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COMPUTATION OF NET INCOME PER COMMON SHARE (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Mar. 31, 2024
Jun. 30, 2023
Mar. 31, 2023
Jun. 30, 2024
Jun. 30, 2023
NUMERATOR:            
Net income $ 71,181   $ 64,090   $ 140,141 $ 124,059
Less: net income attributable to noncontrolling interests 174   97   299 214
Net income attributable to The Ensign Group, Inc. $ 71,007 $ 68,835 $ 63,993 $ 59,852 $ 139,842 $ 123,845
DENOMINATOR:            
Weighted average shares outstanding for basic net income per share (in shares) 56,544   55,611   56,441 55,456
Plus: incremental shares from assumed conversion (in shares) 1,469   1,649   1,528 1,734
Adjusted weighted average common shares outstanding (in shares) 58,013   57,260   57,969 57,190
Basic net income per common share (in dollars per share) $ 1.26   $ 1.15   $ 2.48 $ 2.23
Diluted net income per common share (in dollars per share) $ 1.22   $ 1.12   $ 2.41 $ 2.17
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 1,368   1,419   1,252 1,317