| Segment Reporting [Table Text Block] |
| | | For the Three Months Ended March 31, 2026 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 281,094 | | | $ | 65,785 | | | $ | 16,732 | | | $ | 363,611 | |
| Direct service personnel | | | 202,872 | | | | 29,168 | | | | 8,834 | | | | 240,874 | |
| General and administrative salaries, wages and benefits | | | 19,298 | | | | 12,162 | | | | 3,598 | | | | 35,058 | |
| Other segment items 1 | | | 6,058 | | | | 9,803 | | | | 1,137 | | | | 16,998 | |
| Segment operating income | | | 52,866 | | | | 14,652 | | | | 3,163 | | | | 70,681 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 32,579 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 4,030 | |
| Interest income | | | | | | | | | | | | | | | (510 | ) |
| Interest expense | | | | | | | | | | | | | | | 2,151 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 32,431 | |
| | | For the Three Months Ended March 31, 2025 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 258,286 | | | $ | 61,437 | | | $ | 17,985 | | | $ | 337,708 | |
| Direct service personnel | | | 186,650 | | | | 26,205 | | | | 10,413 | | | | 223,268 | |
| General and administrative salaries, wages and benefits | | | 18,239 | | | | 10,980 | | | | 3,279 | | | | 32,498 | |
| Other segment items 1 | | | 5,805 | | | | 9,635 | | | | 1,279 | | | | 16,719 | |
| Segment operating income | | | 47,592 | | | | 14,617 | | | | 3,014 | | | | 65,223 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 30,766 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 3,943 | |
| Interest income | | | | | | | | | | | | | | | (502 | ) |
| Interest expense | | | | | | | | | | | | | | | 4,018 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 26,998 | |
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