Note 14 - Segment Information - Schedule of Segment Reporting Information, by Segment (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Net service revenues		$ 1,422,530	$ 1,154,599	$ 1,058,651
Operating income		138,615	102,691	90,956
Depreciation and amortization		16,412	13,530	14,126
Interest income		(2,442)	(4,394)	(1,476)
Interest expense		13,612	7,732	11,106
Operating Segments [Member]
Net service revenues		1,422,530	1,154,599	1,058,651
Other segment items (1)	[1]	69,627	63,394	58,071
Operating income		287,066	234,082	209,394
Other general and administrative expenses		132,039	117,861	104,312
Depreciation and amortization		16,412	13,530	14,126
Interest income		(2,442)	(4,394)	(1,476)
Interest expense		13,612	7,732	11,106
Income before income taxes		127,445	99,353	81,326
Operating Segments [Member] | Cost of Sales [Member]
Labor and Related Expense		932,198	752,919	693,540
Operating Segments [Member] | General and Administrative Expense [Member]
Labor and Related Expense		133,639	104,204	97,646
Operating Segments [Member] | Personal Care [Member]
Net service revenues		1,089,215	856,581	794,718
Other segment items (1)	[1]	24,752	20,719	18,442
Operating income		207,201	174,217	157,529
Operating Segments [Member] | Personal Care [Member] | Cost of Sales [Member]
Labor and Related Expense		783,101	613,160	571,445
Operating Segments [Member] | Personal Care [Member] | General and Administrative Expense [Member]
Labor and Related Expense		74,161	48,485	47,302
Operating Segments [Member] | Hospice [Member]
Net service revenues		262,542	228,191	207,155
Other segment items (1)	[1]	39,741	37,762	35,608
Operating income		67,414	51,931	44,853
Operating Segments [Member] | Hospice [Member] | Cost of Sales [Member]
Labor and Related Expense		109,389	97,128	87,851
Operating Segments [Member] | Hospice [Member] | General and Administrative Expense [Member]
Labor and Related Expense		45,998	41,370	38,843
Operating Segments [Member] | Home Health [Member]
Net service revenues		70,773	69,827	56,778
Other segment items (1)	[1]	5,134	4,913	4,021
Operating income		12,451	7,934	7,012
Operating Segments [Member] | Home Health [Member] | Cost of Sales [Member]
Labor and Related Expense		39,708	42,631	34,244
Operating Segments [Member] | Home Health [Member] | General and Administrative Expense [Member]
Labor and Related Expense		$ 13,480	$ 14,349	$ 11,501

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