v3.26.1
Note 11 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Net service revenues $ 363,611 $ 337,708
Operating income 34,072 30,514
Depreciation and amortization 4,030 3,943
Interest income (510) (502)
Interest expense 2,151 4,018
Operating Segments [Member]    
Net service revenues 363,611 337,708
Direct service personnel 240,874 223,268
General and administrative salaries, wages and benefits 35,058 32,498
Other segment items 1 [1] 16,998 16,719
Operating income 70,681 65,223
Other general and administrative expenses 32,579 30,766
Depreciation and amortization 4,030 3,943
Interest income (510) (502)
Interest expense 2,151 4,018
Income before income taxes 32,431 26,998
Operating Segments [Member] | Personal Care [Member]    
Net service revenues 281,094 258,286
Direct service personnel 202,872 186,650
General and administrative salaries, wages and benefits 19,298 18,239
Other segment items 1 [1] 6,058 5,805
Operating income 52,866 47,592
Operating Segments [Member] | Hospice [Member]    
Net service revenues 65,785 61,437
Direct service personnel 29,168 26,205
General and administrative salaries, wages and benefits 12,162 10,980
Other segment items 1 [1] 9,803 9,635
Operating income 14,652 14,617
Operating Segments [Member] | Home Health [Member]    
Net service revenues 16,732 17,985
Direct service personnel 8,834 10,413
General and administrative salaries, wages and benefits 3,598 3,279
Other segment items 1 [1] 1,137 1,279
Operating income $ 3,163 $ 3,014
[1] Other segment items include other costs for direct service personnel, office expense, licenses & taxes, communication, medical director fees, travel and bad debt expense.