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Note 16 - Subsequent Events - Pro Forma Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Net patient revenues $ 279,918 $ 269,605 $ 565,741 $ 527,612
Net operating revenues and grant income 300,658 282,582 597,834 552,145
Total costs and expenses 278,138 268,605 559,685 528,156
Income from operations 22,520 13,977 38,149 23,989
Non-operating income 4,956 3,696 10,641 8,019
Income before income taxes 36,600 22,323 72,313 38,044
Net income attributable to NHC 26,844 16,281 53,057 28,004
White Oak Senior Living Portfolio [Member] | Pro Forma [Member]        
Net patient revenues 334,906 318,606 675,324 624,381
Net operating revenues and grant income 355,631 331,738 707,393 649,370
Total costs and expenses 332,379 319,253 667,183 630,599
Income from operations 23,252 12,485 40,210 18,771
Non-operating income 4,956 3,696 10,641 8,019
Income before income taxes 37,332 20,831 74,374 32,826
Net income attributable to NHC $ 27,386 $ 15,177 $ 54,582 $ 24,143