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National Healthcare (NHC) Q4 2025 earnings results (fourth quarter 2025)

10-K filed Feb 26, 2026

National Healthcare (NHC) reported revenue of $387M for the fourth quarter 2025 (Q4 2025), +5% from a year earlier and +1% from the quarter before. Operating margin was 8.6%, net earnings $24.8M (6.4% of revenue).

Revenue$387M
Year over year+5%
Quarter over quarter+1%
Operating margin8.6%
Net earnings$24.8M

National Healthcare, Q4 2025: revenue $387M (+5% year over year), operating margin 8.6%, net earnings $24.8M, operating cash flow $16.8M. The chart follows the revenue to costs, profit and cash.

Q4 2025AmountQ/QY/Y
Revenue$387M+1%+5%
Operating profit$33.1M+9%+15%
Net earnings$24.8M-37%+309%
Operating cash flow$16.8M-75%+31%
Free cash flow$6.4M-89%+38%

What changed

Revenue was $386.5M in Q4 2025, up 5% year over year and up 1% from the previous quarter.

Operating profit was $33.1M, a 8.6% margin (up 0.7 points year over year). Of the extra revenue versus a year earlier, 25% reached operating profit, above the 8% margin then. Total costs grew 4% against revenue growth of 5%. Net earnings were $24.8M, up 309% year over year. The effective tax rate was 21.6%.

Operating cash flow was $16.8M (up 31% year over year), 67% of net earnings. Non-cash charges added back $11.8M of depreciation and amortization and $900K of share-based compensation. Working capital and other items used $21.1M. Capital expenditures of $10.4M left free cash flow of $6.4M.

Questions

What was National Healthcare's revenue in the fourth quarter 2025?

National Healthcare (NHC) reported revenue of $387M for the fourth quarter 2025 (Q4 2025), +5% from a year earlier and +1% from the quarter before.

Was National Healthcare profitable in the fourth quarter 2025?

Operating profit was $33.1M (8.6% of revenue) and net earnings $24.8M.

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Source: National Healthcare 10-K on SEC EDGAR.