| Segment Reporting [Table Text Block] |
| | | For the Three Months Ended June 30, 2026 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 295,995 | | | $ | 64,247 | | | $ | 17,175 | | | $ | 377,417 | |
| Direct service personnel | | | 209,890 | | | | 29,761 | | | | 9,203 | | | | 248,854 | |
| General and administrative salaries, wages and benefits | | | 19,490 | | | | 12,282 | | | | 3,600 | | | | 35,372 | |
| Other segment items (1) | | | 6,235 | | | | 10,099 | | | | 1,085 | | | | 17,419 | |
| Segment operating income | | | 60,380 | | | | 12,105 | | | | 3,287 | | | | 75,772 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 32,705 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 4,125 | |
| Interest income | | | | | | | | | | | | | | | (566 | ) |
| Interest expense | | | | | | | | | | | | | | | 1,724 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 37,784 | |
| | | For the Three Months Ended June 30, 2025 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 269,183 | | | $ | 62,212 | | | $ | 18,048 | | | $ | 349,443 | |
| Direct service personnel | | | 192,868 | | | | 26,177 | | | | 9,451 | | | | 228,496 | |
| General and administrative salaries, wages and benefits | | | 18,407 | | | | 11,448 | | | | 3,029 | | | | 32,884 | |
| Other segment items (1) | | | 6,268 | | | | 9,765 | | | | 1,186 | | | | 17,219 | |
| Segment operating income | | | 51,640 | | | | 14,822 | | | | 4,382 | | | | 70,844 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 34,044 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 3,913 | |
| Interest income | | | | | | | | | | | | | | | (583 | ) |
| Interest expense | | | | | | | | | | | | | | | 3,525 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 29,945 | |
| | | For the Six Months Ended June 30, 2026 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 577,089 | | | $ | 130,032 | | | $ | 33,907 | | | $ | 741,028 | |
| Direct service personnel | | | 412,762 | | | | 58,929 | | | | 18,037 | | | | 489,728 | |
| General and administrative salaries, wages and benefits | | | 38,788 | | | | 24,444 | | | | 7,198 | | | | 70,430 | |
| Other segment items (1) | | | 12,293 | | | | 19,902 | | | | 2,222 | | | | 34,417 | |
| Segment operating income | | | 113,246 | | | | 26,757 | | | | 6,450 | | | | 146,453 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 65,284 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 8,155 | |
| Interest income | | | | | | | | | | | | | | | (1,076 | ) |
| Interest expense | | | | | | | | | | | | | | | 3,875 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 70,215 | |
| | | For the Six Months Ended June 30, 2025 | |
| | | (Amounts in Thousands) | |
| | | Personal Care | | | Hospice | | | Home Health | | | Total | |
| Net service revenues | | $ | 527,469 | | | $ | 123,649 | | | $ | 36,033 | | | $ | 687,151 | |
| Direct service personnel | | | 379,518 | | | | 52,382 | | | | 19,864 | | | | 451,764 | |
| General and administrative salaries, wages and benefits | | | 36,647 | | | | 22,427 | | | | 6,308 | | | | 65,382 | |
| Other segment items (1) | | | 12,073 | | | | 19,401 | | | | 2,465 | | | | 33,939 | |
| Segment operating income | | | 99,231 | | | | 29,439 | | | | 7,396 | | | | 136,066 | |
| Segment reconciliation: | | | | | | | | | | | | | | | | |
| Items not allocated at segment level: | | | | | | | | | | | | | | | | |
| Other general and administrative expenses | | | | | | | | | | | | | | | 64,809 | |
| Depreciation and amortization | | | | | | | | | | | | | | | 7,856 | |
| Interest income | | | | | | | | | | | | | | | (1,085 | ) |
| Interest expense | | | | | | | | | | | | | | | 7,543 | |
| Income before income taxes | | | | | | | | | | | | | | $ | 56,943 | |
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