The Ensign Group, Inc., through its independent operating subsidiaries, offers a range of skilled nursing and senior living services, physical, occupational and speech therapies, other rehabilitative and healthcare services, and real estate. The Company's segments include Skilled Services and Standard Bearer. The Skilled Services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The Standard Bearer segment is comprised of select properties owned by it through its captive real estate investment trust (REIT) and leased to skilled nursing and senior living operations, including its own independent subsidiaries and third-party operators. The Company has over 369 healthcare operations, which includes 47 senior living operations, across 17 states. Its subsidiaries, including Standard Bearer Healthcare REIT, Inc., own around 155 real estate assets. Its operations are located in Alabama, Alaska, Arizona, California, Colorado and other locations.