Note 11 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($) $ in Thousands |
3 Months Ended | 6 Months Ended | ||||
|---|---|---|---|---|---|---|
Jun. 30, 2026 |
Jun. 30, 2025 |
Jun. 30, 2026 |
Jun. 30, 2025 |
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| Net service revenues | $ 377,417 | $ 349,443 | $ 741,028 | $ 687,151 | ||
| Operating income | 38,942 | 32,887 | 73,014 | 63,401 | ||
| Depreciation and amortization | 4,125 | 3,913 | 8,155 | 7,856 | ||
| Interest income | (566) | (583) | (1,076) | (1,085) | ||
| Interest expense | 1,724 | 3,525 | 3,875 | 7,543 | ||
| Operating Segments [Member] | ||||||
| Net service revenues | 377,417 | 349,443 | 741,028 | 687,151 | ||
| Direct service personnel | 248,854 | 228,496 | 489,728 | 451,764 | ||
| General and administrative salaries, wages and benefits | 35,372 | 32,884 | 70,430 | 65,382 | ||
| Other segment items (1) | [1] | 17,419 | 17,219 | 34,417 | 33,939 | |
| Operating income | 75,772 | 70,844 | 146,453 | 136,066 | ||
| Other general and administrative expenses | 32,705 | 34,044 | 65,284 | 64,809 | ||
| Depreciation and amortization | 4,125 | 3,913 | 8,155 | 7,856 | ||
| Interest income | (566) | (583) | (1,076) | (1,085) | ||
| Interest expense | 1,724 | 3,525 | 3,875 | 7,543 | ||
| Income before income taxes | 37,784 | 29,945 | 70,215 | 56,943 | ||
| Operating Segments [Member] | Personal Care [Member] | ||||||
| Net service revenues | 295,995 | 269,183 | 577,089 | 527,469 | ||
| Direct service personnel | 209,890 | 192,868 | 412,762 | 379,518 | ||
| General and administrative salaries, wages and benefits | 19,490 | 18,407 | 38,788 | 36,647 | ||
| Other segment items (1) | [1] | 6,235 | 6,268 | 12,293 | 12,073 | |
| Operating income | 60,380 | 51,640 | 113,246 | 99,231 | ||
| Operating Segments [Member] | Hospice [Member] | ||||||
| Net service revenues | 64,247 | 62,212 | 130,032 | 123,649 | ||
| Direct service personnel | 29,761 | 26,177 | 58,929 | 52,382 | ||
| General and administrative salaries, wages and benefits | 12,282 | 11,448 | 24,444 | 22,427 | ||
| Other segment items (1) | [1] | 10,099 | 9,765 | 19,902 | 19,401 | |
| Operating income | 12,105 | 14,822 | 26,757 | 29,439 | ||
| Operating Segments [Member] | Home Health [Member] | ||||||
| Net service revenues | 17,175 | 18,048 | 33,907 | 36,033 | ||
| Direct service personnel | 9,203 | 9,451 | 18,037 | 19,864 | ||
| General and administrative salaries, wages and benefits | 3,600 | 3,029 | 7,198 | 6,308 | ||
| Other segment items (1) | [1] | 1,085 | 1,186 | 2,222 | 2,465 | |
| Operating income | $ 3,287 | $ 4,382 | $ 6,450 | $ 7,396 | ||
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- Definition Cost of labor directly related to good produced and service rendered. Includes, but is not limited to, payroll cost and equity-based compensation. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition The current period expense charged against earnings on long-lived, physical assets not used in production, and which are not intended for resale, to allocate or recognize the cost of such assets over their useful lives; or to record the reduction in book value of an intangible asset over the benefit period of such asset; or to reflect consumption during the period of an asset that is not used in production. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount, before tax, of income (loss) attributable to parent. Includes, but is not limited to, income (loss) from continuing operations, discontinued operations and equity method investments. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of the cost of borrowed funds accounted for as interest expense for debt. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount before accretion (amortization) of purchase discount (premium) of interest income on nonoperating securities. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of expense for salary, wage, profit sharing; incentive and equity-based compensation; and other employee benefit. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition The net result for the period of deducting operating expenses from operating revenues. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition Amount of selling, general and administrative expense classified as other. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of other expense (income) and loss (gain) calculated as difference between segment revenue and separately disclosed expense category to arrive at segment profit (loss). Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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