v3.26.1
Note 12 - Significant Payors - Revenue from External Customers by Products and Services (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Net service revenues $ 377,417 $ 349,443 $ 741,028 $ 687,151
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]        
Net service revenues $ 295,995 $ 269,183 $ 577,089 $ 527,469
Concentration Risk, Percentage 100.00% 100.00% 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 $ 148,822 $ 138,506 $ 288,457 $ 271,410
Concentration Risk, Percentage 50.30% 51.40% 50.00% 51.40%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Managed Care Organizations [Member]        
Net service revenues $ 139,285 $ 121,900 $ 272,959 $ 238,907
Concentration Risk, Percentage 47.10% 45.30% 47.30% 45.30%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Commercial Insurance [Member]        
Net service revenues $ 1,189 $ 1,334 $ 2,295 $ 2,494
Concentration Risk, Percentage 0.40% 0.50% 0.40% 0.50%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | Private Pay [Member]        
Net service revenues $ 6,494 $ 7,292 $ 12,721 $ 14,268
Concentration Risk, Percentage 2.20% 2.70% 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 $ 205 $ 151 $ 657 $ 390
Concentration Risk, Percentage 0.00% 0.10% 0.10% 0.10%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]        
Net service revenues $ 64,247 $ 62,212 $ 130,032 $ 123,649
Concentration Risk, Percentage 100.00% 100.00% 100.00% 100.00%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Medicare [Member]        
Net service revenues $ 60,020 $ 57,846 $ 122,111 $ 114,638
Concentration Risk, Percentage 93.40% 93.00% 93.90% 92.70%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Managed Care Organizations [Member]        
Net service revenues $ 1,920 $ 2,001 $ 3,420 $ 4,029
Concentration Risk, Percentage 3.00% 3.20% 2.60% 3.30%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Commercial Insurance [Member]        
Net service revenues $ 1,910 $ 1,997 $ 3,722 $ 4,375
Concentration Risk, Percentage 3.00% 3.20% 2.90% 3.50%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | Other [Member]        
Net service revenues $ 397 $ 368 $ 779 $ 607
Concentration Risk, Percentage 0.60% 0.60% 0.60% 0.50%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]        
Net service revenues $ 17,175 $ 18,048 $ 33,907 $ 36,033
Concentration Risk, Percentage 100.00% 100.00% 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 $ 10,903 $ 12,517 $ 21,128 $ 25,094
Concentration Risk, Percentage 63.50% 69.40% 62.30% 69.70%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Managed Care Organizations [Member]        
Net service revenues $ 4,414 $ 4,264 $ 8,381 $ 8,072
Concentration Risk, Percentage 25.70% 23.60% 24.70% 22.40%
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 $ 1,318 $ 796 $ 3,369 $ 1,884
Concentration Risk, Percentage 7.70% 4.40% 9.90% 5.20%
Customer Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | Other [Member]        
Net service revenues $ 540 $ 471 $ 1,029 $ 983
Concentration Risk, Percentage 3.10% 2.60% 3.10% 2.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member]        
Net service revenues $ 295,995 $ 269,183 $ 577,089 $ 527,469
Concentration Risk, Percentage 100.00% 100.00% 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | ILLINOIS        
Net service revenues $ 121,089 $ 115,226 $ 237,839 $ 226,640
Concentration Risk, Percentage 40.90% 42.80% 41.20% 43.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | NEW MEXICO        
Net service revenues $ 31,962 $ 28,987 $ 62,452 $ 57,292
Concentration Risk, Percentage 10.80% 10.80% 10.80% 10.90%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | TEXAS        
Net service revenues $ 59,139 $ 52,464 $ 116,529 $ 102,324
Concentration Risk, Percentage 20.00% 19.50% 20.20% 19.40%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Personal Care Segment [Member] | All Other States [Member]        
Net service revenues $ 83,805 $ 72,506 $ 160,269 $ 141,213
Concentration Risk, Percentage 28.30% 26.90% 27.80% 26.70%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member]        
Net service revenues $ 64,247 $ 62,212 $ 130,032 $ 123,649
Concentration Risk, Percentage 100.00% 100.00% 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | ILLINOIS        
Net service revenues $ 13,708 $ 14,419 $ 28,047 $ 28,983
Concentration Risk, Percentage 21.30% 23.20% 21.60% 23.40%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | OHIO        
Net service revenues $ 24,207 $ 23,204 $ 50,674 $ 46,391
Concentration Risk, Percentage 37.70% 37.30% 39.00% 37.50%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | NEW MEXICO        
Net service revenues $ 8,475 $ 8,184 $ 16,346 $ 16,097
Concentration Risk, Percentage 13.20% 13.20% 12.60% 13.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Hospice Segment [Member] | All Other States [Member]        
Net service revenues $ 17,857 $ 16,405 $ 34,965 $ 32,178
Concentration Risk, Percentage 27.80% 26.30% 26.80% 26.10%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member]        
Net service revenues $ 17,175 $ 18,048 $ 33,907 $ 36,033
Concentration Risk, Percentage 100.00% 100.00% 100.00% 100.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | ILLINOIS        
Net service revenues $ 1,476 $ 1,989 $ 2,785 $ 3,921
Concentration Risk, Percentage 8.60% 11.00% 8.20% 10.90%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | NEW MEXICO        
Net service revenues $ 9,166 $ 8,737 $ 17,705 $ 17,292
Concentration Risk, Percentage 53.40% 48.40% 52.20% 48.00%
Geographic Concentration Risk [Member] | Revenue from Contract with Customer, Segment Benchmark [Member] | Home Health Segment [Member] | TENNESSEE        
Net service revenues $ 6,533 $ 7,322 $ 13,417 $ 14,820
Concentration Risk, Percentage 38.00% 40.60% 39.60% 41.10%