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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, 2023   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  
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, 2024 57,438 57,438        
Balance at beginning of period at Dec. 31, 2024 $ 1,840,428 $ 61 528,052 1,426,762 $ (117,764) 3,317
Treasury stock, balance at beginning of period (in shares) at Dec. 31, 2024 3,400       3,400  
Increase (Decrease) in Stockholders' Equity [Roll Forward]            
Issuance of common stock to employees and directors resulting from the exercise of stock options (in shares) 106 106        
Issuance of common stock to employees and directors resulting from the exercise of stock options $ 5,050   5,050      
Issuance of restricted stock, net of forfeitures (in shares)   87        
Issuance of restricted stock, net of forfeitures 8,003   8,003      
Shares of common stock used to satisfy tax withholding obligations (14)       $ (14)  
Dividends declared (3,597)     (3,597)    
Employee stock award compensation 10,691   10,691      
Repurchase of common stock (in shares)   (84)     (84)  
Repurchase of common stock (10,775)       $ (10,775)  
Acquisition of noncontrolling interest shares (11)   (11)      
Net income attributable to noncontrolling interest 76         76
Noncontrolling interests attributable to subsidiary equity plan 29   82     (53)
Net income attributable to the Ensign Group, Inc. $ 80,277     80,277    
Common stock, balance at end of period (in shares) at Mar. 31, 2025 57,547 57,547        
Balance at end of period at Mar. 31, 2025 $ 1,930,157 $ 61 $ 551,867 $ 1,503,442 $ (128,553) $ 3,340
Treasury stock, balance at end of period (in shares) at Mar. 31, 2025 3,484       3,484