$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2019 Q1 Form 10-Q Financial Statement

#000112537619000057 Filed on May 06, 2019

Income Statement

Concept	2019 Q1	2018 Q1
Revenue	$471.3M	$492.1M
YoY Change	-4.23%	11.41%
Cost Of Revenue	$372.0M	$390.2M
YoY Change	-4.68%	9.78%
Gross Profit	$99.32M	$101.9M
YoY Change	-2.52%	18.13%
Gross Profit Margin	21.07%	20.7%
Selling, General & Admin	$60.30M	$25.10M
YoY Change	140.24%	17.84%
% of Gross Profit	60.71%	24.63%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$11.93M	$11.62M
YoY Change	2.64%	10.54%
% of Gross Profit	12.01%	11.41%
Operating Expenses	$72.20M	$36.80M
YoY Change	96.2%	15.72%
Operating Profit	$29.95M	$32.98M
YoY Change	-9.19%	336.69%
Interest Expense	$3.672M	$3.613M
YoY Change	1.63%	4.88%
% of Operating Profit	12.26%	10.96%
Other Income/Expense, Net	-$3.109M	-$3.165M
YoY Change	-1.77%	0.32%
Pretax Income	$26.84M	$29.81M
YoY Change	-9.98%	578.05%
Income Tax	$5.275M	$6.521M
% Of Pretax Income	19.65%	21.87%
Net Earnings	$27.37M	$23.13M
YoY Change	18.33%	714.51%
Net Earnings / Revenue	5.81%	4.7%
Basic Earnings Per Share	$0.52	$0.45
Diluted Earnings Per Share	$0.49	$0.43
COMMON SHARES
Basic Shares Outstanding	53.08M shares	51.59M shares
Diluted Shares Outstanding	55.70M shares	53.52M shares

Balance Sheet

Concept	2019 Q1	2018 Q1
SHORT-TERM ASSETS
Cash & Short-Term Investments	$41.90M	$48.70M
YoY Change	-13.96%	17.92%
Cash & Equivalents	$37.82M	$35.06M
Short-Term Investments	$4.000M	$13.60M
Other Short-Term Assets	$24.20M	$37.50M
YoY Change	-35.47%	75.23%
Inventory
Prepaid Expenses
Receivables	$291.7M	$258.5M
Other Receivables	$0.00	$0.00
Total Short-Term Assets	$357.7M	$344.7M
YoY Change	3.77%	12.79%
LONG-TERM ASSETS
Property, Plant & Equipment	$627.4M	$541.0M
YoY Change	15.97%	10.28%
Goodwill	$87.06M	$80.96M
YoY Change	7.53%	17.46%
Intangibles
YoY Change
Long-Term Investments	$42.90M	$28.10M
YoY Change	52.67%	11.51%
Other Assets	$16.44M	$17.70M
YoY Change	-7.09%	33.64%
Total Long-Term Assets	$1.840B	$748.0M
YoY Change	146.02%	10.18%
TOTAL ASSETS
Total Short-Term Assets	$357.7M	$344.7M
Total Long-Term Assets	$1.840B	$748.0M
Total Assets	$2.198B	$1.093B
YoY Change	101.14%	10.99%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$44.60M	$31.98M
YoY Change	39.46%	-5.47%
Accrued Expenses	$240.2M	$153.8M
YoY Change	56.18%	1.79%
Deferred Revenue	$7.219M	$0.00
YoY Change
Short-Term Debt	$0.00	$0.00
YoY Change
Long-Term Debt Due	$10.13M	$10.04M
YoY Change	0.94%	23.05%
Total Short-Term Liabilities	$311.4M	$211.3M
YoY Change	47.41%	0.67%
LONG-TERM LIABILITIES
Long-Term Debt	$240.7M	$280.4M
YoY Change	-14.19%	8.5%
Other Long-Term Liabilities	$12.50M	$7.802M
YoY Change	60.16%	45.61%
Total Long-Term Liabilities	$253.2M	$288.3M
YoY Change	-12.18%	9.25%
TOTAL LIABILITIES
Total Short-Term Liabilities	$311.4M	$211.3M
Total Long-Term Liabilities	$253.2M	$288.3M
Total Liabilities	$1.587B	$566.8M
YoY Change	179.93%	7.72%
SHAREHOLDERS EQUITY
Retained Earnings	$378.4M	$285.4M
YoY Change	32.6%	21.09%
Common Stock	$292.7M	$271.0M
YoY Change	7.99%	6.13%
Preferred Stock
YoY Change
Treasury Stock (at cost)	$38.41M	$38.41M
YoY Change	0.0%	3.28%
Treasury Stock Shares	1.932M shares	1.932M shares
Shareholders Equity	$632.7M	$518.0M
YoY Change
Total Liabilities & Shareholders Equity	$2.218B	$1.093B
YoY Change	103.01%	10.99%

Cashflow Statement

Concept	2019 Q1	2018 Q1
OPERATING ACTIVITIES
Net Income	$27.37M	$23.13M
YoY Change	18.33%	714.51%
Depreciation, Depletion And Amortization	$11.93M	$11.62M
YoY Change	2.64%	10.54%
Cash From Operating Activities	$19.81M	$40.40M
YoY Change	-50.97%	106.24%
INVESTING ACTIVITIES
Capital Expenditures	$13.65M	$11.08M
YoY Change	23.13%	-7.63%
Acquisitions	$6.504M	$0.00
YoY Change		-100.0%
Other Investing Activities	$149.0K	-$9.900M
YoY Change	-101.51%	8.79%
Cash From Investing Activities	-$20.36M	-$25.46M
YoY Change	-20.05%	19.0%
FINANCING ACTIVITIES
Cash Dividend Paid	$2.525M	$2.328M
YoY Change	8.46%	6.84%
Common Stock Issuance & Retirement, Net	$0.00	$0.00
YoY Change		-100.0%
Debt Paid & Issued, Net	$257.5M	$217.4M
YoY Change	18.44%	-39.94%
Cash From Financing Activities	$7.292M	-$22.21M
YoY Change	-132.83%	-8.92%
NET CHANGE
Cash From Operating Activities	$19.81M	$40.40M
Cash From Investing Activities	-$20.36M	-$25.46M
Cash From Financing Activities	$7.292M	-$22.21M
Net Change In Cash	$6.741M	-$7.280M
YoY Change	-192.6%	-72.21%
FREE CASH FLOW
Cash From Operating Activities	$19.81M	$40.40M
Capital Expenditures	$13.65M	$11.08M
Free Cash Flow	$6.161M	$29.31M
YoY Change	-78.98%	286.26%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
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CY2019Q1	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2019Q1	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	Q1
CY2019Q1	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
CY2019Q1	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2019
CY2019Q1	dei	Document Period End Date DocumentPeriodEndDate	2019-03-31
CY2019Q1	dei	Entity Filer Category EntityFilerCategory	Large Accelerated Filer
CY2019Q1	dei	Document Type DocumentType	10-Q
CY2019Q1	dei	Entity Central Index Key EntityCentralIndexKey	0001125376
CY2019Q2	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	53011547	shares
CY2019Q1	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
CY2019Q1	dei	Entity Registrant Name EntityRegistrantName	ENSIGN GROUP, INC
CY2019Q1	dei	Entity Small Business EntitySmallBusiness	false
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CY2019Q1	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2831000	USD
CY2018Q4	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	11234000	USD
CY2019Q1	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	1662000	USD
CY2018Q1	ensg	Escrow Depositsusedto Fund Acquisitions EscrowDepositsusedtoFundAcquisitions	228000	USD
CY2019Q1	ensg	Escrow Depositsusedto Fund Acquisitions EscrowDepositsusedtoFundAcquisitions	7271000	USD
CY2019Q1	ensg	Facilitiesunder Master Lease Arrangement FacilitiesunderMasterLeaseArrangement	35	facilities
CY2019Q1	ensg	Facilitiesunder Medicare Probe Reviews FacilitiesunderMedicareProbeReviews	13	facilities
CY2018Q1	ensg	Gain Losson Other Assets GainLossonOtherAssets	667000	USD
CY2019Q1	ensg	Gain Losson Other Assets GainLossonOtherAssets	4000	USD
CY2019Q1	ensg	Home Health Hospiceand Home Care Operations HomeHealthHospiceandHomeCareOperations	56	business
CY2018Q1	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	80000	USD
CY2019Q1	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	0	USD
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CY2018Q1	ensg	Intersegmentrevenue Intersegmentrevenue	0	USD
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CY2019Q1	ensg	Lessee Operating Lease Liability Variable Rent LesseeOperatingLeaseLiabilityVariableRent	856000	USD
CY2013	ensg	Litigation Settlement Paidto U.S.Government LitigationSettlementPaidtoU.S.Government	48000000	USD
CY2018Q1	ensg	Litigation Settlement Returnof Unclaimed Settlement LitigationSettlementReturnofUnclaimedSettlement	1664000	USD
CY2018Q4	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	233135000	USD
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CY2019Q1	ensg	Master Lease Agreements MasterLeaseAgreements	6	Agreements
CY2018Q1	ensg	Noncash Lease Expense NoncashLeaseExpense	0	USD
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CY2019Q1	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	173	facilities
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CY2018Q4	ensg	Quality Assurance Fee QualityAssuranceFee	5375000	USD
CY2019Q1	ensg	Quality Assurance Fee QualityAssuranceFee	5120000	USD
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CY2018Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	44832000	USD
CY2019Q1	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	9701000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	31000000	USD
CY2019Q1	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	4131000	USD
CY2018Q1	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	1664000	USD
CY2019Q1	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	0	USD
CY2018Q1	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	25104000	USD
CY2019Q1	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	33024000	USD
CY2018Q4	us-gaap	Goodwill Goodwill	80477000	USD
CY2019Q1	us-gaap	Goodwill Goodwill	87062000	USD
CY2019Q1	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	6585000	USD
CY2018Q1	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
CY2019Q1	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
CY2018Q1	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	155000	USD
CY2019Q1	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0	USD
CY2018Q1	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	29814000	USD
CY2019Q1	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	34707000	USD
CY2018Q1	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	23293000	USD
CY2019Q1	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	27607000	USD
CY2018Q1	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	6521000	USD
CY2019Q1	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	7100000	USD
CY2018Q1	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	-6815000	USD
CY2019Q1	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	558000	USD
CY2018Q1	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-6453000	USD
CY2019Q1	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	16341000	USD
CY2018Q1	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	0	USD
CY2019Q1	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	990000	USD
CY2018Q1	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-6490000	USD
CY2019Q1	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-13204000	USD
CY2018Q1	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	339000	USD
CY2019Q1	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	-43000	USD
CY2018Q1	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	201000	USD
CY2019Q1	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	7473000	USD
CY2018Q1	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	-647000	USD
CY2019Q1	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	-3345000	USD
CY2018Q1	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-2162000	USD
CY2019Q1	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-4995000	USD
CY2018Q1	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-6654000	USD
CY2019Q1	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-6072000	USD
CY2018Q1	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	1061000	USD
CY2019Q1	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	1352000	USD
CY2018Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	27602000	USD
CY2019Q1	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	28118000	USD
CY2018Q1	us-gaap	Interest Expense InterestExpense	3613000	USD
CY2019Q1	us-gaap	Interest Expense InterestExpense	3672000	USD
CY2018Q1	us-gaap	Interest Paid Net InterestPaidNet	3809000	USD
CY2019Q1	us-gaap	Interest Paid Net InterestPaidNet	2916000	USD
CY2018Q1	us-gaap	Investment Income Interest InvestmentIncomeInterest	448000	USD
CY2019Q1	us-gaap	Investment Income Interest InvestmentIncomeInterest	575000	USD
CY2018Q1	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	33850000	USD
CY2019Q1	us-gaap	Lease And Rental Expense LeaseAndRentalExpense	35786000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	1642062000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	837822000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	142183000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	136029000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	137914000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	139613000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	141161000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Payments Remainder Of Fiscal Year LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear	107340000	USD
CY2019Q1	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	619814000	USD
CY2018Q4	us-gaap	Liabilities Liabilities	579618000	USD
CY2019Q1	us-gaap	Liabilities Liabilities	1573356000	USD
CY2018Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	1181958000	USD
CY2019Q1	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	2218359000	USD
CY2018Q4	us-gaap	Liabilities Current LiabilitiesCurrent	269227000	USD
CY2019Q1	us-gaap	Liabilities Current LiabilitiesCurrent	311443000	USD
CY2017Q1	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	11000000	USD
CY2018Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	10105000	USD
CY2019Q1	us-gaap	Long Term Debt Current LongTermDebtCurrent	10129000	USD
CY2018Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	233135000	USD
CY2019Q1	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	240660000	USD
CY2018Q4	us-gaap	Minority Interest MinorityInterest	11405000	USD
CY2019Q1	us-gaap	Minority Interest MinorityInterest	12298000	USD
CY2018Q1	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	292000	USD
CY2018Q1	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-22212000	USD
CY2019Q1	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	7292000	USD
CY2018Q1	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-25463000	USD
CY2019Q1	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-25393000	USD
CY2018Q1	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	40395000	USD
CY2019Q1	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	24842000	USD
CY2018Q1	us-gaap	Net Income Loss NetIncomeLoss	23132000	USD
CY2019Q1	us-gaap	Net Income Loss NetIncomeLoss	27372000	USD
CY2018Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	161000	USD
CY2019Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	235000	USD
CY2018Q1	us-gaap	Noncash Or Part Noncash Divestiture Amount Of Consideration Received1 NoncashOrPartNoncashDivestitureAmountOfConsiderationReceived1	139000	USD
CY2019Q1	us-gaap	Noncash Or Part Noncash Divestiture Amount Of Consideration Received1 NoncashOrPartNoncashDivestitureAmountOfConsiderationReceived1	0	USD
CY2018Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	338000	USD
CY2019Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	341000	USD
CY2018Q1	us-gaap	Notes Issued1 NotesIssued1	0	USD
CY2019Q1	us-gaap	Notes Issued1 NotesIssued1	924000	USD
CY2018Q4	us-gaap	Notes Receivable Fair Value Disclosure NotesReceivableFairValueDisclosure	93000	USD
CY2019Q1	us-gaap	Notes Receivable Fair Value Disclosure NotesReceivableFairValueDisclosure	83000	USD
CY2018Q4	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	72	facilities
CY2019Q1	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	72	facilities
CY2019Q1	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	3	Segments
CY2018Q1	us-gaap	Operating Income Loss OperatingIncomeLoss	32979000	USD
CY2019Q1	us-gaap	Operating Income Loss OperatingIncomeLoss	37804000	USD
CY2018Q1	us-gaap	Operating Lease Cost OperatingLeaseCost	34495000	USD
CY2019Q1	us-gaap	Operating Lease Cost OperatingLeaseCost	36465000	USD
CY2019Q1	us-gaap	Operating Lease Liability OperatingLeaseLiability	1021392000	USD
CY2018Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	0	USD
CY2019Q1	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	58220000	USD
CY2018Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	0	USD
CY2019Q1	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	963172000	USD
CY2018Q1	us-gaap	Operating Lease Payments OperatingLeasePayments	0	USD
CY2019Q1	us-gaap	Operating Lease Payments OperatingLeasePayments	36183000	USD
CY2018Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	0	USD
CY2019Q1	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	1045638000	USD
CY2019Q1	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0864	Rate
CY2019Q1	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P12Y0M
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	1667951000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	142497000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	137349000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Four Years OperatingLeasesFutureMinimumPaymentsDueInFourYears	139018000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	140524000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due In Two Years OperatingLeasesFutureMinimumPaymentsDueInTwoYears	141536000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	967027000	USD
CY2018Q4	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	69784000	USD
CY2019Q1	us-gaap	Other Accrued Liabilities Current And Noncurrent OtherAccruedLiabilitiesCurrentAndNoncurrent	69954000	USD
CY2018Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	20844000	USD
CY2019Q1	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	16441000	USD
CY2018Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	69784000	USD
CY2019Q1	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	69954000	USD
CY2018Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	9356000	USD
CY2019Q1	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	12496000	USD
CY2018Q1	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3165000	USD
CY2019Q1	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3097000	USD
CY2018Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	3196000	USD
CY2019Q1	us-gaap	Other Restricted Assets OtherRestrictedAssets	3417000	USD
CY2018Q4	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	20844000	USD
CY2019Q1	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	16441000	USD
CY2018Q1	us-gaap	Payments For Legal Settlements PaymentsForLegalSettlements	11000000	USD
CY2018Q1	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	10025000	USD
CY2019Q1	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	300000	USD
CY2018Q1	us-gaap	Payments Of Dividends PaymentsOfDividends	2328000	USD
CY2019Q1	us-gaap	Payments Of Dividends PaymentsOfDividends	2525000	USD
CY2018Q1	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	91000	USD
CY2019Q1	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	0	USD
CY2019Q1	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	8928000	USD
CY2018Q1	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	0	USD
CY2019Q1	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	8004000	USD
CY2018Q1	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	11082000	USD
CY2019Q1	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	13645000	USD
CY2018Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	24130000	USD
CY2019Q1	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	24019000	USD
CY2018Q4	us-gaap	Prepaid Taxes PrepaidTaxes	6219000	USD
CY2019Q1	us-gaap	Prepaid Taxes PrepaidTaxes	148000	USD
CY2018Q1	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	167000	USD
CY2019Q1	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	0	USD
CY2018Q1	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	195000000	USD
CY2019Q1	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	265000000	USD
CY2018Q1	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	-292000	USD
CY2019Q1	us-gaap	Proceeds From Payments To Minority Shareholders ProceedsFromPaymentsToMinorityShareholders	0	USD
CY2018Q1	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	64000	USD
CY2019Q1	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	2521000	USD
CY2018Q1	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	2920000	USD
CY2019Q1	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	2334000	USD
CY2018Q1	us-gaap	Profit Loss ProfitLoss	23293000	USD
CY2019Q1	us-gaap	Profit Loss ProfitLoss	27607000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	801605000	USD
CY2019Q1	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	821754000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	618874000	USD
CY2019Q1	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	627400000	USD
CY2018Q1	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	570000	USD
CY2019Q1	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	615000	USD
CY2018Q1	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	217421000	USD
CY2019Q1	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	257517000	USD
CY2018Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	344901000	USD
CY2019Q1	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	378443000	USD
CY2018Q1	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	492134000	USD
CY2019Q1	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	549214000	USD
CY2018Q1	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	0	USD
CY2019Q1	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	6348000	USD
CY2018Q1	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	164000	USD
CY2019Q1	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	0	USD
CY2018Q4	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	11417000	USD
CY2019Q1	us-gaap	Sale Leaseback Transaction Deferred Gain Net SaleLeasebackTransactionDeferredGainNet	0	USD
CY2018Q4	us-gaap	Security Deposit SecurityDeposit	8694000	USD
CY2019Q1	us-gaap	Security Deposit SecurityDeposit	3917000	USD
CY2018Q4	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	25446000	USD
CY2019Q1	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	25375000	USD
CY2018Q4	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	54605000	USD
CY2019Q1	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	56419000	USD
CY2018Q1	us-gaap	Share Based Compensation ShareBasedCompensation	2309000	USD
CY2019Q1	us-gaap	Share Based Compensation ShareBasedCompensation	2953000	USD
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1 ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1	P5Y0M
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue	26.43
CY2019Q1	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	51.15
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	573000	shares
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	578000	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	29.31
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	31.06
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod	97000	shares
CY2019Q1	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	42.62
CY2018Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.027	Rate
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.025	Rate
CY2018Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.320	Rate
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.336	Rate
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	12.37
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	13.22
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	13000	shares
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	25.63
CY2018Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
CY2018Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	168000	shares
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	141000	shares
CY2018Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	9.01
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	19.70
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4188000	shares
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4042000	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	17.35
CY2019Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	19.20
CY2019Q1	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	8.52
CY2018Q1	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	26.53
CY2019Q1	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	53.99
CY2019Q1	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions	2345000	shares
CY2019Q1	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions	4042000	shares
CY2018Q1	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M
CY2019Q1	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y3M
CY2019Q1	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P5Y12M
CY2018Q4	us-gaap	Short Term Investments ShortTermInvestments	8682000	USD
CY2019Q1	us-gaap	Short Term Investments ShortTermInvestments	4037000	USD
CY2019Q1	us-gaap	Stock Issued During Period Shares Restricted Stock Award Forfeited StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited	3000	shares
CY2018Q1	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	57000	shares
CY2019Q1	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	105000	shares
CY2019Q1	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	274000	shares
CY2018Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	2920000	USD
CY2019Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	5616000	USD
CY2018Q2	us-gaap	Stock Repurchase Program Expiration Date StockRepurchaseProgramExpirationDate	2019-02-20
CY2018Q2	us-gaap	Stock Repurchase Program Period In Force1 StockRepurchaseProgramPeriodInForce1	P0Y11M
CY2018Q4	us-gaap	Stockholders Equity StockholdersEquity	590935000	USD
CY2019Q1	us-gaap	Stockholders Equity StockholdersEquity	632705000	USD
CY2017Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	500059000	USD
CY2018Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	525943000	USD
CY2018Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	602340000	USD
CY2019Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	645003000	USD
CY2018Q4	us-gaap	Treasury Stock Shares TreasuryStockShares	1932000	shares
CY2019Q1	us-gaap	Treasury Stock Shares TreasuryStockShares	1932000	shares
CY2018Q4	us-gaap	Treasury Stock Value TreasuryStockValue	38405000	USD
CY2019Q1	us-gaap	Treasury Stock Value TreasuryStockValue	38405000	USD
CY2018Q1	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	53518000	shares
CY2019Q1	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	55698000	shares
CY2018Q1	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	51585000	shares
CY2019Q1	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53081000	shares
CY2019Q1	us-gaap	Prior Period Reclassification Adjustment Description PriorPeriodReclassificationAdjustmentDescription	<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;">Reclassifications - </font><font style="font-family:inherit;font-size:10pt;">Certain prior period amounts have been reclassified to conform to the current financial statement presentation, with no effect on the Company's consolidated financial position or results of operations.</font></div></div>
CY2019Q1	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
0001125376-19-000057-index-headers.html	Edgar Link	pending
0001125376-19-000057-index.html	Edgar Link	pending
0001125376-19-000057.txt	Edgar Link	pending
0001125376-19-000057-xbrl.zip	Edgar Link	pending
ensg-20190331.xml	Edgar Link	completed
ensg-20190331.xsd	Edgar Link	pending
ensg-20190331_cal.xml	Edgar Link	unprocessable
ensg-20190331_def.xml	Edgar Link	unprocessable
ensg-20190331_lab.xml	Edgar Link	unprocessable
ensg-20190331_pre.xml	Edgar Link	unprocessable
ensg033119ex321.htm	Edgar Link	pending
ensg033119ex322.htm	Edgar Link	pending
ensg0331201910q.htm	Edgar Link	pending
ensgq12019ex311.htm	Edgar Link	pending
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FilingSummary.xml	Edgar Link	unprocessable
Financial_Report.xlsx	Edgar Link	pending
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$ENSG
ENSIGN GROUP, INC Stock $ensg

2019 Q1 Form 10-Q Financial Statement

#000112537619000057 Filed on May 06, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2019 Q1 Form 10-Q Financial Statement

#000112537619000057 Filed on May 06, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg