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COMPUTATION OF NET INCOME PER COMMON SHARE (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
NUMERATOR:      
Net income $ 209,850 $ 224,652 $ 197,725
Less: net income (loss) attributable to noncontrolling interests 451 (29) 3,073
Net income attributable to The Ensign Group, Inc. $ 209,399 $ 224,681 $ 194,652
DENOMINATOR:      
Weighted average shares outstanding for basic net income per share (in shares) 55,708 54,887 54,486
Plus: incremental shares from assumed conversion (in shares) 1,615 1,984 2,439
Adjusted weighted average common shares outstanding (in shares) 57,323 56,871 56,925
Basic net income per common share (in dollars per share) $ 3.76 $ 4.09 $ 3.57
Diluted net income per common share (in dollars per share) $ 3.65 $ 3.95 $ 3.42
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 1,429 780 198