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Side-by-side financial comparison of NATIONAL RESEARCH CORP (NRC) and Xtant Medical Holdings, Inc. (XTNT). Click either name above to swap in a different company.

NATIONAL RESEARCH CORP is the larger business by last-quarter revenue ($35.2M vs $32.4M, roughly 1.1× Xtant Medical Holdings, Inc.). NATIONAL RESEARCH CORP runs the higher net margin — 5.1% vs 0.2%, a 4.9% gap on every dollar of revenue. On growth, Xtant Medical Holdings, Inc. posted the faster year-over-year revenue change (2.7% vs -4.6%). NATIONAL RESEARCH CORP produced more free cash flow last quarter ($6.1M vs $5.0M). Over the past eight quarters, Xtant Medical Holdings, Inc.'s revenue compounded faster (7.7% CAGR vs -0.2%).

National Research Corporation, doing business as NRC Health, is an American healthcare company which provides healthcare products and subscription-based solutions in United States and Canada. It was founded in 1981, and is based in Lincoln, Nebraska.

Xtant Medical Holdings, Inc. is a global medical technology company that develops, manufactures and markets orthobiologic products, neurosurgery devices, and regenerative medicine solutions for orthopedic and neurological care providers. It serves patients and medical institutions across North America, Europe and the Asia-Pacific, with core segments covering spinal surgery supplies and bone regeneration products.

NRC vs XTNT — Head-to-Head

Bigger by revenue
NRC
NRC
1.1× larger
NRC
$35.2M
$32.4M
XTNT
Growing faster (revenue YoY)
XTNT
XTNT
+7.3% gap
XTNT
2.7%
-4.6%
NRC
Higher net margin
NRC
NRC
4.9% more per $
NRC
5.1%
0.2%
XTNT
More free cash flow
NRC
NRC
$1.1M more FCF
NRC
$6.1M
$5.0M
XTNT
Faster 2-yr revenue CAGR
XTNT
XTNT
Annualised
XTNT
7.7%
-0.2%
NRC

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
NRC
NRC
XTNT
XTNT
Revenue
$35.2M
$32.4M
Net Profit
$1.8M
$57.0K
Gross Margin
54.9%
Operating Margin
13.3%
-2.9%
Net Margin
5.1%
0.2%
Revenue YoY
-4.6%
2.7%
Net Profit YoY
-72.6%
101.8%
EPS (diluted)
$49.58
$0.00

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
NRC
NRC
XTNT
XTNT
Q4 25
$35.2M
$32.4M
Q3 25
$34.6M
$33.3M
Q2 25
$34.0M
$35.4M
Q1 25
$33.6M
$32.9M
Q4 24
$36.9M
$31.5M
Q3 24
$35.8M
$27.9M
Q2 24
$35.0M
$29.9M
Q1 24
$35.3M
$27.9M
Net Profit
NRC
NRC
XTNT
XTNT
Q4 25
$1.8M
$57.0K
Q3 25
$4.1M
$1.3M
Q2 25
$-106.0K
$3.5M
Q1 25
$5.8M
$58.0K
Q4 24
$6.6M
$-3.2M
Q3 24
$5.7M
$-5.0M
Q2 24
$6.2M
$-3.9M
Q1 24
$6.4M
$-4.4M
Gross Margin
NRC
NRC
XTNT
XTNT
Q4 25
54.9%
Q3 25
66.1%
Q2 25
68.6%
Q1 25
61.5%
Q4 24
50.9%
Q3 24
58.4%
Q2 24
62.1%
Q1 24
62.1%
Operating Margin
NRC
NRC
XTNT
XTNT
Q4 25
13.3%
-2.9%
Q3 25
22.4%
7.6%
Q2 25
4.7%
13.1%
Q1 25
25.6%
3.2%
Q4 24
26.0%
-6.0%
Q3 24
22.3%
-13.5%
Q2 24
25.3%
-9.8%
Q1 24
24.8%
-12.4%
Net Margin
NRC
NRC
XTNT
XTNT
Q4 25
5.1%
0.2%
Q3 25
11.9%
3.9%
Q2 25
-0.3%
10.0%
Q1 25
17.2%
0.2%
Q4 24
17.8%
-10.0%
Q3 24
15.9%
-18.0%
Q2 24
17.6%
-12.9%
Q1 24
18.0%
-15.8%
EPS (diluted)
NRC
NRC
XTNT
XTNT
Q4 25
$49.58
$0.00
Q3 25
$0.18
$0.01
Q2 25
$-0.01
$0.02
Q1 25
$0.25
$0.00
Q4 24
$0.27
$-0.02
Q3 24
$0.24
$-0.04
Q2 24
$0.26
$-0.03
Q1 24
$0.27
$-0.03

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
NRC
NRC
XTNT
XTNT
Cash + ST InvestmentsLiquidity on hand
$4.1M
$17.1M
Total DebtLower is stronger
$11.0M
Stockholders' EquityBook value
$14.0M
$51.0M
Total Assets
$134.9M
$94.1M
Debt / EquityLower = less leverage
0.22×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
NRC
NRC
XTNT
XTNT
Q4 25
$4.1M
$17.1M
Q3 25
$2.2M
$10.4M
Q2 25
$5.3M
$6.9M
Q1 25
$2.5M
$5.0M
Q4 24
$4.2M
$6.2M
Q3 24
$3.5M
$6.6M
Q2 24
$485.0K
$5.4M
Q1 24
$1.7M
$4.5M
Total Debt
NRC
NRC
XTNT
XTNT
Q4 25
$11.0M
Q3 25
$17.4M
Q2 25
$22.3M
Q1 25
$22.2M
Q4 24
$22.0M
Q3 24
$48.7M
$19.1M
Q2 24
$33.3M
$21.8M
Q1 24
$35.2M
$16.8M
Stockholders' Equity
NRC
NRC
XTNT
XTNT
Q4 25
$14.0M
$51.0M
Q3 25
$14.3M
$50.4M
Q2 25
$21.3M
$48.5M
Q1 25
$29.7M
$43.9M
Q4 24
$31.3M
$43.0M
Q3 24
$34.6M
$45.7M
Q2 24
$40.2M
$45.0M
Q1 24
$36.9M
$47.7M
Total Assets
NRC
NRC
XTNT
XTNT
Q4 25
$134.9M
$94.1M
Q3 25
$135.7M
$106.3M
Q2 25
$141.4M
$103.5M
Q1 25
$135.2M
$95.8M
Q4 24
$132.5M
$93.8M
Q3 24
$131.8M
$98.9M
Q2 24
$119.1M
$95.6M
Q1 24
$120.9M
$93.9M
Debt / Equity
NRC
NRC
XTNT
XTNT
Q4 25
0.22×
Q3 25
0.35×
Q2 25
0.46×
Q1 25
0.51×
Q4 24
0.51×
Q3 24
1.41×
0.42×
Q2 24
0.83×
0.48×
Q1 24
0.95×
0.35×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
NRC
NRC
XTNT
XTNT
Operating Cash FlowLast quarter
$7.2M
$5.4M
Free Cash FlowOCF − Capex
$6.1M
$5.0M
FCF MarginFCF / Revenue
17.2%
15.4%
Capex IntensityCapex / Revenue
3.2%
1.2%
Cash ConversionOCF / Net Profit
3.99×
94.39×
TTM Free Cash FlowTrailing 4 quarters
$15.7M
$10.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
NRC
NRC
XTNT
XTNT
Q4 25
$7.2M
$5.4M
Q3 25
$13.8M
$4.6M
Q2 25
$-1.1M
$1.3M
Q1 25
$6.6M
$1.3M
Q4 24
$6.4M
$665.0K
Q3 24
$9.4M
$-1.7M
Q2 24
$6.8M
$-5.1M
Q1 24
$12.0M
$-5.8M
Free Cash Flow
NRC
NRC
XTNT
XTNT
Q4 25
$6.1M
$5.0M
Q3 25
$10.2M
$4.2M
Q2 25
$-4.1M
$910.0K
Q1 25
$3.7M
$87.0K
Q4 24
$1.9M
$-7.0K
Q3 24
$7.8M
$-3.8M
Q2 24
$1.5M
$-5.7M
Q1 24
$7.9M
$-6.5M
FCF Margin
NRC
NRC
XTNT
XTNT
Q4 25
17.2%
15.4%
Q3 25
29.4%
12.6%
Q2 25
-12.2%
2.6%
Q1 25
10.9%
0.3%
Q4 24
5.2%
-0.0%
Q3 24
21.8%
-13.7%
Q2 24
4.3%
-18.9%
Q1 24
22.4%
-23.4%
Capex Intensity
NRC
NRC
XTNT
XTNT
Q4 25
3.2%
1.2%
Q3 25
10.4%
1.3%
Q2 25
8.8%
1.0%
Q1 25
8.9%
3.6%
Q4 24
12.0%
2.1%
Q3 24
4.5%
7.5%
Q2 24
15.0%
1.9%
Q1 24
11.7%
2.8%
Cash Conversion
NRC
NRC
XTNT
XTNT
Q4 25
3.99×
94.39×
Q3 25
3.34×
3.53×
Q2 25
0.36×
Q1 25
1.15×
22.03×
Q4 24
0.97×
Q3 24
1.66×
Q2 24
1.10×
Q1 24
1.89×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

NRC
NRC

Segment breakdown not available.

XTNT
XTNT

Orthobiologics$18.3M57%
Spinal Implant$9.4M29%
License Revenue$4.6M14%

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