ENSIGN GROUP, INC — Director's Dealing 2025

Nov 24, 2025

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ENSIGN GROUP, INC (ENSG)
CIK: 0001125376
Period of Report: 2025-11-20

Reporting Person: Burton Spencer (President and COO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2025-11-20	Common Stock	M	3690	$15.93	Acquired	54855	Direct
2025-11-20	Common Stock	S	3690	$180	Disposed	51165	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2025-11-20	Employee Stock Option (right to buy)	$15.93	M	3690	Disposed	2026-08-31	Common Stock (3690)	Direct

Footnotes

F1: This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted on August 14, 2025.

F2: These shares were granted August 31, 2016 and vested over 5 equal annual installments.