Segment Information (Tables)

12 Months Ended

Dec. 31, 2025

Segment Reporting [Abstract]

Schedule of Segment Information

The following tables provide profit information disaggregated by the Company’s reportable segments for each of the years ended December 31, 2025, 2024, and 2023:

	Year Ended December 31, 2025
	EVS			Dietary			Total
	(in thousands, except for percentages)
Revenues	$	824,681		$	1,012,492		$	1,837,173
Significant Segment Expenses
Labor and labor-related1	645,335			595,419
Food, chemicals and supplies	59,150			312,728
Bad debt expense	29,096			53,983
Depreciation and amortization expense	4,467			3,716
Other segment items2	14,382			21,626
Segment profit	$	72,251		$	25,020		$	97,271
Segment margin	8.8		%	2.5		%
Unallocated expenses (income)
ERC refunds3							$	(34,239)
Corporate expenses4							75,710
Gain on deferred compensation plan investments							7,261
Other (income), net							(20,907)
Interest expense							1,580
Income before income taxes							$	67,866

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expenses), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.ERC refunds were excluded from segment results for each segment as the credits were related to services provided in previous years and not indicative of current period segment performance, as reviewed by the CODM.

4.Represents selling, general and administrative expenses less the amounts allocated to segments for labor and benefits.

	Year Ended December 31, 2024
	EVS			Dietary			Total
	(in thousands, except for percentages)
Revenues	$	765,368		$	950,314		$	1,715,682
Significant Segment Expenses
Labor and labor-related1	600,198			537,446
Food, chemicals and supplies	56,504			308,859
Bad debt expense	14,101			32,659
Depreciation and amortization expense	3,701			2,856
Other segment items2	15,454			22,473
Segment profit	$	75,410		$	46,021		$	121,431
Segment margin	9.9		%	4.8		%
Unallocated expenses (income)
Corporate expenses3							$	68,160
Gain on deferred compensation plan investments							8,241
Other (income), net							(14,349)
Interest expense							6,438
Income before income taxes							$	52,941

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expenses), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.Represents selling, general and administrative expenses less the amounts allocated to segments for labor and benefits.

	Year Ended December 31, 2023
	EVS			Dietary			Total
	(in thousands, except for percentages)
Revenues	$	766,651		$	904,738		$	1,671,389
Significant Segment Expenses
Labor and labor-related1	599,881			522,052
Food, chemicals and supplies	58,627			294,690
Bad debt expense	17,557			18,046
Depreciation and amortization	3,664			3,779
Other segment items2	14,907			21,446
Segment profit	$	72,015		$	44,725		$	116,740
Segment margin	9.4		%	4.9		%
Unallocated expenses (income)
Corporate expenses3							$	62,082
Gain on deferred compensation plan investments							6,684
Other (income), net							(12,938)
Interest expense							7,856
Income before income taxes							$	53,056

1.Includes direct labor costs, field management costs (including certain costs included in selling, general and administrative expenses), employer taxes, workers' compensation and general liability insurance.

2.Includes expenses for technology, employment advertising, travel & entertainment, professional services and various other less significant expense items.

3.Represents selling, general and administrative expenses less the amounts allocated to segments for labor and benefits.

The following table provides capital expenditures disaggregated by the Company’s reportable segments for each of the years ended December 31, 2025, 2024, and 2023:

	Year Ended December 31,
	2025		2024		2023
	(in thousands)
Capital expenditures
EVS	$	4,526	$	5,166	$	4,684
Dietary	879		936		494
Corporate overhead	413		234		228
Consolidated	$	5,818	$	6,336	$	5,406