Ensign Group, Inc., through its operating subsidiaries, provides healthcare services. The Company's operating subsidiaries provide a spectrum of skilled nursing services, physical, occupational and speech therapies and other rehabilitative and healthcare services The Company operates approximately 212 healthcare facilities across California, Arizona, Texas, Washington, Utah, Idaho, Colorado, Nevada, Iowa, Nebraska, Oregon, Wisconsin, Kansas and South Carolina. Its skilled nursing companies provides skilled nursing care at approximately 171 operations in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington and Wisconsin. It has approximately 27 campuses that provide skilled nursing and rehabilitative care services. The Company holds a membership interest of mobile ancillary operations located in Arizona, California, Colorado, Idaho and Utah.