| Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] |
| | | Three Months Ended June 30 | | | Six Months Ended June 30 | |
| | | 2026 | | | 2025 | | | 2026 | | | 2025 | |
| Basic: | | | | | | | | | | | | | | | | |
| Weighted average common shares outstanding | | | 15,617,655 | | | | 15,462,135 | | | | 15,579,854 | | | | 15,450,286 | |
| Net income attributable to National HealthCare Corporation | | $ | 40,319 | | | $ | 23,722 | | | $ | 76,176 | | | $ | 55,927 | |
| Earnings per common share, basic | | $ | 2.58 | | | $ | 1.53 | | | $ | 4.89 | | | $ | 3.62 | |
| | | | | | | | | | | | | | | | | |
| Diluted: | | | | | | | | | | | | | | | | |
| Weighted average common shares outstanding | | | 15,617,655 | | | | 15,462,135 | | | | 15,579,854 | | | | 15,450,286 | |
| Effects of dilutive instruments | | | 246,674 | | | | 137,503 | | | | 237,792 | | | | 137,497 | |
| Weighted average common shares outstanding | | | 15,864,329 | | | | 15,599,638 | | | | 15,817,646 | | | | 15,587,783 | |
| | | | | | | | | | | | | | | | | |
| Net income attributable to National HealthCare Corporation | | $ | 40,319 | | | $ | 23,722 | | | $ | 76,176 | | | $ | 55,927 | |
| Earnings per common share, diluted | | $ | 2.54 | | | $ | 1.52 | | | $ | 4.82 | | | $ | 3.59 | |
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