v3.26.1
BUSINESS SEGMENTS (Tables)
 6 Months Ended
Jun. 30, 2026
Segment Reporting [Abstract]  
Schedule of Segment Financial Information
The following tables set forth financial information for the segments:
 Three Months Ended June 30, 2026
 Skilled ServicesStandard BearerTotal
Service revenue(1)
$1,379,912 $— $1,379,912 
Rental revenue— 44,133 44,133 
Segment revenue$1,379,912 $44,133 $1,424,045 
Reconciliation of revenue:
All other revenue(2)
64,268 
Elimination of intercompany revenue(3)
(47,832)
TOTAL CONSOLIDATED REVENUE
$1,440,481 
Less:
Other segment items(4)
1,184,846 3,621 
Depreciation and amortization15,445 12,676 
Interest expense(5)
— 15,766 
Segment income
$179,621 $12,070 $191,691 
Reconciliation of profit or loss:
All other not included in segment income
(58,017)
INCOME BEFORE PROVISION FOR INCOME TAXES$133,674 
(1) Skilled services service revenue does not include intercompany service revenue generated by ancillary operations provided to the Company's independent subsidiaries or management service revenue generated by the Service Center for services provided to Standard Bearer. Intercompany service revenue is eliminated in "Elimination of intercompany revenue".
(2) All other revenue includes $61,053 of service revenue and $3,215 of rental revenue for the three months ended June 30, 2026, 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 $39,364 and intercompany service revenue of $8,468 for the three months ended June 30, 2026.
(4) Other segment items include cost of services of $1,089,109 and rent expense of $95,737 for the skilled services segment and cost of services of $500, rent expense of $346 and general and administrative expenses of $2,775 for the Standard Bearer segment. Additionally, there are intercompany expenses of $47,832 during the three months ended June 30, 2026, 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 $14,149 during the three months ended June 30, 2026, which is eliminated in consolidation.
 Three Months Ended June 30, 2025
 Skilled ServicesStandard BearerTotal
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 amortization13,750 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 or management service revenue generated by the Service Center for services provided to 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 of $932,823 and rent expense of $76,999 for the skilled services segment and cost of services of $472, rent expense of $270 and general and administrative expenses of $2,024 for the Standard Bearer segment. Additionally, there are intercompany expenses of $34,607 during the three months ended June 30, 2025, 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 $9,023 during the three months ended June 30, 2025, which is eliminated in consolidation.
 Six Months Ended June 30, 2026
 Skilled ServicesStandard Bearer
Total
Service revenue(1)
$2,710,747 $— $2,710,747 
Rental revenue
— 80,235 80,235 
Segment revenue
$2,710,747 $80,235 $2,790,982 
Reconciliation of revenue:
All other revenue(2)
126,524 
Elimination of intercompany revenue(3)
(87,829)
TOTAL CONSOLIDATED REVENUE
$2,829,677 
Less:
Other segment items(4)
2,326,354 6,743 
Depreciation and amortization30,755 23,459 
Interest expense(5)
— 27,154 
Segment income
$353,638 $22,879 $376,517 
Reconciliation of profit or loss:
All other not included in segment income
(114,271)
INCOME BEFORE PROVISION FOR INCOME TAXES
$262,246 
(1) Skilled services service revenue does not include intercompany service revenue generated by ancillary operations provided to the Company's independent subsidiaries or management service revenue generated by the Service Center for services provided to Standard Bearer. Intercompany service revenue is eliminated in "Elimination of intercompany revenue".
(2) All other revenue includes $120,114 of service revenue and $6,410 of rental revenue for the six months ended June 30, 2026, 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 $71,768 and intercompany service revenue of $16,061 for the six months ended June 30, 2026.
(4) Other segment items includes cost of services of $2,141,833 and rent expense of $184,521 for the skilled services segment and cost of services of $1,125, rent expense of $611 and general and administrative expenses of $5,007 for the Standard Bearer segment. Additionally, there are intercompany expenses of $87,829 during the six months ended June 30, 2026, 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 $23,916 during the six months ended June 30, 2026, which is eliminated in consolidation.
 Six Months Ended June 30, 2025
 Skilled ServicesStandard BearerTotal
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 amortization26,963 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 or management service revenue generated by the Service Center for services provided to 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 of $1,824,678 and rent expense of $151,554 for the skilled services segment and cost of services of $1,070, rent expense of $527 and general and administrative expenses of $3,775 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.
Schedule of Service Revenue by Major Payor Source
Service revenue by major payor source were as follows:
 Three Months Ended June 30, 2026
 Skilled Services
All Other (3)
Total Service RevenueRevenue %
Medicaid(1)
$552,588 $14,231 $566,819 39.6 %
Medicare339,650 — 339,650 23.7 
Medicaid-skilled80,664 — 80,664 5.6 
Subtotal$972,902 $14,231 $987,133 68.9 %
Managed care265,348 — 265,348 18.5 
Private and other(2)
141,662 38,354 180,016 12.6 
TOTAL SERVICE REVENUE$1,379,912 $52,585 $1,432,497 100.0 %
(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.
 Three Months Ended June 30, 2025
 Skilled Services
All Other (3)
Total Service RevenueRevenue %
Medicaid(1)
$473,904 $11,944 $485,848 39.8 %
Medicare291,117 — 291,117 23.8 
Medicaid-skilled75,207 — 75,207 6.2 
Subtotal$840,228 $11,944 $852,172 69.8 %
Managed care229,495 — 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 %
(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.
 Six Months Ended June 30, 2026
 Skilled Services
All Other (3)
Total Service RevenueRevenue %
Medicaid(1)
$1,081,921 $28,348 $1,110,269 39.4 %
Medicare675,479 — 675,479 24.0 
Medicaid-skilled
155,902 — 155,902 5.6 
Total Medicaid and Medicare
$1,913,302 $28,348 $1,941,650 69.0 %
Managed care526,199 — 526,199 18.7 
Private and other(2)
271,246 75,705 346,951 12.3 
TOTAL SERVICE REVENUE$2,710,747 $104,053 $2,814,800 100.0 %
(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.

 Six Months Ended June 30, 2025
 Skilled Services
All Other (3)
Total Service RevenueRevenue %
Medicaid(1)
$917,315 $22,373 $939,688 39.3 %
Medicare578,868 — 578,868 24.2 
Medicaid-skilled
144,758 — 144,758 6.1 
Total Medicaid and Medicare
$1,640,941 $22,373 $1,663,314 69.6 %
Managed care456,712 — 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 %
(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.