,
independently  analyze  data,  query  data  sets,  customize  some  reports  and
distribute reports electronically.

          In order to be a sole source provider to its clients, the Company also
conducts custom research that measures and monitors  market  characteristics  or
issues specific to individual  healthcare  organizations.  NRC's custom research
includes  consumer  recall  of  promotional  and  branding  campaigns,  consumer
response to new service  offerings  and provider  perception of health plans and
healthcare  organizations.  The Company  generally  utilizes phone interviews to
collect relevant data for these custom studies.

          The  Company's  renewable  nationally   syndicated  service,  the  NRC
Healthcare  Market  Guide,  serves  as  a  stand-alone  market  information  and
competitive  intelligence source as well as a comparative  performance database.
Published by NRC  bi-annually  from 1988 to 1996 and annually  since 1996,  this
survey,  which is the largest of its kind,  asks  consumers via a  pre-recruited
third-party  panel,  members of which are sent Market  Guide  questionnaires  to
complete, to evaluate their health plans, health systems,  physicians/caregivers
and  personal  health  status.  Representing  the  views  of  one in  every  570
households  across every county in the  continental  United  States,  the Market
Guide  provides  name  specific  performance  data on 600 managed care plans and
2,500  hospitals  nationwide  and addresses more than 100 data items relevant to
healthcare  payers,   providers  and  purchasers.   Utilizing  this  proprietary
database,  the Company is able to produce  reports which are  customized to meet
individual  client's  specific  information  needs.  Similarly,   the  service's
national name search feature allows a healthcare organization with a national or
regional presence to simultaneously compare the



                                      -4-
<PAGE>


performance of all its sites and pinpoint where strengths and weaknesses  exist.
The service's  trending  capacity  details how the  performance  of a healthcare
organization changes over time. Other data collected in the Market Guide profile
health plan  market  share,  consumers'  health plan  decision  making  factors,
physician/caregiver   accessibility,   hospital/healthcare  system  quality  and
chronic  patient  populations.  The  Company  gives  clients  easy access to the
customized  version  of the  Market  Guide they  purchase  via its  CD-ROM-based
desktop  delivery  system the Report Card System.  This  delivery  system allows
healthcare  professionals  to generate  reports in  numerous  formats to support
their decision making.

Clients

          The  Company's ten largest  clients  accounted for 43%, 40% and 64% of
the Company's  total revenues in 1999, 1998 and 1997,  respectively.  The United
States Department of Defense,  through a primary  contractor,  United Healthcare
Corporation,  accounted  for  15.7%  of  total  revenues  in  1999.  HealthSouth
Corporation  accounted for 12.9% of total revenues in 1999. Overall, the Company
served more than 267 healthcare organizations in 1999.

Sales and Marketing

          The Company has  generated  the majority of its  revenues  from client
renewals,  supplemented  by its  internal  marketing  efforts and a direct sales
force. To increase  geographic  penetration,  NRC increased its six person sales
force to nine  persons in 1999.  New sales  associates  now direct  NRC's  sales
efforts from two locations in California and one additional office in Tennessee.
The Company is also in the process of searching for additional sales associates.
As compared to the typical  industry  practice of compensating  salespeople with
relatively  high  base  pay  and  a  relatively  small  sales  commission,   NRC
compensates  its sales  associates with relatively low base pay and a relatively
high, per sale  commission.  The Company  believes this  compensation  structure
provides incentives to its sales associates to surpass sales goals and increases
the  Company's  ability to attract top  quality  sales  associates.  The average
healthcare/market research industry experience of the Company's sales associates
is over 11 years at year-end.

          Numerous  marketing  efforts  support  the direct  sales  force's  new
business  generation  and project  renewal  initiatives.  NRC conducts an annual
direct  marketing  campaign  around  scheduled  trade shows,  including  leading
industry  conferences.  NRC uses this  lead  generation  mechanism  to track the
effectiveness  of marketing  efforts and add generated  leads to its database of
current and potential client contacts.  Finally,  the Company's public relations
program  includes (i) an ongoing presence in leading industry trade press and in
the mainstream  press; (ii) public speaking at strategic  industry  conferences;
(iii)  fostering  relationships  with key industry  constituencies;  and (iv) an
annual Quality Leaders award program  recognizing  top-ranking health systems in
approximately 100 markets.

          The Company's integrated  marketing activities  facilitate its ongoing
receipt  of  project  requests-for-proposals  as  well  as  direct  sales  force
initiated  prospect  contact.  The sales process typically spans a 90-day period
encompassing  the  identification  of a  healthcare  organization's  information
needs,  the education of prospects on NRC solutions (via proposals and in-person
sales  presentations)  and the closing of the sale.  The  Company's  sales cycle
varies  depending on the  particular  service being marketed and the size of the
potential project.



                                      -5-
<PAGE>


Competition

          The  healthcare  information  and market  research  industry is highly
competitive.  The  Company  has  traditionally  competed  both  with  healthcare
organizations'  internal  marketing,  market research and/or quality improvement
departments  which  create  their  own  performance  measurement  tools and with
relatively small specialty research firms which provide survey-based  healthcare
market research and/or performance assessment. The Company, to a certain degree,
currently  competes with, and anticipates that in the future it may increasingly
compete  with (i)  traditional  market  research  firms  which  are  significant
providers of survey-based,  general market research and (ii) firms which provide
services or products that complement healthcare performance assessments, such as
healthcare  software  or  information  systems.  Although  only a few  of  these
competitors have to date offered  survey-based,  healthcare market research that
competes  directly with the Company's  services,  many of these competitors have
substantially  greater financial,  information gathering and marketing resources
than the Company and could decide to increase their resource  commitments to the
Company's market.  There are relatively few barriers to entry into the Company's
market, and the Company expects increased competition in its market, which could
adversely  affect the Company's  operating  results  through  pricing  pressure,
increased marketing  expenditures and market share losses,  among other factors.
There can be no assurance that the Company will continue to compete successfully
against existing or new competitors.

          The Company believes the primary competitive factors within its market
include  quality  of  service,   timeliness  of  delivery,  service  uniqueness,
credibility of provider,  industry  experience and price.  NRC believes that its
industry  leadership  position,  exclusive  focus  on the  healthcare  industry,
dynamic  questionnaire,  syndicated  Market  Guide and  comparative  performance
database,  and its  relationships  with leading  healthcare payers and providers
position the Company to compete in this market.

Intellectual Property and Other Proprietary Rights

          The Company's  success is in part dependent  upon its data  collection
process,  research  methods,  data analysis  techniques and internal systems and
procedures that it has developed specifically to serve clients in the healthcare
industry. The Company has no patents;  consequently,  it relies on a combination
of  copyright,  trademark  and  trade  secret  laws and  employee  nondisclosure
agreements to protect its systems and procedures. There can be no assurance that
the steps taken by the Company to protect its rights will be adequate to prevent
misappropriation  of such rights or that third  parties  will not  independently
develop functionally  equivalent or superior systems or procedures.  The Company
believes that its systems and  procedures  and other  proprietary  rights do not
infringe  upon  the  proprietary  rights  of  third  parties.  There  can  be no
assurance,  however,  that third  parties  will not assert  infringement  claims
against  the  Company in the future or that any such  claims  will not result in
protracted and costly litigation, regardless of the merits of such claims.

Employees

          As of December 31, 1999, the Company employed a total of 79 persons on
a full-time  basis. In addition,  as of such date, the Company had 145 part-time
associates  primarily in its survey  operations,  representing  approximately 79
full-time equivalent employees.  None of the Company's employees are represented
by a collective  bargaining  agreement.  The Company  considers its relationship
with its employees to be good.



                                      -6-
<PAGE>


Executive Officers of the Registrant

          The  following  table sets forth certain  information,  as of March 1,
2000, regarding the executive officers of the Company:

     Name            Age                        Positions
     ----            ---                        ---------

Michael D. Hays      45      President, Chief Executive Officer and Director

Jona S. Raasch       41      Vice President and Chief Operations Officer

Patrick E. Beans     42      Vice President, Treasurer, Chief Financial Officer,
                               Secretary and Director

          Michael D. Hays has served as President  and Chief  Executive  Officer
and as a director since he founded the Company in 1981. Prior thereto,  Mr. Hays
served  for seven  years as a Vice  President  and a  director  of SRI  Research
Center, Inc. (n/k/a the Gallup Organization).

          Jona S.  Raasch  has  served as Vice  President  and Chief  Operations
Officer  since  September  1988.  Prior to joining the Company,  Ms. Raasch held
various positions with A.C. Nielsen.

          Patrick  E. Beans has served as Vice  President,  Treasurer  and Chief
Financial  Officer since August 1997, as Secretary  since  September  1997, as a
director  since  October 1997 and as the  principal  financial  officer since he
joined the Company in August 1994. From June 1993 until joining the Company, Mr.
Beans was the finance director for the Central Interstate Low-Level  Radioactive
Waste Commission,  a five-state compact developing a low-level radioactive waste
disposal  plan.  From 1979 to 1988 and from June 1992 to June 1993, he practiced
as a certified public accountant.

          Executive  officers  of the  Company  are elected by, and serve at the
discretion  of,  the  Company's   Board  of  Directors.   There  are  no  family
relationships between any directors or executive officers of NRC.

Item 2.   Properties

          The Company's  headquarters is located in approximately  25,000 square
feet of leased office space in Lincoln,  Nebraska.  This facility houses all the
capabilities necessary for NRC's survey programming,  printing and distribution;
telephone  interviewing;   data  processing,  analysis  and  report  generation;
marketing; and corporate  administration.  The lease on this facility expires on
May 31, 2000.

          On January 4, 1999,  the  Company  purchased  a building  in  downtown
Lincoln, Nebraska, which the Company started renovating during 1999. The Company
intends to move its  headquarters  to the new facility in May 2000 and to occupy
approximately 43,000 square feet at the new facility.

          The Company leases approximately 18,000 square feet of office space in
Columbus,  Ohio.  This  facility  formerly  housed  certain  client  service and
marketing  activities.  The Company is currently  marketing all of this facility
for sublease. The lease on this facility expires on October 7, 2000. The Company
also leases  approximately 6,000 square feet of office space in Columbus,  Ohio,
which houses a telephone call center. The current lease on this facility expires
on May 31, 2000. The Company  expects to  consolidate  the telephone call center
into the new facility in Lincoln, Nebraska in May 2000.



                                      -7-
<PAGE>


Item 3.   Legal Proceedings

          The Company is not subject to any material pending litigation.

Item 4.   Submission of Matters to a Vote of Security Holders

          No matters  were  submitted  to a vote of the  Company's  shareholders
during the fourth quarter of the Company's 1999 fiscal year.

                                    PART II

Item 5.   Market for  the  Registrant's  Common  Equity and Related  Stockholder
          Matters

          (a)  The Company's Common Stock,  $.001 par value ("Common Stock"), is
traded on the Nasdaq  National  Market  under the symbol  "NRCI." The  following
table sets forth the range of high and low closing  sales  prices for the Common
Stock for the period from January 1, 1998 through December 31, 1999:

                                                             High         Low
                                                             ----         ---
          First quarter ended March 31, 1998............... 9 11/16      5 7/8
          Second quarter ended June 30, 1998...............10 1/2        8 1/4
          Third quarter ended September 30, 1998........... 9 1/4        3
          Fourth quarter ended December 31, 1998........... 6 15/16      3 1/2
          First quarter ended March 31, 1999............... 5 1/2        3 1/2
          Second quarter ended June 30, 1999............... 3 5/8        1 3/4
          Third quarter ended September 30, 1999........... 3 3/8        2 1/8
          Fourth quarter ended December 31, 1999........... 4 11/16      3 1/8

          On March 1, 2000,  there were  approximately 16 shareholders of record
and approximately 700 beneficial owners for the Common Stock.

          The Company  does not intend to pay any cash  dividends  on its Common
Stock in the foreseeable future. The Company intends to retain all of its future
earnings for use in the  expansion  and  operation of its  business.  Any future
determination  to pay cash  dividends will be at the discretion of the Company's
Board of  Directors  and will depend upon,  among other  things,  the  Company's
results of operations,  financial condition,  contractual  restrictions and such
other factors deemed relevant by the Board of Directors.

          (b)  The Company's  Registration  Statement on Form S-1  (Registration
No.  333-33273) (the  "Registration  Statement")  relating to the offer and sale
(the  "Offering")  of an  aggregate  of  2,415,000  shares of  Common  Stock was
declared effective by the Securities and Exchange Commission on October 9, 1997.
Of the  2,415,000  shares  of Common  Stock  registered  under the  Registration
Statement,  1,250,000  shares  were sold by the  Company  and  1,165,000  shares
(including  315,000  shares sold  pursuant to the exercise of an  over-allotment
option granted to the  underwriters)  were sold by a certain  shareholder of the
Company, Michael D. Hays (the "Selling Shareholder").



                                      -8-
<PAGE>


          During the fourth  quarter of 1997,  all of the shares of Common Stock
registered  were sold in the  Offering  at a price of $15.00 per  share,  for an
aggregate  price of $18,750,000  and  $17,475,000 for the shares of Common Stock
sold by the Company and the Selling Shareholder,  respectively.  After deducting
the underwriting  discount of $1.05 per share, the Selling Shareholder  received
net proceeds equal to $16,251,750 and the Company received net proceeds equal to
$17,437,500 less expenses of $596,411  incurred in connection with the Offering.
As of  December  31,  1999,  the net  proceeds  to the  Company  are  reasonably
estimated to be applied as follows:

1.  Temporary investments of U.S. government securities
      of two years or less                                          $ 2,761,429
2.  Acquisition of HRS and related acquisition costs                  8,549,588
3.  The acquisition of a new headquarters building                    4,039,003
4.  Repurchases of Common Stock                                       1,491,069
                                                                    -----------
       Total proceeds to the Company                                $16,841,089
                                                                    ===========



                                      -9-
<PAGE>


Item 6.   Selected Financial Data

          The selected statement of income data for the years ended December 31,
1999, 1998 and 1997 and the balance sheet data at December 31, 1999 and 1998 are
derived  from,  and  are  qualified  by  reference  to,  the  audited  financial
statements of the Company included elsewhere in this Annual Report on Form 10-K.
The selected  statement of income data for the year ended  December 31, 1995 and
the balance  sheet data at December  31, 1996 and 1995 are derived  from audited
financial statements not included herein.

<TABLE>
<CAPTION>
                                                                            Year Ended December 31,
                                                         -----------------------------------------------------------
                                                          1999        1998(1)       1997         1996          1995
                                                         -------      -------      -------      -------       ------
                                                                    (In thousands, except per share data)
<S>                                                      <C>          <C>          <C>          <C>           <C>
Statement of Income Data:
Revenues................................................ $18,184      $17,665      $16,284      $12,600       $8,917
                                                         -------      -------      -------      -------       ------
Operating expenses:
  Direct expenses.......................................  11,133        9,422        7,178        5,685        3,495
  Selling, general and administrative...................   4,177        4,843        3,980        3,060        2,364
  Depreciation and amortization.........................     817          426          159          173          119
  Acquired-in-process research and development
    cost................................................       -        2,737            -            -            -
  Cost of closing duplicate facilities and severance
    charges.............................................     364          304            -            -            -
  Special compensation charge...........................       -            -        1,740            -            -
                                                         -------      -------      -------      -------       ------
            Total operating expenses....................  16,491       17,732       13,057        8,918        5,978
                                                         -------      -------      -------      -------       ------
Operating income (loss).................................   1,693          (67)       3,227        3,682        2,939
Other income and expenses, net..........................     530          849          367          152          108
                                                         -------      -------      -------      -------       ------
Income before income taxes..............................   2,223          782        3,594        3,834        3,047
Provision for income taxes..............................     748          321          376            -            -
Pro forma income taxes(2)...............................       -            -          804        1,534        1,219
                                                         -------      -------      -------      -------       ------
Pro forma net income(2)................................. $ 1,475      $   461      $ 2,414      $ 2,300       $1,828
                                                         =======      =======      =======      =======       ======
Pro forma net income per share - basic and
    diluted(2).......................................... $  0.21      $  0.06      $  0.37      $  0.37
                                                         =======      =======      =======      =======
Weighted average shares outstanding - basic(3)..........   7,054        7,283        6,440        6,185
Weighted average shares outstanding - diluted(3)........   7,057        7,301        6,440        6,185

                                                                                December 31,
                                                         -----------------------------------------------------------
                                                          1999         1998         1997         1996          1995
                                                         -------      -------      -------      -------       ------
                                                                               (In thousands)
Balance Sheet Data:
Working capital......................................... $ 5,246      $ 8,954      $17,681      $ 2,018       $1,534
Total assets............................................  29,256       26,279       22,563        6,153        4,996
Total debt..............................................   3,619          105            -            -            -
Total shareholders' equity..............................  18,566       17,435       18,121        2,079        1,830
</TABLE>

- ---------------------------

   (1)    On January 1, 1998,  the Company  adopted the  American  Institute  of
          Certified   Public   Accountants   Statement  of  Position  No.  98-1,
          Accounting  for the Costs of Computer  Software  Developed or Obtained
          for Internal Use.

   (2)    From August 1, 1994  through  October 13,  1997,  the Company was an S
          Corporation  and,  accordingly,  was not  subject to Federal and state
          income  taxes for the years ended  December  31, 1995 and 1996 or from
          January 1, 1997 to October 13, 1997.  Pro forma net income  reflects a
          pro forma tax  provision  at a combined  Federal and state rate of 40%
          for the periods the Company was an S Corporation as if it had been a C
          Corporation.

   (3)    Includes  129,812 shares of Common Stock in 1997 and 1996,  which, had
          they been  issued (at $13.95 per share,  the initial  public  offering
          price  less the  underwriting  discount),  would have  generated  cash
          sufficient  to  fund  the  portion  of  the  estimated  S  Corporation
          distributions  and special  (cash)  compensation  expense  that are in
          excess of the Company's  1996 net income.  See Note 1 to the Company's
          Financial Statements.



                                      -10-
<PAGE>


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

Special Note Regarding Forward-Looking Statements

          Certain matters discussed below in this Annual Report on Form 10-K are
"forward-looking  statements"  intended  to qualify  for the safe  harbors  from
liability  established by the Private Securities  Litigation Reform Act of 1995.
These forward-looking statements can generally be identified as such because the
context  of the  statement  includes  phrases  such as the  Company  "believes,"
"expects" or other words of similar import. Similarly,  statements that describe
the  Company's  future plans,  objectives  or goals are also  forwarding-looking
statements.  Such  forward-looking  statements  are subject to certain risks and
uncertainties  which could cause actual results or outcomes to differ materially
from those  currently  anticipated.  Factors that could affect actual results or
outcomes include, without limitation, the Company's reliance on a limited number
of key  clients  for a  substantial  portion  of  its  revenues,  the  Company's
dependence  on  performance  tracking  contract  renewals,  fluctuations  in the
Company's operating results related to the Market Guide,  increased competition,
changes in conditions affecting the healthcare  industry,  the Company's ability
to  manage  its  growth  and  to  successfully  integrate  any  possible  future
acquisitions   and  the  Company's   ability  to  provide  timely  and  accurate
performance tracking and market research to its clients. Shareholders, potential
investors  and other  readers are urged to consider  these factors in evaluating
the forward-looking  statements and are cautioned not to place undue reliance on
such  forward-looking  statements.  The forward-looking  statements included are
only made as of the date of this  Annual  Report  on Form  10-K and the  Company
undertakes no obligation to publicly update such  forward-looking  statements to
reflect subsequent events or circumstances.

Overview

          The Company believes it is a leading provider of ongoing  survey-based
performance  measurement,  analysis  and  tracking  services  to the  healthcare
industry.  The  Company's  primary types of  information  services are renewable
performance  tracking  services,  custom  research  and a  renewable  syndicated
service.

          The Company's renewable  performance  tracking service,  the Listening
System,  is a performance  tracking  tool for gathering and analyzing  data from
survey  respondents.  Such services are provided pursuant to contracts which are
generally  renewable  annually  and that provide for a customer  specific  study
which is conducted via a series of surveys and delivered via a series of updates
or reports,  the timing and frequency of which vary by contract (such as monthly
or weekly).  These  contracts  are  generally  cancelable  on short or no notice
without  penalty  and,  since  progress  on these  contracts  can be tracked and
regular   updates   and  reports   are  made,   clients  are   entitled  to  any
work-in-process  but are  obligated  to pay for all services  performed  through
cancellation.  Typically,  these  contracts  are  fixed fee  arrangements  and a
portion of the  project fee is billed in advance,  and the  remainder  is billed
periodically  over the  duration of the  project.  The Company  conducts  custom
research  which  measures  and monitors  market  issues  specific to  individual
healthcare  organizations.  The  majority of the  Company's  custom  research is
performed  under contracts which provide for advance billing of 65% of the total
project fee with the remainder due upon delivery.  Revenues and direct  expenses
for the Company's  renewable  performance  tracking services and custom research
are recognized on a percentage of completion basis.



                                      -11-
<PAGE>


          The Company's  renewable  nationally  syndicated  service,  the Market
Guide,  serves as a stand-alone market information and competitive  intelligence
source  as  well  as  a  comparative  performance  database.  Published  by  NRC
bi-annually  from  1988 to 1996  and  annually  since  1996,  this  survey  is a
comprehensive  consumer-based  healthcare assessment.  Market Guide services are
generally  provided  pursuant to contracts  which have  durations of four to six
months and that provide for the receipt of survey results that are customized to
meet  an  individual  client's  specific  information  needs.  Typically,  these
contracts  are not  cancelable  by  clients,  clients  receive  no rights in the
comprehensive healthcare database which results from this survey, other than the
right to use the customized reports purchased pursuant thereto,  and amounts due
for the Market Guide are billed prior to or at delivery.  The Company recognizes
revenue when the Market Guides are delivered to the customers  pursuant to their
contracts,  typically in the third quarter of the year. Substantially all of the
related  costs  are  deferred  and  subsequently   charged  to  direct  expenses
contemporaneously with the recognition of the revenue. The Company generally has
some  incidental  sales of the Market Guide  subsequent  to  completion  of each
edition.  Revenues and marginal  expenses  related to such incidental  sales are
recognized upon delivery. The profit margin earned on such revenues is generally
higher than that earned on revenues  realized from  customers  under contract at
the time of delivery.  As a result,  the Company's  margins vary  throughout the
year.

Results of Operations

          The following table sets forth,  for the periods  indicated,  selected
financial information derived from the Company's financial statements, expressed
as a percentage of total revenues and the percentage change in such items versus
the prior comparable  period.  The trends illustrated in the following table may
not necessarily be indicative of future results. The discussion that follows the
table should be read in conjunction with the Company's financial statements.

<TABLE>
<CAPTION>
                                                   Percentage of Total Revenues      Percentage Increase
                                                     Year Ended December 31,             (Decrease)
                                                  ------------------------------     -------------------
                                                                                      1999        1998
                                                                                      over        over
                                                   1999       1998         1997       1998        1997
                                                  ------     -------      ------     -------     -------

<S>                                               <C>         <C>         <C>           <C>         <C>
Revenues                                          100.0%      100.0%      100.0%        2.9%        8.5%
Operating expenses:
  Direct expenses..............................    61.2        53.3        44.1        18.2        31.3
  Selling, general and administrative..........    23.0        27.4        24.4       (13.7)       21.7
  Depreciation and amortization................     4.5         2.4         1.0        91.8       167.8
  Acquired-in-process research and
    development cost..........................        -        15.5           -      (100.0)      100.0
  Cost of closing duplicate facilities and
    severance charges.........................      2.0         1.7           -        19.8       100.0
  Special compensation charge..................       -           -        10.7           -      (100.0)
                                                  ------     --------     ------
          Total operating expenses............     90.7       100.3        80.2        (7.0)       35.8
                                                  ------     --------     ------
Operating income (loss)........................     9.3%       (0.3)%      19.8%        N/A      (102.1)%
                                                  ======     ========     ======
</TABLE>

Year Ended December 31, 1999 Compared to Year Ended December 31, 1998

          Total revenues. Total revenues increased 2.9% in 1999 to $18.1 million
from $17.7 million in 1998 primarily due to the addition of new clients.

          Direct expenses.  Direct expenses  increased 18.2% to $11.1 million in
1999 from $9.4 million in 1998. The increase in direct  expenses in 1999 was due
primarily to an increase in software



                                      -12-
<PAGE>


conversion costs of $617,000,  labor and payroll expenses of $609,000,  computer
support and equipment expenses of $204,000 and, to a lesser extent, increases in
printing  and postage of $91,000,  fieldwork  expenses of $80,000 and  occupancy
costs of $50,000; which were offset by a decrease in travel expenses of $24,000.
Direct  expenses  increased as a percentage  of total  revenues to 61.2% in 1999
from 53.3%  during  1998 due to an  increase  in  expenses  associated  with the
Company's  planned  conversion of internal software and, and to a lesser extent,
an increase in the use of telephone  methodology,  which  increases labor costs.
Direct  expenses as a percentage of total revenues are expected to decrease from
the  1999  levels  in 2000  primarily  due to the  completion  of the  Company's
software conversion.

          Selling,  general and administrative  expenses.  Selling,  general and
administrative  expenses  decreased  13.7% to $4.2  million  in 1999  from  $4.8
million in 1998.  This  decrease  was  primarily  due to a decrease in marketing
costs of $226,000,  salary and benefit expenses of $179,000,  travel expenses of
$92,000,  office  supplies  and  postage  of  $76,000  and legal and  accounting
expenses of $30,000.  These  decreases were  partially  offset by an increase in
recruiting and relocation costs of $40,000.  Selling, general and administrative
expenses decreased as a percentage of total revenues to 23.0% in 1999 from 27.4%
in 1998 partially due to  underutilized  rental space leased by the Company from
June 1998 to December 1998.  Selling,  general and administrative  expenses as a
percentage  of total  revenues are expected to increase  from the 1999 levels in
2000 as a result of anticipated increases in sales and marketing activities.

          Depreciation and amortization.  Depreciation and amortization expenses
increased  91.8% to $817,000  in 1999 from  $426,000  in 1998.  The  increase is
primarily due to the  amortization  of the intangible  assets of HRS acquired in
June 1998 and the internal development of software. The increase in amortization
due to HRS acquisition  intangible  assets in 1999 was $336,000,  as compared to
$127,000 in 1998, which included only seven months of amortization. Depreciation
and amortization expenses increased as a percentage of total revenues to 4.5% in
1999 from 2.4% in 1998.

          Closing of duplicate  facilities  and  severance  charge.  In December
1999, NRC closed its duplicate office in Columbus,  Ohio. In connection with the
closing of this office,  NRC incurred  severance,  write-down  of an  intangible
asset and other charges of approximately $364,000. The aggregate charges in 1999
to income  net of taxes  associated  with the  closing of  duplicate  office was
$235,000, or $0.03 per share.

          Provision  for income  taxes.  The  provision for income taxes totaled
$748,000  (33.6%  effective  tax  rate) for 1999  compared  to  $321,000  (41.0%
effective  tax rate) for 1998.  The  effective tax rate was lower in 1999 due to
certain federal income tax credits.  The effective tax rate for 2000 is expected
to remain at a similar level due to anticipated federal and state tax credits.

Year Ended December 31, 1998 Compared to Year Ended December 31, 1997

          Total revenues. Total revenues increased 8.5% in 1998 to $17.7 million
from $16.3 million in 1997.  Revenues from the Company's  renewable  performance
tracking  services and custom  research  increased 8.4% to $15.7 million in 1998
from $14.5 million in 1997  primarily due to the addition of new clients and the
acquisition  of HRS in June 1998,  and, to a lesser  extent,  an increase in the
scope of existing  tracking  projects.  Revenues  from the  Company's  renewable
syndicated  service  increased 9.3% to $1.9 million in 1998 from $1.8 million in
1997. Such increase reflects the addition of new syndicated service clients.



                                      -13-
<PAGE>


          Direct  expenses.  Direct expenses  increased 31.3% to $9.4 million in
1998 from $7.2 million in 1997. The increase in direct  expenses in the 1998 was
due  primarily  to an  increase in labor and  payroll  expenses of $1.5  million
(which was due partially to increased  costs  associated  with the addition of a
telephone  call center and with  increased  revenues)  and, to a lesser  extent,
increases in outside field services of $358,000, telephone expenses of $109,000,
rent and office expenses of $78,000 and software  conversion  costs of $120,000;
which were offset by a decrease in printing  and postage of $146,000  (which was
partially  due to the  increase in the  telephone  methodology  associated  with
projects acquired from HRS). Direct expenses  increased as a percentage of total
revenues to 53.3% in 1998 from 44.1% during 1997 due to an increase in telephone
methodology, which increases labor costs, as a percentage of total revenues.

          Selling,  general and administrative  expenses.  Selling,  general and
administrative  expenses  increased  21.7% to $4.8  million  in 1998  from  $4.0
million in 1997.  This  increase  was  primarily  due to an increase of $452,000
associated with the expansion of the Company's sales and marketing workforce, an
increase of $238,000 associated with the increase in the Company's rent expenses
and other costs  associated  with the Company's  new location in Columbus,  Ohio
since  June 1998 and an  increase  of  $196,000  associated  with being a public
company,  which were offset by a decrease  of  $132,000  in expenses  related to
enhancements  to the Company's  software.  Selling,  general and  administrative
expenses increased as a percentage of total revenues to 27.4% in 1998 from 24.4%
in 1997 due to  excess  rental  space  leased by the  Company  from June 1998 to
December 1998 and increased costs related to being a public company.

          Depreciation and amortization.  Depreciation and amortization expenses
increased  167.8% to $426,000 in 1998 from $159,000 in 1997 partially due to the
acquisition  of  HRS.  The  increase  in  amortization  due to  HRS  acquisition
intangible assets in 1998 was $127,000.  Depreciation and amortization  expenses
increased as a percentage of total revenues to 2.4% in 1998 from 1.0% in 1997.

          Acquired  in-process  research  and  development  cost  and  severance
charge.  In connection  with the  acquisition  of HRS in June 1998,  the Company
incurred a one-time,  non-recurring charge of $2.7 million for costs assigned to
in-process research and development activities of HRS and operating expenses for
severance costs of $304,000 for duplicative employees of the Company as a result
of the acquisition. The aggregate charges to income net of taxes associated with
the acquisition were approximately $1.9 million, or $0.26 per share.

          Provision  for income  taxes.  The  provision for income taxes totaled
$321,000 (41.0% effective tax rate) for 1998 compared to $376,000 for 1997, plus
pro  forma  taxes  for 1997 of  $803,000,  for  total  income  taxes for 1997 of
$1,179,000  (33.0% effective tax rate),  which included a $258,000  nonrecurring
income tax benefit  created by the  termination  of the  Company's S Corporation
status in October 1997 in connection with the Company's initial public offering.
Without the nonrecurring  income tax benefit,  total income taxes for 1997 would
have been $1,437,000 (40.0% effective tax rate).

Liquidity and Capital Resources

          The Company's  principal  source of funds  historically  has been cash
flow from its operations. The Company's cash flow has been sufficient to provide
funds for working capital and capital expenditures.



                                      -14-
<PAGE>


          As of December 31, 1999, the Company had cash and cash  equivalents of
$1.1 million and working capital of $5.2 million.

          During  1999,  the  Company  generated  $3.5  million of net cash from
operating  activities as compared to $4.0 million of net cash  generated  during
1998.  The  decrease  in cash  flow  was  due,  in part,  to the  timing  of the
collection of account receivables and the timing of costs incurred in advance of
billings on certain projects,  combined with the decrease in accounts receivable
and the growth in unbilled revenues and deferred revenues.

          Net cash used in  investing  activities  was $7.8 million for 1999 and
$2.6 million for 1998.  The 1999  increase in cash used was primarily due to the
purchase of an office  building for $3.6 million and the purchase of  securities
available  for sale for $2.9  million.  Cash used for  investment  in furniture,
computer  equipment,  software  decreased  $600,000.  The  1998  use of cash was
primarily a result of the  acquisition of HRS in June 1998 and the investment of
$1.9 million in furniture,  computer equipment, computer software and production
equipment.  Part of this  latter  investment  was to meet the  expansion  of the
Company's  business  and  was for a  reengineering  process  for  the  Company's
computer software and equipment, which will be the platform for future expansion
of the  Company's  business.  These  uses of cash  were  partially  offset  by a
decrease  in  investments  available-for-sale  of $5.2  million.  The  Company's
investments  available-for-sale  consist principally of United States government
securities with maturities of two years or less.

          Net cash  provided by  financing  activities  was  $533,000  for 1999,
compared to net cash used of $1.2  million in 1998.  The 1999 cash  provided was
primarily from the $3.5 million construction financing for the renovation of the
Company's new office building and was partially offset by the Company's  payment
of the  $2,637,000  purchase  price for such office  building and the  Company's
repurchase of 85,700 shares of stock during 1999 at a cost of $343,000. The 1998
use of cash was primarily a result of the  Company's  stock  repurchase  program
announced in October  1998.  The Company  repurchased  213,000  shares of Common
Stock during the fourth quarter of 1998 at a cost of $1.1 million.

          The Company has budgeted  approximately  $1.8 million for expenditures
in 2000,  to be funded  through  cash  generated  from  operations.  The Company
expects  that   capital   expenditures   during  2000  will  be  primarily   for
telecommunications  equipment, computer hardware and software, product equipment
and  furniture.  In  addition,  the Company  plans to spend an  additional  $2.7
million  during  2000  to  renovate  the  new  office  building.  Following  the
renovation, the Company intends to move its headquarters to such building in May
2000.  The Company  intends to secure  long-term  financing  on the building for
approximately  $5.5 million to replace the Company's line of credit that expires
on June 1, 2000.

          The Company typically bills clients for projects before they have been
completed.  Billed  amounts  are  recorded  as  billings  in  excess of costs or
deferred  revenue on the Company's  financial  statements  and are recognized as
income  when  earned.  As of December  31,  1999 and 1998,  the Company had $3.3
million of deferred revenues. In addition,  when work is performed in advance of
billing,  the  Company  records  this work as a cost in excess  of  billings  or
unbilled  revenue.  At December 31, 1999 and 1998,  the Company had $600,000 and
$1.0 million of unbilled revenues, respectively.  Substantially all deferred and
unbilled revenues will be earned and billed,  respectively,  within 12 months of
the respective period ends.



                                      -15-
<PAGE>


Stock Repurchase Program

          In October  1998,  the Company  announced  plans to  repurchase  up to
245,000  shares of Common  Stock in the open market or in  privately  negotiated
transitions.  The Company  repurchased  245,000 shares between  October 1998 and
March 1999. In April 1999, the Board of Directors of the Company  authorized the
repurchase  of an additional  150,000  shares.  As of December 31, 1999,  53,700
shares have been repurchased under the new authorization.

Year 2000

          The total estimated costs of the Company's Year 2000 compliance  costs
were $57,000.  As of the date of this Form 10-K, the Company has not experienced
any material  business  disruptions as a result of Year 2000 issues arising from
its  information  systems,  nor is it aware of any  material  Year 2000  related
business  disruptions  impacting its clients or service providers.  However, the
Company cannot be certain that it will not suffer business interruptions, either
due to its own Year 2000  issues  that may  develop  or those of third  parties.
Accordingly,  there can be no  assurance  the Company or third  parties will not
have  ongoing  Year 2000 issues that may have a material  adverse  effect on the
Company.

Accounting Pronouncements

          In  June  1998,  the  Financial   Accounting  Standards  Board  issued
Statement of Financial  Accounting  Standards No. 133, Accounting for Derivative
Instruments  and Hedging  Activities  ("SFAS  133").  SFAS 133 requires that all
derivatives  be recognized as either assets or  liabilities in the balance sheet
and measured at their fair value.  If certain  conditions  are met, a derivative
may be specifically  designated as (i) a hedge of the exposure to changes in the
fair  value  of  a  recognized  asset  or  liability  or  an  unrecognized  firm
commitment,  (ii) a hedge of the exposure to variable cash flows of a forecasted
transaction  or  (iii)  a  hedge  of  the  foreign  currency  exposure  of a net
investment  in  a  foreign  operation,  an  unrecognized  firm  commitment,   an
available-for-sale   security  or  a  foreign-currency   denominated  forecasted
transaction. SFAS 133, as amended by Statement of Financial Accounting Standards
No. 137, is effective for all fiscal  quarters of fiscal years  beginning  after
June  15,  2000.  The  Company  does not  expect  the  effect  of SFAS 133 to be
significant to its financial reporting.

Item 7A.     Quantitative and Qualitative Disclosure About Market Risk.

          The impact of  financial  market  risk  exposure to the Company is not
significant.  The Company's  primary  financial market risk exposure consists of
interest rate risk related to interest income from the Company's  investments in
United States  government  securities  with maturities of two years or less. The
Company has invested and expects to continue to invest a substantial  portion of
its  excess  cash in such  securities.  See  Note 3 to the  Company's  financial
statements.  Generally,  if  the  overall  average  return  on  such  securities
decreased .5% from the average  return  during the year ended  December 31, 1999
and 1998, then the Company's  interest income would have decreased,  and pre-tax
income would have  decreased  approximately  $60,000 and $56,000,  respectively.
These amounts were determined by considering the impact of a hypothetical change
in interest rates on the Company's interest income.



                                      -16-
<PAGE>


Item 8.   Financial Statements and Supplementary Data

Quarterly Financial Data (Unaudited)

          Selected  unaudited  quarterly  financial  information  for the fiscal
years ended December 31, 1999 and 1998 is as follows (in  thousands,  except per
share data):

<TABLE>
<CAPTION>
                                                                                Quarter
                                                                                 Ended
                                        ---------------------------------------------------------------------------------------
                                        Dec. 31,   Sept. 30,   June 30,   Mar. 31,   Dec. 31,   Sept. 30,   June 30,   Mar. 31,
                                          1999       1999        1999       1999       1998       1998        1998     1998(1)
                                        --------   ---------   --------   --------   --------   ---------   --------   --------

<S>                                      <C>        <C>         <C>        <C>        <C>        <C>        <C>         <C>
Revenues...............................  $4,618     $5,598      $4,305     $3,663     $4,615     $5,614     $ 4,030     $3,406
                                         ------     ------      ------     ------     ------     ------     -------     ------
Direct expenses........................   2,082      3,469       3,005      2,577      2,507      3,390       2,016      1,509
Selling, general and administrative....   1,165      1,061       1,046        905      1,173      1,239       1,243      1,189
Depreciation and amortization..........     266        203         179        169        181        126          66         52
Acquired in-process research and
   development cost....................      --         --          --         --         --         --       2,737         --
Closing of duplicate facilities and
   severance charges(2)................     364         --          --         --         --         --         304         --
                                         ------     ------      ------     ------     ------     ------     -------     ------
Operating income (loss)................     741        865          75         12        754        859      (2,336)       656
Other income and expenses, net.........     146         95         133        156        162        171         254        262
Provision for income taxes.............     262        334          85         67        358        403        (797)       357
Income taxes (benefit).................      --         --          --         --         --         --          --         --
                                         ------     ------      ------     ------     ------     ------     -------     ------
Net income.............................  $  625     $  626      $  123     $  101     $  558     $  627     $(1,285)    $  561
                                         ======     ======      ======     ======     ======     ======     =======     ======
Net income per share - basic
   and diluted.........................  $ 0.09     $ 0.09      $ 0.02     $ 0.01     $ 0.08     $ 0.09     $ (0.18)    $ 0.08
Weighted average shares outstanding -
   basic ..............................   7,036      7,050       7,056      7,077      7,218      7,305       7,305      7,305
Weighted average shares outstanding -
   diluted ............................   7,039      7,051       7,057      7,085      7,250      7,305       7,305      7,305
</TABLE>

- -----------------------

   (1)    On January 1, 1998,  the Company  adopted the  American  Institute  of
          Certified   Public   Accountants   Statement  of  Position  No.  98-1,
          Accounting  for the Costs of Computer  Software  Developed or Obtained
          for Internal Use.

   (2)    In the quarter ended December 31, 1999, the Company recorded severance
          costs,  impairment  losses  on  intangible  assets  and  property  and
          equipment and other charges of approximately  $364,000.  The aggregate
          affect of these  charges on net income and  earnings per share in such
          quarter was  $235,000 or $0.03 per share.  See Note 12 to the Notes to
          Financial Statements.



                                      -17-
<PAGE>


INDEPENDENT AUDITORS' REPORT

The Board of Directors
National Research Corporation:

We have audited the accompanying balance sheets of National Research Corporation
as of  December  31,  1999  and  1998  and the  related  statements  of  income,
shareholders'  equity  and cash  flows for each of the  years in the  three-year
period  ended   December  31,  1999.   These   financial   statements   are  the
responsibility of the Company's management.  Our responsibility is to express an
opinion on these financial statements based on our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  the financial  statements  referred to above present fairly, in
all material respects,  the financial position of National Research  Corporation
as of December 31, 1999 and 1998 and the results of its  operations and its cash
flows for each of the years in the three-year period ended December 31, 1999, in
conformity with generally accepted accounting principles.

On January 1, 1998, National Research Corporation adopted the American Institute
of  Certified  Public  Accountants  Statement  of Position  No. 98-1 (SOP 98-1),
Accounting for the Costs of Computer Software Developed or Obtained for Internal
Use.

                                               KPMG LLP

Lincoln, Nebraska
February 8, 2000



                                      -18-
<PAGE>


<TABLE>
                          NATIONAL RESEARCH CORPORATION

                                 Balance Sheets

                           December 31, 1999 and 1998

<CAPTION>
                                     Assets                                    1999           1998
                                     ------                                    ----           ----
<S>                                                                        <C>            <C>
Current assets:
  Cash and cash equivalents............................................... $ 1,149,587    $ 4,887,712
  Investments in marketable debt securities...............................  10,876,608      8,009,343
  Trade accounts receivable, less allowance for doubtful
    accounts of $63,098 and $61,891 in 1999 and 1998, respectively........   2,918,124      2,940,356
  Unbilled revenues.......................................................     622,610      1,030,351
  Prepaid expenses and other..............................................      53,727        165,037
  Deferred income taxes...................................................     215,018        222,500
                                                                           -----------    -----------
          Total current assets............................................  15,835,674     17,255,299
                                                                           -----------    -----------

Net property and equipment................................................   7,525,943      2,288,583
                                                                           -----------    -----------

Deferred income taxes.....................................................     438,136        548,506
Goodwill and other intangible assets, net of accumulated amortization.....   5,440,252      6,160,209
Other.....................................................................      15,592         26,582
                                                                           -----------    -----------

          Total assets.................................................... $29,255,597    $26,279,179
                                                                           ===========    ===========

                      Liabilities and Shareholders' Equity
                      ------------------------------------
Current liabilities:
  Purchase price payable.................................................. $       ---    $ 2,650,000
  Construction financing line of credit...................................   3,544,000            ---
  Current portion - notes payable.........................................      54,332         30,754
  Accounts payable........................................................   1,680,385        681,843
  Accrued wages, bonus and profit sharing.................................     669,900        907,743
  Accrued expenses........................................................   1,132,934        747,885
  Income taxes payable....................................................     234,533            ---
  Billings in excess of revenues earned...................................   3,273,577      3,283,462
                                                                           -----------    -----------
          Total current liabilities.......................................  10,589,661      8,301,687

Notes payable, net of current portion.....................................      20,324         74,694
Bonuses, profit sharing accruals and other accrued expenses...............      79,245        468,265
                                                                           -----------    -----------
          Total liabilities...............................................  10,689,230      8,844,646
                                                                           -----------    -----------

Shareholders' equity:
  Preferred stock, $.01 par value; authorized 2,000,000 shares
    no shares issued and outstanding......................................         ---            ---
  Common stock, $.001 par value; authorized 20,000,000 shares,
    issued 7,305,000 in 1999 and in 1998, outstanding 7,006,300 in
    1999 and 7,092,000 in 1998............................................       7,305          7,305
  Additional paid-in capital..............................................  16,839,839     16,839,839
  Retained earnings.......................................................   3,210,292      1,734,983
  Treasury stock, at cost; 298,700 shares in 1999 and 213,000 shares
    in 1998...............................................................  (1,491,069)     1,147,594)
                                                                           -----------    -----------
          Total shareholders' equity......................................  18,566,367     17,434,533
                                                                           -----------    -----------

Commitments and contingencies

          Total liabilities and shareholders' equity...................... $29,255,597    $26,279,179
                                                                           ===========    ===========

See accompanying notes to financial statements.
</TABLE>



                                      -19-
<PAGE>


<TABLE>
                          NATIONAL RESEARCH CORPORATION

                              Statements of Income

                       Three years ended December 31, 1999

<CAPTION>
                                                                  1999              1998             1997
                                                                  ----              ----             ----

<S>                                                           <C>               <C>              <C>
Revenues..................................................... $18,184,007       $17,664,682      $16,284,133
                                                              -----------       -----------      -----------

Operating expenses:
  Direct expenses............................................  11,133,090         9,422,342        7,178,408
  Selling, general and administrative........................   4,177,185         4,842,584        3,980,316
  Depreciation and amortization..............................     816,740           425,876          159,013
  Acquired-in-process research and development cost..........         ---         2,737,542              ---
  Cost of closing duplicate facilities and severance
    charges..................................................     363,965           303,740              ---
  Special compensation charge................................         ---               ---        1,740,000
                                                              -----------       -----------      -----------
          Total operating expenses...........................  16,490,980        17,732,084       13,057,737
                                                              -----------       -----------      -----------

          Operating income (loss)............................   1,693,027           (67,402)       3,226,396
                                                              -----------       -----------      -----------

Other income:
  Net interest income........................................     565,754           844,813          366,978
  Other, net.................................................     (35,778)            4,380               55
                                                              -----------       -----------      -----------

          Total other income.................................     529,976           849,193          367,033
                                                              -----------       -----------      -----------

          Income before income taxes.........................   2,223,003           781,791        3,593,429

  Provision for income taxes.................................     747,691           320,508          376,000
                                                              -----------       -----------      -----------

          Net income......................................... $ 1,475,312       $   461,283      $ 3,217,429
                                                              ===========       ===========      ===========

Pro forma information:
  Net income................................................. $ 1,475,312       $   461,283      $ 3,217,429
  Pro forma income taxes.....................................         ---               ---          803,463
                                                              -----------       -----------      -----------

          Pro forma net income............................... $ 1,475,312       $   461,283      $ 2,413,966
                                                              ===========       ===========      ===========

Pro forma net income per share - basic and diluted........... $      0.21       $      0.06      $      0.37
                                                              ===========       ===========      ===========
</TABLE>

See accompanying notes to financial statements.



                                      -20-
<PAGE>


<TABLE>
                          NATIONAL RESEARCH CORPORATION

                       Statements of Shareholders' Equity

                       Three years ended December 31, 1999

<CAPTION>
                                                              Additional
                                       Preferred    Common      Paid-in        Retained      Treasury
                                         Stock      Stock       Capital        Earnings       Stock           Total
                                       ---------    ------    ----------       --------      --------         -----

<S>                                    <C>          <C>       <C>            <C>            <C>            <C>
Balances at December 31, 1996........  $    ---     $6,055    $       ---    $ 2,073,352    $       ---    $ 2,079,407

Issuance of 1,250,000 shares of
   common stock, net of offering
   expenses..........................       ---      1,250     16,839,839            ---            ---     16,841,089

Net income...........................       ---        ---            ---      3,217,429            ---      3,217,429

Dividends declared, $.55 per share          ---        ---            ---     (4,017,081)           ---     (4,017,081)
                                       --------     ------    -----------    ------------   -----------    -----------

Balances at December 31, 1997........       ---      7,305     16,839,839      1,273,700            ---     18,120,844

Net income...........................       ---        ---            ---        461,283            ---        461,283

Purchase of 213,000 shares
   of treasury stock.................       ---        ---            ---            ---     (1,147,594)    (1,147,594)
                                       --------     ------    -----------    -----------    -----------    -----------

Balances at December 31, 1998........       ---      7,305     16,839,839      1,734,983     (1,147,594)    17,434,533

Net income...........................       ---        ---            ---      1,475,312            ---      1,475,312

Purchase of 85,700 shares
   of treasury stock.................       ---        ---            ---            ---       (343,475)      (343,475)
                                       --------     ------    -----------    -----------    -----------    -----------

Balances at December 31, 1999........  $    ---     $7,305    $16,839,839    $ 3,210,295    $(1,491,069)   $18,566,370
                                       ========     ======    ===========    ===========    ===========    ===========
</TABLE>


See accompanying notes to financial statements.



                                      -21-
<PAGE>


<TABLE>
                          NATIONAL RESEARCH CORPORATION

                            Statements of Cash Flows

                       Three years ended December 31, 1999

<CAPTION>
                                                                  1999              1998              1997
                                                                  ----              ----              ----
<S>                                                           <C>               <C>               <C>
Cash flows from operating activities
  Net income..............................................    $  1,475,312      $    461,283      $  3,217,429
  Adjustments to reconcile net income to net
    cash provided by operating activities:
      Depreciation and amortization.......................         816,740           425,876           159,013
      Acquired in-process research and development cost...             ---         2,737,542               ---
      Loss on sale of property and equipment..............          22,106            (2,489)              ---
      Loss on sale of other investments...................             788               ---               ---
      Other non-cash charges..............................          25,920               ---               ---
      Change in assets and liabilities:
        Trade accounts receivable.........................          22,232         1,278,132        (1,877,960)
        Unbilled revenues.................................         407,741          (260,819)         (277,498)
        Prepaid expenses and other........................         122,300            27,665          (139,959)
        Deferred tax asset................................         117,852            (3,600)         (283,000)
        Accounts payable..................................         135,326          (698,495)         (163,870)
        Accrued expenses, wages, bonuses and profit sharing       (101,491)         (368,537)          644,560
        Billings in excess of revenues earned.............          (9,885)          (93,646)          129,725
        Income taxes payable..............................         234,533           465,827           118,000
        Impairment losses.................................         230,813               ---               ---
                                                              ------------      ------------      ------------

           Net cash provided by operating activities......       3,500,287         3,968,739         1,526,440
                                                              ------------      ------------      ------------

Cash flows from investing activities:
  Purchases of property and equipment........................   (4,904,156)       (1,927,929)         (341,339)
  Acquisition, net of cash acquired..........................          ---        (5,899,588)              ---
  Purchases of securities available-for-sale.................  (13,330,053)      (11,611,973)      (13,553,644)
  Proceeds from the maturities of securities
    available-for-sale.......................................   10,462,000        16,823,183         1,810,058
  Proceeds from sale of property and equipment...............        1,000            13,112                --
                                                              ------------      ------------      ------------
           Net cash used in investing activities.............   (7,771,209)       (2,603,195)      (12,084,925)
                                                              ------------      ------------      ------------

Cash flows from financing activities:
  Dividends paid.............................................          ---               ---        (4,376,464)
  Borrowings under line of credit............................    3,544,000               ---               ---
  Payments on notes payable..................................      (30,792)          (18,590)              ---
  Payment of purchase price payable..........................   (2,636,936)              ---               ---
  Proceeds from issuance of common stock.....................          ---               ---        16,841,089
  Purchase of treasury stock.................................    (343,475)        (1,147,594)              ---
                                                              ------------      ------------      ------------

           Net cash provided by (used in)
             financing activities............................      532,797        (1,166,184)       12,464,625
                                                              ------------      ------------      ------------
           Net increase (decrease) in cash and
             cash equivalents................................   (3,738,125)          199,360         1,906,140

Cash and cash equivalents at beginning of period.............    4,887,712         4,688,352         2,782,212
                                                              ------------      ------------      ------------

Cash and cash equivalents at end of period................... $  1,149,587      $  4,887,712      $  4,688,352
                                                              ============      ============      ============

Supplementary information
  Cash paid for:
    Interest, including capitalized interest of $54,617...... $     62,685      $      7,360      $        ---
                                                              ============      ============      ============
    Taxes.................................................... $    397,540      $    928,246      $    541,000
                                                              ============      ============      ============

Noncash investing and financing activities:

  In 1998, the Company assumed liabilities of $0.6 million and incurred purchase price payable of $2.7 million
    in connection with the acquisition of a business.
  In 1999, accounts payable included $863,216 for purchases of property and equipment.

See accompanying notes to financial statements.
</TABLE>



                                      -22-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(1)       Summary of Significant Accounting Policies

Description of Business and Basis of Presentation

          National Research Corporation (the "Company") is a provider of ongoing
survey-based  performance  measurement,  analysis and  tracking  services to the
healthcare industry.  The Company provides market research services to hospitals
and insurance  companies on an unsecured credit basis. The Company's ten largest
clients  accounted for 43%, 40% and 64% of the Company's total revenues in 1999,
1998 and 1997, respectively. One client accounted for 31.1% of total revenues in
1997. This client canceled its contract for performance  measurement  studies in
December of 1997. A second client accounted for 15.7%, 14.6%, and 15.1% of total
revenues in 1999,  1998 and 1997,  respectively.  A third client  accounted  for
12.9% and 10.2% of total  revenues in 1999 and 1998,  respectively.  The Company
operates in a single industry segment.

Basis of Presentation

          Pro Forma Net  Income  and Net Income Per Share - Pro forma net income
and pro forma income per share has been  computed  assuming that the Company had
been taxed as a C Corporation  for Federal and state income tax purposes for all
periods presented.  Pro forma income per share has been calculated and presented
for  "basic"  and  "diluted"  data.  Pro forma  income per share is  computed by
dividing net income by the weighted  average  number of common  shares.  Diluted
income per share is  computed  by dividing  net income by the  weighted  average
number of common shares and common equivalent shares outstanding.

          Pursuant  to  Securities  and  Exchange  Commission  Staff  Accounting
Bulletin No. 98,  weighted  average shares  outstanding for 1997 include the pro
forma  effect of shares  that would have had to have been  issued (at $13.95 per
share, the initial public offering price less the underwriting discount expense)
to  generate  sufficient  cash to fund the  portion  of the  approximately  $5.6
million of S Corporation  distributions and special (cash) compensation  expense
that are in excess of the net income for the year ended  December 31, 1996.  The
weighted average shares outstanding is calculated as follows:

                                                 1999        1998        1997
                                                 ----        ----        ----

Common stock.................................. 7,054,487   7,283,051   6,309,728
Dilutive effect of assumed initial public
  offering shares for distribution............        --          --     129,812
                                               ---------   ---------   ---------
  Weighted average common shares - basic...... 7,054,487   7,283,051   6,439,540
Dilutive effect of options issued.............     2,987      18,315         694
                                               ---------   ---------   ---------
Weighted average common shares and common
   share equivalents - diluted................ 7,057,474   7,301,366   6,440,234
                                               =========   =========   =========

          There are no  reconciling  items between the  Company's  reported (pro
forma) net income and (pro  forma) net income used in the  computation  of basic
and diluted income per share.



                                      -23-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(1)       Summary of Significant Accounting Policies, Continued

Use of Estimates

          The  preparation of financial  statements in conformity with generally
accepted accounting principles 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  revenues  and
expenses  during the reporting  period.  Actual  results could differ from those
estimates.

Revenue Recognition

          The Company derives a substantial  majority of its operating  revenues
from its annually  renewable  services,  which include the NRC Listening  System
("Performance   Tracking   Services")  and  the  NRC  Healthcare   Market  Guide
("Renewable  Syndicated  Service").  Under the NRC Listening System, the Company
provides  interim and annual  performance  tracking to its clients  under annual
client service  contracts,  although such contracts are generally  cancelable on
short or no notice without penalty. Through its syndicated NRC Healthcare Market
Guide,  the  Company  publishes  healthcare  market  information  to its clients
generally on an annual basis.  The Company also derives revenues from custom and
other research projects.

          The Company recognizes revenues from its Performance Tracking Services
and its custom and other  research  projects  using the percentage of completion
method of accounting.  These services  typically include a series of surveys and
deliverable reports in which the timing and frequency vary by contract. Progress
on a contract can be tracked  reliably  and  customers  are  obligated to pay as
services are performed. The recognized revenue is the percent of estimated total
revenues that incurred costs to date bear to estimated  total costs after giving
effect to  estimates  of costs to complete  based upon most recent  information.
Losses expected to be incurred on jobs in progress are charged to income as soon
as such losses are known.  Revenues earned on contracts in progress in excess of
billings are classified as a current asset. Amounts billed in excess of revenues
earned are  classified  as a current  liability.  Client  projects are generally
completed within a twelve-month period.

          The Company  recognizes  revenue on a completed contract basis for its
Renewable   Syndicated   Service   contracts   with  its  principal   customers.
Characteristics  of these  contracts  include  durations  of four to six months,
progress to completion cannot be reasonably  defined,  and various  intermediate
steps in the process overlap in stages of progress for different contracts.  The
Company  defers  direct  costs of  preparing  the survey data for the  Renewable
Syndicated Service. The Company recognizes revenues and related direct costs for
its  Renewable  Syndicated  Service upon  delivery to its  principal  customers.
Customers  have no obligation to pay for these  services  until the services are
delivered.  The Company generates  additional revenues from incidental customers
subsequent  to the  completion  of each  edition.  Revenues  and costs for these
services  are  recognized  as  the  customization  services  are  performed  and
completed.

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.



                                      -24-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(1)       Summary of Significant Accounting Policies, Continued

          On January 1, 1998,  the Company  adopted the  American  Institute  of
Certified  Public  Accountants  Statement  of  Position  No.  98-1  (SOP  98-1),
Accounting for the Costs of Computer Software Developed or Obtained for Internal
Use. Under that accounting  standard,  the Company expenses as incurred computer
software costs  incurred in the  preliminary  project stage,  which involves the
conceptual  formulation,  evaluation  and selection of technology  alternatives.
Costs  incurred  related  to the  design,  coding  installation  and  testing of
software during the application  project stage are  capitalized.  Costs incurred
for training and application  maintenance are expensed as incurred.  The Company
has  capitalized  approximately  $1,491,000 and $1,494,000 of costs incurred for
the  development  of internal use software for the year ended  December 31, 1999
and 1998,  respectively,  with such costs  classified as property and equipment.
Prior to January  1, 1998,  the  Company's  accounting  policy was to expense as
incurred all costs of software  developed for internal use. Costs incurred prior
to January 1, 1998,  for the  development of internal use software have not been
adjusted or capitalized as a result of the Company's adoption of SOP 98-1.

          The Company provides 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.  The  Company  uses
accelerated methods of depreciation and amortization over estimated useful lives
of five to seven  years for  furniture  and  fixtures,  three to five  years for
computer  equipment,  five years for  capitalized  software and 39 years for the
Company's new office building.

Goodwill and Other Intangible Assets

          Goodwill and other  intangible  assets,  which represent the excess of
purchase  price over fair  value of net  assets  acquired,  are  amortized  on a
straight-line  basis over the expected periods to be benefited,  10 to 20 years.
The  Company  assesses  the   recoverability   of  these  intangible  assets  by
determining whether the amortization of the intangible asset balances over their
remaining life can be recovered through undiscounted future operating cash flows
of the acquired  operation.  Assets to be disposed of or abandoned  are assessed
for  recoverability  by  determining  whether the carrying value of the asset is
less than estimated net realizable value.

Marketable Securities

          All marketable securities held by the Company at December 31, 1999 and
1998  were  classified  as  available-for-sale   and  recorded  at  cost,  which
approximates market value.  Unrealized holding gains and losses (if any), net of
the related tax effect,  on  available-for-sale  securities  are  excluded  from
income and are  reported as a separate  component of  shareholders  equity until
realized.  Realized  gains  and  losses  from  the  sale  of  available-for-sale
securities are determined on a  specific-identification  basis.  Fair values are
estimated based on quoted market prices.



                                      -25-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(1)       Summary of Significant Accounting Policies, Continued

Income Taxes

          Effective  August  1,  1994,  the  Company,  with the  consent  of its
shareholders, elected under the Internal Revenue Code to be an S Corporation. In
lieu of corporation income taxes, the shareholders of an S Corporation are taxed
on their  proportionate  share of the  Company's  taxable  income.  The  Company
terminated  its S  Corporation  election  on October  13,  1997.  Therefore,  no
provision  or  liability  for federal  income  taxes has been  included in these
financial  statements  for the period from January 1, 1997  through  October 13,
1997.  Income  taxes have been  provided on the  Company's  taxable  income from
October 14, 1997 through  December 31, 1997 and for the year ended  December 31,
1998.

          Upon  the  termination  of its S  Corporation  election,  the  Company
adopted  the asset  and  liability  method of  accounting  for  income  taxes of
Statement of Financial  Accounting  Standards  ("SFAS") No. 109,  Accounting for
Income Taxes. Under that method,  deferred income tax assets and liabilities are
recognized for the future tax consequences  attributable to differences  between
the financial  statement carrying amounts of existing assets and liabilities and
their  respective tax bases using enacted tax rates.  The effect on deferred tax
assets and  liabilities  of a change in tax rates is recognized in income in the
period that  includes the  enactment  date.  Valuation  allowances,  if any, are
established  when necessary to reduce  deferred tax assets to the amount that is
more likely than not to be realized.

Stock Option Plans

          The Company recognizes stock-based  compensation expense for its stock
option  plans  using  the  intrinsic  value  method.   Under  that  method,   no
compensation  expense is recorded if the exercise  price of the  employee  stock
options equals or exceeds the market price of the  underlying  stock on the date
of grant. For disclosure purposes, pro forma net income and income per share are
provided as if the fair value method had been applied.

Cash and Cash Equivalents

          For purposes of the  statements of cash flows,  the Company  considers
all highly liquid  investments with original  maturities of three months or less
to be cash equivalents.

Comprehensive Income

          Other than unrealized holding gains on securities  available-for-sale,
the Company has no sources of other  comprehensive  income.  Because the cost of
the Company's  available-for-sale  securities approximated market value in 1999,
1998 and 1997, the Company had no other comprehensive income for the three years
ended December 31, 1999. Therefore,  the Company's comprehensive income consists
solely of its net income.

Reclassification

          Certain amounts for the prior years have been  reclassified to conform
to the December 31, 1999 presentation.



                                      -26-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(2)       Acquisition

          Effective  June  1,  1998,  the  Company   acquired  the  business  of
Healthcare  Research  Systems,  Ltd.  ("HRS")  through an acquisition of assets.
Consideration  paid  by the  Company  at  closing  included  a cash  payment  of
$5,100,000  plus an estimated  payment of $350,000  for the net working  capital
acquired.   The  Company  also  incurred  liabilities  of  $625,362  related  to
management's  plans to exit certain  activities  of HRS and has paid $170,000 of
direct acquisition costs. The acquisition  agreement was subsequently amended to
return to the Company the entire $350,000  estimated payment for the net working
capital  surplus paid at closing and to provide for the Company's  assumption of
additional pre-acquisition  liabilities of HRS of $629,588. The amendment to the
acquisition agreement was recorded in the third quarter of 1998 as an adjustment
to the purchase price, increasing goodwill by $629,588. As the Company completed
its original exit plans in 1999,  management  determined that the ultimate costs
of certain exit activities were less than the liabilities accrued at the time of
the  acquisition.  As a result,  the Company  reduced its  goodwill  and accrued
liabilities by $153,390 for the excess of accrued liabilities over actual costs.

          In  October  1998,  the  amended  acquisition  agreement  removed  the
contingencies associated with scheduled payments of additional purchase price in
1999.  The amendment  also reduced the amount of purchase  price payable for the
first of those scheduled payments to approximately  $1,150,000 in March 1999. An
additional payment of approximately $1,500,000 for purchase price payable is due
in June 1999.  The liability  for the purchase  price  payment  commitments  was
recorded  in the fourth  quarter of 1998,  with the  additional  purchase  price
allocated to goodwill of HRS.

          The  acquisition  of HRS has been  accounted  for as a  purchase,  and
accordingly,  the  operating  results of HRS have been included in the Company's
financial  statements  since  the date of  acquisition.  The  purchase  price of
approximately  $9,021,561,  as  adjusted  for  accrued  liabilities,   has  been
allocated to the following assets based upon management's  preliminary estimates
of the fair  values of  identifiable  assets of HRS at the date of  acquisition.
Assets, including in-process research and development, acquired are as follows:

                                                                  Estimated
                                                    Fair Value      Life
                                                    ----------    ---------

          Property and equipment.................. $  150,000     5-7 years
          Workforce in place......................    272,882      10 years
          Customer lists..........................    359,048      15 years
          Goodwill................................  5,502,089      20 years
                                                    ---------
                                                    6,284,019

          In-process research and development.....  2,737,542       0 years
                                                   ----------

                                                   $9,021,561
                                                   ==========

          In 1998, the Company also  terminated the employment of certain of its
employees  whose   responsibilities  were  duplicative  of  those  performed  by
employees  acquired  in the HRS  acquisition.  The  terminations  resulted  in a
severance  charge of $303,740 in 1998.  All severance  payments  related to this
charge were paid prior to December 31, 1998.



                                      -27-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(2)       Acquisition, Continued

          The  following  unaudited  pro forma data  summarizes  the  results of
operations  for the  periods  indicated  as if the  acquisition  of HRS had been
completed  on  January 1,  1997.  The pro forma data gives  effect to the actual
operating results prior to the acquisition,  amortization of acquisition-related
intangibles  and  income  taxes.  The pro forma  amounts  do not  purport  to be
indicative  of the  results  that  would  have  actually  been  obtained  if the
acquisition  had  occurred  on January 1, 1997,  or that may be  obtained in the
future.

                                                 Year ended December 31,
                                                -------------------------
                                                  1998             1997
                                                  ----             ----
                                                 (dollars in thousands,
                                                except per share amounts)

          Revenues............................  $20,834          $22,800
          Net income (loss)...................  $ 1,840          $   (73)
          Net income (loss) per share -
            basic and diluted.................  $  0.25          $ (0.01)


(3)       Investments in Marketable Debt Securities

          The carrying value of available-for-sale  securities by major security
type is shown below. Amortized cost approximates fair value.

                                                              December 31,
                                                       -------------------------
          Debt securities:                                1999           1998
                                                          ----           ----

           Obligations of U.S. government agencies.... $ 9,681,812    $8,008,180
           Commercial paper...........................   1,193,712            --
           Other......................................       1,084         1,163
                                                        ----------     ---------

                Total................................. $10,876,608    $8,009,343
                                                        ==========     =========

          There were no sales of  marketable  securities in advance of scheduled
maturities of available-for-sale marketable debt securities during 1999, 1998 or
1997.  The amortized  cost of debt  securities at December 31, 1999 and 1998, by
contractual maturity,  are shown below. Expected maturities will differ from the
contractual  maturities  because  borrowers may have the right to call or prepay
obligations with or without call or prepayment penalties.

                                                         1999            1998
                                                         ----            ----
                                                       Amortized      Amortized
                                                         cost           cost
                                                       ---------      ---------

          Due after three months through one year     $ 9,825,040     $6,958,046
          Due after one year through five years         1,050,484      1,050,134
                                                      -----------     ----------
                                                      $10,875,524     $8,008,180
                                                      ===========     ==========



                                      -28-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(4)       Property and Equipment

          At December 31, 1999 and 1998 property and equipment  consisted of the
following:

                                                      1999         1998
                                                      ----         ----

          Furniture and equipment................  $  416,214   $  509,541
          Computer equipment and software........   4,319,118    2,619,326
          Building...............................   3,613,003           --
          Land...................................     425,000           --
                                                   ----------   ----------
                                                    8,773,335    3,128,867
          Less accumulated depreciation
            and amortization.....................   1,247,392      840,284
                                                   ----------   ----------
                Net property and equipment.......  $7,525,943   $2,288,583
                                                   ==========   ==========


(5)       Goodwill and Other Intangible Assets

          Goodwill  and other  intangible  assets  consist of the  following  at
December 31, 1999 and 1998:

                                                      1999         1998
                                                      ----         ----

          Workforce in place.....................  $       --   $  272,882
          Customer lists.........................     359,048      359,048
          Goodwill...............................   5,502,089    5,655,478
                                                   ----------   ----------
                                                    5,861,137    6,287,408

          Accumulated amortization...............    (420,885)    (127,199)
                                                   ----------   ----------
                                                   $5,440,252   $6,160,209
                                                   ==========   ==========

          In connection with  management's  plans to exit certain  operations of
the Company's Columbus,  Ohio location,  the Company recorded an impairment loss
of $230,813 for the  abandonment of the intangible  asset  workforce in place in
the fourth  quarter of 1999.  The  impairment  loss is  classified  as a cost of
closing  duplicate  facilities and severance charges in the Statement of Income.
As discussed in Note 12, the Company's  exit plans  included the  termination of
substantially  all  employees,  other than  those  associated  with call  center
operations, acquired in connection with the HRS acquisition.


(6)       Income Taxes

          Income tax expense  (benefit) for 1999, 1998 and 1997 consisted of the
following components:

                                         Current       Deferred         Total
          1999:
              Federal.................  $523,658      $ 102,767      $626,425
              State...................   106,181         15,085       121,266
                                         -------      ---------      --------
                Total.................  $629,839      $ 117,852      $747,691
                                         =======      =========      ========
          1998:
              Federal.................  $713,514      $(442,014)     $271,500
              State...................    95,000        (45,992)       49,008
                                          ------      ---------      --------
                Total.................  $808,514      $(488,006)     $320,508
                                         =======      =========      ========
          1997:
              Federal.................  $553,000      $(237,000)     $316,000
              State...................   106,000        (46,000)       60,000
                                         -------      ---------      --------
                Total.................  $659,000      $(283,000)     $376,000
                                         =======      =========      ========



                                      -29-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(6)       Income Taxes, Continued

          Income tax expense for the period of October 14, 1997 through December
31, 1997 is based on taxable income at approximately $1,592,500.  The difference
between  the  Company's  income tax  expense  as  reported  in the  accompanying
financial  statements  and that  which  would be  calculated  applying  the U.S.
Federal income tax rate of 34% on pretax income is as follows:

                                                 1999        1998        1997
                                                 ----        ----        ----
Expected Federal income taxes.................  755,800    $266,000    $541,500
State income taxes, net of federal benefit....   80,100      32,900      70,100
Rehabilitation tax credit.....................  (66,000)         --          --
Deferred tax benefits recognized upon
  termination of the Company's S
  Corporation election........................       --          --    (258,000)
Other.........................................  (22,209)     21,608      22,400
                                               --------    --------    --------
      Total................................... $747,691    $320,508    $376,000
                                               ========    ========    ========

          Deferred tax assets at December 31, 1999 and 1998,  were  comprised of
the following:

                                                           1999          1998
                                                           ----          ----
Deferred tax assets:
  Allowance for doubtful accounts......................  $ 24,600      $ 24,200
  Accrued expenses.....................................   164,400       162,800
  Bonus and profit sharing accruals....................    29,600        99,600
  Intangible assets....................................   434,554       484,406
                                                         --------      --------

      Total deferred tax assets........................  $653,154      $771,006
                                                         ========      ========

          The Company did not record a valuation  allowance for its deferred tax
assets  because  management  believes  that it is more  likely than not that the
Company will generate  sufficient taxable income to fully realize these deferred
tax benefits.

(7)       Notes Payable and Line of Credit

          Notes payable consist of the following:

                                                              1999        1998
                                                              ----        ----
Note payable to Fifth Shore Partnership, at 9.0%,
payable in monthly installments of $1,808 including
interest, with final payment of principal and
interest due October 1, 2000                                $39,988     $ 56,867

Note payable to National Computer Systems, at 8.50%,
payable in monthly installments of $1,430 including
interest, with final payment of principal and interest
due March 1, 2002, secured by the assets of the Company      34,668       48,581
                                                            -------     --------
Total notes payable                                          74,656      105,448
Less current portion                                         54,332       30,754
                                                            -------     --------
Notes payable, net of current portion                       $20,324     $ 74,694
                                                            =======     ========



                                      -30-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(7)       Notes Payable and Line of Credit, Continued

          The  aggregate  maturities  of notes  payable  for  each of the  years
subsequent to December 31, 1999 are: 2000 - $54,332;  2001 - $16,013; and 2002 -
$4,311.

          At December 31, 1999, the Company has borrowings of $3,544,000 under a
secured   construction   financing  line  of  credit  with  a  local   financial
institution. All borrowings under the line of credit are secured by the land and
building  subject to  renovation  (net book value of  $4,012,042 at December 31,
1999) and $5.5 million par value of marketable debt securities and bear interest
at the institution's  reference rate (7.50% at December 31, 1999). Total maximum
borrowings under the line of credit are $5,700,000,  of which $2,156,000 remains
available  for further  borrowings  at  December  31,  1999.  The line of credit
expires on June 1, 2000. The Company  intends to secure  long-term  financing on
the building for approximately $5,500,000 to replace the line of credit.


(8)       Common Stock

          During 1997, the Company  reincorporated in Wisconsin and paid a stock
dividend  of  approximately   239.5-to-1,   the  effects  of  which  were  given
retroactive effect in the accompanying financial statements.  In connection with
the reincorporation, the Company also increased its authorized common stock from
100,000 shares to 20,000,0000  shares and authorized up to 2,000,0000  shares of
undesignated preferred stock.

          In August  1997,  the  Company  decided to pay  special  cash  bonuses
aggregating $1,740,000 to two executive officers prior to the termination of its
S Corporation status, with such bonuses intended to fund the purchase of Company
shares  by  such  individuals  in an  initial  public  offering  ("IPO")  of the
Company's common stock. The related special  compensation  expense of $1,740,000
was recognized by the Company in the fourth quarter of 1997, concurrent with the
completion  of the IPO.  The  special  compensation  expense  reduced the amount
otherwise available for distribution to the Company's  shareholders prior to the
termination of its S Corporation status.

          On October 9, 1997, the Company completed its IPO by issuing 1,250,000
shares of common stock at a price of $15 per share.  Net proceeds of $16,841,089
were  realized by the Company  after  deducting  the  underwriting  discount and
offering expenses.


(9)       Stock Option Plans

          In August  1997,  the Board of  Directors  adopted  and the  Company's
shareholders  approved the National  Research  Corporation 1997 Equity Incentive
Plan (the "Equity Incentive  Plan").  The Equity Incentive Plan provides for the
granting  of options to  purchase up to an  aggregate  of 730,000  shares of the
Company's  common  stock  through the date of the  Company's  annual  meeting of
shareholders  in the year 2001.  Options  granted may be either  nonqualified or
incentive  stock options.  Vesting terms vary with each grant,  and option terms
are five  years.  At  December  31,  1999,  the number of shares  available  for
issuance  pursuant to future grants under the Equity  Incentive Plan was 445,377
shares.



                                      -31-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(9)       Stock Option Plans, Continued

          In October 1997,  the Board of  Directors  adopted  and the  Company's
shareholders approved the National Research Corporation Director Stock Plan (the
"Director  Plan").  As amended in December  1997, the Director Plan provides for
formula  grants of  nonqualified  options to each director of the Company who is
not  an  employee  of the  Company.  On the  date  of  each  annual  meeting  of
shareholders of the Company,  each such director,  if reelected or retained as a
director at such meeting,  is granted an option to purchase  1,000 shares of the
Company's  common stock.  Option  exercise prices equal the fair market value of
the Company's common stock on the date of grant. Options vest one year following
the  date of  grant  and  may be  exercisable  for a  period  of up to 10  years
following the date of grant.  Options to purchase  2,000 shares of the Company's
common  stock were granted in each of 1999 and 1998.  At December 31, 1999,  the
number of shares  available  for  issuance  pursuant to future  grants under the
Director Plan was 26,000.

          Options to purchase  shares of common  stock have been granted in 1999
and 1998 with exercise prices equal to the fair value of the common stock on the
date of grant.  Accordingly,  no  compensation  expense was  recorded  for these
grants.  Had compensation cost for the stock option grants been determined using
the fair value  method,  the Company's net income and net income per share would
have been reduced to the pro forma amounts indicated below:

                                                            1999         1998
                                                            ----         ----
                                                          (in thousands, except
                                                            per share amounts)
Pro forma:
  Net income, as reported...............................    $1,475      $ 461
  Net income, adjusted for the fair value method........     1,324        267

  Income per share, as reported (1).....................    $ 0.21      $0.06
  Income per share, adjusted for the fair
    value method (1)....................................      0.19       0.04

(1) Amounts are the same for both basic and diluted income per share.


          The weighted  average  fair value of options  granted in 1999 and 1998
was $5.51 and $1.80, respectively.  Pro forma net income reflects the allocation
of  compensation  cost for stock  option  grants  using the fair  value  method.
Compensation  cost is allocated between periods based upon the vesting period of
the options.  Therefore,  the full impact of calculating compensation cost using
the fair value method is not reflected in pro forma net income amounts presented
above because compensation cost is amortized to expense over the vesting period,
and additional  options may be granted in future years. The fair value for these
options  for  1999  and  1998 was  estimated  at the  date of  grant  using  the
Black-Scholes model with the following assumptions:

          Expected dividend yield at date of grant.....                  0
          Expected stock price volatility..............               45.0%
          Risk-free interest rate......................                6.0%
          Expected life of options.....................  3.75 to 5.00 years



                                      -32-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(9)       Stock Option Plans, Continued

          The following information relates to options to purchase common stock:

                                                Number of      Weighted Average
                                                  Shares        Exercise Price
                                                ---------      ----------------

 Balance at December 31, 1997...............     167,130            $15.00
     Granted................................     342,878              4.37
     Canceled...............................    (107,378)            13.58
                                                --------              6.33
 Balance at December 31, 1998...............     402,630              3.71
                                                ========              5.51
     Granted................................     135,930              5.70
     Canceled...............................     (89,183)             7.87
                                                --------
 Balance at December 31, 1999...............     449,219
                                                ========
 Exercisable at December 31, 1999...........     196,150
                                                ========

          At December 31,  1999,  the range of exercise  prices for  outstanding
stock  options  was  $2.188  to  $15.00  and  the  weighted  average   remaining
contractual life of outstanding stock options was 3.42 years.


(10)      Leases

          The Company leases office space for a monthly base rental payment plus
maintenance  and utilities.  Rental expense was $401,105,  $385,735 and $253,034
during 1999, 1998 and 1997,  respectively,  and is included in selling,  general
and  administrative  expenses in the  statements of income.  The future  minimum
lease payments under noncancelable  operating leases are approximately  $401,000
in 2000.


(11)      Employee Benefits

          The Company sponsors a qualified defined  contribution  profit sharing
plan covering  substantially all employees with a minimum service of 1,000 hours
and one year of service except for highly compensated employees covered by other
nonqualified   profit  sharing   plans.   Employer   contributions,   which  are
discretionary,  vest to  participants  at a rate of 20% per year.  Total  profit
sharing expense was $97,402 in 1997. No  contributions  were made by the Company
in 1999 and 1998.

          The  Company  also  sponsors  nonqualified  profit  sharing  bonus and
incentive  plans for  employees  and  members  of  executive  management  of the
Company.  Certain bonuses under the executive management incentive plan are paid
over a five-year  period.  Expense  recorded  under  these  plans was  $162,458,
$84,013 and $607,877 in 1999, 1998 and 1997, respectively.



                                      -33-
<PAGE>


                          NATIONAL RESEARCH CORPORATION
                    Notes to Financial Statements, Continued


(12)      Restructuring Expenses and Impairment of Assets

          During the quarter  ended  December  31,  1999,  the Company  recorded
provisions  related to  restructuring  expenses and  impairments  of  long-lived
assets.  The  Company's  restructuring  activities  include the  elimination  of
substantially all of the Company's Columbus, Ohio work force and the abandonment
of duplicative facilities.  The Company's restructuring plan commitments,  which
are expected to be fully completed in 2000, included the following:

          o    Severance   costs  of  $104,437  were  accrued   related  to  the
               termination of fourteen employees at the Company's Columbus, Ohio
               location.  These  employees  represent  substantially  all of the
               Company's full-time work force in Columbus,  Ohio.  Following the
               termination  of  these  employees  in  December  1999,  the  only
               remaining  employees of the Company in  Columbus,  Ohio are those
               employed in the  Company's  call center  facility.  No  severance
               benefits  were  paid in 1999  and,  therefore,  accrued  expenses
               include  liabilities of $104,437 for unpaid severance benefits at
               December 31, 1999.

          o    Management  expects to terminate its  remaining  call center work
               force in Columbus, Ohio by the end of the second quarter of 2000.
               No  provisions  for employee  terminations  were made in the 1999
               financial  statements  because  the  conditions  for accrual of a
               liability were not met. The anticipated  cost of terminating this
               remaining workforce is not expected to be significant.

          o    Impairment  losses of $230,813 were recorded in the quarter ended
               December 31, 1999 for the Company's  intangible asset,  workforce
               in place,  which was acquired in  connection  with the  Company's
               1998 acquisition of HRS. The abandonment of this intangible asset
               occurred   concurrent  with   management's   plans  to  eliminate
               substantially all of its full-time Columbus, Ohio workforce.  See
               also Note 5.

          o    Impairment losses of $17,428 were recognized in the quarter ended
               December 31, 1999 in  connection  with  duplicative  property and
               equipment abandoned with the Columbus, Ohio facilities.

          o    Lease costs of $11,287 were accrued for  contractual  commitments
               on abandoned  facilities in  connection  with  management's  exit
               plans.

After income  taxes,  these  actions  reduced  1999 net income by  approximately
$235,000, or $.03 per share.



                                      -34-
<PAGE>


Item 9.   Changes  in  and  Disagreements  with  Accountants  on  Accounting and
          Financial Disclosure

          None.


                                    PART III

Item 10.  Directors and Executive Officers of the Registrant

          The  information  required by this Item with respect to directors  and
Section 16 compliance is included under the captions "Election of Directors" and
"Section 16(a) Beneficial Ownership Reporting Compliance",  respectively, in the
Company's definitive Proxy Statement for its 2000 Annual Meeting of Shareholders
("Proxy Statement") and is hereby incorporated herein by reference.  Information
with respect to the executive  officers of the Company appears in Part I, page 7
of this Annual Report on Form 10-K.


Item 11.  Executive Compensation

          The  information  required by this Item is included under the captions
"Board of Directors-Director  Compensation" and "Executive  Compensation" in the
Proxy  Statement  and is  hereby  incorporated  herein by  reference;  provided,
however,  that  the  subsection  entitled  "Executive   Compensation-Report   on
Executive  Compensation"  shall  not be  deemed  to be  incorporated  herein  by
reference.


Item 12.  Security Ownership of Certain Beneficial Owners and Management

          The  information  required by this Item is included  under the caption
"Principal  Shareholders"  in the Proxy  Statement  and is  hereby  incorporated
herein by reference.


Item 13.  Certain Relationships and Related Transactions

          None.


                                     PART IV

Item 14.  Exhibits, Financial Statement Schedules, and Reports on Form 8-K

(a)   1.  Financial  statements  -   The  financial  statements  listed  in  the
          accompanying  index to financial  statements  and financial  statement
          schedules are filed as part of this Annual Report on Form 10-K.

      2.  Financial  statement  schedules - The  financial  statement  schedules
          listed in the accompanying index to financial statements and financial
          statement  schedules  are filed as part of this Annual  Report on Form
          10-K.

      3.  Exhibits - The exhibits listed in the  accompanying  index to exhibits
          are filed as part of this Annual Report on Form 10-K.

(b)       Reports on Form 8-K

          None.



                                      -35-
<PAGE>


                                   SIGNATURES

          Pursuant to the  requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the Registrant has duly caused this report to be signed on
its behalf by the undersigned,  thereunto duly  authorized,  on this 29th day of
March, 2000.


                                       NATIONAL RESEARCH CORPORATION


                                       By  /s/ Michael D. Hays
                                         ---------------------------------------
                                           Michael D. Hays
                                           President and Chief Executive Officer


          Pursuant to the  requirements of the Securities  Exchange Act of 1934,
this  report has been  signed  below by the  following  persons on behalf of the
Registrant and in the capacities and on the dates indicated.


        Signature                     Title                           Date
        ---------                     -----                           ----


/s/ Michael D. Hays          President, Chief Executive           March 29, 2000
- -------------------------    Officer and Director
Michael D. Hays              (Principal Executive Officer)


/s/ Patrick E. Beans         Vice President, Treasurer,           March 29, 2000
- -------------------------    Secretary, Chief Financial
Patrick E. Beans             Officer and Director (Principal
                             Financial and Accounting Officer)


/s/ John N. Nunnelly         Director                             March 29, 2000
- -------------------------
John N. Nunnelly


/s/ Paul C. Schorr, III      Director                             March 29, 2000
- -------------------------
Paul C. Schorr, III



                                      -36-
<PAGE>


                   INDEX TO FINANCIAL STATEMENTS AND FINANCIAL
                               STATEMENT SCHEDULE

                                                          Page in this Form 10-K
                                                          ----------------------

Independent Auditors' Report                                         18

Balance Sheets as of December 31, 1999 and 1998                      19

Statements of Income for each of the years in                        20
  the three-year period ended December 31, 1999

Statements of Shareholders' Equity for each of                       21
  the years in the three-year period ended
  December 31, 1999

Statements of Cash Flows for each of the three                       22
  years in the period ended December 31, 1999

Notes to Financial Statements                                     23-34

Independent Auditors' Report on Financial
  Statement Schedule                                                 38


Financial Statement Schedule:                                        39
  II - Valuation and Qualifying Accounts


All  other  financial   statement  schedules  are  omitted  since  the  required
information  is not present or is not present in amounts  sufficient  to require
submission of the schedules,  or because the information required is included in
the consolidated financial statements and notes thereto.



                                      -37-
<PAGE>


          INDEPENDENT AUDITORS' REPORT ON FINANCIAL STATEMENT SCHEDULE


The Board of Directors
National Research Corporation:

Under date of  February 8, 2000,  we reported on the balance  sheets of National
Research  Corporation  as of  December  31,  1999  and  1998,  and  the  related
statements of income, shareholders' equity, and cash flows for each of the years
in the three-year period ended December 31, 1999, which are included in the Form
10-K. In connection with our audits of the aforementioned  financial statements,
we also audited the related financial  statement schedule in the Form 10-K. This
financial statement schedule is the responsibility of the Company's  management.
Our responsibility is to express an opinion on this financial statement schedule
based on our audits.

In our opinion,  such financial statement schedule,  when considered in relation
to the basic financial  statements  taken as a whole,  presents  fairly,  in all
material respects, the information set forth therein.


                                               KPMG LLP

Lincoln, Nebraska
February 8, 2000



                                      -38-
<PAGE>


                          NATIONAL RESEARCH CORPORATION

                 Schedule II - Valuation and Qualifying Accounts

                                     Balance
                                        at                 Write-offs,   Balance
                                    Beginning   Bad Debt     Net of      at End
                                     of Year    Expense    Recoveries    of Year
                                    ---------   --------   -----------   -------
Allowance for doubtful accounts:

  Year Ended December 31, 1997....   $45,000     35,000      17,192      62,808

  Year Ended December 31, 1998....   $62,808     40,000      40,917      61,891

  Year Ended December 31, 1999....   $61,891     45,000      43,793      63,098


See accompanying independent auditors' report.



                                      -39-
<PAGE>


                                  EXHIBIT INDEX

Exhibit
Number                               Exhibit Description

(3.1)     Articles of Incorporation of National Research Corporation, as amended
          to date  [Incorporated  by  reference  to  Exhibit  (3.1) to  National
          Research Corporation's Form S-1 Registration  Statement  (Registration
          No. 333-33273)]

(3.2)     By-Laws  of  National  Research   Corporation,   as  amended  to  date
          [Incorporated  by  reference  to Exhibit  (3.2) to  National  Research
          Corporation's  Form  S-1  Registration  Statement   (Registration  No.
          333-33273)]

(10.1)*   National Research Corporation 1997 Equity Incentive Plan [Incorporated
          by reference to Exhibit (10.2) to National Research Corporation's Form
          S-1 Registration Statement (Registration No. 333-33273)]

(10.2)*   National Research  Corporation Director Stock Plan, as amended to date
          [Incorporated  by  reference  to Exhibit  (10.2) to National  Research
          Corporation's Form 10-K for the year ended December 31, 1997 (File No.
          0-29466)]

(10.3)+   Subcontract,  dated as of May 9, 1997,  as amended,  between  National
          Research Corporation and United HealthCare  Corporation  [Incorporated
          by reference to Exhibit (10.7) to National Research Corporation's Form
          S-1 Registration Statement (Registration No. 333-33273)]

(10.4)    Lease,  dated  as  of  January  9,  1998,  between  National  Research
          Corporation and Gold's Limited Partnership  [Incorporated by reference
          to Exhibit (10.7) to National Research Corporation's Form 10-K for the
          year ended December 31, 1997 (File No. 0-29466)]

(23)      Consent of KPMG LLP

(27)      Financial Data Schedule (EDGAR version only)

(99)      Proxy Statement for the 2000 Annual Meeting of Shareholders

          [Except to the extent  specifically  incorporated  by  reference,  the
          Proxy Statement for the 1999 Annual Meeting of Shareholders  shall not
          be deemed to be filed with the Securities  and Exchange  Commission as
          part of this Annual Report on Form 10-K.]

- -----------------------

*   A management contract or compensatory plan or arrangement.

+   Portions  of  this  exhibit  have  been   redacted  and  are  subject  to  a
    confidential  treatment  request filed with the Secretary of the  Securities
    and Exchange Commission pursuant to Rule 24b-2 under the Securities Exchange
    Act of 1934, as amended. The redacted material was filed separately with the
    Securities and Exchange Commission.



                                      -40-



                              Accountants' Consent


The Board of Directors
National Research Corporation:

We consent to incorporation by reference in the registration statements (Numbers
333-52135 and  333-52143) on Form S-8 of National  Research  Corporation  of our
report  dated  February  8, 2000,  relating  to the  balance  sheets of National
Research  Corporation  as of  December  31,  1999  and  1998,  and  the  related
statements of income, shareholders' equity, and cash flows for each of the years
in the three-year  period ended December 31, 1999, and related  schedule,  which
reports appear in the December 31, 1999,  annual report on Form 10-K of National
Research Corporation.

                                          /s/ KPMG LLP

Lincoln, Nebraska
March 27, 2000



<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     THE SCHEDULE  CONTAINS  SUMMARY  FINANCIAL  INFORMATION  EXTRACTED FROM THE
     FINANCIAL  STATEMENTS OF NATIONAL  RESEARCH  CORPORATION  AS OF AND FOR THE
     YEAR ENDED  DECEMBER 31, 1999 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE
     TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<CIK>                         0000070487
<NAME>                        NATIONAL RESEARCH CORPORATION
<MULTIPLIER>                                   1,000

<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                              DEC-31-1999
<PERIOD-START>                                 JAN-01-1999
<PERIOD-END>                                   DEC-31-1999
<CASH>                                            1,150
<SECURITIES>                                     10,877
<RECEIVABLES>                                     2,981
<ALLOWANCES>                                         63
<INVENTORY>                                           0
<CURRENT-ASSETS>                                 15,836
<PP&E>                                            8,773
<DEPRECIATION>                                    1,247
<TOTAL-ASSETS>                                   29,256
<CURRENT-LIABILITIES>                            10,590
<BONDS>                                           3,619
                                 0
                                           0
<COMMON>                                              7
<OTHER-SE>                                       18,559
<TOTAL-LIABILITY-AND-EQUITY>                     29,256
<SALES>                                               0
<TOTAL-REVENUES>                                 18,184
<CGS>                                                 0
<TOTAL-COSTS>                                    11,133
<OTHER-EXPENSES>                                  5,358
<LOSS-PROVISION>                                     45
<INTEREST-EXPENSE>                                    8
<INCOME-PRETAX>                                   2,223
<INCOME-TAX>                                        748
<INCOME-CONTINUING>                               1,475
<DISCONTINUED>                                        0
<EXTRAORDINARY>                                       0
<CHANGES>                                             0
<NET-INCOME>                                      1,475
<EPS-BASIC>                                       .21
<EPS-DILUTED>                                       .21



</TABLE>


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