The Ensign Group, Inc.'s independent operating subsidiaries provide a broad spectrum of skilled nursing and senior living services, physical, occupational and speech therapies and other rehabilitative and healthcare services at approximately 396 healthcare facilities in Alabama, Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, Oregon, South Carolina, Tennessee, Texas, Utah, Washington and Wisconsin. The Company's healthcare facilities include over 48 senior living operations across 17 states. The Company's segments include skilled services and Standard Bearer. The skilled services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The Standard Bearer segment consists of selected real estate properties owned by Standard Bearer and leased to skilled nursing and senior living operators. The Company's subsidiaries, including Standard Bearer, own approximately 181 real estate assets.