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Options and Awards Intrinsic Values (Details) (Stock Options, USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2015
Dec. 31, 2014
Stock Options
   
Outstanding $ 80,227us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
$ 75,689us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
Vested 43,518us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
38,811us-gaap_SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableIntrinsicValue1
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
Expected to Vest 31,124ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
31,160ensg_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpectedToVestOutstandingAggregateIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
Exercised $ 1,484us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
$ 10,496us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember