Note 4 - Acquisition (Details Textual) - USD ($) $ in Thousands									12 Months Ended
	Oct. 01, 2025	Aug. 01, 2025	Mar. 01, 2025	Jan. 01, 2025	Dec. 02, 2024	Mar. 09, 2024	Aug. 01, 2023	Jan. 01, 2023	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Proceeds from Previous Acquisition									$ 2,937	$ 0	$ 0
Proceeds from Lines of Credit									11,335	233,000	110,000
Goodwill									996,696	970,558	662,995
Personal Care Segment [Member]
Goodwill									468,981	442,526	153,276
Helping Hands Home Care Service, Inc. [Member]
Business Combination, Consideration Transferred		$ 21,400
Business Combination, Acquisition-Related Cost, Expense									900
Business Combination, Integration-Related Cost, Expense									300
Business Combination, Acquiree's Revenue since Acquisition Date, Actual									7,200
Business Combination, Acquiree's Earnings (Loss) since Acquisition Date, Actual									800
Goodwill		19,022
Helping Hands Home Care Service, Inc. [Member] | State Licenses [Member]
Finite-Lived Intangible Assets Acquired		$ 1,200							1,200
Gentiva Acquisition [Member]
Business Combination, Consideration Transferred					$ 353,600
Business Combination, Acquisition-Related Cost, Expense										10,800
Business Combination, Integration-Related Cost, Expense										1,000
Business Combination, Acquiree's Revenue since Acquisition Date, Actual										22,600
Business Combination, Acquiree's Earnings (Loss) since Acquisition Date, Actual										$ 3,100
Proceeds from Previous Acquisition									$ 2,900
Goodwill					309,898
Gentiva Acquisition [Member] | State Licenses [Member]
Indefinite-Lived Intangible Assets Acquired					700
Gentiva Acquisition [Member] | Revolving Credit Facility [Member]
Proceeds from Lines of Credit					233,000
Gentiva Acquisition [Member] | State Licenses [Member]
Finite-Lived Intangible Assets Acquired					23,000
Gentiva Acquisition [Member] | Trade Names [Member]
Finite-Lived Intangible Assets Acquired					$ 4,900
Tennessee Quality Care [Member]
Business Combination, Consideration Transferred							$ 111,200
Business Combination, Acquisition-Related Cost, Expense											2,100
Business Combination, Integration-Related Cost, Expense											1,000
Business Combination, Acquiree's Revenue since Acquisition Date, Actual											16,300
Business Combination, Acquiree's Earnings (Loss) since Acquisition Date, Actual											$ 3,000
Cash Acquired from Acquisition							2,400
Goodwill							79,346
Tennessee Quality Care [Member] | State Licenses [Member]
Indefinite-Lived Intangible Assets Acquired							19,200
Tennessee Quality Care [Member] | Revolving Credit Facility [Member]
Proceeds from Lines of Credit							110,000
Tennessee Quality Care [Member] | Trade Names [Member]
Finite-Lived Intangible Assets Acquired							$ 7,500
Gold Horses, LLC [Member]
Business Combination, Consideration Transferred	$ 7,400
Gold Horses, LLC [Member] | Personal Care Segment [Member]
Goodwill	$ 7,400
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
Jacksonville Affiliate [Member]
Business Combination, Consideration Transferred				$ 800
Jacksonville Affiliate [Member] | Personal Care Segment [Member]
Goodwill				$ 800
Upstate Home Care Solutions [Member]
Business Combination, Consideration Transferred						$ 400
CareStaff [Member]
Business Combination, Consideration Transferred								$ 1,000
CareStaff [Member] | Personal Care Segment [Member]
Goodwill								$ 600