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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and NATIONAL HEALTHCARE CORP (NHC). Click either name above to swap in a different company.

NATIONAL HEALTHCARE CORP is the larger business by last-quarter revenue ($386.5M vs $312.7M, roughly 1.2× Enact Holdings, Inc.). On growth, NATIONAL HEALTHCARE CORP posted the faster year-over-year revenue change (4.6% vs 3.6%). Over the past eight quarters, NATIONAL HEALTHCARE CORP's revenue compounded faster (14.0% CAGR vs 3.6%).

Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.

HCA Healthcare, Inc. is an American global for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,400 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 20 states and the United Kingdom. As of 2024, HCA Healthcare is ranked #61 on the Fortune 500 rankings of the largest United States corporations by to...

ACT vs NHC — Head-to-Head

Bigger by revenue
NHC
NHC
1.2× larger
NHC
$386.5M
$312.7M
ACT
Growing faster (revenue YoY)
NHC
NHC
+1.0% gap
NHC
4.6%
3.6%
ACT
Faster 2-yr revenue CAGR
NHC
NHC
Annualised
NHC
14.0%
3.6%
ACT

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACT
ACT
NHC
NHC
Revenue
$312.7M
$386.5M
Net Profit
$24.8M
Gross Margin
Operating Margin
71.3%
8.6%
Net Margin
6.4%
Revenue YoY
3.6%
4.6%
Net Profit YoY
308.6%
EPS (diluted)
$1.23
$1.58

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACT
ACT
NHC
NHC
Q4 25
$312.7M
$386.5M
Q3 25
$311.5M
$382.7M
Q2 25
$304.9M
$374.9M
Q1 25
$306.8M
$373.7M
Q4 24
$301.8M
$369.4M
Q3 24
$309.6M
$340.2M
Q2 24
$298.8M
$300.7M
Q1 24
$291.6M
$297.2M
Net Profit
ACT
ACT
NHC
NHC
Q4 25
$24.8M
Q3 25
$39.2M
Q2 25
$23.7M
Q1 25
$32.2M
Q4 24
$6.1M
Q3 24
$42.8M
Q2 24
$26.8M
Q1 24
$26.2M
Operating Margin
ACT
ACT
NHC
NHC
Q4 25
71.3%
8.6%
Q3 25
67.4%
7.9%
Q2 25
70.4%
9.1%
Q1 25
68.9%
8.2%
Q4 24
68.9%
7.8%
Q3 24
74.1%
6.7%
Q2 24
78.6%
7.5%
Q1 24
70.6%
5.3%
Net Margin
ACT
ACT
NHC
NHC
Q4 25
6.4%
Q3 25
10.3%
Q2 25
6.3%
Q1 25
8.6%
Q4 24
1.6%
Q3 24
12.6%
Q2 24
8.9%
Q1 24
8.8%
EPS (diluted)
ACT
ACT
NHC
NHC
Q4 25
$1.23
$1.58
Q3 25
$1.10
$2.50
Q2 25
$1.11
$1.52
Q1 25
$1.08
$2.07
Q4 24
$1.05
$0.38
Q3 24
$1.15
$2.73
Q2 24
$1.16
$1.73
Q1 24
$1.01
$1.69

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACT
ACT
NHC
NHC
Cash + ST InvestmentsLiquidity on hand
$582.5M
$92.8M
Total DebtLower is stronger
$744.5M
$40.0M
Stockholders' EquityBook value
$5.4B
$1.1B
Total Assets
$6.9B
$1.5B
Debt / EquityLower = less leverage
0.14×
0.04×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACT
ACT
NHC
NHC
Q4 25
$582.5M
$92.8M
Q3 25
$545.6M
$130.6M
Q2 25
$616.0M
$111.0M
Q1 25
$639.0M
$90.4M
Q4 24
$602.8M
$76.1M
Q3 24
$674.9M
$84.8M
Q2 24
$711.3M
$136.2M
Q1 24
$624.3M
$94.0M
Total Debt
ACT
ACT
NHC
NHC
Q4 25
$744.5M
$40.0M
Q3 25
$744.1M
$73.1M
Q2 25
$743.8M
$110.0M
Q1 25
$743.4M
$134.0M
Q4 24
$743.0M
$137.0M
Q3 24
$742.7M
$147.0M
Q2 24
$742.4M
Q1 24
$746.1M
Stockholders' Equity
ACT
ACT
NHC
NHC
Q4 25
$5.4B
$1.1B
Q3 25
$5.3B
$1.1B
Q2 25
$5.2B
$1.0B
Q1 25
$5.1B
$1.0B
Q4 24
$5.0B
$980.2M
Q3 24
$5.0B
$983.5M
Q2 24
$4.8B
$945.8M
Q1 24
$4.7B
$924.7M
Total Assets
ACT
ACT
NHC
NHC
Q4 25
$6.9B
$1.5B
Q3 25
$6.9B
$1.6B
Q2 25
$6.8B
$1.6B
Q1 25
$6.7B
$1.5B
Q4 24
$6.5B
$1.5B
Q3 24
$6.6B
$1.6B
Q2 24
$6.3B
$1.3B
Q1 24
$6.3B
$1.3B
Debt / Equity
ACT
ACT
NHC
NHC
Q4 25
0.14×
0.04×
Q3 25
0.14×
0.07×
Q2 25
0.14×
0.11×
Q1 25
0.15×
0.13×
Q4 24
0.15×
0.14×
Q3 24
0.15×
0.15×
Q2 24
0.15×
Q1 24
0.16×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACT
ACT
NHC
NHC
Operating Cash FlowLast quarter
$724.5M
$16.8M
Free Cash FlowOCF − Capex
$6.4M
FCF MarginFCF / Revenue
1.7%
Capex IntensityCapex / Revenue
2.7%
Cash ConversionOCF / Net Profit
0.68×
TTM Free Cash FlowTrailing 4 quarters
$148.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACT
ACT
NHC
NHC
Q4 25
$724.5M
$16.8M
Q3 25
$192.0M
$66.2M
Q2 25
$119.5M
$62.8M
Q1 25
$226.7M
$39.3M
Q4 24
$686.3M
$12.8M
Q3 24
$188.1M
$34.2M
Q2 24
$144.7M
$50.7M
Q1 24
$187.3M
$9.6M
Free Cash Flow
ACT
ACT
NHC
NHC
Q4 25
$6.4M
Q3 25
$56.5M
Q2 25
$52.6M
Q1 25
$33.1M
Q4 24
$4.6M
Q3 24
$28.6M
Q2 24
$42.8M
Q1 24
$3.7M
FCF Margin
ACT
ACT
NHC
NHC
Q4 25
1.7%
Q3 25
14.8%
Q2 25
14.0%
Q1 25
8.9%
Q4 24
1.3%
Q3 24
8.4%
Q2 24
14.2%
Q1 24
1.2%
Capex Intensity
ACT
ACT
NHC
NHC
Q4 25
2.7%
Q3 25
2.5%
Q2 25
2.7%
Q1 25
1.6%
Q4 24
2.2%
Q3 24
1.7%
Q2 24
2.6%
Q1 24
2.0%
Cash Conversion
ACT
ACT
NHC
NHC
Q4 25
0.68×
Q3 25
1.69×
Q2 25
2.65×
Q1 25
1.22×
Q4 24
2.10×
Q3 24
0.80×
Q2 24
1.89×
Q1 24
0.37×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ACT
ACT

Segment breakdown not available.

NHC
NHC

Inpatient Services Segment$333.7M86%
Homecare Services Segment$40.0M10%
Other$11.2M3%
National$1.6M0%

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