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BUSINESS SEGMENTS (Tables) | 9 Months Ended
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Sep. 30, 2025
Segment Reporting [Abstract] |
Schedule of Segment Financial Information | The following tables set forth financial information for the segments:
|  | Three Months Ended September 30, 2025
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 1,239,096 |  |  | $ | — |  |  |  |  |  |  | $ | 1,239,096 |
Rental revenue |  | — |  |  | 32,610 |  |  |  |  |  |  | 32,610 |
Segment revenue |  | $ | 1,239,096 |  |  | $ | 32,610 |  |  |  |  |  |  | $ | 1,271,706 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 60,578 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (35,879) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 1,296,405 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 1,071,815 |  |  | 2,959 |  |  |  |  |  |  |
Depreciation and amortization |  | 14,155 |  |  | 9,709 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 10,320 |  |  |  |  |  |  |
Segment income |  | $ | 153,126 |  |  | $ | 9,622 |  |  |  |  |  |  | $ | 162,748 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (56,148) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 106,600 |
(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 $57,377 of service revenue and $3,201 of rental revenue for the three months ended September 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 $29,185 and intercompany service revenue of $6,694 for the three months ended September 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 $35,879 during the three months ended September 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 $9,090 during the three months ended September 30, 2025, which is eliminated in consolidation.
|  | Three Months Ended September 30, 2024
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 1,033,113 |  |  | $ | — |  |  |  |  |  |  | $ | 1,033,113 |
Rental revenue |  | — |  |  | 24,429 |  |  |  |  |  |  | 24,429 |
Segment revenue |  | $ | 1,033,113 |  |  | $ | 24,429 |  |  |  |  |  |  | $ | 1,057,542 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 51,144 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (26,910) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 1,081,776 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 893,083 |  |  | 2,420 |  |  |  |  |  |  |
Depreciation and amortization |  | 11,541 |  |  | 7,484 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 7,251 |  |  |  |  |  |  |
Segment income |  | $ | 128,489 |  |  | $ | 7,274 |  |  |  |  |  |  | $ | 135,763 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (37,089) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 98,674 |
(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 $48,209 of service revenue and $2,935 of rental revenue for the three months ended September 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 $21,680 and intercompany service revenue of $5,230 for the three months ended September 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 $26,910 during the three months ended September 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 $5,535 during the three months ended September 30, 2024, which is eliminated in consolidation.
|  | Nine Months Ended September 30, 2025 |  |
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total |  |
Service revenue(1) |  | $ | 3,536,226 |  |  | $ | — |  |  |  |  |  |  | $ | 3,536,226 |  |  |
Rental revenue |  | — |  |  | 92,479 |  |  |  |  |  |  | 92,479 |  |  |
Segment revenue |  | $ | 3,536,226 |  |  | $ | 92,479 |  |  |  |  |  |  | $ | 3,628,705 |  |  |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 170,336 |  |  |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (101,826) |  |  |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 3,697,215 |  |  |
Less: |  |  |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 3,048,047 |  |  | 8,331 |  |  |  |  |  |  |  |  |
Depreciation and amortization |  | 41,118 |  |  | 27,450 |  |  |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 29,367 |  |  |  |  |  |  |  |  |
Segment income |  | $ | 447,061 |  |  | $ | 27,331 |  |  |  |  |  |  | $ | 474,392 |  |  |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (148,854) |  |  |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 325,538 |  |  |
(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 $160,978 of service revenue and $9,358 of rental revenue for the nine months ended September 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 $82,855 and intercompany service revenue of $18,971 for the nine months ended September 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 $101,826 during the nine months ended September 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 $25,153 during the nine months ended September 30, 2025, which is eliminated in consolidation.
|  | Nine Months Ended September 30, 2024
|  | Skilled Services |  | Standard Bearer |  |  |  |  |  | Total
Service revenue(1) |  | $ | 2,994,000 |  |  | $ | — |  |  |  |  |  |  | $ | 2,994,000 |
Rental revenue |  | — |  |  | 69,984 |  |  |  |  |  |  | 69,984 |
Segment revenue |  | $ | 2,994,000 |  |  | $ | 69,984 |  |  |  |  |  |  | $ | 3,063,984 |
Reconciliation of revenue: |  |  |  |  |  |  |  |  |  |
All other revenue(2) |  |  |  |  |  |  |  |  |  | 141,055 |
Elimination of intercompany revenue(3) |  |  |  |  |  |  |  |  |  | (76,806) |
TOTAL CONSOLIDATED REVENUE |  |  |  |  |  |  |  |  |  | $ | 3,128,233 |
Less: |  |  |  |  |  |  |  |  |  |
Other segment items(4) |  | 2,583,529 |  |  | 6,686 |  |  |  |  |  |  |
Depreciation and amortization |  | 32,988 |  |  | 21,479 |  |  |  |  |  |  |
Interest expense(5) |  | — |  |  | 19,927 |  |  |  |  |  |  |
Segment income |  | $ | 377,483 |  |  | $ | 21,892 |  |  |  |  |  |  | $ | 399,375 |
Reconciliation of profit or loss: |  |  |  |  |  |  |  |  |  |
All other not included in segment income |  |  |  |  |  |  |  |  |  | (119,039) |
INCOME BEFORE PROVISION FOR INCOME TAXES |  |  |  |  |  |  |  |  |  | $ | 280,336 |
(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 $132,175 of service revenue and $8,880 of rental revenue for the nine months ended September 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 $61,782 and intercompany service revenue of $15,024 for the nine months ended September 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 $76,806 during the nine months ended September 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 $14,818 during the nine months ended September 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 September 30, 2025
|  | Skilled Services |  |  |  |  |  | All Other (3) |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 501,722 |  |  |  |  |  |  | $ | 13,435 |  |  | $ | 515,157 |  |  | 39.9 | %
Medicare |  | 303,281 |  |  |  |  |  |  | — |  |  | 303,281 |  |  | 23.5 |
Medicaid-skilled |  | 78,450 |  |  |  |  |  |  | — |  |  | 78,450 |  |  | 6.1 |
Subtotal |  | $ | 883,453 |  |  |  |  |  |  | $ | 13,435 |  |  | $ | 896,888 |  |  | 69.5 | %
Managed care |  | 237,978 |  |  |  |  |  |  | — |  |  | 237,978 |  |  | 18.5 |
Private and other(2) |  | 117,665 |  |  |  |  |  |  | 37,248 |  |  | 154,913 |  |  | 12.0 |
TOTAL SERVICE REVENUE |  | $ | 1,239,096 |  |  |  |  |  |  | $ | 50,683 |  |  | $ | 1,289,779 |  |  | 100.0 | %
|  | Three Months Ended September 30, 2024
|  | Skilled Services |  |  |  |  |  | All Other (3) |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 416,190 |  |  |  |  |  |  | $ | 9,452 |  |  | $ | 425,642 |  |  | 39.6 | %
Medicare |  | 263,594 |  |  |  |  |  |  | — |  |  | 263,594 |  |  | 24.5 |
Medicaid-skilled |  | 65,907 |  |  |  |  |  |  | — |  |  | 65,907 |  |  | 6.1 |
Subtotal |  | $ | 745,691 |  |  |  |  |  |  | $ | 9,452 |  |  | $ | 755,143 |  |  | 70.2 | %
Managed care |  | 202,528 |  |  |  |  |  |  | — |  |  | 202,528 |  |  | 18.8 |
Private and other(2) |  | 84,894 |  |  |  |  |  |  | 33,527 |  |  | 118,421 |  |  | 11.0 |
TOTAL SERVICE REVENUE |  | $ | 1,033,113 |  |  |  |  |  |  | $ | 42,979 |  |  | $ | 1,076,092 |  |  | 100.0 | %
|  | Nine Months Ended September 30, 2025
|  | Skilled Services |  |  |  |  |  | All Other (3) |  |  |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 1,419,037 |  |  |  |  |  |  | $ | 35,808 |  |  |  |  | $ | 1,454,845 |  |  | 39.6 | %
Medicare |  | 882,149 |  |  |  |  |  |  | — |  |  |  |  | 882,149 |  |  | 24.0 |
Medicaid-skilled |  | 223,208 |  |  |  |  |  |  | — |  |  |  |  | 223,208 |  |  | 6.0 |
Subtotal |  | $ | 2,524,394 |  |  |  |  |  |  | $ | 35,808 |  |  |  |  | $ | 2,560,202 |  |  | 69.6 | %
Managed care |  | 694,690 |  |  |  |  |  |  | — |  |  |  |  | 694,690 |  |  | 18.9 |
Private and other(2) |  | 317,142 |  |  |  |  |  |  | 106,199 |  |  |  |  | 423,341 |  |  | 11.5 |
TOTAL SERVICE REVENUE |  | $ | 3,536,226 |  |  |  |  |  |  | $ | 142,007 |  |  |  |  | $ | 3,678,233 |  |  | 100.0 | %
|  | Nine Months Ended September 30, 2024
|  | Skilled Services |  |  |  |  |  | All Other (3) |  |  |  | Total Service Revenue |  | Revenue %
Medicaid(1) |  | $ | 1,201,435 |  |  |  |  |  |  | $ | 26,130 |  |  |  |  | $ | 1,227,565 |  |  | 39.5 | %
Medicare |  | 788,046 |  |  |  |  |  |  | — |  |  |  |  | 788,046 |  |  | 25.3 |
Medicaid-skilled |  | 192,185 |  |  |  |  |  |  | — |  |  |  |  | 192,185 |  |  | 6.2 |
Subtotal |  | $ | 2,181,666 |  |  |  |  |  |  | $ | 26,130 |  |  |  |  | $ | 2,207,796 |  |  | 71.0 | %
Managed care |  | 581,654 |  |  |  |  |  |  | — |  |  |  |  | 581,654 |  |  | 18.7 |
Private and other(2) |  | 230,680 |  |  |  |  |  |  | 91,021 |  |  |  |  | 321,701 |  |  | 10.3 |
TOTAL SERVICE REVENUE |  | $ | 2,994,000 |  |  |  |  |  |  | $ | 117,151 |  |  |  |  | $ | 3,111,151 |  |  | 100.0 | %
(1) Medicaid payor includes revenue generated from senior living operations. (2) Private and other includes revenue for skilled services (private, Veteran Affairs and hospice payors), 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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