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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, 2025
Mar. 31, 2024
NUMERATOR:    
Net income $ 80,353 $ 68,960
Less: net income attributable to noncontrolling interests 76 125
NET INCOME ATTRIBUTABLE TO THE ENSIGN GROUP, INC. $ 80,277 $ 68,835
DENOMINATOR:    
Weighted average shares outstanding for basic net income per share (in shares) 57,099 56,337
Plus: incremental shares from assumed conversion (in shares) 1,401 1,584
Adjusted weighted average common shares outstanding (in shares) 58,500 57,921
Basic net income per common share (in dollars per share) $ 1.41 $ 1.22
Diluted net income per common share (in dollars per share) $ 1.37 $ 1.19
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 1,171 1,143