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NHC Reports 2024 Year End 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 and grant income for the year ended December 31, 2024 totaled $1,307,382,000 compared to $1,141,544,000 for the year ended December 31, 2023, an increase of 14.5%. The increase in net operating revenues for the 2024 year compared to the 2023 year was due to a 9.4% increase in same-facility net operating revenues, as well as the August 1, 2024 acquisition of White Oak Manor (“White Oak�). The White Oak operations consist of 22 healthcare operations, which includes 15 skilled nursing facilities, two assisted living facilities, four independent living facilities, and a long-term care pharmacy.

For the year ended December 31, 2024, the reported GAAP net income attributable to NHC was $101,927,000 compared to $66,798,000 for the 2023 year. Excluding the unrealized gains in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the year ended December 31, 2024 was $76,862,000 compared to $54,934,000 for the 2023 year (*), an increase of 39.9%. GAAP diluted earnings per share were $6.53 and $4.34 for the years ended December 31, 2024 and 2023, respectively. Adjusted diluted earnings per share were $4.93 and $3.55 for the years ended December 31, 2024 and 2023, respectively (*).

For the quarter ended December 31, 2024, the reported GAAP net income attributable to NHC was $6,081,000 compared to $28,406,000 for the same period in 2023. Excluding the unrealized gains or losses in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the quarter ended December 31, 2024 was $25,954,000 compared to $15,955,000 for the same period in 2023, an increase of 62.7% (*). The GAAP diluted earnings per share were $0.39 and $1.83 for the quarters ended December 31, 2024 and 2023, respectively. Adjusted diluted earnings per share were $1.66 and $1.03 for the quarters ended December 31, 2024 and 2023, 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 10,341 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
(in thousands, except share and per share amounts)
Three Months Ended Years Ended
December 31 December 31

Ìý

2024

Ìý

Ìý

2023

Ìý

Ìý

2024

Ìý

Ìý

2023

Ìý

Revenues and grant income:
Net patient revenues

$

357,344

Ìý

$

282,997

Ìý

$

1,251,759

Ìý

$

1,087,614

Ìý

Other revenues

Ìý

12,006

Ìý

Ìý

17,917

Ìý

Ìý

46,178

Ìý

Ìý

53,930

Ìý

Government stimulus income

Ìý

-

Ìý

Ìý

-

Ìý

Ìý

9,445

Ìý

Ìý

-

Ìý

Net operating revenues and grant income

Ìý

369,350

Ìý

Ìý

300,914

Ìý

Ìý

1,307,382

Ìý

Ìý

1,141,544

Ìý

Ìý
Costs and expenses:
Salaries, wages and benefits

Ìý

234,321

Ìý

Ìý

186,562

Ìý

Ìý

810,930

Ìý

Ìý

712,344

Ìý

Other operating

Ìý

83,298

Ìý

Ìý

70,970

Ìý

Ìý

321,390

Ìý

Ìý

288,183

Ìý

Facility rent

Ìý

11,378

Ìý

Ìý

11,438

Ìý

Ìý

43,182

Ìý

Ìý

41,525

Ìý

Depreciation and amortization

Ìý

11,442

Ìý

Ìý

11,768

Ìý

Ìý

41,985

Ìý

Ìý

42,034

Ìý

Interest

Ìý

2,347

Ìý

Ìý

56

Ìý

Ìý

4,135

Ìý

Ìý

324

Ìý

Total costs and expenses

Ìý

342,786

Ìý

Ìý

280,794

Ìý

Ìý

1,221,622

Ìý

Ìý

1,084,410

Ìý

Ìý
Income from operations

Ìý

26,564

Ìý

Ìý

20,120

Ìý

Ìý

85,760

Ìý

Ìý

57,134

Ìý

Ìý
Non-operating income

Ìý

4,825

Ìý

Ìý

4,544

Ìý

Ìý

19,690

Ìý

Ìý

16,660

Ìý

Unrealized gains/(losses) on marketable equity securities

Ìý

(25,332

)

Ìý

12,001

Ìý

Ìý

30,958

Ìý

Ìý

14,944

Ìý

Ìý
Income before income taxes

Ìý

6,057

Ìý

Ìý

36,665

Ìý

Ìý

136,408

Ìý

Ìý

88,738

Ìý

Income tax provision

Ìý

(28

)

Ìý

(8,700

)

Ìý

(34,322

)

Ìý

(23,450

)

Net income

Ìý

6,029

Ìý

Ìý

27,965

Ìý

Ìý

102,086

Ìý

Ìý

65,288

Ìý

Ìý
Net (income)/loss attributable to noncontrolling interest

Ìý

52

Ìý

Ìý

441

Ìý

Ìý

(159

)

Ìý

1,510

Ìý

Ìý
Net income attributable to National HealthCare Corporation

$

6,081

Ìý

$

28,406

Ìý

$

101,927

Ìý

$

66,798

Ìý

Ìý
Net income per common share
Basic

$

0.39

Ìý

$

1.86

Ìý

$

6.62

Ìý

$

4.36

Ìý

Diluted

$

0.39

Ìý

$

1.83

Ìý

$

6.53

Ìý

$

4.34

Ìý

Ìý
Weighted average common shares outstanding
Basic

Ìý

15,420,658

Ìý

Ìý

15,306,253

Ìý

Ìý

15,393,782

Ìý

Ìý

15,310,142

Ìý

Diluted

Ìý

15,665,025

Ìý

Ìý

15,486,573

Ìý

Ìý

15,598,528

Ìý

Ìý

15,377,343

Ìý

Ìý
Dividends declared per common share

$

0.61

Ìý

$

0.59

Ìý

$

2.42

Ìý

$

2.34

Ìý

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

Ìý

2024

Ìý

Ìý

2023

Ìý

Ìý
Cash, cash equivalents and marketable securities

$

216,185

Ìý

$

223,620

Ìý

Restricted cash, cash equivalents and marketable securities

Ìý

163,795

Ìý

Ìý

167,971

Ìý

Current assets

Ìý

424,408

Ìý

Ìý

406,235

Ìý

Property and equipment, net

Ìý

684,289

Ìý

Ìý

493,329

Ìý

Total assets

Ìý

1,524,429

Ìý

Ìý

1,310,796

Ìý

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

Ìý

227,297

Ìý

Ìý

214,476

Ìý

Current and long-term debt

Ìý

137,000

Ìý

Ìý

-

Ìý

NHC stockholders' equity

Ìý

980,161

Ìý

Ìý

908,752

Ìý

Ìý
Selected Operating Statistics
Three Months Ended Years Ended
December 31 December 31

Ìý

2024

Ìý

Ìý

2023

Ìý

Ìý

2024

Ìý

Ìý

2023

Ìý

Skilled Nursing Per Diems:
Medicare

$

607.67

Ìý

$

579.84

Ìý

$

586.76

Ìý

$

559.07

Ìý

Managed Care

Ìý

490.41

Ìý

Ìý

478.51

Ìý

Ìý

468.23

Ìý

Ìý

464.89

Ìý

Medicaid

Ìý

279.02

Ìý

Ìý

268.58

Ìý

Ìý

275.78

Ìý

Ìý

253.95

Ìý

Private Pay and Other

Ìý

321.12

Ìý

Ìý

290.85

Ìý

Ìý

316.80

Ìý

Ìý

282.14

Ìý

Ìý
Average Skilled Nursing Per Diem

$

350.72

Ìý

$

337.57

Ìý

(1)

$

346.46

Ìý

(1)

$

324.53

Ìý

(1)

Ìý
Skilled Nursing Patient Days:
Medicare

Ìý

84,809

Ìý

Ìý

79,025

Ìý

Ìý

320,524

Ìý

Ìý

318,253

Ìý

Managed Care

Ìý

76,996

Ìý

Ìý

62,031

Ìý

Ìý

276,019

Ìý

Ìý

242,023

Ìý

Medicaid

Ìý

374,755

Ìý

Ìý

288,538

Ìý

Ìý

1,281,020

Ìý

Ìý

1,140,612

Ìý

Private Pay and Other

Ìý

191,926

Ìý

Ìý

170,916

Ìý

Ìý

677,449

Ìý

Ìý

663,195

Ìý

Ìý
Total Skilled Nursing Patient Days

Ìý

728,486

Ìý

Ìý

600,510

Ìý

(1)

Ìý

2,555,012

Ìý

(1)

Ìý

2,364,083

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 $259.56 and 20,267 patient days. For the three months ended December 31, 2023, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $253.84 and 31,761 patient days. For the year ended December 31, 2023, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $249.85 and 126,791 patient days.
Ìý
The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):
Three Months Ended Years Ended
December 31 December 31

Ìý

2024

Ìý

Ìý

2023

Ìý

Ìý

2024

Ìý

Ìý

2023

Ìý

Ìý
Net income attributable to National Healthcare Corporation

$

6,081

Ìý

$

28,406

Ìý

$

101,927

Ìý

$

66,798

Ìý

Non-GAAP adjustments
Unrealized (gains)/losses on marketable equity securities

Ìý

25,332

Ìý

Ìý

(12,001

)

Ìý

(30,958

)

Ìý

(14,944

)

Gain on sale of property and equipment

Ìý

-

Ìý

Ìý

(6,230

)

Ìý

-

Ìý

Ìý

(6,230

)

Gain on sale of unconsolidated company

Ìý

-

Ìý

Ìý

-

Ìý

Ìý

(1,024

)

Ìý

-

Ìý

Operating results for newly opened operations not at full capacity (2)

Ìý

(10

)

Ìý

742

Ìý

Ìý

130

Ìý

Ìý

2,359

Ìý

Stock-based compensation expense

Ìý

1,098

Ìý

Ìý

663

Ìý

Ìý

4,160

Ìý

Ìý

2,782

Ìý

Acquisition-related expenses (3)

Ìý

435

Ìý

Ìý

-

Ìý

Ìý

3,266

Ìý

Ìý

-

Ìý

Employee retention credit

Ìý

-

Ìý

Ìý

-

Ìý

Ìý

(9,445

)

Ìý

-

Ìý

Income tax provision on non-GAAP adjustments

Ìý

(6,982

)

Ìý

4,375

Ìý

Ìý

8,806

Ìý

Ìý

4,169

Ìý

Non-GAAP Net income

$

25,954

Ìý

$

15,955

Ìý

$

76,862

Ìý

$

54,934

Ìý

Ìý
GAAP diluted earnings per share

$

0.39

Ìý

$

1.83

Ìý

$

6.53

Ìý

$

4.34

Ìý

Non-GAAP adjustments
Unrealized (gains)/losses on marketable equity securities

Ìý

1.20

Ìý

Ìý

(0.57

)

Ìý

(1.47

)

Ìý

(0.72

)

Gain on sale of property and equipment

Ìý

-

Ìý

Ìý

(0.30

)

Ìý

-

Ìý

Ìý

(0.30

)

Gain on sale of unconsolidated company

Ìý

-

Ìý

Ìý

-

Ìý

Ìý

(0.05

)

Ìý

-

Ìý

Operating results for newly opened operations not at full capacity (2)

Ìý

-

Ìý

Ìý

0.04

Ìý

Ìý

0.01

Ìý

Ìý

0.10

Ìý

Stock-based compensation expense

Ìý

0.05

Ìý

Ìý

0.03

Ìý

Ìý

0.20

Ìý

Ìý

0.13

Ìý

Acquisition-related expenses (3)

Ìý

0.02

Ìý

Ìý

-

Ìý

Ìý

0.16

Ìý

Ìý

-

Ìý

Employee retention credit

Ìý

-

Ìý

Ìý

-

Ìý

Ìý

(0.45

)

Ìý

-

Ìý

Non-GAAP diluted earnings per share

$

1.66

Ìý

$

1.03

Ìý

$

4.93

Ìý

$

3.55

Ìý

Ìý
(2) The operating results for newly opened facilities or agencies not at full capacity include healthcare operations that are still considered in the start-up phase, which are two hospice agencies for the fourth quarter and year ended December 31, 3024. For the fourth quarter and year ended December 31, 2023, included are two behavioral health hospitals, two homecare agencies, and two hospice agencies.
(3) Represents expenses incurred to acquire the White Oak operations that are not capitalizable.

Ìý

Brian F. Kidd, SVP/CFO

Phone: (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