San Juan Capistrano-based Ensign Group, Inc., a provider of skilled nursing, senior living, and rehabilitative services, as well as other ancillary services, operates through Skilled Services and Standard Bearer segments. The Skilled Services division specializes in nursing facilities including specialty care, such as on-site dialysis, ventilator care, cardiac, and pulmonary management, as well as standard services comprising room and board, special nutritional programs, social services, recreational activities, entertainment, and other services. Its Standard Bearer division comprises selected real estate properties owned by Standard Bearer and leased to skilled nursing and senior living operators. Additionally, Ensign provides ancillary services consisting of digital x-ray, ultrasound, electrocardiograms, sub-acute services, dialysis, respiratory, and patient transportation to people in their homes or at long-term care facilities. It operates in 13 states, including Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington, and Wisconsin. The company, which was incorporated in 1999, is publicly traded on NASDAQ as ENSG.