Note 15 - Significant Payors (Tables)

12 Months Ended

Dec. 31, 2025

Notes Tables

Revenue from External Customers by Products and Services [Table Text Block]

	Personal Care
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
State, local and other governmental programs	$	553,475		50.8	%	$	456,885		53.3	%	$	400,753		50.4	%
Managed care organizations		501,528		46.0			376,604		44.0			367,557		46.2
Private pay		27,871		2.6			15,589		1.8			16,268		2.0
Commercial insurance		5,609		0.5			5,593		0.7			6,321		0.8
Other		732		0.1			1,910		0.2			3,819		0.6
Total personal care segment net service revenues	$	1,089,215		100.0	%	$	856,581		100.0	%	$	794,718		100.0	%

	Hospice
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	244,344		93.1	%	$	208,099		91.2	%	$	186,317		89.9	%
Commercial insurance		8,558		3.3			11,744		5.2			12,385		6.0
Managed care organizations		8,155		3.1			7,603		3.3			7,037		3.4
Other		1,485		0.5			745		0.3			1,416		0.7
Total hospice segment net service revenues	$	262,542		100.0	%	$	228,191		100.0	%	$	207,155		100.0	%

	Home Health
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Medicare	$	47,701		67.4	%	$	48,562		69.5	%	$	41,078		72.3	%
Managed care organizations		17,010		24.0			17,603		25.2			12,613		22.2
State, local and other governmental programs (excluding Medicare)		4,001		5.7			639		1.0			440		0.8
Other		2,061		2.9			3,023		4.3			2,647		4.7
Total home health segment net service revenues	$	70,773		100.0	%	$	69,827		100.0	%	$	56,778		100.0	%

	Personal Care
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Illinois	$	458,828		42.1	%	$	441,012		51.5	%	$	411,081		51.7	%
Texas		216,712		19.9			17,936		2.0			—		—
New Mexico		118,588		10.9			115,381		13.5			115,986		14.6
New York (1)		—		—			71,763		8.4			92,469		11.6
All other states		295,087		27.1			210,489		24.6			175,182		22.1
Total personal care segment net service revenues	$	1,089,215		100.0	%	$	856,581		100.0	%	$	794,718		100.0	%

	Hospice
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
Ohio	$	101,833		38.8	%	$	84,811		37.2	%	$	74,871		36.1	%
New Mexico		32,865		12.5			28,532		12.5			30,782		14.9
Illinois		60,427		23.0			52,560		23.0			47,247		22.8
All other states		67,417		25.7			62,288		27.3			54,255		26.2
Total hospice segment net service revenues	$	262,542		100.0	%	$	228,191		100.0	%	$	207,155		100.0	%

	Home Health
	For the Years Ended December 31,
	2025					2024					2023
	Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues			Amount (in Thousands)		% of Segment Net Service Revenues
New Mexico	$	34,724		49.1	%	$	32,766		46.9	%	$	32,949		58.0	%
Tennessee		28,209		39.9			26,497		38.0			10,978		19.4
Illinois		7,171		10.1			10,564		15.1			12,851		22.6
All other states		669		0.9			—		—			—		—
Total home health segment net service revenues	$	70,773		100.0	%	$	69,827		100.0	%	$	56,778		100.0	%