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Computation of Net Income Per Common Share (Tables)
 3 Months Ended
Mar. 31, 2018
COMPUTATION OF NET INCOME PER COMMON SHARE [Abstract]  
Schedule of Earnings Per Share, Basic, by Common Class, Including Two Class Method [Table Text Block]
A reconciliation of the numerator and denominator used in the calculation of basic net income per common share follows:
 
Three Months Ended March 31,
 
2018

2017
Numerator:
 
 
 
Net income
$
23,293

 
$
2,956

Less: net income attributable to noncontrolling interests
161

 
116

Net income attributable to The Ensign Group, Inc.
$
23,132

 
$
2,840

 
 
 
 
Denominator:

 
 
Weighted average shares outstanding for basic net income per share
51,585

 
50,767

Basic net income per common share attributable to The Ensign Group, Inc.
$
0.45

 
$
0.06
Schedule of Earnings Per Share, Diluted, by Common Class, Including Two Class Method [Table Text Block]
A reconciliation of the numerator and denominator used in the calculation of diluted net income per common share follows:
 
Three Months Ended March 31,
 
2018

2017
Numerator:
 
 
 
Net income
$
23,293

 
$
2,956

Less: net income attributable to noncontrolling interests
161

 
116

Net income attributable to The Ensign Group, Inc.
$
23,132

 
$
2,840

 
 
 
 
Denominator:
 
 
 
Weighted average common shares outstanding
51,585

 
50,767

Plus: incremental shares from assumed conversion (1)
1,933

 
1,866

Adjusted weighted average common shares outstanding
53,518


52,633

Diluted net income per common share attributable to The Ensign Group, Inc.
$
0.43

 
$
0.05


(1) Options outstanding which are anti-dilutive and therefore not factored into the weighted average common shares amount above were 937 and 1,272 for the three months ended March 31, 2018 and 2017, respectively.