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Interim Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Revenues:        
Net patient revenues $ 279,918,000 $ 269,605,000 $ 565,741,000 $ 527,612,000
Other revenues 11,295,000 12,977,000 22,648,000 24,533,000
Government stimulus income 9,445,000 0 9,445,000 0
Net operating revenues and grant income 300,658,000 282,582,000 597,834,000 552,145,000
Costs and expenses:        
Salaries, wages, and benefits 180,076,000 175,294,000 363,214,000 343,118,000
Other operating 78,154,000 73,234,000 155,583,000 144,723,000
Facility rent 10,570,000 9,901,000 20,918,000 19,993,000
Depreciation and amortization 9,338,000 10,083,000 19,924,000 20,131,000
Interest 0 93,000 46,000 191,000
Total costs and expenses 278,138,000 268,605,000 559,685,000 528,156,000
Income from operations 22,520,000 13,977,000 38,149,000 23,989,000
Other income:        
Non-operating income 4,956,000 3,696,000 10,641,000 8,019,000
Unrealized gains on marketable equity securities 9,124,000 4,650,000 23,523,000 6,036,000
Income before income taxes 36,600,000 22,323,000 72,313,000 38,044,000
Income tax provision (9,494,000) (6,406,000) (18,956,000) (10,842,000)
Net income 27,106,000 15,917,000 53,357,000 27,202,000
Net (income)/loss attributable to noncontrolling interest (262,000) 364,000 (300,000) 802,000
Net income attributable to National HealthCare Corporation $ 26,844,000 $ 16,281,000 $ 53,057,000 $ 28,004,000
Earnings per share attributable to National HealthCare Corporation stockholders:        
Basic (in dollars per share) $ 1.74 $ 1.06 $ 3.45 $ 1.83
Diluted (in dollars per share) $ 1.73 $ 1.06 $ 3.42 $ 1.83
Weighted average common shares outstanding:        
Basic (in shares) 15,391,535 15,297,435 15,371,150 15,317,319
Diluted (in shares) 15,555,612 15,322,344 15,530,624 15,339,240
Dividends declared per common share (in dollars per share) $ 0.61 $ 0.59 $ 1.2 $ 1.16