$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2018 Q4 Form 10-Q Financial Statement

#000112537618000162 Filed on October 31, 2018

Income Statement

Concept	2018 Q4	2018 Q3	2017 Q3
Revenue	$251.7M	$514.4M	$471.6M
YoY Change	-48.39%	9.07%	10.17%
Cost Of Revenue	$232.7M	$413.7M	$381.5M
YoY Change	-45.5%	8.43%	9.33%
Gross Profit	$19.10M	$100.6M	$90.05M
YoY Change	-68.53%	11.76%	13.85%
Gross Profit Margin	7.59%	19.57%	19.09%
Selling, General & Admin	$18.50M	$24.60M	$19.30M
YoY Change	-18.86%	27.46%	11.56%
% of Gross Profit	96.86%	24.44%	21.43%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$12.20M	$11.90M	$11.45M
YoY Change	3.39%	3.97%	4.92%
% of Gross Profit	63.87%	11.83%	12.71%
Operating Expenses	$28.10M	$36.50M	$30.70M
YoY Change	-18.79%	18.89%	8.87%
Operating Profit	-$9.000M	$29.29M	$25.56M
YoY Change	-134.48%	14.59%	27.54%
Interest Expense	-$3.200M	$3.989M	$3.519M
YoY Change	6.67%	13.36%	64.82%
% of Operating Profit		13.62%	13.77%
Other Income/Expense, Net		-$3.522M	-$3.124M
YoY Change		12.74%	64.51%
Pretax Income	-$12.30M	$25.77M	$22.44M
YoY Change	-153.02%	14.84%	23.67%
Income Tax	-$5.400M	$5.415M	$8.160M
% Of Pretax Income		21.02%	36.37%
Net Earnings	$26.40M	$20.86M	$14.21M
YoY Change	135.71%	46.78%	27.4%
Net Earnings / Revenue	10.49%	4.06%	3.01%
Basic Earnings Per Share		$0.40	$0.28
Diluted Earnings Per Share	$502.9K	$0.38	$0.27
COMMON SHARES
Basic Shares Outstanding	52.32M shares	52.14M shares	50.91M shares
Diluted Shares Outstanding		54.63M shares	52.83M shares

Balance Sheet

Concept	2018 Q4	2018 Q3	2017 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments	$39.80M	$55.30M	$49.20M
YoY Change	-28.16%	12.4%	2.71%
Cash & Equivalents	$31.04M	$45.66M	$40.06M
Short-Term Investments	$8.700M	$9.700M	$9.100M
Other Short-Term Assets	$32.20M	$31.60M	$35.60M
YoY Change	-32.35%	-11.24%	25.35%
Inventory
Prepaid Expenses
Receivables	$251.9M	$261.5M	$255.1M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$348.1M	$348.4M	$339.8M
YoY Change	-5.43%	2.52%	10.07%
LONG-TERM ASSETS
Property, Plant & Equipment	$608.4M	$593.1M	$531.1M
YoY Change	13.28%	11.68%	51.63%
Goodwill	$49.59M	$78.61M	$77.66M
YoY Change	-6.62%	1.22%	15.74%
Intangibles
YoY Change
Long-Term Investments	$36.20M	$32.50M	$26.20M
YoY Change	26.13%	24.05%	-5.42%
Other Assets	$20.84M	$20.46M	$14.45M
YoY Change	26.32%	41.61%	-2.84%
Total Long-Term Assets	$833.9M	$795.2M	$731.0M
YoY Change	13.55%	8.78%	34.21%
TOTAL ASSETS
Total Short-Term Assets	$348.1M	$348.4M	$339.8M
Total Long-Term Assets	$833.9M	$795.2M	$731.0M
Total Assets	$1.182B	$1.144B	$1.071B
YoY Change	7.21%	6.79%	25.48%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$39.85M	$41.32M	$39.44M
YoY Change	2.06%	4.77%	3.78%
Accrued Expenses	$197.2M	$178.1M	$158.3M
YoY Change	22.56%	12.51%	17.43%
Deferred Revenue	$6.953M	$9.271M
YoY Change	-1.6%
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$10.11M	$10.08M	$8.170M
YoY Change	1.67%	23.38%	0.36%
Total Short-Term Liabilities	$269.2M	$247.9M	$222.5M
YoY Change	19.22%	11.4%	11.77%
LONG-TERM LIABILITIES
Long-Term Debt	$233.1M	$245.6M	$287.5M
YoY Change	-23.06%	-14.56%	76.92%
Other Long-Term Liabilities	$7.064M	$10.80M	$7.770M
YoY Change	-18.1%	38.97%	61.17%
Total Long-Term Liabilities	$240.2M	$256.4M	$295.2M
YoY Change	-22.92%	-13.15%	76.47%
TOTAL LIABILITIES
Total Short-Term Liabilities	$269.2M	$247.9M	$222.5M
Total Long-Term Liabilities	$240.2M	$256.4M	$295.2M
Total Liabilities	$579.6M	$571.2M	$583.7M
YoY Change	-3.78%	-2.14%	40.38%
SHAREHOLDERS EQUITY
Retained Earnings	$344.9M	$321.4M	$255.9M
YoY Change	30.3%	25.61%	16.91%
Common Stock	$284.4M	$278.9M	$262.5M
YoY Change	6.89%	6.25%	5.47%
Preferred Stock
YoY Change
Treasury Stock (at cost)	$38.41M	$38.41M	$38.41M
YoY Change	0.0%	0.0%	23.42%
Treasury Stock Shares	1.932M shares	1.932M shares	1.932M shares
Shareholders Equity	$590.9M	$561.9M	$480.0M
YoY Change
Total Liabilities & Shareholders Equity	$1.182B	$1.144B	$1.071B
YoY Change	7.21%	6.79%	25.48%

Cashflow Statement

Concept	2018 Q4	2018 Q3	2017 Q3
OPERATING ACTIVITIES
Net Income	$26.40M	$20.86M	$14.21M
YoY Change	135.71%	46.78%	27.4%
Depreciation, Depletion And Amortization	$12.20M	$11.90M	$11.45M
YoY Change	3.39%	3.97%	4.92%
Cash From Operating Activities	$53.00M	$56.10M	$38.30M
YoY Change	440.82%	46.48%	11.34%
INVESTING ACTIVITIES
Capital Expenditures	-$44.80M	-$15.70M	-$16.80M
YoY Change	158.96%	-6.55%	5.66%
Acquisitions
YoY Change
Other Investing Activities	-$11.10M	$1.600M	-$17.70M
YoY Change	79.03%	-109.04%	-653.12%
Cash From Investing Activities	-$55.90M	-$14.10M	-$34.50M
YoY Change	137.87%	-59.13%	176.0%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	-11.60M	-23.60M	2.700M
YoY Change	-172.05%	-974.07%	-118.12%
NET CHANGE
Cash From Operating Activities	53.00M	56.10M	38.30M
Cash From Investing Activities	-55.90M	-14.10M	-34.50M
Cash From Financing Activities	-11.60M	-23.60M	2.700M
Net Change In Cash	-14.50M	18.40M	6.500M
YoY Change	-704.17%	183.08%	-7.14%
FREE CASH FLOW
Cash From Operating Activities	$53.00M	$56.10M	$38.30M
Capital Expenditures	-$44.80M	-$15.70M	-$16.80M
Free Cash Flow	$97.80M	$71.80M	$55.10M
YoY Change	260.89%	30.31%	9.54%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
	ensg	Intersegmentrevenue Intersegmentrevenue	0	USD
	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	2018
	dei	Document Period End Date DocumentPeriodEndDate	2018-09-30
	dei	Document Type DocumentType	10-Q
	dei	Entity Central Index Key EntityCentralIndexKey	0001125376
CY2018Q4	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	52319166	shares
	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
	dei	Entity Filer Category EntityFilerCategory	Large Accelerated Filer
	dei	Entity Registrant Name EntityRegistrantName	ENSIGN GROUP, INC
	dei	Entity Small Business EntitySmallBusiness	false
CY2018Q3	ensg	Assistedand Independent Living Facilities AssistedandIndependentLivingFacilities	51	facilities
	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	1007000	USD
CY2017Q3	ensg	Bad Debt Expenseasa Percentof Total Revenue BadDebtExpenseasaPercentofTotalRevenue	0.015	Rate
	ensg	Bad Debt Expenseasa Percentof Total Revenue BadDebtExpenseasaPercentofTotalRevenue	0.016	Rate
CY2018Q3	ensg	Bad Debt Expenseasa Percentof Total Revenue BadDebtExpenseasaPercentofTotalRevenue	0.002	Rate
	ensg	Bad Debt Expenseasa Percentof Total Revenue BadDebtExpenseasaPercentofTotalRevenue	0.001	Rate
CY2017Q4	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2609000	USD
CY2018Q3	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2848000	USD
CY2017Q4	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	11268000	USD
CY2018Q3	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	11450000	USD
	ensg	Escrow Depositsusedto Fund Acquisitions EscrowDepositsusedtoFundAcquisitions	1582000	USD
	ensg	Escrow Depositsusedto Fund Acquisitions EscrowDepositsusedtoFundAcquisitions	228000	USD
CY2018Q3	ensg	Facilitiesunder Master Lease Arrangement FacilitiesunderMasterLeaseArrangement	31	facilities
CY2018Q3	ensg	Facilitiesunder Medicare Probe Reviews FacilitiesunderMedicareProbeReviews	13	facilities
	ensg	Gain Losson Other Assets GainLossonOtherAssets	71000	USD
	ensg	Gain Losson Other Assets GainLossonOtherAssets	1097000	USD
CY2018Q3	ensg	Home Health Hospiceand Home Care Operations HomeHealthHospiceandHomeCareOperations	49	business
	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	-169000	USD
	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	-399000	USD
CY2017Q4	ensg	Insurance Subsidiary Deposits And Investments InsuranceSubsidiaryDepositsAndInvestments	28685000	USD
CY2018Q3	ensg	Insurance Subsidiary Deposits And Investments InsuranceSubsidiaryDepositsAndInvestments	32487000	USD
CY2018Q3	ensg	Intersegmentrevenue Intersegmentrevenue	0	USD
CY2013	ensg	Litigation Settlement Paidto U.S.Government LitigationSettlementPaidtoU.S.Government	48000000	USD
CY2018Q1	ensg	Litigation Settlement Returnof Unclaimed Settlement LitigationSettlementReturnofUnclaimedSettlement	1664000	USD
CY2017Q4	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	302990000	USD
CY2018Q3	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	245604000	USD
	ensg	Losses Relatedto Class Action Settlement LossesRelatedtoClassActionSettlement	11000000	USD
	ensg	Losses Relatedto Class Action Settlement LossesRelatedtoClassActionSettlement	0	USD
	ensg	Lossesrelatedtooperationalclosurenetoffixedassetimpairment Lossesrelatedtooperationalclosurenetoffixedassetimpairment	2620000	USD
	ensg	Lossesrelatedtooperationalclosurenetoffixedassetimpairment Lossesrelatedtooperationalclosurenetoffixedassetimpairment	0	USD
CY2018Q3	ensg	Master Lease Agreements MasterLeaseAgreements	5	facilities
CY2017Q4	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	167	facilities
CY2018Q3	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	168	facilities
CY2017Q4	ensg	Number Of Real Estate Properties Leased With Option To Purchase NumberOfRealEstatePropertiesLeasedWithOptionToPurchase	11	facilities
CY2018Q3	ensg	Number Of Real Estate Properties Leased With Option To Purchase NumberOfRealEstatePropertiesLeasedWithOptionToPurchase	12	facilities
CY2017Q4	ensg	Number Of Real Estate Properties Operated NumberOfRealEstatePropertiesOperated	230	facilities
CY2018Q3	ensg	Number Of Real Estate Properties Operated NumberOfRealEstatePropertiesOperated	236	facilities
CY2018Q3	ensg	Numberof Option Plans NumberofOptionPlans	1	Agreements
CY2018Q3	ensg	Operational Assisted Livingand Independent Living Units OperationalAssistedLivingandIndependentLivingUnits	5200	Beds
CY2018Q3	ensg	Operational Skilled Nursing Beds OperationalSkilledNursingBeds	19300	Beds
	ensg	Paymentsto Acquire Asset Acquisitions PaymentstoAcquireAssetAcquisitions	310000	USD
	ensg	Paymentsto Acquire Asset Acquisitions PaymentstoAcquireAssetAcquisitions	57859000	USD
	ensg	Paymentsto Acquire Businessand Asset Acquisitions PaymentstoAcquireBusinessandAssetAcquisitions	59484000	USD
CY2017Q4	ensg	Quality Assurance Fee QualityAssuranceFee	4864000	USD
CY2018Q3	ensg	Quality Assurance Fee QualityAssuranceFee	5070000	USD
CY2017Q4	ensg	Resident Deposits ResidentDeposits	6574000	USD
CY2018Q3	ensg	Resident Deposits ResidentDeposits	6754000	USD
CY2017Q4	ensg	Resident Refunds Payable ResidentRefundsPayable	21661000	USD
CY2018Q3	ensg	Resident Refunds Payable ResidentRefundsPayable	25347000	USD
	ensg	Restricted Awards Grant Date Fair Value Range Maximum RestrictedAwardsGrantDateFairValueRangeMaximum	21.53
	ensg	Restricted Awards Grant Date Fair Value Range Maximum RestrictedAwardsGrantDateFairValueRangeMaximum	38.59
	ensg	Restricted Awards Grant Date Fair Value Range Minimum RestrictedAwardsGrantDateFairValueRangeMinimum	18.47
	ensg	Restricted Awards Grant Date Fair Value Range Minimum RestrictedAwardsGrantDateFairValueRangeMinimum	23.61
CY2018Q3	ensg	Revenuefrom Contractwith Customer Including Intersegment Revenue RevenuefromContractwithCustomerIncludingIntersegmentRevenue	514364000	USD
	ensg	Revenuefrom Contractwith Customer Including Intersegment Revenue RevenuefromContractwithCustomerIncludingIntersegmentRevenue	1502884000	USD
CY2018Q3	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000	Rate
	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000	Rate
CY2017Q4	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Vested Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedOutstandingNumber	2776000	shares
CY2018Q3	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Vested Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedOutstandingNumber	2658000	shares
	ensg	Share Based Compensation Restricted Awards Exercise Price ShareBasedCompensationRestrictedAwardsExercisePrice	0	USD
CY2018Q3	ensg	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Fair Value ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeFairValue	28309000	USD
CY2018Q3	ensg	Transitionaland Skilled Service Facilities TransitionalandSkilledServiceFacilities	163	facilities
CY2018Q3	ensg	Transitionaland Skilled Servicesand Assistantand Independent Living Campuses TransitionalandSkilledServicesandAssistantandIndependentLivingCampuses	22	facilities
CY2017Q3	ensg	Weighted Average Dividend Yield WeightedAverageDividendYield	0.008	Rate
	ensg	Weighted Average Dividend Yield WeightedAverageDividendYield	0.008	Rate
CY2018Q3	ensg	Weighted Average Dividend Yield WeightedAverageDividendYield	0.005	Rate
	ensg	Weighted Average Dividend Yield WeightedAverageDividendYield	0.005	Rate
CY2017Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	39043000	USD
CY2018Q3	us-gaap	Accounts Payable Current AccountsPayableCurrent	41323000	USD
CY2018Q3	us-gaap	Accounts Receivable Gross AccountsReceivableGross	263938000	USD
CY2018Q3	us-gaap	Accounts Receivable Net AccountsReceivableNet	261454000	USD
CY2017Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	265068000	USD
CY2018Q3	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	261454000	USD
CY2017Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	10088000	USD
CY2018Q3	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	11832000	USD
CY2017Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	144093000	USD
CY2018Q3	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	176820000	USD
CY2017Q4	us-gaap	Additional Paid In Capital Common Stock AdditionalPaidInCapitalCommonStock	266058000	USD
CY2018Q3	us-gaap	Additional Paid In Capital Common Stock AdditionalPaidInCapitalCommonStock	278802000	USD
CY2017Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	1808000	USD
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	5736000	USD
CY2018Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	2462000	USD
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	6609000	USD
CY2017Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	43961000	USD
CY2018Q3	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	2484000	USD
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	767000	USD
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	882000	USD
CY2017Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	979000	USD
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2280000	USD
CY2018Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	761000	USD
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2067000	USD
CY2017Q3	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1352000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1326000	shares
CY2018Q3	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	244000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	163000	shares
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	111000	USD
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	860000	USD
CY2017Q4	us-gaap	Assets Assets	1102433000	USD
CY2018Q3	us-gaap	Assets Assets	1143575000	USD
CY2017Q4	us-gaap	Assets Current AssetsCurrent	368076000	USD
CY2018Q3	us-gaap	Assets Current AssetsCurrent	348413000	USD
CY2017Q3	us-gaap	Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Net BusinessCombinationRecognizedIdentifiableAssetsAcquiredAndLiabilitiesAssumedNet	292000	USD
CY2017Q2	us-gaap	Business Exit Costs1 BusinessExitCosts1	-1286000	USD
CY2017Q3	us-gaap	Business Exit Costs1 BusinessExitCosts1	0	USD
	us-gaap	Business Exit Costs1 BusinessExitCosts1	2731000	USD
CY2018Q3	us-gaap	Business Exit Costs1 BusinessExitCosts1	0	USD
	us-gaap	Business Exit Costs1 BusinessExitCosts1	0	USD
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	4780000	USD
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	3800000	USD
CY2016Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	57706000	USD
CY2017Q3	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	40055000	USD
CY2017Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	42337000	USD
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CY2018Q3	us-gaap	Cash Fdic Insured Amount CashFDICInsuredAmount	250000	USD
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CY2017Q3	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0425
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	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.1350
CY2017Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.001
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CY2017Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	75000000	shares
CY2018Q3	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	75000000	shares
CY2017Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	53675000	shares
CY2018Q3	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	54740000	shares
CY2017Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	51360000	shares
CY2018Q3	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	52248000	shares
CY2017Q4	us-gaap	Common Stock Value CommonStockValue	53000	USD
CY2018Q3	us-gaap	Common Stock Value CommonStockValue	54000	USD
CY2018Q3	us-gaap	Contract With Customer Liability ContractWithCustomerLiability	0	USD
CY2017Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	7066000	USD
CY2018Q3	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	9271000	USD
CY2017Q3	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	381544000	USD
	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	1103976000	USD
CY2018Q3	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	413723000	USD
	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	1200098000	USD
CY2017Q3	us-gaap	Costs And Expenses CostsAndExpenses	446035000	USD
	us-gaap	Costs And Expenses CostsAndExpenses	1306470000	USD
CY2018Q3	us-gaap	Costs And Expenses CostsAndExpenses	485077000	USD
	us-gaap	Costs And Expenses CostsAndExpenses	1408843000	USD
CY2017Q4	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	316019000	USD
CY2018Q3	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	258591000	USD
CY2017Q4	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2799000	USD
CY2018Q3	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2118000	USD
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	575000	USD
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	710000	USD
CY2017Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	12745000	USD
CY2018Q3	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	12035000	USD
CY2017Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	228000	USD
CY2018Q3	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	660000	USD
CY2017Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	11448000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	32712000	USD
CY2018Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	11902000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	35145000	USD
CY2017Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2328000	USD
CY2018Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2377000	USD
CY2017Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.28
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.58
CY2018Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.40
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.27
CY2017Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.27
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.56
CY2018Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.38
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.22
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.358	Rate
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.215	Rate
CY2017Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	90508000	USD
CY2018Q3	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	99047000	USD
CY2017Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	5394000	USD
CY2018Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	6451000	USD
CY2017Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	11121000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	13062000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	22314000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	2711000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	686000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	1389000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	1450000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	1454000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	1616000	USD
CY2017Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	43924000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	44682000	USD
CY2017Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	32803000	USD
CY2018Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	31620000	USD
	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	2715000	USD
CY2017Q3	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	-11000000	USD
CY2018Q3	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	1664000	USD
CY2017Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	19261000	USD
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	57784000	USD
CY2018Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	24601000	USD
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	72091000	USD
CY2017Q4	us-gaap	Goodwill Goodwill	81062000	USD
CY2018Q3	us-gaap	Goodwill Goodwill	78612000	USD
CY2017Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
CY2018Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	3653000	USD
	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	3653000	USD
	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	3513000	USD
	us-gaap	Goodwill Purchase Accounting Adjustments GoodwillPurchaseAccountingAdjustments	56000	USD
CY2017Q3	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	111000	USD
CY2018Q3	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	860000	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
CY2018Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	25765000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	84047000	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
CY2018Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	20350000	USD
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	65969000	USD
CY2017Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	8160000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	16487000	USD
CY2018Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	5415000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	18078000	USD
	us-gaap	Income Tax Expense Benefit Continuing Operations Adjustment Of Deferred Tax Asset Liability IncomeTaxExpenseBenefitContinuingOperationsAdjustmentOfDeferredTaxAssetLiability	0	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	30780000	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	15563000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2499000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2031000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	33098000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-3479000	USD
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	-1182000	USD
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	0	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-8717000	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	8540000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	651000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	181000	USD
	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	315000	USD
	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	692000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	8668000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	9092000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	2797000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-238000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	13820000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-1938000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	5456000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	4025000	USD
CY2017Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	25249000	USD
CY2018Q3	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	26201000	USD
CY2017Q3	us-gaap	Interest Expense InterestExpense	3519000	USD
	us-gaap	Interest Expense InterestExpense	10017000	USD
CY2018Q3	us-gaap	Interest Expense InterestExpense	3989000	USD
	us-gaap	Interest Expense InterestExpense	11471000	USD
	us-gaap	Interest Paid Net InterestPaidNet	10014000	USD
	us-gaap	Interest Paid Net InterestPaidNet	11625000	USD
CY2017Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	395000	USD
	us-gaap	Investment Income Interest InvestmentIncomeInterest	973000	USD
CY2018Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	467000	USD
	us-gaap	Investment Income Interest InvestmentIncomeInterest	1477000	USD
CY2017Q3	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	33782000	USD
	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	98267000	USD
CY2018Q3	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	34851000	USD
	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	103173000	USD
CY2017Q4	us-gaap	Liabilities Liabilities	602374000	USD
CY2018Q3	us-gaap	Liabilities Liabilities	571199000	USD
CY2017Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	1102433000	USD
CY2018Q3	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	1143575000	USD
CY2017Q4	us-gaap	Liabilities Current LiabilitiesCurrent	225821000	USD
CY2018Q3	us-gaap	Liabilities Current LiabilitiesCurrent	247860000	USD
CY2017Q1	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	11000000	USD
CY2017Q4	us-gaap	Loans Receivable Net LoansReceivableNet	0	USD
CY2018Q3	us-gaap	Loans Receivable Net LoansReceivableNet	103000	USD
CY2017Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	9939000	USD
CY2018Q3	us-gaap	Long Term Debt Current LongTermDebtCurrent	10080000	USD
CY2017Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	302990000	USD
CY2018Q3	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	245604000	USD
CY2017Q4	us-gaap	Minority Interest MinorityInterest	7662000	USD
CY2018Q3	us-gaap	Minority Interest MinorityInterest	10477000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	2166000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-58688000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-83066000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-95269000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	63249000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	157277000	USD
CY2017Q3	us-gaap	Net Income Loss NetIncomeLoss	14212000	USD
	us-gaap	Net Income Loss NetIncomeLoss	29269000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	20861000	USD
	us-gaap	Net Income Loss NetIncomeLoss	66004000	USD
CY2017Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	63000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	342000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-511000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-35000	USD
	us-gaap	Noncash Or Part Noncash Divestiture Amount Of Consideration Received1 NoncashOrPartNoncashDivestitureAmountOfConsiderationReceived1	0	USD
	us-gaap	Noncash Or Part Noncash Divestiture Amount Of Consideration Received1 NoncashOrPartNoncashDivestitureAmountOfConsiderationReceived1	129000	USD
CY2017Q4	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	63	facilities
CY2018Q3	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	68	facilities
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	3	Segments
CY2017Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	25559000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	55142000	USD
CY2018Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	29287000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	94041000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	1676362000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	139933000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due In Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	135403000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due In Four Years OperatingLeasesFutureMinimumPaymentsDueInFourYears	137040000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	138428000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due In Two Years OperatingLeasesFutureMinimumPaymentsDueInTwoYears	139043000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	951177000	USD
CY2018Q3	us-gaap	Operating Leases Future Minimum Payments Remainder Of Fiscal Year OperatingLeasesFutureMinimumPaymentsRemainderOfFiscalYear	35338000	USD
CY2017Q4	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	63815000	USD
CY2018Q3	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	74297000	USD
CY2017Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	16501000	USD
CY2018Q3	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	20459000	USD
CY2017Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	63815000	USD
CY2018Q3	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	74297000	USD
CY2017Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	8625000	USD
CY2018Q3	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	10798000	USD
CY2017Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3124000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-9044000	USD
CY2018Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3522000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-9994000	USD
CY2017Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	2327000	USD
CY2018Q3	us-gaap	Other Restricted Assets OtherRestrictedAssets	2999000	USD
CY2017Q4	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	16501000	USD
CY2018Q3	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	20459000	USD
CY2017Q4	us-gaap	Payments For Legal Settlements PaymentsForLegalSettlements	11000000	USD
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	849000	USD
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	660000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	7288000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	1972000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	6528000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	7042000	USD
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	58000	USD
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	18000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	84063000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	1625000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	83945000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	1625000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	39775000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	37632000	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	83000	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	0	USD
CY2017Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	28132000	USD
CY2018Q3	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	25105000	USD
CY2017Q4	us-gaap	Prepaid Taxes PrepaidTaxes	19447000	USD
CY2018Q3	us-gaap	Prepaid Taxes PrepaidTaxes	6509000	USD
	us-gaap	Proceeds From Income Tax Refunds ProceedsFromIncomeTaxRefunds	0	USD
	us-gaap	Proceeds From Income Tax Refunds ProceedsFromIncomeTaxRefunds	11000000	USD
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	0	USD
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	1783000	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	680000000	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	600000000	USD
	us-gaap	Proceeds From Issuance Or Sale Of Equity ProceedsFromIssuanceOrSaleOfEquity	0	USD
	us-gaap	Proceeds From Issuance Or Sale Of Equity ProceedsFromIssuanceOrSaleOfEquity	1972000	USD
	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	0	USD
	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	-336000	USD
	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	2546000	USD
	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	2971000	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	4212000	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	6135000	USD
CY2017Q3	us-gaap	Profit Loss ProfitLoss	14275000	USD
	us-gaap	Profit Loss ProfitLoss	29611000	USD
CY2018Q3	us-gaap	Profit Loss ProfitLoss	20350000	USD
	us-gaap	Profit Loss ProfitLoss	65969000	USD
CY2017Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	681177000	USD
CY2018Q3	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	769908000	USD
CY2017Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	537084000	USD
CY2018Q3	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	593088000	USD
CY2017Q3	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	7288000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	21934000	USD
CY2018Q3	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1128000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2101000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	668089000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	657427000	USD
CY2017Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	264691000	USD
CY2018Q3	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	321448000	USD
CY2017Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	471594000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1361612000	USD
CY2018Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	514364000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1502884000	USD
	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	256000	USD
	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	493000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Deferred Gain Gross SaleLeasebackTransactionDeferredGainGross	13153000	USD
CY2017Q4	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	12075000	USD
CY2018Q3	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	11581000	USD
CY2017Q2	us-gaap	Sale Leaseback Transaction Gross Proceeds Investing Activities SaleLeasebackTransactionGrossProceedsInvestingActivities	38000000	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	38000000	USD
	us-gaap	Sale Leaseback Transaction Net Proceeds Investing Activities SaleLeasebackTransactionNetProceedsInvestingActivities	0	USD
CY2017Q4	us-gaap	Security Deposit SecurityDeposit	5981000	USD
CY2018Q3	us-gaap	Security Deposit SecurityDeposit	8788000	USD
CY2017Q4	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	22516000	USD
CY2018Q3	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	23113000	USD
CY2017Q4	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	50220000	USD
CY2018Q3	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	54704000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	6755000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	7639000	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	22.98
	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	34.79
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	383000	shares
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	560000	shares
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	20.65
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	28.21
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod	125000	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	22.25
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.019	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.019	Rate
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.028	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.027	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
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.320	Rate
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.320	Rate
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	10.07
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	11.94
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	73000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	19.52
	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
CY2017Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	103000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	383000	shares
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	101000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	496000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	6.83
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	11.64
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4739000	shares
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4399000	shares
CY2017Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	13.08
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	16.20
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	7.80
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	19.64
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	33.61
CY2018Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions	2658000	shares
CY2018Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions	4399000	shares
CY2017Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M
CY2018Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y3M
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P5Y10M15D
CY2017Q4	us-gaap	Short Term Investments ShortTermInvestments	13092000	USD
CY2018Q3	us-gaap	Short Term Investments ShortTermInvestments	9688000	USD
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Forfeited StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited	14000	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
CY2018Q3	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	42000	shares
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	316000	shares
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	763000	shares
CY2017Q1	us-gaap	Stock Repurchase Program Expiration Date StockRepurchaseProgramExpirationDate	2018-02-08
CY2018Q2	us-gaap	Stock Repurchase Program Expiration Date StockRepurchaseProgramExpirationDate	2019-02-20
CY2017Q1	us-gaap	Stock Repurchase Program Period In Force1 StockRepurchaseProgramPeriodInForce1	P0Y12M
CY2018Q2	us-gaap	Stock Repurchase Program Period In Force1 StockRepurchaseProgramPeriodInForce1	P0Y11M
CY2017Q4	us-gaap	Stockholders Equity StockholdersEquity	492397000	USD
CY2018Q3	us-gaap	Stockholders Equity StockholdersEquity	561899000	USD
CY2017Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	500059000	USD
CY2018Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	572376000	USD
CY2017Q4	us-gaap	Treasury Stock Shares TreasuryStockShares	1932000	shares
CY2018Q3	us-gaap	Treasury Stock Shares TreasuryStockShares	1932000	shares
CY2017Q4	us-gaap	Treasury Stock Value TreasuryStockValue	38405000	USD
CY2018Q3	us-gaap	Treasury Stock Value TreasuryStockValue	38405000	USD
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
CY2018Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	54632000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	54176000	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
CY2018Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	52139000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	51870000	shares
	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 Interim 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, 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
R42.htm	Edgar Link	pending
0001125376-18-000162-index-headers.html	Edgar Link	pending
0001125376-18-000162-index.html	Edgar Link	pending
0001125376-18-000162.txt	Edgar Link	pending
0001125376-18-000162-xbrl.zip	Edgar Link	pending
ensg-20180930.xml	Edgar Link	completed
ensg-20180930.xsd	Edgar Link	pending
ensg-20180930_cal.xml	Edgar Link	unprocessable
ensg-20180930_def.xml	Edgar Link	unprocessable
ensg-20180930_lab.xml	Edgar Link	unprocessable
ensg-20180930_pre.xml	Edgar Link	unprocessable
ensg093018ex321.htm	Edgar Link	pending
ensg0930201810q.htm	Edgar Link	pending
ensg09302018ex322.htm	Edgar Link	pending
ensgq32018ex311.htm	Edgar Link	pending
ensgq32018ex312.htm	Edgar Link	pending
FilingSummary.xml	Edgar Link	unprocessable
Financial_Report.xlsx	Edgar Link	pending
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report.css	Edgar Link	pending
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$ENSG
ENSIGN GROUP, INC Stock $ensg

2018 Q4 Form 10-Q Financial Statement

#000112537618000162 Filed on October 31, 2018

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2018 Q4 Form 10-Q Financial Statement

#000112537618000162 Filed on October 31, 2018

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg