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NHC Reports Third Quarter 2024 Earnings

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National HealthCare (NYSE American: NHC) reported strong financial results for Q3 2024. Net operating revenues and grant income reached $340.2 million, up 17.9% from $288.5 million in Q3 2023. The growth was primarily driven by the August 1, 2024 acquisition of White Oak Manor, which added 21 healthcare facilities. GAAP net income increased to $42.8 million ($2.73 per diluted share) from $10.4 million ($0.68 per share) year-over-year. Adjusted net income rose 50.3% to $19.9 million ($1.27 per diluted share) compared to $13.3 million ($0.86 per share) in Q3 2023.

National HealthCare (NYSE American: NHC) ha riportato risultati finanziari straordinari per il terzo trimestre del 2024. I ricavi operativi netti e i proventi da sovvenzioni hanno raggiunto 340,2 milioni di dollari, in aumento del 17,9% rispetto ai 288,5 milioni di dollari del terzo trimestre del 2023. La crescita è stata principalmente guidata dall'acquisizione del White Oak Manor avvenuta il 1° agosto 2024, che ha aggiunto 21 strutture sanitarie. Il reddito netto GAAP è aumentato a 42,8 milioni di dollari (2,73 dollari per azione diluita) rispetto ai 10,4 milioni di dollari (0,68 dollari per azione) dello stesso periodo dell’anno precedente. Il reddito netto rettificato è cresciuto del 50,3% a 19,9 milioni di dollari (1,27 dollari per azione diluita) rispetto ai 13,3 milioni di dollari (0,86 dollari per azione) nel terzo trimestre del 2023.

National HealthCare (NYSE American: NHC) informó resultados financieros sólidos para el tercer trimestre de 2024. Los ingresos operativos netos y los ingresos por subvenciones alcanzaron 340.2 millones de dólares, un aumento del 17.9% respecto a los 288.5 millones de dólares en el tercer trimestre de 2023. Este crecimiento fue impulsado principalmente por la adquisición de White Oak Manor el 1 de agosto de 2024, que sumó 21 instalaciones de salud. La renta neta GAAP aumentó a 42.8 millones de dólares (2.73 dólares por acción diluida) desde 10.4 millones de dólares (0.68 dólares por acción) en comparación con el año anterior. La renta neta ajustada creció un 50.3% a 19.9 millones de dólares (1.27 dólares por acción diluida) en comparación con 13.3 millones de dólares (0.86 dólares por acción) en el tercer trimestre de 2023.

내셔널 헬스케어(NYSE American: NHC)는 2024년 3분기 강력한 재무 결과를 보고했습니다. 순 운영 수익과 보조금 수익은 3억 4천 2백만 달러에 도달했으며, 이는 2023년 3분기의 2억 8천 8백 5십만 달러보다 17.9% 증가한 수치입니다. 이 성장은 주로 2024년 8월 1일 화이트 오크 매너의 인수에 의해 촉발되었으며, 이는 21개의 의료 시설을 추가했습니다. GAAP 순이익은 1년 전의 1천 4백만 달러(주당 0.68달러)에서 4천 2백 8십만 달러 (주당 2.73달러)로 증가했습니다. 조정된 순이익은 3분기 2023년의 1천 3백 3십만 달러(주당 0.86달러)에 비해 1천 9백 9십만 달러 (주당 1.27달러)로 50.3% 상승했습니다.

National HealthCare (NYSE American: NHC) a rapporté de solides résultats financiers pour le troisième trimestre 2024. Les revenus nets d'exploitation et les revenus de subventions ont atteint 340,2 millions de dollars, soit une augmentation de 17,9% par rapport à 288,5 millions de dollars au troisième trimestre 2023. Cette croissance a été principalement soutenue par l'acquisition de White Oak Manor le 1er août 2024, qui a ajouté 21 établissements de santé. Le bénéfice net selon les normes GAAP a augmenté à 42,8 millions de dollars (2,73 dollars par action diluée) contre 10,4 millions de dollars (0,68 dollars par action) l'année précédente. Le bénéfice net ajusté a augmenté de 50,3% pour atteindre 19,9 millions de dollars (1,27 dollars par action diluée) par rapport à 13,3 millions de dollars (0,86 dollars par action) au troisième trimestre 2023.

National HealthCare (NYSE American: NHC) hat für das dritte Quartal 2024 starke Finanzergebnisse gemeldet. Die Nettobetriebseinnahmen und Zuschusseinnahmen beliefen sich auf 340,2 Millionen Dollar, was einem Anstieg von 17,9% im Vergleich zu 288,5 Millionen Dollar im dritten Quartal 2023 entspricht. Das Wachstum wurde hauptsächlich durch die Übernahme von White Oak Manor am 1. August 2024 vorangetrieben, die 21 Gesundheitseinrichtungen hinzufügte. Der GAAP-Nettoertrag stieg von 10,4 Millionen Dollar (0,68 Dollar pro Aktie) im Vorjahr auf 42,8 Millionen Dollar (2,73 Dollar pro verwässerter Aktie). Der bereinigte Nettoertrag stieg um 50,3% auf 19,9 Millionen Dollar (1,27 Dollar pro verwässerter Aktie) im Vergleich zu 13,3 Millionen Dollar (0,86 Dollar pro Aktie) im dritten Quartal 2023.

Positive
  • Net operating revenues increased 17.9% YoY to $340.2 million
  • GAAP net income grew substantially to $42.8 million from $10.4 million YoY
  • Adjusted net income rose 50.3% to $19.9 million
  • Strategic expansion through White Oak Manor acquisition, adding 21 healthcare facilities
  • Diluted EPS increased to $2.73 from $0.68 YoY
Negative
  • None.

Insights

The Q3 2024 results demonstrate significant growth driven by strategic expansion. $340.2M in revenue marks a robust 17.9% increase, primarily attributed to the White Oak Manor acquisition. This strategic move added 21 healthcare facilities to NHC's portfolio, substantially expanding their operational footprint.

The adjusted net income of $19.9M represents a remarkable 50.3% increase year-over-year, with adjusted EPS rising to $1.27 from $0.86. The White Oak acquisition appears immediately accretive to earnings, suggesting effective integration and operational synergy. The company's ability to execute large-scale acquisitions while maintaining profitability indicates strong operational management and market positioning in the senior healthcare sector.

MURFREESBORO, Tenn.--(BUSINESS WIRE)-- National HealthCare Corporation (NYSE American: NHC), the nation's oldest publicly traded senior health care company, announced today net operating revenues and grant income for the quarter ended September 30, 2024 totaled $340,198,000 compared to $288,485,000 for the quarter ended September 30, 2023, an increase of 17.9%. The increase in net operating revenues for the third quarter of 2024 compared to the same period last year was primarily related to the August 1, 2024 acquisition of White Oak Manor (“White Oak”). The White Oak operations consist of 21 healthcare operations, which includes 15 skilled nursing facilities, two assisted living facilities, and four independent living facilities.

For the quarter ended September 30, 2024, the reported GAAP net income attributable to NHC was $42,789,000 compared to $10,388,000 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 September 30, 2024 was $19,910,000 compared to $13,250,000 for the same period in 2023, an increase of 50.3% (*). The GAAP diluted earnings per share were $2.73 for the quarter ended September 30, 2024 compared to $0.68 for the quarter ended September 30, 2023. Adjusted diluted earnings per share were $1.27 and $0.86 for the quarters ended September 30, 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 10,349 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 32 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

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

(unaudited)

 

(unaudited)

Revenues and grant income:
Net patient revenues

$

328,674

 

$

277,005

 

$

894,415

 

$

804,617

 

Other revenues

 

11,524

 

 

11,480

 

 

34,172

 

 

36,013

 

Government stimulus income

 

-

 

 

-

 

 

9,445

 

 

-

 

Net operating revenues and grant income

 

340,198

 

 

288,485

 

 

938,032

 

 

840,630

 

 
Costs and expenses:
Salaries, wages and benefits

 

213,395

 

 

182,664

 

 

576,609

 

 

525,782

 

Other operating

 

82,509

 

 

72,490

 

 

238,092

 

 

217,213

 

Facility rent

 

10,886

 

 

10,094

 

 

31,804

 

 

30,087

 

Depreciation and amortization

 

10,619

 

 

10,135

 

 

30,543

 

 

30,266

 

Interest

 

1,742

 

 

77

 

 

1,788

 

 

268

 

Total costs and expenses

 

319,151

 

 

275,460

 

 

878,836

 

 

803,616

 

 
Income from operations

 

21,047

 

 

13,025

 

 

59,196

 

 

37,014

 

 
Non-operating income

 

4,224

 

 

4,097

 

 

14,865

 

 

12,116

 

Unrealized gains/(losses) on marketable equity securities

 

32,767

 

 

(3,093

)

 

56,290

 

 

2,943

 

 
Income before income taxes

 

58,038

 

 

14,029

 

 

130,351

 

 

52,073

 

Income tax provision

 

(15,338

)

 

(3,908

)

 

(34,294

)

 

(14,750

)

Net income

 

42,700

 

 

10,121

 

 

96,057

 

 

37,323

 

 
Net (income)/loss attributable to noncontrolling interest

 

89

 

 

267

 

 

(211

)

 

1,069

 

 
Net income attributable to National HealthCare Corporation

$

42,789

 

$

10,388

 

$

95,846

 

$

38,392

 

 
Net income per common share
Basic

$

2.78

 

$

0.68

 

$

6.23

 

$

2.51

 

Diluted

$

2.73

 

$

0.68

 

$

6.15

 

$

2.50

 

 
Weighted average common shares outstanding
Basic

 

15,411,680

 

 

15,299,913

 

 

15,384,758

 

 

15,311,453

 

Diluted

 

15,667,321

 

 

15,324,511

 

 

15,576,294

 

 

15,334,269

 

 
Dividends declared per common share

$

0.61

 

$

0.59

 

$

1.81

 

$

1.75

 

 
 
Balance Sheet Data

September 30

 

December 31

(in thousands)

 

2024

 

 

 

2023

 

(unaudited)

 

 

 
Cash, cash equivalents and marketable securities

$

249,561

 

$

223,620

 

Restricted cash, cash equivalents and marketable securities

 

177,179

 

 

167,971

 

Current assets

 

445,726

 

 

406,235

 

Property and equipment, net

 

686,425

 

 

493,329

 

Total assets

 

1,562,707

 

 

1,310,796

 

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

 

240,446

 

 

214,476

 

Current and long-term debt

 

147,000

 

 

-

 

NHC stockholders' equity

 

983,468

 

 

908,752

 

Selected Operating Statistics

Three Months Ended

 

Nine Months Ended

September 30

 

September 30

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

(unaudited)

 

(unaudited)

Skilled Nursing Per Diems:
Medicare

$

578.12

 

$

551.82

 

$

579.24

 

$

552.21

 

Managed Care

 

459.94

 

 

489.18

 

 

459.64

 

 

460.20

 

Medicaid

 

290.00

 

 

256.46

 

 

274.44

 

 

248.99

 

Private Pay and Other

 

323.36

 

 

283.49

 

 

315.09

 

 

279.12

 

 
Average Skilled Nursing Per Diem

$

350.85

 

$

325.34

 

(1)

$

344.76

 

(1)

$

320.09

 

(1)

 
Skilled Nursing Patient Days:
Medicare

 

79,957

 

 

75,215

 

 

235,715

 

 

239,228

 

Managed Care

 

70,635

 

 

61,979

 

 

199,023

 

 

179,992

 

Medicaid

 

344,940

 

 

290,887

 

 

906,265

 

 

852,074

 

Private Pay and Other

 

177,846

 

 

170,857

 

 

485,523

 

 

492,279

 

 
Total Skilled Nursing Patient Days

 

673,378

 

 

598,938

 

(1)

 

1,826,526

 

(1)

 

1,763,573

 

(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 $259.56 and 20,267 patient days. For the three months ended September 30, 2023, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $244.20 and 32,141 patient days. For the nine months ended September 30, 2023, the exited Missouri skilled nursing facilities had an average skilled nursing per diem of $248.51 and 95,030 patient days.
 
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

 

2024

 

 

 

2023

 

 

 

2024

 

 

 

2023

 

(unaudited)

 

(unaudited)

 
Net income attributable to National Healthcare Corporation

$

42,789

 

$

10,388

 

$

95,846

 

$

38,392

 

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

 

(32,767

)

 

3,093

 

 

(56,290

)

 

(2,943

)

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

 

120

 

 

66

 

 

140

 

 

1,616

 

Stock-based compensation expense

 

1,093

 

 

708

 

 

3,062

 

 

2,119

 

Gain on sale of unconsolidated company

 

-

 

 

-

 

 

(1,024

)

 

-

 

Acquisition-related expenses (3)

 

637

 

 

-

 

 

2,831

 

 

-

 

Employee retention credit

 

-

 

 

-

 

 

(9,445

)

 

-

 

Income tax provision on non-GAAP adjustments

 

8,038

 

 

(1,005

)

 

15,789

 

 

(206

)

Non-GAAP Net income

$

19,910

 

$

13,250

 

$

50,909

 

$

38,978

 

 
GAAP diluted earnings per share

$

2.73

 

$

0.68

 

$

6.15

 

$

2.51

 

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

 

(1.55

)

 

0.15

 

 

(2.67

)

 

(0.14

)

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

 

0.01

 

 

-

 

 

0.01

 

 

0.07

 

Stock-based compensation expense

 

0.05

 

 

0.03

 

 

0.15

 

 

0.10

 

Gain on sale of unconsolidated company

 

-

 

 

-

 

 

(0.05

)

 

-

 

Acquisition-related expenses (3)

 

0.03

 

 

-

 

 

0.13

 

 

-

 

Employee retention credit

 

-

 

 

-

 

 

(0.45

)

 

-

 

Non-GAAP diluted earnings per share

$

1.27

 

$

0.86

 

$

3.27

 

$

2.54

 

 
(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 three and nine months ended September 30, 3024. For the three and nine months ended September 30, 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.

 

Brian F. Kidd, SVP/CFO

Phone: (615) 890-2020

Source: National HealthCare Corporation

FAQ

What was NHC's revenue growth in Q3 2024?

NHC's net operating revenues grew 17.9% to $340.2 million in Q3 2024 compared to $288.5 million in Q3 2023.

How many facilities did NHC acquire from White Oak Manor in 2024?

NHC acquired 21 healthcare facilities from White Oak Manor on August 1, 2024, including 15 skilled nursing facilities, 2 assisted living facilities, and 4 independent living facilities.

What was NHC's adjusted earnings per share in Q3 2024?

NHC's adjusted diluted earnings per share was $1.27 in Q3 2024, compared to $0.86 in Q3 2023.

How much did NHC's adjusted net income increase in Q3 2024?

NHC's adjusted net income increased 50.3% to $19.9 million in Q3 2024 from $13.3 million in Q3 2023.

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