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COMPUTATION OF NET INCOME PER COMMON SHARE (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Sep. 30, 2025
Sep. 30, 2024
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 $ 84,396 $ 80,277 $ 78,444 $ 71,007 $ 68,835 $ 248,517 $ 218,286
DENOMINATOR:                
Weighted average shares outstanding for basic net income per share (in shares) 57,382     56,776     57,214 56,553
Plus: incremental shares from assumed conversion (in shares) 1,574     1,668     1,499 1,572
Adjusted weighted average common shares outstanding (in shares) 58,956     58,444     58,713 58,125
Basic net income per common share (in dollars per share) $ 1.46     $ 1.38     $ 4.34 $ 3.86
Diluted net income per common share (in dollars per share) $ 1.42     $ 1.34     $ 4.23 $ 3.76
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 1,072     400     914 858