National HealthCare Corporation (NYSE American: NHC), the nation's oldest publicly traded senior health care company, announced today net operating revenues for the quarter ended September 30, 2019 totaled $247,067,000 compared to $246,326,000 for the quarter ended September 30, 2018, an increase of 0.3%.
For the quarter ended September 30, 2019, reported GAAP net income attributable to NHC was $19,461,000 compared to $21,142,000 for the third quarter of 2018. Excluding the unrealized gains in our marketable equity securities portfolio and other non-GAAP adjustments, adjusted net income for the quarter ended September 30, 2019 was $12,934,000 compared to $16,024,000 for the third quarter of 2018(1). For the quarter ended September 30, 2019, the reported GAAP diluted earnings per share was $1.27 and the adjusted diluted earnings per share was $0.84(1).
(1) 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 9,510 beds. NHC affiliates also operate 26 assisted living communities, five independent living communities, one behavioral health hospital, and 36 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 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 Income | ||||||||||||||
| (in thousands, except share and per share amounts) | ||||||||||||||
Three Months Ended | Nine Months Ended | |||||||||||||
September 30 | September 30 | |||||||||||||
2019 |
| 2018 | 2019 |
| 2018 | |||||||||
(unaudited) | (unaudited) | |||||||||||||
| Revenues: | ||||||||||||||
| Net patient revenues | $ 235,090 | $ 234,827 | $ 706,465 | $ 697,173 | ||||||||||
| Other revenues | 11,977 | 11,499 | 36,038 | 34,256 | ||||||||||
| Net operating revenues | 247,067 | 246,326 | 742,503 | 731,429 | ||||||||||
| Costs and expenses: | ||||||||||||||
| Salaries, wages and benefits | 152,175 | 149,188 | 441,441 | 434,749 | ||||||||||
| Other operating | 66,730 | 64,507 | 203,760 | 192,268 | ||||||||||
| Facility rent | 10,167 | 10,190 | 30,602 | 30,691 | ||||||||||
| Depreciation and amortization | 10,663 | 10,437 | 31,515 | 31,176 | ||||||||||
| Interest | 764 | 1,170 | 2,644 | 3,663 | ||||||||||
| Total costs and expenses | 240,499 | 235,492 | 709,962 | 692,547 | ||||||||||
| Income from operations | 6,568 | 10,834 | 32,541 | 38,882 | ||||||||||
| Non-operating income | 6,663 | 8,467 | 20,936 | 11,056 | ||||||||||
| Unrealized gains on marketable equity securities | 9,312 | 3,486 | 16,096 | 417 | ||||||||||
| Income before income taxes | 22,543 | 22,787 | 69,573 | 50,355 | ||||||||||
| Income tax provision | (3,167 | ) | (1,700 | ) | (15,284 | ) | (9,792 | ) | ||||||
| Net income | 19,376 | 21,087 | 54,289 | 40,563 | ||||||||||
| Net loss attributable to noncontrolling interest | 85 | 55 | 152 | 249 | ||||||||||
| Net income attributable to National HealthCare Corporation | $ 19,461 | $ 21,142 | $ 54,441 | $ 40,812 | ||||||||||
| Net income per common share | ||||||||||||||
| Basic | $ 1.27 | $ 1.39 | $ 3.57 | $ 2.68 | ||||||||||
| Diluted | $ 1.27 | $ 1.39 | $ 3.55 | $ 2.68 | ||||||||||
| Weighted average common shares outstanding | ||||||||||||||
| Basic | 15,275,709 | 15,225,654 | 15,267,250 | 15,221,217 | ||||||||||
| Diluted | 15,373,617 | 15,242,086 | 15,350,308 | 15,230,692 | ||||||||||
| Dividends declared per common share | $ 0.52 | $ 0.50 | $ 1.54 | $ 1.48 | ||||||||||
| Balance Sheet Data | ||||||||||||||
| (in thousands) | Sept. 30 | Dec. 31 | ||||||||||||
2019 | 2018 | |||||||||||||
(unaudited) | ||||||||||||||
| Cash, cash equivalents and marketable equity securities | $ 215,580 | $ 183,470 | ||||||||||||
| Restricted cash, cash equivalents and marketable debt securities | 158,378 | 184,266 | ||||||||||||
| Current assets | 351,190 | 322,009 | ||||||||||||
| Property and equipment, net | 539,604 | 534,650 | ||||||||||||
| Total assets | 1,307,231 | 1,080,948 | ||||||||||||
| Current liabilities | 181,088 | 157,924 | ||||||||||||
| Long-term debt | 30,000 | 55,000 | ||||||||||||
| NHC stockholders' equity | 771,570 | 733,278 | ||||||||||||
| Selected Operating Statistics | |||||||||||
Three Months Ended | Nine Months Ended | ||||||||||
September 30 | September 30 | ||||||||||
2019 |
| 2018(1) | 2019 |
| 2018(1) | ||||||
| (unaudited) | (unaudited) | ||||||||||
| Skilled Nursing Per Diems: | |||||||||||
| Medicare | $ 466.90 | $ 463.38 | $ 461.72 | $ 462.50 | |||||||
| Managed Care | 394.49 | 400.52 | 393.27 | 400.32 | |||||||
| Medicaid | 199.02 | 192.11 | 197.18 | 190.31 | |||||||
| Private Pay and Other | 244.77 | 240.48 | 245.35 | 238.82 | |||||||
| Average Skilled Nursing Per Diem | $ 270.24 | $ 269.51 | $ 270.69 | $ 270.49 | |||||||
| Skilled Nursing Patient Days: | |||||||||||
| Medicare | 103,838 | 114,462 | 325,832 | 359,246 | |||||||
| Managed Care | 63,693 | 62,811 | 188,986 | 182,109 | |||||||
| Medicaid | 333,362 | 325,326 | 977,882 | 945,089 | |||||||
| Private Pay and Other | 180,258 | 180,460 | 534,067 | 532,071 | |||||||
| Total Skilled Nursing Patient Days | 681,151 | 683,059 | 2,026,767 | 2,018,515 | |||||||
| (1) A skilled nursing facility in Madisonville, Kentucky was sold in the fourth quarter of 2018. The per diems and patient days for this facility have been excluded in the 2018 column for comparative purposes. | |||||||||||
| The tables below provide reconciliations of GAAP to non-GAAP items (in thousands, except per share amounts; unaudited): | |||||||||||
Three Months Ended | Nine Months Ended | ||||||||||
September 30 | September 30 | ||||||||||
2019 | 2018 | 2019 | 2018 | ||||||||
| Net income attributable to National Healthcare Corporation | $ 19,461 | $ 21,142 | $ 54,441 | $ 40,812 | |||||||
| Non-GAAP adjustments | |||||||||||
| Unrealized gains on marketable equity securities | (9,312 | ) | (3,486 | ) | (16,096 | ) | (417 | ) | |||
| Gain on acquisitions of equity method investments | - | (2,050 | ) | (1,975 | ) | (2,050 | ) | ||||
| Operating results for newly opened facilities not at full capacity (2) | 152 | 917 | 884 | 1,972 | |||||||
| Stock-based compensation expense | 340 | 361 | 1,448 | 1,538 | |||||||
| Legal costs and charges related to Caris' legal investigation | - | - | - | 8,364 | |||||||
| Tax Cuts and Jobs Act of 2017 adjustment | - | (1,434 | ) | - | (1,434 | ) | |||||
| Provision of income taxes on non-GAAP adjustments | 2,293 | 574 | 4,092 | (2,150 | ) | ||||||
| Non-GAAP Net income | $ 12,934 | $ 16,024 | $ 42,794 | $ 46,635 | |||||||
| GAAP diluted earnings per share | $ 1.27 | $ 1.39 | $ 3.55 | $ 2.68 | |||||||
| Non-GAAP adjustments | |||||||||||
| Unrealized gains on marketable equity securities | (0.45 | ) | (0.17 | ) | (0.78 | ) | (0.02 | ) | |||
| Gain on acquisitions of equity method investments | - | (0.13 | ) | (0.09 | ) | (0.13 | ) | ||||
| Operating results for newly opened facilities not at full capacity (2) | - | 0.04 | 0.04 | 0.10 | |||||||
| Stock-based compensation expense | 0.02 | 0.02 | 0.07 | 0.07 | |||||||
| Legal costs and charges related to Caris' legal investigation | - | - | - | 0.46 | |||||||
| Tax Cuts and Jobs Act of 2017 adjustment | - | (0.10 | ) | - | (0.10 | ) | |||||
| Non-GAAP diluted earnings per share | $ 0.84 | $ 1.05 | $ 2.79 | $ 3.06 | |||||||
| (2) 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). The newly opened facilities for the 2018 period presented consist of facilities opened from 2016 through 2018 (two skilled nursing facilities and three assisted living facilities). | |||||||||||
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