NATIONAL HEALTHCARE CORP Income Taxes Disclosure
Note 12 – Income Taxes
Income before income taxes was as follows (in thousands):
| Year Ended December 31, | ||||||||||||
| 2025 | 2024 | 2023 | ||||||||||
| United States | $ | 162,432 | $ | 136,408 | $ | 88,738 | ||||||
| Income before income taxes | $ | 162,432 | $ | 136,408 | $ | 88,738 | ||||||
The provision for income taxes is comprised of the following components (in thousands):
| Year Ended December 31, | ||||||||||||
| 2025 | 2024 | 2023 | ||||||||||
| Current tax provision | ||||||||||||
| Federal | $ | 25,589 | $ | 12,900 | $ | 14,520 | ||||||
| State | 7,049 | 3,490 | 3,137 | |||||||||
| Foreign | – | – | – | |||||||||
| Total current tax provision | 32,638 | 16,390 | 17,657 | |||||||||
| Deferred tax provision | ||||||||||||
| Federal | 5,638 | 13,841 | 4,142 | |||||||||
| State | 1,550 | 4,091 | 1,651 | |||||||||
| Foreign | – | – | – | |||||||||
| Total deferred tax provision | 7,188 | 17,932 | 5,793 | |||||||||
| Income tax provision | $ | 39,826 | $ | 34,322 | $ | 23,450 | ||||||
The deferred tax assets and liabilities, consisting of temporary differences tax effected at the respective income tax rates, are as follows (in thousands):
| December 31, | ||||||||
| 2025 | 2024 | |||||||
| Deferred tax assets: | ||||||||
| Accrued risk reserves | $ | 2,361 | $ | 2,012 | ||||
| Accrued expenses | 9,547 | 7,695 | ||||||
| Stock based compensation | 1,350 | 1,181 | ||||||
| Deferred revenue | 2,941 | 3,154 | ||||||
| Operating lease liabilities | 11,963 | 19,896 | ||||||
| Other | 1,105 | 847 | ||||||
| Total gross deferred tax assets | 29,267 | 34,785 | ||||||
| Less: valuation allowance | (212 | ) | (517 | ) | ||||
| Deferred tax assets less valuation allowance | $ | 29,055 | $ | 34,268 | ||||
| Deferred tax liabilities: | ||||||||
| Unrealized gains on marketable securities | $ | (35,415 | ) | $ | (28,581 | ) | ||
| Deferred gain on sale of assets, net | (2,048 | ) | (2,055 | ) | ||||
| Book basis in excess of tax basis of intangible assets | (6,283 | ) | (5,655 | ) | ||||
| Book basis in excess of tax basis of securities | (2,787 | ) | (4,042 | ) | ||||
| Book basis in excess of tax basis of fixed assets | (10,460 | ) | (6,579 | ) | ||||
| Long–term investments | (2,605 | ) | (2,652 | ) | ||||
| Operating lease assets | (12,144 | ) | (20,254 | ) | ||||
| Total deferred tax liabilities | $ | (71,742 | ) | $ | (69,818 | ) | ||
| Net deferred tax liability | $ | (42,687 | ) | $ | (35,550 | ) | ||
A reconciliation of income tax expense and the amount computed by applying the statutory federal income tax rate to income before income taxes after the adoption of ASU 2023-09 is as follows (dollars in thousands):
| Year Ended December 31, | ||||||||
| 2025 | ||||||||
|
|
| |||||||
| Tax provision at federal statutory rate | $ | 34,111 | 21.0 | % | ||||
| State and Local Income Taxes, net of federal benefit (1) | 7,834 | 4.8 | ||||||
| Changes in Valuation Allowances | (305 | ) | (0.2 | ) | ||||
| Nontaxable and Nondeductible Items | (237 | ) | (0.2 | ) | ||||
| Changes in Unrecognized tax benefits | (389 | ) | (0.2 | ) | ||||
| Other Adjustments | (1,188 | ) | (0.7 | ) | ||||
| Effective tax rate | $ | 39,826 | 24.5 | % | ||||
(1) The states and local jurisdictions that contribute to the majority (greater than 50%) of the tax effect in this category include Tennessee.
A reconciliation of income tax expense and the amount computed by applying the statutory federal income tax rate to income before income taxes for years prior to the adoption of ASU 2023-09 is as follows (in thousands):
| Year Ended December 31, | |||||||
| 2024 | 2023 | ||||||
| Tax provision at federal statutory rate | $ | 28,646 | $ | 18,635 | |||
| Increase in income taxes resulting from: | |||||||
| State, net of federal benefit | 6,349 | 4,600 | |||||
| Unrecognized tax benefits | 690 | 1,227 | |||||
| Expiration of statute of limitations | (932 | ) | (1,491 | ) | |||
| Tax (expense) benefit of noncontrolling interest | (34 | ) | 317 | ||||
| Other, net | (397 | ) | 162 | ||||
| Total increases | 5,676 | 4,815 | |||||
| Effective income tax expense | $ | 34,322 | $ | 23,450 | |||
Our deferred tax assets have been evaluated for realization based on historical taxable income, tax planning strategies, the expected timing of reversals of existing temporary differences and future taxable income anticipated. Our deferred tax assets, with the exception of certain deferred tax assets associated with unrealized losses on marketable securities, are more likely than not to be realized in full due to the existence of sufficient taxable income of the appropriate character under the tax law. As such, the only valuation allowance relates to unrealized losses on marketable securities.
Uncertain tax positions may arise where tax laws may allow for alternative interpretations or where the timing of recognition of income is subject to judgment. Under ASC Topic 740, tax positions are evaluated for recognition using a more–likely–than–not threshold, and those tax positions requiring recognition are measured at the largest amount of tax benefit that is greater than 50 percent likely of being realized upon ultimate settlement with a taxing authority that has full knowledge of all relevant information.
In accordance with current guidance, the Company has established a liability for unrecognized tax benefits, which are differences between a tax position taken or expected to be taken in a tax return and the benefit recognized and measured. Generally, a liability is created for an unrecognized tax benefit because it represents a company’s potential future obligation to a taxing authority for a tax position that was not recognized per above. We believe that our liabilities reflect the anticipated outcome of known uncertain tax positions in conformity with ASC Topic 740 Income Taxes. Our liabilities for unrecognized tax benefits are presented in the consolidated balance sheets within other noncurrent liabilities.
A reconciliation of the beginning and ending amount of unrecognized tax benefits is as follows (in thousands):
| Deferred Tax Asset | Liability For Unrecognized Tax Benefits | Liability For Interest and Penalties | Liability Total | |||||||||||||
| Balance, January 1, 2023 | $ | 4,754 | $ | 8,505 | $ | 2,678 | $ | 11,183 | ||||||||
| Additions based on tax positions related to the current year | 1,454 | 1,454 | – | 1,454 | ||||||||||||
| Additions (reductions) for tax positions of prior years | (198 | ) | 324 | 1,583 | 1,907 | |||||||||||
| Reductions for statute of limitation expirations | (361 | ) | (1,030 | ) | (823 | ) | (1,853 | ) | ||||||||
| Balance, December 31, 2023 | 5,649 | 9,253 | 3,438 | 12,691 | ||||||||||||
| Additions based on tax positions related to the current year | 835 | 835 | – | 835 | ||||||||||||
| Additions (reductions) for tax positions of prior years | (1,380 | ) | (1,097 | ) | 859 | (238 | ) | |||||||||
| Reductions for statute of limitation expirations | (232 | ) | (592 | ) | (572 | ) | (1,164 | ) | ||||||||
| Balance, December 31, 2024 | 4,872 | 8,399 | 3,725 | 12,124 | ||||||||||||
| Additions based on tax positions related to the current year | 754 | 754 | – | 754 | ||||||||||||
| Additions (reductions) for tax positions of prior years | (531 | ) | (409 | ) | (934 | ) | 1,576 | |||||||||
| Reductions for statute of limitation expirations | (233 | ) | (602 | ) | (568 | ) | (1,403 | ) | ||||||||
| Balance, December 31, 2025 | $ | 4,862 | $ | 8,142 | $ | 2,223 | $ | 13,051 | ||||||||
Unrecognized tax benefits of $4,040,000, net of federal benefit at December 31, 2025, attributable to permanent differences, would favorably impact our effective tax rate if recognized. We do not expect significant increases or decreases in unrecognized tax benefits for the 2026 year, except for the effect of decreases related to the lapse of statute of limitations estimated at $964,000.
Interest and penalties expense related to U.S. federal and state income tax returns are included within income tax expense. The Company is no longer subject to U.S. federal and state examinations by tax authorities for years before (with few state exceptions).
The amount of cash income taxes paid by the Company were as follows (in thousands):
| Year Ended December 31, | ||||
| 2025 | ||||
| Federal | $ | 20,688 | ||
| State | ||||
| Tennessee | 1,785 | |||
| Other states | 2,246 | |||
| Total income taxes paid, net | $ | 24,719 | ||
The amount of cash income taxes paid by the Company during the years ended December 31, 2024 and 2023 was $17,525,000 and $14,571,000, respectively.
About Income Taxes Disclosures
The income tax disclosure reveals how much a company actually pays in taxes versus what the statutory rate would predict. Analysts focus on the effective tax rate (ETR) reconciliation, which breaks down every item driving the gap between the 21% federal rate and the company's reported ETR — including R&D credits, foreign rate differentials, and state taxes. Deferred tax assets (DTAs) and their valuation allowances signal management's confidence in future profitability: a rising allowance suggests the company doubts it can use accumulated tax benefits. Uncertain tax benefit (UTB) reserves quantify exposure to IRS challenges on aggressive positions.
Key signals to watch: sudden ETR drops without clear operational reasons, large increases in valuation allowances, growing UTB balances, and significant unremitted foreign earnings. Post-TCJA, pay attention to GILTI and BEAT provisions that affect multinational tax structures. Compare the cash taxes paid (from the cash flow statement) against the income tax provision to gauge earnings quality.