100000 - Document - Document And Entity Information
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100010 - Statement - Consolidated Balance Sheets
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100020 - Statement - Consolidated Balance Sheets (Parenthetical)
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100030 - Statement - Consolidated Statements of Income
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100040 - Statement - Consolidated Statements of Stockholders' Equity
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100050 - Statement - Consolidated Statements of Cash Flows
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995455 - Disclosure - Cybersecurity Risk Management, Strategy and Governance
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995465 - Disclosure - Significant Accounting Policies
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995475 - Disclosure - Leases
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995485 - Disclosure - Public Offering
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995495 - Disclosure - Acquisition
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995505 - Disclosure - Divestiture
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995515 - Disclosure - Property and Equipment
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995525 - Disclosure - Goodwill and Intangible Assets
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995535 - Disclosure - Details of Certain Balance Sheet Accounts
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995545 - Disclosure - Long-Term Debt
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995555 - Disclosure - Income Taxes
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995565 - Disclosure - Stock Options And Restricted Stock Awards
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995575 - Disclosure - Employee Benefit Plans
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995585 - Disclosure - Commitments and Contingencies
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995595 - Disclosure - Segment Information
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995605 - Disclosure - Significant Payors
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995615 - Disclosure - Concentration of Cash
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995625 - Disclosure - ARPA Spending Plans
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995635 - Disclosure - Subsequent Events
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995645 - Disclosure - Significant Accounting Policies (Policies)
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995655 - Disclosure - Significant Accounting Policies (Tables)
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995665 - Disclosure - Leases (Tables)
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995675 - Disclosure - Acquisition (Tables)
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995685 - Disclosure - Divestiture (Tables)
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995695 - Disclosure - Property and Equipment (Tables)
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995705 - Disclosure - Goodwill and Intangible Assets (Tables)
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995715 - Disclosure - Details of Certain Balance Sheet Accounts (Tables)
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995725 - Disclosure - Long-Term Debt (Tables)
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995735 - Disclosure - Income Taxes (Tables)
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995745 - Disclosure - Stock Options And Restricted Stock Awards (Tables)
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995755 - Disclosure - Segment Information (Tables)
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995765 - Disclosure - Significant Payors (Tables)
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995775 - Disclosure - Government Actions to Mitigate COVID-19's Impact (Tables)
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995785 - Disclosure - Significant Accounting Policies (Narrative) (Details)
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995795 - Disclosure - Significant Accounting Policies (Activity in Allowance for Credit Losses) (Details)
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995805 - Disclosure - Leases (Summary of Remaining Operating Lease Payments) (Details) 2
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995815 - Disclosure - Significant Accounting Policies (Estimated Useful Lives of Property and Equipment) (Details)
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995825 - Disclosure - Leases (Amounts Reported on Consolidated Balance Sheets for Operating Leases) (Details)
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995835 - Disclosure - Leases (Components of Lease Costs Reported in General and Administrative Expenses in Consolidated Statements of Income) (Details)
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995845 - Disclosure - Leases (Schedule of Weighted Average Remaining Lease Terms and Discount Rates) (Details)
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995855 - Disclosure - Leases (Summary of Remaining Operating Lease Payments) (Details)
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995865 - Disclosure - Leases (Supplemental Cash Flow Information) (Details)
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995875 - Disclosure - Leases (Narrative) (Details)
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995885 - Disclosure - Public Offering (Narrative) (Details)
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995895 - Disclosure - Acquisition (Narrative) (Details)
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995905 - Disclosure - Acquisition (Schedule of Fair Values of Assets and Liabilities) (Details)
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995915 - Disclosure - Acquisition (Unaudited Pro Forma Consolidated Income Statement Information) (Details)
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995925 - Disclosure - Divestiture (Narrative) (Details)
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995935 - Disclosure - Divestiture (Schedule of Carrying Amounts of Assets and Liabilities) (Details)
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995945 - Disclosure - Property and Equipment (Schedule of Property and Equipment) (Details)
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995955 - Disclosure - Property and Equipment (Narrative) (Details)
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995965 - Disclosure - Goodwill and Intangible Assets (Summary of Goodwill by Segment and Related Adjustments) (Details)
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995975 - Disclosure - Goodwill and Intangible Assets (Narrative) (Details)
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995985 - Disclosure - Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details)
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995995 - Disclosure - Long-Term Debt (Schedule of Long-Term Debt) (Details) 2
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996005 - Disclosure - Goodwill And Intangible Assets (Schedule of Future Amortization of Intangible Assets) (Details)
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996015 - Disclosure - Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details)
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996025 - Disclosure - Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details)
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996035 - Disclosure - Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Parenthetical) (Details)
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996045 - Disclosure - Details of Certain Balance Sheet Accounts (Schedule of Government Stimulus Advances) (Details)
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996055 - Disclosure - Long-Term Debt (Schedule of Long-Term Debt) (Details)
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996065 - Disclosure - Long-Term Debt (Narrative) (Details)
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996075 - Disclosure - Income Taxes (Current and Deferred Federal and State Income Tax Provision from Continuing Operations) (Details)
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996085 - Disclosure - Income Taxes (Deferred Tax Assets And Liabilities) (Details)
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996095 - Disclosure - Income Taxes (Narrative) (Details)
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996105 - Disclosure - Income Taxes (Reconciliation of Statutory Federal Tax Rate) (Details)
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996115 - Disclosure - Stock Options And Restricted Stock Awards (Narrative) (Details)
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996125 - Disclosure - Stock Options And Restricted Stock Awards (Summary of Stock Option Activity) (Details)
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996135 - Disclosure - Stock Options And Restricted Stock Awards (Weighted-Average Estimated Fair Value of Employee Stock Options Granted) (Details)
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996145 - Disclosure - Stock Options And Restricted Stock Awards (Summary of Unvested Restricted Stock Awards and Weighted Average Grant Date Fair Value) (Details)
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996155 - Disclosure - Employee Benefit Plans (Narrative) (Details)
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996165 - Disclosure - Commitments and Contingencies (Narrative) (Details)
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996175 - Disclosure - Segment Information (Narrative) (Details)
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996185 - Disclosure - Segment Information (Summary of Segment Information) (Details)
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996195 - Disclosure - Significant Payors (Revenue by Payor Type) (Details)
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996205 - Disclosure - Significant Payors (Revenue by Geographic Location) (Details)
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996215 - Disclosure - Significant Payors (Narrative) (Details)
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996225 - Disclosure - ARPA Spending Plans (Narrative) (Details)
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996235 - Disclosure - ARPA Spending Plans (Schedule of Government Stimulus Advances) (Details)
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996245 - Disclosure - Subsequent Events (Narrative) (Details)
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Statement [Line Items]
Statement [Line Items]
Exercise prices of stock options outstanding, lower range limit
Share-Based Payment Arrangement, Option, Exercise Price Range, Lower Range Limit
Aggregate principal amount of grants received
Proceeds From Grants
Proceeds from grants.
Debt Instrument
Debt Instrument [Axis]
Cybersecurity Risk Board of Directors Oversight [Text Block]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Plan Name
Plan Name [Domain]
Aggregate amount of dividends and distributions
Aggregate Amount Of Dividends And Distributions
Aggregate Amount Of Dividends And Distributions
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Details Of Certain Balance Sheet Accounts [Abstract]
Details Of Certain Balance Sheet Accounts Abstract
Transportation Equipment [Member]
Transportation Equipment [Member]
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block]
Disposal Group Name
Disposal Group Name [Axis]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Acquisition related costs
Business Combination, Acquisition Related Costs
Interest Paid, Excluding Capitalized Interest, Operating Activities
Cash paid for interest
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed Net, Deferred Tax Liabilities, Net
Business combination, recognized identifiable assets acquired and liabilities assumed net, deferred tax liabilities, net.
Deferred tax liabilities, net
Private Pay [Member]
Private Pay [Member]
Private pay.
Number of operating segments
Number of Operating Segments
Business Combination Disclosure [Text Block]
Acquisition
Finite-Lived Intangible Asset, Expected Amortization, Year Four
2028
Effective Income Tax Rate Reconciliation, Tax Credit, Percent, Total
Excess tax benefit
Effective Income Tax Rate Reconciliation, Tax Credit, Percent
Weighted Average Exercise Price, Exercisable, end of period
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Hospice Partners [Member]
Hospice Partners [Member]
Hospice Partners
Balance, shares
Balance, shares
Shares, Outstanding
New York Disposition Treatment [Member]
New York disposition treatment.
Schedule of Fair Values of Assets and Liabilities
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Auditor Name
Auditor Name
Federal
Deferred Federal Income Tax Expense (Benefit)
Disposal Group, Including Discontinued Operation, Assets, Current [Abstract]
Current assets
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Disposal Group, Deferred Gain on Disposal
Sale purchase price
Non-competition Agreements [Member]
Noncompete Agreements [Member]
Long-term Debt, Type
Long-Term Debt, Type [Domain]
Business Combination, Consideration Transferred, Total
Business Combination, Consideration Transferred
Business combination consideration transferred
Tax year open for examination
Open Tax Year
JourneyCare [Member]
Journey Care Inc [Member]
JourneyCare, Inc.
Current
Current Federal, State and Local, Tax Expense (Benefit) [Abstract]
Long-term Debt, Current Maturities, Total
Less current maturities
Current portion of long-term debt
Long-Term Debt, Current Maturities
Aggregate principal amount of grants received
Deferred Portion Of Spending Plans Before Utilization Of Fund
Deferred portion of spending plans before utilization of fund.
Accounting Standard Update 202110 [Member]
Accounting Standard Update 202110 [Member]
Accounting Standards Update 2021-10 [Member]
Leases
Lessee, Operating Leases [Text Block]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Prepaid payroll
Accrued payroll
Accrued Salaries, Current
Deductions
Allowance For Doubtful Accounts Receivable (Writeoffs) Recoveries
Allowance for doubtful accounts receivable (writeoffs) receoveries.
Schedule Of Stock By Class [Table]
Stock, Class of Stock [Table]
Maximum [Member]
Latest Tax Year [Member]
Product and Service
Product and Service [Axis]
Deferred Income Tax Liabilities, Net
Deferred tax liabilities, net
Deferred income tax
Statutory Accounting Practices, Jurisdiction
Statutory Accounting Practice, Jurisdiction [Domain]
Indefinite-Lived Intangible Assets (Excluding Goodwill), Beginning Balance
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Indefinite-Lived Intangible Assets (Excluding Goodwill), Ending Balance
Indefinite-Lived Intangible Assets (Excluding Goodwill), Total
Finite-Lived Intangible Assets by Major Class
Finite-Lived Intangible Assets by Major Class [Axis]
Lender Name
Lender Name [Axis]
Depreciation, Depletion and Amortization, Total
Depreciation and amortization
Depreciation, Depletion and Amortization
Collaborative Arrangement and Arrangement Other than Collaborative [Domain]
Schedule Of Goodwill [Table]
Goodwill [Table]
Supplemental disclosures of non-cash investing and financing activities
Noncash Investing and Financing Items [Abstract]
Cybersecurity Risk Management Processes Integrated [Text Block]
Concentration Risk Benchmark
Concentration Risk Benchmark [Axis]
Public Offering
Equity [Text Block]
Prepaid workers’ compensation and liability insurance
Prepaid Workers Compensation And Liability Insurance Current
Prepaid Workers Compensation And Liability Insurance Current
Sale of Stock [Domain]
Long-term debt gross
Long-Term Debt, Gross
Disposal Group, Including Discontinued Operation, Assets [Abstract]
Deferred Tax Assets, Accrued workers compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Benefits
Commercial Insurance [Member]
Commercial Insurance [Member]
Commercial insurance.
Intangible assets, estimated useful lives
Finite-Lived Intangible Asset, Useful Life
Entity Central Index Key
Entity Central Index Key
Options, Forfeited/Cancelled shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Auditor opinion
Auditor Opinion [Text Block]
Changes in operating assets and liabilities, net of acquisitions:
Increase (Decrease) in Operating Capital [Abstract]
Concentration Risk [Table]
Concentration Risk [Table]
Proceeds from Divestiture of Businesses
Initial payment received
Proceeds received from divestiture of business
Significant Payors
Concentration Risk Disclosure [Text Block]
Common Stock, Shares, Issued, Total
Common stock, shares issued
Common Stock, Shares, Issued
Total other assets
Other Assets
Deferred Tax Assets, Transactions Costs
Deferred Tax Assets Transactions Costs
Deferred Tax Assets, Transactions Costs
Risk-free discount rate, minimum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Minimum
Increase (Decrease) in Prepaid Expense and Other Assets, Total
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Income Statement [Abstract]
Entity Address, State or Province
Entity Address, State or Province
Other Expenses
Other segment items
Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest
Income before income taxes
Concentration Risk Type
Concentration Risk Type [Domain]
Health Care Organization, Revenue Sources [Domain]
PPPHCE Act [Member]
Paycheck Protection Program And Health Care Enhancement Act [Member]
Paycheck Protection Program and Health Care Enhancement Ac.
Deferred Tax Assets, Government stimulus advances
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Government Stimulus Advances
Deferred tax assets tax deferred expense compensation and benefits government stimulus advances.
Not Discontinued Operations [Member]
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
The Journey Care And Apple Home Acquisitions [Member]
The Journey Care And Apple Home Acquisitions [Member]
The Journey Care and Apple Home Acquisitions [Member]
Customer Concentration Risk [Member]
Customer Concentration Risk [Member]
Percentage of Contingent Consideration
Percentage of contingent consideration
Contingent consideration
Number of shares newly Authorized
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Additional Shares Authorized
Retirement Plan Name
Retirement Plan Name [Domain]
Asset Purchase Agreement
Asset Purchase Agreement [Member]
Asset purchase agreement.
Finite-Lived Intangible Asset, Expected Amortization, Year Three
2027
Operating lease assets, net
Disposal Group Including Discontinued Operation Operating lease assets, net
Disposal group including discontinued operation operating lease assets, net.
Intrinsic value on exercisable stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value
Deferred Tax Assets, Restructuring costs
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Restructuring Charges
Payments for debt issuance costs under the credit facility
Payments of Debt Issuance Costs
Proceeds received from disposal of assets
Proceeds from Sale of Machinery and Equipment
Amortization of debt issuance costs under the credit facility
Amortization of Debt Issuance Costs
Cover [Abstract]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Proceeds from legal settlements
Proceeds from Legal Settlements
Basic net income per share
Earnings Per Share, Basic
New york personal care operations [Member]
New York Personal Care Operations [Member]
New york personal care operations.
Deductions
Accounts Receivable, Allowance for Credit Loss, Writeoff
Document Annual Report
Document Annual Report
Consolidation Items
Consolidation Items [Domain]
Payor advances
Payor Advance Current
Payor advance current.
Stock-based compensation expense
Stock option compensation expense
Share-Based Payment Arrangement, Expense
Total
Long-Term Debt
Government stimulus advances
Increase Decrease In Government Stimulus Advances
Increase decrease in government stimulus advances.
Retained Earnings (Accumulated Deficit), Ending Balance
Retained Earnings (Accumulated Deficit), Beginning Balance
Retained Earnings (Accumulated Deficit), Total
Retained earnings
Retained Earnings (Accumulated Deficit)
percentage point increase in federal matching funds
Percentage Point Increase In Federal Matching Funds
Percentage point increase in federal matching funds.
Plan Name
Plan Name [Axis]
Segment Reporting [Abstract]
Number of stock options included in calculation
Options outstanding
Options, Outstanding, beginning of period shares
Options, Outstanding, end of period shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Current assets
Assets, Current [Abstract]
Number of shares available for issuance Shares
Common Stock, Capital Shares Reserved for Future Issuance
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Total net deferred tax (liabilities) assets
Deferred Tax Liabilities, Net, Total
Deferred Tax Liabilities, Net
Deferred income tax
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Weighted Average Grant Date Fair Value, Forfeited
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Total purchase price
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Tennessee Quality Care [Member]
Tennessee [Member]
Tennessee Quality Care [Member]
Tennessee quality care member.
Product and Service
Product and Service [Domain]
Decrease in cost of service revenue.
Decrease In Cost Of Service Revenue
Decrease in cost of service revenues
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment, Total
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Concentration Risk [Line Items]
Concentration Risk [Line Items]
Leases termination and renewal option
Lessee Operating Lease Termination And Renewal Term
Lessee operating lease termination and renewal term.
Tax Period
Tax Period [Domain]
Annual awards for commercial organizations
Annual Awards For Commercial Organizations
Annual awards for commercial organizations.
Property, Plant and Equipment, Net, Ending Balance
Property, Plant and Equipment, Net, Beginning Balance
Property and equipment, net
Property and equipment, net of accumulated depreciation and amortization
Property, Plant and Equipment, Net
Lessee, Operating Lease, Liability, to be Paid, Year Four
2028
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Common stock, par value
Common Stock, Par or Stated Value Per Share
Cybersecurity Risk Management Positions or Committees Responsible [Text Block]
Accrued payroll
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued Payroll
Business combination recognized identifiable assets acquired and liabilities assumed accrued payroll.
Sale Of business remaining consideration receivable.
Sale Of Business Remaining Consideration Receivable
Sale of business remaining consideration receivable
Contract with Customer, Liability, Total
Contract with customer liability
Contract with Customer, Liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill, Total
Identifiable intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Disposal Groups, Including Discontinued Operations [Table]
Diluted income per share
Business Acquisition, Pro Forma Earnings Per Share, Diluted
Statement of Cash Flows [Abstract]
Jurisdiction
Statutory Accounting Practice, Jurisdiction [Axis]
Capital One, National Association [Member]
Capital One [Member]
Capital one.
General and Administrative Expenses [Member]
Selling, General and Administrative Expenses [Member]
Deferred Tax Assets, Other
Deferred Tax Assets, Other
Restricted Stock [Member]
Restricted Stock [Member]
Equity Components
Equity Components [Axis]
Schedule of Weighted Average Remaining Lease Terms and Discount Rates
Schedule Of Weighted Average Remaining Lease Terms And Discount Rates Table [Text Block]
Schedule of weighted average remaining lease terms and discount rates.
Entity Address, Address Line One
Entity Address, Address Line One
Other Commitments
Other Commitments [Axis]
Awarded
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block]
Schedule Of Finite Lived Intangible Assets [Table]
Intangible Asset, Finite-Lived [Table]
Computer Equipment [Member]
Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Subsequent Event Type
Subsequent Event Type [Axis]
Public Offering [Member]
Public offering.
Public Offering [Member]
Maximum aggregate loan amount available
Line of Credit Facility, Maximum Borrowing Capacity
Cash paid for amounts included in the measurement of lease liabilities:
Cash Paid For Amounts Included In Measurement Of Lease Liabilities [Abstract]
Cash paid for amounts included in the measurement of lease liabilities abstract.
Accounting Standard Update 2020-04 [Member]
Accounting Standard Update 2020-04 [Member].
Commitments And Contingencies [Line Items]
Commitments And Contingencies [Line Items]
Commitments and contingencies.
A&R 2017 Plan
Amended And Restated Two Thousand Seventeen Omnibus Incentive Plan [Member]
Amended And Restated Two Thousand Seventeen Omnibus Incentive Plan [Member]
Shares of restricted stock awards included in calculation
Number of restricted stock awards outstanding
Unvested restricted stock awards at beginning of period
Unvested restricted stock awards at end of period
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Operating income from continuing operations
Business Acquisition Pro Forma Operating Income
Business Acquisition, Pro Forma Operating Income
Entity Voluntary Filers
Entity Voluntary Filers
Finite-Lived Intangible Asset, Expected Amortization, Year Two
2026
Amendment Flag
Amendment Flag
Federal
Current Federal Tax Expense (Benefit)
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Operating lease liabilities, long-term portion
U.S Federal authorities [Member]
Domestic Tax Jurisdiction [Member]
Decrease in general and administrative expenses.
Decrease In General And Administrative Expenses
Decrease in general and administrative expenses
Geographic Concentration Risk [Member]
Geographic Concentration Risk [Member]
Debt Instrument, Name
Debt Instrument, Name [Domain]
Additional Paid in Capital, Common Stock, Ending Balance
Additional Paid in Capital, Common Stock, Beginning Balance
Additional paid-in capital
Additional Paid in Capital, Common Stock
Disposal Group, Including Discontinued Operation, Intangible Assets, Noncurrent
Intangibles, net of accumulated amortization
Sale of Stock, Price Per Share
Offering price
Deferred Tax Liabilities, Property and equipment
Deferred Tax Liabilities, Property, Plant and Equipment
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent [Abstract]
Long-term liabilities
Operating Lease, Liability, current, statement of financial position [Extensible List]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
One-Month SOFR [Member]
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Net income
Net income
Lessee, Lease, Description [Table]
Options, Exercised shares
Shares issued for exercise of stock options, shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Sublease Expiration Month and Year
Sublease expiration month and year.
Sublease expiration month and year
Options, Exercisable, end of period shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Variable Rate
Variable Rate [Domain]
Deferred Payments [Member]
Deferred payments.
Deferred Payments [Member]
Net service revenues
Business Acquisition, Pro Forma Revenue
Operating lease liabilities, long-term portion
Disposal Group Including Discontinued Operation Operating lease liabilities, long-term portion
Disposal group including discontinued operation operating lease liabilities, long-term portion.
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Gain on disposal of assets
Equity Component
Equity Component [Domain]
Statistical Measurement
Statistical Measurement [Domain]
Document Financial Statement Error Correction
Document Financial Statement Error Correction [Flag]
General and Administrative Expense, Total
General and administrative expenses
General and Administrative Expense
General and administrative salaries, wages and benefits
Deferred
Deferred Federal, State and Local, Tax Expense (Benefit) [Abstract]
Interest Expense, Debt
Interest Expense, Debt, Total
Interest expense
State
Deferred State and Local Income Tax Expense (Benefit)
Share-based payment award, expiration period
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Text Block]
Furniture and Equipment [Member]
Furniture and Fixtures [Member]
Disaggregation of Revenue [Table]
Cybersecurity Risk Management Processes Integrated [Flag]
Proceeds from Lines of Credit, Total
Proceeds from Lines of Credit
Proceeds from borrowings on revolver - credit facility
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest, Total
Net income
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest
Schedule of Prepaid Expenses and Other Current Assets
Schedule of Other Current Assets [Table Text Block]
Operating cash flows from operating leases
Operating Lease, Payments
Upstate Home Care Solutions [Member]
Upstate Home Care Solutions [Member]
Upstate Home Care Solutions.
Cash received from exercise of stock options
Proceeds from Stock Options Exercised
Employee Benefit Plans
Retirement Benefits [Text Block]
Accounts Receivable, Credit Loss Expense (Reversal)
Provision for credit losses
Additions/charges
Details Of Certain Balance Sheet Accounts [Table]
Details Of Certain Balance Sheet Accounts [Table]
Details of certain balance sheet accounts.
Going Concern [Policy Text Block]
Going Concern Policy [Text Block]
Going Concern
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Number of Shares, Ending Balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Nonvested, Number of Shares, Beginning Balance
Share-based compensation number of shares unvested
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Nonvested, Number of Shares
Deferred Tax Liabilities, Other
Deferred Tax Liabilities, Other
Identifiable intangible assets acquired
Finite-Lived Intangible Assets Acquired
Finite-lived intangible assets related to acquisition
Other assets
Other Assets, Noncurrent [Abstract]
Consolidation Items
Consolidation Items [Axis]
Total prepaid expenses and other current assets
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Risk-free discount rate, maximum
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Maximum
Weighted Average Exercise Price, Forfeited/Cancelled
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Prepaid expenses and other current assets
Disposal Group, Including Discontinued Operation, Prepaid and Other Assets, Current
Collaborative Arrangement and Arrangement Other than Collaborative [Axis]
A Plus Health Care, Inc [Member]
A Plus Health Cares Inc [Member]
A Plus Health Cares.
LIBOR [Member]
LIBOR [Member]
LIBOR [Member]
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Common Stock, Shares, Outstanding, Ending Balance
Common Stock, Shares, Outstanding, Beginning Balance
Common stock, shares outstanding
Common Stock, Shares, Outstanding
Finite-Lived Intangible Assets, Major Class Name
Finite-Lived Intangible Assets, Major Class Name [Domain]
Fair Value Measurements
Fair Value Measurement, Policy [Policy Text Block]
Current and Deferred Federal and State Income Tax Provision from Continuing Operations
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Disposal Group Including Discontinued Operation Operating lease liabilities, current portion
Disposal group including discontinued operation operating lease liabilities, current portion.
Operating lease liabilities, current portion
Other Commitments
Other Commitments [Domain]
Amounts Reported on Consolidated Balance Sheets for Operating Leases
Schedule Of Balance Sheet Information Related To Operating Leases Table [Text Block]
Schedule of balance sheet information related to operating leases.
Revenues [Member]
Revenue Benchmark [Member]
Income Tax Expense (Benefit), Effective Income Tax Rate Reconciliation, Amount [Abstract]
Repayments of Lines of Credit
Repayment of indebtedness outstanding under credit facility
Payments on revolver loan - credit facility
Sub-lease term.
Sub-Lease Term
Sublease term
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block]
Summary of Unvested Restricted Stock Awards and Weighted Average Grant Date Fair Value
Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block]
Total long-term liabilities
Liabilities, Noncurrent
Finite Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets [Line Items]
Discontinued Operations and Disposal Groups [Abstract]
Entity Interactive Data Current
Entity Interactive Data Current
Weighted average remaining useful lives of identifiable intangible assets
Finite-Lived Intangible Assets, Remaining Amortization Period
Excess cash held by acquired business
Cash Acquired from Acquisition
Cash
2017 Omnibus Incentive Plan [Member]
Two Thousand Seventeen Stock Incentive Plan [Member]
Two thousand seventeen stock incentive plan.
Gain on divestiture of business
Gain (Loss) on Disposition of Business
Gain on divestiture on businesses
Accounting Standards Update
Accounting Standards Update [Domain]
Health Care Organization, Revenue Sources
Health Care Organization, Revenue Sources [Axis]
Goodwill [Line Items]
Goodwill [Line Items]
Weighted Average Grant Date Fair Value, Vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Statistical Measurement
Statistical Measurement [Axis]
Finite-Lived Intangible Asset, Expected Amortization, Year Five
2029
Cost of Goods and Services Sold, Total
Cost of services revenues
Cost of service revenues
Cost of Goods and Services Sold
Operating lease costs
Operating Lease, Cost
Total lease costs, net
Lease, Cost
Percentage of Cash Consideration
Percentage of Cash Consideration
Cash consideration
Based On Applicable Senior Leverage Ratio [Member]
Based On Applicable Senior Leverage Ratio [Member]
Based on applicable senior leverage ratio.
Summary of Remaining Operating Lease Payments
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
Gross carrying value
Finite-Lived Intangible Assets, Gross, Total
Finite-Lived Intangible Assets, Gross
Government actions to mitigate COVID-19’s Impact.
Government Actions To Mitigate COVID Nineteen Impact [Text Block]
Government Actions to Mitigate COVID-19's Impact
Payments to Acquire Businesses, Net of Cash Acquired, Total
Business acquisition purchase price
Total purchase price for business acquisition
Payments to Acquire Businesses, Net of Cash Acquired
Acquisition of businesses, net of cash acquired
Share-based compensation number of common stock available for grant
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Weighted Average Grant Date Fair Value, Awarded
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Unrecognized compensation cost recognition period
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Total net deferred tax assets
Deferred Tax Assets, Net
Income Statement Location
Statement of Income Location, Balance [Axis]
Total assets
Assets
Expected life
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Commitments And Contingencies [Table]
Commitments And Contingencies [Table]
Commitments and contingencies.
Basis of Presentation and Description of Business
Organization, Consolidation, Basis of Presentation, Business Description and Accounting Policies [Text Block]
Right-of-use assets obtained in exchange for lease obligations:
Right Of Use Assets Obtained In Exchange For Lease Obligations [Abstract]
Right-of-use assets obtained in exchange for lease obligations abstract.
Tax Period
Tax Period [Axis]
Debt Instrument [Table]
Schedule of Long-Term Debt Instruments [Table]
Proceeds from line of credit
Proceeds from Long-Term Lines of Credit
Deferred Tax Liabilities, Gross, Total
Total long-term deferred tax liabilities
Deferred Tax Liabilities, Gross
Deferred income tax
Vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Recently Issued and Adopted Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Entity Address, City or Town
Entity Address, City or Town
Equity [Abstract]
Segments
Segments [Axis]
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Percent
Auditor Location
Auditor Location
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag]
Forfeited
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Customer and Referral Relationships [Member]
Customer and Referral Relationships [Member]
Customer And Referral Relationships [Member]
Customer and referral relationships.
Licensing fees included in fixed assets.
Licensing Fees Included In Fixed Assets
Licensing fees included in Fixed assets
Premiums Receivable, Allowance for Doubtful Accounts, Estimation Methodology, Policy [Policy Text Block]
Accounts Receivable and Allowances
Depreciation and amortization
Depreciation
Depreciation, Total
Details of Certain Balance Sheet Accounts
Details Of Certain Balance Sheet Accounts Disclosure [Text Block]
Details Of Certain Balance Sheet Accounts Disclosure [Text Block]
Fair market value of vested restricted stock awards
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Schedule Of Segment Reporting Information By Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Disposal Group, Including Discontinued Operation, Assets, Current
Total current assets
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag]
162(m) disallowance for executive compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-Based Payment Arrangement, Percent
Stock Options And Restricted Stock Awards
Share-Based Payment Arrangement [Text Block]
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag]
Maximum shares of stock awards authorized for issuance
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized
Significant Payors [Abstract]
Significant Payors [Abstract]
Apple Home HealthCare ltd.
Apple Home HealthCare Ltd [Member]
Apple Home [Member]
Percentage of reduced payments to Medicare providers
Percentage Of Reduced Payments To Medicare Providers
Percentage of reduced payments to Medicare providers.
State
Current State and Local Tax Expense (Benefit)
NY Divestiture [Member]
New York Sale [Member]
New York sale.
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Queen City Hospice Provider Relief Fund [Member]
Queen City Hospice Provider Relief Fund [Member]
Queen city hospice provider relief fund.
Term Loan [Member]
Term Loan [Member]
Term loan.
Entity Public Float
Entity Public Float
Business Acquisition, Pro Forma Information [Table Text Block]
Unaudited Pro Forma Consolidated Income Statement Information
Shares issued in secondary and public offering, net of offering costs
Stock Issued During Period, Value, New Issues
Shares issued in public offering, net of offering costs
Businesss Combination Consideration Transferred Percentage
Businesss combination consideration transferred percentage.
Business combination contingent transferred percentage
Shares issued for exercise of stock options
Stock Issued During Period, Value, Stock Options Exercised
Prepaid licensing fees
Prepaid Licensing Fees
Prepaid licensing fees
County Homemakers [Member]
County Homemakers [Member]
County Homemakers.
Lessee, Lease, Description [Line Items]
Current liabilities
Liabilities, Current [Abstract]
Accounts Receivable [Member]
Accounts Receivable [Member]
Income Taxes Paid, Net, Total
Cash paid for income taxes
Income Taxes Paid, Net
Document Type
Document Type
Accounting Standards Update
Accounting Standards Update [Axis]
Accrued workers’ compensation insurance
Workers' Compensation Liability, Current
Title of 12(b) Security
Title of 12(b) Security
Cash and Cash Equivalents, at Carrying Value, Ending Balance
Cash and Cash Equivalents, at Carrying Value, Beginning Balance
Cash and Cash Equivalents, at Carrying Value, Total
Cash
Cash and Cash Equivalents, at Carrying Value
Trade Names and Trademarks [Member]
Trademarks and Trade Names [Member]
Lessee, Operating Lease, Liability, to be Paid, Year Five
2029
Accounting Standard Update 2014 09 [Member]
Accounting standard update 2014-09.
Accounting Standard Update 2014-09 [Member]
Components of Lease Cost Reported in General and Administrative Expenses in Consolidated Statements of Income
Lease, Cost [Table Text Block]
Statement of Stockholders' Equity [Abstract]
Document Fiscal Period Focus
Document Fiscal Period Focus
Repayment Of Deferred Payroll Taxes
Repayment of deferred payroll taxes.
Deferred payroll taxes repaid
Intrinsic value on exercised stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value
Long-term debt, net of debt issuance costs
Long-term Debt, Excluding Current Maturities, Total
Long-term debt
Long-Term Debt, Excluding Current Maturities
Queen City Hospice [Member]
Queen City Hospice L L C [Member]
Queen City Hospice, LLC.
ARPA [Member]
American Rescue Plan Act [Member]
American Rescue Plan Act.
Options, Granted shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
Schedule of Goodwill [Table Text Block]
Summary of Goodwill by Segment and Related Adjustments
Government Assistance [Line Items]
Business combination finalization of net working capital payable
Business Combination Finalization Of Net Working Capital Payable
Business combination finalization of net working capital payable.
Business Acquisition, Effective Date of Acquisition
Acquisition completed date
Restriction on Dividends [Member]
Restriction On Dividends [Member]
Restriction on dividends.
Minimum [Member]
Earliest Tax Year [Member]
Accounts Receivable, Allowance for Credit Loss [Table Text Block]
Activity in Allowance for Credit Losses
Property, Plant and Equipment, Gross, Ending Balance
Property, Plant and Equipment, Gross, Beginning Balance
Property, Plant and Equipment, Gross, Total
Property and equipment
Property and equipment, gross
Property, Plant and Equipment, Gross
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Subsequent Event Type
Subsequent Event Type [Domain]
Leases
Lessee, Leases [Policy Text Block]
Weighted-Average Estimated Fair Value of Employee Stock Options Granted
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Credit Loss [Abstract]
Sublease commencement date
Sub-Lease Commencement Date
Sub-lease commencement date.
Operating Segments [Member]
Operating Segments [Member]
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Divestiture
Deferred payroll taxes payment term
Deferred Payroll Taxes Payment Period
Deferred payroll taxes payment period
Basis of Presentation and Description of Business
Basis of Presentation and Description of Business [Policy Text Block]
Basis of presentation and description of business.
Concentration of Cash
Concentration Of Cash Disclosure [Text Block]
Concentration of Cash Disclosure [Text Block]
Aggregate market cap
Federal Fiscal Market Capitalization
Federal fiscal market capitalization.
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Other current assets
Total other assets
Disposal Group, Including Discontinued Operation, Assets, Noncurrent
Direct Service Personnel
Direct service personnel.
Direct service personnel
Incremental Loan Facility [Member]
Incremental Loan Facility [Member]
Incremental loan facility.
Sale of Stock [Axis]
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Tennessee [Member]
TENNESSEE
Revenue from Contract with Customer, Excluding Assessed Tax, Total
Net service revenues
Revenue from Contract with Customer, Excluding Assessed Tax
Retirement Plan Name
Retirement Plan Name [Axis]
Disposal Groups, Including Discontinued Operations [Table Text Block]
Schedule of Carrying Amounts of Assets and Liabilities
Income Taxes
Income Tax Disclosure [Text Block]
Geographic Areas, Revenues from External Customers [Abstract]
Reconciliation of Statutory Federal Tax Rate
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Cybersecurity Risk Management, Strategy, and Governance [Abstract]
Defined Contribution Plan Disclosure [Line Items]
Defined Contribution Plan Disclosure [Line Items]
Disposal Group, Including Discontinued Operation, Assets
Total assets
Credit Facility
Credit Facility [Domain]
Deferred Revenue, Revenue Recognized
Revenue recognized
Net carrying value
Finite-Lived Intangible Assets, Net, Ending Balance
Finite-Lived Intangible Assets, Net, Beginning Balance
Finite-Lived Intangible Assets, Net
Net carrying value
Trade Names [Member]
Trade Names [Member]
Depreciation, Depletion and Amortization, Nonproduction, Total
Depreciation and amortization
Depreciation, Depletion and Amortization, Nonproduction
Other
Other Accrued Liabilities, Current
Increase (Decrease) in Accounts Payable, Total
Accounts payable
Increase (Decrease) in Accounts Payable
Entity Address, Address Line Two
Entity Address, Address Line Two
Liabilities and stockholders’ equity
Liabilities and Equity [Abstract]
Document Period End Date
Document Period End Date
Net Cash Provided by (Used in) Financing Activities
Net cash (used in) provided by financing activities
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Effective income tax rate
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
Long-term liabilities
Liabilities, Noncurrent [Abstract]
Alliance Home Health Care [Member]
Alliance Home Health Care [Member]
Alliance home health care.
Issuance of shares of common stock under restricted stock award agreements, shares
Stock Issued During Period, Shares, Restricted Stock Award, Gross
Other assets
Assets Of Disposal Group Including Discontinued Operation Other Noncurrent Abstract
Assets of disposal group including discontinued operation other noncurrent.
PAYGO Act [Member]
Pay As You Go Act [Member]
Pay-As-You-Go Act.
Operating lease assets, net
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Operating Lease Assets
Business combination recognized identifiable assets acquired and liabilities assumed operating lease assets.
Accounting Standards Update 2021-08 [Member]
Accounting Standards Update 2021-08 [Member]
APIC, Share-based Payment Arrangement, Increase for Cost Recognition, Total
Stock-based compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Total accrued expenses
Accrued expenses
Accrued Liabilities, Current
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Provision for income taxes
Income tax expense
Income Tax Expense (Benefit)
CDPAP
Consumer Directed Personal Assistance Program [Member]
Consumer directed personal assistance program.
Armada Skilled Homecare [Member]
Armada Skilled Homecare [Member]
Armada Skilled Homecare.
Trading Symbol
Trading Symbol
Business Combinations [Abstract]
Variable Rate
Variable Rate [Axis]
Total stockholders’ equity
Balance
Balance
Equity, Attributable to Parent
Disposal Group, Including Discontinued Operation, Liabilities
Total liabilities
Disposal Group, Including Discontinued Operation, Accrued Liabilities, Current
Accrued expenses
Total long-term deferred tax assets
Deferred Tax Assets, Gross
Impairment of finite-lived intangible assets
Impairment of Intangible Assets, Finite-Lived
Jobs tax credits, net
Effective Income Tax Rate Reconciliation Jobs Tax Credits Net
Effective income tax rate reconciliation jobs tax credits net
Long-Lived Tangible Asset
Long-Lived Tangible Asset [Axis]
Other Liabilities, Noncurrent, Total
Other long-term liabilities
Other Liabilities, Noncurrent
Stock-Based Compensation
Share-Based Payment Arrangement [Policy Text Block]
Total purchase price for business acquisition
Payments to Acquire Businesses, Gross
Upstate Home Care Solutions and Gentiva Acquistion [Member]
Upstate Home Care Solutions and Gentiva Acquistion.
Upstate Home Care Solutions and Gentiva Acquisition [Member]
Schedule Of Property Plant And Equipment [Table]
Property, Plant and Equipment [Table]
Goodwill, Total
Goodwill
Goodwill, at Beginning of Period
Goodwill, at End of Period
Goodwill
Change in accounting principle, accounting standards update, adopted
Change in Accounting Principle, Accounting Standards Update, Adopted [true false]
Hospice [Member]
Hospice [Member]
Hospice.
Cybersecurity Risk Management Expertise of Management Responsible [Text Block]
Company matching contribution amount
Defined Contribution Plan, Employer Discretionary Contribution Amount
Disposal Group Classification [Axis]
Deferred Income Tax Expense (Benefit), Total
Deferred income taxes
Deferred Income Tax Expense (Benefit)
Geographical
Geographical [Axis]
Unrecognized compensation cost
Share-Based Payment Arrangement, Nonvested Award, Option, Cost Not yet Recognized, Amount
Leases [Abstract]
CARES Act and other relief legislation
C A R E S Act And Other Relief Legislation
CARES Act and other relief legislation.
Use of Estimates, Policy [Policy Text Block]
Use of Estimates
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Long Term Operating Lease Liabilities
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Long term Operating Lease Liabilities.
Long-term operating lease liabilities
Long-term operating lease liabilities
Concentration risk, percentage
Concentration Risk, Percentage
Reduction percentage on sequestration adjustment
Reduction Percentage On Sequestration Adjustment
Reduction percentage on sequestration adjustment.
Accrued health benefits
Accrued Insurance, Current
Class of Stock [Line Items]
Class of Stock [Line Items]
Schedule Of Business Acquisitions By Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Stock options or SARs [Member]
Stock Options Or Stock Appreciation Rights [Member]
Stock options or stock appreciation rights.
Leases
Operating And Finance Leases Of Lessee Disclosure [Text Block]
Operating and finance leases of lessee.
Exercise prices of stock options outstanding, upper range limit
Share-Based Payment Arrangement, Option, Exercise Price Range, Upper Range Limit
Scenario
Scenario [Axis]
Dividend yield
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Security Exchange Name
Security Exchange Name
Indefinite lived intangible assets acquired
Indefinite-Lived Intangible Assets Acquired
Long-term revenue growth rate assumed in goodwill impairment analysis
Goodwill Impairment Analysis Fair Value Assumptions Long Term Revenue Growth Rate
Goodwill impairment analysis fair value assumptions long-term revenue growth rate.
Government Assistance [Table]
Business Acquisition, Acquiree
Business Acquisition, Acquiree [Domain]
Total operating expenses
Operating Expenses
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Schedule of Revenue by Geographic Location
Revenue from External Customers by Geographic Areas [Table Text Block]
Prepaid payroll
Prepaid Payroll
Prepaid payroll.
Long-Lived Tangible Asset
Long-Lived Tangible Asset [Domain]
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Ending Balance
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Beginning Balance
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment, Total
Less: accumulated depreciation and amortization
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Computer Software [Member]
Software and Software Development Costs [Member]
Lessee, Operating Lease, Liability, to be Paid, Year Three
2027
Weighted average fair value
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Illinois [Member]
ILLINOIS
Subsequent Event [Member]
Subsequent Event [Member]
Maximum [Member]
Maximum [Member]
Total liabilities and stockholders’ equity
Liabilities and Equity
Total intangible assets, Gross carrying value
Intangible Assets, Gross (Excluding Goodwill)
Intangible Assets, Gross (Excluding Goodwill), Total
Number of stock incentive plans
Number Of Stock Incentive Plans
Number Of Stock Incentive Plans
Operating lease assets, net
Operating lease assets, net
Operating Lease, Right-of-Use Asset
Share-based compensation number of shares vested
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested, Number of Shares
Retirement Benefits [Abstract]
Diluted net income per share
Earnings Per Share, Diluted
Deferred portion of spending plans
Deferred Portion Of Spending Plans
Deferred portion of spending plans.
Leasehold Improvements [Member]
Leasehold Improvements [Member]
New York [Member]
NEW YORK
Total liabilities
Liabilities
Health Care Organization Revenue Net Of Patient Service Revenue Provision [Abstract]
Health care organization revenue net of patient service revenue provision.
Deferred Tax Liabilities, Insurance premiums
Deferred Tax Liabilities Insurance Premiums
Deferred tax liabilities insurance premiums.
Total current assets
Assets, Current
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Volatility
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Weighted Average Volatility Rate
Intangible assets subject to amortization:
Finite-Lived Intangible Assets, Net [Abstract]
Scenario Forecast [Member]
Forecast [Member]
Stock Issued During Period, Shares, New Issues
Shares issued in public offering, net of offering costs, Shares
Shares issued in public offering, net of offering costs, shares
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Percent, Total
Nondeductible permanent items
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Percent
Share-based payment vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Entity Filer Category
Entity Filer Category
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Property, Plant and Equipment [Abstract]
Relief funding to mitigate fiscal effects of COVID-19
Relief Funding To Mitigate Fiscal Effects Of C O V I D19
Relief funding to mitigate fiscal effects of COVID-19.
Federal/state return to provision
Effective Income Tax Rate Reconciliation Federal State Return To Provision Benefit Percent
Effective income tax rate reconciliation, federal/state return to provision (benefit), percent
Provider Relief Fund [Member]
Provider Relief Fund [Member]
Provider relief fund.
Current Fiscal Year End Date
Current Fiscal Year End Date
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Stock-based compensation expense
Share-based Payment Arrangement, Noncash Expense, Total
Stock-based compensation
Share-Based Payment Arrangement, Noncash Expense
Intrinsic value on outstanding stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Paid in capital
Adjustments to Additional Paid in Capital, Stock Issued, Own-share Lending Arrangement, Issuance Costs
Deferred Tax Liabilities, Operating lease assets, net
Deferred Tax Liabilities Operating Lease Assets Net
Deferred tax liabilities operating lease assets net.
Entity Registrant Name
Entity Registrant Name
Gross profit
Gross Profit
Number of business segments
Number of Reportable Segments
Change in accounting principle, accounting standards update, early adoption
Change in accounting principle, accounting standards update, early adoption
Cost of Revenue, Total
Cost of Revenue
Cost of revenue
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Illinois Department On Aging [Member]
Illinois Department On Aging [Member]
Illinois department on aging.
Details Of Certain Balance Sheet Accounts [Line Items]
Details Of Certain Balance Sheet Accounts [Line Items]
Details of certain balance sheet accounts.
Debt instrument, maturity date
Debt Instrument, Maturity Date
Entity Emerging Growth Company
Entity Emerging Growth Company
Weighted Average Number of Shares Outstanding, Basic, Total
Basic
Weighted Average Number of Shares Outstanding, Basic
Income Taxes Receivable
Income tax receivable
Interest Income (Expense), Nonoperating
Total interest expense, net
Total interest expense, net
Total interest expense, net
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Sublease monthly base rent.
Sublease Monthly Base Rent
Sublease monthly base rent
Jacksonville [Member]
Jacksonville [Member]
Jacksonville [Member]
Ohio [Member]
OHIO
Common stock, shares authorized
Common Stock, Shares Authorized
Property and equipment useful life
Property, Plant and Equipment, Useful Life
Less: sublease income
Sublease Income
Sublease income
Schedule of Long-Term Debt
Schedule of Long-Term Debt Instruments [Table Text Block]
Proceeds from Issuance of Common Stock
Proceeds from public offering
Proceeds from public offering
Concentration Risk Type
Concentration Risk Type [Axis]
Personal Care [Member]
Personal Care [Member]
Personal care.
Long-Term Debt
Long-Term Debt [Text Block]
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Weighted Average Exercise Price, Granted
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Accounts payable
Disposal Group, Including Discontinued Operation, Accounts Payable, Current
Amortization of Intangible Assets, Total
Amortization expense
Amortization of Intangible Assets
All Other States [Member]
All Other States [Member]
All Other States.
Weighted Average Remaining Contractual Term, Outstanding
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Diluted Net Income Per Common Share
Earnings Per Share, Policy [Policy Text Block]
New Mexico [Member]
NEW MEXICO
Government Assistance [Abstract]
Debt Issuance Costs
Debt, Policy [Policy Text Block]
Share-Based Payment Arrangement [Abstract]
Interest Expense
Interest Expense, Policy [Policy Text Block]
Total government stimulus advances
Government stimulus advances
Government Stimulus Advances Current
Government stimulus advances current.
Net income from continuing operations
Business Acquisition, Pro Forma Net Income (Loss)
Adjustments to previously recorded goodwill
Goodwill, Measurement Period Adjustment
Goodwill impairment charge
Goodwill, Impairment Loss
Cybersecurity Risk Role of Management [Text Block]
Underwriting discounts and estimated offering expenses
Underwriting Discounts And Estimated Offering Expenses
Underwriting discounts and estimated offering expenses.
Accounting Policies [Abstract]
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
Management Fee Payable
Consulting fees
Summary of Stock Option Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Long-term Line of Credit, Total
Line of credit outstanding amount
Long-Term Line of Credit
Income Tax Disclosure [Abstract]
Stockholders’ equity
Equity, Attributable to Parent [Abstract]
ARPA funds
American Rescue Plan Act fund.
American Rescue Plan Act Fund
Disposal Group Name
Disposal Group Name [Domain]
Statement [Table]
Statement [Table]
Schedule of Property and Equipment
Property, Plant and Equipment [Table Text Block]
Weighted average number of common shares and potential common shares outstanding:
Weighted Average Number of Shares Outstanding, Basic [Abstract]
Percentage of additional payment reduction
Percentage Of Additional Payment Reduction By Medicare Providers
Percentage of additional payment reduction by Medicare providers.
CareStaff [Member]
CareStaff Member.
Subsequent Event [Table]
Subsequent Event [Table]
Disposal Group Classification [Domain]
Entity File Number
Securities Act File Number
Segment Information
Segment Reporting Disclosure [Text Block]
Net change in cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Net income per common share
Earnings Per Share [Abstract]
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Deferred Tax Assets, Stock-based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-Based Compensation Cost
State and local taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent
Statement of Financial Position [Abstract]
Disposal Group, Including Discontinued Operation, Property, Plant and Equipment, Noncurrent
Property and equipment, net of accumulated depreciation and amortization
Interest Expense, Total
Interest expense
Interest Expense, Operating and Nonoperating
Disposal Group, Including Discontinued Operation, Liabilities, Current [Abstract]
Current liabilities
Operating income
Operating income
Operating Income (Loss)
Operating income
Entity Shell Company
Entity Shell Company
Discontinued Operations
Discontinued Operations, Policy [Policy Text Block]
Accrued professional fees
Accrued Professional Fees, Current
Entity Tax Identification Number
Entity Tax Identification Number
Assets
Assets [Abstract]
Entity Current Reporting Status
Entity Current Reporting Status
Weighted Average Remaining Contractual Term, Exercisable
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Accrued expenses
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Accrued Expenses
Business combination recognized identifiable assets acquired and liabilities assumed accrued expenses.
Forfeiture of shares of common stock under restricted stock award agreements, shares
Stock Issued During Period, Shares, Restricted Stock Award, Forfeited
Internally Developed Software [Member]
Software Development [Member]
Property and Equipment
Property, Plant and Equipment Disclosure [Text Block]
Long-term Debt, Type
Long-Term Debt, Type [Axis]
Subsequent Events [Abstract]
Revenue Recognition
Revenue from Contract with Customer [Policy Text Block]
Tax benefit related to the amortization of tax goodwill in excess of book basis
Tax Benefit Related To Amortization Of Tax Goodwill In Excess Of Book Basis
Tax benefit related to the amortization of tax goodwill in excess of book basis.
Costs and expenses offset by utilization of portion of funds received
Costs And Expenses Offset Against Funds Received
Costs and expenses offset against funds received.
Geographical
Geographical [Domain]
Document Fiscal Year Focus
Document Fiscal Year Focus
Change in accounting principle, accounting standards update, adoption date
Change in Accounting Principle, Accounting Standards Update, Adoption Date
TEXAS
Frisco, Texas
Other general and administrative expenses
Other General and Administrative Expense
Accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations, Total
Cash, at beginning of period
Cash, at end of period
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Including Disposal Group and Discontinued Operations
Business Acquisition
Business Acquisition [Axis]
City Area Code
City Area Code
Disposal Group, Including Discontinued Operation, Consideration
Purchase price
Reclassification of Prior Period Balances
Reclassification, Comparability Adjustment [Policy Text Block]
Total current liabilities
Liabilities, Current
Line of Credit Facility, Lender [Domain]
Fee charged on unused portion of revolving credit facility
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Integration costs
Business Combination, Integration Related Costs
Disposal Group, Including Discontinued Operation, Goodwill, Noncurrent
Goodwill
Federal income tax at statutory rate
Statutory federal tax rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Senior Secured Credit Facility [Member]
Senior Secured Credit Facility [Member]
Senior secured credit facility.
Goodwill and Intangible Assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Local Phone Number
Local Phone Number
Operating lease asset, impairment
Impairment of operating lease assets
Operating Lease, Impairment Loss
Supplemental disclosures of cash flow information:
Additional Cash Flow Elements and Supplemental Cash Flow Information [Abstract]
Business Exit Costs
Exit charges
Income Tax Authority
Income Tax Jurisdiction [Axis]
Income Tax Expense
Income Tax, Policy [Policy Text Block]
Paid Pro rata as Deferred Payment
Paid Pro rata as deferred payment
Paid pro rata as deferred payment
Commitments and Contingencies Disclosure [Abstract]
Leasehold improvements acquired through tenant allowances
Leasehold Improvements Acquired Through Tenant Allowances
Leasehold improvements acquired through tenant allowances.
Debt Issuance Costs, Net, Total
Less unamortized issuance costs
Debt issuance costs
Debt Issuance Costs, Net
Deferred Tax Assets And Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Operating lease liabilities, current portion
Current portion of operating lease liabilities
Short-term operating lease liabilities
Income Tax Authority
Income Tax Jurisdiction [Domain]
Debt instrument stated interest rate
Debt Instrument, Interest Rate, Stated Percentage
Retained Earnings [Member]
Retained Earnings [Member]
Defined Contribution Plan [Table]
Defined Contribution Plan [Table]
Schedule of Revenue by Payor Type
Revenue from External Customers by Products and Services [Table Text Block]
Over-Allotment Option [Member]
Over-Allotment Option [Member]
Payments to Acquire Property, Plant, and Equipment, Total
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Accounts receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Document Transition Report
Document Transition Report
Long-Term Debt, Unclassified [Abstract]
Lessee, Operating Lease, Liability, to be Paid, Year Two
2026
State Licenses [Member]
State Licenses [Member]
State Licenses [Member]
State licenses member.
Estimated Useful Lives of Property and Equipment
Schedule Of Property Plant And Equipment Table [Text Block]
Schedule of Property, Plant and Equipment.
Weighted Average Exercise Price, Exercised
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Gentiva Acquisition [Member]
Gentiva Acquisition.
Deferred Tax Assets, Accrued compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Compensation
Auditor Firm ID
Auditor Firm ID
Minimum [Member]
Minimum [Member]
Fund distributed to health care related expenses
Fund Distributed To Health Care Related Expenses
Fund distributed to health care related expenses.
Common Stock [Member]
Common Stock [Member]
Intrinsic value on vested stock options
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Aggregate funding amount
Aggregate Funding Amount
Aggregate funding amount.
Weighted Average Grant Date Fair Value beginning of period
Weighted Average Grant Date Fair Value end of period
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Additional Paid-in Capital [Member]
Additional Paid-in Capital [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Accounts payable
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
401(k) Retirement Plan [Member]
Four Zero One K Retirement Plan [Member]
Four Zero One (K) Retirement Plan.
Basic income per share
Business Acquisition, Pro Forma Earnings Per Share, Basic
Divestiture
Adjustment of goodwill related to divestiture
Goodwill, Written off Related to Sale of Business Unit
Adjustments to reconcile net income to net cash provided by operating activities, net of acquisitions:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Palmetto [Member]
Palmetto G B A L L C [Member]
Palmetto GBA LLC.
Awards denominated in shares of common stock [Member]
Awards Denominated In Shares Of Common Stock [Member]
Awards denominated in shares of common stock.
VIP Health Care Services [Member]
V I P Healthcare Services [Member]
VIP healthcare services.
Income Statement Location
Statement of Income Location, Balance [Domain]
Stock acquisition cost
Effective Income Tax Rate Reconciliation Stock Acquisition Costs
Effective income tax rate reconciliation stock acquisition costs.
Lessee, Operating Lease, Liability, to be Paid, Year One
2025
One-Month Secured Overnight Financing Rate (SOFR) [Member]
One-Month Secured Overnight Financing Rate (SOFR) [Member]
One-month secured overnight financing rate (SOFR).
Segments
Segments [Domain]
State, Local And Other Governmental Programs [Member]
State Local And Other Governmental Programs [Member]
State, Local And Other Governmental Programs [Member].
Other
Other Assets, Current
Goodwill and Intangible Assets Disclosure [Abstract]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Accrued expenses and other liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Disaggregation of Revenue [Line Items]
Additions for acquisitions
Goodwill, Acquired During Period
Leasehold improvements
Property, Plant, and Equipment, Useful Life, Term, Description [Extensible Enumeration]
Workers’ compensation insurance receivable
Workers' compensation insurance recovery receivables
Workers Compensation Insurance Receivable
Workers' compensation insurance receivable
CARES Act [Member]
Coronavirus Aid Relief And Economic Security Act [Member]
Coronavirus aid relief and economic security act.
Finite-Lived Intangible Asset, Expected Amortization, Year One
2025
Scenario
Scenario [Domain]
Payroll tax deferral
Deferred Payroll Taxes
Deferred payroll taxes.
Customer and Referral Relationships [Member]
Customer Relationships [Member]
Customer Relationships [Member]
Schedule of Government Stimulus Advances
Schedule Of Government Stimulus Advances Table [Text Block]
Schedule of government stimulus advances.
Common Stock, Value, Issued, Ending Balance
Common Stock, Value, Issued, Beginning Balance
Common Stock, Value, Issued, Total
Common Stock, Value, Issued
Common stock-$.001 par value; 40,000 authorized and 18,148 and 16,227 shares issued and outstanding as of December 31, 2024 and 2023, respectively
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
Increase (Decrease) in Employee Related Liabilities, Total
Accrued payroll
Increase (Decrease) in Employee Related Liabilities
Interest income
Investment Income, Interest
Schedule of Future Amortization of Intangible Assets
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Deferred Tax Assets, Accounts receivable allowances
Deferred Tax Asset, Tax Deferred Expense, Reserve and Accrual, Accounts Receivable, Allowance for Credit Loss
Impairment of Intangible Assets (Excluding Goodwill) [Abstract]
Total lease liabilities
Total operating lease liabilities
Operating Lease, Liability
Other [Member]
Other [Member]
Other.
Rents and Leases
Rents and leases.
Rents and leases
Accrued payroll and other taxes
Accrued Payroll Taxes, Current
Initial Payment [Member]
Initial payment.
Initial Payment [Member]
Going Concern
Substantial Doubt about Going Concern [Text Block]
Schedule of Accrued Expenses
Schedule of Accrued Liabilities [Table Text Block]
Deferred Tax Assets, Net operating loss
Deferred Tax Assets, Operating Loss Carryforwards
Deferred Tax Assets, Operating Loss Carryforwards, Total
Credit Agreement [Member]
Credit Agreement [Member]
Credit agreement.
Weighted Average Number of Shares Outstanding, Diluted, Total
Diluted
Weighted Average Number of Shares Outstanding, Diluted
Significant Accounting Policies
Significant Accounting Policies [Text Block]
Summary of Segment Information
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Accounts Receivable, after Allowance for Credit Loss, Current, Total
Accounts Receivable, after Allowance for Credit Loss, Current
Accounts receivable, net of allowances
Debt instrument total net leverage ratio
Leverage Ratio
Leverage Ratio
Total future minimum rental commitments
Lessee, Operating Lease, Liability, to be Paid
Disposal Group Including Discontinued Operation Accrued Payroll Current
Disposal group including discontinued operation accrued payroll current.
Accrued payroll
Cybersecurity Risk Management Third Party Engaged [Flag]
Concentration Risk Benchmark
Concentration Risk Benchmark [Domain]
Entity Small Business
Entity Small Business
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]
Debt instrument variable interest rate margin
Debt Instrument, Basis Spread on Variable Rate
Federal Funds Rate [Member]
Federal Funds Rate [Member]
Fixed rate on a U.S. dollar, constant-notional interest rate swap that has its variable-rate leg referenced to the Federal Funds effective rate with no additional spread over the Federal Funds effective rate on that variable-rate leg. Alternate captions include overnight index swap rate (OIS).
Discount rate used in goodwill impairment analysis
Goodwill Impairment Analysis Fair Value Assumptions Discount Rate
Goodwill impairment analysis fair value assumptions discount rate.
Deferred Tax Liabilities, Goodwill and intangible assets
Deferred Tax Liabilities, Intangible Assets
Revenues, Total
Revenues
Revenues
Home Health [Member]
Home Health [Member]
Home health.
ARPA Spending Plans
ARPA Spending Plans [Text Block]
ARPA Spending Plans.
Disposal Group, Including Discontinued Operation, Liabilities, Current
Total current liabilities
Nondeductible penalties
Effective Income Tax Rate Reconciliation Nondeductible Penalties
Effective income tax rate reconciliation nondeductible penalties.
Credit Facility
Credit Facility [Axis]
Revolving Credit Facility [Member]
Revolving Credit Loan [Member]
Revolving Credit Facility [Member]
Fund distributed to primarily for caregivers and retention efforts
Fund Distributed To Primarily For Caregivers And Retention Efforts
Fund distributed to primarily for caregivers and retention efforts.
Workers' Compensation Program
Compensation Related Costs, Policy [Policy Text Block]
Deferred Tax Assets, Operating lease liabilities
Deferred Tax Assets Operating Lease Liabilities
Deferred tax assets operating lease liabilities.
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Weighted Average Exercise Price, Outstanding, beginning of period
Weighted Average Exercise Price, Outstanding, end of period
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
General and Administrative Salaries, Wages and Benefits
General and administrative salaries, wages and benefits.
General and administrative salaries, wages and benefits
Business Combination Potential Additional Contingent Consideration
Business Combination Potential Additional Contingent Consideration
Potential additional contingent consideration
Number of dilutive shares outstanding
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
Disposal Group, Including Discontinued Operation, Accounts, Notes and Loans Receivable, Net
Accounts receivable, net of allowances
Intangibles, net of accumulated amortization
Intangible Assets, Net (Excluding Goodwill)
Total intangible assets, Net carrying value
Intangible assets
Supplemental Cash Flow Information
Schedule Of Supplemental Cash Flows Information Related To Operating Leases Table [Text Block]
Schedule of supplemental cash flows information related to operating leases.
State authorities [Member]
State and Local Jurisdiction [Member]
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Lease cost gross.
Lease Cost Gross
Total lease costs
Medicare [Member]
Medicare [Member]
Medicare.
Based On Applicable Leverage Ratio [Member]
Based On Applicable Leverage Ratio [Member]
Based on applicable leverage ratio.
Weighted average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Subsequent Events
Subsequent Events [Text Block]
Gain on termination of operating leases
Gain (Loss) on Termination of Lease
(Gain) loss on termination of operating leases
Deductible component of workers' compensation
Deductible Component Of Workers Compensation
Deductible component of workers' compensation
Managed Care Organizations [Member]
Managed Care Organizations [Member]
Managed Care Organizations.
Government stimulus advances
Government Assistance, Liability, Current
Cybersecurity Risk Management Positions or Committees Responsible [Flag]
Accounts Payable, Current, Total
Accounts payable
Accounts Payable, Current
Repayments of Long-Term Lines of Credit
Repayments of line of credit
Change in accounting principle, accounting standards update, immaterial effect
Change in Accounting Principle, Accounting Standards Update, Immaterial Effect [true false]
Costs and Expenses, Total
Costs and Expenses
Costs and expenses
Accounts Receivable, Allowance for Credit Loss, Current
Accounts receivable, allowance for credit losses
Risks and Uncertainties [Abstract]
Concentration of Cash [Abstract]
Disposal Group, Including Discontinued Operation, Liabilities [Abstract]
Short-term lease costs
Short-Term Lease, Cost
Balance at beginning of period
Balance at end of period
Accounts Receivable, Allowance for Credit Loss