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COMPUTATION OF NET INCOME PER COMMON SHARE
 9 Months Ended
Sep. 30, 2025
Earnings Per Share [Abstract]  
COMPUTATION OF NET INCOME PER COMMON SHARE COMPUTATION OF NET INCOME PER COMMON SHARE
Basic net income per share is computed by dividing income from operations attributable to stockholders of The Ensign Group, Inc. by the weighted average number of outstanding common shares for the period. The computation of diluted net income per share is similar to the computation of basic net income per share, except that the denominator is increased to include the number of additional common shares that would have been outstanding if the dilutive potential common shares had been issued.
A reconciliation of the numerator and denominator used in the calculation of basic net income per common share follows:
Three Months Ended September 30,Nine Months Ended September 30,
 2025202420252024
NUMERATOR:  
Net income$83,911 $78,567 $248,730 $218,708 
Less: net income attributable to noncontrolling interests 67 123 213 422 
Net income attributable to The Ensign Group, Inc. $83,844 $78,444 $248,517 $218,286 
DENOMINATOR: 
Weighted average shares outstanding for basic net income per share57,382 56,776 57,214 56,553 
Basic net income per common share:$1.46 $1.38 $4.34 $3.86 

A reconciliation of the numerator and denominator used in the calculation of diluted net income per common share follows:
Three Months Ended September 30,Nine Months Ended September 30,
 2025202420252024
NUMERATOR:  
Net income $83,911 $78,567 $248,730 $218,708 
Less: net income attributable to noncontrolling interests67 123 213 422 
Net income attributable to The Ensign Group, Inc. $83,844 $78,444 $248,517 $218,286 
DENOMINATOR:  
Weighted average common shares outstanding57,382 56,776 57,214 56,553 
Plus: incremental shares from assumed conversion (1)
1,574 1,668 1,499 1,572 
Adjusted weighted average common shares outstanding58,956 58,444 58,713 58,125 
Diluted net income per common share:$1.42 $1.34 $4.23 $3.76 
(1) Options outstanding which are anti-dilutive and therefore not factored into the weighted average common shares amount above were 1,072 and 914 for the three and nine months ended September 30, 2025, respectively, and 400 and 858 for the three and nine months ended September 30, 2024, respectively.