Founded in 1999 and headquartered in San Juan Capistrano, CA, The Ensign Group Inc. provides health care services in the post-acute care continuum, urgent care center and mobile ancillary businesses in the United States.

The company provides health care services across the post-acute care continuum and ancillary businesses in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oklahoma, Oregon, South Carolina, Texas, Utah, Washington, Wisconsin and Wyoming. As of Dec 31, 2023, it offered skilled nursing, senior living and rehabilitative care services through 297 skilled nursing and senior living facilities. Of the total facilities, the company operated 214 facilities under long-term lease arrangements with options to purchase 11 of those facilities. It also owned an additional 113 real estate properties.

The company separated its home health and hospice business and all of its senior living operations from the parent company into a separate publicly traded entity. Due to this strategic move, there are now two different companies, namely The Ensign Group, Inc. that consists of the transitional and skilled services, rehabilitative care services, healthcare campuses, post-acute-related new business endeavors and real estate investments, and The Pennant Group, Inc., which comprises the home health and hospice business line and substantially, all its senior living operations.

The company now operates through two reportable segments: Skilled Services and Standard Bearer.

Skilled Services (96% of total revenues in 2023): As of Dec 31, 2023, its skilled nursing companies provided both skilled nursing and rehabilitative care services as well as senior living services at 286 operations with 30,602 operational beds.

Standard Bearer (4%): This segment had 108 owned real estate properties at 2023 end. The remaining total revenues were generated by operations that are included in the “All Other” category.