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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($)
shares in Thousands, $ in Thousands
Total
Common Stock
Additional Paid-In Capital
Retained Earnings
Treasury Stock
Non-Controlling Interest
Balance at beginning of period (in shares) at Dec. 31, 2020   54,626        
Balance at beginning of period at Dec. 31, 2020 $ 818,227 $ 58 $ 338,177 $ 551,055 $ (71,213) $ 150
Balance at beginning of period (in shares) at Dec. 31, 2020         2,791  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards (in shares)   516        
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards 9,180   9,180      
Issuance of restricted stock, net of forfeitures (in shares)   201        
Issuance of restricted stock, net of forfeitures 3,725   3,725      
Shares of common stock used to satisfy tax withholding obligations (in shares)   21     21  
Shares of common stock used to satisfy tax withholding obligations (1,711)       $ (1,711)  
Dividends declared (11,715)     (11,715)    
Employee stock award compensation $ 18,678   18,678      
Repurchase of common stock (in shares) 132 132     132  
Repurchase of common stock (Note 21) $ (10,118)       $ (10,118)  
Deconsolidation of an ancillary business (1,369)         (1,369)
Capital contribution from noncontrolling interest holder and Issuance of noncontrolling interests through subsidiary equity plan 2,000         2,000
Net income (loss) attributable to noncontrolling interests 3,073         3,073
Noncontrolling interest attributable to subsidiary equity plan (2,908)         (2,908)
Net income attributable to the Ensign Group, Inc. 194,652     194,652    
Balance at end of period (in shares) at Dec. 31, 2021   55,190        
Balance at end of period at Dec. 31, 2021 1,021,714 $ 58 369,760 733,992 $ (83,042) 946
Balance at end of period (in shares) at Dec. 31, 2021         2,944  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards (in shares)   688        
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards 12,677 $ 1 12,676      
Issuance of restricted stock, net of forfeitures (in shares)   207        
Issuance of restricted stock, net of forfeitures 5,241   5,241      
Shares of common stock used to satisfy tax withholding obligations (in shares)   20     20  
Shares of common stock used to satisfy tax withholding obligations (1,702)       $ (1,702)  
Dividends declared (12,334)     (12,334)    
Employee stock award compensation $ 22,720   22,720      
Repurchase of common stock (in shares) 404 404     404  
Repurchase of common stock (Note 21) $ (29,882)       $ (29,882)  
Acquisition of noncontrolling interest shares (704)   (1,539)     835
Capital contribution from noncontrolling interest holder and Issuance of noncontrolling interests through subsidiary equity plan 6,693   6,693      
Net income (loss) attributable to noncontrolling interests (29)         (29)
Noncontrolling interest attributable to subsidiary equity plan (275)   9     (284)
Net income attributable to the Ensign Group, Inc. $ 224,681     224,681    
Balance at end of period (in shares) at Dec. 31, 2022 55,661 55,661        
Balance at end of period at Dec. 31, 2022 $ 1,248,800 $ 59 415,560 946,339 $ (114,626) 1,468
Balance at end of period (in shares) at Dec. 31, 2022 3,368       3,368  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards (in shares)   759        
Issuance of common stock to employees and directors resulting from the exercise of stock options and grant of stock awards $ 18,369 $ 1 18,368      
Issuance of restricted stock, net of forfeitures (in shares)   199        
Issuance of restricted stock, net of forfeitures 5,068   5,068      
Shares of common stock used to satisfy tax withholding obligations (in shares)   22     22  
Shares of common stock used to satisfy tax withholding obligations (1,929)       $ (1,929)  
Dividends declared (13,085)     (13,085)    
Employee stock award compensation 30,754   30,754      
Acquisition of noncontrolling interest shares (256)   (256)      
Net income (loss) attributable to noncontrolling interests 451         451
Noncontrolling interest attributable to subsidiary equity plan (254)   (3,787)     3,533
Net income attributable to the Ensign Group, Inc. $ 209,399     209,399    
Balance at end of period (in shares) at Dec. 31, 2023 56,597 56,597        
Balance at end of period at Dec. 31, 2023 $ 1,497,317 $ 60 $ 465,707 $ 1,142,653 $ (116,555) $ 5,452
Balance at end of period (in shares) at Dec. 31, 2023 3,390       3,390