Note 5 - Goodwill and Intangible Assets (Details Textual) - USD ($) $ in Thousands			3 Months Ended		6 Months Ended
	Mar. 01, 2025	Jan. 01, 2025	Jun. 30, 2025	Jun. 30, 2024	Jun. 30, 2025	Jun. 30, 2024	Mar. 31, 2025	Dec. 31, 2024
Goodwill			$ 969,824		$ 969,824			$ 970,558
Goodwill, Measurement Period Adjustment			(2,500)		(4,084)
Amortization of Intangible Assets			$ 2,000	$ 1,800	$ 4,000	$ 3,600
Finite-Lived Intangible Assets, Remaining Amortization Period (Year)			9 years 5 months 12 days		9 years 5 months 12 days
Proceeds from Previous Acquisition					$ 2,937	$ 0
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			1 year		1 year
Minimum [Member] | Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			3 years		3 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			20 years		20 years
Maximum [Member] | Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)			15 years		15 years
Personal Care Segment [Member]
Goodwill			$ 442,108		$ 442,108			$ 442,526
Goodwill, Measurement Period Adjustment					(3,768)
Jacksonville Affiliate [Member]
Business Combination, Consideration Transferred		$ 800
Jacksonville Affiliate [Member] | Personal Care Segment [Member]
Goodwill		$ 800
Great Lakes Home Care Unlimited, LLC [Member]
Business Combination, Consideration Transferred	$ 2,600
Great Lakes Home Care Unlimited, LLC [Member] | Personal Care Segment [Member]
Goodwill							$ 2,600
Gentiva Acquisition [Member]
Proceeds from Previous Acquisition					$ 2,900