The Ensign Group, Inc. is a holding company. The Company, through its subsidiaries, provides skilled nursing and rehabilitative care services. As of May 1, 2015, the Company owned 150 facilities, 12 hospice companies, 13 home health businesses, three home care businesses and 16 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 the 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.