$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2017 Q4 Form 10-Q Financial Statement

#000112537617000141 Filed on November 08, 2017

Income Statement

Concept	2017 Q4	2017 Q3	2016 Q3
Revenue	$487.7M	$471.6M	$428.1M
YoY Change	12.63%	10.17%	21.93%
Cost Of Revenue	$427.0M	$381.5M	$349.0M
YoY Change	9.63%	9.33%	24.39%
Gross Profit	$60.70M	$90.05M	$79.09M
YoY Change	39.54%	13.85%	12.12%
Gross Profit Margin	12.45%	19.09%	18.48%
Selling, General & Admin	$22.80M	$19.30M	$17.30M
YoY Change	54.05%	11.56%	0.58%
% of Gross Profit	37.56%	21.43%	21.87%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$11.80M	$11.45M	$10.91M
YoY Change	21.65%	4.92%	49.71%
% of Gross Profit	19.44%	12.71%	13.79%
Operating Expenses	$34.60M	$30.70M	$28.20M
YoY Change	40.65%	8.87%	15.1%
Operating Profit	$26.10M	$25.56M	$20.04M
YoY Change	38.1%	27.54%	-7.17%
Interest Expense	-$3.000M	$3.519M	$2.135M
YoY Change	66.67%	64.82%	166.21%
% of Operating Profit	-11.49%	13.77%	10.65%
Other Income/Expense, Net		-$3.124M	-$1.899M
YoY Change		64.51%	239.11%
Pretax Income	$23.20M	$22.44M	$18.14M
YoY Change	-31.56%	23.67%	-13.73%
Income Tax	$8.000M	$8.160M	$6.957M
% Of Pretax Income	34.48%	36.37%	38.35%
Net Earnings	$11.20M	$14.21M	$11.16M
YoY Change	-38.8%	27.4%	-17.2%
Net Earnings / Revenue	2.3%	3.01%	2.61%
Basic Earnings Per Share		$0.28	$0.22
Diluted Earnings Per Share	$210.1K	$0.27	$0.21
COMMON SHARES
Basic Shares Outstanding	51.17M shares	50.91M shares	50.54M shares
Diluted Shares Outstanding		52.83M shares	52.05M shares

Balance Sheet

Concept	2017 Q4	2017 Q3	2016 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments	$55.40M	$49.20M	$47.90M
YoY Change	-20.06%	2.71%	7.4%
Cash & Equivalents	$42.34M	$40.06M	$40.41M
Short-Term Investments	$13.10M	$9.100M	$7.500M
Other Short-Term Assets	$47.60M	$35.60M	$28.40M
YoY Change	135.64%	25.35%	-13.68%
Inventory
Prepaid Expenses
Receivables	$265.1M	$255.1M	$232.5M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$368.1M	$339.8M	$308.8M
YoY Change	10.25%	10.07%	14.55%
LONG-TERM ASSETS
Property, Plant & Equipment	$537.1M	$531.1M	$350.3M
YoY Change	10.85%	51.63%	36.2%
Goodwill	$53.10M	$77.66M	$67.10M
YoY Change	15.49%	15.74%	68.86%
Intangibles
YoY Change
Long-Term Investments	$28.70M	$26.20M	$27.70M
YoY Change	21.61%	-5.42%	-7.97%
Other Assets	$16.50M	$14.45M	$14.87M
YoY Change	30.81%	-2.84%	81.84%
Total Long-Term Assets	$734.4M	$731.0M	$544.7M
YoY Change	10.07%	34.21%	31.89%
TOTAL ASSETS
Total Short-Term Assets	$368.1M	$339.8M	$308.8M
Total Long-Term Assets	$734.4M	$731.0M	$544.7M
Total Assets	$1.102B	$1.071B	$853.4M
YoY Change	10.13%	25.48%	25.04%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$39.04M	$39.44M	$38.01M
YoY Change	0.13%	3.78%	9.53%
Accrued Expenses	$160.9M	$158.3M	$134.8M
YoY Change	7.63%	17.43%	21.88%
Deferred Revenue	$7.066M
YoY Change
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$9.939M	$8.170M	$8.141M
YoY Change	22.27%	0.36%	1228.06%
Total Short-Term Liabilities	$225.8M	$222.5M	$199.1M
YoY Change	6.56%	11.77%	23.37%
LONG-TERM LIABILITIES
Long-Term Debt	$303.0M	$287.5M	$162.5M
YoY Change	9.98%	76.92%	134.76%
Other Long-Term Liabilities	$8.625M	$7.770M	$4.821M
YoY Change	47.31%	61.17%	7.37%
Total Long-Term Liabilities	$311.6M	$295.2M	$167.3M
YoY Change	10.76%	76.47%	127.0%
TOTAL LIABILITIES
Total Short-Term Liabilities	$225.8M	$222.5M	$199.1M
Total Long-Term Liabilities	$311.6M	$295.2M	$167.3M
Total Liabilities	$602.4M	$583.7M	$415.8M
YoY Change	11.44%	40.38%	53.26%
SHAREHOLDERS EQUITY
Retained Earnings	$264.7M	$255.9M	$218.9M
YoY Change	12.62%	16.91%	20.34%
Common Stock	$266.1M	$262.5M	$248.8M
YoY Change	5.37%	5.47%	7.26%
Preferred Stock
YoY Change
Treasury Stock (at cost)	$38.41M	$38.41M	$31.12M
YoY Change	23.42%	23.42%	2304.71%
Treasury Stock Shares	1.932M shares	1.932M shares	1.520M shares
Shareholders Equity	$492.4M	$480.0M	$436.6M
YoY Change
Total Liabilities & Shareholders Equity	$1.102B	$1.071B	$853.4M
YoY Change	10.13%	25.48%	25.04%

Cashflow Statement

Concept	2017 Q4	2017 Q3	2016 Q3
OPERATING ACTIVITIES
Net Income	$11.20M	$14.21M	$11.16M
YoY Change	-38.8%	27.4%	-17.2%
Depreciation, Depletion And Amortization	$11.80M	$11.45M	$10.91M
YoY Change	21.65%	4.92%	49.71%
Cash From Operating Activities	$9.800M	$38.30M	$34.40M
YoY Change	262.96%	11.34%	429.23%
INVESTING ACTIVITIES
Capital Expenditures	-$17.30M	-$16.80M	-$15.90M
YoY Change	-87.04%	5.66%	16.91%
Acquisitions
YoY Change
Other Investing Activities	-$6.200M	-$17.70M	$3.200M
YoY Change	-117.51%	-653.12%	-118.18%
Cash From Investing Activities	-$23.50M	-$34.50M	-$12.50M
YoY Change	-76.07%	176.0%	-59.94%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	16.10M	2.700M	-14.90M
YoY Change	-85.73%	-118.12%	-205.67%
NET CHANGE
Cash From Operating Activities	9.800M	38.30M	34.40M
Cash From Investing Activities	-23.50M	-34.50M	-12.50M
Cash From Financing Activities	16.10M	2.700M	-14.90M
Net Change In Cash	2.400M	6.500M	7.000M
YoY Change	-86.13%	-7.14%	-166.04%
FREE CASH FLOW
Cash From Operating Activities	$9.800M	$38.30M	$34.40M
Capital Expenditures	-$17.30M	-$16.80M	-$15.90M
Free Cash Flow	$27.10M	$55.10M	$50.30M
YoY Change	-80.1%	9.54%	150.25%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
	dei	Amendment Flag AmendmentFlag	false
	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	Q3
	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2017
	dei	Document Period End Date DocumentPeriodEndDate	2017-09-30
	dei	Document Type DocumentType	10-Q
	dei	Entity Central Index Key EntityCentralIndexKey	0001125376
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	dei	Entity Filer Category EntityFilerCategory	Large Accelerated Filer
	dei	Entity Registrant Name EntityRegistrantName	ENSIGN GROUP, INC
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CY2017Q3	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2393000	USD
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	ensg	Escrow Deposits Used To Fund Business Acquisitions EscrowDepositsUsedToFundBusinessAcquisitions	1582000	USD
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	ensg	Litigation Settlement Tax Benefit LitigationSettlementTaxBenefit	0	USD
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CY2017Q3	us-gaap	Deferred Revenue DeferredRevenue	7819000	USD
CY2016Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	23073000	USD
CY2017Q3	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	22499000	USD
CY2016Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	1582000	USD
CY2017Q3	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	849000	USD
CY2016Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	10911000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	28981000	USD
CY2017Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	11448000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	32712000	USD
	us-gaap	Discontinued Operation Tax Effect Of Discontinued Operation DiscontinuedOperationTaxEffectOfDiscontinuedOperation	3076000	USD
	us-gaap	Discontinued Operation Tax Effect Of Discontinued Operation DiscontinuedOperationTaxEffectOfDiscontinuedOperation	1055000	USD
CY2016Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2186000	USD
CY2017Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2193000	USD
CY2016Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.22
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.63
CY2017Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.28
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.58
CY2016Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.21
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.61
CY2017Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.27
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.56
CY2016Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	84686000	USD
CY2017Q3	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	75970000	USD
CY2016Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	4104000	USD
CY2017Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	4948000	USD
	us-gaap	Excess Tax Benefit From Share Based Compensation Financing Activities ExcessTaxBenefitFromShareBasedCompensationFinancingActivities	2332000	USD
	us-gaap	Excess Tax Benefit From Share Based Compensation Financing Activities ExcessTaxBenefitFromShareBasedCompensationFinancingActivities	0	USD
	us-gaap	Excess Tax Benefit From Share Based Compensation Operating Activities ExcessTaxBenefitFromShareBasedCompensationOperatingActivities	2250000	USD
	us-gaap	Excess Tax Benefit From Share Based Compensation Operating Activities ExcessTaxBenefitFromShareBasedCompensationOperatingActivities	0	USD
CY2016Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	8086000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	10366000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	23612000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	2338000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	756000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	1471000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	1593000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	1497000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	2301000	USD
CY2016Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	43162000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	43934000	USD
CY2016Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	35076000	USD
CY2017Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	33568000	USD
	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	6512000	USD
	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	2715000	USD
	us-gaap	Gain Loss On Sale Of Business GainLossOnSaleOfBusiness	2505000	USD
	us-gaap	Gain Loss On Sale Of Business GainLossOnSaleOfBusiness	0	USD
	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	21000	USD
	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	71000	USD
CY2016Q3	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
CY2017Q3	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-11000000	USD
CY2016Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	17306000	USD
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	54351000	USD
CY2017Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	19261000	USD
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	57784000	USD
CY2016Q4	us-gaap	Goodwill Goodwill	67100000	USD
CY2017Q3	us-gaap	Goodwill Goodwill	77663000	USD
	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	10563000	USD
CY2016Q3	us-gaap	Health Care Organization Patient Service Revenue HealthCareOrganizationPatientServiceRevenue	428065000	USD
	us-gaap	Health Care Organization Patient Service Revenue HealthCareOrganizationPatientServiceRevenue	1221816000	USD
CY2017Q3	us-gaap	Health Care Organization Patient Service Revenue HealthCareOrganizationPatientServiceRevenue	471594000	USD
	us-gaap	Health Care Organization Patient Service Revenue HealthCareOrganizationPatientServiceRevenue	1361612000	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	137000	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	111000	USD
CY2016Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	18141000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	51961000	USD
CY2017Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	22435000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	46098000	USD
CY2016Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	11184000	USD
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	31837000	USD
CY2017Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	14275000	USD
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	29611000	USD
CY2017Q3	us-gaap	Income Tax Effects Allocated Directly To Equity Employee Stock Options IncomeTaxEffectsAllocatedDirectlyToEquityEmployeeStockOptions	938000	USD
	us-gaap	Income Tax Effects Allocated Directly To Equity Employee Stock Options IncomeTaxEffectsAllocatedDirectlyToEquityEmployeeStockOptions	2145000	USD
CY2016Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	6957000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	20124000	USD
CY2017Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	8160000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	16487000	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	11552000	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	30780000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2155000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2499000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	43207000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	33098000	USD
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	51000	USD
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	-1182000	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-6849000	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-8717000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	205000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	651000	USD
	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	1009000	USD
	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	315000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	11734000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	8668000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-47000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	2797000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-6817000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	13820000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	9907000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	5456000	USD
CY2016Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	19586000	USD
CY2017Q3	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	24653000	USD
CY2016Q3	us-gaap	Interest Expense InterestExpense	2135000	USD
	us-gaap	Interest Expense InterestExpense	4951000	USD
CY2017Q3	us-gaap	Interest Expense InterestExpense	3519000	USD
	us-gaap	Interest Expense InterestExpense	10017000	USD
	us-gaap	Interest Paid InterestPaid	5054000	USD
	us-gaap	Interest Paid InterestPaid	10014000	USD
CY2016Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	236000	USD
	us-gaap	Investment Income Interest InvestmentIncomeInterest	749000	USD
CY2017Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	395000	USD
	us-gaap	Investment Income Interest InvestmentIncomeInterest	973000	USD
CY2016Q3	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	33507000	USD
	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	91558000	USD
CY2017Q3	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	34112000	USD
	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	98955000	USD
CY2016Q4	us-gaap	Liabilities Liabilities	540530000	USD
CY2017Q3	us-gaap	Liabilities Liabilities	583685000	USD
CY2016Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	1001025000	USD
CY2017Q3	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	1070848000	USD
CY2016Q4	us-gaap	Liabilities Current LiabilitiesCurrent	211928000	USD
CY2017Q3	us-gaap	Liabilities Current LiabilitiesCurrent	222488000	USD
CY2016Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	0	USD
CY2017Q3	us-gaap	Litigation Reserve Current LitigationReserveCurrent	11000000	USD
	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	0	USD
	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	11000000	USD
CY2016Q4	us-gaap	Loans Receivable Net LoansReceivableNet	700000	USD
CY2017Q3	us-gaap	Loans Receivable Net LoansReceivableNet	0	USD
CY2016Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	8129000	USD
CY2017Q3	us-gaap	Long Term Debt Current LongTermDebtCurrent	8170000	USD
CY2016Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	275486000	USD
CY2017Q3	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	287456000	USD
CY2016Q4	us-gaap	Minority Interest MinorityInterest	4046000	USD
CY2017Q3	us-gaap	Minority Interest MinorityInterest	7209000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	40085000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	2166000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-112424000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-83066000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	71184000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	63249000	USD
CY2016Q3	us-gaap	Net Income Loss NetIncomeLoss	11155000	USD
	us-gaap	Net Income Loss NetIncomeLoss	31653000	USD
CY2017Q3	us-gaap	Net Income Loss NetIncomeLoss	14212000	USD
	us-gaap	Net Income Loss NetIncomeLoss	29269000	USD
CY2016Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	29000	USD
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	19.64
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	184000	USD
CY2017Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	63000	USD
CY2016Q4	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	50	facilities
CY2017Q3	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	63	facilities
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	2	Segments
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	3	Segments
CY2016Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	20040000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	56163000	USD
CY2017Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	25559000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	55142000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	1781631000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	135343000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due In Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	133268000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due In Four Years OperatingLeasesFutureMinimumPaymentsDueInFourYears	134747000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	134949000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due In Two Years OperatingLeasesFutureMinimumPaymentsDueInTwoYears	134908000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	1074847000	USD
CY2017Q3	us-gaap	Operating Leases Future Minimum Payments Remainder Of Fiscal Year OperatingLeasesFutureMinimumPaymentsRemainderOfFiscalYear	33569000	USD
CY2016Q4	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	58763000	USD
CY2017Q3	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	66266000	USD
CY2016Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	12614000	USD
CY2017Q3	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	14447000	USD
CY2016Q3	us-gaap	Other Cost Of Services OtherCostOfServices	33342000	USD
	us-gaap	Other Cost Of Services OtherCostOfServices	91074000	USD
CY2017Q3	us-gaap	Other Cost Of Services OtherCostOfServices	33782000	USD
	us-gaap	Other Cost Of Services OtherCostOfServices	98267000	USD
CY2016Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	58763000	USD
CY2017Q3	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	66266000	USD
CY2016Q4	us-gaap	Other Liabilities Fair Value Disclosure OtherLiabilitiesFairValueDisclosure	1972000	USD
CY2017Q3	us-gaap	Other Liabilities Fair Value Disclosure OtherLiabilitiesFairValueDisclosure	952000	USD
CY2016Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	5855000	USD
CY2017Q3	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	7770000	USD
CY2016Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-1899000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-4202000	USD
CY2017Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3124000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-9044000	USD
CY2016Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	673000	USD
CY2017Q3	us-gaap	Other Restricted Assets OtherRestrictedAssets	735000	USD
CY2016Q4	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	12614000	USD
CY2017Q3	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	14447000	USD
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	1298000	USD
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	849000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	30000000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	7288000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	6131000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	6528000	USD
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	3278000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	84063000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	64021000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	63810000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	83945000	USD
	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	310000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	52273000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	39775000	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	0	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	83000	USD
CY2016Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	19871000	USD
CY2017Q3	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	21441000	USD
CY2016Q4	us-gaap	Prepaid Taxes PrepaidTaxes	302000	USD
CY2017Q3	us-gaap	Prepaid Taxes PrepaidTaxes	14122000	USD
	us-gaap	Proceeds From Divestiture Of Businesses ProceedsFromDivestitureOfBusinesses	5952000	USD
	us-gaap	Proceeds From Divestiture Of Businesses ProceedsFromDivestitureOfBusinesses	0	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	519000000	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	680000000	USD
	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	391000	USD
	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	2546000	USD
	us-gaap	Proceeds From Sale Of Treasury Stock ProceedsFromSaleOfTreasuryStock	106000	USD
	us-gaap	Proceeds From Sale Of Treasury Stock ProceedsFromSaleOfTreasuryStock	0	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	5537000	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	4212000	USD
CY2016Q3	us-gaap	Profit Loss ProfitLoss	11184000	USD
	us-gaap	Profit Loss ProfitLoss	31837000	USD
CY2017Q3	us-gaap	Profit Loss ProfitLoss	14275000	USD
	us-gaap	Profit Loss ProfitLoss	29611000	USD
CY2016Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	594534000	USD
CY2017Q3	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	668243000	USD
CY2016Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	484498000	USD
CY2017Q3	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	531079000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	20070000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	21934000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	447481000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	668089000	USD
CY2016Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	235021000	USD
CY2017Q3	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	255903000	USD
	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	0	USD
	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	256000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Deferred Gain Gross SaleLeasebackTransactionDeferredGainGross	13153000	USD
CY2016Q4	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	0	USD
CY2017Q3	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	12239000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Gross Proceeds Investing Activities SaleLeasebackTransactionGrossProceedsInvestingActivities	38000000	USD
CY2017Q3	us-gaap	Sale Leaseback Transaction Historical Cost SaleLeasebackTransactionHistoricalCost	24847000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Historical Cost SaleLeasebackTransactionHistoricalCost	24847000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Lease Terms SaleLeasebackTransactionLeaseTerms	20
	us-gaap	Sale Leaseback Transaction Net Proceeds Investing Activities SaleLeasebackTransactionNetProceedsInvestingActivities	0	USD
	us-gaap	Sale Leaseback Transaction Net Proceeds Investing Activities SaleLeasebackTransactionNetProceedsInvestingActivities	38000000	USD
CY2016Q3	us-gaap	Sales Revenue Services Net SalesRevenueServicesNet	428065000	USD
	us-gaap	Sales Revenue Services Net SalesRevenueServicesNet	1221816000	USD
CY2017Q3	us-gaap	Sales Revenue Services Net SalesRevenueServicesNet	471594000	USD
	us-gaap	Sales Revenue Services Net SalesRevenueServicesNet	1361612000	USD
CY2016Q4	us-gaap	Security Deposit SecurityDeposit	3526000	USD
CY2017Q3	us-gaap	Security Deposit SecurityDeposit	5762000	USD
CY2016Q4	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	21359000	USD
CY2017Q3	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	21639000	USD
CY2016Q4	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	43992000	USD
CY2017Q3	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	50012000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	6907000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	6755000	USD
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1 ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1	P5Y0M
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue	20.42
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	19.63
CY2016Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	429000	shares
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	429000	shares
CY2016Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	20.42
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	20.44
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod	119000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodWeightedAverageGrantDateFairValue	19.42
CY2016Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.0129	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.0137	Rate
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.0188	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.0194	Rate
CY2016Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.359	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.383	Rate
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.354	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.357	Rate
CY2016Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	8.18
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	9.60
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	154000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	15.17
CY2016Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod	109000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod	397000	shares
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod	103000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod	383000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	7.13
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	6.83
CY2016Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	5176000	shares
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4868000	shares
CY2016Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	11.62
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	12.59
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	7.57
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	19.49
CY2017Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions	2862000	shares
CY2017Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions	4868000	shares
CY2016Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M35D
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M35D
CY2017Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y1M25D
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M0D
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P5Y8M40D
CY2016Q4	us-gaap	Short Term Investments ShortTermInvestments	11550000	USD
CY2017Q3	us-gaap	Short Term Investments ShortTermInvestments	9108000	USD
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Forfeited StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited	21000	shares
CY2016Q3	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	47000	shares
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	260000	shares
CY2017Q3	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	41000	shares
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	140000	shares
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	537000	shares
CY2017Q1	us-gaap	Stock Repurchase Program Expiration Date StockRepurchaseProgramExpirationDate	2018-02-08
CY2015Q4	us-gaap	Stock Repurchase Program Period In Force1 StockRepurchaseProgramPeriodInForce1	P0Y12M
CY2017Q1	us-gaap	Stock Repurchase Program Period In Force1 StockRepurchaseProgramPeriodInForce1	P0Y12M
CY2016Q4	us-gaap	Stockholders Equity StockholdersEquity	456449000	USD
CY2017Q3	us-gaap	Stockholders Equity StockholdersEquity	479954000	USD
CY2016Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	460495000	USD
CY2017Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	487163000	USD
CY2016Q4	us-gaap	Taxes Payable Current And Noncurrent TaxesPayableCurrentAndNoncurrent	1182000	USD
CY2017Q3	us-gaap	Taxes Payable Current And Noncurrent TaxesPayableCurrentAndNoncurrent	0	USD
CY2016Q4	us-gaap	Treasury Stock Shares TreasuryStockShares	1520000	shares
CY2017Q3	us-gaap	Treasury Stock Shares TreasuryStockShares	1932000	shares
CY2016Q4	us-gaap	Treasury Stock Value TreasuryStockValue	31117000	USD
CY2017Q3	us-gaap	Treasury Stock Value TreasuryStockValue	38405000	USD
CY2016Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	52045000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	52102000	shares
CY2017Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	52828000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	52674000	shares
CY2016Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	50541000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	50498000	shares
CY2017Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	50911000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	50795000	shares
	us-gaap	Write Off Of Deferred Debt Issuance Cost WriteOffOfDeferredDebtIssuanceCost	321000	USD
	us-gaap	Write Off Of Deferred Debt Issuance Cost WriteOffOfDeferredDebtIssuanceCost	0	USD
	us-gaap	Use Of Estimates UseOfEstimates	<div style="font-family:Times New Roman;font-size:10pt;"><div style="line-height:120%;padding-top:12px;text-align:justify;text-indent:32px;font-size:10pt;"><font style="font-family:inherit;font-size:10pt;font-style:italic;">Estimates and Assumptions —</font><font style="font-family:inherit;font-size:10pt;"> The preparation of Interim Financial Statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. The most significant estimates in the Company’s Interim Financial Statements relate to revenue, allowance for doubtful accounts, intangible assets and goodwill, impairment of long-lived assets, general and professional liability, workers' compensation and healthcare claims included in accrued self-insurance liabilities, and income taxes. Actual results could differ from those estimates.</font></div></div>

Files In Submission

Name	View Source	Status
0001125376-17-000141-index-headers.html	Edgar Link	pending
0001125376-17-000141-index.html	Edgar Link	pending
0001125376-17-000141.txt	Edgar Link	pending
0001125376-17-000141-xbrl.zip	Edgar Link	pending
ensg-20170930.xml	Edgar Link	completed
ensg-20170930.xsd	Edgar Link	pending
ensg-20170930_cal.xml	Edgar Link	unprocessable
ensg-20170930_def.xml	Edgar Link	unprocessable
ensg-20170930_lab.xml	Edgar Link	unprocessable
ensg-20170930_pre.xml	Edgar Link	unprocessable
ensg0930201710q.htm	Edgar Link	pending
ensg93017ex321.htm	Edgar Link	pending
ensg9302017ex322.htm	Edgar Link	pending
ensgq32017ex311.htm	Edgar Link	pending
ensgq32017ex312.htm	Edgar Link	pending
FilingSummary.xml	Edgar Link	unprocessable
Financial_Report.xlsx	Edgar Link	pending
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report.css	Edgar Link	pending
Show.js	Edgar Link	pending

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$ENSG
ENSIGN GROUP, INC Stock $ensg

2017 Q4 Form 10-Q Financial Statement

#000112537617000141 Filed on November 08, 2017

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2017 Q4 Form 10-Q Financial Statement

#000112537617000141 Filed on November 08, 2017

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg