$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2024 Q3 Form 10-Q Financial Statement

#000112537624000135 Filed on July 25, 2024

Income Statement

Concept	2024 Q3	2024 Q2
Revenue	$1.082B	$1.036B
YoY Change	14.99%	12.48%
Cost Of Revenue	$860.0M	$820.4M
YoY Change	16.05%	14.33%
Gross Profit	$221.8M	$215.9M
YoY Change	11.05%	5.94%
Gross Profit Margin	20.5%	20.84%
Selling, General & Admin	$117.3M	$115.1M
YoY Change	9.74%	6.25%
% of Gross Profit	52.9%	53.31%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$21.47M	$20.49M
YoY Change	16.42%	16.44%
% of Gross Profit	9.68%	9.49%
Operating Expenses	$138.8M	$135.6M
YoY Change	10.77%	7.67%
Operating Profit	$89.34M	$85.97M
YoY Change	11.96%	10.4%
Interest Expense	$5.583M	$5.044M
YoY Change	175.84%	-349.33%
% of Operating Profit	6.25%	5.87%
Other Income/Expense, Net	$9.336M	$6.093M
YoY Change	314.38%	17.13%
Pretax Income	$98.67M	$92.06M
YoY Change	20.27%	13.58%
Income Tax	$20.11M	$20.88M
% Of Pretax Income	20.38%	22.68%
Net Earnings	$78.44M	$71.01M
YoY Change	22.83%	10.96%
Net Earnings / Revenue	7.25%	6.85%
Basic Earnings Per Share	$1.38	$1.26
Diluted Earnings Per Share	$1.34	$1.22
COMMON SHARES
Basic Shares Outstanding	57.11M shares	56.92M shares
Diluted Shares Outstanding	58.44M shares	58.01M shares

Balance Sheet

Concept	2024 Q3	2024 Q2
SHORT-TERM ASSETS
Cash & Short-Term Investments	$571.0M	$501.5M
YoY Change	17.91%	13.97%
Cash & Equivalents	$532.1M	$477.3M
Short-Term Investments	$38.97M	$24.13M
Other Short-Term Assets	$14.74M	$11.77M
YoY Change	29.3%	-71.71%
Inventory
Prepaid Expenses
Receivables	$554.1M	$547.1M
Other Receivables	$0.00	$0.00
Total Short-Term Assets	$1.197B	$1.115B
YoY Change	20.37%	20.21%
LONG-TERM ASSETS
Property, Plant & Equipment	$1.218B	$1.178B
YoY Change	14.03%	-57.64%
Goodwill	$77.24M	$77.24M
YoY Change	0.48%	0.48%
Intangibles	$6.676M	$6.703M
YoY Change	5.18%	6.87%
Long-Term Investments	$115.5M	$112.8M
YoY Change	33.06%	31.46%
Other Assets	$110.9M	$105.1M
YoY Change	46.17%	39.92%
Total Long-Term Assets	$3.432B	$3.322B
YoY Change	11.16%	9.84%
TOTAL ASSETS
Total Short-Term Assets	$1.197B	$1.115B
Total Long-Term Assets	$3.432B	$3.322B
Total Assets	$4.629B	$4.437B
YoY Change	13.4%	12.27%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$90.27M	$88.65M
YoY Change	17.1%	13.36%
Accrued Expenses	$661.6M	$627.5M
YoY Change	22.34%	24.76%
Deferred Revenue	$9.541M	$7.152M
YoY Change	61.17%	31.04%
Short-Term Debt	$0.00	$0.00
YoY Change
Long-Term Debt Due	$4.051M	$4.017M
YoY Change	3.45%	3.45%
Total Short-Term Liabilities	$768.9M	$730.8M
YoY Change	14.46%	18.06%
LONG-TERM LIABILITIES
Long-Term Debt	$142.6M	$143.6M
YoY Change	-2.65%	-2.61%
Other Long-Term Liabilities	$20.02M	$18.72M
YoY Change	17.56%	-98.96%
Total Long-Term Liabilities	$162.6M	$162.3M
YoY Change	-0.54%	-91.64%
TOTAL LIABILITIES
Total Short-Term Liabilities	$768.9M	$730.8M
Total Long-Term Liabilities	$162.6M	$162.3M
Total Liabilities	$2.878B	$2.774B
YoY Change	10.0%	8.18%
SHAREHOLDERS EQUITY
Retained Earnings	$1.351B	$1.276B
YoY Change	20.13%	19.92%
Common Stock	$514.4M	$499.5M
YoY Change	13.82%	13.36%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	$1.747B	$1.657B
YoY Change
Total Liabilities & Shareholders Equity	$4.629B	$4.437B
YoY Change	13.4%	12.27%

Cashflow Statement

Concept	2024 Q3	2024 Q2
OPERATING ACTIVITIES
Net Income	$78.44M	$71.01M
YoY Change	22.83%	10.96%
Depreciation, Depletion And Amortization	$21.47M	$20.49M
YoY Change	16.42%	16.44%
Cash From Operating Activities	$134.5M	$76.94M
YoY Change	9.07%	-35.75%
INVESTING ACTIVITIES
Capital Expenditures	$63.44M	$98.15M
YoY Change	-19.7%	287.0%
Acquisitions
YoY Change
Other Investing Activities	-$15.46M	-$11.76M
YoY Change	-517.92%	966.97%
Cash From Investing Activities	-$78.90M	-$109.9M
YoY Change	4.64%	315.32%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities	-850.0K	-1.531M
YoY Change	750.0%	469.14%
NET CHANGE
Cash From Operating Activities	134.5M	76.94M
Cash From Investing Activities	-78.90M	-109.9M
Cash From Financing Activities	-850.0K	-1.531M
Net Change In Cash	54.73M	-34.50M
YoY Change	14.5%	-137.1%
FREE CASH FLOW
Cash From Operating Activities	$134.5M	$76.94M
Capital Expenditures	$63.44M	$98.15M
Free Cash Flow	$71.04M	-$21.21M
YoY Change	60.37%	-122.48%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
	ensg	Gain Loss On Insurance Claims And Disposal Of Assets GainLossOnInsuranceClaimsAndDisposalOfAssets	-254000	usd
	ensg	Gain Loss On Insurance Claims And Disposal Of Assets GainLossOnInsuranceClaimsAndDisposalOfAssets	749000	usd
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	1958000	usd
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	1958000	usd
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	10319000	usd
	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
CY2024Q2	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
CY2023Q2	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
CY2024Q2	us-gaap	Other Nonoperating Income OtherNonoperatingIncome	1049000	usd
CY2023Q2	us-gaap	Other Nonoperating Income OtherNonoperatingIncome	1660000	usd
	us-gaap	Other Nonoperating Income OtherNonoperatingIncome	3933000	usd
	us-gaap	Other Nonoperating Income OtherNonoperatingIncome	3219000	usd
CY2024Q2	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	6093000	usd
CY2023Q2	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	3179000	usd
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	13473000	usd
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	6686000	usd
CY2022Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1248800000	usd
CY2023Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	2654000	usd
CY2023Q1	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	5068000	usd
CY2023Q1	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	20000	usd
CY2023Q1	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0575
CY2023Q1	us-gaap	Dividends Dividends	3215000	usd
CY2023Q1	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	6573000	usd
CY2023Q1	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	77000	usd
CY2023Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	117000	usd
CY2023Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	2000	usd
CY2023Q1	us-gaap	Net Income Loss NetIncomeLoss	59852000	usd
CY2023Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1319754000	usd
CY2023Q2	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	5905000	usd
CY2023Q2	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	1909000	usd
CY2023Q2	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0575
CY2023Q2	us-gaap	Dividends Dividends	3231000	usd
CY2023Q2	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	8881000	usd
CY2023Q2	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	100000	usd
CY2023Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	97000	usd
CY2023Q2	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	3000	usd
CY2023Q2	us-gaap	Net Income Loss NetIncomeLoss	63993000	usd
CY2023Q2	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1393393000	usd
	us-gaap	Profit Loss ProfitLoss	140141000	usd
	us-gaap	Profit Loss ProfitLoss	124059000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	40145000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	34708000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	531000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	536000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	385000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	481000	usd
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	1849000	usd
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0	usd
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	552000	usd
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	47000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	718000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2250000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	17222000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	15454000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	199000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	750000	usd
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	3734000	usd
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	818000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	62813000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	39433000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	14968000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-4186000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	15538000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	516000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	10725000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	12132000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	10707000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	12170000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	400000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	-6411000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	-5559000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	1020000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-8343000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	-991000	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	0	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	25240000	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	650000	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	-578000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	19568000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	8832000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	608000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	-23000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	112249000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	168082000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	64635000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	51614000	usd
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	494000	usd
	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	0	usd
	ensg	Payments To Acquire Asset Acquisitions PaymentsToAcquireAssetAcquisitions	64896000	usd
	ensg	Payments To Acquire Asset Acquisitions PaymentsToAcquireAssetAcquisitions	399000	usd
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	646000	usd
	us-gaap	Payments For Proceeds From Deposits On Real Estate Acquisitions PaymentsForProceedsFromDepositsOnRealEstateAcquisitions	1202000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	961000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	913000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	1988000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	18000	usd
	us-gaap	Payments To Acquire Investments PaymentsToAcquireInvestments	35508000	usd
	us-gaap	Payments To Acquire Investments PaymentsToAcquireInvestments	18425000	usd
	us-gaap	Proceeds From Sale Maturity And Collections Of Investments ProceedsFromSaleMaturityAndCollectionsOfInvestments	19267000	usd
	us-gaap	Proceeds From Sale Maturity And Collections Of Investments ProceedsFromSaleMaturityAndCollectionsOfInvestments	7862000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	601000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	-412000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-144564000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-62435000	usd
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	8559000	usd
	us-gaap	Payments Related To Tax Withholding For Share Based Compensation PaymentsRelatedToTaxWithholdingForShareBasedCompensation	1209000	usd
	us-gaap	Payments Related To Tax Withholding For Share Based Compensation PaymentsRelatedToTaxWithholdingForShareBasedCompensation	1929000	usd
	us-gaap	Payments Of Dividends PaymentsOfDividends	6810000	usd
	us-gaap	Payments Of Dividends PaymentsOfDividends	6415000	usd
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	278000	usd
	us-gaap	Payments To Minority Shareholders PaymentsToMinorityShareholders	4000	usd
	ensg	Purchases Of Non Controlling Interest PurchasesOfNonControllingInterest	39000	usd
	ensg	Purchases Of Non Controlling Interest PurchasesOfNonControllingInterest	177000	usd
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	0	usd
	us-gaap	Payments Of Financing Costs PaymentsOfFinancingCosts	19000	usd
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	25000	usd
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-1943000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-32290000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	103704000	usd
CY2023Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	509626000	usd
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	316270000	usd
CY2024Q2	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	477336000	usd
CY2023Q2	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	419974000	usd
	us-gaap	Interest Paid Net InterestPaidNet	3488000	usd
	us-gaap	Interest Paid Net InterestPaidNet	3534000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	56062000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	6030000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	104749000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	95938000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	6000000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	5000000	usd
CY2024Q2	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3424000	usd
CY2023Q2	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3231000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	124133000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	352131000	usd
CY2024Q2	ensg	Number Of Health Care Facilities NumberOfHealthCareFacilities	312	facility
CY2024Q2	ensg	Number Of Skilled Nursing Beds NumberOfSkilledNursingBeds	31800	bed
CY2024Q2	ensg	Number Of Senior Living Units NumberOfSeniorLivingUnits	3300	senior_living_unit
CY2024Q2	ensg	Number Of Leased Facilities NumberOfLeasedFacilities	222	facility
CY2024Q2	ensg	Number Of Leased Facilities Option To Purchase NumberOfLeasedFacilitiesOptionToPurchase	12	facility
CY2024Q2	ensg	Number Of Leased Facilities NumberOfLeasedFacilities	222	facility
CY2024Q2	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	120	property
	us-gaap	Use Of Estimates UseOfEstimates	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, 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. Certain amounts in the prior period condensed balance sheet and statement of income have been reclassified to conform to the presentation of the current period financial statements. These reclassifications had no effect on the previously reported net income or total assets.
	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	0	usd
CY2024Q2	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	0	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
CY2024Q2	us-gaap	Accounts Receivable Gross AccountsReceivableGross	556581000	usd
CY2023Q4	us-gaap	Accounts Receivable Gross AccountsReceivableGross	494387000	usd
CY2024Q2	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9460000	usd
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9348000	usd
CY2024Q2	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	547121000	usd
CY2023Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	485039000	usd
CY2024Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	71181000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	64090000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	140141000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	124059000	usd
CY2024Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	174000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	97000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	299000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	214000	usd
CY2024Q2	us-gaap	Net Income Loss NetIncomeLoss	71007000	usd
CY2023Q2	us-gaap	Net Income Loss NetIncomeLoss	63993000	usd
	us-gaap	Net Income Loss NetIncomeLoss	139842000	usd
	us-gaap	Net Income Loss NetIncomeLoss	123845000	usd
CY2024Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56544000	shares
CY2023Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55611000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56441000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55456000	shares
CY2024Q2	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.26
CY2023Q2	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.15
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	2.48
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	2.23
CY2024Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	71181000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	64090000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	140141000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	124059000	usd
CY2024Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	174000	usd
CY2023Q2	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	97000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	299000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	214000	usd
CY2024Q2	us-gaap	Net Income Loss NetIncomeLoss	71007000	usd
CY2023Q2	us-gaap	Net Income Loss NetIncomeLoss	63993000	usd
	us-gaap	Net Income Loss NetIncomeLoss	139842000	usd
	us-gaap	Net Income Loss NetIncomeLoss	123845000	usd
CY2024Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56544000	shares
CY2023Q2	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55611000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56441000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55456000	shares
CY2024Q2	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1469000	shares
CY2023Q2	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1649000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1528000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1734000	shares
CY2024Q2	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	58013000	shares
CY2023Q2	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57260000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57969000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57190000	shares
CY2024Q2	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.22
CY2023Q2	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.12
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	2.41
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	2.17
CY2024Q2	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1368000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1252000	shares
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
CY2024Q2	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	120	property
	ensg	Number Of Lease Arrangements NumberOfLeaseArrangements	6	lease
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	2	segment
CY2024Q2	ensg	Skilled Service Operations SkilledServiceOperations	272	operation
CY2024Q2	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	29	operation
CY2024Q2	ensg	Senior Living Facilities SeniorLivingFacilities	11	operation
CY2024Q2	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	29	operation
CY2024Q2	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1036285000	usd
CY2024Q2	ensg	Segment Income Loss SegmentIncomeLoss	92064000	usd
CY2024Q2	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	92064000	usd
CY2024Q2	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	20488000	usd
CY2024Q2	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	2040000	usd
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 Nonoperating InterestExpenseNonoperating	2023000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	2046457000	usd
	ensg	Segment Income Loss SegmentIncomeLoss	183511000	usd
	us-gaap	Asset Impairment Charges AssetImpairmentCharges	1849000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	181662000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	40145000	usd
	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	4004000	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 Nonoperating InterestExpenseNonoperating	4059000	usd
CY2024Q2	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1609434000	usd
CY2023Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1487013000	usd
CY2024Q2	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	431612000	usd
CY2023Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	396242000	usd
CY2024Q2	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1177822000	usd
CY2023Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1090771000	usd
	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	1849000	usd
	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
CY2023Q2	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
CY2024Q2	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	6473000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	4204000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2269000	usd
CY2023Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	6096000	usd
CY2023Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	3873000	usd
CY2023Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2223000	usd
CY2024Q2	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	536000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	937000	usd
CY2023Q2	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	357000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	761000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	320000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	234000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	234000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	234000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	234000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	234000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	779000	usd
CY2024Q2	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2269000	usd
CY2024Q2	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	4434000	usd
CY2023Q4	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	4302000	usd
CY2023Q4	us-gaap	Goodwill Goodwill	76869000	usd
	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	372000	usd
CY2024Q2	us-gaap	Goodwill Goodwill	77241000	usd
CY2024Q2	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	2439000	usd
CY2023Q4	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	2883000	usd
CY2024Q2	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15626000	usd
CY2023Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15913000	usd
CY2024Q2	us-gaap	Other Restricted Assets OtherRestrictedAssets	5376000	usd
CY2023Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	4870000	usd
CY2024Q2	us-gaap	Security Deposit SecurityDeposit	2690000	usd
CY2023Q4	us-gaap	Security Deposit SecurityDeposit	2661000	usd
CY2024Q2	us-gaap	Escrow Deposit EscrowDeposit	646000	usd
CY2023Q4	us-gaap	Escrow Deposit EscrowDeposit	1216000	usd
CY2024Q2	us-gaap	Other Assets Current OtherAssetsCurrent	11774000	usd
CY2023Q4	us-gaap	Other Assets Current OtherAssetsCurrent	12662000	usd
CY2024Q2	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	38551000	usd
CY2023Q4	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	40205000	usd
CY2024Q2	ensg	Quality Assurance Fee QualityAssuranceFee	14490000	usd
CY2023Q4	ensg	Quality Assurance Fee QualityAssuranceFee	14035000	usd
CY2024Q2	ensg	Resident Refunds Payable ResidentRefundsPayable	56809000	usd
CY2023Q4	ensg	Resident Refunds Payable ResidentRefundsPayable	51248000	usd
CY2024Q2	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	7152000	usd
CY2023Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	10834000	usd
CY2024Q2	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6222000	usd
CY2023Q4	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6215000	usd
CY2024Q2	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3424000	usd
CY2023Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3396000	usd
CY2024Q2	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	9825000	usd
CY2023Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	12875000	usd
CY2024Q2	us-gaap	Litigation Reserve Current LitigationReserveCurrent	48000000	usd
CY2023Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	51734000	usd
CY2024Q2	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	18718000	usd
CY2023Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	17891000	usd
CY2024Q2	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	164640000	usd
CY2023Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	168228000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	41521000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	35376000	usd
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.229
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.222
CY2024Q2	us-gaap	Long Term Debt Current LongTermDebtCurrent	4017000	usd
CY2023Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	3950000	usd
CY2024Q2	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2854000	usd
CY2023Q4	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2941000	usd
CY2024Q2	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	143559000	usd
CY2023Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	145497000	usd
CY2024Q2	us-gaap	Letters Of Credit Outstanding Amount LettersOfCreditOutstandingAmount	26895000	usd
CY2024Q2	ensg	Number Of Stock Incentive Plans NumberOfStockIncentivePlans	1	plan
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	173000	shares
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.044
CY2024Q2	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y1M6D
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.406
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.002
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
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	354000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.044
	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	0.408
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.002
	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	354000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	120.98
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	55.39
	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 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
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3991000	shares
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	62.65
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	1887000	shares
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	39.58
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	354000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	120.98
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	42000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	82.22
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	336000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	30.75
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3967000	shares
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	70.34
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	1881000	shares
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	46.34
CY2024Q2	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	211650000	usd
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	197819000	usd
CY2024Q2	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	145531000	usd
CY2023Q4	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	137048000	usd
CY2024Q2	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue	61779000	usd
CY2023Q4	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue	56759000	usd
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	29894000	usd
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	29741000	usd
	ensg	Share Based Compensation Arrangement By Share Based Payment Award Restricted Awards Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardRestrictedAwardsExercisePrice	0
CY2024Q2	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	8978000	usd
CY2023Q2	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	8881000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	17209000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	15454000	usd
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P6Y9M18D
CY2024Q2	us-gaap	Variable Lease Cost VariableLeaseCost	5649000	usd
CY2023Q2	us-gaap	Variable Lease Cost VariableLeaseCost	5154000	usd
	us-gaap	Variable Lease Cost VariableLeaseCost	11419000	usd
	us-gaap	Variable Lease Cost VariableLeaseCost	9986000	usd
CY2024Q2	us-gaap	Lease Cost LeaseCost	59405000	usd
CY2023Q2	us-gaap	Lease Cost LeaseCost	55337000	usd
	us-gaap	Lease Cost LeaseCost	117507000	usd
	us-gaap	Lease Cost LeaseCost	107228000	usd
CY2024Q2	ensg	Deferred Rent Adjustment DeferredRentAdjustment	190000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	385000	usd
CY2023Q2	ensg	Deferred Rent Adjustment DeferredRentAdjustment	218000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	481000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Remainder Of Fiscal Year LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear	100614000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	201246000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	201024000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	200353000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	199265000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	195553000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	1691806000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	2789861000	usd
CY2024Q2	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	980435000	usd
CY2024Q2	us-gaap	Operating Lease Liability OperatingLeaseLiability	1809426000	usd
CY2024Q2	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	89176000	usd
CY2024Q2	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	1720250000	usd
CY2024Q2	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P14Y10M24D
CY2024Q2	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.064
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Remainder Of Fiscal Year LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear	10844000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	21427000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	21216000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	21216000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Four Years LessorOperatingLeasePaymentsToBeReceivedFourYears	21216000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Five Years LessorOperatingLeasePaymentsToBeReceivedFiveYears	21216000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received Thereafter LessorOperatingLeasePaymentsToBeReceivedThereafter	109635000	usd
CY2024Q2	us-gaap	Lessor Operating Lease Payments To Be Received LessorOperatingLeasePaymentsToBeReceived	226770000	usd
CY2024Q2	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	55041000	usd
CY2023Q4	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	49201000	usd
CY2024Q2	us-gaap	Gain Loss On Investments GainLossOnInvestments	527000	usd
	us-gaap	Gain Loss On Investments GainLossOnInvestments	2921000	usd
CY2024Q2	ensg	Investment Expense Income InvestmentExpenseIncome	628000	usd
	ensg	Investment Expense Income InvestmentExpenseIncome	3116000	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
CY2024Q2	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15626000	usd
CY2023Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15913000	usd
CY2024Q1	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	48000000	usd
CY2024Q2	ensg	Independent Operating Subsidiaries Under Medicare Probe Reviews IndependentOperatingSubsidiariesUnderMedicareProbeReviews	11	subsidiary
CY2023Q2	ensg	Centers For Medicare And Medicaid Services Compliance Audit Number Of Claims Reviewed For Each To Skilled Nursing Facility CentersForMedicareAndMedicaidServicesComplianceAuditNumberOfClaimsReviewedForEachToSkilledNursingFacility	5	claim
CY2024Q2	ecd	Rule10b51 Arr Trmntd Flag Rule10b51ArrTrmntdFlag	false
CY2024Q2	ecd	Non Rule10b51 Arr Trmntd Flag NonRule10b51ArrTrmntdFlag	false
CY2024Q2	ecd	Non Rule10b51 Arr Adopted Flag NonRule10b51ArrAdoptedFlag	false

Files In Submission

Name	View Source	Status
0001125376-24-000135-index-headers.html	Edgar Link	pending
0001125376-24-000135-index.html	Edgar Link	pending
0001125376-24-000135.txt	Edgar Link	pending
0001125376-24-000135-xbrl.zip	Edgar Link	pending
ensg-20240630.htm	Edgar Link	pending
ensg-20240630.xsd	Edgar Link	pending
ensg-20240630_g1.jpg	Edgar Link	pending
ensgq22024ex31.htm	Edgar Link	pending
ensgq22024ex311.htm	Edgar Link	pending
ensgq22024ex312.htm	Edgar Link	pending
ensgq22024ex321.htm	Edgar Link	pending
ensgq22024ex322.htm	Edgar Link	pending
Financial_Report.xlsx	Edgar Link	pending
MetaLinks.json	Edgar Link	pending
R1.htm	Edgar Link	pending
R10.htm	Edgar Link	pending
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R2.htm	Edgar Link	pending
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ensg-20240630_cal.xml	Edgar Link	unprocessable
ensg-20240630_def.xml	Edgar Link	unprocessable
ensg-20240630_lab.xml	Edgar Link	unprocessable
ensg-20240630_pre.xml	Edgar Link	unprocessable
FilingSummary.xml	Edgar Link	unprocessable
ensg-20240630_htm.xml	Edgar Link	completed
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R85.htm	Edgar Link	pending
R9.htm	Edgar Link	pending
report.css	Edgar Link	pending
Show.js	Edgar Link	pending

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$ENSG
ENSIGN GROUP, INC Stock $ensg

2024 Q3 Form 10-Q Financial Statement

#000112537624000135 Filed on July 25, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2024 Q3 Form 10-Q Financial Statement

#000112537624000135 Filed on July 25, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg