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NATIONAL HEALTHCARE CORP

For the period ended Sep 30, 2026. Filed Nov 5, 2026.

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About this filing

A company's report for each of its first three quarters. The financial statements are not audited. It shows how the business has moved since the last annual report, and what management says changed.

Sep 30, 2026 · Filed Nov 5, 2026

NHC$209.74+0.4%Stored close · as of Nov 9, 2026

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Item 1. Financial Statements

Interim Condensed Consolidated Statements of Operations

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Revenues:
Net patient revenues$397,446$370,989$1,145,610$1,095,945
Other revenues10,52511,67252,20735,323
Net operating revenues407,971382,6611,197,8171,131,268
Cost and expenses:
Salaries, wages, and benefits251,937233,176728,913687,840
Other operating99,46196,604285,173281,004
Facility rent1,36511,34524,54834,038
Depreciation and amortization14,57611,15837,36333,151
Total costs and expenses367,339352,2831,075,9971,036,033
Income from operations40,63230,378121,82095,235
Other income (expense):
Non–operating income3,6374,66011,56613,871
Interest expense(6,991)(1,456)(7,273)(5,555)
Unrealized gains/(losses) on marketable equity securities(17,599)20,827(7,610)26,748
Income before income taxes19,67954,409118,503130,299
Income tax provision(5,498)(13,400)(27,682)(32,887)
Net income14,18141,00990,82197,412
Net income attributable to noncontrolling interest(544)(1,770)(1,008)(2,246)
Net income attributable to National HealthCare Corporation$13,637$39,239$89,813$95,166
Earnings per share attributable to National HealthCare Corporation stockholders:
Basic$0.87$2.53$5.76$6.15
Diluted$0.85$2.50$5.66$6.10
Weighted average common shares outstanding:
Basic15,638,81415,484,46415,599,72415,461,804
Diluted15,964,89515,664,53015,866,95715,613,505

Interim Condensed Consolidated Statements of Comprehensive Income

(unaudited–* in thousands)*

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Net income$14,181$41,009$90,821$97,412
Other comprehensive income/(loss):
Unrealized gains/(losses) on investments in marketable debt securities(1,866)868(3,444)3,543
Reclassification adjustment for realized (gains)/losses on sales of marketable debt securities(1,337)11(1,326)663
Income tax (expense)/benefit related to items of other comprehensive income463(124)702(619)
Other comprehensive income/(loss), net of tax(2,740)755(4,068)3,587
Net income attributable to noncontrolling interest(544)(1,770)(1,008)(2,246)
Comprehensive income attributable to National HealthCare Corporation$10,897$39,994$85,745$98,753

Interim Condensed Consolidated Balance Sheets

(in thousands)

September 30, 2026December 31, 2025
unaudited
Assets
Current Assets:
Cash and cash equivalents$66,795$92,829
Restricted cash and cash equivalents, current portion18,31518,118
Marketable equity securities154,530162,972
Restricted marketable equity securities19,15317,197
Restricted marketable debt securities, current portion17,81418,062
Accounts receivable129,748139,002
Inventories8,6587,795
Prepaid expenses and other assets4,8175,845
Total current assets419,830461,820
Property and Equipment:
Property and equipment, at cost1,962,8021,308,891
Accumulated depreciation and amortization(672,783)(635,094)
Net property and equipment1,290,019673,797
Other Assets:
Restricted cash and cash equivalents, less current portion1,2111,240
Restricted marketable debt securities, less current portion96,381105,231
Deposits and other assets8,7787,478
Operating lease right-of-use assets16,09647,778
Goodwill170,478170,478
Intangible assets20,36419,864
Investments in unconsolidated companies45,03938,733
Total other assets358,347390,802
Total assets$2,068,196$1,526,419

Interim Condensed Consolidated Balance Sheets (continued)

September 30, 2026December 31, 2025
unaudited
Liabilities and Stockholders’ Equity
Current Liabilities:
Trade accounts payable$22,432$22,767
Operating lease liabilities, current portion2,64433,611
Accrued payroll122,405103,917
Amounts due to third party payors15,56313,739
Accrued risk reserves, current portion36,12936,180
Other current liabilities50,50725,977
Dividends payable10,4959,941
Long-term debt, current portion23,7507,500
Total current liabilities283,925253,632
Long-term debt478,31332,500
Operating lease liabilities, less current portion13,66213,461
Accrued risk reserves, less current portion90,63685,415
Refundable entrance fees6,5266,178
Deferred income taxes41,16642,687
Other noncurrent liabilities22,75018,031
Total liabilities936,978451,904
Equity:
Common stock, $.01 par value; 45,000,000 shares authorized; 15,664,304 and 15,536,427 shares, respectively, issued and outstanding156155
Capital in excess of par value237,791236,412
Retained earnings891,820832,984
Accumulated other comprehensive loss(4,847)(779)
Total National HealthCare Corporation stockholders’ equity1,124,9201,068,772
Noncontrolling interest6,2985,743
Total equity1,131,2181,074,515
Total liabilities and equity$2,068,196$1,526,419

Interim Condensed Consolidated Statements of Cash Flows

(unaudited–* in thousands)*

20262025
Cash Flows From Operating Activities:
Net income$90,821$97,412
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization37,36333,151
Equity in losses/(earnings) of unconsolidated investments866(512)
Distributions from unconsolidated investments812616
Unrealized (gains)/losses on marketable equity securities7,610(26,748)
Realized gains on sale of marketable securities(1,023)(872)
Gain on sale of property and equipment-(3,606)
Deferred income taxes(819)2,600
Stock–based compensation5,2853,499
Changes in operating assets and liabilities:
Accounts receivable15,5162,877
Inventories(525)1,195
Prepaid expenses and other assets4512,582
Operating lease obligations916524
Trade accounts payable(2,064)(2,926)
Accrued payroll15,20317,272
Amounts due to third party payors1,824(291)
Accrued risk reserves5,17010,416
Other current liabilities22,82830,250
Other noncurrent liabilities4,719832
Net cash provided by operating activities204,953168,271
Cash Flows From Investing Activities:
Purchases of property and equipment(35,654)(26,049)
Acquisition of skilled nursing facilities and other assets(54,698)-
Acquisition of real estate assets(564,340)-
Investments in unconsolidated companies(7,983)(3,123)
Purchases of marketable securities(18,456)(56,953)
Proceeds from sale of marketable securities22,68364,689
Collections of notes receivable-512
Net cash used in investing activities(658,448)(20,924)
Cash Flows From Financing Activities:
Borrowings under term loan and credit facility530,000-
Repayments under credit facility(67,937)(63,875)
Dividends paid to common stockholders(30,423)(28,773)
Issuance of common shares20,7669,415
Repurchase of common shares(24,672)(9,566)
Noncontrolling interest distributions(453)-
Entrance fee deposits34864
Net cash provided by/(used in) financing activities427,629(92,735)
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents(25,866)54,612
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Beginning of Period112,18796,922
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, End of Period$86,321$151,534
Balance Sheet Classifications:
Cash and cash equivalents$66,795$130,629
Restricted cash and cash equivalents19,52620,905
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents$86,321$151,534

Interim Condensed Consolidated Statements of Stockholders’** Equity**

For the nine months ended September 30, 2026:

Common Stock
SharesAmountCapital in Excess of Par ValueRetained EarningsAccumulated Other Comprehensive LossNon- controlling InterestTotal Stockholders' Equity
Balance at January 1, 202615,536,427$155$236,412$832,984$(779)$5,743$1,074,515
Net income–––35,857–24636,103
Distributions attributable to noncontrolling interest–––––(324)(324)
Other comprehensive loss––––(919)–(919)
Stock–based compensation––1,280–––1,280
Shares sold – options exercised168,497112,268–––12,269
Repurchase of common shares(97,720)–(16,321)–––(16,321)
Dividends declared to common stockholders ($0.64 per share)–––(9,989)––(9,989)
Balance at March 31, 202615,607,204$156$233,639$858,852$(1,698)$5,665$1,096,614
Net income–––40,319–21840,537
Distributions attributable to noncontrolling interest–––––(129)(129)
Other comprehensive loss––––(409)–(409)
Stock–based compensation––1,986–––1,986
Shares sold – options exercised93,422–7,190–––7,190
Repurchase of common shares(39,231)–(7,240)–––(7,240)
Dividends declared to common stockholders ($0.67 per share)–––(10,493)––(10,493)
Balance at June 30, 202615,661,395$156$235,575$888,678$(2,107)$5,754$1,128,056
Net income–––13,637–54414,181
Other comprehensive loss––––(2,740)–(2,740)
Stock–based compensation––2,019–––2,019
Shares sold – options exercised7,600–1,308–––1,308
Repurchase of common shares(4,691)–(1,111)–––(1,111)
Dividends declared to common stockholders ($0.67 per share)–––(10,495)––(10,495)
Balance at September 30, 202615,664,304$156$237,791$891,820$(4,847)$6,298$1,131,218

For the nine months ended September 30, 2025:

Common Stock
SharesAmountCapital in Excess of Par ValueRetained EarningsAccumulated Other Comprehensive LossNon- controlling InterestTotal Stockholders' Equity
Balance at January 1, 202515,450,003$154$232,530$752,193$(4,716)$3,002$983,163
Net income–––32,205–8532,290
Other comprehensive income––––1,390–1,390
Stock–based compensation––1,027–––1,027
Shares sold – options exercised32,262–1,278–––1,278
Repurchase of common shares(17,409)–(1,722)–––(1,722)
Dividends declared to common stockholders ($0.61 per share)–––(9,444)––(9,444)
Balance at March 31, 202515,464,856$154$233,113$774,954$(3,326)$3,087$1,007,982
Net income–––23,722–39124,113
Other comprehensive income––––1,442–1,442
Stock–based compensation––1,233–––1,233
Shares sold – options exercised77,689–5,184–––5,184
Repurchase of common shares(43,372)–(4,662)–––(4,662)
Dividends declared to common stockholders ($0.64 per share)–––(9,909)––(9,909)
Balance at June 30, 202515,499,173$154$234,868$788,767$(1,884)$3,478$1,025,383
Net income–––39,239–1,77041,009
Other comprehensive income––––755–755
Stock–based compensation––1,239–––1,239
Shares sold – options exercised43,894–2,953–––2,953
Repurchase of common shares(27,957)–(3,182)–––(3,182)
Dividends declared to common stockholders ($0.64 per share)–––(9,930)––(9,930)
Balance at September 30, 202515,515,110$154$235,878$818,076$(1,129)$5,248$1,058,227

Notes to Interim Condensed Consolidated Financial Statements

September 30, 2026

Note1 – Description of Business

National HealthCare Corporation (“NHC” or the “Company”) is a leading provider of senior health care services. As of* September 30, 2026,we operate or manage, through certain affiliates,80 skilled nursing facilities with a total of 10,323 licensed beds,26 assisted living facilities with1,413* units, nine independent living facilities, three behavioral health hospitals,34 homecare agencies, and 33 hospice agencies. We operate specialized care units within certain of our healthcare centers such as Alzheimer's disease care units and sub-acute nursing units. In addition, we provide insurance services, management and accounting services, and we lease properties to operators of skilled nursing and assisted living facilities. We operate in 9 states and are located primarily in the southeastern United States.

Note2 – Summary of Significant Accounting Policies

The listing below isnot intended to be a comprehensive list of all our significant accounting policies. In many cases, the accounting treatment of a particular transaction is specifically dictated by U.S. generally accepted accounting principles (“GAAP”), with limited need for management’s judgment in their application. There are also areas in which management’s judgment in selecting any available alternative wouldnot produce a materially different result. See our audited* December 31, 2025consolidated financial statements and notes thereto which contain accounting policies and other disclosures required by U.S. GAAP. Our audited December 31, 2025*consolidated financial statements are available at our web site: www.nhccare.com.

Basis of Presentation

The unaudited interim condensed consolidated financial statements to which these notes are attached include all normal, recurring adjustments which are necessary to fairly present the financial position, results of operations and cash flows of NHC. All significant intercompany transactions and balances have been eliminated in consolidation. The consolidated financial statements include the accounts of all entities controlled by NHC. The Company presents noncontrolling interest within the equity section of its consolidated balance sheets. The Company presents the amount of consolidated net income that is attributable to NHC and the noncontrolling interest in its consolidated statements of operations.

We assume that users of these interim financial statements have read or have access to the audited* December 31, 2025consolidated financial statements and that the adequacy of additional disclosure needed for a fair presentation, except in regard to material contingencies, maybe determined in that context. Accordingly, footnotes and other disclosures which would substantially duplicate the disclosure contained in our most recent annual report to stockholders have been omitted. This interim financial information isnot* necessarily indicative of the results that* may*be expected for a full year for a variety of reasons.

Estimates and Assumptions

The preparation of financial statements in conformity with U.S. GAAP requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates and could cause our reported net income to vary significantly from period to period.

Net Patient Revenues and Accounts Receivable

Net patient revenues are derived from services rendered to patients for skilled and intermediate nursing, rehabilitation therapy, assisted living and independent living, home health care services, hospice services, and behavioral health services. Net patient revenue is reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for providing patient services. These amounts are due from patients, governmental programs, and otherthird-party payors, and include variable consideration for retroactive revenue adjustments due to settlement of audits, reviews, and investigations.

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The Company recognizes revenue as its performance obligations are completed. Routine services are treated as a single performance obligation satisfied over time as services are rendered. These routine services represent a bundle of services that arenot capable of being distinct. The performance obligations are satisfied over time as the patient simultaneously receives and consumes the benefits of the healthcare services provided. Additionally, there* maybe ancillary services which arenot* included in the daily rates for routine services, but instead are treated as separate performance obligations satisfied at a point in time when those services are rendered.

We determine the transaction price based on contractually agreed-upon amounts or rates, adjusted for estimates of variable consideration, such as implicit price concessions. We utilize the expected value method to determine the amount of variable consideration that should be included to arrive at the transaction price, using contractual agreements and historical reimbursement experience within each payor type. We constrain the transaction price, such that net revenues are recorded only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized willnot occur in the future. If actual amounts of consideration ultimately received differ from our estimates, we adjust these estimates, which would affect net revenue in the period such variances become known.

Other Revenues

Other revenues include revenues from the provision of insurance services to other healthcare providers, management and accounting services to other healthcare providers, and rental income. Our insurance revenues consist of premiums that are generally paid in advance and then amortized into income over the policy period. We charge for management services based on a percentage of net revenues. We charge for accounting services based on a monthly fee or a fixed fee per bed of the healthcare center under contract. We record other revenues as the performance obligations are satisfied based on the terms of our contractual arrangements.

We recognize rental income based on the terms of our operating leases. Under certain of our leases, we receive variable rent, which is based on the increase in revenues of a lessee over a base year. We recognize variable rent annually or monthly, as applicable, when, based on the actual revenue of the lessee is earned.

During thesecond quarter of2026, we recognized management fees of $18,325,000 previously earned for management services prior to2025, but these management fees werenot previously recognized as such revenues. These revenues didnot previously meet the recognition criteria of ASC Topic606, Revenue from Contracts with Customers,because the underlying consideration was constrained. Upon the acquisition of thefive skilled nursing facilities from National Health Corporation on June 1, 2026,and as noted in Note3 - Acquisitions, the revenue recognition criteria was met and the management fees were paid and recognized in the current period.

Segment Reporting

In accordance with the provisions of Accounting Standards Codification ("ASC")280, Segment Reporting, the Company is required to report financial and descriptive information about its reportable operating segments. The Company hastwo reportable operating segments: (1) inpatient services, which includes the operation of skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals, and (2) homecare and hospice services. The Company also reports an “all other” category that includes revenues from rental income, management and accounting services fees, insurance services, and costs of the corporate office. See Note7 for further disclosure of the Company’s operating segments.

Other Operating Expenses

Other operating expenses include the costs of care and services that we provide to the residents of our facilities and the costs of maintaining our facilities. Our primary patient care costs include drugs, medical supplies, purchased professional services, food, and professional liability insurance and licensing fees. The primary facility costs include utilities and property insurance.

During thesecond quarter of2025, we contributed land to a newly-formed limited liability company resulting in an equity interest in the new entity. The fair value of the land contributed to the new entity was $5,625,000. The related cost basis of the contributed land was $2,019,000, which resulted in a gain of $3,606,000. The gain has been included in the interim condensed consolidated statements of operations as a reduction of "other operating expenses."

General and Administrative Costs

With the Company being a healthcare provider, the majority of our expenses are "cost of revenue" items. Costs that could be classified as "general and administrative" by the Company would include its corporate office costs, excluding stock-based compensation, which were $8,721,000 and $26,502,000 for thethree andnine months ended* September 30, 2026,respectively. General and administrative costs were $8,117,000 and $25,463,000 for thethree* andnine months ended* September 30, 2025,*respectively.

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Long-Term Leases

The Company’s lease portfolio primarily consists of operating real estate leases for certain skilled nursing facilities, assisted and independent living facilities, homecare and hospice offices, regional offices, and pharmacy warehouses. The original terms of the leases typically range fromtwo tofifteen years. Several of the real estate leases include renewal options which vary in length and* may**not* include specific rent renewal amounts. We determine if an arrangement is a lease at inception of a contract. We determine the lease term by assuming exercise of renewal options that are reasonably certain.

The Company records right-of-use assets and liabilities for non-cancelable real estate operating leases with original or remaining lease terms in excess ofone year. Leases with a lease term of12 months or less at inception arenot recorded and are expensed on a straight-line basis over the lease term. We recognize lease components and non-lease components together andnot as separate parts of a lease for real estate leases.

Operating lease right-of-use assets and liabilities are recorded at the present value of the lease payments over the lease term. The present value of the lease payments are discounted using the incremental borrowing rate associated with each lease. The variable components of the lease payment that fluctuate with the operations of a health facility arenot included in determining the right-of-use assets and lease liabilities. Rather, these variable components are expensed as incurred.

Property and Equipment

Property and equipment are recorded at cost or fair value, if acquired. Depreciation is provided by the straight-line method over the expected useful lives of the assets estimated as follows: buildings and improvements,20-40 years and equipment and furniture,3-15 years. Leasehold improvements are amortized over periods that donot exceed the non-cancelable respective lease terms using the straight-line method.

Investments in Unconsolidated Companies

We use the equity method to account for our investments in joint ventures in which we have the ability to exercise significant influence. Original investments in these entities are recorded at cost and subsequently adjusted by our share of equity in income or losses. As of* September 30, 2026,the majority of our investments in unconsolidated companies relate totwo* multi-family developments in Franklin, Tennessee and Hermitage, Tennessee.

Business Combinations

We account for transactions that represent business combinations using the acquisition method of accounting in accordance with ASC805, *Business Combinations.*Acquisitions are accounted for as purchases and are included in our consolidated financial statements from their respective acquisition dates. Assets acquired and liabilities assumed, if any, are measured at fair value on the acquisition date using the appropriate valuation method. Goodwill generated from acquisitions is recognized for the excess of the purchase price over the fair value of tangible and identifiable intangible assets acquired and liabilities assumed. In determining the fair value of identifiable assets, we use various valuation techniques. These valuation methods require us to make estimates and assumptions surrounding projected revenues and costs, future growth, and discount rates.

Goodwill and Other Intangible Assets

Goodwill represents the excess of the purchase price over the fair value of identifiable net assets acquired in business combinations. Goodwill isnot amortized but is subject to an annual impairment test. We perform our annual goodwill impairment assessment on thefirst day of thefourth quarter. Tests are performed more frequently if events occur, or circumstances change that would more likely thannot reduce the fair value of the reporting unit below its carrying amount.

The Company’s indefinite-lived intangible assets consist of trade names and certificates of need and licenses. The Company reviews indefinite-lived intangible assets for impairment on an annual basis or more frequently if events or changes in circumstances indicate that the carrying amount of the intangible asset is below its carrying amount.

We are self–insured for risks related to workers’ compensation and general and professional liability insurance. We havetwo wholly–owned limited purpose insurance companies that insure these risks. The accrued risk reserves include a liability for reported claims and estimates for incurred but unreported claims. Our policy is to engage an external, independent actuary to assist in estimating our exposure for claims obligations (for both asserted and unasserted claims). We reassess our accrued risk reserves on a quarterly basis.

Professional liability remains an area of particular concern to us. The long-term care industry has seen an increase in personal injury/wrongful death claims based on alleged negligence by skilled nursing facilities and their employees in providing care to residents. The Company has been, and continues to be, subject to claims and legal actions that arise in the ordinary course of business, including potential claims related to patient care and treatment. A significant increase in the number of these claims, or an increase in the amounts due as a result of these claims could have a material adverse effect on our consolidated financial position, results of operations and cash flows. It is also possible that future events could cause us to make significant adjustments or revisions to these reserve estimates and cause our reported net income to vary significantly from period to period.

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We are principally self-insured for incidents occurring in all centers owned or leased by us. The coverage includes both primary policies and excess policies. In all years, settlements, if any, in excess of available insurance policy limits and our own reserves would be expensed by us.

Continuing Care Contracts

We have continuing care retirement centers (“CCRC”) within our operations. Residents at these retirement centers* may*enter into continuing care contracts with us.

Non-refundable fees are included as a component of the transaction price and are amortized into revenue over the actuarily determined remaining life of the resident, which is the expected period of occupancy by the resident. We pay the refundable portion of our entry fees to residents when they relocate from our community and the apartment is re-occupied. Refundable entrance fees arenot included as part of the transaction price and are classified as noncurrent liabilities in our consolidated balance sheets.

We also annually estimate the present value of the cost of future services and the use of facilities to be provided to the current CCRC residents and compare that amount with the balance of non-refundable deferred revenue from entrance fees received. If the present value of the cost of future services exceeds the related anticipated revenues, a liability is recorded with a corresponding charge to income. As of* September 30, 2026and December 31, 2025,*we have recorded a future service obligation liability in the amount of $1,482,000. This obligation is reflected within other noncurrent liabilities in the interim condensed consolidated balance sheets.

Other Noncurrent Liabilities

Other noncurrent liabilities include reserves primarily related to various uncertain income tax positions, deferred revenue, and obligations to provide future services to our CCRC residents. Deferred revenue includes the deferred gain on the sale of assets to National Health Corporation (“National”) and the non-refundable portion of CCRC entrance fees being amortized over the remaining life expectancies of the residents.

Noncontrolling Interest

The noncontrolling interest in a subsidiary is presented within total equity in the Company's interim condensed consolidated balance sheets. The Company presents the noncontrolling interest and the amount of consolidated net income attributable to NHC in its interim condensed consolidated statements of operations. The Company’s earnings per share is calculated based on net income attributable to NHC’s stockholders. The carrying amount of the noncontrolling interest is adjusted based on an allocation of the subsidiary earnings, contributions, and distributions.

Recently Adopted Accounting Guidance

In* October**2023,* the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update (“ASU”)2023-06, "Codification Amendments in Response to the SEC's Disclosure Update and Simplification Initiative," which amends U.S. GAAP to include certain disclosure requirements that are currently required under SEC Regulation S-X or Regulation S-K. Each amendment will be effective on the date on which the SEC removes the related disclosure requirement from SEC Regulation S-X or Regulation S-K. The adoption isnot expected to have a material impact on the Company's financial statements as these requirements were previously incorporated under the SEC Regulations.

In* November 2024,the FASB issued ASU2024*-03 "Disaggregation of Income Statement Expenses," which requires the Company to disaggregate key expense categories such as employee compensation and depreciation within its financial statements. ASU2024-03 is effective for annual periods beginning with the Company's fiscal year2027, and interim periods with the Company's fiscal year2028, with early adoption permitted. We are currently evaluating the impact this ASU will have on the company's financial statements and related disclosures.

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Note3 – Acquisitions

Five Skilled Nursing Facilities from National Health Corporation

On* June 1, 2026,*the Company purchased the land, buildings, and other specified assets and assumed certain liabilities offive skilled nursing facilities from National Health Corporation (“National”) for a purchase price of $50,500,000. National is considered an affiliate and related party, as well as provides payroll services to NHC. The operations have 639 licensed skilled nursing beds in the states of South Carolina and Tennessee. The acquisition represents both an expansion of NHC’s operations into these states and a strategic advancement of its growth in its existing operational footprint.

The Company utilized widely accepted income-based, market-based, and cost-based valuation approaches to perform the preliminary purchase price allocation.

The Company has performed a preliminary valuation analysis of the fair market value of the assets acquired and liabilities assumed from National. The final valuation of the assets acquired and liabilities assumed wasnot complete as of* September 30, 2026,*but will be finalized within the allowable measurement period. The following table summarizes the allocation of the preliminary purchase price as of the transaction’s closing date (in thousands):

Amount
Accounts receivable$6,262
Inventory338
Prepaid expenses and other assets747
Property and equipment51,091
Intangible assets500
Total assets acquired58,938
Trade accounts payable1,729
Accrued payroll3,285
Other current liabilities1,726
Total liabilities assumed6,740
Total estimated fair value of the acquisition$52,198

The indefinite-lived intangible assets acquired include the skilled nursing certificates of need and licenses.

The operations added during thethree andnine months ended* September 30, 2026werenot* material to the Company. Accordingly, pro-forma financial information isnot presented. As of* September 30, 2026,these additions have been included in the interim condensed consolidated balance sheet of the Company. The operating results have been included in the interim condensed consolidated statements of operations since the date the Company gained effective control, which was June 1, 2026.*

For thethree andnine months ended* September 30, 2026,these five skilled nursing facilities contributed net operating revenues of $19,288,000 and $25,290,000, respectively. For thethree* andnine months ended* September 30, 2026,*these five skilled nursing facilities contributed income from operations of $2,658,000 and $3,268,000, respectively.

Thirty-Two Skilled Nursing Facilities and Three Independent Living Facilities from National Health Investors

On* July 1, 2026,the Company purchased the land, facilities, and improvements ofthirty-two skilled nursing facilities andthree independent living facilities, previously leased by us as tenant, from National Health Investors (“NHI”) for a purchase price of $560,000,000. On the closing date of the transaction, the lease agreement with NHI was terminated. The Company operates all of the facilities, except four Florida skilled nursing facilities. Thefour Florida skilled nursing facilities are leased to athird*-party operator.

The facilities are located in Alabama, Florida, Kentucky, Missouri, South Carolina, Tennessee, and Virginia. NHC operates multiple skilled nursing facilities, assisted living and independent living communities, as well as homecare and hospice operations within this geographic footprint. The acquisition complements NHC’s current asset portfolio within these regions.

The Company previously controlled the right to use these properties through lease agreements; therefore, the transaction was accounted for as a termination of the existing lease and the acquisition of the underlying real estate assets. At the closing date, the Company derecognized the associated “operating lease right-of-use assets” of $16,197,000 and the “operating lease liabilities” of $15,763,000. The net difference of $434,000 between the pre-existing lease balances was included in the initial cost basis of the acquired assets. Additionally, transactions costs of $3,906,000 were also capitalized and included in the initial cost basis of the acquired assets.

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The following table summarizes the cost allocation based on the relative fair values of the assets at the acquisition date (in thousands):

Allocated Cost Basis
Land$44,483
Buildings and improvements519,857
Total assets acquired$564,340

The fair value of the land was determined utilizing the sales comparison approach. The fair value of the buildings was determined utilizing the cost approach for each location, including replacement cost methods specific to skilled nursing asset classes.No goodwill or intangible assets were recognized in connection with this transaction.

Note4 – Net Patient Revenues

The Company disaggregates revenue from contracts with customers by service type and by payor.

Revenue by Service Type

The Company’s net patient services can generally be classified into the followingtwo categories: (1) inpatient services, which includes the operation of skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals, and (2) homecare and hospice services*(in thousands)*.

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Net patient revenues:
Inpatient services$356,143$331,349$1,023,778$981,838
Homecare and hospice41,30339,640121,832114,107
Total net patient revenues$397,446$370,989$1,145,610$1,095,945

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For inpatient and hospice services, revenue is recognized on a daily basis as each day represents a separate contract and performance obligation. For homecare, revenue is recognized when services are provided based on the number of days of service rendered in the period of care or on a per-visit basis. Typically, patients andthird-party payors are billed monthly after services are performed or the patient is discharged, and payments are due based on contract terms.

As our performance obligations relate to contracts with a duration ofone year or less, the Company isnot required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The Company has minimal unsatisfied performance obligations at the end of the reporting period as our patients are typically underno obligation to remain admitted in our facilities or under our care. As the period between the time of service and time of payment is typicallyone year or less, the Company didnot adjust for the effects of a significant financing component.

Revenue by Payor

Certain groups of patients receive funds to pay the cost of their care from a common source. The following table sets forth sources of net patient revenues for the periods indicated:

Three Months Ended September 30Nine Months Ended September 30
Source2026202520262025
Medicare29%31%30%31%
Managed Care13%12%13%12%
Medicaid30%29%30%30%
Private Pay and Other28%28%27%27%
Total100%100%100%100%

Medicare covers skilled nursing services for beneficiaries who require nursing care and/or rehabilitation services following a hospitalization of at leastthree consecutive days. For each eligible day a Medicare beneficiary is in a skilled nursing facility, Medicare pays the facility a daily payment, subject to adjustment for certain factors such as a wage index in the geographic area. The payment covers all services provided by the skilled nursing facility for the beneficiary that day, including room and board, nursing, therapy and drugs, as well as an estimate of capital–related costs to deliver those services.

For homecare services, Medicare pays based on the acuity level of the patient and based on periods of care. A period of care is defined as a length of care up to30 days with multiple continuous periods allowed. The services covered by the payment include all disciplines of care, in addition to medical supplies, within the scope of the home health benefit.

For hospice services, Medicare pays a daily rate to cover the hospice’s costs for providing services included in the patient care plan. Medicare makes daily payments based on1 of4 levels of hospice care. All hospice care and services offered to patients and their families must follow an individualized written plan of care that meets the patient’s needs.

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Our hospice service revenue is subject to certain limitations on payments from Medicare. We are subject to an inpatient cap limit and an overall Medicare payment cap for each provider number. We monitor these caps on a provider-by-provider basis and estimate amounts due back to Medicare if we estimate a cap has been exceeded. If applicable, we record these cap adjustments as a reduction to revenue.

Medicaid is operated by individual states with the financial participation of the federal government. The states in which we operate currently use prospective cost–based reimbursement systems. Under cost–based reimbursement systems, the skilled nursing facility is reimbursed for the reasonable direct and indirect allowable costs it incurred in a base year in providing routine resident care services as defined by the program.

Private pay, managed care, and other payment sources include commercial insurance, individual patient funds, managed care plans and the Veterans Administration. Private paying patients, private insurance carriers and the Veterans Administration generally pay based on the healthcare center's charges or specifically negotiated contracts. For private pay patients in skilled nursing, assisted living and independent living facilities, the Company bills for room and board charges, with the remittance being due on receipt of the statement and generally by the10th day of the month the services are performed.

Certain managed care payors for homecare services pay on a per-visit basis. This revenue is recorded on an accrual basis based upon the date of services at amounts equal to its established or estimated per-visit rates.

State Supplemental Funding

The Company received supplemental Medicaid payments from various states. The funding generally incorporates specific use requirements primarily for direct patient care including labor related expenses or various patient care related expenses. We recorded $0 and $1,838,000 in net patient revenues for these supplemental Medicaid payments for thethree months ended* September 30, 2026and2025,* respectively. We have recorded $3,605,000 and $5,522,000 in net patient revenues for these supplemental Medicaid payments for thenine months ended* September 30, 2026and2025,* respectively.

Third Party Payors

Laws and regulations governing Medicare and Medicaid programs are complex and subject to interpretation. Noncompliance with such laws and regulations can be subject to regulatory actions including fines, penalties, and exclusion from the Medicare and Medicaid programs. We believe that we are following all applicable laws and regulations.

Medicare and Medicaid program revenues, as well as certain Managed Care program revenues, are subject to audit and retroactive adjustment by government representatives or their agents. Settlements withthird-party payors for retroactive adjustments due to audits, reviews or investigations are considered variable consideration and are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the payment agreement with the payor, correspondence from the payor and the Company’s historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized willnot occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are adjusted in future periods as adjustments become known, or as years are settled or areno longer subject to such audits, reviews, and investigations. We believe that any differences between the net revenues recorded, and final determination willnot materially affect the consolidated financial statements. We have made provisions of approximately $15,563,000 and $13,739,000 as of* September 30, 2026and December 31, 2025,*respectively, for various Medicare, Medicaid, and Managed Care claims reviews and current and prior year cost reports.

Note5 – Other Revenues

Other revenues are outlined in the table below. Revenues from rental income include health care real estate properties owned by us and leased tothird party operators. Revenues from management and accounting services include fees provided to manage and provide accounting services to other healthcare operators. Revenues from insurance services include premiums for workers’ compensation and professional liability insurance policies that our wholly owned insurance subsidiaries have written for certain healthcare operators to which we provide management or accounting services, as well as other miscellaneous health care related earnings*(in thousands)*.

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Rental income$6,393$6,177$19,284$18,800
Management and accounting services fees3,4044,11529,91812,623
Insurance services and other7281,3803,0053,900
Total other revenues$10,525$11,672$52,207$35,323

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Rental Income

The Company leases real estate assets consisting of skilled nursing facilities and assisted living facilities tothird party operators.

Management Fees from National Health Corporation

Prior to the acquisition of thefive skilled nursing facilities from National on* June 1, 2026,we managed thefive skilled nursing facilities. We recognized management fees and interest on management fees from these facilities of $0 and $1,377,000 for thethree* months ended* September 30, 2026and2025,* respectively. We recognized management fees and interest on management fees from these facilities of $2,395,000 and $4,161,000 for thenine months ended* September 30, 2026and2025,* respectively.

During thesecond quarter of2026, we also recognized management fees of $18,325,000 previously earned for management services prior to2025, but these management fees werenot previously recognized as such revenues. These revenues didnot previously meet the recognition criteria of ASC Topic606, Revenue from Contracts with Customers,because the underlying consideration was constrained. Upon the acquisition of thefive skilled nursing facilities from National Health Corporation on* June 1, 2026,and as noted in Note3* - Acquisitions, the revenue recognition criteria was met and the management fees were paid and recognized in the current period.

Note6 – Non–Operating Income

Non–operating income is comprised of the following*(in thousands)*:

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Dividends and net realized gains and losses on sales of securities$2,665$2,089$6,292$5,971
Interest income1,7152,6766,1407,388
Equity in earnings/(loss) of unconsolidated investments(743)(105)(866)512
Total non-operating income$3,637$4,660$11,566$13,871

Note7 – Business Segments

The Company hastwo reportable operating segments: (1) inpatient services, which includes the operation of skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals; and (2) homecare and hospice services. These reportable operating segments are consistent with information used by the Company’s Chief Executive Officer, as chief operating decision maker (“CODM”), to assess performance and allocate resources. The Company also reports an “all other” category that includes revenues from rental income, management and accounting services fees, insurance services, and costs of the corporate office.

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The Company’s CODM evaluates performance including pretax earnings and allocates capital resources to each segment based on an operating model that is designed to improve the quality of patient care and profitability of the Company while enhancing long-term shareholder value. The CODM doesnot review assets by segment in his resource allocation and therefore, assets by segment arenot disclosed below.

The following table sets forth the Company’s unaudited interim condensed consolidated statements of operations by business segment*(in thousands*):

Inpatient Services · Homecare and Hospice · All Other · Total
Revenues:
Net patient revenues$356,143$41,303$-$397,446
Other revenues339-10,18610,525
Net operating revenues356,48241,30310,186407,971
Costs and expenses:
Salaries, wages, and benefits212,86924,81914,249251,937
Other operating88,4927,3133,65699,461
Rent4156413091,365
Depreciation and amortization12,8981381,54014,576
Total costs and expenses314,67432,91119,754367,339
Income/(loss) from operations41,8088,392(9,568)40,632
Non-operating income--3,6373,637
Interest expense(6,991)--(6,991)
Unrealized losses on marketable equity securities--(17,599)(17,599)
Income/(loss) before income taxes$34,817$8,392$(23,530)$19,679
Inpatient Services · Homecare and Hospice · All Other · Total
Revenues:
Net patient revenues$331,349$39,640$-$370,989
Other revenues393-11,27911,672
Net operating revenues331,74239,64011,279382,661
Costs and expenses:
Salaries, wages, and benefits195,74523,78813,643233,176
Other operating86,7456,6643,19596,604
Rent8,8236011,92111,345
Depreciation and amortization10,21914179811,158
Total costs and expenses301,53231,19419,557352,283
Income/(loss) from operations30,2108,446(8,278)30,378
Non-operating income--4,6604,660
Interest expense(1,456)--(1,456)
Unrealized gains on marketable equity securities--20,82720,827
Income before income taxes$28,754$8,446$17,209$54,409

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Inpatient Services · Homecare and Hospice · All Other · Total
Revenues:
Net patient revenues$1,023,778$121,832$-$1,145,610
Other revenues1,086-51,12152,207
Net operating revenues1,024,864121,83251,1211,197,817
Costs and expenses:
Salaries, wages, and benefits612,75974,30341,851728,913
Other operating252,47321,09911,601285,173
Rent18,4361,8924,22024,548
Depreciation and amortization33,5753993,38937,363
Total costs and expenses917,24397,69361,0611,075,997
Income/(loss) from operations107,62124,139(9,940)121,820
Non-operating income--11,56611,566
Interest expense(7,273)--(7,273)
Unrealized losses on marketable equity securities--(7,610)(7,610)
Income/(loss) before income taxes$100,348$24,139$(5,984)$118,503
Inpatient Services · Homecare and Hospice · All Other · Total
Revenues:
Net patient revenues$981,838$114,107$-$1,095,945
Other revenues1,197-34,12635,323
Net operating revenues983,035114,10734,1261,131,268
Costs and expenses:
Salaries, wages, and benefits578,82469,37539,641687,840
Other operating252,06420,9697,971281,004
Rent26,4861,7905,76234,038
Depreciation and amortization30,3804022,36933,151
Total costs and expenses887,75492,53655,7431,036,033
Income/(loss) from operations95,28121,571(21,617)95,235
Non-operating income--13,87113,871
Interest expense(5,555)--(5,555)
Unrealized gains on marketable equity securities--26,74826,748
Income before income taxes$89,726$21,571$19,002$130,299

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Note8 – Long-Term Leases

The following table summarizes the maturity of our operating lease liabilities as of* September 30, 2026 (*in thousands):

Operating Leases
2027$3,642
20282,845
20292,407
20302,050
20311,707
Thereafter9,303
Total minimum lease payments21,954
Less: amounts representing interest(5,648)
Present value of future minimum lease payments16,306
Less: current portion(2,644)
Noncurrent lease liabilities$13,662

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Note9 – Earnings per Share

Basic net income per share is computed based on the weighted average number of common shares outstanding for each period presented. Diluted net income per share reflects the potential dilution that would have occurred if securities to issue common stock were exercised, converted, or resulted in the issuance of common stock that would have then shared in our earnings.

The following table summarizes the earnings and the weighted average number of common shares used in the calculation of basic and diluted earnings per share (in thousands, except for share and per share amounts):

Three Months Ended September 30Nine Months Ended September 30
2026202520262025
Basic:
Weighted average common shares outstanding15,638,81415,484,46415,599,72415,461,804
Net income attributable to National HealthCare Corporation$13,637$39,239$89,813$95,166
Earnings per common share, basic$0.87$2.53$5.76$6.15
Diluted:
Weighted average common shares outstanding15,638,81415,484,46415,599,72415,461,804
Effects of dilutive instruments326,081180,066267,233151,701
Weighted average common shares outstanding15,964,89515,664,53015,866,95715,613,505
Net income attributable to National HealthCare Corporation$13,637$39,239$89,813$95,166
Earnings per common share, diluted$0.85$2.50$5.66$6.10

For thethree andnine months ended* September 30, 2026,no stock options were excluded from the calculation of diluted weighted average shares of common stock outstanding because the inclusion of these securities would have an anti-dilutive impact. For thethree* andnine months ended* September 30 2025,*6,450 stock options were excluded from the calculation of diluted weighted average shares of common stock outstanding because the inclusion of these securities would have an anti-dilutive effect.

Note10 – Investments in Marketable Securities

Our investments in marketable equity securities are carried at fair value with the changes in unrealized gains and losses recognized in our results of operations at each measurement date. Our investments in marketable debt securities are classified as available for sale securities and carried at fair value with the unrealized gains and losses recognized through accumulated other comprehensive income at each measurement date. Any credit-related decline in fair market values below the amortized cost of our available for sale debt securities are recorded in our results of operations through an allowance for credit losses. Realized gains and losses from securities sales are recognized in results of operations upon disposition of the securities using the specific identification method on a trade date basis. Refer to Note11 – Fair Value Measurements for a description of the Company's methodology for determining the fair value of marketable securities.

Marketable securities consist of the following*(in thousands)*:

September 30, 2026December 31, 2025
Amortized CostFair ValueAmortized CostFair Value
Investments available for sale:
Marketable equity securities$30,176$154,530$30,176$162,972
Restricted investments available for sale:
Marketable equity securities14,22919,15313,10417,197
Corporate debt securities60,12458,06458,45858,898
Asset-based securities16,39915,28316,88616,236
U.S. Treasury securities42,15539,84643,38442,836
State and municipal securities1,0051,0025,2825,323
$164,088$287,878$167,290303,462

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Included in the marketable equity securities are the following*(in thousands, except share amounts):*

September 30, 2026December 31, 2025
SharesCostFair ValueSharesCostFair Value
NHI Common Stock1,630,642$24,734$107,0191,630,642$24,734$124,532

The amortized cost and estimated fair value of debt securities classified as available for sale, by contractual maturity, are as follows*(in thousands)*:

September 30, 2026December 31, 2025
CostFair ValueCostFair Value
Maturities:
Within 1 year$14,459$14,342$14,309$14,236
1 to 5 years65,69262,86669,31668,390
6 to 10 years38,72236,23640,38540,667
Over 10 years810751––
$119,683$114,195$124,010$123,293

Gross unrealized gains related to marketable equity securities are $129,818,000 and $137,436,000 as of* September 30, 2026and December 31, 2025,respectively. Gross unrealized losses related to marketable equity securities are $540,000 and $547,000 as of September 30, 2026and December 31, 2025,respectively. For thethree* months ended* September 30, 2026and2025,* the Company recognized net unrealized losses of $17,599,000 and net unrealized gains of $20,827,000, respectively, for the changes in fair market value of the marketable equity securities in the interim condensed consolidated statements of operations. For thenine months ended* September 30, 2026and2025,* the Company recognized net unrealized losses of $7,610,000 and net unrealized gains of $26,748,000, respectively, for the changes in fair market value of the marketable equity securities in the interim condensed consolidated statements of operations.

Gross unrealized gains related to available for sale marketable debt securities are $10,000 and $1,464,000 as of* September 30, 2026and December 31, 2025,respectively. Gross unrealized losses related to available for sale marketable debt securities are $5,498,000 and $2,181,000 as of September 30, 2026and December 31, 2025,*respectively.

The Company’s unrealized losses in our available for sale marketable debt securities were determined to be non-credit related. The Company hasnot recognized any credit related impairments for thenine months ended* September 30, 2026and2025.*

For the marketable debt securities in gross unrealized loss positions, (a) it is more likely thannot that the Company willnot be required to sell the investment securities before recovery of the unrealized losses, and (b) the Company expects that the contractual principal and interest will be received on the investment securities.

Proceeds from the sale of available for sale marketable securities during thenine months ended* September 30, 2026and2025* were $22,683,000 and $64,689,000, respectively. Investment gains of $1,023,000 and $872,000 were realized on these sales during thenine months ended* September 30, 2026and2025,* respectively.

Note11 – Fair Value Measurements

The accounting standard for fair value measurements provides a framework for measuring fair value and requires expanded disclosures regarding fair value measurements. Fair value is defined as the price that would be received for an asset or the exit price that would be paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date. This accounting standard establishes a fair value hierarchy, which requires an entity to maximize the use of observable inputs, where available. The following summarizes thethree levels of inputs that* may*be used to measure fair value:

Level 1 – The valuation is based on quoted prices in active markets for identical instruments.

Level 2 – The valuation is based on observable inputs such as quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that arenot active, and model–based valuation techniques for which all significant assumptions are observable in the market.

Level 3 – The valuation is based on unobservable inputs that are supported by minimal orno market activity and that are significant to the fair value of the instrument. Level3 valuations are typically performed using pricing models, discounted cash flow methodologies, or similar techniques that incorporate management’s own estimates of assumptions that market participants would use in pricing the instrument, or valuations that require significant management judgment or estimation.

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A financial instrument’s level within the fair value hierarchy is based on the lowest level of input that is significant to the fair value measurement.

The following table summarizes fair value measurements by level at* September 30, 2026and December 31, 2025for assets and liabilities measured at fair value on a recurring basis(in thousands)*:

Fair Value Measurements Using
September 30, 2026Fair ValueQuoted Prices in Active Markets For Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Cash and cash equivalents$66,795$66,795$–$–
Restricted cash and cash equivalents19,52619,526––
Marketable equity securities173,683173,683––
Corporate debt securities58,06442,98015,084–
Asset–backed securities15,283–15,283–
U.S. Treasury securities39,84639,846––
State and municipal securities1,002–1,002–
Total financial assets$374,199$342,830$31,369$–
Fair Value Measurements Using
December 31, 2025Fair ValueQuoted Prices in Active Markets For Identical Assets (Level 1)Significant Other Observable Inputs (Level 2)Significant Unobservable Inputs (Level 3)
Cash and cash equivalents$92,829$92,829$–$–
Restricted cash and cash equivalents19,35819,358––
Marketable equity securities180,169180,169––
Corporate debt securities58,89845,94812,950–
Asset–backed securities16,236–16,236–
U.S. Treasury securities42,83642,836––
State and municipal securities5,3238774,446–
Total financial assets$415,649$382,017$33,632$–

Note12 – Goodwill and Other Intangible Assets

At* September 30, 2026,we evaluated potential triggering events that might be indicators that our goodwill and indefinite lived intangibles were impaired. As a result of the review, there wereno impairment indicators regarding the Company’s goodwill that required a quantitative test to be performed. However, our accounting estimates could materially change from period to period due to changing market factors. We will continue to monitor future events, changes in circumstances, and the potential impact thereof. If actual results arenot* consistent with our assumptions and estimates, we* may*be exposed to future goodwill impairment losses.

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At* September 30, 2026,*the following table represents the activity related to our goodwill by segment (in thousands):

Inpatient ServicesHomecare and HospiceAll OtherTotal
January 1, 2026$5,924$164,554$–$170,478
Additions––––
September 30, 2026$5,924$164,554$–$170,478

Indefinite-lived intangible assets consist of the following*(in thousands)*:

September 30, 2026December 31, 2025
Trade names$15,896$15,896
Certificates of need2,2561,756
Licenses2,2122,212
Total$20,364$19,864

Note13 - Stock Repurchase Program

During thenine months ended* September 30, 2026,the Company repurchased 141,642 shares of its common stock for a total cost of $24,672,000. During thenine* months ended* September 30, 2025,*the Company repurchased 88,738 shares of its common stock for a total cost of $9,566,000. The shares were funded from cash on hand and were cancelled and returned to the status of authorized but unissued.

Note14 – Stock–Based Compensation

NHC recognizes stock–based compensation expense for all stock options granted over the requisite service period using the fair value at the date of grant using the Black–Scholes pricing model. Stock–based compensation totaled $2,019,000 and $1,239,000 for thethree months ended* September 30, 2026and2025,* respectively. Stock-based compensation totaled $5,285,000 and $3,499,000 for thenine months ended* September 30, 2026and2025,* respectively. Stock–based compensation is included in “Salaries, wages and benefits” in the interim condensed consolidated statements of operations.

At* September 30, 2026,*the Company had $11,615,000 of unrecognized compensation cost related to unvested stock–based compensation awards. This unrecognized compensation cost will be amortized over an approximatetwo-year period.

Stock Options

The following table summarizes the significant assumptions used to value the options granted for thenine months ended* September 30, 2026and for the year ended December 31, 2025.*

September 30, 2026December 31, 2025
Risk–free interest rate3.5%4.1%
Expected volatility29.0%27.0%
Expected life, in years2.92.9
Expected dividend yield1.7%2.8%

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The following table summarizes our outstanding stock options for thenine months ended* September 30, 2026and for the year ended December 31, 2025.*

Number of SharesWeighted Average Exercise PriceAggregate Intrinsic Value
Options outstanding at January 1, 2025631,242$74.73$–
Options granted306,14891.42–
Options exercised(202,281)70.17–
Options cancelled(87,134)85.94–
Options outstanding at December 31, 2025647,97582.53–
Options granted317,136159.25–
Options exercised(254,657)80.95–
Options cancelled(10,169)112.65–
Options outstanding at September 30, 2026700,285$117.42$71,493,000
Options exercisable at September 30, 2026191,793$78.19$27,103,322
Options Outstanding September 30, 2026 · Exercise Prices · Weighted Average Exercise Price · Weighted Average Remaining Contractual Life in Years
393,899$53.94-$96.03$85.092.64
306,386$130.41-$171.42158.984.35
700,285$117.423.39

Note15 – Income Taxes

The Company's income tax provision as a percentage of our income before income taxes was 27.9% and 24.6% for thethree months ended* September 30, 2026and2025,* respectively.

The Company's income tax provision as a percentage of our income before income taxes was 23.4% and 25.2% for thenine months ended* September 30, 2026and2025,* respectively.

Typically, these percentages vary from the U.S. federal statutory income tax rate of 21% primarily due to state income taxes, excess tax benefits from stock-based compensation, benefits resulting from the lapsing of statute of limitations of items in our tax contingency reserve, and non-deductible expenses. For thenine months ended* September 30, 2026and2025,* the accrual of state income tax was the most significant reconciling item.

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Our quarterly income tax provision, and our estimate of our annual effective income tax rate, is subject to variation due to several factors, including volatility based on the amount of pre-tax income or loss.

The Company isno longer subject to U.S. federal and state examinations by tax authorities for years before 2022 (with certain state exceptions).

Note16 – Long-Term Debt

Long–term debt consists of the following (dollars in thousands):

Interest rate at September 30, 2026 (Variable)MaturitySeptember 30, 2026December 31, 2025
Term loan facility5.2%2031$469,063$–
Credit facility5.2%203133,00040,000
Total debt502,06340,000
Less current portion(23,750)(7,500)
Total long-term debt$478,313$32,500

On* May 26, 2026,the Company entered into a credit agreement, consisting of a $475,000,000 senior unsecured term loan facility and a $75,000,000 senior unsecured revolving credit facility (“credit agreement”). The credit agreement became effective on July 1, 2026,in conjunction with the transaction with NHI. The term loan facility and credit facility will mature on thefifth anniversary of the date of initial funding to the Company under the credit agreement, or July 1, 2031.*The term loan facility will amortize in quarterly installments of approximately $5,938,000, with the remaining balance due at maturity. Borrowings under the credit facility require interest only payments.

Borrowings under the credit agreement will bear interest, at NHC’s option, at a rate based on either Term SOFR or a base rate, in each case plus an applicable margin. The applicable margin will vary based on the Company’s consolidated leverage ratio and, based on the applicable pricing grid, will range from 1.25% to 1.75% per annum for Term SOFR borrowings and 0.25% to 0.75% per annum for base rate borrowings. The base rate is a variable daily interest rate set at the highest among: (1) the Federal Funds Rate plus 0.50%, (2) Bank of America’s publicly announced prime rate, or (3) Term SOFR plus 1.00%. In all cases, the base rate has a floor of 1.00%. The applicable rate as of the Funding Date and until thefirst business day following delivery of the compliance certificate for the fiscal quarter ending* December 31, 2026*will be Term SOFR +1.50% or base rate +0.50%. NHC is also required to pay a commitment fee on the daily unused portion of the revolving credit facility, which ranges from 0.20% to 0.30% per annum based on the consolidated leverage ratio, payable quarterly in arrears.

The credit agreement contains customary representations and warranties, financial covenants, and other customary affirmative and negative covenants. The credit agreement also contains customary events of default. Based on level2 inputs, the carrying value of the Company's long-term debt is considered to approximate the fair value of such debt based upon the interest rates that the Company believes it can currently obtain for similar debt.

The aggregate maturities of long–term debt for thefive years subsequent to* September 30, 2026are as follows(in thousands)*:

Long–Term Debt
2027$23,750
202823,750
202923,750
203023,750
2031407,063
Total$502,063

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Note17 – Contingencies, Commitments and Other Matters

We have wholly–owned limited purpose insurance companies that insure risks related to workers’ compensation and general and professional liability insurance claims both for our owned and leased entities and certain of the entities to which we provide management or accounting services. The liability we have recognized for reported claims and estimates for incurred but unreported claims totals $126,765,000 and $121,595,000 at* September 30, 2026and December 31, 2025,*respectively. The liability is included in accrued risk reserves in the interim condensed consolidated balance sheets and is subject to adjustment for actual claims incurred. It is possible that these claims plus unasserted claims could exceed our insurance coverages and our reserves, which could have a material adverse effect on our consolidated financial position, results of operations and cash flows.

As a result of the terms of our insurance policies and our use of wholly owned limited purpose insurance companies, we have retained significant insurance risk with respect to workers’ compensation and general and professional liability. We consider the professional services of independent actuaries to assist us in estimating our exposures for claims obligations (for both asserted and unasserted claims) related to deductibles and exposures in excess of coverage limits, and we maintain reserves for these obligations. Such estimates are based on many variables including historical and statistical information and other factors.

Workers’* Compensation*

For workers’ compensation, we utilize a wholly–owned Tennessee domiciled property/casualty insurance company to write coverage for NHC affiliates and for third–party customers. Policies are written for a duration oftwelve months and cover only risks related to workers’ compensation losses. All customers are companies which operate in the senior care industry. Business is written on a direct basis.

General and Professional Liability Insurance and Lawsuits

The senior care industry has experienced significant increases in both the number of personal injury/wrongful death claims and in the severity of awards based upon alleged negligence by skilled nursing facilities and their employees in providing care to residents. The Company has been, and continues to be, subject to claims and legal actions that arise in the ordinary course of business, including potential claims related to patient care and treatment. The defense of these lawsuits* mayresult in significant legal costs, regardless of the outcome, and can result in large settlement amounts or damage awards. Additional insurance is purchased throughthird* party providers that serve to supplement the coverage provided through our wholly owned captive insurance company.

There is certain additional litigation incidental to our business,none of which, based upon information available to date, would be material to our financial position, results of operations, or cash flows. In addition, the long–term care industry is continuously subject to scrutiny by governmental regulators, which could result in litigation or claims related to regulatory compliance matters.

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Governmental Regulations

Laws and regulations governing Medicare, Medicaid and other federal healthcare programs are complex and subject to interpretation. Management believes that it is following all applicable laws and regulations in all material respects. However, compliance with such laws and regulations can be subject to future government review and interpretation as well as significant regulatory action including fines, penalties, and exclusions from the Medicare, Medicaid and other federal healthcare programs.

Indemnities

From time to time, the Company enters into certain types of contracts that contingently require it to indemnify parties againstthird-party claims. These contracts primarily include (i) certain real estate leases, under which the Company* maybe required to indemnify property owners or prior facility operators for post-transfer liabilities and other claims arising from the Company’s use of the applicable premises, (ii) operations transfer agreements, in which the Company agrees to indemnify past operators of facilities against certain liabilities arising from the transfer of the operation and/or the operation thereof after the transfer to the Company or its subsidiary, (iii) certain lending agreements, under which the Company maybe required to indemnify the lender against various claims and liabilities, (iv) certain agreements by and between the Company and/or its subsidiaries or affiliates, and (v) certain agreements with the Company officers, directors and others, under which the Company maybe required to indemnify such persons for liabilities arising out of the nature of their relationship to the Company and/or its subsidiaries and affiliates. The terms of such obligations vary by contract and, in most instances, donot* expressly state or include a specific or maximum dollar amount. Generally, amounts under these contracts cannot be reasonably estimated until a specific claim is asserted.

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