The Ensign Group is a holding company that provides skilled nursing, senior living, and rehabilitative services. It operates through two reportable segments: skilled services and real estate. The skilled services segment includes specialty care, such as on-site dialysis, ventilator care, cardiac and pulmonary management, room and board, special nutritional programs, social, recreational activities, entertainment, and other services. The real estate segment engages in the acquisition and leasing of skilled nursing and senior living properties.