ENSIGN GROUP, INC — Director's Dealing 2025

Nov 19, 2025

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ENSIGN GROUP, INC (ENSG)
CIK: 0001125376
Period of Report: 2025-11-17

Reporting Person: Burton Spencer (President and COO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2025-11-17	Common Stock	G	4229	—	Disposed	51165	Direct
2025-11-17	Common Stock	M	5899	$16.60	Acquired	57064	Direct
2025-11-17	Common Stock	S	5899	$177.30	Disposed	51165	Direct
2025-11-18	Common Stock	M	2209	$15.93	Acquired	53374	Direct
2025-11-18	Common Stock	S	2209	$180	Disposed	51165	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2025-11-17	Employee Stock Option (right to buy)	$16.60	M	5899	Disposed	2026-05-26	Common Stock (5899)	Direct
2025-11-18	Employee Stock Option (right to buy)	$15.93	M	2209	Disposed	2026-08-31	Common Stock (2209)	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 May 26, 2016 and vested over 5 equal annual installments.

F3: These shares were granted August 31, 2016 and vested over 5 equal annual installments.