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BUSINESS SEGMENTS (Tables) | 6 Months Ended
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Jun. 30, 2024
Segment Reporting [Abstract] |
Schedule of Segment Financial Information | The following tables set forth financial information for the segments:
|  | Three Months Ended June 30, 2024
|  | Skilled Services |  | Standard Bearer |  | All Other(1) |  | Intercompany Elimination |  | Total
Service revenue(2) |  | $ | 991,285 |  |  | $ | — |  |  | $ | 44,340 |  |  | $ | (5,051) |  |  | $ | 1,030,574 |
Rental revenue(3) |  | — |  |  | 23,354 |  |  | 2,999 |  |  | (20,642) |  |  | 5,711 |
TOTAL REVENUE |  | $ | 991,285 |  |  | $ | 23,354 |  |  | $ | 47,339 |  |  | $ | (25,693) |  |  | $ | 1,036,285 |
Segment income (loss) |  | 122,185 |  |  | 7,360 |  |  | (37,481) |  |  | — |  |  | 92,064 |
Income before provision for income taxes |  |  |  |  |  |  |  |  |  | $ | 92,064 |
Depreciation and amortization |  | 10,911 |  |  | 7,166 |  |  | 2,411 |  |  | — |  |  | 20,488 |
Interest expense(4) |  | $ | — |  |  | $ | 6,699 |  |  | $ | 339 |  |  | $ | (4,998) |  |  | $ | 2,040 |
(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 $1,089 for the three months ended June 30, 2024. 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.
|  | Three Months Ended June 30, 2023
|  | Skilled Services |  | Standard Bearer |  | All Other (1) |  | Intercompany Elimination |  | Total
Service revenue(2) |  | $ | 884,200 |  |  | $ | — |  |  | $ | 35,535 |  |  | $ | (3,634) |  |  | $ | 916,101 |
Rental revenue(3) |  | — |  |  | 19,914 |  |  | 2,819 |  |  | (17,489) |  |  | 5,244 |
TOTAL REVENUE |  | $ | 884,200 |  |  | $ | 19,914 |  |  | $ | 38,354 |  |  | $ | (21,123) |  |  | $ | 921,345 |
Segment income (loss) |  | 117,008 |  |  | 7,133 |  |  | (42,988) |  |  | — |  |  | 81,153 |
Loss on insurance recoveries from real estate |  |  |  |  |  |  |  |  |  | $ | (100) |
Income before provision for income taxes |  |  |  |  |  |  |  |  |  | $ | 81,053 |
Depreciation and amortization |  | 9,417 |  |  | 6,133 |  |  | 2,046 |  |  | — |  |  | 17,596 |
Interest expense(4) |  | $ | — |  |  | $ | 4,575 |  |  | $ | 304 |  |  | $ | (2,856) |  |  | $ | 2,023 |
(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 affiliated wholly owned healthcare facilities 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 $1,063 for the three months ended June 30, 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.
|  | Six Months Ended June 30, 2024
|  | Skilled Services |  | Standard Bearer |  | All Other (1) |  | Intercompany Elimination |  | Total
Service revenue(2) |  | $ | 1,960,887 |  |  | $ | — |  |  | $ | 83,966 |  |  | $ | (9,794) |  |  | $ | 2,035,059 |
Rental revenue(3) |  | — |  |  | 45,555 |  |  | 5,945 |  |  | (40,102) |  |  | 11,398 |
TOTAL REVENUE |  | $ | 1,960,887 |  |  | $ | 45,555 |  |  | $ | 89,911 |  |  | $ | (49,896) |  |  | $ | 2,046,457 |
Segment income (loss) |  | 248,994 |  |  | 14,618 |  |  | (80,101) |  |  | — |  |  | 183,511 |
Impairment of long-lived assets |  |  |  |  |  |  |  |  |  | (1,849) |
Income before provision for income taxes |  |  |  |  |  |  |  |  |  | $ | 181,662 |
Depreciation and amortization |  | 21,447 |  |  | 13,995 |  |  | 4,703 |  |  | — |  |  | 40,145 |
Interest expense(4) |  | $ | — |  |  | $ | 12,676 |  |  | $ | 611 |  |  | $ | (9,283) |  |  | $ | 4,004 |
(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 $2,169 for the six months ended June 30, 2024. 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.
|  | Six Months Ended June 30, 2023
|  | Skilled Services |  | Standard Bearer |  | All Other (1) |  | Intercompany Elimination |  | Total
Service revenue(2) |  | $ | 1,735,123 |  |  | $ | — |  |  | $ | 70,068 |  |  | $ | (7,172) |  |  | $ | 1,798,019 |
Rental revenue(3) |  | — |  |  | 39,631 |  |  | 5,382 |  |  | (34,846) |  |  | 10,167 |
TOTAL REVENUE |  | $ | 1,735,123 |  |  | $ | 39,631 |  |  | $ | 75,450 |  |  | $ | (42,018) |  |  | $ | 1,808,186 |
Segment income (loss) |  | 230,353 |  |  | 14,352 |  |  | (85,170) |  |  | — |  |  | 159,535 |
Loss on insurance recoveries from real estate |  |  |  |  |  |  |  |  |  | (100) |
Income before provision for income taxes |  |  |  |  |  |  |  |  |  | $ | 159,435 |
Depreciation and amortization |  | 18,481 |  |  | 12,099 |  |  | 4,128 |  |  | — |  |  | 34,708 |
Interest expense(4) |  | $ | — |  |  | $ | 9,144 |  |  | $ | 615 |  |  | $ | (5,700) |  |  | $ | 4,059 |
(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 affiliated wholly owned healthcare facilities 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 $1,771 for the six months ended June 30, 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.
Schedule of Service Revenue by Major Payor Source | Service revenue by major payor source were as follows:
|  | Three Months Ended June 30, 2024
|  | Skilled Services |  |  |  |  |  | All Other (3) |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 403,127 |  |  |  |  |  |  | $ | 8,633 |  |  | $ | 411,760 |  |  | 40.0 | %
Medicare |  | 258,869 |  |  |  |  |  |  | — |  |  | 258,869 |  |  | 25.1 |
Medicaid-skilled |  | 62,969 |  |  |  |  |  |  | — |  |  | 62,969 |  |  | 6.1 |
Subtotal |  | 724,965 |  |  |  |  |  |  | 8,633 |  |  | 733,598 |  |  | 71.2 |
Managed care |  | 191,022 |  |  |  |  |  |  | — |  |  | 191,022 |  |  | 18.5 |
Private and other(2) |  | 75,298 |  |  |  |  |  |  | 30,656 |  |  | 105,954 |  |  | 10.3 |
TOTAL SERVICE REVENUE |  | $ | 991,285 |  |  |  |  |  |  | $ | 39,289 |  |  | $ | 1,030,574 |  |  | 100.0 | %
(1) Medicaid payor includes revenue generated from senior living operations. (2) Private and other also includes revenue from senior living operations and all revenue generated in other ancillary services. (3) All Other incorporates intercompany eliminations.
|  | Three Months Ended June 30, 2023
|  | Skilled Services |  |  |  |  |  | All Other (3) |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 352,380 |  |  |  |  |  |  | $ | 7,401 |  |  | $ | 359,781 |  |  | 39.3 | %
Medicare |  | 248,081 |  |  |  |  |  |  | — |  |  | 248,081 |  |  | 27.1 |
Medicaid-skilled |  | 62,015 |  |  |  |  |  |  | — |  |  | 62,015 |  |  | 6.7 |
Subtotal |  | 662,476 |  |  |  |  |  |  | 7,401 |  |  | 669,877 |  |  | 73.1 |
Managed care |  | 161,101 |  |  |  |  |  |  | — |  |  | 161,101 |  |  | 17.6 |
Private and other(2) |  | 60,623 |  |  |  |  |  |  | 24,500 |  |  | 85,123 |  |  | 9.3 |
TOTAL SERVICE REVENUE |  | $ | 884,200 |  |  |  |  |  |  | $ | 31,901 |  |  | $ | 916,101 |  |  | 100.0 | %
(1) Medicaid payor includes revenue generated from senior living operations and revenue related to state relief funding. (2) Private and other also includes revenue from senior living operations and all revenue generated in other ancillary services. (3) All Other incorporates intercompany eliminations.
|  | Six Months Ended June 30, 2024
|  | Skilled Services |  |  |  |  |  | All Other (3) |  |  |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 785,245 |  |  |  |  |  |  | $ | 16,678 |  |  |  |  | $ | 801,923 |  |  | 39.4 | %
Medicare |  | 524,452 |  |  |  |  |  |  | — |  |  |  |  | 524,452 |  |  | 25.8 |
Medicaid-skilled |  | 126,278 |  |  |  |  |  |  | — |  |  |  |  | 126,278 |  |  | 6.2 |
Subtotal |  | 1,435,975 |  |  |  |  |  |  | 16,678 |  |  |  |  | 1,452,653 |  |  | 71.4 |
Managed care |  | 379,126 |  |  |  |  |  |  | — |  |  |  |  | 379,126 |  |  | 18.6 |
Private and other(2) |  | 145,786 |  |  |  |  |  |  | 57,494 |  |  |  |  | 203,280 |  |  | 10.0 |
TOTAL SERVICE REVENUE |  | $ | 1,960,887 |  |  |  |  |  |  | $ | 74,172 |  |  |  |  | $ | 2,035,059 |  |  | 100.0 | %
(1) Medicaid payor includes revenue generated from senior living operations. (2) Private and other payors also includes revenue from senior living operations and all revenue generated in other ancillary services. (3) All Other incorporates intercompany eliminations.
|  | Six Months Ended June 30, 2023
|  | Skilled Services |  |  |  |  |  | All Other (3) |  |  |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 685,825 |  |  |  |  |  |  | $ | 14,220 |  |  |  |  | $ | 700,045 |  |  | 38.9 | %
Medicare |  | 495,804 |  |  |  |  |  |  | — |  |  |  |  | 495,804 |  |  | 27.6 |
Medicaid-skilled |  | 119,942 |  |  |  |  |  |  | — |  |  |  |  | 119,942 |  |  | 6.7 |
Subtotal |  | 1,301,571 |  |  |  |  |  |  | 14,220 |  |  |  |  | 1,315,791 |  |  | 73.2 |
Managed care |  | 317,764 |  |  |  |  |  |  | — |  |  |  |  | 317,764 |  |  | 17.7 |
Private and other(2) |  | 115,788 |  |  |  |  |  |  | 48,676 |  |  |  |  | 164,464 |  |  | 9.1 |
TOTAL SERVICE REVENUE |  | $ | 1,735,123 |  |  |  |  |  |  | $ | 62,896 |  |  |  |  | $ | 1,798,019 |  |  | 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 revenue generated in other ancillary services. (3) All Other incorporates intercompany eliminations.

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