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Note 4 - Other Revenues - Summary of Other Revenues (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Rental income	$ 6,028	$ 5,965	$ 11,987	$ 12,009
Management and accounting services fees	4,081	5,763	8,518	9,860
Insurance services	816	882	1,688	1,930
Other	370	367	455	734
Total other revenues	$ 11,295	$ 12,977	$ 22,648	$ 24,533

X

- Definition

The amount of management and accounting services fees revenue.

+ References

No definition available.

+ Details

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

X

- Definition

The amount of miscellaneous revenue.

+ References

No definition available.

+ Details

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

X

- Definition

The revenues not separately disclosed.

+ References

No definition available.

+ Details

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

X

- Definition

Revenue from insurance services, including net premiums earned, gain on sale of insurance block, agency management fees and insurance contract fees and commissions.

+ References

No definition available.

+ Details

Name:	us-gaap_InsuranceServicesRevenue
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Definition

Amount of operating lease income from lease payments and variable lease payments paid and payable to lessor. Includes, but is not limited to, variable lease payments not included in measurement of lease receivable.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 842
-SubTopic 30
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479773/842-30-50-5

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 270
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 6A
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482964/270-10-50-6A

Reference 3: http://www.xbrl.org/2003/role/disclosureRef
-Topic 842
-SubTopic 30
-Name Accounting Standards Codification
-Section 45
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479016/842-30-45-3

+ Details

Name:	us-gaap_OperatingLeaseLeaseIncome
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration