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UNAUDITED CONDENSED 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
Common stock, balance at beginning of period (in shares) at Dec. 31, 2022   55,661        
Balance at beginning of period at Dec. 31, 2022 $ 1,248,800 $ 59 $ 415,560 $ 946,339 $ (114,626) $ 1,468
Treasury stock, balance at beginning of period (in shares) at Dec. 31, 2022         3,368  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options (in shares)   145        
Issuance of common stock to employees and directors resulting from the exercise of stock options 2,654 $ 1 2,653      
Issuance of restricted stock, net of forfeitures (in shares)   102        
Issuance of restricted stock, net of forfeitures 5,068   5,068      
Shares of common stock used to satisfy tax withholding obligations (in shares)   1     1  
Shares of common stock used to satisfy tax withholding obligations (20)       $ (20)  
Dividends declared (3,215)     (3,215)    
Employee stock award compensation 6,573   6,573      
Acquisition of noncontrolling interest shares (77)   (77)      
Net income attributable to noncontrolling interest 117         117
Noncontrolling interests attributable to subsidiary equity plan 2   6     (4)
Net income attributable to the Ensign Group, Inc. 59,852     59,852    
Common stock, balance at end of period (in shares) at Mar. 31, 2023   55,907        
Balance at end of period at Mar. 31, 2023 $ 1,319,754 $ 60 429,783 1,002,976 $ (114,646) 1,581
Treasury stock, balance at end of period (in shares) at Mar. 31, 2023         3,369  
Common stock, balance at beginning of period (in shares) at Dec. 31, 2023 56,597 56,597        
Balance at beginning of period at Dec. 31, 2023 $ 1,497,317 $ 60 465,707 1,142,653 $ (116,555) 5,452
Treasury stock, balance at beginning of period (in shares) at Dec. 31, 2023 3,390       3,390  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options (in shares)   219        
Issuance of common stock to employees and directors resulting from the exercise of stock options $ 6,229   6,229      
Issuance of restricted stock, net of forfeitures (in shares)   88        
Issuance of restricted stock, net of forfeitures 6,165   6,165      
Shares of common stock used to satisfy tax withholding obligations (14)       $ (14)  
Dividends declared (3,414)     (3,414)    
Employee stock award compensation 8,231   8,231      
Acquisition of noncontrolling interest shares (10)   (10)      
Net income attributable to noncontrolling interest 125         125
Noncontrolling interests attributable to subsidiary equity plan 3   14     (11)
Net income attributable to the Ensign Group, Inc. $ 68,835     68,835    
Common stock, balance at end of period (in shares) at Mar. 31, 2024 56,904 56,904        
Balance at end of period at Mar. 31, 2024 $ 1,583,467 $ 60 $ 486,336 $ 1,208,074 $ (116,569) $ 5,566
Treasury stock, balance at end of period (in shares) at Mar. 31, 2024 3,390       3,390