XML 55 R36.htm IDEA: XBRL DOCUMENT v3.24.0.1

BUSINESS SEGMENTS (Tables)

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Schedule of Segment Financial Information

The following tables set forth financial information for the segments:

						Year Ended December 31, 2023
						Skilled Services						Standard Bearer						All Other (1)						Intercompany Elimination						Total
Service revenue(2)						$	3,578,855					$	—					$	144,667					$	(15,451)					$	3,708,071
Rental revenue(3)						—						82,486						11,137						(72,339)						21,284
TOTAL REVENUE						$	3,578,855					$	82,486					$	155,804					$	(87,790)					$	3,729,355
Segment income (loss)						464,925						29,065						(221,251)						—						272,739
Gain on sale of assets and insurance recoveries from real estate, net																														23
Income before provision for income taxes																														$	272,762
Depreciation and amortization						38,766						25,205						8,416						—						72,387
Interest expense(4)						$	—					$	19,761					$	1,228					$	(12,902)					$	8,087

(1) All Other primarily includes all ancillary operations, stand-alone senior living operations and the Service Center.

(2) Intercompany service revenue represents service revenue generated by ancillary operations provided to the Company's independent subsidiaries and management service revenue generated by the Service Center with Standard Bearer. Intercompany service revenue is eliminated in consolidation along with corresponding intercompany cost of service.

(3) All Other rental revenue includes rental revenue associated with the Company's subleases to third parties of $3,897 for the year ended December 31, 2023. Intercompany rental revenue represents rental income generated by both Standard Bearer and other real estate properties with the Company's independent subsidiaries. Intercompany rental revenue is eliminated in consolidation along with corresponding intercompany rent expense.

(4) Included in interest expense in Standard Bearer is interest expense incurred from intercompany debt arrangements between Standard Bearer and The Ensign Group, Inc. Intercompany interest expense is eliminated in the "Intercompany Elimination" column.

						Year Ended December 31, 2022
						Skilled Services						Standard Bearer						All Other (1)						Intercompany Elimination						Total
Service revenue(2)						$	2,906,215					$	—					$	115,214					$	(12,718)					$	3,008,711
Rental revenue(3)						—						72,937						7,396						(63,576)						16,757
TOTAL REVENUE						$	2,906,215					$	72,937					$	122,610					$	(76,294)					$	3,025,468
Segment income (loss)						408,732						27,871						(150,781)						—						285,822
Gain on sale of assets and insurance recoveries from real estate, net																														3,267
Income before provision for income taxes																														$	289,089
Depreciation and amortization						33,224						21,613						7,518						—						62,355
Interest expense(4)						$	—					$	15,707					$	1,870					$	(8,646)					$	8,931

(1) All Other primarily includes all ancillary operations, stand-alone senior living operations and the Service Center.

(2) Intercompany service revenue represents service revenue generated by ancillary operations provided to the Company's independent subsidiaries and management service revenue generated by the Service Center with Standard Bearer. Intercompany service revenue is eliminated in consolidation along with corresponding intercompany cost of service.

(3) Intercompany rental revenue represents rental income generated by both Standard Bearer and other real estate properties with the Company's independent subsidiaries. Intercompany rental revenue is eliminated in consolidation along with corresponding intercompany rent expense.

(4) Included in interest expense in Standard Bearer is interest expense incurred from intercompany debt arrangements between Standard Bearer and The Ensign Group, Inc. Intercompany interest expense is eliminated in the "Intercompany Elimination" column.

						Year Ended December 31, 2021
						Skilled Services						Standard Bearer						All Other (1)						Intercompany Elimination						Total
Service revenue(2)						$	2,523,234					$	—					$	95,276					$	(7,034)					$	2,611,476
Rental revenue(3)						—						58,127						7,409						(49,551)						15,985
TOTAL REVENUE						$	2,523,234					$	58,127					$	102,685					$	(56,585)					$	2,627,461
Segment income (loss)						373,603						31,876						(147,915)						—						257,564
Gain on real estate insurance recoveries																														440
Income before provision for income taxes																														$	258,004
Depreciation and amortization						30,681						17,558						7,746						—						55,985
Interest expense						$	—					$	6,842					$	7					$	—					$	6,849

(1) All Other primarily includes all ancillary operations, stand-alone senior living operations and the Service Center.

(2) Intercompany service revenue represents service revenue generated by ancillary operations provided to the Company's independent subsidiaries and management service revenue generated by the Service Center with Standard Bearer. Intercompany service revenue is eliminated in consolidation along with corresponding intercompany cost of service.

(3) Intercompany rental revenue represents rental income generated by both Standard Bearer and other real estate properties with the Company's independent subsidiaries. Intercompany rental revenue is eliminated in consolidation along with corresponding intercompany rent expense.

Schedule of Service Revenue by Major Payor Source

Service revenue by major payor source were as follows:

						Year Ended December 31, 2023
						Skilled Services																		All Other (3)												Total Service Revenue						Revenue %
Medicaid(1)						$	1,429,473																	$	29,976											$	1,459,449					39.4		%
Medicare						985,749																		—												985,749						26.6
Medicaid-skilled						245,663																		—												245,663						6.6
Subtotal						2,660,885																		29,976												2,690,861						72.6
Managed care						666,129																		—												666,129						18.0
Private and other(2)						251,841																		99,240												351,081						9.4
TOTAL SERVICE REVENUE						$	3,578,855																	$	129,216											$	3,708,071					100.0		%

(1) Medicaid payor includes revenue generated from senior living operations and revenue related to state relief funding.

(2) Private and other payors also includes revenue from senior living operations and all payors generated in other ancillary services.

(3) All Other incorporates intercompany eliminations.

						Year Ended December 31, 2022
						Skilled Services																		All Other (3)												Total Service Revenue						Revenue %
Medicaid(1)						$	1,158,309																	$	24,847											$	1,183,156					39.3		%
Medicare						832,160																		—												832,160						27.7
Medicaid-skilled						200,878																		—												200,878						6.7
Subtotal						2,191,347																		24,847												2,216,194						73.7
Managed care						525,710																		—												525,710						17.5
Private and other(2)						189,158																		77,649												266,807						8.8
TOTAL SERVICE REVENUE						$	2,906,215																	$	102,496											$	3,008,711					100.0		%

(1) Medicaid payor includes revenue generated from senior living operations and revenue related to state relief funding.

(2) Private and other payors also includes revenue from senior living operations and all payors generated in other ancillary services.

(3) All Other incorporates intercompany eliminations.

						Year Ended December 31, 2021
						Skilled Services																		All Other (3)						Total Service Revenue						Revenue %
Medicaid(1)						$	1,007,061																	$	15,399					$	1,022,460					39.2		%
Medicare						727,103																		—						727,103						27.8
Medicaid-skilled						172,770																		—						172,770						6.6
Subtotal						1,906,934																		15,399						1,922,333						73.6
Managed care						456,728																		—						456,728						17.5
Private and other(2)						159,572																		72,843						232,415						8.9
TOTAL SERVICE REVENUE						$	2,523,234																	$	88,242					$	2,611,476					100.0		%

(1) Medicaid payor includes revenue generated from senior living operations and revenue related to state relief funding.

(2) Private and other payors also includes revenue from senior living operations and all payors generated in other ancillary services.

(3) All Other incorporates intercompany eliminations.

X

- Definition

Tabular disclosure of all significant reconciling items in the reconciliation of total revenues from reportable segments to the entity's consolidated revenues.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 31
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-31

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-30

+ Details

Name:	us-gaap_ReconciliationOfRevenueFromSegmentsToConsolidatedTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 350
-SubTopic 20
-Section 50
-Paragraph 1
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482573/350-20-50-1

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-25

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-22

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482810/280-10-50-30

+ Details

Name:	us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_SegmentReportingAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration