ENSIGN GROUP, INC — Director's Dealing 2026

Feb 9, 2026

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ENSIGN GROUP, INC (ENSG)
CIK: 0001125376
Period of Report: 2026-02-05

Reporting Person: Snapper Suzanne D. (Director, CFO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2026-02-05	Common Stock	M	4129	$15.80	Acquired	273333	Direct
2026-02-06	Common Stock	M	4129	$15.80	Acquired	277462	Direct
2026-02-05	Common Stock	M	4129	$15.93	Acquired	281591	Direct
2026-02-06	Common Stock	M	4129	$15.93	Acquired	285720	Direct
2026-02-05	Common Stock	S	728	$185.2185	Disposed	284992	Direct
2026-02-05	Common Stock	S	200	$187.285	Disposed	284792	Direct
2026-02-05	Common Stock	S	550	$192.0936	Disposed	284242	Direct
2026-02-05	Common Stock	S	644	$193.5212	Disposed	283598	Direct
2026-02-05	Common Stock	S	1742	$194.9629	Disposed	281856	Direct
2026-02-05	Common Stock	S	2072	$196.0089	Disposed	279784	Direct
2026-02-05	Common Stock	S	1595	$196.8729	Disposed	278189	Direct
2026-02-05	Common Stock	S	727	$197.6785	Disposed	277462	Direct
2026-02-06	Common Stock	S	2205	$196.07	Disposed	275257	Direct
2026-02-06	Common Stock	S	2268	$196.106	Disposed	272989	Direct
2026-02-06	Common Stock	S	100	$197.205	Disposed	272889	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2026-02-05	Employee Stock Option (right to buy)	$15.80	M	4129	Disposed	2027-05-25	Common Stock (4129)	Direct
2026-02-06	Employee Stock Option (right to buy)	$15.80	M	4129	Disposed	2027-05-25	Common Stock (4129)	Direct
2026-02-05	Employee Stock Option (right to buy)	$15.93	M	4129	Disposed	2026-08-31	Common Stock (4129)	Direct
2026-02-06	Employee Stock Option (right to buy)	$15.93	M	4129	Disposed	2026-08-31	Common Stock (4129)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	56340	Indirect

Footnotes

F1: This transaction was effected pursuant to a Rule 10b5-1 trading plan adopted on September 12, 2025.

F2: This transaction was executed in multiple trades at prices ranging from $185.00 to $185.485. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F3: This transaction was executed in multiple trades at prices ranging from $187.28 to $187.29. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F4: This transaction was executed in multiple trades at prices ranging from $192.00 to $192.99. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F5: This transaction was executed in multiple trades at prices ranging from $193.34 to $193.80. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F6: This transaction was executed in multiple trades at prices ranging from $194.46 to $195.44. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F7: This transaction was executed in multiple trades at prices ranging from $195.47 to $196.41. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F8: This transaction was executed in multiple trades at prices ranging from $196.50 to $197.47. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F9: This transaction was executed in multiple trades at prices ranging from $197.56 to $197.97. The price above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price.

F10: Shares held of record by Suzanne Snapper and Eric Snapper, spouse of the Reporting Person, Trustees of Eric and Suzanne Snapper Family Trust.

F11: These shares were granted May 25, 2017 and vested over 5 equal annual installments.

F12: These shares were granted August 31, 2016 and vested over 5 equal annual installments.