NATIONAL HEALTHCARE CORP
Business
NATIONAL HEALTHCARE CORP operates a diversified senior health care platform that runs skilled nursing facilities, assisted and independent living communities, homecare and hospice agencies, and behavioral health hospitals. It offers sub-acute and post-acute skilled nursing, rehabilitative and therapy services, memory and Alzheimer’s care, senior living services, hospice and home health care, pharmacy operations, management, accounting and insurance services, and a Medicare Institutional Special Needs Plan. The company reports two operating segments: inpatient services (skilled nursing, assisted/independent living, behavioral hospitals) and homecare and hospice, with an “all other” category. It operates in nine states, primarily in the Southeastern and Midwestern United States, through owned, leased and managed facilities, regional pharmacies, and agency networks.
Summary from filing dated 2025-02-28
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Net patient revenues | 1,470 | 1,252 | 1,088 | 1,029 | 966 | |
| Other revenues | 48 | 46 | 54 | 45 | 45 | |
| Government stimulus income | 0 | 9 | 0 | 11 | — | |
| Net operating revenues and stimulus income | 1,518 | 1,307 | 1,142 | 1,086 | 1,074 | |
| Salaries, wages and benefits | 921 | 811 | 712 | 686 | 666 | |
| Other operating | 377 | 321 | 288 | 289 | 267 | |
| Facility rent | 46 | 43 | 42 | 41 | 41 | |
| Depreciation and amortization | 45 | 42 | 42 | 40 | 41 | |
| Total costs and expenses | 1,389 | 1,217 | 1,084 | 1,054 | 1,023 | |
| Income from operations | 128 | 90 | 57 | 32 | 51 | |
| Non-operating income | 18 | 20 | 17 | 11 | 18 | |
| Interest expense | −6 | −4 | −324,000 | — | — | |
| Unrealized gains on marketable equity securities | 22 | 31 | 15 | −16 | −14 | |
| Income before income taxes | 162 | 136 | 89 | 27 | — | |
| Income tax provision | −40 | −34 | −23 | −7 | −11 | |
| Net income | 123 | 102 | 65 | 20 | 139 | |
| Net (income) loss attributable to noncontrolling interest | −3 | −159,000 | 2 | 2 | −497,000 | |
| Net income attributable to National HealthCare Corporation | 120 | 102 | 67 | 22 | 139 | |
| Basic (in dollars per share) | 7.76 | 6.62 | 4.36 | 1.46 | 9.03 | |
| Diluted (in dollars per share) | 7.67 | 6.53 | 4.34 | 1.45 | 8.99 | |
| Basic (in shares) | 15 | 15 | 15 | 15 | 15 | |
| Diluted (in shares) | 16 | 16 | 15 | 15 | 15 | |
| Dividends declared per common share (in dollars per share) | 2.53 | 2.42 | 2.34 | 2.26 | 2.11 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2024 2024-09-30 | FY 2023 2023-12-31 | FY 2022 2022-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 93 | 76 | — | 107 | 59 | |
| Restricted cash and cash equivalents, current portion | 18 | 20 | — | 18 | 15 | |
| Marketable equity securities | 163 | 140 | — | 111 | 101 | |
| Restricted marketable equity securities | 17 | 23 | — | 27 | 22 | |
| Restricted marketable debt securities, current portion | 18 | 12 | — | 13 | 16 | |
| Accounts receivable | 139 | 135 | — | 109 | 100 | |
| Inventories | 8 | 9 | — | 7 | 7 | |
| Prepaid expenses and other assets | 6 | 10 | — | 9 | 10 | |
| Total current assets | 462 | 424 | — | 406 | 354 | |
| Property and equipment, gross | 1,309 | 1,282 | — | 1,102 | 1,081 | |
| Less: Accumulated depreciation | −635 | −597 | — | −608 | −575 | |
| Net property and equipment | 674 | 684 | — | 493 | 507 | |
| Restricted cash and cash equivalents, less current portion | 1 | 1 | — | 1 | 1 | |
| Restricted marketable debt securities, less current portion | 105 | 108 | — | 109 | 103 | |
| Deposits and other assets | 7 | 9 | — | 15 | 13 | |
| Operating lease right-of-use assets | 48 | 79 | — | 94 | 121 | |
| Goodwill | 170 | 170 | — | 168 | 168 | |
| Intangible assets | 20 | 20 | — | 7 | 7 | |
| Investments in unconsolidated companies | 39 | 28 | — | 16 | 2 | |
| Total other assets | 391 | 416 | — | 411 | 415 | |
| Total assets | 1,526 | 1,524 | — | 1,311 | 1,275 | |
| Trade accounts payable | 23 | 25 | — | 19 | 17 | |
| Operating lease liabilities, current portion | 34 | 32 | — | 29 | 29 | |
| Accrued payroll | 104 | 93 | — | 84 | 73 | |
| Amounts due to third party payors | 14 | 15 | — | 18 | 17 | |
| Accrued risk reserves, current portion | 36 | 31 | — | 31 | 31 | |
| Other current liabilities | 26 | 21 | — | 23 | 18 | |
| Dividends payable | 10 | 9 | — | 9 | 9 | |
| Long-term debt due within one year | 8 | 8 | 8 | 0 | — | |
| Total current liabilities | 254 | 235 | — | 214 | 198 | |
| Long-term debt, less current portion | 33 | 130 | 130 | 0 | — | |
| Operating lease liabilities, less current portion | 13 | 46 | — | 63 | 91 | |
| Accrued risk reserves, less current portion | 85 | 73 | — | 73 | 71 | |
| Refundable entrance fees | 6 | 6 | — | 6 | 6 | |
| Deferred income taxes | 43 | 36 | — | 17 | 11 | |
| Other noncurrent liabilities | 18 | 17 | — | 26 | 20 | |
| Total liabilities | 452 | 541 | — | 400 | 398 | |
| Common stock, $.01 par value; 45,000,000 shares authorized; 15,536,427 and 15,450,003 shares, respectively, issued and outstanding | 155,000 | 154,000 | — | 153,000 | 153,000 | |
| Capital in excess of par value | 236 | 233 | — | 228 | 227 | |
| Retained earnings | 833 | 752 | — | 688 | 657 | |
| Accumulated other comprehensive loss | −779,000 | −5 | — | −7 | −10 | |
| Total National HealthCare Corporation stockholders equity | 1,069 | 980 | — | 909 | 874 | |
| Noncontrolling interest | 6 | 3 | — | 2 | 3 | |
| Total equity | 1,075 | 983 | — | 910 | 878 | |
| Total liabilities and equity | 1,526 | 1,524 | — | 1,311 | 1,275 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 45 | 42 | 42 | 40 | 41 | |
| Equity in earnings of unconsolidated investments | −218,000 | −589,000 | −2 | −477,000 | −5 | |
| Distributions from unconsolidated investments | 616,000 | 512,000 | 470,000 | 439,000 | 6 | |
| (Gains) losses on sale of marketable securities | −1 | −1 | 667,000 | 1 | −1 | |
| Gain on sale of unconsolidated company | 0 | −1 | 0 | 0 | — | |
| Gain on sale of property and equipment | −4 | 0 | −6 | — | — | |
| Deferred income taxes | −6 | −18 | −6 | −6 | 6 | |
| Stockbased compensation | 4 | 4 | 3 | 3 | 3 | |
| Accounts receivable | −4 | −26 | −9 | −4 | 4 | |
| Inventories | 1 | −599,000 | −298,000 | 1 | 199,000 | |
| Prepaid expenses and other assets | 5 | 6 | −669,000 | −11 | −3 | |
| Operating lease obligations | 695,000 | 273,000 | −1 | −430,000 | 0 | |
| Trade accounts payable | −3 | 6 | 2 | −6 | −2 | |
| Accrued payroll | 11 | 5 | 12 | −34 | 17 | |
| Amounts due to third party payors | −2 | −3 | 2 | −964,000 | 649,000 | |
| Accrued risk reserves | 18 | 357,000 | 790,000 | 4 | −1 | |
| Other current liabilities | 5 | −3 | 5 | −2 | −1 | |
| Other noncurrent liabilities | 1 | −10 | 6 | 3 | −12 | |
| Net cash provided by operating activities | 185 | 107 | 111 | 9 | 62 | |
| Purchases of property and equipment | −36 | −28 | −28 | −30 | −39 | |
| Investments in unconsolidated companies | −6 | −14 | −5 | 0 | −350,000 | |
| Purchases of marketable securities | −65 | −35 | −30 | −34 | −108 | |
| Sale of marketable securities | 73 | 52 | 47 | 50 | — | |
| Collections of (investments in) notes receivable | 512,000 | −9,000 | −201,000 | 4 | 9 | |
| Proceeds from sale of assets | 0 | 2 | 0 | 4 | 0 | |
| Net cash used in investing activities | −34 | −237 | −18 | −6 | −66 | |
| Borrowings under credit facility | 0 | 150 | 0 | 0 | 0 | |
| Repayments under credit facility | −97 | −13 | 0 | 0 | 0 | |
| Dividends paid to common stockholders | −39 | −37 | −36 | −35 | −32 | |
| Issuance of common shares | 14 | 14 | 313,000 | 2 | 3 | |
| Repurchase of common shares | −15 | −14 | −2 | −10 | −836,000 | |
| Noncontrolling interest contributions | 150,000 | 1 | 0 | 250,000 | −964,000 | |
| Entrance fee deposits (refunds) | 115,000 | −313,000 | 169,000 | −804,000 | −452,000 | |
| Debt issuance costs | 0 | −400,000 | 0 | 0 | — | |
| Principal payments under finance lease obligations | 0 | −860,000 | −5 | −5 | −4 | |
| Net cash (used in) / provided by financing activities | −136 | 100 | −43 | −48 | −35 | |
| Net Increase (Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents | 15 | −29 | 51 | −45 | −39 | |
| Cash payments for interest | 7 | 3 | 290,000 | 493,000 | 845,000 | |
| Cash payments for income taxes | 25 | 18 | 15 | 9 | 23 |