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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