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Note 12 - Segment Information | 9 Months Ended
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Sep. 30, 2025
Notes to Financial Statements |
Segment Reporting Disclosure [Text Block] | 12. Segment Information Operating segments are defined as components of a company that engage in business activities from which it may earn revenues and incur expenses, and for which separate financial information is available and is regularly reviewed by the Company’s CODM. The Company identifies its Chief Executive Officer and Chief Operating Officer together as CODMs to assess the performance of the individual segments and make decisions about resources to be allocated to the segments. The Company operates as a multi-state provider of three business segments providing in-home services. In its personal care segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill or disabled. In its hospice segment, the Company provides physical, emotional, and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who may require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational, and speech therapy. The Company’s method for measuring profitability on each reportable segment basis is the same as those described in the summary of significant accounting policies and its CODMs frequently review the actual result to budget variance to allocate resources to the segment and assess its performance. Segment operating income consists of revenue generated by a segment, less the direct costs of service revenues and general and administrative expenses that are incurred directly by the segment. Unallocated general and administrative costs are those costs for functions performed in a centralized manner and therefore not attributable to a particular segment. These costs include accounting, finance, human resources, legal, information technology, corporate office support and facility costs and overall corporate management. The CODMs do not review disaggregated assets by segment. The measure of segment assets is reported on the balance sheet as total consolidated assets. The tables below set forth information about the Company’s reportable segments, along with the items necessary to reconcile the segment information to the totals reported in the accompanying Unaudited Condensed Consolidated Financial Statements.
|  | For the Three Months Ended September 30, 2025 |
|  | (Amounts in Thousands) |
|  | Personal Care |  |  | Hospice |  |  | Home Health |  |  | Total |
Net service revenues |  | $ | 275,770 |  |  | $ | 68,891 |  |  | $ | 17,640 |  |  | $ | 362,301 |
Direct service personnel |  |  | 199,656 |  |  |  | 28,287 |  |  |  | 10,155 |  |  |  | 238,098 |
General and administrative salaries, wages and benefits |  |  | 18,629 |  |  |  | 11,658 |  |  |  | 3,538 |  |  |  | 33,825 |
Other segment items 1 |  |  | 6,395 |  |  |  | 10,131 |  |  |  | 1,400 |  |  |  | 17,926 |
Segment operating income |  |  | 51,090 |  |  |  | 18,815 |  |  |  | 2,547 |  |  |  | 72,452 |
Segment reconciliation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Items not allocated at segment level: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other general and administrative expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35,107 |
Depreciation and amortization |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 4,408 |
Interest income |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (760 | )
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3,343 |
Income before income taxes |  |  |  |  |  |  |  |  |  |  |  |  |  | $ | 30,354 |
| (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.
|  | For the Three Months Ended September 30, 2024 |
|  | (Amounts in Thousands) |
|  | Personal Care |  |  | Hospice |  |  | Home Health |  |  | Total |
Net service revenues |  | $ | 215,433 |  |  | $ | 57,309 |  |  | $ | 17,045 |  |  | $ | 289,787 |
Direct service personnel |  |  | 156,072 |  |  |  | 24,791 |  |  |  | 10,513 |  |  |  | 191,376 |
General and administrative salaries, wages and benefits |  |  | 11,949 |  |  |  | 10,556 |  |  |  | 3,553 |  |  |  | 26,058 |
Other segment items 1 |  |  | 5,741 |  |  |  | 9,192 |  |  |  | 1,113 |  |  |  | 16,046 |
Segment operating income |  |  | 41,671 |  |  |  | 12,770 |  |  |  | 1,866 |  |  |  | 56,307 |
Segment reconciliation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Items not allocated at segment level: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other general and administrative expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 26,908 |
Depreciation and amortization |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3,446 |
Interest income |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (1,908 | )
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 573 |
Income before income taxes |  |  |  |  |  |  |  |  |  |  |  |  |  | $ | 27,288 |
| (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.
|  | For the Nine Months Ended September 30, 2025 |
|  | (Amounts in Thousands) |
|  | Personal Care |  |  | Hospice |  |  | Home Health |  |  | Total |
Net service revenues |  | $ | 803,238 |  |  | $ | 192,540 |  |  | $ | 53,674 |  |  | $ | 1,049,452 |
Direct service personnel |  |  | 579,174 |  |  |  | 80,670 |  |  |  | 30,019 |  |  |  | 689,863 |
General and administrative salaries, wages and benefits |  |  | 55,276 |  |  |  | 34,085 |  |  |  | 9,846 |  |  |  | 99,207 |
Other segment items 1 |  |  | 18,468 |  |  |  | 29,531 |  |  |  | 3,866 |  |  |  | 51,865 |
Segment operating income |  |  | 150,320 |  |  |  | 48,254 |  |  |  | 9,943 |  |  |  | 208,517 |
Segment reconciliation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Items not allocated at segment level: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other general and administrative expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 99,915 |
Depreciation and amortization |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 12,264 |
Interest income |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (1,845 | )
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,886 |
Income before income taxes |  |  |  |  |  |  |  |  |  |  |  |  |  | $ | 87,297 |
| (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
|  | For the Nine Months Ended September 30, 2024 |
|  | (Amounts in Thousands) |
|  | Personal Care |  |  | Hospice |  |  | Home Health |  |  | Total |
Net service revenues |  | $ | 636,253 |  |  | $ | 169,202 |  |  | $ | 52,000 |  |  | $ | 857,455 |
Direct service personnel |  |  | 460,587 |  |  |  | 71,580 |  |  |  | 31,967 |  |  |  | 564,134 |
General and administrative salaries, wages and benefits |  |  | 35,049 |  |  |  | 30,601 |  |  |  | 10,893 |  |  |  | 76,543 |
Other segment items 1 |  |  | 15,835 |  |  |  | 27,960 |  |  |  | 3,773 |  |  |  | 47,568 |
Segment operating income |  |  | 124,782 |  |  |  | 39,061 |  |  |  | 5,367 |  |  |  | 169,210 |
Segment reconciliation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Items not allocated at segment level: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Other general and administrative expenses |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 83,115 |
Depreciation and amortization |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,316 |
Interest income |  |  |  |  |  |  |  |  |  |  |  |  |  |  | (2,805 | )
Interest expense |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5,445 |
Income before income taxes |  |  |  |  |  |  |  |  |  |  |  |  |  | $ | 73,139 |
| (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.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-21 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name 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