Segment disclosures

Company overview

Ensign Group, Inc

Each reported dimension combination stays separate. Revenue and operating income are shown as reported, with their dates and sources.

Revenue · Reported segment facts

136 dimension combinations 764 retained observations 24 reported periods Partial retained history

Counts describe retained dimensioned rows only. Periods and members can change across reports, and this view does not infer missing values or expected segment totals.

Operating Segments · Managed Care · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-31260851000 USD20260430Open filing evidence
2025-01-01 – 2025-12-31944316000 USD20260204Open filing evidence
2025-07-01 – 2025-09-30237978000 USD20251103Open filing evidence
2025-01-01 – 2025-09-30694690000 USD20251103Open filing evidence
2025-04-01 – 2025-06-30229495000 USD20250724Open filing evidence
2025-01-01 – 2025-06-30456712000 USD20250724Open filing evidence
2025-01-01 – 2025-03-31227217000 USD20260430Open filing evidence
2024-01-01 – 2024-12-31789643000 USD20260204Open filing evidence
2024-07-01 – 2024-09-30202528000 USD20251103Open filing evidence
2024-01-01 – 2024-09-30581654000 USD20251103Open filing evidence
2024-04-01 – 2024-06-30191022000 USD20250724Open filing evidence
2024-01-01 – 2024-06-30379126000 USD20250724Open filing evidence
2023-01-01 – 2023-12-31666129000 USD20260204Open filing evidence
2022-01-01 – 2022-12-31525710000 USD20230202Open filing evidence
2021-01-01 – 2021-12-31456728000 USD20230202Open filing evidence
2020-01-01 – 2020-12-31367095000 USD20230202Open filing evidence

Operating Segments · Medicaid And Medicare · Service · Skilled Services Segment

Consolidation Items · Major Customers · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-04-01 – 2022-06-30528084000 USD20220801Open filing evidence
2022-01-01 – 2022-06-301044031000 USD20220801Open filing evidence
2021-04-01 – 2021-06-30460419000 USD20220801Open filing evidence
2021-01-01 – 2021-06-30918456000 USD20220801Open filing evidence

Operating Segments · Medicaid And Medicare · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-31940400000 USD20260430Open filing evidence
2025-01-01 – 2025-12-313447818000 USD20260204Open filing evidence
2025-07-01 – 2025-09-30883453000 USD20251103Open filing evidence
2025-01-01 – 2025-09-302524394000 USD20251103Open filing evidence
2025-04-01 – 2025-06-30840228000 USD20250724Open filing evidence
2025-01-01 – 2025-06-301640941000 USD20250724Open filing evidence
2025-01-01 – 2025-03-31800713000 USD20260430Open filing evidence
2024-01-01 – 2024-12-312968386000 USD20260204Open filing evidence
2024-07-01 – 2024-09-30745691000 USD20251103Open filing evidence
2024-01-01 – 2024-09-302181666000 USD20251103Open filing evidence
2024-04-01 – 2024-06-30724965000 USD20250724Open filing evidence
2024-01-01 – 2024-06-301435975000 USD20250724Open filing evidence
2023-01-01 – 2023-12-312660885000 USD20260204Open filing evidence

Operating Segments · Medicaid · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-31529333000 USD20260430Open filing evidence
2025-01-01 – 2025-12-311952142000 USD20260204Open filing evidence
2025-07-01 – 2025-09-30501722000 USD20251103Open filing evidence
2025-01-01 – 2025-09-301419037000 USD20251103Open filing evidence
2025-04-01 – 2025-06-30473904000 USD20250724Open filing evidence
2025-01-01 – 2025-06-30917315000 USD20250724Open filing evidence
2025-01-01 – 2025-03-31443411000 USD20260430Open filing evidence
2024-01-01 – 2024-12-311646422000 USD20260204Open filing evidence
2024-07-01 – 2024-09-30416190000 USD20251103Open filing evidence
2024-01-01 – 2024-09-301201435000 USD20251103Open filing evidence
2024-04-01 – 2024-06-30403127000 USD20250724Open filing evidence
2024-01-01 – 2024-06-30785245000 USD20250724Open filing evidence
2023-01-01 – 2023-12-311429473000 USD20260204Open filing evidence

Operating Segments · Medicaid Skilled · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-3175238000 USD20260430Open filing evidence
2025-01-01 – 2025-12-31301122000 USD20260204Open filing evidence
2025-07-01 – 2025-09-3078450000 USD20251103Open filing evidence
2025-01-01 – 2025-09-30223208000 USD20251103Open filing evidence
2025-04-01 – 2025-06-3075207000 USD20250724Open filing evidence
2025-01-01 – 2025-06-30144758000 USD20250724Open filing evidence
2025-01-01 – 2025-03-3169551000 USD20260430Open filing evidence
2024-01-01 – 2024-12-31266738000 USD20260204Open filing evidence
2024-07-01 – 2024-09-3065907000 USD20251103Open filing evidence
2024-01-01 – 2024-09-30192185000 USD20251103Open filing evidence
2024-04-01 – 2024-06-3062969000 USD20250724Open filing evidence
2024-01-01 – 2024-06-30126278000 USD20250724Open filing evidence
2023-01-01 – 2023-12-31245663000 USD20260204Open filing evidence

Operating Segments · Medicare · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-31335829000 USD20260430Open filing evidence
2025-01-01 – 2025-12-311194554000 USD20260204Open filing evidence
2025-07-01 – 2025-09-30303281000 USD20251103Open filing evidence
2025-01-01 – 2025-09-30882149000 USD20251103Open filing evidence
2025-04-01 – 2025-06-30291117000 USD20250724Open filing evidence
2025-01-01 – 2025-06-30578868000 USD20250724Open filing evidence
2025-01-01 – 2025-03-31287751000 USD20260430Open filing evidence
2024-01-01 – 2024-12-311055226000 USD20260204Open filing evidence
2024-07-01 – 2024-09-30263594000 USD20251103Open filing evidence
2024-01-01 – 2024-09-30788046000 USD20251103Open filing evidence
2024-04-01 – 2024-06-30258869000 USD20250724Open filing evidence
2024-01-01 – 2024-06-30524452000 USD20250724Open filing evidence
2023-01-01 – 2023-12-31985749000 USD20260204Open filing evidence

Operating Segments · Private Pay And Other · Skilled Services Segment

Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-01-01 – 2026-03-31129584000 USD20260430Open filing evidence
2025-01-01 – 2025-12-31445675000 USD20260204Open filing evidence
2025-07-01 – 2025-09-30117665000 USD20251103Open filing evidence
2025-01-01 – 2025-09-30317142000 USD20251103Open filing evidence
2025-04-01 – 2025-06-30103853000 USD20250724Open filing evidence
2025-01-01 – 2025-06-30199477000 USD20250724Open filing evidence
2025-01-01 – 2025-03-3195624000 USD20260430Open filing evidence
2024-01-01 – 2024-12-31318796000 USD20260204Open filing evidence
2024-07-01 – 2024-09-3084894000 USD20251103Open filing evidence
2024-01-01 – 2024-09-30230680000 USD20251103Open filing evidence
2024-04-01 – 2024-06-3075298000 USD20250724Open filing evidence
2024-01-01 – 2024-06-30145786000 USD20250724Open filing evidence
2023-01-01 – 2023-12-31251841000 USD20260204Open filing evidence
2022-01-01 – 2022-12-31189158000 USD20230202Open filing evidence
2021-01-01 – 2021-12-31159572000 USD20230202Open filing evidence
2020-01-01 – 2020-12-31156876000 USD20230202Open filing evidence

Operating Segments · Rental · Real Estate Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-3161275000 USD20210203Open filing evidence

Operating Segments · Rental · Skilled Services Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-310 USD20250429Open filing evidence
2024-01-01 – 2024-12-310 USD20250205Open filing evidence
2024-07-01 – 2024-09-300 USD20241024Open filing evidence
2024-01-01 – 2024-09-300 USD20241024Open filing evidence
2024-01-01 – 2024-03-310 USD20250429Open filing evidence
2023-01-01 – 2023-12-310 USD20250205Open filing evidence
2023-07-01 – 2023-09-300 USD20241024Open filing evidence
2023-01-01 – 2023-09-300 USD20241024Open filing evidence
2022-01-01 – 2022-12-310 USD20250205Open filing evidence
2022-07-01 – 2022-09-300 USD20221026Open filing evidence
2022-01-01 – 2022-09-300 USD20221026Open filing evidence
2022-04-01 – 2022-06-300 USD20220801Open filing evidence
2022-01-01 – 2022-06-300 USD20220801Open filing evidence
2021-01-01 – 2021-12-310 USD20240201Open filing evidence
2021-07-01 – 2021-09-300 USD20221026Open filing evidence
2021-01-01 – 2021-09-300 USD20221026Open filing evidence
2021-04-01 – 2021-06-300 USD20220801Open filing evidence
2021-01-01 – 2021-06-300 USD20220801Open filing evidence

Operating Segments · Rental · Standard Bearer Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-3128401000 USD20250429Open filing evidence
2024-01-01 – 2024-12-3195086000 USD20250205Open filing evidence
2024-07-01 – 2024-09-3024429000 USD20241024Open filing evidence
2024-01-01 – 2024-09-3069984000 USD20241024Open filing evidence
2024-01-01 – 2024-03-3122201000 USD20250429Open filing evidence
2023-01-01 – 2023-12-3182486000 USD20250205Open filing evidence
2023-07-01 – 2023-09-3020980000 USD20241024Open filing evidence
2023-01-01 – 2023-09-3060611000 USD20241024Open filing evidence
2022-01-01 – 2022-12-3172937000 USD20250205Open filing evidence
2022-07-01 – 2022-09-3018732000 USD20221026Open filing evidence
2022-01-01 – 2022-09-3053523000 USD20221026Open filing evidence
2022-04-01 – 2022-06-3017598000 USD20220801Open filing evidence
2022-01-01 – 2022-06-3034791000 USD20220801Open filing evidence
2021-07-01 – 2021-09-3014431000 USD20221026Open filing evidence
2021-01-01 – 2021-09-3042714000 USD20221026Open filing evidence
2021-04-01 – 2021-06-3014214000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3028283000 USD20220801Open filing evidence

Operating Segments · Rental · Transitionaland Skilled Services Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-310 USD20210203Open filing evidence

Operating Segments · Rental · All Other Segments

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember
PeriodValueUnitFiledEvidence
2024-07-01 – 2024-09-302935000 USD20241024Open filing evidence
2024-01-01 – 2024-09-308880000 USD20241024Open filing evidence
2024-04-01 – 2024-06-302999000 USD20240725Open filing evidence
2024-01-01 – 2024-06-305945000 USD20240725Open filing evidence
2023-01-01 – 2023-12-3111137000 USD20240201Open filing evidence
2023-07-01 – 2023-09-302870000 USD20241024Open filing evidence
2023-01-01 – 2023-09-308252000 USD20241024Open filing evidence
2023-04-01 – 2023-06-302819000 USD20240725Open filing evidence
2023-01-01 – 2023-06-305382000 USD20240725Open filing evidence
2022-01-01 – 2022-12-317396000 USD20240201Open filing evidence
2021-01-01 – 2021-12-317409000 USD20240201Open filing evidence

Operating Segments · Service · Medicaid · Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-31333445000 USD20230426Open filing evidence
2022-01-01 – 2022-03-31261587000 USD20230426Open filing evidence

Operating Segments · Service · Medicaid · Transitionaland Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-31886991000 USD20210203Open filing evidence

Operating Segments · Service · Medicaid Skilled · Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-31245663000 USD20240201Open filing evidence
2022-01-01 – 2022-12-31200878000 USD20240201Open filing evidence
2021-01-01 – 2021-12-31172770000 USD20240201Open filing evidence

Operating Segments · Service · Medicare · Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-31985749000 USD20240201Open filing evidence
2022-01-01 – 2022-12-31832160000 USD20240201Open filing evidence
2021-01-01 – 2021-12-31727103000 USD20240201Open filing evidence

Operating Segments · Service · Medicare · Transitionaland Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-31727374000 USD20210203Open filing evidence

Operating Segments · Service · Private Pay And Other · Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-04-01 – 2022-06-3045807000 USD20220801Open filing evidence
2022-01-01 – 2022-06-3088845000 USD20220801Open filing evidence
2021-04-01 – 2021-06-3039500000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3074154000 USD20220801Open filing evidence

Operating Segments · Service · Total Medicaid And Medicare Revenue · Transitionaland Skilled Services Segment

Consolidation Items · Product Or Service · Major Customers · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:TotalMedicaidAndMedicareRevenueMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-311764211000 USD20210203Open filing evidence

Operating Segments · Service · Real Estate Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-310 USD20210203Open filing evidence

Operating Segments · Service · Skilled Services Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-311123554000 USD20250429Open filing evidence
2024-01-01 – 2024-12-314076825000 USD20250205Open filing evidence
2024-07-01 – 2024-09-301033113000 USD20241024Open filing evidence
2024-01-01 – 2024-09-302994000000 USD20241024Open filing evidence
2024-01-01 – 2024-03-31969602000 USD20250429Open filing evidence
2023-01-01 – 2023-12-313578855000 USD20250205Open filing evidence
2023-07-01 – 2023-09-30902967000 USD20241024Open filing evidence
2023-01-01 – 2023-09-302638090000 USD20241024Open filing evidence
2023-01-01 – 2023-03-31850923000 USD20230426Open filing evidence
2022-01-01 – 2022-12-312906215000 USD20250205Open filing evidence
2022-04-01 – 2022-06-30702478000 USD20220801Open filing evidence
2022-01-01 – 2022-06-301389249000 USD20220801Open filing evidence
2022-01-01 – 2022-03-31686771000 USD20230426Open filing evidence
2021-01-01 – 2021-12-312523234000 USD20240201Open filing evidence
2021-04-01 – 2021-06-30612882000 USD20220801Open filing evidence
2021-01-01 – 2021-06-301213918000 USD20220801Open filing evidence

Operating Segments · Service · Skilled Services Segment · Managed Care

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:ManagedCareMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-31666129000 USD20240201Open filing evidence
2023-01-01 – 2023-03-31156663000 USD20230426Open filing evidence
2022-01-01 – 2022-12-31525710000 USD20240201Open filing evidence
2022-04-01 – 2022-06-30128587000 USD20220801Open filing evidence
2022-01-01 – 2022-06-30256373000 USD20220801Open filing evidence
2022-01-01 – 2022-03-31127786000 USD20230426Open filing evidence
2021-01-01 – 2021-12-31456728000 USD20240201Open filing evidence
2021-04-01 – 2021-06-30112963000 USD20220801Open filing evidence
2021-01-01 – 2021-06-30221308000 USD20220801Open filing evidence

Operating Segments · Service · Skilled Services Segment · Medicaid And Medicare

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-312660885000 USD20240201Open filing evidence
2023-01-01 – 2023-03-31639095000 USD20230426Open filing evidence
2022-01-01 – 2022-12-312191347000 USD20240201Open filing evidence
2022-01-01 – 2022-03-31515947000 USD20230426Open filing evidence
2021-01-01 – 2021-12-311906934000 USD20240201Open filing evidence

Operating Segments · Service · Skilled Services Segment · Medicaid

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-311429473000 USD20240201Open filing evidence
2022-01-01 – 2022-12-311158309000 USD20240201Open filing evidence
2021-01-01 – 2021-12-311007061000 USD20240201Open filing evidence

Operating Segments · Service · Skilled Services Segment · Medicaid Skilled

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-3157927000 USD20230426Open filing evidence
2022-04-01 – 2022-06-3049763000 USD20220801Open filing evidence
2022-01-01 – 2022-06-3095712000 USD20220801Open filing evidence
2022-01-01 – 2022-03-3145949000 USD20230426Open filing evidence
2021-04-01 – 2021-06-3042740000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3082733000 USD20220801Open filing evidence

Operating Segments · Service · Skilled Services Segment · Medicare

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicareMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-31247723000 USD20230426Open filing evidence
2022-04-01 – 2022-06-30190494000 USD20220801Open filing evidence
2022-01-01 – 2022-06-30398905000 USD20220801Open filing evidence
2022-01-01 – 2022-03-31208411000 USD20230426Open filing evidence
2021-04-01 – 2021-06-30170008000 USD20220801Open filing evidence
2021-01-01 – 2021-06-30360311000 USD20220801Open filing evidence

Operating Segments · Service · Skilled Services Segment · Private Pay And Other

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-3155165000 USD20230426Open filing evidence
2022-01-01 – 2022-03-3143038000 USD20230426Open filing evidence

Operating Segments · Service · Standard Bearer Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-310 USD20250429Open filing evidence
2024-01-01 – 2024-12-310 USD20250205Open filing evidence
2024-07-01 – 2024-09-300 USD20241024Open filing evidence
2024-01-01 – 2024-09-300 USD20241024Open filing evidence
2024-01-01 – 2024-03-310 USD20250429Open filing evidence
2023-01-01 – 2023-12-310 USD20250205Open filing evidence
2023-07-01 – 2023-09-300 USD20241024Open filing evidence
2023-01-01 – 2023-09-300 USD20241024Open filing evidence
2023-01-01 – 2023-03-310 USD20230426Open filing evidence
2022-01-01 – 2022-12-310 USD20250205Open filing evidence
2022-04-01 – 2022-06-300 USD20220801Open filing evidence
2022-01-01 – 2022-06-300 USD20220801Open filing evidence
2022-01-01 – 2022-03-310 USD20230426Open filing evidence
2021-01-01 – 2021-12-310 USD20240201Open filing evidence
2021-04-01 – 2021-06-300 USD20220801Open filing evidence
2021-01-01 – 2021-06-300 USD20220801Open filing evidence

Operating Segments · Service · Transitionaland Skilled Services Segment

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-312288182000 USD20210203Open filing evidence

Operating Segments · Service · Transitionaland Skilled Services Segment · Managed Care

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:ManagedCareMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-31367095000 USD20210203Open filing evidence

Operating Segments · Service · Transitionaland Skilled Services Segment · Private Pay And Other

Consolidation Items · Product Or Service · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-31156876000 USD20210203Open filing evidence

Operating Segments · Service · All Other Segments

Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember
PeriodValueUnitFiledEvidence
2024-07-01 – 2024-09-3048209000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30132175000 USD20241024Open filing evidence
2023-01-01 – 2023-12-31144667000 USD20240201Open filing evidence
2023-07-01 – 2023-09-3036254000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30106322000 USD20241024Open filing evidence
2023-01-01 – 2023-03-3134533000 USD20230426Open filing evidence
2022-01-01 – 2022-12-31115214000 USD20240201Open filing evidence
2022-01-01 – 2022-03-3125467000 USD20230426Open filing evidence
2021-01-01 – 2021-12-3195276000 USD20240201Open filing evidence

Operating Segments · Real Estate Segment

Consolidation Items · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-12-3172937000 RestatedUSD20230202Open filing evidence
2021-01-01 – 2021-12-3158127000 RestatedUSD20230202Open filing evidence
2021-07-01 – 2021-09-3016271000 USD20211027Open filing evidence
2021-01-01 – 2021-09-3048181000 USD20211027Open filing evidence
2021-04-01 – 2021-06-3016031000 USD20210728Open filing evidence
2021-01-01 – 2021-06-3031910000 USD20210728Open filing evidence
2020-01-01 – 2020-12-3154104000 RestatedUSD20230202Open filing evidence

Operating Segments · Skilled Services Segment

Consolidation Items · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2026-04-01 – 2026-06-301379912000 USD20260727Open filing evidence
2026-01-01 – 2026-06-302710747000 USD20260727Open filing evidence
2026-01-01 – 2026-03-311330835000 USD20260430Open filing evidence
2025-01-01 – 2025-12-314837809000 USD20260204Open filing evidence
2025-07-01 – 2025-09-301239096000 USD20251103Open filing evidence
2025-01-01 – 2025-09-303536226000 USD20251103Open filing evidence
2025-04-01 – 2025-06-301173576000 USD20260727Open filing evidence
2025-01-01 – 2025-06-302297130000 USD20260727Open filing evidence
2025-01-01 – 2025-03-311123554000 USD20260430Open filing evidence
2024-01-01 – 2024-12-314076825000 USD20260204Open filing evidence
2024-07-01 – 2024-09-301033113000 USD20251103Open filing evidence
2024-01-01 – 2024-09-302994000000 USD20251103Open filing evidence
2024-04-01 – 2024-06-30991285000 USD20250724Open filing evidence
2024-01-01 – 2024-06-301960887000 USD20250724Open filing evidence
2024-01-01 – 2024-03-31969602000 USD20250429Open filing evidence
2023-01-01 – 2023-12-313578855000 USD20260204Open filing evidence
2023-07-01 – 2023-09-30902967000 USD20241024Open filing evidence
2023-01-01 – 2023-09-302638090000 USD20241024Open filing evidence
2023-01-01 – 2023-03-31850923000 USD20230426Open filing evidence
2022-01-01 – 2022-12-312906215000 USD20250205Open filing evidence
2022-07-01 – 2022-09-30739318000 USD20231025Open filing evidence
2022-01-01 – 2022-09-302128567000 USD20231025Open filing evidence
2022-04-01 – 2022-06-30702478000 USD20220801Open filing evidence
2022-01-01 – 2022-06-301389249000 USD20220801Open filing evidence
2022-01-01 – 2022-03-31686771000 USD20230426Open filing evidence
2021-01-01 – 2021-12-312523234000 USD20240201Open filing evidence
2021-07-01 – 2021-09-30642075000 USD20221026Open filing evidence
2021-01-01 – 2021-09-301855993000 USD20221026Open filing evidence
2021-04-01 – 2021-06-30612882000 USD20220801Open filing evidence
2021-01-01 – 2021-06-301213918000 USD20220801Open filing evidence
2020-01-01 – 2020-12-312288182000 USD20230202Open filing evidence

Operating Segments · Skilled Services Segment · Medicaid And Medicare

Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-12-312191347000 USD20230202Open filing evidence
2021-01-01 – 2021-12-311906934000 USD20230202Open filing evidence
2020-01-01 – 2020-12-311764211000 USD20230202Open filing evidence

Operating Segments · Skilled Services Segment · Medicaid

Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-12-311158309000 USD20230202Open filing evidence
2021-01-01 – 2021-12-311007061000 USD20230202Open filing evidence
2020-01-01 – 2020-12-31886991000 USD20230202Open filing evidence

Operating Segments · Skilled Services Segment · Medicare

Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicareMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-12-31832160000 USD20230202Open filing evidence
2021-01-01 – 2021-12-31727103000 USD20230202Open filing evidence
2020-01-01 – 2020-12-31727374000 USD20230202Open filing evidence

Operating Segments · Standard Bearer Segment

Consolidation Items · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember
PeriodValueUnitFiledEvidence
2026-04-01 – 2026-06-3044133000 RestatedUSD20260727Open filing evidence
2026-01-01 – 2026-06-3080235000 RestatedUSD20260727Open filing evidence
2026-01-01 – 2026-03-3136102000 RestatedUSD20260430Open filing evidence
2025-01-01 – 2025-12-31126930000 RestatedUSD20260204Open filing evidence
2025-07-01 – 2025-09-3032610000 RestatedUSD20251103Open filing evidence
2025-01-01 – 2025-09-3092479000 RestatedUSD20251103Open filing evidence
2025-04-01 – 2025-06-3031468000 RestatedUSD20260727Open filing evidence
2025-01-01 – 2025-06-3059869000 RestatedUSD20260727Open filing evidence
2025-01-01 – 2025-03-3128401000 USD20260430Open filing evidence
2024-01-01 – 2024-12-3195086000 USD20260204Open filing evidence
2024-07-01 – 2024-09-3024429000 USD20251103Open filing evidence
2024-01-01 – 2024-09-3069984000 USD20251103Open filing evidence
2024-04-01 – 2024-06-3023354000 RestatedUSD20250724Open filing evidence
2024-01-01 – 2024-06-3045555000 RestatedUSD20250724Open filing evidence
2024-01-01 – 2024-03-3122201000 USD20250429Open filing evidence
2023-01-01 – 2023-12-3182486000 USD20260204Open filing evidence
2023-07-01 – 2023-09-3020980000 USD20241024Open filing evidence
2023-01-01 – 2023-09-3060611000 USD20241024Open filing evidence
2023-01-01 – 2023-03-3119717000 USD20230426Open filing evidence
2022-01-01 – 2022-12-3172937000 USD20250205Open filing evidence
2022-07-01 – 2022-09-3018732000 USD20221026Open filing evidence
2022-01-01 – 2022-09-3053523000 USD20221026Open filing evidence
2022-04-01 – 2022-06-3017598000 USD20220801Open filing evidence
2022-01-01 – 2022-06-3034791000 USD20220801Open filing evidence
2022-01-01 – 2022-03-3117193000 USD20230426Open filing evidence
2021-01-01 – 2021-12-3158127000 USD20240201Open filing evidence
2021-07-01 – 2021-09-3014431000 USD20221026Open filing evidence
2021-01-01 – 2021-09-3042714000 USD20221026Open filing evidence
2021-04-01 – 2021-06-3014214000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3028283000 USD20220801Open filing evidence
2021-01-01 – 2021-03-3114069000 USD20220428Open filing evidence

Operating Segments · Standard Bearer Segment · Rental

Consolidation Items · Statement Business Segments · Product Or Service

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-12-3182486000 USD20240201Open filing evidence
2022-01-01 – 2022-12-3172937000 USD20240201Open filing evidence
2022-01-01 – 2022-03-3117193000 USD20220428Open filing evidence
2021-01-01 – 2021-12-3158127000 USD20240201Open filing evidence
2021-01-01 – 2021-03-3114069000 USD20220428Open filing evidence

Operating Segments · Transitionaland Skilled Services Segment

Consolidation Items · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31601036000 USD20210429Open filing evidence
2020-01-01 – 2020-12-312288182000 USD20210203Open filing evidence

Operating Segments · Transitionaland Skilled Services Segment · Rental

Consolidation Items · Statement Business Segments · Product Or Service

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-310 USD20210429Open filing evidence

Operating Segments · All Other Segments

Consolidation Items · Statement Business Segments

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember
PeriodValueUnitFiledEvidence
2024-07-01 – 2024-09-3051144000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30141055000 USD20241024Open filing evidence
2024-04-01 – 2024-06-3047339000 USD20240725Open filing evidence
2024-01-01 – 2024-06-3089911000 USD20240725Open filing evidence
2023-01-01 – 2023-12-31155804000 USD20240201Open filing evidence
2023-07-01 – 2023-09-3039124000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30114574000 USD20241024Open filing evidence
2023-04-01 – 2023-06-3038354000 USD20240725Open filing evidence
2023-01-01 – 2023-06-3075450000 USD20240725Open filing evidence
2023-01-01 – 2023-03-3137096000 USD20230426Open filing evidence
2022-01-01 – 2022-12-31122610000 RestatedUSD20240201Open filing evidence
2022-01-01 – 2022-03-3127330000 USD20230426Open filing evidence
2021-01-01 – 2021-12-31102685000 RestatedUSD20240201Open filing evidence
2021-01-01 – 2021-03-3125729000 USD20220428Open filing evidence
2020-01-01 – 2020-12-31112719000 RestatedUSD20230202Open filing evidence

Operating Segments · All Other Segments · Rental

Consolidation Items · Statement Business Segments · Product Or Service

Source dimensions srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-311863000 USD20220428Open filing evidence
2021-01-01 – 2021-03-311810000 USD20220428Open filing evidence

Managed Care · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:ManagedCareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-31227217000 USD20250429Open filing evidence
2024-01-01 – 2024-12-31789643000 USD20250205Open filing evidence
2024-07-01 – 2024-09-30202528000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30581654000 USD20241024Open filing evidence
2024-01-01 – 2024-03-31188104000 USD20250429Open filing evidence
2023-01-01 – 2023-12-31666129000 USD20250205Open filing evidence
2023-07-01 – 2023-09-30170747000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30488511000 USD20241024Open filing evidence
2022-01-01 – 2022-12-31525710000 USD20250205Open filing evidence

Managed Care · Service · Operating Segments · Skilled Services Segment

Major Customers · Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:ManagedCareMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-30170747000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30488511000 USD20231025Open filing evidence
2022-07-01 – 2022-09-30132663000 USD20231025Open filing evidence
2022-01-01 – 2022-09-30389036000 USD20231025Open filing evidence
2021-07-01 – 2021-09-30114917000 USD20211027Open filing evidence
2021-01-01 – 2021-09-30336225000 USD20211027Open filing evidence

Managed Care · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:ManagedCareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-30276484000 USD20261027Open filing evidence
2026-01-01 – 2026-09-30802683000 USD20261027Open filing evidence
2026-04-01 – 2026-06-30265348000 USD20260727Open filing evidence
2026-01-01 – 2026-06-30526199000 USD20260727Open filing evidence
2025-07-01 – 2025-09-30237978000 USD20261027Open filing evidence
2025-01-01 – 2025-09-30694690000 USD20261027Open filing evidence
2025-04-01 – 2025-06-30229495000 USD20260727Open filing evidence
2025-01-01 – 2025-06-30456712000 USD20260727Open filing evidence

Medicaid And Medicare · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-31800713000 USD20250429Open filing evidence
2024-01-01 – 2024-12-312968386000 USD20250205Open filing evidence
2024-07-01 – 2024-09-30745691000 USD20241024Open filing evidence
2024-01-01 – 2024-09-302181666000 USD20241024Open filing evidence
2024-01-01 – 2024-03-31711010000 USD20250429Open filing evidence
2023-01-01 – 2023-12-312660885000 USD20250205Open filing evidence
2023-07-01 – 2023-09-30667062000 USD20241024Open filing evidence
2023-01-01 – 2023-09-301968633000 USD20241024Open filing evidence
2022-01-01 – 2022-12-312191347000 USD20250205Open filing evidence

Medicaid And Medicare · Service · Operating Segments · Skilled Services Segment

Major Customers · Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-30557674000 USD20221026Open filing evidence
2022-01-01 – 2022-09-301601705000 USD20221026Open filing evidence
2021-07-01 – 2021-09-30485040000 USD20221026Open filing evidence
2021-01-01 – 2021-09-301403496000 USD20221026Open filing evidence

Medicaid And Medicare · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-30997371000 USD20261027Open filing evidence
2026-01-01 – 2026-09-302910673000 USD20261027Open filing evidence
2026-04-01 – 2026-06-30972902000 USD20260727Open filing evidence
2026-01-01 – 2026-06-301913302000 USD20260727Open filing evidence
2025-07-01 – 2025-09-30883453000 USD20261027Open filing evidence
2025-01-01 – 2025-09-302524394000 USD20261027Open filing evidence
2025-04-01 – 2025-06-30840228000 USD20260727Open filing evidence
2025-01-01 – 2025-06-301640941000 USD20260727Open filing evidence

Medicaid · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-31443411000 USD20250429Open filing evidence
2024-01-01 – 2024-12-311646422000 USD20250205Open filing evidence
2024-07-01 – 2024-09-30416190000 USD20241024Open filing evidence
2024-01-01 – 2024-09-301201435000 USD20241024Open filing evidence
2024-01-01 – 2024-03-31382118000 USD20250429Open filing evidence
2023-01-01 – 2023-12-311429473000 USD20250205Open filing evidence
2023-07-01 – 2023-09-30367079000 USD20241024Open filing evidence
2023-01-01 – 2023-09-301052904000 USD20241024Open filing evidence
2022-01-01 – 2022-12-311158309000 USD20250205Open filing evidence
2022-04-01 – 2022-06-30287827000 USD20220801Open filing evidence
2022-01-01 – 2022-06-30549414000 USD20220801Open filing evidence
2021-04-01 – 2021-06-30247671000 USD20220801Open filing evidence
2021-01-01 – 2021-06-30475412000 USD20220801Open filing evidence

Medicaid · Service · Operating Segments · Skilled Services Segment

Major Customers · Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-07-01 – 2021-09-30263072000 USD20211027Open filing evidence
2021-01-01 – 2021-09-30738484000 USD20211027Open filing evidence
2021-04-01 – 2021-06-30247671000 USD20210728Open filing evidence
2021-01-01 – 2021-06-30475412000 USD20210728Open filing evidence

Medicaid · Service · Skilled Services Segment · Operating Segments

Major Customers · Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-31261587000 USD20220428Open filing evidence
2021-01-01 – 2021-03-31227741000 USD20220428Open filing evidence

Medicaid · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-30576031000 USD20261027Open filing evidence
2026-01-01 – 2026-09-301657952000 USD20261027Open filing evidence
2026-04-01 – 2026-06-30552588000 USD20260727Open filing evidence
2026-01-01 – 2026-06-301081921000 USD20260727Open filing evidence
2025-07-01 – 2025-09-30501722000 USD20261027Open filing evidence
2025-01-01 – 2025-09-301419037000 USD20261027Open filing evidence
2025-04-01 – 2025-06-30473904000 USD20260727Open filing evidence
2025-01-01 – 2025-06-30917315000 USD20260727Open filing evidence

Medicaid · Skilled Services Segment · Service · Operating Segments

Major Customers · Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-31382118000 USD20240501Open filing evidence
2023-01-01 – 2023-03-31333445000 USD20240501Open filing evidence

Medicaid Skilled · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-3169551000 USD20250429Open filing evidence
2024-01-01 – 2024-12-31266738000 USD20250205Open filing evidence
2024-07-01 – 2024-09-3065907000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30192185000 USD20241024Open filing evidence
2024-01-01 – 2024-03-3163309000 USD20250429Open filing evidence
2023-01-01 – 2023-12-31245663000 USD20250205Open filing evidence
2023-07-01 – 2023-09-3062452000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30182394000 USD20241024Open filing evidence
2022-01-01 – 2022-12-31200878000 USD20250205Open filing evidence

Medicaid Skilled · Operating Segments · Service · Transitionaland Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2020-01-01 – 2020-12-31149846000 USD20210203Open filing evidence

Medicaid Skilled · Operating Segments · Skilled Services Segment

Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-12-31200878000 USD20230202Open filing evidence
2021-01-01 – 2021-12-31172770000 USD20230202Open filing evidence

Medicaid Skilled · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-3078474000 USD20261027Open filing evidence
2026-01-01 – 2026-09-30234376000 USD20261027Open filing evidence
2026-04-01 – 2026-06-3080664000 USD20260727Open filing evidence
2026-01-01 – 2026-06-30155902000 USD20260727Open filing evidence
2025-07-01 – 2025-09-3078450000 USD20261027Open filing evidence
2025-01-01 – 2025-09-30223208000 USD20261027Open filing evidence
2025-04-01 – 2025-06-3075207000 USD20260727Open filing evidence
2025-01-01 – 2025-06-30144758000 USD20260727Open filing evidence

Medicare · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-31287751000 USD20250429Open filing evidence
2024-01-01 – 2024-12-311055226000 USD20250205Open filing evidence
2024-07-01 – 2024-09-30263594000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30788046000 USD20241024Open filing evidence
2024-01-01 – 2024-03-31265583000 USD20250429Open filing evidence
2023-01-01 – 2023-12-31985749000 USD20250205Open filing evidence
2023-07-01 – 2023-09-30237531000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30733335000 USD20241024Open filing evidence
2022-01-01 – 2022-12-31832160000 USD20250205Open filing evidence

Medicare · Service · Operating Segments · Skilled Services Segment

Major Customers · Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:MedicareMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-07-01 – 2021-09-30176660000 USD20211027Open filing evidence
2021-01-01 – 2021-09-30536971000 USD20211027Open filing evidence
2021-04-01 – 2021-06-30170008000 USD20210728Open filing evidence
2021-01-01 – 2021-06-30360311000 USD20210728Open filing evidence

Medicare · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-30342866000 USD20261027Open filing evidence
2026-01-01 – 2026-09-301018345000 USD20261027Open filing evidence
2026-04-01 – 2026-06-30339650000 USD20260727Open filing evidence
2026-01-01 – 2026-06-30675479000 USD20260727Open filing evidence
2025-07-01 – 2025-09-30303281000 USD20261027Open filing evidence
2025-01-01 – 2025-09-30882149000 USD20261027Open filing evidence
2025-04-01 – 2025-06-30291117000 USD20260727Open filing evidence
2025-01-01 – 2025-06-30578868000 USD20260727Open filing evidence

Private Pay And Other · Operating Segments · Service · Skilled Services Segment

Major Customers · Consolidation Items · Product Or Service · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2025-01-01 – 2025-03-3195624000 USD20250429Open filing evidence
2024-01-01 – 2024-12-31318796000 USD20250205Open filing evidence
2024-07-01 – 2024-09-3084894000 USD20241024Open filing evidence
2024-01-01 – 2024-09-30230680000 USD20241024Open filing evidence
2024-01-01 – 2024-03-3170488000 USD20250429Open filing evidence
2023-01-01 – 2023-12-31251841000 USD20250205Open filing evidence
2023-07-01 – 2023-09-3065158000 USD20241024Open filing evidence
2023-01-01 – 2023-09-30180946000 USD20241024Open filing evidence
2022-01-01 – 2022-12-31189158000 USD20250205Open filing evidence
2021-01-01 – 2021-12-31159572000 USD20240201Open filing evidence

Private Pay And Other · Service · Operating Segments · Skilled Services Segment

Major Customers · Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-3048981000 USD20221026Open filing evidence
2022-01-01 – 2022-09-30137826000 USD20221026Open filing evidence
2021-07-01 – 2021-09-3042118000 USD20221026Open filing evidence
2021-01-01 – 2021-09-30116272000 USD20221026Open filing evidence
2021-04-01 – 2021-06-3039500000 USD20210728Open filing evidence
2021-01-01 – 2021-06-3074154000 USD20210728Open filing evidence

Private Pay And Other · Service · Skilled Services Segment · Operating Segments

Major Customers · Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-3075298000 USD20240725Open filing evidence
2024-01-01 – 2024-06-30145786000 USD20240725Open filing evidence
2023-04-01 – 2023-06-3060623000 USD20240725Open filing evidence
2023-01-01 – 2023-06-30115788000 USD20240725Open filing evidence

Private Pay And Other · Skilled Services Segment · Operating Segments

Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-30148116000 USD20261027Open filing evidence
2026-01-01 – 2026-09-30419362000 USD20261027Open filing evidence
2026-04-01 – 2026-06-30141662000 USD20260727Open filing evidence
2026-01-01 – 2026-06-30271246000 USD20260727Open filing evidence
2025-07-01 – 2025-09-30117665000 USD20261027Open filing evidence
2025-01-01 – 2025-09-30317142000 USD20261027Open filing evidence
2025-04-01 – 2025-06-30103853000 USD20260727Open filing evidence
2025-01-01 – 2025-06-30199477000 USD20260727Open filing evidence

Rental · Operating Segments · Real Estate Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember
PeriodValueUnitFiledEvidence
2021-07-01 – 2021-09-3016271000 USD20211027Open filing evidence
2021-01-01 – 2021-09-3048181000 USD20211027Open filing evidence
2021-04-01 – 2021-06-3016031000 USD20210728Open filing evidence
2021-01-01 – 2021-06-3031910000 USD20210728Open filing evidence

Rental · Operating Segments · Skilled Services Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-300 USD20231025Open filing evidence
2023-01-01 – 2023-09-300 USD20231025Open filing evidence
2023-01-01 – 2023-03-310 USD20230426Open filing evidence
2022-07-01 – 2022-09-300 USD20231025Open filing evidence
2022-01-01 – 2022-09-300 USD20231025Open filing evidence
2022-01-01 – 2022-03-310 USD20230426Open filing evidence
2021-07-01 – 2021-09-300 USD20211027Open filing evidence
2021-01-01 – 2021-09-300 USD20211027Open filing evidence
2021-04-01 – 2021-06-300 USD20210728Open filing evidence
2021-01-01 – 2021-06-300 USD20210728Open filing evidence

Rental · Operating Segments · Standard Bearer Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-3119717000 USD20230426Open filing evidence
2022-01-01 – 2022-03-3117193000 USD20230426Open filing evidence

Rental · Operating Segments · All Other Segments

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember
PeriodValueUnitFiledEvidence
2023-01-01 – 2023-03-312563000 USD20230426Open filing evidence
2022-01-01 – 2022-03-311863000 USD20230426Open filing evidence

Rental · Real Estate Segment · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-12-3165536000 USD20220209Open filing evidence

Rental · Skilled Services Segment · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=ensg:RentalMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-12-310 USD20220209Open filing evidence

Service · Operating Segments · Managed Care · Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-30132663000 USD20221026Open filing evidence
2022-01-01 – 2022-09-30389036000 USD20221026Open filing evidence
2021-07-01 – 2021-09-30114917000 USD20221026Open filing evidence
2021-01-01 – 2021-09-30336225000 USD20221026Open filing evidence

Service · Operating Segments · Medicaid And Medicare · Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-07-01 – 2021-09-30485040000 USD20211027Open filing evidence
2021-01-01 – 2021-09-301403496000 USD20211027Open filing evidence

Service · Operating Segments · Medicaid · Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-30295927000 USD20221026Open filing evidence
2022-01-01 – 2022-09-30845341000 USD20221026Open filing evidence
2021-07-01 – 2021-09-30263072000 USD20221026Open filing evidence
2021-01-01 – 2021-09-30738484000 USD20221026Open filing evidence

Service · Operating Segments · Medicaid Skilled · Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-3050643000 USD20221026Open filing evidence
2022-01-01 – 2022-09-30146355000 USD20221026Open filing evidence
2021-07-01 – 2021-09-3045308000 USD20221026Open filing evidence
2021-01-01 – 2021-09-30128041000 USD20221026Open filing evidence

Service · Operating Segments · Medicare · Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-30211104000 USD20221026Open filing evidence
2022-01-01 – 2022-09-30610009000 USD20221026Open filing evidence
2021-07-01 – 2021-09-30176660000 USD20221026Open filing evidence
2021-01-01 – 2021-09-30536971000 USD20221026Open filing evidence

Service · Operating Segments · Private Pay And Other · Transitionaland Skilled Services Segment

Product Or Service · Consolidation Items · Major Customers · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-3134654000 USD20210429Open filing evidence

Service · Operating Segments · Real Estate Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember
PeriodValueUnitFiledEvidence
2021-07-01 – 2021-09-300 USD20211027Open filing evidence
2021-01-01 – 2021-09-300 USD20211027Open filing evidence
2021-04-01 – 2021-06-300 USD20210728Open filing evidence
2021-01-01 – 2021-06-300 USD20210728Open filing evidence

Service · Operating Segments · Skilled Services Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-30902967000 USD20231025Open filing evidence
2023-01-01 – 2023-09-302638090000 USD20231025Open filing evidence
2022-07-01 – 2022-09-30739318000 USD20231025Open filing evidence
2022-01-01 – 2022-09-302128567000 USD20231025Open filing evidence
2021-07-01 – 2021-09-30642075000 USD20221026Open filing evidence
2021-01-01 – 2021-09-301855993000 USD20221026Open filing evidence
2021-04-01 – 2021-06-30612882000 USD20210728Open filing evidence
2021-01-01 – 2021-06-301213918000 USD20210728Open filing evidence

Service · Operating Segments · Skilled Services Segment · Medicaid Skilled

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember
PeriodValueUnitFiledEvidence
2021-04-01 – 2021-06-3042740000 USD20210728Open filing evidence
2021-01-01 – 2021-06-3082733000 USD20210728Open filing evidence

Service · Operating Segments · Standard Bearer Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember
PeriodValueUnitFiledEvidence
2022-07-01 – 2022-09-300 USD20221026Open filing evidence
2022-01-01 – 2022-09-300 USD20221026Open filing evidence
2022-01-01 – 2022-03-310 USD20220428Open filing evidence
2021-07-01 – 2021-09-300 USD20221026Open filing evidence
2021-01-01 – 2021-09-300 USD20221026Open filing evidence
2021-01-01 – 2021-03-310 USD20220428Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31601036000 USD20210429Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment · Managed Care

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:ManagedCareMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31108345000 USD20210429Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment · Medicaid

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31227741000 USD20210429Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment · Medicaid Skilled

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-3139993000 USD20210429Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment · Medicare

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicareMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31190303000 USD20210429Open filing evidence

Service · Operating Segments · Transitionaland Skilled Services Segment · Total Medicaid And Medicare Revenue

Product Or Service · Consolidation Items · Statement Business Segments · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:TransitionalandSkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:TotalMedicaidAndMedicareRevenueMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-31458037000 USD20210429Open filing evidence

Service · Operating Segments · All Other Segments

Product Or Service · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-3044340000 USD20240725Open filing evidence
2024-01-01 – 2024-06-3083966000 USD20240725Open filing evidence
2023-04-01 – 2023-06-3035535000 USD20240725Open filing evidence
2023-01-01 – 2023-06-3070068000 USD20240725Open filing evidence
2022-01-01 – 2022-03-3125467000 USD20220428Open filing evidence
2021-01-01 – 2021-03-3123919000 USD20220428Open filing evidence

Service · Managed Care · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2021-04-01 – 2021-06-30112963000 USD20210728Open filing evidence
2021-01-01 – 2021-06-30221308000 USD20210728Open filing evidence

Service · Managed Care · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-12-31456728000 USD20220209Open filing evidence

Service · Medicaid And Medicare · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-30667062000 USD20231025Open filing evidence
2023-01-01 – 2023-09-301968633000 USD20231025Open filing evidence
2022-07-01 – 2022-09-30557674000 USD20231025Open filing evidence
2022-01-01 – 2022-09-301601705000 USD20231025Open filing evidence
2021-04-01 – 2021-06-30460419000 USD20210728Open filing evidence
2021-01-01 – 2021-06-30918456000 USD20210728Open filing evidence

Service · Medicaid And Medicare · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-30724965000 USD20240725Open filing evidence
2024-01-01 – 2024-06-301435975000 USD20240725Open filing evidence
2023-04-01 – 2023-06-30662476000 USD20240725Open filing evidence
2023-01-01 – 2023-06-301301571000 USD20240725Open filing evidence
2021-01-01 – 2021-12-311906934000 USD20220209Open filing evidence

Service · Medicaid · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-30367079000 USD20231025Open filing evidence
2023-01-01 – 2023-09-301052904000 USD20231025Open filing evidence
2022-07-01 – 2022-09-30295927000 USD20231025Open filing evidence
2022-01-01 – 2022-09-30845341000 USD20231025Open filing evidence

Service · Medicaid · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-30403127000 USD20240725Open filing evidence
2024-01-01 – 2024-06-30785245000 USD20240725Open filing evidence
2023-04-01 – 2023-06-30352380000 USD20240725Open filing evidence
2023-01-01 – 2023-06-30685825000 USD20240725Open filing evidence
2021-01-01 – 2021-12-311007061000 USD20220209Open filing evidence

Service · Medicaid Skilled · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-3062452000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30182394000 USD20231025Open filing evidence
2022-07-01 – 2022-09-3050643000 USD20231025Open filing evidence
2022-01-01 – 2022-09-30146355000 USD20231025Open filing evidence
2021-07-01 – 2021-09-3045308000 USD20211027Open filing evidence
2021-01-01 – 2021-09-30128041000 USD20211027Open filing evidence

Service · Medicaid Skilled · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-3062969000 USD20240725Open filing evidence
2024-01-01 – 2024-06-30126278000 USD20240725Open filing evidence
2023-04-01 – 2023-06-3062015000 USD20240725Open filing evidence
2023-01-01 – 2023-06-30119942000 USD20240725Open filing evidence
2021-01-01 – 2021-12-31172770000 USD20220209Open filing evidence

Service · Medicare · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-30237531000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30733335000 USD20231025Open filing evidence
2022-07-01 – 2022-09-30211104000 USD20231025Open filing evidence
2022-01-01 – 2022-09-30610009000 USD20231025Open filing evidence

Service · Medicare · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-31208411000 USD20220428Open filing evidence
2021-01-01 – 2021-12-31727103000 USD20220209Open filing evidence
2021-01-01 – 2021-03-31190303000 USD20220428Open filing evidence

Service · Private Pay And Other · Operating Segments · Skilled Services Segment

Product Or Service · Major Customers · Consolidation Items · Statement Business Segments

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-3065158000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30180946000 USD20231025Open filing evidence
2022-07-01 – 2022-09-3048981000 USD20231025Open filing evidence
2022-01-01 – 2022-09-30137826000 USD20231025Open filing evidence
2021-07-01 – 2021-09-3042118000 USD20211027Open filing evidence
2021-01-01 – 2021-09-30116272000 USD20211027Open filing evidence

Service · Private Pay And Other · Skilled Services Segment · Operating Segments

Product Or Service · Major Customers · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-3143038000 USD20220428Open filing evidence
2021-01-01 – 2021-12-31159572000 USD20220209Open filing evidence
2021-01-01 – 2021-03-3134654000 USD20220428Open filing evidence

Service · Real Estate Segment · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-12-310 USD20220209Open filing evidence

Service · Skilled Services Segment · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-30991285000 USD20240725Open filing evidence
2024-01-01 – 2024-06-301960887000 USD20240725Open filing evidence
2023-04-01 – 2023-06-30884200000 USD20240725Open filing evidence
2023-01-01 – 2023-06-301735123000 USD20240725Open filing evidence
2022-01-01 – 2022-03-31686771000 USD20220428Open filing evidence
2021-01-01 – 2021-12-312523234000 USD20220209Open filing evidence
2021-01-01 – 2021-03-31601036000 USD20220428Open filing evidence

Service · Skilled Services Segment · Operating Segments · Managed Care

Product Or Service · Statement Business Segments · Consolidation Items · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:ManagedCareMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-30191022000 USD20240725Open filing evidence
2024-01-01 – 2024-06-30379126000 USD20240725Open filing evidence
2023-04-01 – 2023-06-30161101000 USD20240725Open filing evidence
2023-01-01 – 2023-06-30317764000 USD20240725Open filing evidence
2022-01-01 – 2022-03-31127786000 USD20220428Open filing evidence
2021-01-01 – 2021-03-31108345000 USD20220428Open filing evidence

Service · Skilled Services Segment · Operating Segments · Medicaid And Medicare

Product Or Service · Statement Business Segments · Consolidation Items · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-31515947000 USD20220428Open filing evidence
2021-01-01 – 2021-03-31458037000 USD20220428Open filing evidence

Service · Skilled Services Segment · Operating Segments · Medicare

Product Or Service · Statement Business Segments · Consolidation Items · Major Customers

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicareMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-30258869000 USD20240725Open filing evidence
2024-01-01 – 2024-06-30524452000 USD20240725Open filing evidence
2023-04-01 – 2023-06-30248081000 USD20240725Open filing evidence
2023-01-01 – 2023-06-30495804000 USD20240725Open filing evidence

Service · Skilled Services Segment · Medicaid Skilled · Operating Segments

Product Or Service · Statement Business Segments · Major Customers · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2022-01-01 – 2022-03-3145949000 USD20220428Open filing evidence
2021-01-01 – 2021-03-3139993000 USD20220428Open filing evidence

Service · Standard Bearer Segment · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-300 USD20240725Open filing evidence
2024-01-01 – 2024-06-300 USD20240725Open filing evidence
2023-04-01 – 2023-06-300 USD20240725Open filing evidence
2023-01-01 – 2023-06-300 USD20240725Open filing evidence

Service · All Other Segments · Operating Segments

Product Or Service · Statement Business Segments · Consolidation Items

Source dimensions srt:ProductOrServiceAxis=us-gaap:ServiceMember;us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-3036254000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30106322000 USD20231025Open filing evidence
2022-07-01 – 2022-09-3030002000 USD20231025Open filing evidence
2022-01-01 – 2022-09-3084256000 USD20231025Open filing evidence
2021-07-01 – 2021-09-3024219000 USD20221026Open filing evidence
2021-01-01 – 2021-09-3071566000 USD20221026Open filing evidence

Real Estate Segment · Operating Segments

Statement Business Segments · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-12-3165536000 USD20220209Open filing evidence
2021-01-01 – 2021-03-3115879000 USD20210429Open filing evidence

Real Estate Segment · Operating Segments · Rental

Statement Business Segments · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-3115879000 USD20210429Open filing evidence

Real Estate Segment · Service · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:RealEstateSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2021-01-01 – 2021-03-310 USD20210429Open filing evidence

Skilled Services Segment · Operating Segments

Statement Business Segments · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-301421971000 USD20261027Open filing evidence
2026-01-01 – 2026-09-304132718000 USD20261027Open filing evidence
2025-07-01 – 2025-09-301239096000 USD20261027Open filing evidence
2025-01-01 – 2025-09-303536226000 USD20261027Open filing evidence
2024-04-01 – 2024-06-30991285000 USD20240725Open filing evidence
2024-01-01 – 2024-06-301960887000 USD20240725Open filing evidence
2024-01-01 – 2024-03-31969602000 USD20240501Open filing evidence
2023-04-01 – 2023-06-30884200000 USD20240725Open filing evidence
2023-01-01 – 2023-06-301735123000 USD20240725Open filing evidence
2023-01-01 – 2023-03-31850923000 USD20240501Open filing evidence
2022-04-01 – 2022-06-30702478000 USD20230727Open filing evidence
2022-01-01 – 2022-06-301389249000 USD20230727Open filing evidence
2022-01-01 – 2022-03-31686771000 USD20220428Open filing evidence
2021-01-01 – 2021-12-312523234000 USD20220209Open filing evidence
2021-01-01 – 2021-03-31601036000 USD20220428Open filing evidence

Skilled Services Segment · Operating Segments · Managed Care · Service

Statement Business Segments · Consolidation Items · Major Customers · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-30161101000 USD20230727Open filing evidence
2023-01-01 – 2023-06-30317764000 USD20230727Open filing evidence
2022-04-01 – 2022-06-30128587000 USD20230727Open filing evidence
2022-01-01 – 2022-06-30256373000 USD20230727Open filing evidence

Skilled Services Segment · Operating Segments · Medicaid Skilled · Service

Statement Business Segments · Consolidation Items · Major Customers · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-3062015000 USD20230727Open filing evidence
2023-01-01 – 2023-06-30119942000 USD20230727Open filing evidence
2022-04-01 – 2022-06-3049763000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3095712000 USD20230727Open filing evidence

Skilled Services Segment · Operating Segments · Private Pay And Other · Service

Statement Business Segments · Consolidation Items · Major Customers · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-3060623000 USD20230727Open filing evidence
2023-01-01 – 2023-06-30115788000 USD20230727Open filing evidence
2022-04-01 – 2022-06-3045807000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3088845000 USD20230727Open filing evidence

Skilled Services Segment · Operating Segments · Rental

Statement Business Segments · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-300 USD20240725Open filing evidence
2024-01-01 – 2024-06-300 USD20240725Open filing evidence
2023-04-01 – 2023-06-300 USD20240725Open filing evidence
2023-01-01 – 2023-06-300 USD20240725Open filing evidence
2022-04-01 – 2022-06-300 USD20230727Open filing evidence
2022-01-01 – 2022-06-300 USD20230727Open filing evidence
2022-01-01 – 2022-03-310 USD20220428Open filing evidence
2021-01-01 – 2021-03-310 USD20220428Open filing evidence

Skilled Services Segment · Operating Segments · Service

Statement Business Segments · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-30884200000 USD20230727Open filing evidence
2023-01-01 – 2023-06-301735123000 USD20230727Open filing evidence
2022-04-01 – 2022-06-30702478000 USD20230727Open filing evidence
2022-01-01 – 2022-06-301389249000 USD20230727Open filing evidence

Skilled Services Segment · Operating Segments · Service · Medicare

Statement Business Segments · Consolidation Items · Product Or Service · Major Customers

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-30248081000 USD20230727Open filing evidence
2023-01-01 – 2023-06-30495804000 USD20230727Open filing evidence
2022-04-01 – 2022-06-30190494000 USD20230727Open filing evidence
2022-01-01 – 2022-06-30398905000 USD20230727Open filing evidence

Skilled Services Segment · Medicaid And Medicare · Operating Segments · Service

Statement Business Segments · Major Customers · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-30662476000 USD20230727Open filing evidence
2023-01-01 – 2023-06-301301571000 USD20230727Open filing evidence
2022-04-01 – 2022-06-30528084000 USD20230727Open filing evidence
2022-01-01 – 2022-06-301044031000 USD20230727Open filing evidence

Skilled Services Segment · Medicaid · Operating Segments · Service

Statement Business Segments · Major Customers · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:MajorCustomersAxis=ensg:MedicaidMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-30352380000 USD20230727Open filing evidence
2023-01-01 – 2023-06-30685825000 USD20230727Open filing evidence
2022-04-01 – 2022-06-30287827000 USD20230727Open filing evidence
2022-01-01 – 2022-06-30549414000 USD20230727Open filing evidence

Skilled Services Segment · Rental · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-310 USD20240501Open filing evidence
2023-01-01 – 2023-03-310 USD20240501Open filing evidence

Skilled Services Segment · Service · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-31969602000 USD20240501Open filing evidence
2023-01-01 – 2023-03-31850923000 USD20240501Open filing evidence

Skilled Services Segment · Service · Managed Care · Operating Segments

Statement Business Segments · Product Or Service · Major Customers · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:ManagedCareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-31188104000 USD20240501Open filing evidence
2023-01-01 – 2023-03-31156663000 USD20240501Open filing evidence

Skilled Services Segment · Service · Medicaid And Medicare · Operating Segments

Statement Business Segments · Product Or Service · Major Customers · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidAndMedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-31711010000 USD20240501Open filing evidence
2023-01-01 – 2023-03-31639095000 USD20240501Open filing evidence

Skilled Services Segment · Service · Medicaid Skilled · Operating Segments

Statement Business Segments · Product Or Service · Major Customers · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicaidSkilledMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-3163309000 USD20240501Open filing evidence
2023-01-01 – 2023-03-3157927000 USD20240501Open filing evidence

Skilled Services Segment · Service · Medicare · Operating Segments

Statement Business Segments · Product Or Service · Major Customers · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:MedicareMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-31265583000 USD20240501Open filing evidence
2023-01-01 – 2023-03-31247723000 USD20240501Open filing evidence

Skilled Services Segment · Service · Private Pay And Other · Operating Segments

Statement Business Segments · Product Or Service · Major Customers · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:SkilledServicesSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:MajorCustomersAxis=ensg:PrivatePayAndOtherMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-3170488000 USD20240501Open filing evidence
2023-01-01 – 2023-03-3155165000 USD20240501Open filing evidence

Standard Bearer Segment · Operating Segments

Statement Business Segments · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2026-07-01 – 2026-09-3047704000 RestatedUSD20261027Open filing evidence
2026-01-01 – 2026-09-30127939000 RestatedUSD20261027Open filing evidence
2025-07-01 – 2025-09-3032610000 RestatedUSD20261027Open filing evidence
2025-01-01 – 2025-09-3092479000 RestatedUSD20261027Open filing evidence
2024-04-01 – 2024-06-3023354000 USD20240725Open filing evidence
2024-01-01 – 2024-06-3045555000 USD20240725Open filing evidence
2024-01-01 – 2024-03-3122201000 USD20240501Open filing evidence
2023-07-01 – 2023-09-3020980000 USD20231025Open filing evidence
2023-01-01 – 2023-09-3060611000 USD20231025Open filing evidence
2023-04-01 – 2023-06-3019914000 USD20240725Open filing evidence
2023-01-01 – 2023-06-3039631000 USD20240725Open filing evidence
2023-01-01 – 2023-03-3119717000 USD20240501Open filing evidence
2022-07-01 – 2022-09-3018732000 USD20231025Open filing evidence
2022-01-01 – 2022-09-3053523000 USD20231025Open filing evidence
2022-04-01 – 2022-06-3017598000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3034791000 USD20230727Open filing evidence

Standard Bearer Segment · Operating Segments · Rental

Statement Business Segments · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember
PeriodValueUnitFiledEvidence
2024-04-01 – 2024-06-3023354000 USD20240725Open filing evidence
2024-01-01 – 2024-06-3045555000 USD20240725Open filing evidence
2023-04-01 – 2023-06-3019914000 USD20240725Open filing evidence
2023-01-01 – 2023-06-3039631000 USD20240725Open filing evidence
2022-04-01 – 2022-06-3017598000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3034791000 USD20230727Open filing evidence

Standard Bearer Segment · Operating Segments · Service

Statement Business Segments · Consolidation Items · Product Or Service

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember
PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-300 USD20230727Open filing evidence
2023-01-01 – 2023-06-300 USD20230727Open filing evidence
2022-04-01 – 2022-06-300 USD20230727Open filing evidence
2022-01-01 – 2022-06-300 USD20230727Open filing evidence

Standard Bearer Segment · Rental · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-3122201000 USD20240501Open filing evidence
2023-07-01 – 2023-09-3020980000 USD20231025Open filing evidence
2023-01-01 – 2023-09-3060611000 USD20231025Open filing evidence
2023-01-01 – 2023-03-3119717000 USD20240501Open filing evidence
2022-07-01 – 2022-09-3018732000 USD20231025Open filing evidence
2022-01-01 – 2022-09-3053523000 USD20231025Open filing evidence

Standard Bearer Segment · Service · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=ensg:StandardBearerSegmentMember;srt:ProductOrServiceAxis=us-gaap:ServiceMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2024-01-01 – 2024-03-310 USD20240501Open filing evidence
2023-07-01 – 2023-09-300 USD20231025Open filing evidence
2023-01-01 – 2023-09-300 USD20231025Open filing evidence
2023-01-01 – 2023-03-310 USD20240501Open filing evidence
2022-07-01 – 2022-09-300 USD20231025Open filing evidence
2022-01-01 – 2022-09-300 USD20231025Open filing evidence

All Other Segments · Operating Segments

Statement Business Segments · Consolidation Items

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PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-3039124000 USD20231025Open filing evidence
2023-01-01 – 2023-09-30114574000 USD20231025Open filing evidence
2023-04-01 – 2023-06-3038354000 USD20230727Open filing evidence
2023-01-01 – 2023-06-3075450000 USD20230727Open filing evidence
2022-07-01 – 2022-09-3031844000 USD20231025Open filing evidence
2022-01-01 – 2022-09-3089793000 USD20231025Open filing evidence
2022-04-01 – 2022-06-3030619000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3057949000 USD20230727Open filing evidence
2021-07-01 – 2021-09-3026059000 USD20221026Open filing evidence
2021-01-01 – 2021-09-3077033000 USD20221026Open filing evidence
2021-04-01 – 2021-06-3025245000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3050974000 USD20220801Open filing evidence

All Other Segments · Operating Segments · Rental

Statement Business Segments · Consolidation Items · Product Or Service

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PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-302819000 USD20230727Open filing evidence
2023-01-01 – 2023-06-305382000 USD20230727Open filing evidence
2022-07-01 – 2022-09-301842000 USD20221026Open filing evidence
2022-01-01 – 2022-09-305537000 USD20221026Open filing evidence
2022-04-01 – 2022-06-301832000 USD20230727Open filing evidence
2022-01-01 – 2022-06-303695000 USD20230727Open filing evidence
2021-07-01 – 2021-09-301840000 USD20221026Open filing evidence
2021-01-01 – 2021-09-305467000 USD20221026Open filing evidence
2021-04-01 – 2021-06-301817000 USD20220801Open filing evidence
2021-01-01 – 2021-06-303627000 USD20220801Open filing evidence

All Other Segments · Operating Segments · Service

Statement Business Segments · Consolidation Items · Product Or Service

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PeriodValueUnitFiledEvidence
2023-04-01 – 2023-06-3035535000 USD20230727Open filing evidence
2023-01-01 – 2023-06-3070068000 USD20230727Open filing evidence
2022-04-01 – 2022-06-3028787000 USD20230727Open filing evidence
2022-01-01 – 2022-06-3054254000 USD20230727Open filing evidence
2021-04-01 – 2021-06-3023428000 USD20220801Open filing evidence
2021-01-01 – 2021-06-3047347000 USD20220801Open filing evidence

All Other Segments · Rental · Operating Segments

Statement Business Segments · Product Or Service · Consolidation Items

Source dimensions us-gaap:StatementBusinessSegmentsAxis=us-gaap:AllOtherSegmentsMember;srt:ProductOrServiceAxis=ensg:RentalMember;srt:ConsolidationItemsAxis=us-gaap:OperatingSegmentsMember
PeriodValueUnitFiledEvidence
2023-07-01 – 2023-09-302870000 USD20231025Open filing evidence
2023-01-01 – 2023-09-308252000 USD20231025Open filing evidence
2022-07-01 – 2022-09-301842000 USD20231025Open filing evidence
2022-01-01 – 2022-09-305537000 USD20231025Open filing evidence