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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, 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] |  |  |  |  |  |
Net income attributable to noncontrolling interest | 214 |  |  |  |  |
Net income attributable to the Ensign Group, Inc. | 123,845 |  |  |  |  |
Common stock, balance at end of period (in shares) at Jun. 30, 2023 |  | 56,193 |  |  |  |
Balance at end of period at Jun. 30, 2023 | 1,393,393 | $ 60 | 440,532 | 1,063,738 | $ (116,555) | 5,618
Treasury stock, balance at end of period (in shares) at Jun. 30, 2023 |  |  |  |  | 3,390 |
Common stock, balance at beginning of period (in shares) at Mar. 31, 2023 |  | 55,907 |  |  |  |
Balance at beginning of period at Mar. 31, 2023 | 1,319,754 | $ 60 | 429,783 | 1,002,976 | $ (114,646) | 1,581
Treasury stock, balance at beginning of period (in shares) at Mar. 31, 2023 |  |  |  |  | 3,369 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options (in shares) |  | 253 |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options | 5,905 |  | 5,905 |  |  |
Issuance of restricted stock, net of forfeitures (in shares) |  | 54 |  |  |  |
Shares of common stock used to satisfy tax withholding obligations (in shares) |  | 21 |  |  | 21 |
Shares of common stock used to satisfy tax withholding obligations | (1,909) |  |  |  | $ (1,909) |
Dividends declared | (3,231) |  |  | (3,231) |  |
Employee stock award compensation | 8,881 |  | 8,881 |  |  |
Acquisition of noncontrolling interest shares | (100) |  | (100) |  |  |
Net income attributable to noncontrolling interest | 97 |  |  |  |  | 97
Noncontrolling interests attributable to subsidiary equity plan | 3 |  | (3,937) |  |  | 3,940
Net income attributable to the Ensign Group, Inc. | 63,993 |  |  | 63,993 |  |
Common stock, balance at end of period (in shares) at Jun. 30, 2023 |  | 56,193 |  |  |  |
Balance at end of period at Jun. 30, 2023 | $ 1,393,393 | $ 60 | 440,532 | 1,063,738 | $ (116,555) | 5,618
Treasury stock, balance at end of period (in shares) at Jun. 30, 2023 |  |  |  |  | 3,390 |
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 |  |  |  |
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 |
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] |  |  |  |  |  |
Net income attributable to noncontrolling interest | $ 299 |  |  |  |  |
Net income attributable to the Ensign Group, Inc. | $ 139,842 |  |  |  |  |
Common stock, balance at end of period (in shares) at Jun. 30, 2024 | 57,049 | 57,049 |  |  |  |
Balance at end of period at Jun. 30, 2024 | $ 1,663,071 | $ 61 | 499,411 | 1,275,657 | $ (117,764) | 5,706
Treasury stock, balance at end of period (in shares) at Jun. 30, 2024 | 3,400 |  |  |  | 3,400 |
Common stock, balance at beginning of period (in shares) at Mar. 31, 2024 |  | 56,904 |  |  |  |
Balance at beginning of period at Mar. 31, 2024 | $ 1,583,467 | $ 60 | 486,336 | 1,208,074 | $ (116,569) | 5,566
Treasury stock, balance at beginning of period (in shares) at Mar. 31, 2024 |  |  |  |  | 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) |  | 117 |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options | 4,090 | $ 1 | 4,089 |  |  |
Issuance of restricted stock, net of forfeitures (in shares) |  | 38 |  |  |  |
Shares of common stock used to satisfy tax withholding obligations (in shares) |  | 10 |  |  | 10 |
Shares of common stock used to satisfy tax withholding obligations | (1,195) |  |  |  | $ (1,195) |
Dividends declared | (3,424) |  |  | (3,424) |  |
Employee stock award compensation | 8,978 |  | 8,978 |  |  |
Acquisition of noncontrolling interest shares | (29) |  | (29) |  |  |
Net income attributable to noncontrolling interest | 174 |  |  |  |  | 174
Noncontrolling interests attributable to subsidiary equity plan | 3 |  | 37 |  |  | (34)
Net income attributable to the Ensign Group, Inc. | $ 71,007 |  |  | 71,007 |  |
Common stock, balance at end of period (in shares) at Jun. 30, 2024 | 57,049 | 57,049 |  |  |  |
Balance at end of period at Jun. 30, 2024 | $ 1,663,071 | $ 61 | $ 499,411 | $ 1,275,657 | $ (117,764) | $ 5,706
Treasury stock, balance at end of period (in shares) at Jun. 30, 2024 | 3,400 |  |  |  | 3,400 |

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