UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2026	Mar. 31, 2025
REVENUE
Service revenue	$ 1,382,303	$ 1,167,040
Rental revenue	6,893	6,001
TOTAL REVENUE	1,389,196	1,173,041
Expense:
Cost of services	1,095,826	927,849
Rent—cost of services	65,506	57,076
General and administrative expense	74,210	62,555
Depreciation and amortization	28,801	24,188
TOTAL EXPENSES	1,264,343	1,071,668
Income from operations	124,853	101,373
Other income (expense):
Interest expense	(1,932)	(2,037)
Interest income	6,536	6,883
Other (expense) income	(885)	361
OTHER INCOME, NET	3,719	5,207
Income before provision for income taxes	128,572	106,580
Provision for income taxes	28,816	26,227
NET INCOME	99,756	80,353
Less:
Net income attributable to noncontrolling interests	88	76
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC.	$ 99,668	$ 80,277
NET INCOME PER SHARE ATTRIBUTABLE TO THE ENSIGN GROUP INC.
Basic (in dollars per share)	$ 1.73	$ 1.41
Diluted (in dollars per share)	$ 1.67	$ 1.37
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING
Basic (in shares)	57,771	57,099
Diluted (in shares)	59,567	58,500