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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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