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COMPUTATION OF NET INCOME PER COMMON SHARE (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
NUMERATOR:    
Net income $ 68,960 $ 59,969
Less: net income attributable to noncontrolling interests 125 117
Net income attributable to The Ensign Group, Inc. $ 68,835 $ 59,852
DENOMINATOR:    
Weighted average shares outstanding for basic net income per share (in shares) 56,337 55,300
Plus: incremental shares from assumed conversion (in shares) 1,584 1,798
Adjusted weighted average common shares outstanding (in shares) 57,921 57,098
Basic net income per common share (in dollars per share) $ 1.22 $ 1.08
Diluted net income per common share (in dollars per share) $ 1.19 $ 1.05
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 1,143 1,178