The Ensign Group, Inc., through its subsidiaries, provides skilled nursing and rehabilitative care services in Arizona, California, Colorado, Idaho, Iowa, Nebraska, Nevada, Oregon, Texas, Utah, and Washington. It offers nursing, assisted living, home health, and hospice services, including physical, occupational, and speech therapies, as well as other rehabilitative and healthcare services for long-term residents and short-stay rehabilitation patients. The company also owns and operates urgent care centers that offer daily access to healthcare for minor injuries and illnesses, including X-ray and lab services. In addition, it provides mobile diagnostic services, such as digital X-ray, ultrasound, electrocardiograms, ankle-brachial index, and phlebotomy services at homes or long-term care facilities. As of June 4, 2013, it had 118 facilities and 5 urgent care clinics. The Ensign Group, Inc. was founded in 1999 and is based in Mission Viejo, California.