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NHC Reports First Quarter 2025 Earnings

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MURFREESBORO, Tenn.--(BUSINESS WIRE)-- (NYSE American: ), the nation's oldest publicly traded senior health care company, announced today net operating revenues for the quarter ended March 31, 2025 totaled $373,697,000 compared to $297,176,000 for the quarter ended March 31, 2024, an increase of 25.7%. The increase in net operating revenues for the first quarter of 2025 compared to the first quarter of 2024 was due to an 8.5% increase in same-facility net operating revenues, as well as the August 1, 2024 acquisition of White Oak Management, Inc. (“White Oak�). The White Oak operations consist of 22 healthcare operations, which include 15 skilled nursing facilities, two assisted living facilities, four independent living facilities, and a long-term care pharmacy.

For the quarter ended March 31, 2025, the reported GAAP net income attributable to NHC was $32,205,000 compared to $26,213,000 for the same period in 2024. Excluding the unrealized gains in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the quarter ended March 31, 2025 was $24,838,000 compared to $15,386,000 for the same period in 2024, an increase of 61.4% (*). The GAAP diluted earnings per share were $2.07 and $1.69 for the quarters ending March 31, 2025 and 2024, respectively. Adjusted diluted earnings per share were $1.59 and $0.99 for the quarters ending March 31, 2025 and 2024, respectively (*).

(*) - See the tables below that provide a reconciliation of GAAP to non-GAAP items.

About NHC

NHC affiliates operate for themselves and third parties 80 skilled nursing facilities with 10,329 beds. NHC affiliates also operate 26 assisted living communities with 1,413 units, nine independent living communities with 777 units, three behavioral health hospitals, 34 homecare agencies, and 33 hospice agencies. NHC’s other services include Alzheimer’s and memory care units, pharmacy services, a rehabilitation services company, and providing management and accounting services to third party post-acute operators. Other information about the company can be found on our web site at .

Non-GAAP Financial Presentation

The Company is providing certain non-GAAP financial measures as the Company believes that these figures are helpful in allowing investors to more accurately assess the ongoing nature of the Company’s operations and measure the Company’s performance more consistently across periods. Therefore, the Company believes this information is meaningful in addition to the information contained in the GAAP presentation of financial information. The presentation of this additional non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP.

Forward-Looking Statements

Statements in this press release that are not historical facts are forward-looking statements. NHC cautions investors that any forward-looking statements made involve risks and uncertainties and are not guarantees of future performance. The risks and uncertainties are detailed from time to time in reports filed by NHC with the S.E.C., including Forms 8-K, 10-Q, and 10-K. All forward-looking statements represent NHC’s best judgment as of the date of this release.

Consolidated Statements of Operations Ìý
(in thousands, except share and per share amounts) Ìý
Three Months Ended
March 31

Ìý

2025

Ìý

Ìý

Ìý

2024

Ìý

(unaudited)
Revenues: Ìý
Net patient revenues

$

361,607

Ìý

Ìý

$

285,823

Ìý

Other revenues

Ìý

12,090

Ìý

Ìý

Ìý

11,353

Ìý

Net operating revenues

Ìý

373,697

Ìý

Ìý

Ìý

297,176

Ìý

Ìý Ìý
Costs and expenses: Ìý
Salaries, wages and benefits

Ìý

228,130

Ìý

Ìý

Ìý

183,138

Ìý

Other operating

Ìý

92,457

Ìý

Ìý

Ìý

77,429

Ìý

Facility rent

Ìý

11,365

Ìý

Ìý

Ìý

10,348

Ìý

Depreciation and amortization

Ìý

10,978

Ìý

Ìý

Ìý

10,586

Ìý

Total costs and expenses

Ìý

342,930

Ìý

Ìý

Ìý

281,501

Ìý

Ìý Ìý
Income from operations

Ìý

30,767

Ìý

Ìý

Ìý

15,675

Ìý

Ìý Ìý
Non-operating income

Ìý

4,079

Ìý

Ìý

Ìý

5,685

Ìý

Interest expense

Ìý

(2,106

)

Ìý

Ìý

(46

)

Unrealized gains on marketable equity securities

Ìý

10,982

Ìý

Ìý

Ìý

14,399

Ìý

Ìý Ìý
Income before income taxes

Ìý

43,722

Ìý

Ìý

Ìý

35,713

Ìý

Income tax provision

Ìý

(11,432

)

Ìý

Ìý

(9,462

)

Net income

Ìý

32,290

Ìý

Ìý

Ìý

26,251

Ìý

Ìý Ìý
Net income attributable to noncontrolling interest

Ìý

(85

)

Ìý

Ìý

(38

)

Ìý Ìý
Net income attributable to National HealthCare Corporation

$

32,205

Ìý

Ìý

$

26,213

Ìý

Ìý Ìý
Net income per common share Ìý
Basic

$

2.09

Ìý

Ìý

$

1.71

Ìý

Diluted

$

2.07

Ìý

Ìý

$

1.69

Ìý

Ìý Ìý
Weighted average common shares outstanding Ìý
Basic

Ìý

15,438,306

Ìý

Ìý

Ìý

15,350,240

Ìý

Diluted

Ìý

15,575,752

Ìý

Ìý

Ìý

15,505,096

Ìý

Ìý Ìý
Dividends declared per common share

$

0.61

Ìý

Ìý

$

0.59

Ìý

Ìý Ìý
Ìý Ìý
Balance Sheet Data March 31 Ìý December 31
(in thousands)

Ìý

2025

Ìý

Ìý

Ìý

2024

Ìý

(unaudited) Ìý
Ìý Ìý
Cash, cash equivalents and marketable securities

$

243,171

Ìý

Ìý

$

216,185

Ìý

Restricted cash, cash equivalents and marketable securities

Ìý

167,639

Ìý

Ìý

Ìý

163,795

Ìý

Current assets

Ìý

455,204

Ìý

Ìý

Ìý

424,408

Ìý

Property and equipment, net

Ìý

679,448

Ìý

Ìý

Ìý

684,289

Ìý

Total assets

Ìý

1,548,821

Ìý

Ìý

Ìý

1,524,429

Ìý

Current liabilities, excluding long-term debt due within one year

Ìý

231,725

Ìý

Ìý

Ìý

227,297

Ìý

Current and long-term debt

Ìý

134,000

Ìý

Ìý

Ìý

137,000

Ìý

NHC stockholders' equity

Ìý

1,004,895

Ìý

Ìý

Ìý

980,161

Ìý

Selected Operating Statistics
Three Months Ended
March 31

Ìý

2025

Ìý

Ìý

2024

Ìý

(unaudited)
Skilled Nursing Per Diems:
Medicare

$

612.13

Ìý

$

581.75

Ìý

Managed Care

Ìý

492.40

Ìý

Ìý

470.56

Ìý

Medicaid

Ìý

281.67

Ìý

Ìý

265.27

Ìý

Private Pay and Other

Ìý

337.04

Ìý

Ìý

307.84

Ìý

Average Skilled Nursing Per Diem

$

360.14

Ìý

$

343.48

Ìý

(1)

Ìý
Skilled Nursing Patient Days:
Medicare

Ìý

86,254

Ìý

Ìý

81,156

Ìý

Managed Care

Ìý

83,646

Ìý

Ìý

65,431

Ìý

Medicaid

Ìý

363,642

Ìý

Ìý

281,821

Ìý

Private Pay and Other

Ìý

184,594

Ìý

Ìý

157,443

Ìý

Total Skilled Nursing Patient Days

Ìý

718,136

Ìý

Ìý

585,851

Ìý

(1)

Ìý
(1) NHC exited three skilled nursing facilities in Missouri on March 1, 2024. For the first quarter of 2024, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $275.64 and 20,267 patient days.
Ìý
The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):
Three Months Ended
March 31

Ìý

2025

Ìý

Ìý

2024

Ìý

(unaudited)
Ìý
Net income attributable to National Healthcare Corporation

$

32,205

Ìý

$

26,213

Ìý

Non-GAAP adjustments
Unrealized gains on marketable equity securities

Ìý

(10,982

)

Ìý

(14,399

)

Gain on sale of unconsolidated company

Ìý

-

Ìý

Ìý

(1,025

)

Stock-based compensation expense

Ìý

1,027

Ìý

Ìý

793

Ìý

Income tax provision on non-GAAP adjustments

Ìý

2,588

Ìý

Ìý

3,804

Ìý

Non-GAAP Net income

$

24,838

Ìý

$

15,386

Ìý

Ìý
GAAP diluted earnings per share

$

2.07

Ìý

$

1.69

Ìý

Non-GAAP adjustments
Unrealized gains on marketable equity securities

Ìý

(0.71

)

Ìý

(0.93

)

Gain on sale of unconsolidated company

Ìý

-

Ìý

Ìý

(0.07

)

Stock-based compensation expense

Ìý

0.06

Ìý

Ìý

0.05

Ìý

Income tax provision on non-GAAP adjustments

Ìý

0.17

Ìý

Ìý

0.25

Ìý

Non-GAAP diluted earnings per share

$

1.59

Ìý

$

0.99

Ìý

Ìý

Brian F. Kidd, SVP/CFO

(615) 890-2020

Source: National HealthCare Corporation

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1.49B
12.53M
18.84%
60.1%
1.61%
Medical Care Facilities
Services-skilled Nursing Care Facilities
United States
MURFREESBORO