MURFREESBORO, Tenn., May 09, 2025--(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 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 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
March 31
2025
2024
(unaudited)
Revenues:
Net patient revenues
$
361,607
$
285,823
Other revenues
12,090
11,353
Net operating revenues
373,697
297,176
Costs and expenses:
Salaries, wages and benefits
228,130
183,138
Other operating
92,457
77,429
Facility rent
11,365
10,348
Depreciation and amortization
10,978
10,586
Total costs and expenses
342,930
281,501
Income from operations
30,767
15,675
Non-operating income
4,079
5,685
Interest expense
(2,106
)
(46
)
Unrealized gains on marketable equity securities
10,982
14,399
Income before income taxes
43,722
35,713
Income tax provision
(11,432
)
(9,462
)
Net income
32,290
26,251
Net income attributable to noncontrolling interest
(85
)
(38
)
Net income attributable to National HealthCare Corporation
$
32,205
$
26,213
Net income per common share
Basic
$
2.09
$
1.71
Diluted
$
2.07
$
1.69
Weighted average common shares outstanding
Basic
15,438,306
15,350,240
Diluted
15,575,752
15,505,096
Dividends declared per common share
$
0.61
$
0.59
Balance Sheet Data
March 31
December 31
(in thousands)
2025
2024
(unaudited)
Cash, cash equivalents and marketable securities
$
243,171
$
216,185
Restricted cash, cash equivalents and marketable securities
167,639
163,795
Current assets
455,204
424,408
Property and equipment, net
679,448
684,289
Total assets
1,548,821
1,524,429
Current liabilities, excluding long-term debt due within one year
231,725
227,297
Current and long-term debt
134,000
137,000
NHC stockholders' equity
1,004,895
980,161
Selected Operating Statistics
Three Months Ended
March 31
2025
2024
(unaudited)
Skilled Nursing Per Diems:
Medicare
$
612.13
$
581.75
Managed Care
492.40
470.56
Medicaid
281.67
265.27
Private Pay and Other
337.04
307.84
Average Skilled Nursing Per Diem
$
360.14
$
343.48
(1)
Skilled Nursing Patient Days:
Medicare
86,254
81,156
Managed Care
83,646
65,431
Medicaid
363,642
281,821
Private Pay and Other
184,594
157,443
Total Skilled Nursing Patient Days
718,136
585,851
(1)
(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.
The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):
Three Months Ended
March 31
2025
2024
(unaudited)
Net income attributable to National Healthcare Corporation
