The Ensign Group, Inc. is a holding company. The Company, through its subsidiaries, provides skilled nursing and rehabilitative care services. As of July 1, 2015, the Company operated 161 healthcare facilities, 26 of which are owned, 13 hospice agencies, 14 home health agencies, three home care businesses and 17 urgent care clinics across 12 states. The Company operates in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Oregon, Texas, Utah, Washington, and Wisconsin. The Company’s wholly owned subsidiaries provide accounting, payroll, human resources, information technology, legal and other services to other operating subsidiaries. The Company also has a wholly owned captive insurance subsidiary (the Captive) that provides some claims-made coverage for general liability, as well as coverage for certain workers compensation insurance liabilities.