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Note 12 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Net service revenues $ 362,301 $ 289,787 $ 1,049,452 $ 857,455
Operating income 32,937 25,953 96,338 75,779
Depreciation and amortization 4,408 3,446 12,264 10,316
Interest income (760) (1,908) (1,845) (2,805)
Interest expense 3,343 573 10,886 5,445
Operating Segments [Member]        
Net service revenues 362,301 289,787 1,049,452 857,455
Other segment items 1 17,926 [1] 16,046 [1] 51,865 [2] 47,568 [2]
Operating income 72,452 56,307 208,517 169,210
Other general and administrative expenses 35,107 26,908 99,915 83,115
Depreciation and amortization 4,408 3,446 12,264 10,316
Interest income (760) (1,908) (1,845) (2,805)
Interest expense 3,343 573 10,886 5,445
Income before income taxes 30,354 27,288 87,297 73,139
Operating Segments [Member] | Cost of Sales [Member]        
Labor and Related Expense 238,098 191,376 689,863 564,134
Operating Segments [Member] | General and Administrative Expense [Member]        
Labor and Related Expense 33,825 26,058 99,207 76,543
Operating Segments [Member] | Personal Care [Member]        
Net service revenues 275,770 215,433 803,238 636,253
Other segment items 1 6,395 [1] 5,741 [1] 18,468 [2] 15,835 [2]
Operating income 51,090 41,671 150,320 124,782
Operating Segments [Member] | Personal Care [Member] | Cost of Sales [Member]        
Labor and Related Expense 199,656 156,072 579,174 460,587
Operating Segments [Member] | Personal Care [Member] | General and Administrative Expense [Member]        
Labor and Related Expense 18,629 11,949 55,276 35,049
Operating Segments [Member] | Hospice [Member]        
Net service revenues 68,891 57,309 192,540 169,202
Other segment items 1 10,131 [1] 9,192 [1] 29,531 [2] 27,960 [2]
Operating income 18,815 12,770 48,254 39,061
Operating Segments [Member] | Hospice [Member] | Cost of Sales [Member]        
Labor and Related Expense 28,287 24,791 80,670 71,580
Operating Segments [Member] | Hospice [Member] | General and Administrative Expense [Member]        
Labor and Related Expense 11,658 10,556 34,085 30,601
Operating Segments [Member] | Home Health [Member]        
Net service revenues 17,640 17,045 53,674 52,000
Other segment items 1 1,400 [1] 1,113 [1] 3,866 [2] 3,773 [2]
Operating income 2,547 1,866 9,943 5,367
Operating Segments [Member] | Home Health [Member] | Cost of Sales [Member]        
Labor and Related Expense 10,155 10,513 30,019 31,967
Operating Segments [Member] | Home Health [Member] | General and Administrative Expense [Member]        
Labor and Related Expense $ 3,538 $ 3,553 $ 9,846 $ 10,893
[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