Note 7 - Goodwill and Intangible Assets - Schedule of Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024
Goodwill, Balance	$ 970,558	$ 662,995
Additions for acquisitions	30,187	310,298
Adjustments to previously recorded goodwill	(4,049)	(2,735)
Goodwill, Balance	996,696	970,558
Hospice Segment [Member]
Goodwill, Balance	432,840	432,799
Additions for acquisitions	0	0
Adjustments to previously recorded goodwill	26	41
Goodwill, Balance	432,866	432,840
Personal Care Segment [Member]
Goodwill, Balance	442,526	153,276
Additions for acquisitions	30,187	292,204
Adjustments to previously recorded goodwill	(3,732)	(2,954)
Goodwill, Balance	468,981	442,526
Home Health Segment [Member]
Goodwill, Balance	95,192	76,920
Additions for acquisitions	0	18,094
Adjustments to previously recorded goodwill	(343)	178
Goodwill, Balance	$ 94,849	$ 95,192