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BUSINESS SEGMENTS (Tables)

3 Months Ended

Mar. 31, 2025

Segment Reporting [Abstract]

Schedule of Segment Financial Information

The following tables set forth financial information for the segments:

						Three Months Ended March 31, 2025
						Skilled Services						Standard Bearer																		Total
Service revenue(1)						$	1,123,554					$	—																	$	1,123,554
Rental revenue						—						28,401																		28,401
Segment revenue						$	1,123,554					$	28,401																	$	1,151,955
Reconciliation of revenue:
All other revenue(2)																														52,426
Elimination of intercompany revenue(3)																														(31,340)
TOTAL CONSOLIDATED REVENUE																														$	1,173,041
Less:
Other segment items(4)						966,410						2,606
Depreciation and amortization						13,213						8,476
Interest expense(5)						—						8,736
Segment income						$	143,931					$	8,583																	$	152,514
Reconciliation of profit or loss:
All other not included in segment income																														(45,934)
INCOME BEFORE PROVISION FOR INCOME TAXES																														$	106,580

(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 $49,427 of service revenue and $2,999 of rental revenue for the three months ended March 31, 2025, 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 $25,399 and intercompany service revenue of $5,941 for the three months ended March 31, 2025.

(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 $31,340 during the three months ended March 31, 2025, 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 $7,040 during the three months ended March 31, 2025, which is eliminated in consolidation.

						Three Months Ended March 31, 2024
						Skilled Services						Standard Bearer																		Total
Service revenue(1)						$	969,602					$	—																	$	969,602
Rental revenue						—						22,201																		22,201
Segment revenue						$	969,602					$	22,201																	$	991,803
Reconciliation of revenue:
All other revenue(2)																														42,572
Elimination of intercompany revenue(3)																														(24,203)
TOTAL CONSOLIDATED REVENUE																														$	1,010,172
Less:
Other segment items(4)						832,257						2,137
Depreciation and amortization						10,536						6,829
Interest expense(5)						—						5,977
Segment income						$	126,809					$	7,258																	$	134,067
Reconciliation of profit or loss:
All other not included in segment income																														(44,469)
INCOME BEFORE PROVISION FOR INCOME TAXES																														$	89,598

(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 $39,626 of service revenue and $2,946 of rental revenue for the three months ended March 31, 2024, 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 $19,460 and intercompany service revenue of $4,743 for the three months ended March 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 $24,203 during the three months ended March 31, 2024, 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 $4,285 during the three months ended March 31, 2024, which is eliminated in consolidation.

Schedule of Service Revenue by Major Payor Source

Service revenue by major payor source were as follows:

						Three Months Ended March 31, 2025
						Skilled Services																		All Other (3)						Total Service Revenue						Revenue %
Medicaid(1)						$	443,411																	$	10,429					$	453,840					38.9		%
Medicare						287,751																		—						287,751						24.7
Medicaid-skilled						69,551																		—						69,551						5.9
Subtotal						$	800,713																	$	10,429					$	811,142					69.5		%
Managed care						227,217																		—						227,217						19.5
Private and other(2)						95,624																		33,057						128,681						11.0
TOTAL SERVICE REVENUE						$	1,123,554																	$	43,486					$	1,167,040					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.

						Three Months Ended March 31, 2024
						Skilled Services																		All Other (3)						Total Service Revenue						Revenue %
Medicaid(1)						$	382,118																	$	8,045					$	390,163					38.8		%
Medicare						265,583																		—						265,583						26.4
Medicaid-skilled						63,309																		—						63,309						6.4
Subtotal						$	711,010																	$	8,045					$	719,055					71.6		%
Managed care						188,104																		—						188,104						18.7
Private and other(2)						70,488																		26,838						97,326						9.7
TOTAL SERVICE REVENUE						$	969,602																	$	34,883					$	1,004,485					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.

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

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
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