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Note 11 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2025 | Jun. 30, 2024 | Jun. 30, 2025 | Jun. 30, 2024
Net service revenues | $ 349,443 |  | $ 286,922 |  | $ 687,151 |  | $ 567,668 |
Operating income | 32,887 |  | 26,181 |  | 63,401 |  | 49,826 |
Depreciation and amortization | 3,913 |  | 3,401 |  | 7,856 |  | 6,870 |
Interest income | (583) |  | (474) |  | (1,085) |  | (897) |
Interest expense | 3,525 |  | 2,114 |  | 7,543 |  | 4,872 |
Operating Segments [Member] |  |  |  |  |  |  |  |
Net service revenues | 349,443 |  | 286,922 |  | 687,151 |  | 567,668 |
Other segment items 1 | 17,219 | [1] | 16,458 | [1] | 33,939 | [2] | 31,527 | [2]
Operating income | 70,844 |  | 58,147 |  | 136,066 |  | 112,903 |
Other general and administrative expenses | 34,044 |  | 28,565 |  | 64,809 |  | 56,207 |
Depreciation and amortization | 3,913 |  | 3,401 |  | 7,856 |  | 6,870 |
Interest income | (583) |  | (474) |  | (1,085) |  | (897) |
Interest expense | 3,525 |  | 2,114 |  | 7,543 |  | 4,872 |
Income before income taxes | 29,945 |  | 24,541 |  | 56,943 |  | 45,851 |
Operating Segments [Member] | Cost of Sales [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 228,496 |  | 186,737 |  | 451,764 |  | 372,757 |
Operating Segments [Member] | General and Administrative Expense [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 32,884 |  | 25,580 |  | 65,382 |  | 50,481 |
Operating Segments [Member] | Personal Care [Member] |  |  |  |  |  |  |  |
Net service revenues | 269,183 |  | 212,817 |  | 527,469 |  | 420,820 |
Other segment items 1 | 6,268 | [1] | 5,347 | [1] | 12,073 | [2] | 10,095 | [2]
Operating income | 51,640 |  | 43,089 |  | 99,231 |  | 83,111 |
Operating Segments [Member] | Personal Care [Member] | Cost of Sales [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 192,868 |  | 152,442 |  | 379,518 |  | 304,515 |
Operating Segments [Member] | Personal Care [Member] | General and Administrative Expense [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 18,407 |  | 11,939 |  | 36,647 |  | 23,099 |
Operating Segments [Member] | Hospice [Member] |  |  |  |  |  |  |  |
Net service revenues | 62,212 |  | 56,030 |  | 123,649 |  | 111,893 |
Other segment items 1 | 9,765 | [1] | 9,766 | [1] | 19,401 | [2] | 18,770 | [2]
Operating income | 14,822 |  | 12,834 |  | 29,439 |  | 26,291 |
Operating Segments [Member] | Hospice [Member] | Cost of Sales [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 26,177 |  | 23,465 |  | 52,382 |  | 46,789 |
Operating Segments [Member] | Hospice [Member] | General and Administrative Expense [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 11,448 |  | 9,965 |  | 22,427 |  | 20,043 |
Operating Segments [Member] | Home Health [Member] |  |  |  |  |  |  |  |
Net service revenues | 18,048 |  | 18,075 |  | 36,033 |  | 34,955 |
Other segment items 1 | 1,186 | [1] | 1,345 | [1] | 2,465 | [2] | 2,662 | [2]
Operating income | 4,382 |  | 2,224 |  | 7,396 |  | 3,501 |
Operating Segments [Member] | Home Health [Member] | Cost of Sales [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | 9,451 |  | 10,830 |  | 19,864 |  | 21,453 |
Operating Segments [Member] | Home Health [Member] | General and Administrative Expense [Member] |  |  |  |  |  |  |  |
Labor and Related Expense | $ 3,029 |  | $ 3,676 |  | $ 6,308 |  | $ 7,339 |
[1] | Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense.
[2] | Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense

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