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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
TOTAL REVENUE $ 4,260,485 $ 3,729,355 $ 3,025,468
Expense:      
Cost of services 3,376,884 2,941,238 2,354,434
Rent—cost of services 216,016 197,358 153,049
General and administrative expense 225,143 263,005 158,805
Depreciation and amortization 84,138 72,387 62,355
TOTAL EXPENSES 3,902,181 3,473,988 2,728,643
Income from operations 358,304 255,367 296,825
Other income (expense):      
Interest expense (8,286) (8,087) (8,931)
Interest income 28,749 19,216 5,035
Other income (expense) 7,327 6,266 (3,840)
OTHER INCOME (EXPENSE), NET 27,790 17,395 (7,736)
Income before provision for income taxes 386,094 272,762 289,089
Provision for income taxes 87,636 62,912 64,437
NET INCOME 298,458 209,850 224,652
Less:      
Net income (loss) attributable to noncontrolling interests 485 451 (29)
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. $ 297,973 $ 209,399 $ 224,681
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.      
Basic (in dollars per share) $ 5.26 $ 3.76 $ 4.09
Diluted (in dollars per share) $ 5.12 $ 3.65 $ 3.95
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING      
Basic (in shares) 56,655 55,708 54,887
Diluted (in shares) 58,240 57,323 56,871
Service revenue      
TOTAL REVENUE $ 4,237,525 $ 3,708,071 $ 3,008,711
Rental revenue      
TOTAL REVENUE $ 22,960 $ 21,284 $ 16,757