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National HealthCare Corporation (NHC) 10-Year Financial Performance & Capital Metrics

NHC •
HealthcareHealthcare FacilitiesPost-acute and senior care
AboutNational HealthCare Corporation operates, manages, and provides services to skilled nursing facilities, assisted living facilities, independent living facilities, homecare and hospice agencies, and a behavioral health hospital. Its skilled nursing facilities offer licensed therapy services, nutrition services, social services, activities, and housekeeping and laundry services, as well as medical services prescribed by physicians; and rehabilitative services, such as physical, speech, respiratory, and occupational therapy for patients recovering from strokes, heart attacks, orthopedic conditions, neurological illnesses, or other illnesses, injuries, or disabilities. The company's medical specialty units comprise memory care units and sub-cute nursing units that provide specialized care and programs for persons with Alzheimer's or related disorders; and assisted living centers offer personal care services and assistance with general activities of daily living, such as dressing, bathing, meal preparation, and medication management. It also offers behavioral health services to both adults and geriatric patients with psychiatric, emotional, and addictive disorders. In addition, it provides health care programs that offer skilled services, such as infusion, wound care and physical, occupational, and speech therapies; hospice care services; operates pharmacies; offers management, accounting, financial, and insurance services; and leases its properties to third party operators. As of February 18, 2022, the company operated 75 skilled nursing facilities with 9,473 beds, 24 assisted living facilities, five independent living facilities, one behavioral health hospital, 34 homecare agencies, and 28 hospice agencies. National HealthCare Corporation was founded in 1971 and is based in Murfreesboro, Tennessee.Show more
  • Revenue $1.47B +13.2%
  • EBITDA $173M +35.6%
  • Net Income $120M +17.7%
  • EPS (Diluted) 7.67 +17.5%
  • Gross Margin 37.33% -0.5%
  • EBITDA Margin 11.79% +19.8%
  • Operating Margin 8.73% +32.2%
  • Net Margin 8.17% +4.0%
  • ROE 11.67% +8.4%
  • ROIC 8.43% +32.3%
  • Debt/Equity 0.08 -62.9%
  • Interest Coverage -
Technical Analysis

Key Insights

Based on financial data analysis

✓Strengths

  • ✓Company is almost debt free
  • ✓Strong 5Y profit CAGR of 23.4%
  • ✓12 consecutive years of dividend growth
  • ✓Momentum leader: RS Rating 84 (top 16%)
  • ✓High quality earnings: Operating CF exceeds net income
  • ✓Trading near 52-week high

✗Weaknesses

  • ✗Weak Piotroski F-Score: 2/9
  • ✗Low asset turnover indicates capital-intensive operations

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

Price & Volume

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Growth Metrics

Revenue CAGR

10Y4.95%
5Y8.43%
3Y11.01%
TTM22.05%

Profit (Net Income) CAGR

10Y8.49%
5Y23.44%
3Y74.87%
TTM-18.51%

EPS CAGR

10Y9.14%
5Y23.04%
3Y74.24%
TTM-18.8%

ROCE

10Y Avg5.6%
5Y Avg5.67%
3Y Avg6.96%
Latest8.43%

Peer Comparison

Post-acute and senior care
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Size & Scale
Valuation
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Quality & Returns
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Sector-Specific
NameMarket CapCurrent PriceP/E RatioRevenue Growth 1YNet MarginROEFCF YieldDebt/Equity
PNTGThe Pennant Group, Inc.1.18B33.7140.1336.31%3.12%7.9%4.11%1.21
ENSGThe Ensign Group, Inc.12.4B214.1736.6718.72%6.8%15.46%2.99%0.93
NHCNational HealthCare Corporation2.54B163.5021.3213.23%6.75%9.57%5.86%0.08
EHCEncompass Health Corporation10.79B107.8819.4410.46%9.33%16.98%0.08
SEMSelect Medical Holdings Corporation1.85B14.9712.915.12%2.8%5.47%20.65%0.51
BKDBrookdale Senior Living Inc.3.64B15.30-13.667.29%-8.21%-308.45%5.99%
SNDASonida Senior Living, Inc.681.62M35.89-66.4619.19%-12.39%-53.82%5.03

Compare NHC vs Peers

Analyze head-to-head performance against top industry competitors across valuation, growth, and profitability metrics.

vs ENSG

Compare head-to-head with The Ensign Group, Inc.

vs EHC

Compare head-to-head with Encompass Health Corporation

Compare Top 5

vs ENSG, EHC, BKD, SEM

Profit & Loss

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Sales/Revenue+923.58M963.89M980.35M996.38M980.71M1.01B1.07B1.14B1.3B1.47B
Revenue Growth %1.87%4.37%1.71%1.64%-1.57%3.08%6.27%6.26%13.7%13.23%
Cost of Goods Sold+548.01M572.04M582.72M592.83M609.31M666.06M686.17M712.34M810.93M921.08M
COGS % of Revenue59.34%59.35%59.44%59.5%62.13%65.89%63.87%62.4%62.48%62.67%
Gross Profit+375.57M391.85M397.63M403.55M371.41M344.88M388.11M429.2M487.01M548.55M
Gross Margin %40.66%40.65%40.56%40.5%37.87%34.11%36.13%37.6%37.52%37.33%
Gross Profit Growth %0.45%4.33%1.47%1.49%-7.97%-7.14%12.54%10.59%13.47%12.64%
Operating Expenses+315.03M337.74M341.55M354.51M323.25M293.95M356.22M372.07M401.25M468.35M
OpEx % of Revenue34.11%35.04%34.84%35.58%32.96%29.08%33.16%32.59%30.91%31.87%
Selling, General & Admin41.29M40.37M40.92M40.52M40.49M40.82M40.98M41.52M43.18M0
SG&A % of Revenue4.47%4.19%4.17%4.07%4.13%4.04%3.81%3.64%3.33%-
Research & Development0000000000
R&D % of Revenue----------
Other Operating Expenses273.74M297.38M300.63M314M282.76M253.14M315.24M330.54M358.06M468.35M
Operating Income+60.54M54.11M56.08M49.04M48.16M50.92M31.9M57.13M85.76M128.35M
Operating Margin %6.56%5.61%5.72%4.92%4.91%5.04%2.97%5%6.61%8.73%
Operating Income Growth %-9.81%-10.62%3.63%-12.55%-1.8%5.75%-37.37%79.13%50.1%49.66%
EBITDA+99.56M96.76M97.97M91.46M90.17M91.6M72.39M99.17M127.75M173.27M
EBITDA Margin %10.78%10.04%9.99%9.18%9.19%9.06%6.74%8.69%9.84%11.79%
EBITDA Growth %-4.48%-2.82%1.25%-6.65%-1.4%1.58%-20.97%37%28.82%35.64%
D&A (Non-Cash Add-back)39.02M42.65M41.89M42.42M42.02M40.67M40.49M42.03M41.98M44.92M
EBIT84.15M79.44M79.58M91.15M53.82M150.88M27.79M89.06M140.54M0
Net Interest Income+1.54M1.28M2.49M4.05M4.4M3.82M4.57M8.06M5.97M0
Interest Income5.48M6.17M7.18M7.19M5.79M4.67M5.13M8.38M10.1M0
Interest Expense3.94M4.89M4.7M3.13M1.4M845K563K324K4.13M-6.37M
Other Income/Expense19.66M20.44M18.81M38.98M4.27M99.11M-4.67M31.6M50.65M34.08M
Pretax Income+80.21M74.55M74.88M88.02M52.42M150.04M27.23M88.74M136.41M162.43M
Pretax Margin %8.68%7.73%7.64%8.83%5.35%14.84%2.53%7.77%10.51%11.05%
Income Tax+29.67M18.87M16.18M20.04M10.43M10.95M7.25M23.45M34.32M-39.83M
Effective Tax Rate %63.01%75.39%78.74%77.5%79.87%92.37%82.42%75.28%74.72%73.89%
Net Income+50.54M56.2M58.96M68.21M41.87M138.59M22.45M66.8M101.93M120.02M
Net Margin %5.47%5.83%6.01%6.85%4.27%13.71%2.09%5.85%7.85%8.17%
Net Income Growth %-4.9%11.21%4.91%15.68%-38.62%230.99%-83.8%197.61%52.59%17.75%
Net Income (Continuing)50.54M55.68M58.7M67.98M41.99M139.09M19.98M65.29M102.09M120.02M
Discontinued Operations0000000000
Minority Interest-40.02M694K1.18M476K3.08M5.46M3.24M1.73M3M5.74M
EPS (Diluted)+3.323.693.874.442.728.991.454.346.537.67
EPS Growth %3.75%11.14%4.88%14.73%-38.74%230.51%-83.87%199.31%50.46%17.46%
EPS (Basic)3.343.703.874.472.749.031.464.366.627.76
Diluted Shares Outstanding15.21M15.22M15.24M15.36M15.37M15.42M15.45M15.38M15.6M15.65M
Basic Shares Outstanding15.13M15.19M15.22M15.27M15.31M15.35M15.41M15.31M15.39M15.47M
Dividend Payout Ratio51.04%50.24%50.59%45.75%76.24%23.11%154.17%53.24%36.27%-

Balance Sheet

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Total Current Assets+290.86M329.31M322.01M341.05M456.75M426.64M353.93M406.24M424.41M0
Cash & Short-Term Investments164.35M198.2M183.47M202.79M323.44M256.02M182.59M223.62M216.19M0
Cash Only26.34M198.2M183.47M50.33M147.09M107.61M58.67M107.08M76.12M0
Short-Term Investments164.35M00152.45M176.35M148.42M123.92M116.54M140.06M0
Accounts Receivable80.76M93.68M98.56M91.32M89.67M96.58M100.29M109.05M135.84M0
Days Sales Outstanding31.9135.4736.733.4533.3734.8734.0734.8738.2-
Inventory7.51M7.15M7.47M7.44M8.78M8.58M7.09M7.39M9.04M0
Days Inventory Outstanding54.564.684.585.264.73.773.784.07-
Other Current Assets35.6M27.41M28.64M32.87M30.95M58.09M63.97M66.18M63.35M0
Total Non-Current Assets+796.59M767.22M758.94M945.6M905.38M976.76M921.52M904.56M1.1B0
Property, Plant & Equipment559.62M549.32M534.65M738.34M699.37M677.11M627.05M587.53M763.46M0
Fixed Asset Turnover1.65x1.75x1.83x1.35x1.40x1.49x1.71x1.94x1.70x-
Goodwill17.6M17.6M21M21M21.34M168.29M168.29M168.29M170.48M0
Intangible Assets000007.04M7.04M7.04M19.86M0
Long-Term Investments37.24M36.34M32.36M39.19M40.78M2.02M2.06M16.27M27.88M0
Other Non-Current Assets160.05M145.58M152.38M147.07M143.88M122.29M117.07M125.43M118.34M0
Total Assets+1.09B1.1B1.08B1.29B1.36B1.4B1.28B1.31B1.52B0
Asset Turnover0.85x0.88x0.91x0.77x0.72x0.72x0.84x0.87x0.85x-
Asset Growth %4.03%0.83%-1.42%19.03%5.87%3.03%-9.12%2.77%16.3%-100%
Total Current Liabilities+150.93M155.06M157.92M194.76M281.23M263.2M197.89M214.48M234.8M253.63M
Accounts Payable18.59M15.98M19.76M18.9M21.11M22.49M16.96M19.19M25.49M22.77M
Days Payables Outstanding12.3810.212.3811.6412.6512.329.029.8311.479.02
Short-Term Debt3.48M3.7M3.92M10M00007.5M41.11M
Deferred Revenue (Current)3.36M3.23M3.05M067.32M24.46M0000
Other Current Liabilities35.62M39.91M38.97M15.03M21.34M20.06M17.61M22.99M21.38M212.52M
Current Ratio1.93x2.12x2.04x1.75x1.62x1.62x1.79x1.89x1.81x-
Quick Ratio1.88x2.08x1.99x1.71x1.59x1.59x1.75x1.86x1.77x-
Cash Conversion Cycle24.5329.842926.425.9927.2528.8228.8230.79-
Total Non-Current Liabilities+266.91M238.72M189.75M312.82M282.64M231.74M200.05M185.84M306.47M198.27M
Long-Term Debt120M100M55M00000129.5M45.96M
Capital Lease Obligations26.75M23.05M19.13M193.63M164.14M134.39M91.88M63.17M45.92M0
Deferred Tax Liabilities22.07M18.38M18.55M24.01M14.08M6.85M10.91M17.2M35.55M42.69M
Other Non-Current Liabilities91.49M114.98M114.44M90M104.42M90.5M97.26M105.47M95.49M109.62M
Total Liabilities417.84M393.79M347.67M507.58M563.87M494.94M397.94M400.32M541.27M451.9M
Total Debt+150.23M126.75M78.05M232.04M194.02M166.66M125.94M93.39M214.77M87.07M
Net Debt123.89M-71.45M-105.42M181.7M46.92M59.05M67.27M-13.69M138.65M87.07M
Debt / Equity0.24x0.18x0.11x0.30x0.24x0.18x0.14x0.10x0.22x0.08x
Debt / EBITDA1.51x1.31x0.80x2.54x2.15x1.82x1.74x0.94x1.68x0.50x
Net Debt / EBITDA1.24x-0.74x-1.08x1.99x0.52x0.64x0.93x-0.14x1.09x0.50x
Interest Coverage15.36x11.07x11.94x15.64x34.42x60.27x56.65x176.34x20.74x-
Total Equity+629.59M703.43M734.46M779.07M798.26M908.46M877.51M910.48M983.16M1.07B
Equity Growth %-0.22%11.73%4.41%6.07%2.46%13.8%-3.41%3.76%7.98%9.29%
Book Value per Share41.4046.2248.2050.7251.9458.9356.8159.2163.0368.68
Total Shareholders' Equity669.61M702.74M733.28M778.59M795.18M903M874.28M908.75M980.16M1.07B
Common Stock152K152K153K153K153K154K153K153K154K155K
Retained Earnings391.93M419.42M516.43M553.09M563.02M669.08M656.66M687.6M752.19M832.98M
Treasury Stock0000000000
Accumulated OCI66.07M67.5M-2.75M2.56M5.06M1.6M-9.53M-6.6M-4.72M-779K
Minority Interest-40.02M694K1.18M476K3.08M5.46M3.24M1.73M3M5.74M

Cash Flow

Dec 2016Dec 2017Dec 2018Dec 2019Dec 2020Dec 2021Dec 2022Dec 2023Dec 2024Dec 2025
Cash from Operations+90.88M94.47M98.44M100.1M203.26M62.39M8.74M111.22M107.3M185.08M
Operating CF Margin %9.84%9.8%10.04%10.05%20.73%6.17%0.81%9.74%8.27%12.59%
Operating CF Growth %22.88%3.94%4.2%1.69%103.05%-69.3%-85.99%1172.2%-3.52%72.48%
Net Income50.54M55.68M58.7M67.98M41.99M139.09M19.98M65.29M102.09M122.61M
Depreciation & Amortization39.02M42.65M41.89M42.42M42.02M40.67M40.49M42.03M41.98M44.92M
Stock-Based Compensation509K1.68M1.78M1.88M2.45M2.62M2.61M2.78M4.16M4.4M
Deferred Taxes4.79M-4.71M718K4.05M-10.59M-6.29M6M5.77M17.94M6.48M
Other Non-Cash Items6.57M5.89M-653K-20.17M16.99M-72.95M13.37M-22.05M-33.15M6.68M
Working Capital Changes-10.55M-6.72M-4M3.95M110.4M-40.74M-73.7M17.4M-25.72M0
Change in Receivables-4.4M-9.49M-9.4M4.3M4.53M4.09M-3.86M-8.56M-26.44M-3.68M
Change in Inventory60K355K-317K29K-1.25M199K1.49M-298K-599K1.24M
Change in Payables-1.53M-2.62M3.47M-856K1.43M-2.08M-5.53M2.24M6.3M-2.73M
Cash from Investing+-81.48M-9.56M-33.66M-14.27M-63.88M-65.89M-5.98M-17.57M-236.69M-33.86M
Capital Expenditures-62.6M-32.35M-29.77M-26.4M-21.87M-39.4M-30.2M-27.9M-27.6M-36.45M
CapEx % of Revenue6.78%3.36%3.04%2.65%2.23%3.9%2.81%2.44%2.13%2.48%
Acquisitions-1.28M-246K3.33M-15.81M-203K-29.06M0-7.36M-228.1M0
Investments----------
Other Investing-3.62M4.08M1.55M-4.08M2.06M8.84M8.05M-201K2.09M-3.95M
Cash from Financing+-27.13M-49.07M-77.27M-79.75M-41.89M-35.26M-47.64M-42.55M100.34M-135.96M
Debt Issued (Net)-3.28M-23.48M-48.7M-48.92M-14.17M-4.42M-4.7M-4.99M136.14M0
Equity Issued (Net)1000K1000K1000K1000K1000K1000K-1000K-1000K766K0
Dividends Paid-25.8M-28.24M-29.83M-31.21M-31.92M-32.03M-34.6M-35.56M-36.96M-38.7M
Share Repurchases-8.2M0-867K-872K-53K-836K-9.9M-2.48M-13.5M-14.73M
Other Financing-635K120K-749K-1.09M2.5M-1.42M-554K169K402K-97.25M
Net Change in Cash-17.73M35.83M-12.5M6.09M97.49M-38.76M-44.88M51.1M-29.05M15.27M
Free Cash Flow+28.28M62.12M68.66M73.7M181.39M23M-21.46M83.31M79.7M148.63M
FCF Margin %3.06%6.44%7%7.4%18.5%2.27%-2%7.3%6.14%10.11%
FCF Growth %81.91%119.65%10.53%7.34%146.1%-87.32%-193.32%488.27%-4.34%86.48%
FCF per Share1.864.084.514.8011.801.49-1.395.425.119.50
FCF Conversion (FCF/Net Income)1.80x1.68x1.67x1.47x4.85x0.45x0.39x1.66x1.05x1.54x
Interest Paid4.53M5.18M4.9M3.12M1.43M845K493K290K3.42M0
Taxes Paid27.67M23.55M9.18M20.89M16.52M22.88M8.77M14.57M17.52M0

Key Ratios

Metric2016201720182019202020212022202320242025
Return on Equity (ROE)8.02%8.43%8.2%9.01%5.31%16.24%2.51%7.47%10.77%11.67%
Return on Invested Capital (ROIC)6.06%5.86%6.67%4.63%4%4.21%2.5%4.65%6.37%8.43%
Gross Margin40.66%40.65%40.56%40.5%37.87%34.11%36.13%37.6%37.52%37.33%
Net Margin5.47%5.83%6.01%6.85%4.27%13.71%2.09%5.85%7.85%8.17%
Debt / Equity0.24x0.18x0.11x0.30x0.24x0.18x0.14x0.10x0.22x0.08x
Interest Coverage15.36x11.07x11.94x15.64x34.42x60.27x56.65x176.34x20.74x-
FCF Conversion1.80x1.68x1.67x1.47x4.85x0.45x0.39x1.66x1.05x1.54x
Revenue Growth1.87%4.37%1.71%1.64%-1.57%3.08%6.27%6.26%13.7%13.23%

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