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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
TOTAL REVENUE $ 3,729,355 $ 3,025,468 $ 2,627,461
Expense:      
Cost of services 2,941,238 2,354,434 2,019,879
Rent—cost of services 197,358 153,049 139,371
General and administrative expense 263,005 158,805 151,761
Depreciation and amortization 72,387 62,355 55,985
TOTAL EXPENSES 3,473,988 2,728,643 2,366,996
Income from operations 255,367 296,825 260,465
Other income (expense):      
Interest expense (8,087) (8,931) (6,849)
Other income 25,482 1,195 4,388
Other income (expense), net 17,395 (7,736) (2,461)
Income before provision for income taxes 272,762 289,089 258,004
Provision for income taxes 62,912 64,437 60,279
NET INCOME 209,850 224,652 197,725
Less:      
Net income (loss) attributable to noncontrolling interests 451 (29) 3,073
Net income attributable to The Ensign Group, Inc. $ 209,399 $ 224,681 $ 194,652
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.      
Basic (in dollars per share) $ 3.76 $ 4.09 $ 3.57
Diluted (in dollars per share) $ 3.65 $ 3.95 $ 3.42
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING      
Basic (in shares) 55,708 54,887 54,486
Diluted (in shares) 57,323 56,871 56,925
Service revenue      
TOTAL REVENUE $ 3,708,071 $ 3,008,711 $ 2,611,476
Rental revenue      
TOTAL REVENUE $ 21,284 $ 16,757 $ 15,985