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Interim Condensed Consolidated Statements of Operations (Unaudited) - USD ($)
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenues:        
Net patient revenues $ 370,989,000 $ 328,674,000 $ 1,095,945,000 $ 894,415,000
Other revenues 11,672,000 11,524,000 35,323,000 34,172,000
Government stimulus income 0 0 0 9,445,000
Net operating revenues and grant income 382,661,000 340,198,000 1,131,268,000 938,032,000
Costs and expenses:        
Salaries, wages, and benefits 233,176,000 213,395,000 687,840,000 576,609,000
Other operating 96,604,000 82,509,000 281,004,000 238,092,000
Facility rent 11,345,000 10,886,000 34,038,000 31,804,000
Depreciation and amortization 11,158,000 10,619,000 33,151,000 30,543,000
Total costs and expenses 352,283,000 317,409,000 1,036,033,000 877,048,000
Income from operations 30,378,000 22,789,000 95,235,000 60,984,000
Other income (expense):        
Non–operating income 4,660,000 4,224,000 13,871,000 14,865,000
Interest expense (1,456,000) (1,742,000) (5,555,000) (1,788,000)
Unrealized gains on marketable equity securities 20,827,000 32,767,000 26,748,000 56,290,000
Income before income taxes 54,409,000 58,038,000 130,299,000 130,351,000
Income tax provision (13,400,000) (15,338,000) (32,887,000) (34,294,000)
Net income 41,009,000 42,700,000 97,412,000 96,057,000
Net (income)/loss attributable to noncontrolling interest (1,770,000) 89,000 (2,246,000) (211,000)
Net income attributable to National HealthCare Corporation $ 39,239,000 $ 42,789,000 $ 95,166,000 $ 95,846,000
Earnings per share attributable to National HealthCare Corporation stockholders:        
Basic (in dollars per share) $ 2.53 $ 2.78 $ 6.15 $ 6.23
Diluted (in dollars per share) $ 2.5 $ 2.73 $ 6.1 $ 6.15
Basic (in shares) 15,484,464 15,411,680 15,461,804 15,384,758
Diluted (in shares) 15,664,530 15,667,321 15,613,505 15,576,294
Dividends declared per common share (in dollars per share) $ 0.64 $ 0.61 $ 1.89 $ 1.81