Note 11 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2025		Jun. 30, 2024		Jun. 30, 2025		Jun. 30, 2024
Net service revenues	$ 349,443		$ 286,922		$ 687,151		$ 567,668
Operating income	32,887		26,181		63,401		49,826
Depreciation and amortization	3,913		3,401		7,856		6,870
Interest income	(583)		(474)		(1,085)		(897)
Interest expense	3,525		2,114		7,543		4,872
Operating Segments [Member]
Net service revenues	349,443		286,922		687,151		567,668
Other segment items 1	17,219	[1]	16,458	[1]	33,939	[2]	31,527	[2]
Operating income	70,844		58,147		136,066		112,903
Other general and administrative expenses	34,044		28,565		64,809		56,207
Depreciation and amortization	3,913		3,401		7,856		6,870
Interest income	(583)		(474)		(1,085)		(897)
Interest expense	3,525		2,114		7,543		4,872
Income before income taxes	29,945		24,541		56,943		45,851
Operating Segments [Member] | Cost of Sales [Member]
Labor and Related Expense	228,496		186,737		451,764		372,757
Operating Segments [Member] | General and Administrative Expense [Member]
Labor and Related Expense	32,884		25,580		65,382		50,481
Operating Segments [Member] | Personal Care [Member]
Net service revenues	269,183		212,817		527,469		420,820
Other segment items 1	6,268	[1]	5,347	[1]	12,073	[2]	10,095	[2]
Operating income	51,640		43,089		99,231		83,111
Operating Segments [Member] | Personal Care [Member] | Cost of Sales [Member]
Labor and Related Expense	192,868		152,442		379,518		304,515
Operating Segments [Member] | Personal Care [Member] | General and Administrative Expense [Member]
Labor and Related Expense	18,407		11,939		36,647		23,099
Operating Segments [Member] | Hospice [Member]
Net service revenues	62,212		56,030		123,649		111,893
Other segment items 1	9,765	[1]	9,766	[1]	19,401	[2]	18,770	[2]
Operating income	14,822		12,834		29,439		26,291
Operating Segments [Member] | Hospice [Member] | Cost of Sales [Member]
Labor and Related Expense	26,177		23,465		52,382		46,789
Operating Segments [Member] | Hospice [Member] | General and Administrative Expense [Member]
Labor and Related Expense	11,448		9,965		22,427		20,043
Operating Segments [Member] | Home Health [Member]
Net service revenues	18,048		18,075		36,033		34,955
Other segment items 1	1,186	[1]	1,345	[1]	2,465	[2]	2,662	[2]
Operating income	4,382		2,224		7,396		3,501
Operating Segments [Member] | Home Health [Member] | Cost of Sales [Member]
Labor and Related Expense	9,451		10,830		19,864		21,453
Operating Segments [Member] | Home Health [Member] | General and Administrative Expense [Member]
Labor and Related Expense	$ 3,029		$ 3,676		$ 6,308		$ 7,339

[1] Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense.

[2] Other segment items include other costs for direct service personnel, office expense, licenses and taxes, communication, medical director fees, travel, and bad debt expense