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Note 8 - Investments in Marketable Securities (Tables)
12 Months Ended
Dec. 31, 2012
Available-for-sale Securities [Table Text Block]
   
December 31, 2012
   
December 31, 2011
 
(in thousands)
 
Amortized
Cost
   
Fair
Value
   
Amortized
 Cost
   
Fair
Value
 
Investments available for sale:
                       
Marketable equity securities
  $ 30,176     $ 107,250     $ 30,176     $ 85,051  
Restricted investments available for sale:
                               
Corporate debt securities
    61,453       62,876       33,426       34,074  
Commercial mortgage-backed securities
    47,194       48,063       33,275       33,904  
U.S. Treasury securities
    16,218       16,604       7,778       8,070  
State and municipal securities
    7,213       7,664       7,270       7,577  
    $ 162,254     $ 242,457     $ 111,925     $ 168,676  
Schedule of Available-for-sale Securities Reconciliation [Table Text Block]
   
December 31, 2012
   
December 31, 2011
 
   
Shares
   
Cost
   
Fair
Value
   
Shares
   
Cost
   
Fair
Value
 
NHI Common Stock
    1,630,642     $ 24,734     $ 92,180       1,630,642     $ 24,734     $ 71,716  
Investments Classified by Contractual Maturity Date [Table Text Block]
   
December 31, 2012
   
December 31, 2011
 
(in thousands)
 
Cost
   
Fair Value
   
Cost
   
Fair Value
 
Maturities:
                       
Within 1 year
  $ 8,868     $ 8,918     $ 5,280     $ 5,298  
1 to 5 years
    80,910       82,801       44,923       45,734  
6 to 10 years
    40,670       41,856       21,993       22,768  
Over 10 years
    1,630       1,632       9,553       9,825  
    $ 132,078     $ 135,207     $ 81,749     $ 83,625