$ENSG
ENSIGN GROUP, INC Stock $ensg

$ensg Overview Financials Valuation SEC Filings Company Website

2024 Q4 Form 10-Q Financial Statement

#000112537624000171 Filed on October 24, 2024

Income Statement

Concept	2024 Q4	2024 Q3
Revenue		$1.082B
YoY Change		14.99%
Cost Of Revenue		$860.0M
YoY Change		16.05%
Gross Profit		$221.8M
YoY Change		11.05%
Gross Profit Margin		20.5%
Selling, General & Admin		$117.3M
YoY Change		9.74%
% of Gross Profit		52.9%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization		$21.47M
YoY Change		16.42%
% of Gross Profit		9.68%
Operating Expenses		$138.8M
YoY Change		10.77%
Operating Profit		$89.34M
YoY Change		11.96%
Interest Expense		$5.583M
YoY Change		175.84%
% of Operating Profit		6.25%
Other Income/Expense, Net		$9.336M
YoY Change		314.38%
Pretax Income		$98.67M
YoY Change		20.27%
Income Tax		$20.11M
% Of Pretax Income		20.38%
Net Earnings		$78.44M
YoY Change		22.83%
Net Earnings / Revenue		7.25%
Basic Earnings Per Share		$1.38
Diluted Earnings Per Share		$1.34
COMMON SHARES
Basic Shares Outstanding	57.30M shares	57.11M shares
Diluted Shares Outstanding		58.44M shares

Balance Sheet

Concept	2024 Q4	2024 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments		$571.0M
YoY Change		17.91%
Cash & Equivalents		$532.1M
Short-Term Investments		$38.97M
Other Short-Term Assets		$14.74M
YoY Change		29.3%
Inventory
Prepaid Expenses
Receivables		$554.1M
Other Receivables		$0.00
Total Short-Term Assets		$1.197B
YoY Change		20.37%
LONG-TERM ASSETS
Property, Plant & Equipment		$1.218B
YoY Change		14.03%
Goodwill		$77.24M
YoY Change		0.48%
Intangibles		$6.676M
YoY Change		5.18%
Long-Term Investments		$115.5M
YoY Change		33.06%
Other Assets		$110.9M
YoY Change		46.17%
Total Long-Term Assets		$3.432B
YoY Change		11.16%
TOTAL ASSETS
Total Short-Term Assets		$1.197B
Total Long-Term Assets		$3.432B
Total Assets		$4.629B
YoY Change		13.4%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable		$90.27M
YoY Change		17.1%
Accrued Expenses		$661.6M
YoY Change		22.34%
Deferred Revenue		$9.541M
YoY Change		61.17%
Short-Term Debt		$0.00
YoY Change
Long-Term Debt Due		$4.051M
YoY Change		3.45%
Total Short-Term Liabilities		$768.9M
YoY Change		14.46%
LONG-TERM LIABILITIES
Long-Term Debt		$142.6M
YoY Change		-2.65%
Other Long-Term Liabilities		$20.02M
YoY Change		17.56%
Total Long-Term Liabilities		$162.6M
YoY Change		-0.54%
TOTAL LIABILITIES
Total Short-Term Liabilities		$768.9M
Total Long-Term Liabilities		$162.6M
Total Liabilities		$2.878B
YoY Change		10.0%
SHAREHOLDERS EQUITY
Retained Earnings		$1.351B
YoY Change		20.13%
Common Stock		$514.4M
YoY Change		13.82%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity		$1.747B
YoY Change
Total Liabilities & Shareholders Equity		$4.629B
YoY Change		13.4%

Cashflow Statement

Concept	2024 Q4	2024 Q3
OPERATING ACTIVITIES
Net Income		$78.44M
YoY Change		22.83%
Depreciation, Depletion And Amortization		$21.47M
YoY Change		16.42%
Cash From Operating Activities		$134.5M
YoY Change		9.07%
INVESTING ACTIVITIES
Capital Expenditures		$63.44M
YoY Change		-19.7%
Acquisitions
YoY Change
Other Investing Activities		-$15.46M
YoY Change		-517.92%
Cash From Investing Activities		-$78.90M
YoY Change		4.64%
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
YoY Change		750.0%
NET CHANGE
Cash From Operating Activities		134.5M
Cash From Investing Activities		-78.90M
Cash From Financing Activities		-850.0K
Net Change In Cash		54.73M
YoY Change		14.5%
FREE CASH FLOW
Cash From Operating Activities		$134.5M
Capital Expenditures		$63.44M
Free Cash Flow		$71.04M
YoY Change		60.37%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value	Unit
	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2024
	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	Q3
	dei	Document Quarterly Report DocumentQuarterlyReport	true
	dei	Document Period End Date DocumentPeriodEndDate	2024-09-30
	dei	Document Transition Report DocumentTransitionReport	false
	dei	Entity Registrant Name EntityRegistrantName	ENSIGN GROUP, INC
	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	DE
	dei	Entity Address City Or Town EntityAddressCityOrTown	San Juan Capistrano
	dei	Entity Address State Or Province EntityAddressStateOrProvince	CA
	dei	Entity Address Postal Zip Code EntityAddressPostalZipCode	92675
	dei	City Area Code CityAreaCode	949
	dei	Local Phone Number LocalPhoneNumber	487-9500
	dei	Security12b Title Security12bTitle	Common Stock, par value $0.001 per share
	dei	Trading Symbol TradingSymbol	ENSG
	dei	Security Exchange Name SecurityExchangeName	NASDAQ
	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
	dei	Entity Small Business EntitySmallBusiness	false
	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
CY2024Q4	dei	Entity Common Stock Shares Outstanding EntityCommonStockSharesOutstanding	57295682	shares
CY2024Q3	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	532066000	usd
CY2023Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	509626000	usd
CY2024Q3	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9822000	usd
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9348000	usd
CY2024Q3	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	554091000	usd
CY2023Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	485039000	usd
CY2024Q3	us-gaap	Short Term Investments ShortTermInvestments	38969000	usd
CY2023Q4	us-gaap	Short Term Investments ShortTermInvestments	17229000	usd
CY2023Q4	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	150000000	shares
CY2024Q3	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	60681000	shares
CY2024Q3	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	57281000	shares
CY2023Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	940791000	usd
CY2024Q3	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	859992000	usd
CY2023Q3	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	741069000	usd
CY2024Q3	ensg	Rent Cost Of Services RentCostOfServices	54792000	usd
CY2023Q3	ensg	Rent Cost Of Services RentCostOfServices	50357000	usd
CY2023Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	18446000	usd
CY2024Q3	us-gaap	Costs And Expenses CostsAndExpenses	992438000	usd
CY2023Q3	us-gaap	Costs And Expenses CostsAndExpenses	860999000	usd
CY2024Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	89338000	usd
CY2023Q3	us-gaap	Operating Income Loss OperatingIncomeLoss	79792000	usd
CY2023Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	2654000	usd
	dei	Entity Address Address Line1 EntityAddressAddressLine1	29222 Rancho Viejo Road, Suite 127
	dei	Entity Shell Company EntityShellCompany	false
	dei	Document Type DocumentType	10-Q
CY2024Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1081776000	usd
CY2024Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	56180000	usd
	us-gaap	Payments Of Dividends PaymentsOfDividends	9647000	usd
CY2024Q3	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	532066000	usd
CY2023Q3	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	467870000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	220815000	usd
	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	373832000	usd
	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.
	dei	Entity File Number EntityFileNumber	001-33757
	ensg	Rent Cost Of Services RentCostOfServices	159940000	usd
	dei	Entity Central Index Key EntityCentralIndexKey	0001125376
	dei	Amendment Flag AmendmentFlag	false
	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
	dei	Entity Tax Identification Number EntityTaxIdentificationNumber	33-0861263
CY2023Q3	us-gaap	Net Income Loss NetIncomeLoss	63863000	usd
	dei	Entity Interactive Data Current EntityInteractiveDataCurrent	Yes
	dei	Entity Filer Category EntityFilerCategory	Large Accelerated Filer
CY2024Q3	us-gaap	Prepaid Taxes PrepaidTaxes	25960000	usd
CY2023Q4	us-gaap	Prepaid Taxes PrepaidTaxes	3830000	usd
CY2024Q3	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	45844000	usd
CY2023Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	31206000	usd
CY2024Q3	us-gaap	Assets Current AssetsCurrent	1196930000	usd
CY2023Q4	us-gaap	Assets Current AssetsCurrent	1046930000	usd
CY2024Q3	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1217689000	usd
CY2023Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1090771000	usd
CY2024Q3	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	1904181000	usd
CY2023Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	1756430000	usd
CY2024Q3	ensg	Insurance Subsidiary Deposits And Investments InsuranceSubsidiaryDepositsAndInvestments	115496000	usd
CY2023Q4	ensg	Insurance Subsidiary Deposits And Investments InsuranceSubsidiaryDepositsAndInvestments	92687000	usd
CY2024Q3	us-gaap	Deferred Income Tax Assets Net DeferredIncomeTaxAssetsNet	65193000	usd
CY2023Q4	us-gaap	Deferred Income Tax Assets Net DeferredIncomeTaxAssetsNet	67124000	usd
CY2024Q3	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	45753000	usd
CY2023Q4	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	40205000	usd
CY2024Q3	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	6676000	usd
CY2023Q4	us-gaap	Intangible Assets Net Excluding Goodwill IntangibleAssetsNetExcludingGoodwill	6525000	usd
CY2024Q3	us-gaap	Goodwill Goodwill	77241000	usd
CY2023Q4	us-gaap	Goodwill Goodwill	76869000	usd
CY2024Q3	us-gaap	Assets Assets	4629159000	usd
CY2023Q4	us-gaap	Assets Assets	4177541000	usd
CY2024Q3	us-gaap	Accounts Payable Current AccountsPayableCurrent	90274000	usd
CY2023Q4	us-gaap	Accounts Payable Current AccountsPayableCurrent	92811000	usd
CY2024Q3	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	353563000	usd
CY2023Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	332568000	usd
CY2024Q3	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	93868000	usd
CY2023Q4	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	82526000	usd
CY2024Q3	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	57989000	usd
CY2023Q4	us-gaap	Self Insurance Reserve Current SelfInsuranceReserveCurrent	54664000	usd
CY2024Q3	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	169195000	usd
CY2023Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	168228000	usd
CY2024Q3	us-gaap	Long Term Debt Current LongTermDebtCurrent	4051000	usd
CY2023Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	3950000	usd
CY2024Q3	us-gaap	Liabilities Current LiabilitiesCurrent	768940000	usd
CY2023Q4	us-gaap	Liabilities Current LiabilitiesCurrent	734747000	usd
CY2024Q3	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	142577000	usd
CY2023Q4	ensg	Long Term Debt Net Of Current Maturities And Debt Discount LongTermDebtNetOfCurrentMaturitiesAndDebtDiscount	145497000	usd
CY2023Q4	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	1639326000	usd
CY2024Q3	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	126037000	usd
CY2023Q4	us-gaap	Self Insurance Reserve Noncurrent SelfInsuranceReserveNoncurrent	111246000	usd
CY2024Q3	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	63092000	usd
CY2023Q4	ensg	Deferred Rent And Other Long Term Liabilities DeferredRentAndOtherLongTermLiabilities	49408000	usd
CY2024Q3	us-gaap	Liabilities Liabilities	2878212000	usd
CY2023Q4	us-gaap	Liabilities Liabilities	2680224000	usd
CY2024Q3	us-gaap	Commitments And Contingencies CommitmentsAndContingencies		usd
CY2023Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies		usd
CY2024Q3	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.001
CY2023Q4	us-gaap	Common Stock Par Or Stated Value Per Share CommonStockParOrStatedValuePerShare	0.001
CY2023Q4	us-gaap	Common Stock Shares Issued CommonStockSharesIssued	59987000	shares
CY2023Q4	us-gaap	Common Stock Shares Outstanding CommonStockSharesOutstanding	56597000	shares
CY2024Q3	us-gaap	Common Stock Value CommonStockValue	61000	usd
CY2023Q4	us-gaap	Common Stock Value CommonStockValue	60000	usd
CY2024Q3	us-gaap	Additional Paid In Capital Common Stock AdditionalPaidInCapitalCommonStock	514336000	usd
CY2023Q4	us-gaap	Additional Paid In Capital Common Stock AdditionalPaidInCapitalCommonStock	465707000	usd
CY2024Q3	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	1350664000	usd
CY2023Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	1142653000	usd
CY2024Q3	us-gaap	Treasury Stock Common Shares TreasuryStockCommonShares	3400000	shares
CY2023Q4	us-gaap	Treasury Stock Common Shares TreasuryStockCommonShares	3390000	shares
CY2024Q3	us-gaap	Treasury Stock Common Value TreasuryStockCommonValue	117764000	usd
CY2023Q4	us-gaap	Treasury Stock Common Value TreasuryStockCommonValue	116555000	usd
CY2024Q3	us-gaap	Stockholders Equity StockholdersEquity	1747297000	usd
CY2023Q4	us-gaap	Stockholders Equity StockholdersEquity	1491865000	usd
CY2024Q3	us-gaap	Minority Interest MinorityInterest	3650000	usd
CY2023Q4	us-gaap	Minority Interest MinorityInterest	5452000	usd
CY2024Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1750947000	usd
CY2023Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1497317000	usd
CY2024Q3	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	4629159000	usd
CY2023Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	4177541000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	3128233000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	2748977000	usd
	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	2479615000	usd
	us-gaap	Cost Of Goods And Services Sold CostOfGoodsAndServicesSold	2160080000	usd
	ensg	Rent Cost Of Services RentCostOfServices	146754000	usd
CY2023Q3	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	51127000	usd
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	169532000	usd
	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	156448000	usd
CY2024Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	21474000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	61619000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	53154000	usd
	us-gaap	Costs And Expenses CostsAndExpenses	2870706000	usd
	us-gaap	Costs And Expenses CostsAndExpenses	2516436000	usd
	us-gaap	Operating Income Loss OperatingIncomeLoss	257527000	usd
	us-gaap	Operating Income Loss OperatingIncomeLoss	232541000	usd
CY2023Q3	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	2024000	usd
	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	6028000	usd
	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	6083000	usd
CY2024Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	7607000	usd
CY2023Q3	us-gaap	Investment Income Interest InvestmentIncomeInterest	5259000	usd
	us-gaap	Investment Income Interest InvestmentIncomeInterest	12785000	usd
CY2024Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	98674000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	82045000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	280336000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	241480000	usd
CY2024Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	20107000	usd
CY2023Q3	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	18077000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	61628000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	53453000	usd
CY2024Q3	us-gaap	Profit Loss ProfitLoss	78567000	usd
	us-gaap	Profit Loss ProfitLoss	218708000	usd
	us-gaap	Profit Loss ProfitLoss	188027000	usd
CY2024Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	123000	usd
CY2023Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	105000	usd
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	422000	usd
	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	319000	usd
CY2024Q3	us-gaap	Net Income Loss NetIncomeLoss	78444000	usd
	us-gaap	Net Income Loss NetIncomeLoss	218286000	usd
	us-gaap	Net Income Loss NetIncomeLoss	187708000	usd
CY2024Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.38
CY2023Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.14
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	3.86
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	3.38
CY2024Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.34
CY2023Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.11
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	3.76
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	3.28
CY2024Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56776000	shares
CY2023Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55829000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56553000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55582000	shares
CY2024Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	58444000	shares
CY2023Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57337000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	58125000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57245000	shares
CY2023Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1497317000	usd
CY2024Q1	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	6229000	usd
CY2024Q1	us-gaap	Stock Issued During Period Value Restricted Stock Award Net Of Forfeitures StockIssuedDuringPeriodValueRestrictedStockAwardNetOfForfeitures	6165000	usd
CY2024Q1	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	14000	usd
CY2024Q1	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0600
CY2024Q1	us-gaap	Dividends Dividends	3414000	usd
CY2024Q1	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	8231000	usd
CY2024Q1	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	10000	usd
CY2024Q1	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	125000	usd
CY2024Q1	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	3000	usd
CY2024Q1	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1583467000	usd
CY2024Q2	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	4090000	usd
CY2024Q2	us-gaap	Adjustments Related To Tax Withholding For Share Based Compensation AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation	1195000	usd
CY2024Q2	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0600
CY2024Q2	us-gaap	Dividends Dividends	3424000	usd
CY2024Q2	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	8978000	usd
CY2024Q2	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	29000	usd
CY2024Q2	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	174000	usd
CY2024Q2	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	3000	usd
CY2024Q2	us-gaap	Net Income Loss NetIncomeLoss	71007000	usd
CY2024Q2	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1663071000	usd
CY2024Q3	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
	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
CY2023Q3	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2024#RevenueFromContractWithCustomerExcludingAssessedTax
CY2024Q3	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	1777566000	usd
CY2024Q3	us-gaap	Common Stock Shares Authorized CommonStockSharesAuthorized	150000000	shares
CY2024Q3	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	2024000	usd
	us-gaap	Investment Income Interest InvestmentIncomeInterest	21151000	usd
CY2024Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	3753000	usd
CY2023Q3	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-982000	usd
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	7686000	usd
	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	2237000	usd
CY2024Q3	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	9336000	usd
CY2023Q3	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	2253000	usd
	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	22809000	usd
	us-gaap	Nonoperating Income Expense NonoperatingIncomeExpense	8939000	usd
CY2023Q3	us-gaap	Profit Loss ProfitLoss	63968000	usd
CY2024Q1	us-gaap	Net Income Loss NetIncomeLoss	68835000	usd
CY2024Q3	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	7977000	usd
CY2024Q3	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0600
CY2024Q3	us-gaap	Dividends Dividends	3437000	usd
CY2024Q3	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	9177000	usd
CY2024Q3	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	4411000	usd
CY2024Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	123000	usd
CY2024Q3	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	3000	usd
CY2024Q3	us-gaap	Net Income Loss NetIncomeLoss	78444000	usd
CY2024Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1750947000	usd
CY2022Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1248800000	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
CY2023Q3	us-gaap	Stock Issued During Period Value New Issues StockIssuedDuringPeriodValueNewIssues	4148000	usd
CY2023Q3	us-gaap	Common Stock Dividends Per Share Declared CommonStockDividendsPerShareDeclared	0.0575
CY2023Q3	us-gaap	Dividends Dividends	3243000	usd
CY2023Q3	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	7230000	usd
CY2023Q3	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	57000	usd
CY2023Q3	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	105000	usd
CY2023Q3	us-gaap	Noncontrolling Interest Increase From Subsidiary Equity Issuance NoncontrollingInterestIncreaseFromSubsidiaryEquityIssuance	3000	usd
CY2023Q3	us-gaap	Net Income Loss NetIncomeLoss	63863000	usd
CY2023Q3	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1465442000	usd
	us-gaap	Profit Loss ProfitLoss	218708000	usd
	us-gaap	Profit Loss ProfitLoss	188027000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	61619000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	53154000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	796000	usd
	us-gaap	Amortization Of Financing Costs And Discounts AmortizationOfFinancingCostsAndDiscounts	802000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	590000	usd
	ensg	Non Cash Lease Expense NonCashLeaseExpense	692000	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	1931000	usd
	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-325000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1419000	usd
	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	3081000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	26406000	usd
	us-gaap	Share Based Compensation ShareBasedCompensation	22691000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	199000	usd
	us-gaap	Proceeds From Insurance Settlement Operating Activities ProceedsFromInsuranceSettlementOperatingActivities	1396000	usd
	ensg	Gain Loss On Disposal Of Assets And Insurance Claims GainLossOnDisposalOfAssetsAndInsuranceClaims	-849000	usd
	ensg	Gain Loss On Disposal Of Assets And Insurance Claims GainLossOnDisposalOfAssetsAndInsuranceClaims	995000	usd
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	4289000	usd
	us-gaap	Gain Loss Related To Litigation Settlement GainLossRelatedToLitigationSettlement	818000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	69025000	usd
	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	66630000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	22130000	usd
	us-gaap	Increase Decrease In Prepaid Taxes IncreaseDecreaseInPrepaidTaxes	-4643000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	16668000	usd
	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	-1459000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	14840000	usd
	us-gaap	Life Insurance Corporate Or Bank Owned Change In Value LifeInsuranceCorporateOrBankOwnedChangeInValue	11723000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	14941000	usd
	us-gaap	Increase Decrease In Deferred Compensation IncreaseDecreaseInDeferredCompensation	11663000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	331000	usd
	us-gaap	Increase Decrease In Operating Lease Liability IncreaseDecreaseInOperatingLeaseLiability	-6345000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	-5237000	usd
	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	704000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	25303000	usd
	us-gaap	Increase Decrease In Employee Related Liabilities IncreaseDecreaseInEmployeeRelatedLiabilities	24700000	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	0	usd
	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	40781000	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	5997000	usd
	us-gaap	Increase Decrease In Other Operating Liabilities IncreaseDecreaseInOtherOperatingLiabilities	11387000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	17381000	usd
	us-gaap	Increase Decrease In Self Insurance Reserve IncreaseDecreaseInSelfInsuranceReserve	13090000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	600000	usd
	us-gaap	Increase Decrease In Other Deferred Liability IncreaseDecreaseInOtherDeferredLiability	-37000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	246730000	usd
	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	291397000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	110079000	usd
	ensg	Payments To Acquire Property And Equipment PaymentsToAcquirePropertyAndEquipment	77360000	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	82890000	usd
	ensg	Payments To Acquire Asset Acquisitions PaymentsToAcquireAssetAcquisitions	53684000	usd
	us-gaap	Payments For Deposits On Real Estate Acquisitions PaymentsForDepositsOnRealEstateAcquisitions	3846000	usd
	us-gaap	Payments For Deposits On Real Estate Acquisitions PaymentsForDepositsOnRealEstateAcquisitions	325000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	1562000	usd
	us-gaap	Proceeds From Insurance Settlement Investing Activities ProceedsFromInsuranceSettlementInvestingActivities	1129000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	2808000	usd
	us-gaap	Proceeds From Sale Of Productive Assets ProceedsFromSaleOfProductiveAssets	48000	usd
	us-gaap	Payments To Acquire Investments PaymentsToAcquireInvestments	52262000	usd
	us-gaap	Payments To Acquire Investments PaymentsToAcquireInvestments	20538000	usd
	us-gaap	Proceeds From Sale Maturity And Collections Of Investments ProceedsFromSaleMaturityAndCollectionsOfInvestments	22553000	usd
	us-gaap	Proceeds From Sale Maturity And Collections Of Investments ProceedsFromSaleMaturityAndCollectionsOfInvestments	12103000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	817000	usd
	us-gaap	Payments For Proceeds From Other Investing Activities PaymentsForProceedsFromOtherInvestingActivities	-873000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-223465000	usd
	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-137754000	usd
	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	400000	usd
	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	0	usd
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	3350000	usd
	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	2917000	usd
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	18296000	usd
	us-gaap	Proceeds From Stock Options Exercised ProceedsFromStockOptionsExercised	12707000	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	10234000	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	4450000	usd
	ensg	Purchases Of Non Controlling Interest PurchasesOfNonControllingInterest	234000	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	-825000	usd
	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	-2043000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	22440000	usd
	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	151600000	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
	us-gaap	Interest Paid Net InterestPaidNet	5276000	usd
	us-gaap	Interest Paid Net InterestPaidNet	5287000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	81962000	usd
	us-gaap	Income Taxes Paid IncomeTaxesPaid	8480000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	159487000	usd
	us-gaap	Operating Lease Payments OperatingLeasePayments	146162000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	7300000	usd
	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	4100000	usd
CY2024Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3437000	usd
CY2023Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3243000	usd
CY2024Q3	ensg	Number Of Health Care Facilities NumberOfHealthCareFacilities	322	facility
CY2024Q3	ensg	Number Of Skilled Nursing Beds NumberOfSkilledNursingBeds	33000	bed
CY2024Q3	ensg	Number Of Senior Living Units NumberOfSeniorLivingUnits	3100	senior_living_unit
CY2024Q3	ensg	Number Of Leased Facilities NumberOfLeasedFacilities	231	facility
CY2024Q3	ensg	Number Of Leased Facilities Option To Purchase NumberOfLeasedFacilitiesOptionToPurchase	12	facility
CY2024Q3	ensg	Number Of Leased Facilities NumberOfLeasedFacilities	231	facility
CY2024Q3	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	121	property
CY2024Q3	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	0	usd
	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	0	usd
CY2023Q3	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	9900000	usd
	ensg	Family First Coronavirus Response Act Payments Received FamilyFirstCoronavirusResponseActPaymentsReceived	54744000	usd
CY2023Q3	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	10298000	usd
	ensg	Revenue Recognition Family First Coronavirus Response Act Revenue Recognized RevenueRecognitionFamilyFirstCoronavirusResponseActRevenueRecognized	55109000	usd
CY2024Q3	us-gaap	Accounts Receivable Gross AccountsReceivableGross	563913000	usd
CY2023Q4	us-gaap	Accounts Receivable Gross AccountsReceivableGross	494387000	usd
CY2024Q3	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9822000	usd
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	9348000	usd
CY2024Q3	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	554091000	usd
CY2023Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	485039000	usd
CY2024Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	78567000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	63968000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	218708000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	188027000	usd
CY2024Q3	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	123000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	105000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	422000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	319000	usd
CY2024Q3	us-gaap	Net Income Loss NetIncomeLoss	78444000	usd
CY2023Q3	us-gaap	Net Income Loss NetIncomeLoss	63863000	usd
	us-gaap	Net Income Loss NetIncomeLoss	218286000	usd
	us-gaap	Net Income Loss NetIncomeLoss	187708000	usd
CY2024Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56776000	shares
CY2023Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55829000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56553000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55582000	shares
CY2024Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.38
CY2023Q3	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	1.14
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	3.86
	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	3.38
CY2024Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	78567000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	63968000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	218708000	usd
	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	188027000	usd
CY2024Q3	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	123000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	105000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	422000	usd
	us-gaap	Income Loss From Continuing Operations Attributable To Noncontrolling Entity IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity	319000	usd
CY2024Q3	us-gaap	Net Income Loss NetIncomeLoss	78444000	usd
CY2023Q3	us-gaap	Net Income Loss NetIncomeLoss	63863000	usd
	us-gaap	Net Income Loss NetIncomeLoss	218286000	usd
	us-gaap	Net Income Loss NetIncomeLoss	187708000	usd
CY2024Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56776000	shares
CY2023Q3	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55829000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	56553000	shares
	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	55582000	shares
CY2024Q3	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1668000	shares
CY2023Q3	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1508000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1572000	shares
	us-gaap	Incremental Common Shares Attributable To Share Based Payment Arrangements IncrementalCommonSharesAttributableToShareBasedPaymentArrangements	1663000	shares
CY2024Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	58444000	shares
CY2023Q3	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57337000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	58125000	shares
	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	57245000	shares
CY2024Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.34
CY2023Q3	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	1.11
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	3.76
	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	3.28
CY2024Q3	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	400000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	858000	shares
CY2023Q3	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1475000	shares
	us-gaap	Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount	1389000	shares
CY2024Q3	us-gaap	Number Of Real Estate Properties NumberOfRealEstateProperties	121	property
	ensg	Number Of Lease Arrangements NumberOfLeaseArrangements	6	lease
	us-gaap	Number Of Reportable Segments NumberOfReportableSegments	2	segment
CY2024Q3	ensg	Skilled Service Operations SkilledServiceOperations	282	operation
CY2024Q3	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	29	operation
CY2024Q3	ensg	Senior Living Facilities SeniorLivingFacilities	11	operation
CY2024Q3	ensg	Skilled Services And Senior Living Campuses SkilledServicesAndSeniorLivingCampuses	29	operation
CY2024Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	1081776000	usd
CY2024Q3	ensg	Segment Income Loss SegmentIncomeLoss	99160000	usd
CY2024Q3	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	-486000	usd
CY2024Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	98674000	usd
CY2024Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	21474000	usd
CY2024Q3	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	2024000	usd
CY2023Q3	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	940791000	usd
CY2023Q3	ensg	Segment Income Loss SegmentIncomeLoss	82045000	usd
CY2023Q3	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	82045000	usd
CY2023Q3	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	18446000	usd
CY2023Q3	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	2024000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	3128233000	usd
	ensg	Segment Income Loss SegmentIncomeLoss	282671000	usd
	us-gaap	Gain Loss On Disposition Of Assets1 GainLossOnDispositionOfAssets1	-2335000	usd
	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	280336000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	61619000	usd
	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	6028000	usd
	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	2748977000	usd
	ensg	Segment Income Loss SegmentIncomeLoss	241580000	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	241480000	usd
	us-gaap	Depreciation Depletion And Amortization DepreciationDepletionAndAmortization	53154000	usd
	us-gaap	Interest Expense Nonoperating InterestExpenseNonoperating	6083000	usd
CY2024Q3	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1666717000	usd
CY2023Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	1487013000	usd
CY2024Q3	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	449028000	usd
CY2023Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	396242000	usd
CY2024Q3	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	1217689000	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
CY2023Q3	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
CY2024Q3	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	0	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	6611000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	4499000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2112000	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
CY2024Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	598000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	1535000	usd
CY2023Q3	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	495000	usd
	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	1256000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Remainder Of Fiscal Year FiniteLivedIntangibleAssetsAmortizationExpenseRemainderOfFiscalYear	163000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	234000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	234000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	234000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	234000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	234000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Amortization Expense After Year Five FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive	779000	usd
CY2024Q3	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	2112000	usd
CY2024Q3	us-gaap	Indefinite Lived Intangible Assets Excluding Goodwill IndefiniteLivedIntangibleAssetsExcludingGoodwill	4564000	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
CY2024Q3	us-gaap	Goodwill Goodwill	77241000	usd
CY2024Q3	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	2217000	usd
CY2023Q4	us-gaap	Debt Issuance Costs Line Of Credit Arrangements Net DebtIssuanceCostsLineOfCreditArrangementsNet	2883000	usd
CY2024Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	16648000	usd
CY2023Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15913000	usd
CY2024Q3	us-gaap	Other Restricted Assets OtherRestrictedAssets	5618000	usd
CY2023Q4	us-gaap	Other Restricted Assets OtherRestrictedAssets	4870000	usd
CY2024Q3	us-gaap	Security Deposit SecurityDeposit	2680000	usd
CY2023Q4	us-gaap	Security Deposit SecurityDeposit	2661000	usd
CY2024Q3	us-gaap	Escrow Deposit EscrowDeposit	3846000	usd
CY2023Q4	us-gaap	Escrow Deposit EscrowDeposit	1216000	usd
CY2024Q3	us-gaap	Other Assets Current OtherAssetsCurrent	14744000	usd
CY2023Q4	us-gaap	Other Assets Current OtherAssetsCurrent	12662000	usd
CY2024Q3	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	45753000	usd
CY2023Q4	ensg	Restricted And Other Assets Noncurrent RestrictedAndOtherAssetsNoncurrent	40205000	usd
CY2024Q3	ensg	Quality Assurance Fee QualityAssuranceFee	11845000	usd
CY2023Q4	ensg	Quality Assurance Fee QualityAssuranceFee	14035000	usd
CY2024Q3	ensg	Resident Refunds Payable ResidentRefundsPayable	55651000	usd
CY2023Q4	ensg	Resident Refunds Payable ResidentRefundsPayable	51248000	usd
CY2024Q3	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	9541000	usd
CY2023Q4	us-gaap	Contract With Customer Liability Current ContractWithCustomerLiabilityCurrent	10834000	usd
CY2024Q3	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6095000	usd
CY2023Q4	ensg	Cash Held In Trust For Residents CashHeldInTrustForResidents	6215000	usd
CY2024Q3	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3437000	usd
CY2023Q4	us-gaap	Dividends Payable Current And Noncurrent DividendsPayableCurrentAndNoncurrent	3396000	usd
CY2024Q3	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	15166000	usd
CY2023Q4	us-gaap	Accrual For Taxes Other Than Income Taxes Current And Noncurrent AccrualForTaxesOtherThanIncomeTaxesCurrentAndNoncurrent	12875000	usd
CY2024Q3	us-gaap	Litigation Reserve Current LitigationReserveCurrent	47445000	usd
CY2023Q4	us-gaap	Litigation Reserve Current LitigationReserveCurrent	51734000	usd
CY2024Q3	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	20015000	usd
CY2023Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	17891000	usd
CY2024Q3	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	169195000	usd
CY2023Q4	us-gaap	Other Accrued Liabilities Current OtherAccruedLiabilitiesCurrent	168228000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	61628000	usd
	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	53453000	usd
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.220
	us-gaap	Effective Income Tax Rate Continuing Operations EffectiveIncomeTaxRateContinuingOperations	0.221
CY2024Q3	us-gaap	Long Term Debt Current LongTermDebtCurrent	4051000	usd
CY2023Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	3950000	usd
CY2024Q3	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2810000	usd
CY2023Q4	us-gaap	Deferred Finance Costs Net DeferredFinanceCostsNet	2941000	usd
CY2024Q3	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	142577000	usd
CY2023Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	145497000	usd
CY2024Q3	us-gaap	Letters Of Credit Outstanding Amount LettersOfCreditOutstandingAmount	27893000	usd
CY2024Q3	ensg	Number Of Stock Incentive Plans NumberOfStockIncentivePlans	1	plan
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	112000	shares
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.038
CY2024Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M12D
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.403
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.002
CY2023Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	193000	shares
CY2023Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.044
CY2023Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y1M6D
CY2023Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.413
CY2023Q3	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	466000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.042
	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	0.407
	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	606000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.040
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Fair Value Assumptions Expected Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardFairValueAssumptionsExpectedTerm1	P6Y2M12D
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Weighted Average Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsWeightedAverageVolatilityRate	0.414
	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	466000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	127.07
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	57.81
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	606000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	92.54
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue	42.50
	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	466000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	127.07
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriod	63000	shares
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures And Expirations In Period Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresAndExpirationsInPeriodWeightedAverageExercisePrice	85.07
	us-gaap	Stock Issued During Period Shares Stock Options Exercised StockIssuedDuringPeriodSharesStockOptionsExercised	541000	shares
	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice	33.84
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber	3853000	shares
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice	74.11
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber	1825000	shares
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice	49.48
CY2024Q3	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	268924000	usd
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue	197819000	usd
CY2024Q3	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	172130000	usd
CY2023Q4	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1	137048000	usd
CY2024Q3	ensg	Share Based Compensation Arrangement By Share Based Payment Award Options Expected To Vest Outstanding Aggregate Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue	90475000	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	50840000	usd
	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue	43299000	usd
	ensg	Share Based Compensation Arrangement By Share Based Payment Award Restricted Awards Exercise Price ShareBasedCompensationArrangementByShareBasedPaymentAwardRestrictedAwardsExercisePrice	0
CY2024Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	9177000	usd
CY2023Q3	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	7230000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	26386000	usd
	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	22684000	usd
	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P6Y9M18D
CY2024Q3	us-gaap	Variable Lease Cost VariableLeaseCost	6344000	usd
CY2023Q3	us-gaap	Variable Lease Cost VariableLeaseCost	5376000	usd
	us-gaap	Variable Lease Cost VariableLeaseCost	17763000	usd
	us-gaap	Variable Lease Cost VariableLeaseCost	15362000	usd
CY2024Q3	us-gaap	Lease Cost LeaseCost	61618000	usd
CY2023Q3	us-gaap	Lease Cost LeaseCost	56159000	usd
	us-gaap	Lease Cost LeaseCost	179125000	usd
	us-gaap	Lease Cost LeaseCost	163387000	usd
CY2024Q3	ensg	Deferred Rent Adjustment DeferredRentAdjustment	205000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	590000	usd
CY2023Q3	ensg	Deferred Rent Adjustment DeferredRentAdjustment	211000	usd
	ensg	Deferred Rent Adjustment DeferredRentAdjustment	692000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Remainder Of Fiscal Year LesseeOperatingLeaseLiabilityPaymentsRemainderOfFiscalYear	52098000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	208403000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	208182000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	207481000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	206358000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	202621000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	1780095000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	2865238000	usd
CY2024Q3	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	993804000	usd
CY2024Q3	us-gaap	Operating Lease Liability OperatingLeaseLiability	1871434000	usd
CY2024Q3	us-gaap	Operating Lease Liability Current OperatingLeaseLiabilityCurrent	93868000	usd
CY2024Q3	us-gaap	Operating Lease Liability Noncurrent OperatingLeaseLiabilityNoncurrent	1777566000	usd
CY2024Q3	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P14Y8M12D
CY2024Q3	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.063
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Remainder Of Fiscal Year LessorOperatingLeasePaymentsToBeReceivedRemainderOfFiscalYear	5751000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	22509000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	22125000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	21772000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Four Years LessorOperatingLeasePaymentsToBeReceivedFourYears	21647000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Five Years LessorOperatingLeasePaymentsToBeReceivedFiveYears	21623000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received Thereafter LessorOperatingLeasePaymentsToBeReceivedThereafter	111079000	usd
CY2024Q3	us-gaap	Lessor Operating Lease Payments To Be Received LessorOperatingLeasePaymentsToBeReceived	226506000	usd
CY2024Q3	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	62285000	usd
CY2023Q4	us-gaap	Deferred Compensation Liability Classified Noncurrent DeferredCompensationLiabilityClassifiedNoncurrent	49201000	usd
CY2024Q3	us-gaap	Gain Loss On Investments GainLossOnInvestments	3175000	usd
	us-gaap	Gain Loss On Investments GainLossOnInvestments	6096000	usd
CY2024Q3	ensg	Investment Expense Income InvestmentExpenseIncome	3294000	usd
	ensg	Investment Expense Income InvestmentExpenseIncome	6410000	usd
CY2023Q3	us-gaap	Gain Loss On Investments GainLossOnInvestments	-1424000	usd
CY2023Q3	ensg	Investment Expense Income InvestmentExpenseIncome	-1352000	usd
	us-gaap	Gain Loss On Investments GainLossOnInvestments	1065000	usd
	ensg	Investment Expense Income InvestmentExpenseIncome	1261000	usd
CY2024Q3	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	16648000	usd
CY2023Q4	us-gaap	Estimated Insurance Recoveries EstimatedInsuranceRecoveries	15913000	usd
CY2024Q1	us-gaap	Litigation Settlement Amount Awarded To Other Party LitigationSettlementAmountAwardedToOtherParty	48000000	usd
CY2024Q3	ensg	Independent Operating Subsidiaries Under Medicare Probe Reviews IndependentOperatingSubsidiariesUnderMedicareProbeReviews	18	subsidiary
CY2023Q3	ensg	Centers For Medicare And Medicaid Services Compliance Audit Number Of Claims Reviewed For Each To Skilled Nursing Facility CentersForMedicareAndMedicaidServicesComplianceAuditNumberOfClaimsReviewedForEachToSkilledNursingFacility	5	claim
CY2024Q3	ecd	Non Rule10b51 Arr Adopted Flag NonRule10b51ArrAdoptedFlag	false
CY2024Q3	ecd	Rule10b51 Arr Trmntd Flag Rule10b51ArrTrmntdFlag	false
CY2024Q3	ecd	Non Rule10b51 Arr Trmntd Flag NonRule10b51ArrTrmntdFlag	false

Files In Submission

Name	View Source	Status
0001125376-24-000171-index-headers.html	Edgar Link	pending
0001125376-24-000171-index.html	Edgar Link	pending
0001125376-24-000171.txt	Edgar Link	pending
0001125376-24-000171-xbrl.zip	Edgar Link	pending
ensg-20240930.htm	Edgar Link	pending
ensg-20240930.xsd	Edgar Link	pending
ensg-20240930_g1.jpg	Edgar Link	pending
ensgq32024ex311.htm	Edgar Link	pending
ensgq32024ex312.htm	Edgar Link	pending
ensgq32024ex321.htm	Edgar Link	pending
ensgq32024ex322.htm	Edgar Link	pending
Financial_Report.xlsx	Edgar Link	pending
MetaLinks.json	Edgar Link	pending
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R4.htm	Edgar Link	pending
ensg-20240930_def.xml	Edgar Link	unprocessable
ensg-20240930_lab.xml	Edgar Link	unprocessable
ensg-20240930_pre.xml	Edgar Link	unprocessable
FilingSummary.xml	Edgar Link	unprocessable
ensg-20240930_htm.xml	Edgar Link	completed
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R9.htm	Edgar Link	pending
report.css	Edgar Link	pending
Show.js	Edgar Link	pending
ensg-20240930_cal.xml	Edgar Link	unprocessable

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$ENSG
ENSIGN GROUP, INC Stock $ensg

2024 Q4 Form 10-Q Financial Statement

#000112537624000171 Filed on October 24, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG ENSIGN GROUP, INC Stock $ensg

2024 Q4 Form 10-Q Financial Statement

#000112537624000171 Filed on October 24, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$ENSG
ENSIGN GROUP, INC Stock $ensg