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NHC · 10-Q filed May 7, 2026

NHC earnings analysis

What we found in NHC's 10-Q: the parts that mattered, the offsets in the same document, and what the company said about what comes next.

Our reading of the filing · Free to read, no account needed

National HealthCare Corporation (NHC) reported revenue of $381.8 million for Q1 2026, reflecting a 4.3% increase from the prior period and a 6.4% increase year-over-year. The diluted EPS for the quarter was $2.27, up from $2.07 in Q1 2025, while gross and operating margins also improved slightly. Management highlighted a focus on occupancy rates and quality of patient care, yet faces headwinds from labor shortages and regulatory changes.

What stood out

The parts that mattered.

Pulled out of the filing itself, with the figures the company reported.

Revenue Growth
NHC posted revenue of $381.8 million for Q1 2026, a 6.4% increase from $358.6 million in Q1 2025.
Improved EPS
Diluted EPS increased to $2.27 in Q1 2026 from $2.07 in Q1 2025.
Higher Operating Margin
Operating margin improved to 8.4% in Q1 2026 from 8.2% in Q1 2025.
Occupancy Rate Increase
Occupancy in skilled nursing facilities rose to 90.0%, up from 89.3% a year ago.
Significant Cash Flow Increase
Operating cash flow surged by 59.3%, totaling $62.5 million compared to $39.3 million last year.
Successful Cost Management
Total costs increased only by 1.9% to $349.6 million despite revenue growth.
What to watch

And the other side of it.

The offsets in the same document — the things a summary that only listed the good news would have left out.

Labor Shortages
Continued workforce shortages have put pressure on wage expenses, affecting overall profitability with salaries accounting for 61.6% of revenues.
Regulatory Changes
Changes in Medicare and Medicaid reimbursement rates pose risks to revenue stability; a potential 3.6% net adjustment looms for FY2027.
Dependence on Medicaid Funding
Financial performance may be adversely affected by state budget constraints and the ongoing uncertainty in Medicaid funding.
The numbers

What they reported.

What the company itself reported, taken out of the document.

What survived to operating profit
Of every $100 of revenue Cost of sales $0 Operating expenses $92 Left as operating profit $8
Percentages of revenue, taken from the filing. Drawn this way because it holds whatever scale the company reports in.
Earnings per share
$2.27
Gross margin
100.0%
Operating margin
8.4%
Segment
Inpatient Services: $330.3M
Segment
Homecare and Hospice: $39.5M
Guidance

What they said about what is next.

Management anticipates continued growth in net revenues and improved patient care quality.

How we read the filing overall

The filing reads better than the one before it.

One reading of one document. It is not advice, and it is not a forecast.

This is our reading of a public filing, not the filing. Read the original on SEC.gov · Educational only. Nothing here is investment advice.

Read the next one first.

We read every filing NHC makes the day it lands, and put it next to what the options market did about it. Members get both, and an alert when a filing arrives.

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