XML 96 R83.htm IDEA: XBRL DOCUMENT v3.24.2

SELF INSURANCE LIABILITIES (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Long-term insurance losses recoverable asset	$ 15,626	$ 15,913
General and Professional Liability
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Malpractice loss contingency, accrual, undiscounted	123,278	105,729
Workers' Compensation
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	31,585	29,454
Health
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	14,702	$ 14,814
Workers' Compensation
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	625
Workers' Compensation | Texas
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	750
Self-Insurance Retention Per Claim | General Liability
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	500
Loss-Sensitive Limit Per Claim | Workers' Compensation | Other States, Except California, Texas and Washington
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	350
Stop-Loss Insurance Limit Per Claim | Health Liability Insurance
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	525
Parent Company | Self-Insurance Retention Per Claim | General Liability | California
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	750
Parent Company | Self-Insurance Retention Per Claim | General Liability | Non-california
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	650
Parent Company | Aggregate Deductible | General Liability | California
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	1,500
Parent Company | Aggregate Deductible | General Liability | Non-california
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	1,400
Third-Party Payor | Per Occurence | General Liability | All States Except Colorado
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	1,000
Third-Party Payor | Per Occurence | General Liability | Colorado
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	1,000
Third-Party Payor | Per Facility | General Liability | All States Except Colorado
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	3,000
Third-Party Payor | Per Facility | General Liability | Colorado
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	3,000
Third-Party Payor | Blanket Aggregate | General Liability | All States Except Colorado
Liabilities for Guarantees on Long-Duration Contracts [Line Items]
Self insurance reserve	$ 10,000

X

- Definition

Carrying amount as of the balance sheet date of amounts expected to be recovered under the terms of insurance contracts.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 210
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(17))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1

+ Details

Name:	us-gaap_EstimatedInsuranceRecoveries
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
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://fasb.org/us-gaap/role/ref/otherTransitionRef
-Topic 944
-SubTopic 20
-Name Accounting Standards Codification
-Section 55
-Paragraph 15
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479808/944-20-55-15

+ Details

Name:	us-gaap_LiabilitiesForGuaranteesOnLongDurationContractsLineItems
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Amount of the accrued liability on an undiscounted basis for malpractice claims (including general and professional liability) at the end of the accounting period.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 450
-SubTopic 20
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147483076/450-20-50-1

+ Details

Name:	us-gaap_MalpracticeLossContingencyAccrualUndiscounted
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Definition

Carrying amount (including both current and noncurrent portions) of accrued known and estimated losses incurred as of the balance sheet date for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 210
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(24))
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147480566/210-10-S99-1

+ Details

Name:	us-gaap_SelfInsuranceReserve
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	instant

X

- Details

Name:	us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=us-gaap_ProfessionalMalpracticeLiabilityMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=us-gaap_WorkersCompensationInsuranceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=us-gaap_HealthInsuranceProductLineMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_ProductOrServiceAxis=us-gaap_WorkersCompensationInsuranceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=stpr_TX
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_SelfInsuranceRetentionPerClaimMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_ProductOrServiceAxis=us-gaap_GeneralLiabilityMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_LossSensitiveLimitPerClaimMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=ensg_OtherStatesExceptCaliforniaTexasAndWashingtonMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_StopLossInsuranceLimitPerClaimMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_ProductOrServiceAxis=ensg_HealthLiabilityInsuranceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_PayorAxis=srt_ParentCompanyMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=stpr_CA
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=ensg_NonCaliforniaMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_AggregateDeductibleMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_PayorAxis=naics_ZZ524292
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_PerOccurenceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=ensg_AllStatesExceptColoradoMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=stpr_CO
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_PerFacilityMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	ensg_InsuranceCoverageLimitTypeAxis=ensg_BlanketAggregateMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: