XML 77 R58.htm IDEA: XBRL DOCUMENT
v3.24.0.1

OPERATION EXPANSIONS- Narrative (Details) $ in Thousands | 1 Months Ended | 12 Months Ended
--- | --- | ---
Feb. 01, 2024 operation bed | Jan. 31, 2022 lease | Dec. 31, 2023 bed senior_living_unit property | Dec. 31, 2023 operation senior_living_unit bed | Dec. 31, 2022 USD ($) senior_living_unit property operation skilled_nursing_property bed | Dec. 31, 2021 USD ($) business bed operation
Business Acquisition [Line Items] |  |  |  |  |  |
Operational senior living units | senior_living_unit |  |  | 3,100 | 3,100 |  |
Operational skilled nursing beds | bed |  |  | 30,600 | 30,600 |  |
Number of master lease arrangements | lease |  | 5 |  |  |  |
Goodwill | $ |  |  |  |  | $ 16,400 | $ 6,000
Real Estate Purchases |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of asset acquisitions | business |  |  |  |  |  | 5
Real Estate Purchases Of Previous Operations |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of asset acquisitions | business |  |  |  |  |  | 4
Subsequent Event | Skilled Nursing Operations |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Operational skilled nursing beds | bed | 241 |  |  |  |  |
Standard Bearer Healthcare REIT, Inc. | Skilled Nursing Operations |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of real estate skilled nursing properties acquired | skilled_nursing_property |  |  |  |  | 3 |
Skilled Nursing Operations |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired |  |  |  | 25 | 23 | 17
Operational skilled nursing beds | bed |  |  | 2,483 | 2,483 | 3,058 | 1,832
Number of master lease arrangements |  |  |  |  | 7 |
Skilled Nursing Operations | Subsequent Event |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired | 2 |  |  |  |  |
Campus Operation |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired |  |  |  | 1 | 1 |
Campus Operation | Standard Bearer Healthcare REIT, Inc. |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of real estate skilled nursing properties acquired |  |  |  | 2 |  |
Owned Properties | Standard Bearer Healthcare REIT, Inc. |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of real estate skilled nursing properties acquired |  |  | 3 | 1 | 10 |
Senior Living Facilities |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Number of businesses acquired |  |  |  |  | 5 |
Operational senior living units | senior_living_unit |  |  | 94 | 94 | 674 |
Number of operations transferred from third parties |  |  |  |  | 3 |
Series of Individually Immaterial Business Acquisitions |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Goodwill | $ |  |  |  |  | $ 16,400 |
Payments to acquire businesses, gross | $ |  |  |  |  |  | $ 6,000

X
- Definition Number of Asset Acquisitions + References No definition available. + Details
Name: | ensg_NumberOfAssetAcquisitions
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Number of Lease Arrangements + References No definition available. + Details
Name: | ensg_NumberOfLeaseArrangements
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Number of Living Operations Transferred From Third-Parties + References No definition available. + Details
Name: | ensg_NumberOfLivingOperationsTransferredFromThirdParties
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Number Of Properties Acquired + References No definition available. + Details
Name: | ensg_NumberOfPropertiesAcquired
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Operational Assisted Living and Independent Living Units + References No definition available. + Details
Name: | ensg_OperationalSeniorLivingUnits
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition Number of skilled nursing beds available for use at a skilled nursing facility + References No definition available. + Details
Name: | ensg_OperationalSkilledNursingBeds
Namespace Prefix: | ensg_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 805 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479907/805-20-50-5 + Details
Name: | us-gaap_BusinessAcquisitionLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Section 55 -Paragraph 24 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482548/350-20-55-24 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 + Details
Name: | us-gaap_GoodwillAcquiredDuringPeriod
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The number of businesses acquired by the entity during the period. + References No definition available. + Details
Name: | us-gaap_NumberOfBusinessesAcquired
Namespace Prefix: | us-gaap_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 805 -SubTopic 30 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (b)(1) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479581/805-30-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482740/230-10-45-13 + Details
Name: | us-gaap_PaymentsToAcquireBusinessesGross
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Details
Name: | us-gaap_AssetAcquisitionAxis=ensg_RealEstatePurchasesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_AssetAcquisitionAxis=ensg_RealEstatePurchasesOfPreviousOperationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_SubsequentEventTypeAxis=us-gaap_SubsequentEventMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_AssetAcquisitionAxis=ensg_SkilledNursingOperationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | dei_LegalEntityAxis=ensg_StandardBearerHealthcareREITIncMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=ensg_SkilledNursingOperationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=ensg_CampusOperationMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=ensg_OwnedPropertiesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=ensg_SeniorLivingFacilitiesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=us-gaap_SeriesOfIndividuallyImmaterialBusinessAcquisitionsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |