The Ensign Group, Inc. engages in providing skilled nursing, senior living, and rehabilitative care services. The company is headquartered in San Juan Capistrano, California and currently employs 29,900 full-time employees. The company went IPO on 2007-11-12. The firm operates through two segments: skilled services and Standard Bearer. Th skilled services segment includes the operation of skilled nursing facilities and rehabilitation therapy services. The Standard Bearer segment consist of select properties owned by the Company through its real estate investment trust (REIT) and leased to skilled nursing and senior living operations, including its own operating subsidiaries and third-party operators. The company provides its services at about 288 healthcare facilities in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington and Wisconsin. The company also acquires, leases and owns healthcare real estate to service the post-acute care continuum through acquisition and investment opportunities.