Note 7 - Goodwill and Intangible Assets (Details Textual) - USD ($) $ in Thousands				12 Months Ended
	Aug. 01, 2025	Dec. 02, 2024	Aug. 01, 2023	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Goodwill, Acquired During Period				$ 30,187	$ 310,298
Goodwill, Impairment Loss				0	0	$ 0
Amortization of Intangible Assets				$ 8,400	6,700	7,100
Finite-Lived Intangible Assets, Remaining Amortization Period (Year)				9 years 1 month 9 days
Minimum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				1 year
Minimum [Member] \| Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				3 years
Minimum [Member] \| State Licenses [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				6 years
Maximum [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				20 years
Maximum [Member] \| Customer Relationships [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				15 years
Maximum [Member] \| State Licenses [Member]
Finite-Lived Intangible Asset, Useful Life (Year)				10 years
Jacksonville, Great Lakes, Helping Hands, and Gold Horses Acquisitions [Member] \| Personal Care [Member]
Goodwill, Acquired During Period				$ 30,200
Upstate Home Care Solutions and Gentiva Acquisition [Member] \| Personal Care [Member]
Goodwill, Acquired During Period					292,200
Gentiva Acquisition [Member] \| State Licenses [Member]
Indefinite-Lived Intangible Assets Acquired		$ 700
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
Gentiva Acquisition [Member] \| Personal Care [Member] \| State Licenses [Member]
Finite-Lived Intangible Assets Acquired					23,000
Gentiva Acquisition [Member] \| Personal Care [Member] \| Trade Names [Member]
Finite-Lived Intangible Assets Acquired					4,900
Gentiva Acquisition [Member] \| Home Health [Member]
Goodwill, Acquired During Period					$ 18,100
Tennessee Quality Care [Member] \| State Licenses [Member]
Indefinite-Lived Intangible Assets Acquired			$ 19,200
Tennessee Quality Care [Member] \| Trade Names [Member]
Finite-Lived Intangible Assets Acquired			$ 7,500
Tennessee Quality Care [Member] \| Home Health [Member]
Goodwill, Acquired During Period						44,300
Tennessee Quality Care [Member] \| Hospice [Member]
Goodwill, Acquired During Period						35,000
CareStaff [Member] \| Personal Care [Member]
Goodwill, Acquired During Period						$ 600
Helping Hands Home Care Service, Inc. [Member] \| State Licenses [Member]
Finite-Lived Intangible Assets Acquired	$ 1,200			$ 1,200

Addus HomeCare Corp 10-K