Latest: Q3 2026 · from the cash-flow statements filed with the SEC
Free cash flow$99.2M in Q3 2026 · $222M over twelve months
Operating cash flow$99.2M
Free cash flow+$99.2M
Cash / net income7.0×
Analysis
In Q3 2026, National Healthcare generated $99.2M of operating cash flow. That is $42.7M more than in Q3 2025 ($56.5M).
Over the twelve months to Sep 30, 2026, operating cash flow was $222M; the largest uses were other investing ($671M), net borrowing (+) / repaid (−) ($101M), dividends ($40.4M); besides operations, cash came from other financing ($530M), shares issued ($25.6M); the cash balance fell by $65.2M.
Operating cash flow was $99.2M against net income of $14.2M — 7.0× profit, cash ran ahead of reported earnings. The largest differences: other liabilities +$19.7M, depreciation & amortization +$14.6M, receivables +$8.0M.
Free cash flow
Operating cash flow less capital spending.Latest (Q3 2026): Operating cash flow $99.2M, Capital spending $0.
Capital allocation, year by year
Over these 5 years operating cash flow totalled $475M; the largest uses were dividends ($178M) and capital spending ($162M). Cash-flow statements as filed.
Cash runway and the debt wall
Cash & investments$66.8M
Debt$502M
Net debt$435M
Due within a year$23.8M
National Healthcare funds itself: free cash flow was $222M over the last twelve months, and $66.8M of cash and investments stands against $502M of debt ($23.8M due within a year, 2.8× covered by cash).
Where the cash came from and went
From profit to cash
Non-cash charges are added back; money tied up in receivables or inventory is subtracted.
Every quarter
Quarter
Operating cash flow
Capital spending
Buybacks
Dividends
Net borrowing (+) / repaid (−)
Shares issued
Cash drawn (+) / kept (−)
Free cash flow
Q3 2026
$99.2M
—
−$1.1M
−$10.5M
−$27.9M
$1.3M
−$34.0M
$99.2M
Q2 2026
$43.3M
−$12.5M
−$7.2M
−$10.0M
—
$7.2M
$54.0M
$30.7M
Q1 2026
$62.5M
−$9.6M
−$16.3M
−$9.9M
−$40.0M
$12.3M
$5.9M
$52.9M
Q4 2025
$16.8M
−$10.4M
−$5.2M
−$9.9M
−$33.1M
$4.8M
$39.3M
$6.4M
Q3 2025
$66.2M
−$9.7M
−$3.2M
−$9.9M
−$36.9M
$3.0M
−$21.2M
$56.5M
Q2 2025
$62.8M
−$10.2M
−$4.7M
−$9.4M
−$24.0M
$5.2M
−$14.2M
$52.6M
Q1 2025
$39.3M
−$6.1M
−$1.7M
−$9.4M
−$3.0M
$1.3M
−$19.2M
$33.1M
Q4 2024
$12.8M
−$8.2M
—
−$9.4M
−$10.0M
$797K
$18.2M
$4.6M
National Healthcare: income statement and cash flow
National Healthcare, Q3 2026: revenue $408M (+7% year over year), operating margin 10.0%. The chart follows the revenue to costs, profit and cash.
Read automatically from the company’s XBRL cash-flow statements; quarterly figures for the fourth quarter are the year less the first three. Errors are possible. Not investment advice.