$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2019 Q4 Form 10-Q Financial Statement

#000112537619000150 Filed on October 30, 2019

Income Statement

Concept	2019 Q4	2019 Q3	2018 Q3
Revenue	$311.2M	$512.1M	$514.4M
YoY Change	23.64%	-0.44%	9.07%
Cost Of Revenue	$255.8M	$410.5M	$413.7M
YoY Change	9.93%	-0.78%	8.43%
Gross Profit	$55.30M	$101.6M	$100.6M
YoY Change	189.53%	0.95%	11.76%
Gross Profit Margin	17.77%	19.84%	19.57%
Selling, General & Admin	$29.90M	$60.50M	$24.60M
YoY Change	61.62%	145.93%	27.46%
% of Gross Profit	54.07%	59.55%	24.44%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$13.40M	$13.41M	$11.90M
YoY Change	9.84%	12.63%	3.97%
% of Gross Profit	24.23%	13.19%	11.83%
Operating Expenses	$40.80M	$73.90M	$36.50M
YoY Change	45.2%	102.47%	18.89%
Operating Profit	$14.50M	$30.80M	$29.29M
YoY Change	-261.11%	5.16%	14.59%
Interest Expense	-$3.400M	$3.900M	$3.989M
YoY Change	6.25%	-2.23%	13.36%
% of Operating Profit	-23.45%	12.66%	13.62%
Other Income/Expense, Net		-$3.168M	-$3.522M
YoY Change		-10.05%	12.74%
Pretax Income	$11.20M	$27.63M	$25.77M
YoY Change	-191.06%	7.24%	14.84%
Income Tax	$3.300M	$5.093M	$5.415M
% Of Pretax Income	29.46%	18.43%	21.02%
Net Earnings	$27.40M	$27.16M	$20.86M
YoY Change	3.79%	30.19%	46.78%
Net Earnings / Revenue	8.8%	5.3%	4.06%
Basic Earnings Per Share		$0.50	$0.40
Diluted Earnings Per Share	$491.0K	$0.48	$0.38
COMMON SHARES
Basic Shares Outstanding	53.35M shares	53.94M shares	52.14M shares
Diluted Shares Outstanding		56.36M shares	54.63M shares

Balance Sheet

Concept	2019 Q4	2019 Q3	2018 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments	$76.90M	$57.40M	$55.30M
YoY Change	93.22%	3.8%	12.4%
Cash & Equivalents	$59.18M	$44.40M	$45.66M
Short-Term Investments	$17.80M	$13.00M	$9.700M
Other Short-Term Assets	$25.20M	$27.70M	$31.60M
YoY Change	-21.74%	-12.34%	-11.24%
Inventory
Prepaid Expenses
Receivables	$309.0M	$308.1M	$261.5M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$411.1M	$393.2M	$348.4M
YoY Change	18.1%	12.85%	2.52%
LONG-TERM ASSETS
Property, Plant & Equipment	$767.6M	$708.2M	$593.1M
YoY Change	26.16%	19.41%	11.68%
Goodwill	$54.47M	$96.20M	$78.61M
YoY Change	9.85%	22.37%	1.22%
Intangibles
YoY Change
Long-Term Investments	$30.60M	$34.60M	$32.50M
YoY Change	-15.47%	6.46%	24.05%
Other Assets	$44.80M	$25.40M	$20.46M
YoY Change	114.93%	24.15%	41.61%
Total Long-Term Assets	$1.951B	$1.966B	$795.2M
YoY Change	133.94%	147.29%	8.78%
TOTAL ASSETS
Total Short-Term Assets	$411.1M	$393.2M	$348.4M
Total Long-Term Assets	$1.951B	$1.966B	$795.2M
Total Assets	$2.362B	$2.360B	$1.144B
YoY Change	99.83%	106.33%	6.79%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$44.97M	$40.02M	$41.32M
YoY Change	12.87%	-3.16%	4.77%
Accrued Expenses	$282.1M	$283.6M	$178.1M
YoY Change	43.05%	59.24%	12.51%
Deferred Revenue	$8.870M	$10.16M	$9.271M
YoY Change	27.57%	9.54%
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$2.702M	$10.18M	$10.08M
YoY Change	-73.26%	0.96%	23.38%
Total Short-Term Liabilities	$343.2M	$354.6M	$247.9M
YoY Change	27.47%	43.08%	11.4%
LONG-TERM LIABILITIES
Long-Term Debt	$325.2M	$265.7M	$245.6M
YoY Change	39.49%	8.18%	-14.56%
Other Long-Term Liabilities	$9.914M	$13.76M	$10.80M
YoY Change	40.35%	27.38%	38.97%
Total Long-Term Liabilities	$9.914M	$13.76M	$256.4M
YoY Change	-95.87%	-94.64%	-13.15%
TOTAL LIABILITIES
Total Short-Term Liabilities	$343.2M	$354.6M	$247.9M
Total Long-Term Liabilities	$9.914M	$13.76M	$256.4M
Total Liabilities	$1.706B	$1.658B	$571.2M
YoY Change	194.29%	190.22%	-2.14%
SHAREHOLDERS EQUITY
Retained Earnings	$391.5M	$426.4M	$321.4M
YoY Change	13.52%	32.65%	25.61%
Common Stock	$308.0M	$303.7M	$278.9M
YoY Change	8.27%	8.92%	6.25%
Preferred Stock
YoY Change
Treasury Stock (at cost)	$45.30M	$43.89M	$38.41M
YoY Change	17.94%	14.28%	0.0%
Treasury Stock Shares	2.079M shares	2.046M shares	1.932M shares
Shareholders Equity	$654.2M	$686.3M	$561.9M
YoY Change
Total Liabilities & Shareholders Equity	$2.362B	$2.360B	$1.144B
YoY Change	99.83%	106.33%	6.79%

Cashflow Statement

Concept	2019 Q4	2019 Q3	2018 Q3
OPERATING ACTIVITIES
Net Income	$27.40M	$27.16M	$20.86M
YoY Change	3.79%	30.19%	46.78%
Depreciation, Depletion And Amortization	$13.40M	$13.41M	$11.90M
YoY Change	9.84%	12.63%	3.97%
Cash From Operating Activities	$59.80M	$65.30M	$56.10M
YoY Change	12.83%	16.4%	46.48%
INVESTING ACTIVITIES
Capital Expenditures	-$87.90M	-$49.90M	-$15.70M
YoY Change	96.21%	217.83%	-6.55%
Acquisitions
YoY Change
Other Investing Activities	-$14.90M	-$1.200M	$1.600M
YoY Change	34.23%	-175.0%	-109.04%
Cash From Investing Activities	-$102.8M	-$51.20M	-$14.10M
YoY Change	83.9%	263.12%	-59.13%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	57.80M	-8.800M	-23.60M
YoY Change	-598.28%	-62.71%	-974.07%
NET CHANGE
Cash From Operating Activities	59.80M	65.30M	56.10M
Cash From Investing Activities	-102.8M	-51.20M	-14.10M
Cash From Financing Activities	57.80M	-8.800M	-23.60M
Net Change In Cash	14.80M	5.300M	18.40M
YoY Change	-202.07%	-71.2%	183.08%
FREE CASH FLOW
Cash From Operating Activities	$59.80M	$65.30M	$56.10M
Capital Expenditures	-$87.90M	-$49.90M	-$15.70M
Free Cash Flow	$147.7M	$115.2M	$71.80M
YoY Change	51.02%	60.45%	30.31%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
	dei	Entity Address City Or Town EntityAddressCityOrTown	San Juan Capistrano
	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	2019
	dei	Entity Central Index Key EntityCentralIndexKey	0001125376
CY2013Q4	ensg	Corporate Integrity Agreement Term CorporateIntegrityAgreementTerm	P5Y
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CY2018Q2	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.045
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CY2019Q1	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0475
CY2019Q2	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0475
CY2019Q3	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0475
CY2018Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.001
CY2019Q3	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.001
	dei	Entity Address State Or Province EntityAddressStateOrProvince	CA
	dei	Entity Address Postal Zip Code EntityAddressPostalZipCode	92675
	dei	City Area Code CityAreaCode	949
	dei	Local Phone Number LocalPhoneNumber	487-9500
	dei	Security12b Title Security12bTitle	Common Stock, par value $0.001 per share
	dei	Trading Symbol TradingSymbol	ENSG
	dei	Security Exchange Name SecurityExchangeName	NASDAQ
	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
	dei	Entity Interactive Data Current EntityInteractiveDataCurrent	Yes
	dei	Entity Filer Category EntityFilerCategory	Large Accelerated Filer
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	dei	Document Type DocumentType	10-Q
	dei	Document Quarterly Report DocumentQuarterlyReport	true
	dei	Document Period End Date DocumentPeriodEndDate	2019-09-30
	dei	Document Transition Report DocumentTransitionReport	false
	dei	Entity File Number EntityFileNumber	001-33757
	dei	Entity Registrant Name EntityRegistrantName	ENSIGN GROUP, INC
	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	DE
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	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	84047000	USD
CY2019Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	7953000	USD
CY2018Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	5415000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	20605000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	18078000	USD
CY2019Q3	us-gaap	Profit Loss ProfitLoss	27828000	USD
CY2018Q3	us-gaap	Profit Loss ProfitLoss	20350000	USD
	us-gaap	Profit Loss ProfitLoss	84360000	USD
	us-gaap	Profit Loss ProfitLoss	65969000	USD
CY2019Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	669000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-511000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	1220000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-35000	USD
CY2019Q3	us-gaap	Net Income Loss NetIncomeLoss	27159000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	20861000	USD
	us-gaap	Net Income Loss NetIncomeLoss	83140000	USD
	us-gaap	Net Income Loss NetIncomeLoss	66004000	USD
CY2019Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.50
CY2018Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.40
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.55
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.27
CY2019Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.48
CY2018Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.38
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.48
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.22
CY2019Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53941000	shares
CY2018Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	52139000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	56054000	shares
CY2018Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	602340000	USD
CY2019Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	5616000	USD
CY2019Q1	us-gaap	Dividends Dividends	2543000	USD
CY2019Q1	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	2612000	USD
CY2019Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	341000	USD
CY2019Q1	us-gaap	Cumulative Effect Of New Accounting Principle In Period Of Adoption CumulativeEffectOfNewAccountingPrincipleInPeriodOfAdoption	9030000	USD
CY2019Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	235000	USD
CY2019Q1	us-gaap	Net Income Loss NetIncomeLoss	27372000	USD
CY2019Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	645003000	USD
CY2019Q2	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	3213000	USD
CY2019Q2	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	485000	USD
CY2019Q2	us-gaap	Dividends Dividends	2559000	USD
CY2019Q2	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	3066000	USD
CY2019Q2	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	236000	USD
CY2019Q2	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	92000	USD
CY2019Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	316000	USD
CY2019Q2	us-gaap	Net Income Loss NetIncomeLoss	28609000	USD
CY2019Q2	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	677307000	USD
CY2019Q3	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	1828000	USD
CY2019Q3	us-gaap	Stock Repurchased During Period Value StockRepurchasedDuringPeriodValue	5000000	USD
CY2019Q3	us-gaap	Dividends Dividends	2564000	USD
CY2019Q3	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	2961000	USD
CY2019Q3	ensg	Stock Repurchased During Period Subsidiary Equity Plan Value StockRepurchasedDuringPeriodSubsidiaryEquityPlanValue	394000	USD
CY2019Q3	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	17000	USD
CY2019Q3	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	177000	USD
CY2019Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	669000	USD
CY2019Q3	us-gaap	Net Income Loss NetIncomeLoss	27159000	USD
CY2019Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	701806000	USD
CY2017Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	500059000	USD
CY2018Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	2920000	USD
CY2018Q1	us-gaap	Dividends Dividends	2346000	USD
CY2018Q1	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	1971000	USD
CY2018Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	338000	USD
CY2018Q1	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	292000	USD
CY2018Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	161000	USD
CY2018Q1	us-gaap	Net Income Loss NetIncomeLoss	23132000	USD
CY2018Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	525943000	USD
CY2018Q2	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	1857000	USD
CY2018Q2	us-gaap	Dividends Dividends	2367000	USD
CY2018Q2	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	2177000	USD
CY2018Q2	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	343000	USD
CY2018Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	315000	USD
CY2018Q2	us-gaap	Net Income Loss NetIncomeLoss	22011000	USD
CY2018Q2	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	550279000	USD
CY2018Q3	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	1358000	USD
CY2018Q3	us-gaap	Dividends Dividends	2377000	USD
CY2018Q3	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	2462000	USD
CY2018Q3	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	348000	USD
CY2018Q3	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	44000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-511000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	20861000	USD
CY2018Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	572376000	USD
	us-gaap	Profit Loss ProfitLoss	84360000	USD
	us-gaap	Profit Loss ProfitLoss	65969000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	40101000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	35145000	USD
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	1471000	USD
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	4513000	USD
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	876000	USD
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	882000	USD
	us-gaap	Sale Leaseback Transaction Current Period Gain Recognized SaleLeasebackTransactionCurrentPeriodGainRecognized	493000	USD
	ensg	Non Cash Lease Expense NonCashLeaseExpense	309000	USD
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	0	USD
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	710000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1454000	USD
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2101000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	9233000	USD
	us-gaap	Share Based Compensation ShareBasedCompensation	7639000	USD
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	804000	USD
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	1783000	USD
	ensg	Gain Losson Other Assets GainLossonOtherAssets	2977000	USD
	ensg	Gain Losson Other Assets GainLossonOtherAssets	1097000	USD
	us-gaap	Proceeds From Income Tax Refunds ProceedsFromIncomeTaxRefunds	0	USD
	us-gaap	Proceeds From Income Tax Refunds ProceedsFromIncomeTaxRefunds	11000000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	34173000	USD
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-3479000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-4181000	USD
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-1938000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-3697000	USD
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-238000	USD
	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	0	USD
	ensg	Increase Decrease In Insurance Subsidiary Deposits And Investments IncreaseDecreaseInInsuranceSubsidiaryDepositsAndInvestments	-399000	USD
	ensg	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	-3632000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	-4217000	USD
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2031000	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	16285000	USD
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	8540000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	12872000	USD
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	9092000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	4686000	USD
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	4025000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	2263000	USD
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	181000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	137593000	USD
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	157277000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	54983000	USD
	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	37632000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	25213000	USD
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	1625000	USD
	ensg	Paymentsto Acquire Asset Acquisitions PaymentstoAcquireAssetAcquisitions	75326000	USD
	ensg	Paymentsto Acquire Asset Acquisitions PaymentstoAcquireAssetAcquisitions	57859000	USD
	us-gaap	Payments For Deposits On Real Estate Acquisitions PaymentsForDepositsOnRealEstateAcquisitions	50000	USD
	us-gaap	Payments For Deposits On Real Estate Acquisitions PaymentsForDepositsOnRealEstateAcquisitions	660000	USD
	us-gaap	Proceeds From Deposits On Real Estate Sales ProceedsFromDepositsOnRealEstateSales	7271000	USD
	us-gaap	Proceeds From Deposits On Real Estate Sales ProceedsFromDepositsOnRealEstateSales	228000	USD
	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	7835000	USD
	us-gaap	Proceeds From Sales Of Assets Investing Activities ProceedsFromSalesOfAssetsInvestingActivities	2971000	USD
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	8922000	USD
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	692000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-149388000	USD
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-95269000	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	895000000	USD
	us-gaap	Proceeds From Issuance Of Secured Debt ProceedsFromIssuanceOfSecuredDebt	600000000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	863494000	USD
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	657427000	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	7376000	USD
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	6135000	USD
	us-gaap	Payments Related To Tax Withholding For Share Based Compensation PaymentsRelatedToTaxWithholdingForShareBasedCompensation	485000	USD
	us-gaap	Payments Related To Tax Withholding For Share Based Compensation PaymentsRelatedToTaxWithholdingForShareBasedCompensation	0	USD
	us-gaap	Proceeds From Issuance Or Sale Of Equity ProceedsFromIssuanceOrSaleOfEquity	2293000	USD
	us-gaap	Proceeds From Issuance Or Sale Of Equity ProceedsFromIssuanceOrSaleOfEquity	1972000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	7687000	USD
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	1972000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	7626000	USD
	us-gaap	Payments Of Dividends PaymentsOfDividends	7042000	USD
CY2017Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	42337000	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	269000	USD
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	336000	USD
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	0	USD
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	18000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	25108000	USD
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-58688000	USD
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	13313000	USD
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	3320000	USD
CY2018Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	31083000	USD
CY2019Q3	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	44396000	USD
CY2018Q3	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	45657000	USD
	us-gaap	Interest Paid Net InterestPaidNet	11446000	USD
	us-gaap	Interest Paid Net InterestPaidNet	11625000	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	16358000	USD
	us-gaap	Income Taxes Paid IncomeTaxesPaid	15563000	USD
	us-gaap	Operating Lease Payments OperatingLeasePayments	111391000	USD
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	3500000	USD
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	3800000	USD
	us-gaap	Dividends Dividends	2564000	USD
	us-gaap	Dividends Dividends	2377000	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
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	52606000	USD
CY2019Q3	ensg	Number Of Real Estate Properties Operated NumberOfRealEstatePropertiesOperated	259	facility
CY2019Q3	ensg	Home Health Hospiceand Home Care Operations HomeHealthHospiceandHomeCareOperations	63	business
CY2019Q3	ensg	Operational Skilled Nursing Beds OperationalSkilledNursingBeds	21100	bed
CY2019Q3	ensg	Operational Senior Living Units OperationalSeniorLivingUnits	6000	bed
CY2019Q3	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	81	facility
CY2019Q3	ensg	Number Of Real Estate Properties Operated NumberOfRealEstatePropertiesOperated	259	facility
CY2019Q3	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	178	facility
CY2019Q3	ensg	Number Of Real Estate Properties Leased With Option To Purchase NumberOfRealEstatePropertiesLeasedWithOptionToPurchase	11	facility
CY2019Q3	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	178	facility
CY2018Q4	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	72	facility
CY2018Q4	ensg	Number Of Real Estate Properties Operated NumberOfRealEstatePropertiesOperated	244	facility
CY2018Q4	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	172	facility
CY2018Q4	ensg	Number Of Real Estate Properties Leased With Option To Purchase NumberOfRealEstatePropertiesLeasedWithOptionToPurchase	12	facility
CY2018Q4	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	172	facility
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	3	segment
	us-gaap	Use Of Estimates UseOfEstimates	<div style="line-height:120%;padding-top:12px;text-align:justify;text-indent:32px;font-size:10pt;"><span style="font-family:inherit;font-size:10pt;font-style:italic;">Estimates and Assumptions —</span><span 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.</span></div>
CY2019Q3	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	1471000	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	860000	USD
CY2018Q3	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	0	USD
CY2018Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	3653000	USD
CY2019Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
CY2019Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	7899000	USD
CY2018Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	6969000	USD
CY2019Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	600507000	USD
CY2019Q3	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
CY2018Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	514364000	USD
CY2018Q3	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1725372000	USD
	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1502884000	USD
	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
CY2019Q3	us-gaap	Accounts Receivable Gross AccountsReceivableGross	311800000	USD
CY2018Q4	us-gaap	Accounts Receivable Gross AccountsReceivableGross	278985000	USD
CY2019Q3	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	3707000	USD
CY2018Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	2886000	USD
CY2019Q3	us-gaap	Accounts Receivable Net AccountsReceivableNet	308093000	USD
CY2018Q4	us-gaap	Accounts Receivable Net AccountsReceivableNet	276099000	USD
CY2019Q3	us-gaap	Profit Loss ProfitLoss	27828000	USD
CY2018Q3	us-gaap	Profit Loss ProfitLoss	20350000	USD
	us-gaap	Profit Loss ProfitLoss	84360000	USD
	us-gaap	Profit Loss ProfitLoss	65969000	USD
CY2019Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	669000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-511000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	1220000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-35000	USD
CY2019Q3	us-gaap	Net Income Loss NetIncomeLoss	27159000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	20861000	USD
	us-gaap	Net Income Loss NetIncomeLoss	83140000	USD
	us-gaap	Net Income Loss NetIncomeLoss	66004000	USD
CY2019Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53941000	shares
CY2018Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	52139000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53470000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	51870000	shares
CY2019Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.50
CY2018Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	0.40
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.55
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.27
CY2019Q3	us-gaap	Profit Loss ProfitLoss	27828000	USD
CY2018Q3	us-gaap	Profit Loss ProfitLoss	20350000	USD
	us-gaap	Profit Loss ProfitLoss	84360000	USD
	us-gaap	Profit Loss ProfitLoss	65969000	USD
CY2019Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	669000	USD
CY2018Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-511000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	1220000	USD
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-35000	USD
CY2019Q3	us-gaap	Net Income Loss NetIncomeLoss	27159000	USD
CY2018Q3	us-gaap	Net Income Loss NetIncomeLoss	20861000	USD
	us-gaap	Net Income Loss NetIncomeLoss	83140000	USD
	us-gaap	Net Income Loss NetIncomeLoss	66004000	USD
CY2019Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53941000	shares
CY2018Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	52139000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	53470000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	51870000	shares
CY2019Q3	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	2423000	shares
CY2018Q3	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	2493000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	2584000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	2306000	shares
CY2019Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	56364000	shares
CY2018Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	54632000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	56054000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	54176000	shares
CY2019Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.48
CY2018Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	0.38
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.48
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.22
CY2019Q3	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	421000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	143000	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	Number Of Reportable Segments NumberOfReportableSegments	3	segment
CY2019Q3	ensg	Transitionaland Skilled Service Facilities TransitionalandSkilledServiceFacilities	175	facility
CY2019Q3	ensg	Transitionaland Skilled Servicesand Senior Living Campuses TransitionalandSkilledServicesandSeniorLivingCampuses	27	facility
CY2019Q3	ensg	Senior Living Facilities SeniorLivingFacilities	57	facility
CY2019Q3	ensg	Transitionaland Skilled Servicesand Senior Living Campuses TransitionalandSkilledServicesandSeniorLivingCampuses	27	facility
CY2019Q3	ensg	Home Health Hospiceand Home Care Operations HomeHealthHospiceandHomeCareOperations	63	business
CY2019Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	600507000	USD
CY2019Q3	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
CY2018Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	514364000	USD
CY2018Q3	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1725372000	USD
	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1502884000	USD
	ensg	Revenuefrom Contractwith Customerby Payorasa Percentof Total Revenue RevenuefromContractwithCustomerbyPayorasaPercentofTotalRevenue	1.000
CY2019Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	600507000	USD
CY2019Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	600507000	USD
CY2019Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	38945000	USD
CY2019Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3164000	USD
CY2019Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	35781000	USD
CY2019Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	14319000	USD
CY2018Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	514364000	USD
CY2018Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	514364000	USD
CY2018Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	29287000	USD
CY2018Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-3522000	USD
CY2018Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	25765000	USD
CY2018Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	11902000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1725372000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1725372000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	114595000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-9630000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	104965000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	40101000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1502884000	USD
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1502884000	USD
	us-gaap	Operating Income Loss OperatingIncomeLoss	94041000	USD
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-9994000	USD
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	84047000	USD
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	35145000	USD
	us-gaap	Payments To Acquire Real Estate PaymentsToAcquireRealEstate	10735000	USD
	ensg	Paymentsto Acquire Businessand Asset Acquisitions PaymentstoAcquireBusinessandAssetAcquisitions	101463000	USD
	ensg	Paymentsto Acquire Asset Acquisitions PaymentstoAcquireAssetAcquisitions	75326000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	26137000	USD
	us-gaap	Notes Issued1 NotesIssued1	924000	USD
	us-gaap	Payments To Acquire Businesses Gross PaymentsToAcquireBusinessesGross	1625000	USD
CY2019Q3	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	925780000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	801605000	USD
CY2019Q3	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	217556000	USD
CY2018Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	182731000	USD
CY2019Q3	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	708224000	USD
CY2018Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	618874000	USD
CY2019Q3	us-gaap	Proceeds From Sale Of Real Estate ProceedsFromSaleOfRealEstate	5300000	USD
CY2019Q3	us-gaap	Gains Losses On Sales Of Investment Real Estate GainsLossesOnSalesOfInvestmentRealEstate	2861000	USD
	us-gaap	Impairment Of Long Lived Assets To Be Disposed Of ImpairmentOfLongLivedAssetsToBeDisposedOf	1471000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	9998000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	6457000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	3541000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	44832000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	13832000	USD
CY2018Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	31000000	USD
CY2019Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	865000	USD
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2770000	USD
CY2019Q3	ensg	Operating Lease Right Of Use Asset Amortization OperatingLeaseRightOfUseAssetAmortization	495000	USD
	ensg	Operating Lease Right Of Use Asset Amortization OperatingLeaseRightOfUseAssetAmortization	1485000	USD
CY2018Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	761000	USD
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	2067000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	279000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	345000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	249000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	249000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	237000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	234000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	1948000	USD
CY2019Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	3541000	USD
CY2018Q4	us-gaap	Goodwill Goodwill	80477000	USD
	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	15722000	USD
CY2019Q3	us-gaap	Goodwill Goodwill	96199000	USD
CY2018Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	3653000	USD
CY2018Q3	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	3513000	USD
CY2019Q3	us-gaap	Goodwill And Intangible Asset Impairment GoodwillAndIntangibleAssetImpairment	0	USD
CY2019Q3	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	36098000	USD
CY2018Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	27602000	USD
CY2019Q3	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	1214000	USD
CY2018Q4	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	1892000	USD
CY2019Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	7899000	USD
CY2018Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	6969000	USD
CY2019Q3	us-gaap	Security Deposit SecurityDeposit	4580000	USD
CY2018Q4	us-gaap	Security Deposit SecurityDeposit	8694000	USD
CY2019Q3	us-gaap	Other Restricted Assets OtherRestrictedAssets	3599000	USD
CY2018Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	3196000	USD
CY2019Q3	us-gaap	Notes Receivable Fair Value Disclosure NotesReceivableFairValueDisclosure	59000	USD
CY2018Q4	us-gaap	Notes Receivable Fair Value Disclosure NotesReceivableFairValueDisclosure	93000	USD
CY2019Q3	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	17351000	USD
CY2018Q4	us-gaap	Other Restricted Assets Noncurrent OtherRestrictedAssetsNoncurrent	20844000	USD
CY2019Q3	ensg	Quality Assurance Fee QualityAssuranceFee	5889000	USD
CY2018Q4	ensg	Quality Assurance Fee QualityAssuranceFee	5375000	USD
CY2019Q3	ensg	Resident Refunds Payable ResidentRefundsPayable	29747000	USD
CY2018Q4	ensg	Resident Refunds Payable ResidentRefundsPayable	25118000	USD
CY2019Q3	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	10155000	USD
CY2018Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	8495000	USD
CY2019Q3	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2975000	USD
CY2018Q4	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	2824000	USD
CY2019Q3	ensg	Resident Deposits ResidentDeposits	8080000	USD
CY2018Q4	ensg	Resident Deposits ResidentDeposits	6665000	USD
CY2019Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2564000	USD
CY2018Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	2525000	USD
CY2019Q3	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	11085000	USD
CY2018Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	9426000	USD
CY2019Q3	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	13755000	USD
CY2018Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	9356000	USD
CY2019Q3	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	84250000	USD
CY2018Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	69784000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	20605000	USD
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	18078000	USD
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.196
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.215
CY2019Q3	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	278510000	USD
CY2018Q4	us-gaap	Debt Instrument Carrying Amount DebtInstrumentCarryingAmount	246080000	USD
CY2019Q3	us-gaap	Long Term Debt Current LongTermDebtCurrent	10177000	USD
CY2018Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	10105000	USD
CY2019Q3	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2641000	USD
CY2018Q4	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2840000	USD
CY2019Q3	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	265692000	USD
CY2018Q4	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	233135000	USD
CY2019Q3	ensg	Numberof Option Plans NumberofOptionPlans	1	plan
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	553000	shares
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	252000	shares
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	154000	shares
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.015
CY2019Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M12D
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.340
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.004
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	101000	shares
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.028
CY2018Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y3M18D
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.320
CY2018Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.005
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	553000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.020
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M12D
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.339
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.004
	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 Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.027
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M12D
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.320
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.005
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	553000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	53.05
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	18.89
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	496000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	33.61
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	11.64
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4188000	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	17.35
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	2431000	shares
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	12.37
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	553000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	53.05
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	46000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	31.26
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	687000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	10.74
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	4008000	shares
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	23.24
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	2364000	shares
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	14.52
CY2019Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions	4008000	shares
CY2019Q3	ensg	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Fair Value ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeFairValue	35180000	USD
CY2019Q3	us-gaap	Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions	2364000	shares
CY2019Q3	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	58000	shares
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	252000	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
	ensg	Sharebased Compensation Restricted Awards Exercise Price SharebasedCompensationRestrictedAwardsExercisePrice	0
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1 ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod1	P5Y
CY2018Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	573000	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
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Gross StockIssuedDuringPeriodSharesRestrictedStockAwardGross	252000	shares
	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	52.13
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriod	210000	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	36.74
	us-gaap	Stock Issued During Period Shares Restricted Stock Award Forfeited StockIssuedDuringPeriodSharesRestrictedStockAwardForfeited	11000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsForfeituresWeightedAverageGrantDateFairValue	34.91
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber	604000	shares
CY2019Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedWeightedAverageGrantDateFairValue	36.14
CY2019Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	2961000	USD
CY2018Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	2462000	USD
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	8639000	USD
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	6609000	USD
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P6Y1M6D
CY2019Q3	ensg	Facilitiesunder Master Lease Arrangement FacilitiesunderMasterLeaseArrangement	39	facility
CY2019Q3	ensg	Master Lease Agreements MasterLeaseAgreements	7	agreement
CY2018Q4	us-gaap	Assets Assets	1181958000	USD
CY2019Q1	us-gaap	Assets Assets	2197895000	USD
CY2019Q3	us-gaap	Assets Assets	2359549000	USD
CY2018Q4	us-gaap	Liabilities Liabilities	579618000	USD
CY2019Q1	us-gaap	Liabilities Liabilities	1586525000	USD
CY2019Q3	us-gaap	Liabilities Liabilities	1657743000	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	611370000	USD
CY2019Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	701806000	USD
CY2019Q3	us-gaap	Operating Lease Cost OperatingLeaseCost	38420000	USD
CY2018Q3	us-gaap	Operating Lease Cost OperatingLeaseCost	35523000	USD
	us-gaap	Operating Lease Cost OperatingLeaseCost	112591000	USD
CY2019Q3	ensg	Amortizationof Deferred Rent AmortizationofDeferredRent	138000	USD
	us-gaap	Operating Lease Cost OperatingLeaseCost	105153000	USD
CY2019Q3	us-gaap	Variable Lease Cost VariableLeaseCost	4438000	USD
	us-gaap	Variable Lease Cost VariableLeaseCost	12113000	USD
	ensg	Amortizationof Deferred Rent AmortizationofDeferredRent	309000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Remainder Of Fiscal Year LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear	36720000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	146498000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	145662000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	143787000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	141954000	USD
CY2019Q3	ensg	Lessee Operating Lease Liability Payments Due Year Six LesseeOperatingLeaseLiabilityPaymentsDueYearSix	141927000	USD
CY2019Q3	ensg	Lessee Operating Lease Liability Payments Due After Year Six LesseeOperatingLeaseLiabilityPaymentsDueAfterYearSix	902903000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	1659451000	USD
CY2019Q3	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	624138000	USD
CY2019Q3	us-gaap	Operating Lease Liability OperatingLeaseLiability	1035313000	USD
CY2019Q3	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	60817000	USD
CY2019Q3	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	974496000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Current OperatingLeasesFutureMinimumPaymentsDueCurrent	142497000	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 In Three Years OperatingLeasesFutureMinimumPaymentsDueInThreeYears	140524000	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 Five Years OperatingLeasesFutureMinimumPaymentsDueInFiveYears	137349000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due Thereafter OperatingLeasesFutureMinimumPaymentsDueThereafter	967027000	USD
CY2018Q4	us-gaap	Operating Leases Future Minimum Payments Due OperatingLeasesFutureMinimumPaymentsDue	1667951000	USD
CY2019Q3	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P12Y
CY2019Q3	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0866
CY2017Q1	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	11000000	USD
CY2017Q4	us-gaap	Payments For Legal Settlements PaymentsForLegalSettlements	11000000	USD
CY2018Q1	ensg	Litigation Settlement Returnof Unclaimed Settlement LitigationSettlementReturnofUnclaimedSettlement	1664000	USD
CY2019Q3	ensg	Facilitiesunder Medicare Probe Reviews FacilitiesunderMedicareProbeReviews	13	facility
CY2013Q4	us-gaap	Payments For Legal Settlements PaymentsForLegalSettlements	48000000	USD

Files In Submission

Name	View Source	Status
0001125376-19-000150-index-headers.html	Edgar Link	pending
0001125376-19-000150-index.html	Edgar Link	pending
0001125376-19-000150.txt	Edgar Link	pending
0001125376-19-000150-xbrl.zip	Edgar Link	pending
ensg-20190930.xsd	Edgar Link	pending
ensg-20190930_cal.xml	Edgar Link	unprocessable
ensg-20190930_def.xml	Edgar Link	unprocessable
ensg-20190930_lab.xml	Edgar Link	unprocessable
ensg-20190930_pre.xml	Edgar Link	unprocessable
ensg093019ex321.htm	Edgar Link	pending
ensg093019ex322.htm	Edgar Link	pending
ensg0930201910q.htm	Edgar Link	pending
ensg0930201910q_htm.xml	Edgar Link	completed
ensgq32019ex311.htm	Edgar Link	pending
ensgq32019ex312.htm	Edgar Link	pending
FilingSummary.xml	Edgar Link	unprocessable
Financial_Report.xlsx	Edgar Link	pending
MetaLinks.json	Edgar Link	pending
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report.css	Edgar Link	pending
Show.js	Edgar Link	pending

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$ENSG
ENSIGN GROUP, INC Stock $ensg

2019 Q4 Form 10-Q Financial Statement

#000112537619000150 Filed on October 30, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2019 Q4 Form 10-Q Financial Statement

#000112537619000150 Filed on October 30, 2019

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg