Ensign Group (ENSG) president awarded stock options and shares in Form 4

Rhea-AI Filing Summary

Ensign Group, Inc. President and COO Burton Spencer reported equity awards on February 26, 2026. He received an employee stock option for 21,250 shares at an exercise price of $0.00, and a separate grant of 8,500 shares of common stock at no cost.

The common stock grant vests in five equal annual installments beginning February 26, 2027. The option also vests in five equal annual installments beginning February 26, 2027. Following the common stock award, Spencer directly holds 69,366 shares of Ensign Group common stock, and directly holds 21,250 stock options from this grant.

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).

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)
02/26/2026

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	02/26/2026		A		8,500(1)	A	$0	69,366	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)	$212.65	02/26/2026		A		21,250		02/26/2027(2)	02/26/2036	Common Stock	21,250	$0	21,250	D

Explanation of Responses:

1. These shares vest in five equal annual installments beginning February 26, 2027.

2. This option vests in five equal annual installments beginning on February 26, 2027.

Remarks:

	/s/ Chad A. Keetch, as power of attorney	03/02/2026
	** 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 transactions did Ensign Group (ENSG) report for Burton Spencer?

Ensign Group reported that President and COO Burton Spencer received equity awards on February 26, 2026. He was granted 21,250 employee stock options and 8,500 shares of common stock, both at no cost, as part of his compensation package.

How many Ensign Group (ENSG) stock options were granted to Burton Spencer?

Burton Spencer was granted 21,250 employee stock options on February 26, 2026. These options give him the right to buy Ensign Group common stock, vesting over time in scheduled annual installments beginning in 2027.

What common stock award did Burton Spencer receive from Ensign Group (ENSG)?

Burton Spencer received a grant of 8,500 shares of Ensign Group common stock at a price of $0.00 per share. This award represents additional equity compensation that will vest gradually over a multi-year period starting in 2027.

When do Burton Spencer’s Ensign Group (ENSG) equity awards begin vesting?

Both Burton Spencer’s stock option and common stock awards begin vesting on February 26, 2027. Each grant vests in five equal annual installments, spreading the vesting schedule over a five-year period from that initial vesting date.

How many Ensign Group (ENSG) shares does Burton Spencer hold after these grants?

After the February 26, 2026 transaction, Burton Spencer directly holds 69,366 shares of Ensign Group common stock. He also directly holds 21,250 employee stock options from this grant, which may be exercisable as they vest over time.

Are Burton Spencer’s Ensign Group (ENSG) equity awards immediately vested?

No, Burton Spencer’s equity awards are subject to time-based vesting. Both the 8,500-share common stock grant and the 21,250-share stock option vest in five equal annual installments, starting on February 26, 2027, rather than vesting immediately.