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BUSINESS SEGMENTS (Tables)

12 Months Ended

Dec. 31, 2024

Segment Reporting [Abstract]

Schedule of Segment Financial Information

The following tables set forth financial information for the segments:

						Year Ended December 31, 2024
						Skilled Services						Standard Bearer																		Total
Service revenue(1)						$	4,076,825					$	—																	$	4,076,825
Rental revenue						—						95,086																		95,086
Segment revenue						$	4,076,825					$	95,086																	$	4,171,911
Reconciliation of revenue:
All other revenue(2)																														192,881
Elimination of intercompany revenue(3)																														(104,307)
TOTAL CONSOLIDATED REVENUE																														$	4,260,485
Less:
Other segment items(4)						3,513,167						9,152
Depreciation and amortization						45,195						29,297
Interest expense(5)						—						27,302
Segment income						$	518,463					$	29,335																	$	547,798
Reconciliation of profit or loss:
All other loss																														(161,704)
INCOME BEFORE PROVISION FOR INCOME TAXES																														$	386,094

(1) Skilled services service revenue does not include intercompany 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 "Elimination of intercompany revenue".

(2) All other revenue includes $181,066 of service revenue and $11,815 of rental revenue for the year ended December 31, 2024, both of which include intercompany revenue that is eliminated in "Elimination of intercompany revenue".

(3) Elimination of intercompany revenue includes the elimination of intercompany rental revenue of $83,941 and intercompany service revenue of $20,366 for the year ended December 31, 2024.

(4) Other segment items includes cost of services and rent expense for the skilled services segment and cost of services, rent expense and general and administrative expenses for the Standard Bearer segment. Additionally, there are intercompany expenses of $104,307 during the year ended December 31, 2024, which are eliminated in consolidation.

(5) Included in interest expense in Standard Bearer is interest from intercompany debt arrangements between Standard Bearer and The Ensign Group, Inc. of $20,285 during the year ended December 31, 2024, which is eliminated in consolidation.

						Year Ended December 31, 2023
						Skilled Services						Standard Bearer																		Total
Service revenue(1)						$	3,578,855					$	—																	$	3,578,855
Rental revenue						—						82,486																		82,486
Segment revenue						$	3,578,855					$	82,486																	$	3,661,341
Reconciliation of revenue:
All other revenue(2)																														155,804
Elimination of intercompany revenue(3)																														(87,790)
TOTAL CONSOLIDATED REVENUE																														$	3,729,355
Less:
Other segment items(4)						3,075,164						8,455
Depreciation and amortization						38,766						25,205
Interest expense(5)						—						19,761
Segment income						$	464,925					$	29,065																	$	493,990
Reconciliation of profit or loss:
All other loss																														(221,228)
INCOME BEFORE PROVISION FOR INCOME TAXES																														$	272,762

(1) Skilled services service revenue does not include intercompany 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 "Elimination of intercompany revenue".

(2) All Other revenue includes $144,667 of service revenue and $11,137 of rental revenue for the year ended December 31, 2023, both of which include intercompany revenue that is eliminated in "Elimination of intercompany revenue".

(3) Elimination of intercompany revenue includes the elimination intercompany rental revenue of $72,339 and intercompany service revenue of $15,451 for the year ended December 31, 2023.

(4) Other segment items includes cost of services and rent expense for the skilled services segment and cost of services, rent expense and general and administrative expenses for the Standard Bearer segment. Additionally, there are intercompany expenses of $87,790 during the year ended December 31, 2023, which is eliminated in consolidation.

(5) Included in interest expense in Standard Bearer is interest from intercompany debt arrangements between Standard Bearer and The Ensign Group, Inc. of $12,902 during the year ended December 31, 2023, which is eliminated in consolidation.

						Year Ended December 31, 2022
						Skilled Services						Standard Bearer																		Total
Service revenue(1)						$	2,906,215					$	—																	$	2,906,215
Rental revenue						—						72,937																		72,937
Segment revenue						$	2,906,215					$	72,937																	$	2,979,152
Reconciliation of revenue:
All other revenue(2)																														122,610
Elimination of intercompany revenue(3)																														(76,294)
TOTAL CONSOLIDATED REVENUE																														$	3,025,468
Less:
Other segment items(4)						2,464,259						7,746
Depreciation and amortization						33,224						21,613
Interest expense(5)						—						15,707
Segment income						$	408,732					$	27,871																	$	436,603
Reconciliation of profit or loss:
All other loss																														(147,514)
INCOME BEFORE PROVISION FOR INCOME TAXES																														$	289,089

(1) Skilled services service revenue does not include intercompany 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 "Elimination of intercompany revenue".

(2) All Other revenue includes $115,214 of service revenue and $7,396 of rental revenue for the year ended December 31, 2022, both of which include intercompany revenue that is eliminated in "Elimination of intercompany revenue".

(3) Elimination of intercompany revenue includes the elimination of intercompany rental revenue of $63,576 and intercompany service revenue of $12,718 for the year ended December 31, 2022.

(4) Other segment items includes cost of services and rent expense for the skilled services segment and cost of services, rent expense and general and administrative expenses for the Standard Bearer segment. Additionally, there are intercompany expenses of $76,294 during the year ended December 31, 2022, which is eliminated in consolidation.

(5) Included in interest expense in Standard Bearer is interest from intercompany debt arrangements between Standard Bearer and The Ensign Group, Inc. of $8,646 during the year ended December 31, 2022, which is eliminated in consolidation.

Schedule of Service Revenue by Major Payor Source

Service revenue by major payor source were as follows:

						Year Ended December 31, 2024
						Skilled Services																		All Other (3)												Total Service Revenue						Revenue %
Medicaid(1)						$	1,646,422																	$	35,922											$	1,682,344					39.7		%
Medicare						1,055,226																		—												1,055,226						24.9
Medicaid-skilled						266,738																		—												266,738						6.3
Subtotal						$	2,968,386																	$	35,922											$	3,004,308					70.9		%
Managed care						789,643																		—												789,643						18.6
Private and other(2)						318,796																		124,778												443,574						10.5
TOTAL SERVICE REVENUE						$	4,076,825																	$	160,700											$	4,237,525					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.

						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 revenue 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.

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

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- 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

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