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Note 4 - Non-operating Income (Details) - Non-operating Income (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Non-operating Income [Abstract]    
Equity in earnings of unconsolidated investments $ 1,119us-gaap_IncomeLossFromEquityMethodInvestments $ 1,913us-gaap_IncomeLossFromEquityMethodInvestments
Dividends and other net realized gains and losses on sales of securities 1,876nhc_DividendsAndOtherNetRealizedGainsAndLossesOnSalesOfSecurities 1,526nhc_DividendsAndOtherNetRealizedGainsAndLossesOnSalesOfSecurities
Interest income 1,227us-gaap_InterestIncomeExpenseNonoperatingNet 1,133us-gaap_InterestIncomeExpenseNonoperatingNet
$ 4,222us-gaap_OtherNonoperatingIncome $ 4,572us-gaap_OtherNonoperatingIncome