MARKET WIRE NEWS

NHC Reports Third Quarter 2025 Earnings

MWN-AI** Summary

National HealthCare Corporation (NHC), the oldest publicly traded senior health care company in the U.S., recently reported third-quarter earnings for 2025, highlighting notable growth in net operating revenues. The company recorded net operating revenues of approximately $382.7 million for the quarter ending September 30, 2025, an increase of 12.5% compared to $340.2 million in the same quarter of 2024. This growth was predominantly driven by an 8.7% rise in same-facility revenues and the acquisition of White Oak Management, Inc. on August 1, 2024.

Despite the revenue growth, NHC's net income attributable to the company decreased to $39.2 million, down from $42.8 million in the prior year. When adjusted for unrealized gains and losses in marketable equity securities and other factors, the adjusted net income was reported at $24.7 million, reflecting a 24.3% increase from $19.9 million in the previous year. The GAAP diluted earnings per share stood at $2.50, compared to $2.73 in Q3 2024, while adjusted diluted earnings per share improved to $1.58 from $1.27.

NHC operates a diverse portfolio that includes 80 skilled nursing facilities, 26 assisted living communities, and various other health service entities. As of November 1, 2025, the company's total assets were reported at approximately $1.57 billion, with stockholders' equity reaching about $1.05 billion.

The financial release included disclaimers regarding forward-looking statements and emphasized the company’s intent to provide non-GAAP figures to assist investors in assessing ongoing operations more effectively. As NHC continues to expand its footprint in the senior care market, these earnings reveal both potential and challenges as the sector adapts post-acquisition and strives for consistent profitability.

MWN-AI** Analysis

National HealthCare Corporation (NHC) reported robust third-quarter earnings for 2025, showcasing a strong revenue growth of 12.5% year-over-year, driven mainly by a strategic acquisition and an increase in same-facility revenues. This growth resulted in net operating revenues of $382.7 million. Despite a slight decline in GAAP net income from $42.8 million in Q3 2024 to $39.2 million this year, the adjusted net income saw a significant rise of 24.3%, reaching $24.7 million.

The performance reflects NHC's effective management strategies and diversification of services, which includes skilled nursing, assisted living, and home care. The increase in patient revenues and operational expansion through the White Oak acquisition have positively impacted operational efficiency and market positioning.

Key metrics such as adjusted diluted earnings per share increased from $1.27 to $1.58, underlining the company's profitability. Investors should note that while diluted GAAP EPS decreased slightly, the adjusted figures point to a healthier operational outlook.

Looking ahead, the potential risks include fluctuations in healthcare regulations and reimbursement rates that could affect earnings. Investors must stay vigilant regarding NHC's operational costs, particularly salaries and benefits, which significantly contribute to overall expenses.

In summary, NHC's third-quarter results present a mix of solid growth along with some cautionary signs. For investors, it may be prudent to consider positions in NHC, capitalizing on its strategic growth, while remaining aware of the external factors that could impact performance. Holding shares in anticipation of continued growth and dividend increases might be advisable for long-term investors, given NHC's stable market presence and historical performance.

**MWN-AI Summary and Analysis is based on asking OpenAI to summarize and analyze this news release.

Source: Business Wire

National HealthCare Corporation (NYSE American: NHC ), the nation's oldest publicly traded senior health care company, announced today net operating revenues for the quarter ended September 30, 2025 totaled $382,661,000 compared to $340,198,000 for the quarter ended September 30, 2024, an increase of 12.5%. The increase in net operating revenues for the third quarter of 2025 compared to the third quarter of 2024 was due to an 8.7% increase in same-facility net operating revenues, as well as the August 1, 2024 acquisition of White Oak Management, Inc. (“White Oak”).

For the quarter ended September 30, 2025, the reported GAAP net income attributable to NHC was $39,239,000 compared to $42,789,000 for the same period in 2024. Excluding the unrealized gains and losses in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the quarter ended September 30, 2025 was $24,744,000 compared to $19,910,000 for the same period in 2024, an increase of 24.3% (*) . The GAAP diluted earnings per share were $2.50 and $2.73 for the quarters ending September 30, 2025 and 2024, respectively. Adjusted diluted earnings per share were $1.58 and $1.27 for the quarters ending September 30, 2025 and 2024, respectively (*) .

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

About NHC

As of November 1, 2025, 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 www.nhccare.com .

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
(in thousands, except share and per share amounts)
Three Months Ended Nine Months Ended
September 30 September 30

2025

2024

2025

2024

(unaudited) (unaudited)
Revenues:
Net patient revenues

$

370,989

$

328,674

$

1,095,945

$

894,415

Other revenues

11,672

11,524

35,323

34,172

Government stimulus income

-

-

-

9,445

Net operating revenues and grant income

382,661

340,198

1,131,268

938,032

Costs and expenses:
Salaries, wages and benefits

233,176

213,395

687,840

576,609

Other operating

96,604

82,509

281,004

238,092

Facility rent

11,345

10,886

34,038

31,804

Depreciation and amortization

11,158

10,619

33,151

30,543

Total costs and expenses

352,283

317,409

1,036,033

877,048

Income from operations

30,378

22,789

95,235

60,984

Non-operating income

4,660

4,224

13,871

14,865

Interest expense

(1,456

)

(1,742

)

(5,555

)

(1,788

)

Unrealized gains on marketable equity securities

20,827

32,767

26,748

56,290

Income before income taxes

54,409

58,038

130,299

130,351

Income tax provision

(13,400

)

(15,338

)

(32,887

)

(34,294

)

Net income

41,009

42,700

97,412

96,057

Net income attributable to noncontrolling interest

(1,770

)

89

(2,246

)

(211

)

Net income attributable to National HealthCare Corporation

$

39,239

$

42,789

$

95,166

$

95,846

Net income per common share
Basic

$

2.53

$

2.78

$

6.15

$

6.23

Diluted

$

2.50

$

2.73

$

6.10

$

6.15

Weighted average common shares outstanding
Basic

15,484,464

15,411,680

15,461,804

15,384,758

Diluted

15,664,530

15,667,321

15,613,505

15,576,294

Dividends declared per common share

$

0.64

$

0.61

$

1.89

$

1.81

Balance Sheet Data September 30 December 31
(in thousands)

2025

2024

(unaudited)
Cash, cash equivalents and marketable securities

$

297,383

$

216,185

Restricted cash, cash equivalents and marketable securities

161,299

163,795

Current assets

493,519

424,408

Property and equipment, net

675,169

684,289

Total assets

1,572,142

1,524,429

Current liabilities, excluding current long-term debt

274,859

227,297

Current and long-term debt

73,125

137,000

NHC stockholders' equity

1,052,979

980,161

Selected Operating Statistics
Three Months Ended Nine Months Ended
September 30 September 30

2025

2024

2025

2024

(unaudited) (unaudited)
Skilled Nursing Per Diems:
Medicare

$

613.12

$

578.12

$

613.35

$

579.24

Managed Care

417.32

(2)

459.94

452.02

(2)

459.64

Medicaid

284.60

290.00

284.25

274.44

Private Pay and Other

334.71

323.36

337.64

315.09

Average Skilled Nursing Per Diem

$

350.85

$

350.85

$

357.42

(1)

$

344.76

(1)

Skilled Nursing Patient Days:
Medicare

82,501

79,957

252,370

235,715

Managed Care

81,338

70,635

247,999

199,023

Medicaid

369,895

344,940

1,102,224

906,265

Private Pay and Other

206,639

177,846

585,435

485,523

Total Skilled Nursing Patient Days

740,373

673,378

2,188,028

(1)

1,826,526

(1)

(1) NHC exited three skilled nursing facilities in Missouri on March 1, 2024. For the nine months ended September 30, 2024, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $275.64 and 20,267 patient days.
(2) For the three and nine months ended September 30, 2025, the average Managed Care skilled nursing per diem is lower due to the delayed timing of incentive quality payments from our NHC Advantage managed care program. Excluding the incentive quality payments from NHC Advantage, the average Medicare Advantage per diem increased 2.7% during the third quarter of 2025 compared to the same period a year ago. For the nine months ending September 30, 2025, the average Medicare Advantage per diem increased 5.3% compared to the same period a year ago.
The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):
Three Months Ended Nine Months Ended
September 30 September 30

2025

2024

2025

2024

(unaudited) (unaudited)
Net income attributable to National Healthcare Corporation

$

39,239

$

42,789

$

95,166

$

95,846

Non-GAAP adjustments
Unrealized gains on marketable equity securities

(20,827

)

(32,767

)

(26,748

)

(56,290

)

Operating results for newly-opened operations not at full capacity

-

120

-

140

Gains on sale of assets

-

-

(3,606

)

(1,024

)

Stock-based compensation expense

1,239

1,093

3,499

3,062

Acquisition-related expenses

-

637

-

2,831

Employee retention credit

-

-

-

(9,445

)

Income tax provision on non-GAAP adjustments

5,093

8,038

6,982

15,789

Non-GAAP Net income

$

24,744

$

19,910

$

75,293

$

50,909

GAAP diluted earnings per share

$

2.50

$

2.73

$

6.10

$

6.15

Non-GAAP adjustments
Unrealized gains on marketable equity securities

(1.33

)

(2.09

)

(1.71

)

(3.59

)

Operating results for newly-opened operations not at full capacity

-

0.01

-

0.01

Gains on sale of assets

-

-

(0.23

)

(0.07

)

Stock-based compensation expense

0.08

0.07

0.22

0.20

Acquisition-related expenses

-

0.04

-

0.18

Employee retention credit

-

-

-

(0.62

)

Income tax provision on non-GAAP adjustments

0.33

0.51

0.45

1.01

Non-GAAP diluted earnings per share

$

1.58

$

1.27

$

4.83

$

3.27

View source version on businesswire.com: https://www.businesswire.com/news/home/20251106632342/en/

Brian F. Kidd, SVP/CFO
Phone: (615) 890-2020

FAQ**

How did National HealthCare Corporation NHC's acquisition of White Oak Management, Inc. in August 2024 contribute to the reported 12.5% increase in net operating revenues for the quarter ended September 30, 2025 compared to the same period in 2024?

National HealthCare Corporation's acquisition of White Oak Management, Inc. in August 2024 bolstered revenue streams by enhancing service offerings and expanding market presence, leading to a substantial 12.5% increase in net operating revenues for the quarter ended September 30, 2025.

Can you explain the factors that led to the decrease in GAAP net income attributable to National HealthCare Corporation NHC from $42.8 million in Q3 20to $39.2 million in Q3 2025, despite a 24.3% increase in adjusted net income?

The decrease in GAAP net income for National HealthCare Corporation from Q3 2024 to Q3 2025, despite a rise in adjusted net income, can be attributed to increased non-cash expenses, such as depreciation and amortization, along with higher operating costs and potential regulatory changes.

What strategic plans does National HealthCare Corporation NHC have in place to sustain the growth in same-facility net operating revenues, which saw an 8.7% increase in the third quarter of 2025 compared to 2024?

National HealthCare Corporation (NHC) plans to sustain growth in same-facility net operating revenues through strategic investments in enhanced patient care services, operational efficiencies, and expanding its service offerings to meet the evolving needs of the healthcare market.

Given that National HealthCare Corporation NHC has reported a rise in adjusted diluted earnings per share, what are the expectations for maintaining this momentum in future quarters, especially amid potential market fluctuations and uncertainties?

Expectations for National HealthCare Corporation to maintain its momentum in future quarters are cautiously optimistic, as sustained earnings growth may hinge on effective management of market fluctuations and uncertainties in the healthcare sector.

**MWN-AI FAQ is based on asking OpenAI questions about National HealthCare Corporation (NYSE: NHC).

National HealthCare Corporation

NASDAQ: NHC

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NHC Latest News

February 26, 2026 05:30:00 pm
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NHC Reports Third Quarter 2025 Earnings
August 08, 2025 07:00:00 am
NHC Reports Second Quarter 2025 Earnings
August 07, 2025 08:00:00 pm
NHC Announces Common Dividend

NHC Stock Data

$2,532,709,900
13,192,620
N/A
82
N/A
Healthcare Providers & Services
Healthcare
US
Murfreesboro

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