Condensed Consolidated Statement of Comprehensive Income (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Net income (loss)	$ 13,041	$ (12,511)
Other comprehensive income, net of tax:
Unrealized gain on interest rate swap, net of income tax of $78 and $104 for the three months ended March 31, 2014 and 2013, respectively.	119	165
Comprehensive income (loss)	13,160	(12,346)
Less: net loss attributable to noncontrolling interests	(485)	(364)
Comprehensive income (loss) attributable to The Ensign Group, Inc.	$ 13,645	$ (11,982)