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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
--- | --- | --- | --- | --- | --- | ---
Common stock, balance at beginning of period (in shares) at Dec. 31, 2021 |  | 55,190 |  |  |  |
Balance at beginning of period at Dec. 31, 2021 | $ 1,021,714 | $ 58 | $ 369,760 | $ 733,992 | $ (83,042) | $ 946
Treasury stock, balance at beginning 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 (in shares) | 688 | 688 |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options | $ 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 | $ (29,882) |  |  |  | $ (29,882) |
Acquisition of noncontrolling interest shares | (704) |  | (1,539) |  |  | 835
Issuance of noncontrolling interests through subsidiary equity plan | 6,693 |  | 6,693 |  |  |
Net income (loss) attributable to noncontrolling interests | (29) |  |  |  |  | (29)
Noncontrolling interests attributable to subsidiary equity plan | (275) |  | 9 |  |  | (284)
Net income attributable to the Ensign Group, Inc. | 224,681 |  |  | 224,681 |  |
Common stock, balance at end of period (in shares) at Dec. 31, 2022 |  | 55,661 |  |  |  |
Balance at end of period at Dec. 31, 2022 | $ 1,248,800 | $ 59 | 415,560 | 946,339 | $ (114,626) | 1,468
Treasury stock, balance at end 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) | 759 | 759 |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options | $ 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 interests attributable to subsidiary equity plan | (254) |  | (3,787) |  |  | 3,533
Net income attributable to the Ensign Group, Inc. | $ 209,399 |  |  | 209,399 |  |
Common stock, 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
Treasury stock, balance at end 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) | 632 | 632 |  |  |  |
Issuance of common stock to employees and directors resulting from the exercise of stock options | $ 22,286 | $ 1 | 22,285 |  |  |
Issuance of restricted stock, net of forfeitures (in shares) |  | 219 |  |  |  |
Issuance of restricted stock, net of forfeitures | 6,165 |  | 6,165 |  |  |
Shares of common stock used to satisfy tax withholding obligations (in shares) |  | 10 |  |  | 10 |
Shares of common stock used to satisfy tax withholding obligations | (1,209) |  |  |  | $ (1,209) |
Dividends declared | (13,864) |  |  | (13,864) |  |
Employee stock award compensation | 36,183 |  | 36,183 |  |  |
Acquisition of noncontrolling interest shares | (4,450) |  | (2,426) |  |  | (2,024)
Net income (loss) attributable to noncontrolling interests | 485 |  |  |  |  | 485
Noncontrolling interests attributable to subsidiary equity plan | (458) |  | 138 |  |  | (596)
Net income attributable to the Ensign Group, Inc. | $ 297,973 |  |  | 297,973 |  |
Common stock, balance at end of period (in shares) at Dec. 31, 2024 | 57,438 | 57,438 |  |  |  |
Balance at end of period at Dec. 31, 2024 | $ 1,840,428 | $ 61 | $ 528,052 | $ 1,426,762 | $ (117,764) | $ 3,317
Treasury stock, balance at end of period (in shares) at Dec. 31, 2024 | 3,400 |  |  |  | 3,400 |

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