The group's principal activity is the provision of ongoing survey-based performance measurement, analysis and tracking services to the healthcare industry. The group provides performance tracking services, custom research and renewable syndicated services. It offers market research services to hospitals and insurance companies on an unsecured credit basis. It recognizes revenue from its renewable service nrc listening system (performance tracking services). Under the performance tracking services, the group provides interim and annual performance tracking to its clients under annual client service contracts. On 17-Mar-2003, it acquired smaller world communications inc.