Overview
National Healthcare Corporation (NHC) is a U.S. senior-care and post-acute healthcare provider. It operates, manages, or provides services to skilled nursing, assisted living and independent living facilities, as well as home-health, hospice and behavioral-health services. Its footprint spans nine Southeastern and Midwestern states.[1]
NHC describes its mission as being the senior-care leader in customer, partner and investor satisfaction.[2] At December 31, 2025, it reported 80 skilled nursing facilities, 26 assisted living facilities, nine independent living facilities, three behavioral-health hospitals, 34 homecare agencies and 33 hospice agencies.[3] For 2025, net operating revenues were approximately $1.518 billion.[4] [1][2][3][4][2]
Products & services
National HealthCare Corporation (NHC) provides skilled and intermediate nursing, post-acute and sub-acute care, rehabilitation, memory and Alzheimer’s care, assisted and independent living, home health, hospice and behavioral-health services. It also offers facility management and related accounting, financial and insurance services, leases health-care properties, and operates regional pharmacies that supply inpatient medications and bill Medicare Part D plans for participating patients.[5][1][6]
Its nursing-center services include 24-hour nursing by registered nurses, licensed practical nurses and certified nursing assistants, as well as licensed therapy, nutrition, social services, activities, housekeeping and laundry. Rehabilitation includes physical, occupational, speech and respiratory therapy for recovery from illness, injury or disability. Assisted-living services include help with dressing, bathing, meals and medication management. Home-health offerings include skilled nursing, infusion therapy, wound care and physical, occupational and speech therapy, alongside aide support with personal care and daily activities.[7][8][9][6]
NHC’s specialized offerings include Alzheimer’s and memory care, sub-acute nursing, and hospice and palliative care through its subsidiary Caris Healthcare. Hospice services include routine home care, general inpatient care, continuous home care—with at least eight hours of care in a 24-hour period during a crisis—and inpatient respite. NHC Advantage is its institutional special-needs Medicare Advantage plan, offering nurse practitioners, care coordination, preventive screening and routine vision benefits.[10][11][6]
As of June 30, 2026, NHC operated or managed 80 skilled nursing facilities, 26 assisted-living facilities, nine independent-living facilities, three behavioral-health hospitals, 34 homecare agencies and 33 hospice agencies. In fiscal 2025, health-care services represented 96.8% of net operating revenue; reported segment revenue was approximately 86.8% inpatient services, 10.2% homecare and hospice, and 3.1% all other. These are segment-level figures, not revenue shares for individual services.[12][13][14] [5][1][6][7][8][9][10][11][12][13][14]
Geographic presence
National HealthCare Corporation’s U.S. operating footprint spans Alabama, Florida, Georgia, Kentucky, Massachusetts, Missouri, New Hampshire, South Carolina, Tennessee, and Virginia, with communities listed across these states in its directory [15]. Its hospice operations are located in Georgia, Missouri, South Carolina, Tennessee, and Virginia [16]. The company also identifies regional pharmacy locations in Tennessee, South Carolina, and Missouri [6].
The principal executive office is in Murfreesboro, Tennessee [17]. The company reports revenue by service line rather than by geographic region, so the available reporting does not provide regional or state revenue percentages [4]. [15][16][6][17][4][15]
Business segments
For 2025, National Healthcare Corporation (NHC) reported two operating segments: **Inpatient services**, covering skilled nursing facilities, assisted and independent living facilities, and behavioral health hospitals; and **Homecare and hospice services**, covering home health care, therapy, and hospice and palliative care. Based on 2025 net operating revenues, inpatient services contributed approximately **86.8%** ($1,317.012 million of $1,517.781 million) and homecare and hospice approximately **10.2%** ($154.086 million).[18][4]
NHC also reports an **“all other”** category, which is not a reportable operating segment. It includes rental income, management and accounting service fees, and insurance services; this category contributed approximately **3.1%** of 2025 net operating revenues ($46.683 million). NHC separately describes other offerings, including pharmacy operations and its institutional special needs plan, but these are not listed as reportable segments.[18][4][19] [18][4][19][20]
Company history
National HealthCare Corporation (NHC) began operations in 1971 with 14 skilled nursing centers, founded by Dr. Carl Adams. The company later incorporated in Delaware in 1997.[21][5][22]
Stephen F. Flatt became president in 2009 and CEO effective January 1, 2017. In 2021, NHC acquired the remaining 24.9% interest in Caris Healthcare, bringing its ownership to 100%.[23][24][25]
On August 1, 2024, NHC acquired the assets of White Oak Management, adding a portfolio of skilled nursing, assisted-living and independent-living facilities, as well as a long-term-care pharmacy.[26] [5][25][26][21][22][23][24]
Sources
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