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Computation of Net Income Per Common Share Dilutive Table (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Numerator:        
Income from continuing operations $ 10,642 $ 12,956 $ 12,309 $ 38,248
Less: net income (loss) attributable to noncontrolling interests 148 (258) (179) (511)
Income from continuing operations attributable to The Ensign Group, Inc. 10,494 13,214 12,488 38,759
(Loss) income from discontinued operations, net of income tax benefit (30) 80 (1,804) (105)
Net income attributable to The Ensign Group, Inc. $ 10,464 $ 13,294 $ 10,684 $ 38,654
Diluted net (loss) income per common share:        
Income from continuing operations attributable to The Ensign Group, Inc. $ 0.47 $ 0.60 $ 0.56 $ 1.77
Loss from discontinued operations $ 0.00 $ 0.00 $ (0.08) $ 0.00
Net income attributable to The Ensign Group, Inc. $ 0.47 $ 0.60 $ 0.48 $ 1.77
Common Class A [Member]
       
Denominator:        
Weighted average common shares outstanding 21,941 21,488 21,857 21,369
Plus: incremental shares from assumed conversion (1) 468 [1] 522 [1] 459 [1] 530 [1]
Adjusted weighted average common shares outstanding 22,409 22,010 22,316 21,899
[1] (1) Options outstanding which are anti-dilutive and therefore not factored into the weighted average common shares amount above were 249 and 402 for the three and nine months ended September 30, 2013 and 269 and 271 for the three and nine months ended September 30, 2012, respectively.