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Spin-Off of Subsidiaries - Results of Operations of Disposal Group (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Equity [Abstract]      
Service revenue   $ 249,039 $ 286,058
Expense:      
Cost of services   187,560 209,423
Rent—cost of services   17,295 20,836
General and administrative expense   16,672 9,744
Depreciation and amortization   2,402 2,480
Total expenses   223,929 242,483
Income from discontinued operations   25,110 43,575
Interest income   26 47
Provision for income taxes   5,663 10,156
Income from discontinued operations, net of tax $ 0 19,473 33,466
Net income attributable to discontinued noncontrolling interests 0 629 595
Net income attributable to The Ensign Group, Inc. $ 0 $ 18,844 $ 32,871