$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2023 Q3 Form 10-Q Financial Statement

#000112537623000149 Filed on July 27, 2023

Income Statement

Concept	2023 Q3	2023 Q2	2022 Q4
Revenue	$940.8M	$921.3M	$809.5M
YoY Change	22.18%	25.78%	16.79%
Cost Of Revenue	$741.1M	$717.5M	$629.8M
YoY Change	23.18%	27.3%	18.46%
Gross Profit	$199.7M	$203.8M	$179.7M
YoY Change	18.61%	20.71%	11.3%
Gross Profit Margin	21.23%	22.12%	22.2%
Selling, General & Admin	$106.9M	$108.3M	$87.61M
YoY Change	29.93%	36.24%	7.86%
% of Gross Profit	53.52%	53.16%	48.76%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$18.45M	$17.60M	$16.88M
YoY Change	15.71%	18.43%	15.6%
% of Gross Profit	9.24%	8.63%	9.39%
Operating Expenses	$125.3M	$125.9M	$104.5M
YoY Change	27.58%	33.43%	9.04%
Operating Profit	$79.79M	$77.87M	$75.20M
YoY Change	7.41%	-0.46%	14.6%
Interest Expense	$2.024M	-$2.023M	-$2.067M
YoY Change	-3.98%	-175.26%	10.83%
% of Operating Profit	2.54%	-2.6%	-2.75%
Other Income/Expense, Net	$2.253M	$5.202M	$4.322M
YoY Change	-222.98%	-198.62%	90.31%
Pretax Income	$82.05M	$81.05M	$77.45M
YoY Change	13.24%	11.1%	17.31%
Income Tax	$18.08M	$16.96M	$16.93M
% Of Pretax Income	22.03%	20.93%	21.86%
Net Earnings	$63.86M	$63.99M	$60.47M
YoY Change	13.68%	10.92%	24.07%
Net Earnings / Revenue	6.79%	6.95%	7.47%
Basic Earnings Per Share	$1.14	$1.15
Diluted Earnings Per Share	$1.11	$1.12	$1.06
COMMON SHARES
Basic Shares Outstanding	56.20M shares	55.98M shares	55.48M shares
Diluted Shares Outstanding	57.34M shares	57.26M shares

Balance Sheet

Concept	2023 Q3	2023 Q2	2022 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments	$484.3M	$440.0M	$331.7M
YoY Change	50.83%	49.37%	20.2%
Cash & Equivalents	$467.9M	$420.0M	$316.3M
Short-Term Investments	$16.40M	$20.02M	$15.44M
Other Short-Term Assets	$11.40M	$41.62M	$14.05M
YoY Change	-12.45%	-15.26%	-59.86%
Inventory
Prepaid Expenses
Receivables	$472.1M	$446.0M	$408.4M
Other Receivables	$0.00	$0.00	$0.00
Total Short-Term Assets	$994.3M	$927.6M	$781.1M
YoY Change	36.8%	35.88%	22.11%
LONG-TERM ASSETS
Property, Plant & Equipment	$1.068B	$2.781B	$992.0M
YoY Change	10.84%	206.17%	11.66%
Goodwill	$76.87M	$76.87M	$76.87M
YoY Change	0.0%	0.0%	27.12%
Intangibles	$6.347M	$6.272M	$6.437M
YoY Change
Long-Term Investments	$86.80M	$85.77M	$67.65M
YoY Change	108.21%	114.01%	85.01%
Other Assets	$75.90M	$75.13M	$76.93M
YoY Change	-24.47%	-28.76%	-4.06%
Total Long-Term Assets	$3.088B	$3.025B	$2.671B
YoY Change	21.64%	23.86%	20.81%
TOTAL ASSETS
Total Short-Term Assets	$994.3M	$927.6M	$781.1M
Total Long-Term Assets	$3.088B	$3.025B	$2.671B
Total Assets	$4.082B	$3.952B	$3.452B
YoY Change	25.01%	26.49%	21.1%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$77.09M	$78.21M	$77.09M
YoY Change	21.41%	29.45%	32.64%
Accrued Expenses	$540.8M	$503.0M	$488.2M
YoY Change	9.96%	9.76%	8.77%
Deferred Revenue	$5.920M	$5.458M	$9.698M
YoY Change	24.42%	-12.99%	3.87%
Short-Term Debt	$0.00	$0.00	$0.00
YoY Change
Long-Term Debt Due	$3.916M	$3.883M	$3.883M
YoY Change	0.05%	-1.55%	3.27%
Total Short-Term Liabilities	$671.8M	$619.0M	$582.1M
YoY Change	18.47%	16.37%	11.28%
LONG-TERM LIABILITIES
Long-Term Debt	$146.5M	$147.4M	$149.3M
YoY Change	-2.49%	-2.45%	-2.36%
Other Long-Term Liabilities	$17.03M	$1.793B	$13.05M
YoY Change	-16.23%	15501.16%	-29.16%
Total Long-Term Liabilities	$163.5M	$1.940B	$162.3M
YoY Change	-4.13%	16784.02%	781.43%
TOTAL LIABILITIES
Total Short-Term Liabilities	$671.8M	$619.0M	$582.1M
Total Long-Term Liabilities	$163.5M	$1.940B	$162.3M
Total Liabilities	$2.617B	$2.565B	$2.203B
YoY Change	25.58%	27.97%	20.47%
SHAREHOLDERS EQUITY
Retained Earnings	$1.124B	$1.064B	$946.3M
YoY Change	26.46%	27.25%	28.93%
Common Stock	$451.9M	$440.6M	$415.6M
YoY Change	11.42%	10.47%	12.38%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	$1.460B	$1.388B	$1.247B
YoY Change
Total Liabilities & Shareholders Equity	$4.082B	$3.952B	$3.452B
YoY Change	25.01%	26.49%	21.1%

Cashflow Statement

Concept	2023 Q3	2023 Q2	2022 Q4
OPERATING ACTIVITIES
Net Income	$63.86M	$63.99M	$60.47M
YoY Change	13.68%	10.92%	24.07%
Depreciation, Depletion And Amortization	$18.45M	$17.60M	$16.88M
YoY Change	15.71%	18.43%	15.6%
Cash From Operating Activities	$123.3M	$119.7M	$50.18M
YoY Change	33.26%	42.65%	-29.52%
INVESTING ACTIVITIES
Capital Expenditures	$79.00M	$25.36M	$46.85M
YoY Change	-211.49%	-216.74%	-141.66%
Acquisitions
YoY Change
Other Investing Activities	$3.700M	-$1.102M	$4.436M
YoY Change	0.41%	-83.38%	-223.91%
Cash From Investing Activities	-$75.40M	-$26.46M	-$42.41M
YoY Change	12.24%	-6.67%	-63.45%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	-100.0K	-269.0K	-359.0K
YoY Change	-95.16%	-98.55%	-114.81%
NET CHANGE
Cash From Operating Activities	123.3M	119.7M	50.18M
Cash From Investing Activities	-75.40M	-26.46M	-42.41M
Cash From Financing Activities	-100.0K	-269.0K	-359.0K
Net Change In Cash	47.80M	93.01M	7.406M
YoY Change	105.29%	151.13%	-117.46%
FREE CASH FLOW
Cash From Operating Activities	$123.3M	$119.7M	$50.18M
Capital Expenditures	$79.00M	$25.36M	$46.85M
Free Cash Flow	$44.30M	$94.38M	$3.329M
YoY Change	-72.89%	-10.68%	-98.19%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
CY2021Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1021714000	usd
CY2022Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	2768000	usd
CY2022Q1	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	5241000	usd
CY2022Q1	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	15000	usd
CY2022Q1	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0550
CY2022Q1	us-gaap	Dividends Dividends	3042000	usd
CY2022Q1	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	5167000	usd
CY2022Q1	us-gaap	Treasury Stock Value Acquired Cost Method TreasuryStockValueAcquiredCostMethod	9882000	usd
CY2022Q1	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	26000	usd
CY2022Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-252000	usd
CY2022Q1	us-gaap	Net Income Loss NetIncomeLoss	50340000	usd
CY2022Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1072013000	usd
CY2022Q2	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	1687000	usd
CY2022Q2	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0550
CY2022Q2	us-gaap	Dividends Dividends	3040000	usd
CY2022Q2	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	5616000	usd
CY2022Q2	us-gaap	Treasury Stock Value Acquired Cost Method TreasuryStockValueAcquiredCostMethod	20000000	usd
CY2022Q2	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	6693000	usd
CY2022Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	112000	usd
CY2022Q2	us-gaap	Minority Interest Decrease From Distributions To Noncontrolling Interest Holders MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders	8000	usd
CY2022Q2	us-gaap	Net Income Loss NetIncomeLoss	57691000	usd
CY2022Q2	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1120693000	usd
	us-gaap	Profit Loss ProfitLoss	124059000	usd
	us-gaap	Profit Loss ProfitLoss	107891000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	34708000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	29534000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	536000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	505000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	481000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	240000	usd
	us-gaap	Write Off Of Deferred Debt Issuance Cost WriteOffOfDeferredDebtIssuanceCost	0	usd
	us-gaap	Write Off Of Deferred Debt Issuance Cost WriteOffOfDeferredDebtIssuanceCost	566000	usd
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	47000	usd
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	264000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2250000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2169000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	15454000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	10783000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	750000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	0	usd
	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	0	usd
	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	2567000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	39433000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	12852000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-4186000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	10884000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	516000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	3996000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	12132000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	5621000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	12170000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	5617000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	-6411000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	-547000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	1020000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2197000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-991000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-5162000	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	25240000	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	0	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	-578000	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	-7471000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	8832000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	14696000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	-23000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	-23000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	168082000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	129813000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	51614000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	37082000	usd
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	0	usd
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	16400000	usd
	ensg	Payments To Acquire Asset Acquisitions PaymentsToAcquireAssetAcquisitions	399000	usd
	ensg	Payments To Acquire Asset Acquisitions PaymentsToAcquireAssetAcquisitions	17492000	usd
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	1202000	usd
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	15571000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	913000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	653000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	18000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	7665000	usd
	us-gaap	Proceeds From Sale Maturity And Collections Of Investments ProceedsFromSaleMaturityAndCollectionsOfInvestments	7862000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	-412000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	-369000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-62435000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-76596000	usd
	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	0	usd
	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	211000	usd
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	0	usd
	us-gaap	Payments For Repurchase Of Common Stock PaymentsForRepurchaseOfCommonStock	29882000	usd
	us-gaap	Payments Of Dividends PaymentsOfDividends	6415000	usd
	us-gaap	Payments Of Dividends PaymentsOfDividends	6077000	usd
	ensg	Proceeds From Sale Of Common Stock Associated With Subsidiary Equity Plans ProceedsFromSaleOfCommonStockAssociatedWithSubsidiaryEquityPlans	0	usd
	ensg	Proceeds From Sale Of Common Stock Associated With Subsidiary Equity Plans ProceedsFromSaleOfCommonStockAssociatedWithSubsidiaryEquityPlans	6693000	usd
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	4000	usd
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	8000	usd
	ensg	Purchases Of Non Controlling Interest PurchasesOfNonControllingInterest	177000	usd
	ensg	Purchases Of Non Controlling Interest PurchasesOfNonControllingInterest	26000	usd
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	19000	usd
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	3197000	usd
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-1943000	usd
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-29838000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	103704000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	23379000	usd
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	316270000	usd
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	262201000	usd
CY2023Q2	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	419974000	usd
CY2022Q2	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	285580000	usd
	us-gaap	Interest Paid Net InterestPaidNet	3534000	usd
	us-gaap	Interest Paid Net InterestPaidNet	3950000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	6030000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	41905000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	95938000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	72919000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	5000000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	3800000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	352131000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	194342000	usd
CY2023Q2	ensg	Number Of Health Care Facilities NumberOfHealthCareFacilities	290	facility
CY2023Q2	ensg	Operational Skilled Nursing Beds OperationalSkilledNursingBeds	29900	bed
CY2023Q2	ensg	Operational Senior Living Units OperationalSeniorLivingUnits	3000	senior_living_unit
CY2023Q2	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	211	facility
CY2023Q2	ensg	Number Of Real Estate Properties Leased With Option To Purchase NumberOfRealEstatePropertiesLeasedWithOptionToPurchase	11	facility
CY2023Q2	ensg	Number Of Real Estate Properties Leased NumberOfRealEstatePropertiesLeased	211	facility
CY2023Q2	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	108	property
	us-gaap	Use Of Estimates UseOfEstimates	<span style="color:#000000;font-family:'Calibri',sans-serif;font-size:10pt;font-style:italic;font-weight:700;line-height:120%">Estimates and Assumptions</span><span style="color:#000000;font-family:'Calibri',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:120%"> —</span><span style="color:#000000;font-family:'Calibri',sans-serif;font-size:10pt;font-weight:400;line-height:120%"> The preparation of the 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, acquired property and equipment, intangible assets and goodwill, right-of-use assets, impairment of long-lived assets, lease liabilities, general and professional liabilities, workers' compensation and healthcare claims included in accrued self-insurance liabilities and income taxes. Actual results could differ from those estimates.</span>
CY2023Q2	ensg	Number Of Financing Leases NumberOfFinancingLeases	1	lease
CY2023Q2	us-gaap	Lessee Operating Lease Term Of Contract LesseeOperatingLeaseTermOfContract	P10Y
	ensg	Lessee Operating Lease Number Of Renewal Options LesseeOperatingLeaseNumberOfRenewalOptions	1	renewal_option
CY2023Q2	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	12699000	usd
CY2022Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	10512000	usd
CY2023Q2	ensg	Accrued Liabilities State Relief Contract Liabilities AccruedLiabilitiesStateReliefContractLiabilities	1034000	usd
CY2022Q4	ensg	Accrued Liabilities State Relief Contract Liabilities AccruedLiabilitiesStateReliefContractLiabilities	1001000	usd
CY2023Q2	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	17580000	usd
	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	44844000	usd
CY2023Q2	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	18453000	usd
	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	44811000	usd
CY2022Q2	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	27345000	usd
	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	44662000	usd
CY2022Q2	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	24489000	usd
	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	42088000	usd
CY2023Q2	us-gaap	Accounts Receivable Gross AccountsReceivableGross	455306000	usd
CY2022Q4	us-gaap	Accounts Receivable Gross AccountsReceivableGross	416234000	usd
CY2023Q2	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9281000	usd
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	7802000	usd
CY2023Q2	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	446025000	usd
CY2022Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	408432000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	64090000	usd
CY2022Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	57803000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	124059000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	107891000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	97000	usd
CY2022Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	112000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	214000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	-140000	usd
CY2023Q2	us-gaap	Net Income Loss NetIncomeLoss	63993000	usd
CY2022Q2	us-gaap	Net Income Loss NetIncomeLoss	57691000	usd
	us-gaap	Net Income Loss NetIncomeLoss	123845000	usd
	us-gaap	Net Income Loss NetIncomeLoss	108031000	usd
CY2023Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55611000	shares
CY2022Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	54906000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55456000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	54788000	shares
CY2023Q2	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.15
CY2022Q2	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.05
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	2.23
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.97
CY2023Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	64090000	usd
CY2022Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	57803000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	124059000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	97000	usd
CY2022Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	112000	usd
CY2023Q2	us-gaap	Net Income Loss NetIncomeLoss	63993000	usd
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	54788000	shares
CY2023Q2	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1649000	shares
CY2022Q2	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1947000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1734000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	2074000	shares
CY2023Q2	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57260000	shares
CY2022Q2	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	56853000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57190000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	56862000	shares
CY2023Q2	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.12
CY2022Q2	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.01
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	2.17
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.90
CY2023Q2	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1419000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1317000	shares
CY2022Q2	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	789000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	697000	shares
CY2023Q2	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	108	property
CY2022Q1	ensg	Number Of Lease Arrangements NumberOfLeaseArrangements	5	lease
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	2	segment
CY2023Q2	ensg	Skilled Service Facilities SkilledServiceFacilities	253	operation
CY2023Q2	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	26	operation
CY2023Q2	ensg	Senior Living Facilities SeniorLivingFacilities	11	facility
CY2023Q2	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	26	operation
CY2023Q2	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	921345000	usd
CY2023Q2	ensg	Segment Income Loss SegmentIncomeLoss	81153000	usd
CY2023Q2	us-gaap	Profit Loss From Real Estate Operations ProfitLossFromRealEstateOperations	-100000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	81053000	usd
CY2023Q2	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	17596000	usd
CY2023Q2	us-gaap	Interest Expense InterestExpense	2023000	usd
CY2022Q2	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	732486000	usd
CY2022Q2	ensg	Segment Income Loss SegmentIncomeLoss	70490000	usd
CY2022Q2	us-gaap	Profit Loss From Real Estate Operations ProfitLossFromRealEstateOperations	2467000	usd
CY2022Q2	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	72957000	usd
CY2022Q2	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	14858000	usd
CY2022Q2	us-gaap	Interest Expense InterestExpense	2688000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1808186000	usd
	ensg	Segment Income Loss SegmentIncomeLoss	159535000	usd
	us-gaap	Profit Loss From Real Estate Operations ProfitLossFromRealEstateOperations	-100000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	159435000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	34708000	usd
	us-gaap	Interest Expense InterestExpense	4059000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1445931000	usd
	ensg	Segment Income Loss SegmentIncomeLoss	136716000	usd
	us-gaap	Profit Loss From Real Estate Operations ProfitLossFromRealEstateOperations	2467000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	139183000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	29534000	usd
	us-gaap	Interest Expense InterestExpense	4756000	usd
	ensg	Payments To Acquire Business And Asset Acquisitions PaymentsToAcquireBusinessAndAssetAcquisitions	33892000	usd
CY2023Q2	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1382396000	usd
CY2022Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1331802000	usd
CY2023Q2	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	373652000	usd
CY2022Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	339792000	usd
CY2023Q2	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1008744000	usd
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	992010000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	5750000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	3450000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2300000	usd
CY2022Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	5750000	usd
CY2022Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	3285000	usd
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2465000	usd
CY2023Q2	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	357000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	761000	usd
CY2022Q2	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	418000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	822000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	117000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	234000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	234000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	234000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	234000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	234000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	1013000	usd
CY2023Q2	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2300000	usd
CY2023Q2	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	3972000	usd
CY2022Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	3972000	usd
CY2022Q4	us-gaap	Goodwill Goodwill	76869000	usd
CY2023Q2	us-gaap	Goodwill Goodwill	76869000	usd
CY2023Q2	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	3326000	usd
CY2022Q4	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	3753000	usd
CY2023Q2	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	12699000	usd
CY2022Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	10512000	usd
CY2023Q2	us-gaap	Other Restricted Assets OtherRestrictedAssets	5519000	usd
CY2022Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	6446000	usd
CY2023Q2	us-gaap	Security Deposit SecurityDeposit	2651000	usd
CY2022Q4	us-gaap	Security Deposit SecurityDeposit	2527000	usd
CY2023Q2	us-gaap	Escrow Deposit EscrowDeposit	1202000	usd
CY2022Q4	us-gaap	Escrow Deposit EscrowDeposit	0	usd
CY2023Q2	us-gaap	Other Assets Current OtherAssetsCurrent	10137000	usd
CY2022Q4	us-gaap	Other Assets Current OtherAssetsCurrent	14053000	usd
CY2023Q2	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	35534000	usd
CY2022Q4	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	37291000	usd
CY2023Q2	ensg	Quality Assurance Fee QualityAssuranceFee	8738000	usd
CY2022Q4	ensg	Quality Assurance Fee QualityAssuranceFee	7701000	usd
CY2023Q2	ensg	Resident Refunds Payable ResidentRefundsPayable	41798000	usd
CY2022Q4	ensg	Resident Refunds Payable ResidentRefundsPayable	40783000	usd
CY2023Q2	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	5458000	usd
CY2022Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	9698000	usd
CY2023Q2	ensg	Accrued Liabilities State Relief Contract Liabilities AccruedLiabilitiesStateReliefContractLiabilities	1034000	usd
CY2022Q4	ensg	Accrued Liabilities State Relief Contract Liabilities AccruedLiabilitiesStateReliefContractLiabilities	1001000	usd
CY2023Q2	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6636000	usd
CY2022Q4	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6400000	usd
CY2023Q2	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3231000	usd
CY2022Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3201000	usd
CY2023Q2	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	8727000	usd
CY2022Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	10926000	usd
CY2023Q2	us-gaap	Accrued Income Taxes AccruedIncomeTaxes	25240000	usd
CY2022Q4	us-gaap	Accrued Income Taxes AccruedIncomeTaxes	0	usd
CY2023Q2	us-gaap	Accrued Professional Fees Current AccruedProfessionalFeesCurrent	3734000	usd
CY2022Q4	us-gaap	Accrued Professional Fees Current AccruedProfessionalFeesCurrent	4553000	usd
CY2023Q2	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	16490000	usd
CY2022Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	13046000	usd
CY2023Q2	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	121086000	usd
CY2022Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	97309000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	35376000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	31292000	usd
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.222
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.225
CY2023Q2	us-gaap	Long Term Debt Current LongTermDebtCurrent	3883000	usd
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	3883000	usd
CY2023Q2	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	3029000	usd
CY2022Q4	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	3119000	usd
CY2023Q2	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	147401000	usd
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	149269000	usd
CY2022Q2	us-gaap	Write Off Of Deferred Debt Issuance Cost WriteOffOfDeferredDebtIssuanceCost	566000	usd
CY2022Q2	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	3197000	usd
CY2023Q2	us-gaap	Letters Of Credit Outstanding Amount LettersOfCreditOutstandingAmount	6710000	usd
CY2023Q2	ensg	Number Of Option Plans NumberOfOptionPlans	1	plan
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	191000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	413000	shares
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	191000	shares
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.037
CY2023Q2	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y3M18D
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.414
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.003
CY2022Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	154000	shares
CY2022Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.027
CY2022Q2	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y1M6D
CY2022Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.421
CY2022Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.003
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	413000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.039
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y3M18D
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.415
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.003
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	318000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.023
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y1M6D
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.422
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.003
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	413000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	90.31
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	41.46
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	318000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	80.18
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	34.29
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Grant Date Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGrantDateIntrinsicValue	0
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3833000	shares
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	46.72
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	2069000	shares
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	28.87
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	413000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	90.31
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	43000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	67.90
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	398000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	21.52
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3805000	shares
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	53.84
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	2007000	shares
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	34.73
CY2023Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	158347000	usd
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	183593000	usd
CY2023Q2	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	121876000	usd
CY2022Q4	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	136000000	usd
CY2023Q2	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue	32835000	usd
CY2022Q4	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue	43232000	usd
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	29741000	usd
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	25642000	usd
	ensg	Sharebased Compensation Restricted Awards Exercise Price SharebasedCompensationRestrictedAwardsExercisePrice	0
CY2023Q2	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	8881000	usd
CY2022Q2	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	5616000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	15454000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	10783000	usd
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P6Y4M24D
CY2023Q2	us-gaap	Lease Cost LeaseCost	55337000	usd
CY2022Q2	us-gaap	Lease Cost LeaseCost	41311000	usd
	us-gaap	Lease Cost LeaseCost	107228000	usd
	us-gaap	Lease Cost LeaseCost	82748000	usd
CY2023Q2	ensg	Deferred Rent Adjustment DeferredRentAdjustment	218000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	481000	usd
CY2022Q2	ensg	Deferred Rent Adjustment DeferredRentAdjustment	116000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	240000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Remainder Of Fiscal Year LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear	94489000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	189112000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	189035000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	188866000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	188335000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	187094000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	1693342000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	2730273000	usd
CY2023Q2	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	993758000	usd
CY2023Q2	us-gaap	Operating Lease Liability OperatingLeaseLiability	1736515000	usd
CY2023Q2	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	78733000	usd
CY2023Q2	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	1657782000	usd
CY2023Q2	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P15Y3M18D
CY2023Q2	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.065
CY2023Q2	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	5244000	usd
CY2022Q2	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	4139000	usd
	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	10167000	usd
	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	8428000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Remainder Of Fiscal Year LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear	10360000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	20197000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	19700000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	19468000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Four Years LessorOperatingLeasePaymentsToBeReceivedFourYears	19442000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Five Years LessorOperatingLeasePaymentsToBeReceivedFiveYears	19417000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received Thereafter LessorOperatingLeasePaymentsToBeReceivedThereafter	115363000	usd
CY2023Q2	us-gaap	Lessor Operating Lease Payments To Be Received LessorOperatingLeasePaymentsToBeReceived	223947000	usd
CY2023Q2	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	41765000	usd
CY2022Q4	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	33017000	usd
CY2023Q2	us-gaap	Gain Loss On Investments GainLossOnInvestments	1250000	usd
	us-gaap	Gain Loss On Investments GainLossOnInvestments	2489000	usd
CY2023Q2	ensg	Investment Expense Income InvestmentExpenseIncome	1332000	usd
	ensg	Investment Expense Income InvestmentExpenseIncome	2612000	usd
CY2022Q2	us-gaap	Gain Loss On Investments GainLossOnInvestments	-3313000	usd
	us-gaap	Gain Loss On Investments GainLossOnInvestments	-4515000	usd
CY2022Q2	ensg	Investment Expense Income InvestmentExpenseIncome	-3300000	usd
	ensg	Investment Expense Income InvestmentExpenseIncome	-4511000	usd
CY2023Q2	ensg	Independent Operating Subsidiaries Under Medicare Probe Reviews IndependentOperatingSubsidiariesUnderMedicareProbeReviews	37	subsidiary
CY2023Q2	us-gaap	Cash Uninsured Amount CashUninsuredAmount	0	usd
CY2023Q2	ecd	Non Rule10b51 Arr Adopted Flag NonRule10b51ArrAdoptedFlag	false
CY2023Q2	ecd	Rule10b51 Arr Trmntd Flag Rule10b51ArrTrmntdFlag	false
CY2023Q2	ecd	Non Rule10b51 Arr Trmntd Flag NonRule10b51ArrTrmntdFlag	false

Files In Submission

Name	View Source	Status
0001125376-23-000149-index-headers.html	Edgar Link	pending
0001125376-23-000149-index.html	Edgar Link	pending
0001125376-23-000149.txt	Edgar Link	pending
0001125376-23-000149-xbrl.zip	Edgar Link	pending
ensg-20230630.htm	Edgar Link	pending
ensg-20230630.xsd	Edgar Link	pending
ensg-20230630_g1.jpg	Edgar Link	pending
ensg-20230630_cal.xml	Edgar Link	unprocessable
ensg-20230630_def.xml	Edgar Link	unprocessable
ensg-20230630_htm.xml	Edgar Link	completed
ensgq22023ex311.htm	Edgar Link	pending
ensgq22023ex312.htm	Edgar Link	pending
ensgq22023ex321.htm	Edgar Link	pending
ensgq22023ex322.htm	Edgar Link	pending
ensgq22023ex33.htm	Edgar Link	pending
Financial_Report.xlsx	Edgar Link	pending
MetaLinks.json	Edgar Link	pending
R1.htm	Edgar Link	pending
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FilingSummary.xml	Edgar Link	unprocessable
R5.htm	Edgar Link	pending
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R87.htm	Edgar Link	pending
R9.htm	Edgar Link	pending
report.css	Edgar Link	pending
Show.js	Edgar Link	pending
ensg-20230630_lab.xml	Edgar Link	unprocessable
ensg-20230630_pre.xml	Edgar Link	unprocessable

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$ENSG
ENSIGN GROUP, INC Stock $ensg

2023 Q3 Form 10-Q Financial Statement

#000112537623000149 Filed on July 27, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2023 Q3 Form 10-Q Financial Statement

#000112537623000149 Filed on July 27, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg