v3.26.1
Note 12 - Significant Payors - Revenue from External Customers by Products and Services (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Net service revenues $ 363,611 $ 337,708
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]    
Net service revenues $ 281,094 $ 258,286
Concentration Risk, Percentage 100.00% 100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | State, Local, and Other Governmental Programs [Member]    
Net service revenues $ 139,641 $ 132,904
Concentration Risk, Percentage 49.70% 51.50%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Managed Care Organizations [Member]    
Net service revenues $ 133,669 $ 117,007
Concentration Risk, Percentage 47.60% 45.30%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Commercial Insurance [Member]    
Net service revenues $ 1,106 $ 1,160
Concentration Risk, Percentage 0.40% 0.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Private Pay [Member]    
Net service revenues $ 6,227 $ 6,976
Concentration Risk, Percentage 2.20% 2.70%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Other [Member]    
Net service revenues $ 451 $ 239
Concentration Risk, Percentage 0.10% 0.10%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]    
Net service revenues $ 65,785 $ 61,437
Concentration Risk, Percentage 100.00% 100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Medicare [Member]    
Net service revenues $ 62,101 $ 56,788
Concentration Risk, Percentage 94.40% 92.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Managed Care Organizations [Member]    
Net service revenues $ 1,492 $ 2,028
Concentration Risk, Percentage 2.30% 3.30%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Commercial Insurance [Member]    
Net service revenues $ 1,810 $ 2,383
Concentration Risk, Percentage 2.80% 3.90%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Other [Member]    
Net service revenues $ 382 $ 238
Concentration Risk, Percentage 0.50% 0.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]    
Net service revenues $ 16,732 $ 17,985
Concentration Risk, Percentage 100.00% 100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Medicare [Member]    
Net service revenues $ 10,227 $ 12,576
Concentration Risk, Percentage 61.10% 69.90%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Managed Care Organizations [Member]    
Net service revenues $ 3,970 $ 3,810
Concentration Risk, Percentage 23.70% 21.20%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | State, Local, and Other Governmental Programs (Excluding Medicare) [Member]    
Net service revenues $ 2,046 $ 1,087
Concentration Risk, Percentage 12.20% 6.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Other [Member]    
Net service revenues $ 489 $ 512
Concentration Risk, Percentage 3.00% 2.90%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]    
Net service revenues $ 281,094 $ 258,286
Concentration Risk, Percentage 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | ILLINOIS    
Net service revenues $ 116,750 $ 111,414
Concentration Risk, Percentage 41.50% 43.10%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | NEW MEXICO    
Net service revenues $ 30,490 $ 28,305
Concentration Risk, Percentage 10.80% 11.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | TEXAS    
Net service revenues $ 57,390 $ 49,861
Concentration Risk, Percentage 20.40% 19.30%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | NEW YORK    
Net service revenues [1] $ 0 $ 273
Concentration Risk, Percentage [1] 0.00% 0.10%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | All Other States [Member]    
Net service revenues $ 76,464 $ 68,433
Concentration Risk, Percentage 27.30% 26.50%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]    
Net service revenues $ 65,785 $ 61,437
Concentration Risk, Percentage 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | ILLINOIS    
Net service revenues $ 14,339 $ 14,564
Concentration Risk, Percentage 21.80% 23.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | OHIO    
Net service revenues $ 26,466 $ 23,187
Concentration Risk, Percentage 40.20% 37.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | NEW MEXICO    
Net service revenues $ 7,871 $ 7,913
Concentration Risk, Percentage 12.00% 12.90%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | All Other States [Member]    
Net service revenues $ 17,109 $ 15,773
Concentration Risk, Percentage 26.00% 25.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]    
Net service revenues $ 16,732 $ 17,985
Concentration Risk, Percentage 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | ILLINOIS    
Net service revenues $ 1,309 $ 1,932
Concentration Risk, Percentage 7.90% 10.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | NEW MEXICO    
Net service revenues $ 8,539 $ 8,555
Concentration Risk, Percentage 51.00% 47.60%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | TENNESSEE    
Net service revenues $ 6,884 $ 7,498
Concentration Risk, Percentage 41.10% 41.70%
[1] As a result of changes and uncertainty in New York regarding the CDPAP, the Company determined that its New York personal care operations no longer fit its growth strategy and is divesting these operations. See Note 3 to the Notes to Unaudited Condensed Consolidated Financial Statements, Divestiture, for additional details regarding our divestiture.