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UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
REVENUE        
Service revenue $ 1,289,779 $ 1,076,092 $ 3,678,233 $ 3,111,151
Rental revenue 6,626 5,684 18,982 17,082
TOTAL REVENUE 1,296,405 1,081,776 3,697,215 3,128,233
Expense:        
Cost of services 1,044,659 859,992 2,944,288 2,479,615
Rent—cost of services 61,528 54,792 175,799 159,940
General and administrative expense 67,367 56,180 199,029 169,532
Depreciation and amortization 26,633 21,474 76,606 61,619
TOTAL EXPENSES 1,200,187 992,438 3,395,722 2,870,706
Income from operations 96,218 89,338 301,493 257,527
Other income (expense):        
Interest expense (1,971) (2,024) (6,033) (6,028)
Interest income 6,168 7,607 18,291 21,151
Other income 6,185 3,753 11,787 7,686
OTHER INCOME, NET 10,382 9,336 24,045 22,809
Income before provision for income taxes 106,600 98,674 325,538 280,336
Provision for income taxes 22,689 20,107 76,808 61,628
NET INCOME 83,911 78,567 248,730 218,708
Less:        
Net income attributable to noncontrolling interests 67 123 213 422
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. $ 83,844 $ 78,444 $ 248,517 $ 218,286
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.        
Basic (in dollars per share) $ 1.46 $ 1.38 $ 4.34 $ 3.86
Diluted (in dollars per share) $ 1.42 $ 1.34 $ 4.23 $ 3.76
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING        
Basic (in shares) 57,382 56,776 57,214 56,553
Diluted (in shares) 58,956 58,444 58,713 58,125