ENSG President & COO exercises options and sells common stock

Rhea-AI Filing Summary

Ensign Group, Inc. (ENSG) President and COO filed a Form 4 reporting multiple stock transactions in November 2025. On 11/17/2025, the officer made a gift of 4,229 shares of common stock and exercised stock options for 5,899 shares at $16.60 per share, then sold 5,899 shares at $177.30 per share. On 11/18/2025, the officer exercised options for 2,209 shares at $15.93 per share and sold 2,209 shares at $180.00 per share. After these transactions, the officer directly owned 51,165 shares of Ensign Group common stock and held 3,690 employee stock options. The filing notes that the transactions were carried out under a Rule 10b5-1 trading plan adopted on August 14, 2025.

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

X

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Burton Spencer

(Last) (First) (Middle)

29222 RANCHO VIEJO ROAD

SUITE 127

(Street)

SAN JUAN CAPISTRANO CA 92675

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
ENSIGN GROUP, INC [ ENSG ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director		10% Owner
X	Officer (give title below)		Other (specify below)
	President and COO

3. Date of Earliest Transaction (Month/Day/Year)
11/17/2025

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/17/2025		G(1)		4,229	D	$0	51,165	D
Common Stock	11/17/2025		M(1)		5,899	A	$16.6	57,064	D
Common Stock	11/17/2025		S(1)		5,899	D	$177.3	51,165	D
Common Stock	11/18/2025		M(1)		2,209	A	$15.93	53,374	D
Common Stock	11/18/2025		S(1)		2,209	D	$180	51,165	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Employee Stock Option (right to buy)	$16.6	11/17/2025		M(1)			5,899	05/26/2017(2)	05/26/2026	Common Stock	5,899	$0	0	D
Employee Stock Option (right to buy)	$15.93	11/18/2025		M(1)			2,209	08/31/2017(3)	08/31/2026	Common Stock	2,209	$0	3,690	D

Explanation of Responses:

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

2. These shares were granted May 26, 2016 and vested over 5 equal annual installments.

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

Remarks:

	/s/ Chad A. Keetch, as power of attorney	11/19/2025
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

What insider activity did Ensign Group (ENSG) report in this Form 4?

The Form 4 reports that the President and COO of Ensign Group, Inc. (ENSG) made a stock gift, exercised employee stock options, and sold common shares on 11/17/2025 and 11/18/2025.

How many Ensign Group (ENSG) shares did the officer buy and sell?

The officer exercised options for 5,899 shares at $16.60 and 2,209 shares at $15.93, then sold 5,899 shares at $177.30 and 2,209 shares at $180.00. The officer also made a gift of 4,229 shares.

How many Ensign Group (ENSG) shares does the officer own after these transactions?

Following the reported transactions, the officer directly owned 51,165 shares of Ensign Group common stock.

What stock options were involved in the Ensign Group (ENSG) Form 4 filing?

The filing shows exercises of employee stock options for 5,899 shares at $16.60 and 2,209 shares at $15.93. After these exercises, the officer held 3,690 employee stock options.

Were the Ensign Group (ENSG) insider transactions under a Rule 10b5-1 plan?

Yes. The explanation notes that the transactions were effected pursuant to a Rule 10b5-1 trading plan adopted on August 14, 2025.

What is the officer’s role at Ensign Group (ENSG) mentioned in the Form 4?

The reporting person is an officer of Ensign Group, serving as President and COO.