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UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
TOTAL REVENUE $ 1,010,172 $ 886,841
Expense:    
Cost of services 799,263 696,326
Rent—cost of services 51,876 46,637
General and administrative expense 57,158 51,891
Depreciation and amortization 19,657 17,112
TOTAL EXPENSES 927,954 811,966
Income from operations 82,218 74,875
Other income (expense):    
Interest expense (1,964) (2,036)
Other income 9,344 5,543
Other income, net 7,380 3,507
Income before provision for income taxes 89,598 78,382
Provision for income taxes 20,638 18,413
NET INCOME 68,960 59,969
Less:    
Net income attributable to noncontrolling interests 125 117
Net income attributable to The Ensign Group, Inc. $ 68,835 $ 59,852
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.    
Basic (in dollars per share) $ 1.22 $ 1.08
Diluted (in dollars per share) $ 1.19 $ 1.05
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING    
Basic (in shares) 56,337 55,300
Diluted (in shares) 57,921 57,098
Service revenue    
TOTAL REVENUE $ 1,004,485 $ 881,918
Rental revenue    
TOTAL REVENUE $ 5,687 $ 4,923