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Note 4 - Non-operating Income (Details) - Non-operating Income (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Note 4 - Non-operating Income (Details) - Non-operating Income [Line Items]      
Non-operating Income $ 17,182us-gaap_OtherNonoperatingIncome $ 30,095us-gaap_OtherNonoperatingIncome $ 25,245us-gaap_OtherNonoperatingIncome
Equity in Earnings of Unconsolidated Investments [Member]      
Note 4 - Non-operating Income (Details) - Non-operating Income [Line Items]      
Non-operating Income 6,675us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_EquityInEarningsOfUnconsolidatedInvestmentsMember
14,188us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_EquityInEarningsOfUnconsolidatedInvestmentsMember
13,616us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_EquityInEarningsOfUnconsolidatedInvestmentsMember
Dividends and Other Net Realized Gains and Losses on Sales of Securities [Member]      
Note 4 - Non-operating Income (Details) - Non-operating Income [Line Items]      
Non-operating Income 5,957us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_DividendsAndOtherNetRealizedGainsAndLossesOnSalesOfSecuritiesMember
5,216us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_DividendsAndOtherNetRealizedGainsAndLossesOnSalesOfSecuritiesMember
7,006us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_DividendsAndOtherNetRealizedGainsAndLossesOnSalesOfSecuritiesMember
Interest Income [Member]      
Note 4 - Non-operating Income (Details) - Non-operating Income [Line Items]      
Non-operating Income 4,550us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= us-gaap_InterestIncomeMember
5,237us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= us-gaap_InterestIncomeMember
4,623us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= us-gaap_InterestIncomeMember
Gain on Recovery of Notes Receivable [Member]      
Note 4 - Non-operating Income (Details) - Non-operating Income [Line Items]      
Non-operating Income   $ 5,454us-gaap_OtherNonoperatingIncome
/ nhc_OtherRevenuesAxis
= nhc_GainOnRecoveryOfNotesReceivableMember