NHC Reports Second Quarter 2023 Earnings

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MURFREESBORO, Tenn., August 04, 2023--(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 June 30, 2023 totaled $282,582,000 compared to $271,359,000 for the quarter ended June 30, 2022, an increase of 4.1%. Excluding the government stimulus income and the seven skilled nursing facilities in Massachusetts and New Hampshire in which we ceased operations in September 2022, same-facility net operating revenues increased 11.5% during the second quarter of 2023 compared to the same period a year ago.

For the quarter ended June 30, 2023, the reported GAAP net income attributable to NHC was $16,281,000 compared to $3,203,000 for the same period in 2022. Excluding the unrealized gains or losses in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the quarter ended June 30, 2023 was $13,658,000 compared to $7,172,000 for the same period in 2022 (*). The increase in non-GAAP earnings for the quarter ended June 30, 2023 compared to the second quarter of 2022 was primarily due to the continued occupancy increase in our skilled nursing and assisted living facilities, skilled nursing per diem increases from some of our government payors, and the continued reduction of nurse agency staffing expense within our operations. The GAAP diluted earnings per share was $1.06 for the quarter ended June 30, 2023 compared to $0.21 for the quarter ended June 30, 2022. Adjusted diluted earnings per share were $0.89 and $0.46 for the quarters ended June 30, 2023 and 2022, 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 68 skilled nursing facilities with 8,732 beds. NHC affiliates also operate 23 assisted living communities with 1,181 units, five independent living communities with 475 units, three behavioral health hospitals, 35 homecare agencies, and 30 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

Six Months Ended

June 30

June 30

2023

2022

2023

2022

(unaudited)

(unaudited)

Revenues and grant income:

Net patient revenues

$

269,605

$

260,077

$

527,612

$

516,414

Other revenues

12,977

10,962

24,533

22,988

Government stimulus income

-

320

-

10,940

Net operating revenues and grant income

282,582

271,359

552,145

550,342

Costs and expenses:

Salaries, wages and benefits

175,294

174,936

343,118

345,630

Other operating

73,234

71,311

144,723

145,396

Facility rent

9,901

10,411

19,993

20,476

Depreciation and amortization

10,083

10,001

20,131

19,758

Interest

93

149

191

314

Total costs and expenses

268,605

266,808

528,156

531,574

Income from operations

13,977

4,551

23,989

18,768

Non-operating income

3,696

2,521

8,019

5,720

Unrealized gains/(losses) on marketable equity securities

4,650

(3,549

)

6,036

(423

)

Income before income taxes

22,323

3,523

38,044

24,065

Income tax provision

(6,406

)

(1,362

)

(10,842

)

(6,555

)

Net income

15,917

2,161

27,202

17,510

Net loss attributable to noncontrolling interest

364

1,042

802

1,011

Net income attributable to National HealthCare Corporation

$

16,281

$

3,203

$

28,004

$

18,521

Net income per common share

Basic

$

1.06

$

0.21

$

1.83

$

1.20

Diluted

$

1.06

$

0.21

$

1.83

$

1.20

Weighted average common shares outstanding

Basic

15,297,435

15,452,402

15,317,319

15,434,718

Diluted

15,322,344

15,487,123

15,339,240

15,475,553

Dividends declared per common share

$

0.59

$

0.57

$

1.16

$

1.12

Balance Sheet Data

June 30

December 31

(in thousands)

2023

2022

(unaudited)

Cash, cash equivalents and marketable securities

$

193,444

$

182,589

Restricted cash, cash equivalents and marketable securities

167,683

158,067

Current assets

368,734

353,932

Property and equipment, net

501,890

506,532

Total assets

1,280,684

1,275,450

Current liabilities

197,798

197,887

Stockholders' equity

886,358

877,514

Selected Operating Statistics

Three Months Ended

Six Months Ended

June 30

June 30

2023

2022

2023

2022

(unaudited)

(unaudited)

Skilled Nursing Per Diems:

Medicare

$

548.74

$

540.15

$

552.38

$

542.48

Managed Care

445.00

413.58

444.97

423.56

Medicaid

253.22

226.40

245.12

227.45

Private Pay and Other

275.11

268.70

276.79

269.42

Average Skilled Nursing Per Diem

$

318.92

$

297.63

(1)

$

317.38

$

301.66

(1)

Skilled Nursing Patient Days:

Medicare

79,981

85,438

164,013

177,021

Managed Care

59,567

55,230

118,013

110,867

Medicaid

284,681

313,171

561,187

617,431

Private Pay and Other

164,000

166,454

321,422

320,409

Total Skilled Nursing Patient Days

588,229

620,293

(1)

1,164,635

1,225,728

(1)

(1) For the three and six months ended June 30, 2022, the skilled nursing per diems and patient days listed above include the seven skilled nursing facilities that were located in Massachusetts and New Hampshire. NHC exited these seven skilled nursing facilities on September 1, 2022. For the three months ended June 30, 2022, the exited Massachusetts and New Hampshire skilled nursing facilities had an average skilled nursing per diem of $297.02 and 52,320 total patient days. For the six months ended June 30, 2022, the exited Massachusetts and New Hampshire skilled nursing facilities had an average skilled nursing per diem of $294.20 and 104,486 total patient days.

The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):

Three Months Ended

Six Months Ended

June 30

June 30

2023

2022

2023

2022

(unaudited)

(unaudited)

Net income attributable to National Healthcare Corporation

$

16,281

$

3,203

$

28,004

$

18,521

Non-GAAP adjustments

Unrealized (gains)/losses on marketable equity securities

(4,650

)

3,549

(6,036

)

423

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

333

1,185

1,550

1,928

Stock-based compensation expense

772

629

1,411

1,341

Income tax (benefit)/provision on non-GAAP adjustments

922

(1,394

)

800

(960

)

Non-GAAP Net income

$

13,658

$

7,172

$

25,729

$

21,253

GAAP diluted earnings per share

$

1.06

$

0.21

$

1.83

$

1.20

Non-GAAP adjustments

Unrealized (gains)/losses on marketable equity securities

(0.23

)

0.16

(0.29

)

0.02

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

0.02

0.06

0.07

0.09

Stock-based compensation expense

0.04

0.03

0.07

0.06

Non-GAAP diluted earnings per share

$

0.89

$

0.46

$

1.68

$

1.37

(2) The newly opened operations not at full capacity for the 2023 periods presented consisted of operations opened from 2021 through 2023. This consisted of two behavioral health hospitals, two homecare agencies, and two hospice agencies. The newly opened operations for the 2022 periods presented consisted of operations opened from 2020 through 2022. This consisted of two behavioral health hospitals, one homecare agency, and one hospice agency.

View source version on businesswire.com: https://www.businesswire.com/news/home/20230804761218/en/

Contacts

Brian F. Kidd, SVP/Chief Financial Officer
Phone: (615) 890-2020

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