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Note 3 - Net Patient Revenues - Contract Liabilities (Details)	3 Months Ended
	Mar. 31, 2024 USD ($)
Balance	$ 0
Payments received	9,881,000
Payments recouped	(2,214,000)
Balance	$ 7,667,000

X

- Definition

Represents the amount of payments recouped under the Government Assistance Medicare Accelerated and Advance Payment Program.

+ References

No definition available.

+ Details

Name:	nhc_GovernmentAssistanceMedicareAcceleratedAndAdvancePaymentProgramPaymentsRecouped
Namespace Prefix:	nhc_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Represents proceeds received from Government Assistance Medicare Accelerated and Advance Payment Program.

+ References

No definition available.

+ Details

Name:	nhc_PaymensReceivedGovernmentAssistanceMedicareAcceleratedAndAdvancePaymentProgram
Namespace Prefix:	nhc_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable, classified as current.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479837/606-10-45-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 8
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-8

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 2
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479837/606-10-45-2

+ Details

Name:	us-gaap_ContractWithCustomerLiabilityCurrent
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant