National Healthcare (NHC) risk factors, FY2025 10-K

Risks Relating to Our Operations

1. 01The industry trend toward value-based purchasing may negatively impact our revenues
2. 02By undertaking to provide management services, advisory services, and/or financial services to other entities, we become at least partially responsible for meeting the regulatory requirements of those entities
3. 03We provide management services to skilled nursing facilities and other healthcare facilities under terms whereby the payments for our services are subject to subordination to other expenditures of the healthcare facility91% rewritten
4. 04The status of our lease with National Health Investors, Inc. creates uncertainties and risks to our future operationsNew
5. 05Federal minimum staffing mandates may adversely affect our labor costs, ability to maintain desired levels of patient census and profitability84% rewritten
6. 06Disasters and similar events, which may increase as a result of climate change, may seriously harm our business
7. 07Future acquisitions or new developments may be difficult to complete, use significant resources, or be unsuccessful and could expose us to unforeseen liabilities
8. 08Upkeep of healthcare properties is capital intensive, requiring us to continually direct financial resources to the maintenance and enhancement of our physical plant and equipment
9. 09We are defendants in significant legal actions, which are commonplace in our industry, and which could subject us to increased operating costs and substantial uninsured liabilities, which would materially and adversely affect our liquidity and financial condition
10. 10If we fail to compete effectively with other health care providers, our revenues and profitability may decline
11. 11Possible changes in the case mix of patients and payor mix may significantly affect our profitability
12. 12The effects related to any potential future pandemic, epidemic, or infectious disease outbreak could adversely impact our business and future results of operations and financial condition
13. 13We are permitted to incur substantially more debt, which could further exacerbate the risks described above

Risks Related to Government Regulation

1. 14We conduct business in a heavily regulated industry, and changes in, or violations of regulations may result in increased costs or sanctions that reduce our revenue and profitability
2. 15Our business may be impacted by healthcare reform efforts
3. 16We are required to comply with laws governing the transmission and privacy and security of health information
4. 17We are subject to employment-related laws and regulations which could increase our cost of doing business and subject us to significant back pay awards, fines and lawsuits
5. 18Our business is subject to a variety of federal, state and local environmental laws and regulations
6. 19We are subject to federal and state income taxes. Changes in tax laws and regulations or the interpretation of such laws could adversely affect our position on income taxes and estimated income liabilities

Risks Related to Our Structure and Public Company Compliance

1. 20Increasing costs of being publicly owned are likely to impact our future consolidated financial position and results of operations
2. 21Provision for losses in our financial statements may not be adequate
3. 22Implementation of new information technology could cause business interruptions and negatively affect our profitability and cash flows
4. 23We depend on the proper function and availability of our information systems
5. 24Cybersecurity risks could harm our ability to operate effectively
6. 25We may not be able to meet all our capital needs
7. 26Our stock price is volatile and fluctuations in our operating results, quarterly earnings and other factors may result in declines in the price of our common stock
8. 27We may not be able to pay or maintain dividends and the failure to do so would adversely affect our stock price