XML 96 R82.htm IDEA: XBRL DOCUMENT
v3.25.2

SELF INSURANCE LIABILITIES - Schedule of Future Self Insurance Liabilities (Details) - USD ($) $ in Thousands | Jun. 30, 2025 | Dec. 31, 2024
--- | --- | ---
Liabilities for Guarantees on Long-Duration Contracts [Line Items] |  |
TOTAL SELF-INSURANCE LIABILITIES | $ 234,533 | $ 211,752
Less: current self-insurance liabilities | 75,542 | 67,331
LONG-TERM SELF-INSURANCE LIABILITIES | 158,991 | 144,421
Accrued general liability and professional malpractice liabilities |  |
Liabilities for Guarantees on Long-Duration Contracts [Line Items] |  |
TOTAL SELF-INSURANCE LIABILITIES | 179,515 | 160,149
Accrued workers’ compensation liabilities |  |
Liabilities for Guarantees on Long-Duration Contracts [Line Items] |  |
TOTAL SELF-INSURANCE LIABILITIES | 39,018 | 37,291
Accrued health benefits |  |
Liabilities for Guarantees on Long-Duration Contracts [Line Items] |  |
TOTAL SELF-INSURANCE LIABILITIES | $ 16,000 | $ 14,312

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 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
- Definition Carrying amount 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 that are expected to be paid within one year (or the normal operating cycle, if longer). + References No definition available. + Details
Name: | us-gaap_SelfInsuranceReserveCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Carrying amount 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 that are expected to be paid after one year (or the normal operating cycle, if longer). + References No definition available. + Details
Name: | us-gaap_SelfInsuranceReserveNoncurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Details
Name: | srt_ProductOrServiceAxis=ensg_GeneralLiabilityAndProfessionalMalpracticeLiabilityInsuranceMember
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_ProductOrServiceAxis=us-gaap_HealthInsuranceProductLineMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |