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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, 2024
Dec. 31, 2023
Dec. 31, 2022
NUMERATOR:      
Net income $ 298,458 $ 209,850 $ 224,652
Less: net income (loss) attributable to noncontrolling interests 485 451 (29)
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. $ 297,973 $ 209,399 $ 224,681
DENOMINATOR:      
Weighted average shares outstanding for basic net income per share (in shares) 56,655 55,708 54,887
Plus: incremental shares from assumed conversion (in shares) 1,585 1,615 1,984
Adjusted weighted average common shares outstanding (in shares) 58,240 57,323 56,871
Basic net income per common share (in dollars per share) $ 5.26 $ 3.76 $ 4.09
Diluted net income per common share (in dollars per share) $ 5.12 $ 3.65 $ 3.95
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 914 1,429 780