Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2018	Dec. 31, 2017
Current assets:
Cash and cash equivalents	$ 35,057	$ 42,337
Accounts receivable—less allowance for doubtful accounts of $1,762 and $43,961 at March 31, 2018 and December 31, 2017, respectively (Note 3)	258,509	265,068
Investments—current	13,631	13,092
Prepaid income taxes	12,794	19,447
Prepaid expenses and other current assets	24,735	28,132
Total current assets	344,726	368,076
Property and equipment, net	541,019	537,084
Insurance subsidiary deposits and investments	28,065	28,685
Escrow deposits	10,025	228
Deferred tax asset	12,731	12,745
Restricted and other assets	17,695	16,501
Intangible assets, net	32,236	32,803
Goodwill	80,963	81,062
Other indefinite-lived intangibles	25,249	25,249
Total assets	1,092,709	1,102,433
Current liabilities:
Accounts payable	31,977	39,043
Accrued wages and related liabilities	84,018	90,508
Accrued self-insurance liabilities—current	22,163	22,516
Other accrued liabilities	63,088	63,815
Current maturities of long-term debt	10,035	9,939
Total current liabilities	211,281	225,821
Long-term debt—less current maturities	280,449	302,990
Accrued self-insurance liabilities—less current portion	51,518	50,220
Deferred rent and other long-term liabilities	11,608	11,268
Deferred gain related to sale-leaseback (Note 16)	11,910	12,075
Total liabilities	566,766	602,374
Commitments and contingencies (Notes 14, 16 and 17)
Equity:
Common stock; $0.001 par value; 75,000 shares authorized; 54,083 and 51,764 shares issued and outstanding at March 31, 2018, respectively, and 53,675 and 51,360 shares issued and outstanding at December 31, 2017, respectively (Note 18)	54	53
Additional paid-in capital	270,948	266,058
Retained earnings	285,398	264,691
Common stock in treasury, at cost, 1,932 shares at March 31, 2018 and December 31, 2017, respectively	(38,405)	(38,405)
Total Ensign Group, Inc. stockholders' equity	517,995	492,397
Non-controlling interest	7,948	7,662
Total equity	525,943	500,059
Total liabilities and equity	$ 1,092,709	$ 1,102,433