v3.26.3
OPTIONS AND AWARDS - EMPLOYEE STOCK OPTION ACTIVITY (Details) - The Ensign Plans
shares in Thousands
 9 Months Ended
Sep. 30, 2026
$ / shares
shares
Dec. 31, 2025
$ / shares
shares
Number of Options Outstanding    
Beginning balance, outstanding (in shares) | shares 4,367  
Granted (in shares) | shares 1,164  
Exercised (in shares) | shares (327)  
Forfeited (in shares) | shares (170)  
Expired (in shares) | shares (17)  
Ending balance, outstanding (in shares) | shares 5,017  
Weighted Average Exercise Price    
Beginning of period, weighted average exercise price (in dollars per share) | $ / shares $ 22.34  
Granted (in dollars per share) | $ / shares 35.42  
Exercised (in dollars per share) | $ / shares 18.61  
Forfeited (in dollars per share) | $ / shares 24.78  
Expired (in dollars per share) | $ / shares 34.76  
End of period, weighted average exercise price (in dollars per share) | $ / shares $ 25.50  
Number of options vested (in shares) | shares 2,092 1,811
Weighted average exercise price of options vested (in dollars per share) | $ / shares $ 22.09 $ 21.44