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BUSINESS SEGMENTS (Tables) | 6 Months Ended
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Jun. 30, 2025
Segment Reporting [Abstract] |
Schedule of Segment Financial Information | The following tables set forth financial information for the segments:
|  | Three Months Ended June 30, 2025
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 1,173,576 |  |  | $ | — |  |  |  |  |  |  | $ | 1,173,576 |
Rental revenue |  | — |  |  | 31,468 |  |  |  |  |  |  | 31,468 |
Segment revenue |  | $ | 1,173,576 |  |  | $ | 31,468 |  |  |  |  |  |  | $ | 1,205,044 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 57,332 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (34,607) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 1,227,769 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 1,009,822 |  |  | 2,766 |  |  |  |  |  |  |
Depreciation and amortization |  | 13,750 |  |  | 9,265 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 10,311 |  |  |  |  |  |  |
Segment income |  | $ | 150,004 |  |  | $ | 9,126 |  |  |  |  |  |  | $ | 159,130 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (46,772) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 112,358 |
(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 $54,174 of service revenue and $3,158 of rental revenue for the three months ended June 30, 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 $28,271 and intercompany service revenue of $6,336 for the three months ended June 30, 2025. (4) Other segment items include 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 $34,607 during the three months ended June 30, 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 $9,023 during the three months ended June 30, 2025, which is eliminated in consolidation.
|  | Three Months Ended June 30, 2024
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 991,285 |  |  | $ | — |  |  |  |  |  |  | $ | 991,285 |
Rental revenue |  | — |  |  | 23,354 |  |  |  |  |  |  | 23,354 |
Segment revenue |  | $ | 991,285 |  |  | $ | 23,354 |  |  |  |  |  |  | $ | 1,014,639 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 47,339 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (25,693) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 1,036,285 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 858,189 |  |  | 2,129 |  |  |  |  |  |  |
Depreciation and amortization |  | 10,911 |  |  | 7,166 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 6,699 |  |  |  |  |  |  |
Segment income |  | $ | 122,185 |  |  | $ | 7,360 |  |  |  |  |  |  | $ | 129,545 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (37,481) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 92,064 |
(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 $44,340 of service revenue and $2,999 of rental revenue for the three months ended June 30, 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 $20,642 and intercompany service revenue of $5,051 for the three months ended June 30, 2024. (4) Other segment items include 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 $25,693 during the three months ended June 30, 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 $4,998 during the three months ended June 30, 2024, which is eliminated in consolidation.
|  | Six Months Ended June 30, 2025 |  |
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total |  |
Service revenue(1) |  | $ | 2,297,130 |  |  | $ | — |  |  |  |  |  |  | $ | 2,297,130 |  |  |
Rental revenue |  | — |  |  | 59,869 |  |  |  |  |  |  | 59,869 |  |  |
Segment revenue |  | $ | 2,297,130 |  |  | $ | 59,869 |  |  |  |  |  |  | $ | 2,356,999 |  |  |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 109,758 |  |  |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (65,947) |  |  |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 2,400,810 |  |  |
Less: |  |  |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 1,976,232 |  |  | 5,372 |  |  |  |  |  |  |  |  |
Depreciation and amortization |  | 26,963 |  |  | 17,741 |  |  |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 19,047 |  |  |  |  |  |  |  |  |
Segment income |  | $ | 293,935 |  |  | $ | 17,709 |  |  |  |  |  |  | $ | 311,644 |  |  |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (92,706) |  |  |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 218,938 |  |  |
(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 $103,601 of service revenue and $6,157 of rental revenue for the six months ended June 30, 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 $53,670 and intercompany service revenue of $12,277 for the six months ended June 30, 2025. (4) Other segment items include 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 $65,947 during the six months ended June 30, 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 $16,063 during the six months ended June 30, 2025, which is eliminated in consolidation.
|  | Six Months Ended June 30, 2024
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 1,960,887 |  |  | $ | — |  |  |  |  |  |  | $ | 1,960,887 |
Rental revenue |  | — |  |  | 45,555 |  |  |  |  |  |  | 45,555 |
Segment revenue |  | $ | 1,960,887 |  |  | $ | 45,555 |  |  |  |  |  |  | $ | 2,006,442 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 89,911 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (49,896) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 2,046,457 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 1,690,446 |  |  | 4,266 |  |  |  |  |  |  |
Depreciation and amortization |  | 21,447 |  |  | 13,995 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 12,676 |  |  |  |  |  |  |
Segment income |  | $ | 248,994 |  |  | $ | 14,618 |  |  |  |  |  |  | $ | 263,612 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (81,950) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 181,662 |
(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 $83,966 of service revenue and $5,945 of rental revenue for the six months ended June 30, 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 $40,102 and intercompany service revenue of $9,794 for the six months ended June 30, 2024. (4) Other segment items include 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 $49,896 during the six months ended June 30, 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 $9,283 during the six months ended June 30, 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 June 30, 2025
|  | Skilled Services |  |  |  |  |  | All Other (3) |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 473,904 |  |  |  |  |  |  | $ | 11,944 |  |  | $ | 485,848 |  |  | 39.8 | %
Medicare |  | 291,117 |  |  |  |  |  |  | — |  |  | 291,117 |  |  | 23.8 |
Medicaid-skilled |  | 75,207 |  |  |  |  |  |  | — |  |  | 75,207 |  |  | 6.2 |
Subtotal |  | $ | 840,228 |  |  |  |  |  |  | $ | 11,944 |  |  | $ | 852,172 |  |  | 69.8 | %
Managed care |  | 229,495 |  |  |  |  |  |  | — |  |  | 229,495 |  |  | 18.8 |
Private and other(2) |  | 103,853 |  |  |  |  |  |  | 35,894 |  |  | 139,747 |  |  | 11.4 |
TOTAL SERVICE REVENUE |  | $ | 1,173,576 |  |  |  |  |  |  | $ | 47,838 |  |  | $ | 1,221,414 |  |  | 100.0 | %
|  | 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 | %
|  | Six Months Ended June 30, 2025
|  | Skilled Services |  |  |  |  |  | All Other (3) |  |  |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 917,315 |  |  |  |  |  |  | $ | 22,373 |  |  |  |  | $ | 939,688 |  |  | 39.3 | %
Medicare |  | 578,868 |  |  |  |  |  |  | — |  |  |  |  | 578,868 |  |  | 24.2 |
Medicaid-skilled |  | 144,758 |  |  |  |  |  |  | — |  |  |  |  | 144,758 |  |  | 6.1 |
Subtotal |  | $ | 1,640,941 |  |  |  |  |  |  | $ | 22,373 |  |  |  |  | $ | 1,663,314 |  |  | 69.6 | %
Managed care |  | 456,712 |  |  |  |  |  |  | — |  |  |  |  | 456,712 |  |  | 19.1 |
Private and other(2) |  | 199,477 |  |  |  |  |  |  | 68,951 |  |  |  |  | 268,428 |  |  | 11.3 |
TOTAL SERVICE REVENUE |  | $ | 2,297,130 |  |  |  |  |  |  | $ | 91,324 |  |  |  |  | $ | 2,388,454 |  |  | 100.0 | %
|  | 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 in skilled services includes private, Veteran Affairs and hospice payors. In addition, private and other in the "all other" category includes revenue from senior living and ancillary operations. (3) All Other incorporates intercompany eliminations.

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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 -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: 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 3: 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
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