NATIONAL HEALTHCARE CORP Segments Disclosure
Note 5 – Business Segments
The Company has reportable operating segments: (1) inpatient services, which includes the operation of skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals; and (2) homecare and hospice services. These reportable operating segments are consistent with information used by the Company’s Chief Executive Officer, as chief operating decision maker (“CODM”), to assess performance and allocate resources. The Company also reports an “all other” category that includes revenues from rental income, management and accounting services fees, insurance services, and costs of the corporate office.
The Company’s CODM evaluates performance including pretax earnings and allocates capital resources to each segment based on an operating model that is designed to improve the quality of patient care and profitability of the Company while enhancing long-term shareholder value. The CODM does not review assets by segment in his resource allocation and therefore, assets by segment are not disclosed below.
The following tables set forth the Company’s consolidated statements of operations by business segment (in thousands):
| Year Ended December 31, 2025 | ||||||||||||||||
| Inpatient Services | Homecare and Hospice | All Other | Total | |||||||||||||
| Revenues: | ||||||||||||||||
| Net patient revenues | $ | 1,315,545 | $ | 154,086 | $ | – | $ | 1,469,631 | ||||||||
| Other revenues | 1,467 | – | 46,683 | 48,150 | ||||||||||||
| Net operating revenues | 1,317,012 | 154,086 | 46,683 | 1,517,781 | ||||||||||||
| Costs and Expenses: | ||||||||||||||||
| Salaries, wages and benefits | 775,477 | 93,535 | 52,068 | 921,080 | ||||||||||||
| Other operating | 336,746 | 27,537 | 12,919 | 377,202 | ||||||||||||
| Facility rent | 35,972 | 2,373 | 7,882 | 46,227 | ||||||||||||
| Depreciation and amortization | 41,066 | 581 | 3,273 | 44,920 | ||||||||||||
| Total costs and expenses | 1,189,261 | 124,026 | 76,142 | 1,389,429 | ||||||||||||
| Income (loss) from operations | 127,751 | 30,060 | (29,459 | ) | 128,352 | |||||||||||
| Non-operating income | – | – | 18,107 | 18,107 | ||||||||||||
| Interest expense | (6,371 | ) | – | – | (6,371 | ) | ||||||||||
| Unrealized gains on marketable equity securities | – | – | 22,344 | 22,344 | ||||||||||||
| Income before income taxes | $ | 121,380 | $ | 30,060 | $ | 10,992 | $ | 162,432 | ||||||||
| Year Ended December 31, 2024 | ||||||||||||||||
| Inpatient Services | Homecare and Hospice | All Other | Total | |||||||||||||
| Revenues: | ||||||||||||||||
| Net patient revenues | $ | 1,111,300 | $ | 140,459 | $ | – | $ | 1,251,759 | ||||||||
| Other revenues | 1,315 | – | 44,863 | 46,178 | ||||||||||||
| Government stimulus income | – | – | 9,445 | 9,445 | ||||||||||||
| Net operating revenues and stimulus income | 1,112,615 | 140,459 | 54,308 | 1,307,382 | ||||||||||||
| Costs and Expenses: | ||||||||||||||||
| Salaries, wages and benefits | 668,029 | 85,712 | 57,189 | 810,930 | ||||||||||||
| Other operating | 280,867 | 25,927 | 14,596 | 321,390 | ||||||||||||
| Facility rent | 33,787 | 2,295 | 7,100 | 43,182 | ||||||||||||
| Depreciation and amortization | 37,988 | 737 | 3,260 | 41,985 | ||||||||||||
| Total costs and expenses | 1,020,671 | 114,671 | 82,145 | 1,217,487 | ||||||||||||
| Income (loss) from operations | 91,944 | 25,788 | (27,837 | ) | 89,895 | |||||||||||
| Non-operating income | – | – | 19,690 | 19,690 | ||||||||||||
| Interest expense | (4,135 | ) | – | (4,135 | ) | |||||||||||
| Unrealized gains on marketable equity securities | – | – | 30,958 | 30,958 | ||||||||||||
| Income before income taxes | $ | 87,809 | $ | 25,788 | $ | 22,811 | $ | 136,408 | ||||||||
| Year Ended December 31, 2023 | ||||||||||||||||
| Inpatient Services | Homecare and Hospice | All Other | Total | |||||||||||||
| Revenues: | ||||||||||||||||
| Net patient revenues | $ | 956,077 | $ | 131,537 | $ | – | $ | 1,087,614 | ||||||||
| Other revenues | 1,141 | – | 52,789 | 53,930 | ||||||||||||
| Net operating revenues | 957,218 | 131,537 | 52,789 | 1,141,544 | ||||||||||||
| Costs and Expenses: | ||||||||||||||||
| Salaries, wages and benefits | 589,279 | 80,610 | 42,455 | 712,344 | ||||||||||||
| Other operating | 254,559 | 23,529 | 10,095 | 288,183 | ||||||||||||
| Facility rent | 32,542 | 2,172 | 6,811 | 41,525 | ||||||||||||
| Depreciation and amortization | 38,172 | 786 | 3,076 | 42,034 | ||||||||||||
| Total costs and expenses | 914,552 | 107,097 | 62,437 | 1,084,086 | ||||||||||||
| Income (loss) from operations | 42,666 | 24,440 | (9,648 | ) |
| |||||||||||
| Non-operating income | – | – | 16,660 | 16,660 | ||||||||||||
| Interest expense | (324 | ) | – | – | (324 | ) | ||||||||||
| Unrealized gains on marketable equity securities | – | – | 14,944 | 14,944 | ||||||||||||
| Income before income taxes | $ | 42,342 | $ | 24,440 | $ | 21,956 | $ | 88,738 | ||||||||
About Segments Disclosures
Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.
Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.