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NHC Reports 2020 Year End Earnings

NHC

National HealthCare Corporation (NYSE American: NHC ), the nation's oldest publicly traded senior health care company, announced today net operating revenues and CARES Act income for the year ended December 31, 2020 totaled $1,028,217,000 compared to $996,383,000 for the year ended December 31, 2019, an increase of 3.2%. The CARES Act funding is intended to partially offset COVID-19 expenses and lost revenues. Excluding the CARES Act income and other government COVID revenues recorded during 2020, net operating revenues would have decreased 4.2% compared to 2019.

For the year ended December 31, 2020, the reported GAAP net income attributable to NHC was $41,871,000 compared to $68,211,000 for the 2019 year. Excluding the unrealized gains and losses in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the year ended December 31, 2020 was $58,543,000 compared to $59,616,000 for the 2019 year (*) . GAAP diluted earnings per share were $2.72 and $4.44 for the years ended December 31, 2020 and 2019, respectively. Adjusted diluted earnings per share were $3.81 and $3.88 for the years ended December 31, 2020 and 2019, respectively (*) .

Net operating revenues and CARES Act income for the quarter ended December 31, 2020 totaled $259,825,000 compared to $253,880,000 for the quarter ended December 31, 2019, an increase of 2.3%. Excluding the CARES Act income and other government COVID revenues recorded during the fourth quarter of 2020, net operating revenues would have decreased 8.1% compared to the fourth quarter of 2019. For the quarter ended December 31, 2020, reported GAAP net income attributable to NHC was $27,550,000 compared to $13,770,000 for the fourth quarter of 2019. Excluding the unrealized gains and losses in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the three months ended December 31, 2020 was $13,822,000 compared to $16,822,000 for the fourth quarter of 2019.

(*) - See the tables below that provide a reconciliation of GAAP to non-GAAP items.

About NHC

NHC affiliates operate for themselves and third parties 75 skilled nursing facilities with 9,463 beds. NHC affiliates also operate 24 assisted living communities, five independent living communities, one behavioral health hospital and 35 homecare programs. NHC’s other services include Alzheimer’s and memory care units, hospice services, 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, and include, among others, the following: liabilities and other claims asserted against us and patient care liabilities, as well as the resolution of current litigation; availability of insurance and assets for indemnification; national and local economic conditions; including their effect on the availability and cost of labor, utilities and materials; the effect of government regulations and changes in regulations governing the healthcare industry, including our compliance with such regulations; changes in Medicare and Medicaid payment levels and methodologies and the application of such methodologies by the government and its fiscal intermediaries; and other factors referenced or incorporated by reference in the S.E.C. filings. The risks included here are not exhaustive. All forward-looking statements represent NHC’s best judgment as of the date of this release.

Consolidated Statements of Income
(in thousands, except share and per share amounts)
Three Months Ended Year Ended
December 31 December 31

2020

2019

2020

2019

Revenues and grant income:
Net patient revenues

$

234,646

$

241,407

$

931,795

$

947,872

Other revenues

14,454

12,473

48,917

48,511

Government stimulus income

10,725

-

47,505

-

Net operating revenues and grant income

259,825

253,880

1,028,217

996,383

Costs and expenses:
Salaries, wages and benefits

153,359

151,390

609,306

592,831

Other operating

73,429

64,682

286,845

268,442

Facility rent

9,522

9,916

40,494

40,518

Depreciation and amortization

10,487

10,904

42,018

42,419

Interest

249

491

1,399

3,135

Total costs and expenses

247,046

237,383

980,062

947,345

Income from operations

12,779

16,497

48,155

49,038

Non-operating income

7,656

5,811

28,234

26,747

Unrealized gains/(losses) on marketable equity securities

16,614

(3,866

)

(23,966

)

12,230

Income before income taxes

37,049

18,442

52,423

88,015

Income tax provision

(9,633

)

(4,755

)

(10,433

)

(20,039

)

Net income

27,416

13,687

41,990

67,976

Net (income)/loss attributable to noncontrolling interest

134

83

(119

)

235

Net income attributable to National HealthCare Corporation

$

27,550

$

13,770

$

41,871

$

68,211

Net income per common share

$

1.80

$

0.90

$

2.74

$

4.47

Basic

$

1.79

$

0.89

$

2.72

$

4.44

Diluted
Weighted average common shares outstanding
Basic

15,311,947

15,278,771

15,306,174

15,270,154

Diluted

15,371,718

15,389,104

15,369,523

15,360,046

Dividends declared per common share

$

0.52

$

0.52

$

2.08

$

2.06

Balance Sheet Data
(in thousands)

Dec. 31

Dec. 31

2020

2019

Cash, cash equivalents and marketable securities

$

323,445

$

202,787

Restricted cash, cash equivalents and marketable securities

158,162

158,082

Current assets

456,755

341,053

Property and equipment, net

520,318

535,430

Total assets

1,362,132

1,286,648

Current liabilities

281,228

194,763

NHC stockholders' equity

795,177

778,593

Selected Operating Statistics
Three Months Ended Year Ended
December 31 December 31

2020

2019

2020

2019

Skilled Nursing Per Diems:
Medicare

$

533.95

$

498.10

$

518.46

$

470.74

Managed Care

418.14

403.30

408.92

396.17

Medicaid

258.47

200.71

220.50

197.95

Private Pay and Other

250.54

243.68

249.61

242.99

Average Skilled Nursing Per Diem

$

317.94

$

275.03

$

290.10

$

271.07

Skilled Nursing Patient Days:
Medicare

96,943

102,798

387,540

428,367

Managed Care

58,085

62,956

223,629

251,691

Medicaid

290,979

343,348

1,289,435

1,332,025

Private Pay and Other

140,288

174,979

625,313

698,554

Total Skilled Nursing Patient Days

586,295

684,081

2,525,917

2,710,637

The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts):
Three Months Ended Year Ended
December 31 December 31

2020

2019

2020

2019

Net income attributable to National Healthcare Corporation

$

27,550

$

13,770

$

41,871

$

68,211

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

(16,614

)

3,866

23,966

(12,230

)

Gain on sale of real estate/healthcare facilities

(2,784

)

-

(2,784

)

-

Gain on acquisitions of equity method investments

-

-

(1,707

)

(1,975

)

Operating results for newly opened facilities not at full capacity (1)

200

(172

)

602

712

Stock-based compensation expense

646

430

2,453

1,878

Provision of income taxes on non-GAAP adjustments

4,824

(1,072

)

(5,858

)

3,020

Non-GAAP Net income

$

13,822

$

16,822

$

58,543

$

59,616

GAAP diluted earnings per share

$

1.79

$

0.89

$

2.72

$

4.44

Non-GAAP adjustments
Unrealized gains on marketable equity securities

(0.80

)

0.19

1.15

(0.59

)

Gain on sale of real estate/healthcare facilities

(0.13

)

-

(0.13

)

-

Gain on acquisitions of equity method investments

-

-

(0.08

)

(0.09

)

Operating results for newly opened facilities not at full capacity (1)

0.01

(0.01

)

0.03

0.03

Stock-based compensation expense

0.03

0.02

0.12

0.09

Non-GAAP diluted earnings per share

$

0.90

$

1.09

$

3.81

$

3.88

(1)

The newly opened facilities not at full capacity for the 2020 period presented consist of facilities opened from 2018 through 2020 (one memory care facility). The newly opened facilities for the 2019 period presented consist of facilities opened from 2017 through 2019 (one skilled nursing facility, two assisted living facilities, and one memory care facility).

Brian F. Kidd, SVP/Controller
Phone: (615) 890-2020



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