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Note 6 - Goodwill and Intangible Assets (Details Textual) - USD ($) $ in Thousands |  |  |  | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | --- | --- | --- | ---
Aug. 01, 2025 | Mar. 01, 2025 | Jan. 01, 2025 | Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Mar. 31, 2025 | Dec. 31, 2024
Goodwill |  |  |  | $ 988,553 |  | $ 988,553 |  |  | $ 970,558
Goodwill, Measurement Period Adjustment |  |  |  | (300) |  | (4,412) |  |  |
Proceeds from Previous Acquisition |  |  |  |  |  | 2,937 | $ 0 |  |
Amortization of Intangible Assets |  |  |  | $ 2,400 | $ 1,800 | $ 6,400 | $ 5,400 |  |
Finite-Lived Intangible Assets, Remaining Amortization Period (Year) |  |  |  | 9 years 3 months 10 days |  | 9 years 3 months 10 days |  |  |
Minimum [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  | 1 year |  | 1 year |  |  |
Minimum [Member] | Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  | 3 years |  | 3 years |  |  |
Maximum [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  | 20 years |  | 20 years |  |  |
Maximum [Member] | Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  | 15 years |  | 15 years |  |  |
Personal Care Segment [Member] |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | $ 460,837 |  | $ 460,837 |  |  | $ 442,526
Goodwill, Measurement Period Adjustment |  |  |  |  |  | (4,096) |  |  |
Jacksonville Affiliate [Member] |  |  |  |  |  |  |  |  |
Business Combination, Consideration Transferred |  |  | $ 800 |  |  |  |  |  |
Jacksonville Affiliate [Member] | Personal Care Segment [Member] |  |  |  |  |  |  |  |  |
Goodwill |  |  | $ 800 |  |  |  |  |  |
Great Lakes Home Care Unlimited, LLC [Member] |  |  |  |  |  |  |  |  |
Business Combination, Consideration Transferred |  | $ 2,600 |  |  |  |  |  |  |
Great Lakes Home Care Unlimited, LLC [Member] | Personal Care Segment [Member] |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  |  |  |  | $ 2,600 |
Helping Hands Home Care Service, Inc. [Member] |  |  |  |  |  |  |  |  |
Business Combination, Consideration Transferred | $ 21,400 |  |  |  |  |  |  |  |
Goodwill | 19,022 |  |  |  |  |  |  |  |
Helping Hands Home Care Service, Inc. [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets Acquired | $ 1,200 |  |  |  |  |  |  |  |
Helping Hands Home Care Service, Inc. [Member] | Personal Care Segment [Member] |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | $ 19,100 |  | 19,100 |  |  |
Helping Hands Home Care Service, Inc. [Member] | Personal Care Segment [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Assets Acquired |  |  |  |  |  | 1,200 |  |  |
Gentiva Acquisition [Member] |  |  |  |  |  |  |  |  |
Proceeds from Previous Acquisition |  |  |  |  |  | $ 2,900 |  |  |

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