The Ensign Group, Inc. is a holding company with independent subsidiaries that provide skilled nursing, senior living and rehabilitative services, as well as other ancillary businesses (including mobile diagnostics and medical transportation). Its segments include Skilled Services and Standard Bearer. Skilled services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. Standard Bearer segment consists of select properties owned by the Company through its real estate investment trust and leased to skilled nursing and senior living operations, including its own operating subsidiaries and third-party operators. It offers services at 312 healthcare facilities in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Tennessee, Texas, Utah, Washington, and Wisconsin. It also acquires, leases and owns healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities.