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National HealthCare Corporation

NHC
41
Medical - Care Facilities · Healthcare
Exchange
New York Stock Exchange American
Winston Score
41
Winston is serious
Mixed quality — meaningful strengths and weaknesses.

National HealthCare Corporation runs a network of long-term care facilities across the United States. Its core services include skilled nursing care, assisted living, memory care, and home health services. The company primarily serves elderly patients who need ongoing medical support or help with daily living, making it a significant regional operator in the southeastern and midwestern U.S.

NHC earns revenue mainly through daily care fees paid by patients, Medicare, and Medicaid, with government programs making up a large share of its income. The company operates roughly 75 facilities across about a dozen states and has built a reputation over decades in its core markets. However, its near-zero operating margin highlights the core challenge facing the business: labor costs are high, Medicaid reimbursement rates are often below the actual cost of care, and any cuts to government healthcare funding could meaningfully pressure profitability going forward.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+1.7% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+10.5% YoY

YoY Growth Rate

Steady EPS growth

Insider Activity

19.0%ownership

Insiders own a meaningful stake in the company

Cash Position

Cash flow positive

$461M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

National HealthCare Corporation is growing revenue at 2% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
30.5%
Modest — 30.5% gross margin
Operating Margin
-27.4%
Losing money on operations — -27.4%
ROCE
-9.3%
Weak — -9.3% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+10.9%
Steady sales growth (10.9% YoY)
EPS YoY
+14.0%
Earnings growing (14.0% YoY)

Healthy double-digit earnings growth — what compounders look like.

EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Cash Conversion
168%
Turns 168% of profit into real cash
FCF Margin
11.0%
Modest free cash flow (11.0%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

Debt / Equity
0.02
Conservative — low debt load (0.02)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
26.4x
no trend
Growth-priced — P/E 26.4

P/E above the market average. People are paying up for expected growth.

P/E vs Forward
N/A
not available
Data not available

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Dividends

Dividend Yield
1.19%
no trend
Small dividend — 1.19% yield

Modest yield. The bulk of any return needs to come from price appreciation.

Dividend Growth
+4.9%
no trend
Dividend growing modestly (4.9% YoY)

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