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UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
TOTAL REVENUE $ 1,173,041 $ 1,010,172
Expense:    
Cost of services 927,849 799,263
Rent—cost of services 57,076 51,876
General and administrative expense 62,555 57,158
Depreciation and amortization 24,188 19,657
TOTAL EXPENSES 1,071,668 927,954
Income from operations 101,373 82,218
Other income (expense):    
Interest expense (2,037) (1,964)
Interest income 6,883 6,460
Other income 361 2,884
OTHER INCOME, NET 5,207 7,380
Income before provision for income taxes 106,580 89,598
Provision for income taxes 26,227 20,638
NET INCOME 80,353 68,960
Less:    
Net income attributable to noncontrolling interests 76 125
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. $ 80,277 $ 68,835
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.    
Basic (in dollars per share) $ 1.41 $ 1.22
Diluted (in dollars per share) $ 1.37 $ 1.19
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING    
Basic (in shares) 57,099 56,337
Diluted (in shares) 58,500 57,921
Service revenue    
TOTAL REVENUE $ 1,167,040 $ 1,004,485
Rental revenue    
TOTAL REVENUE $ 6,001 $ 5,687