[Form 4] ENSIGN GROUP, INC Insider Trading Activity

Rhea-AI Filing Summary

The Ensign Group, Inc. (ENSG) officer, the President and COO, reported an option exercise and share sale. On 11/20/2025, he exercised 3,690 employee stock options at an exercise price of $15.93 per share, receiving the same number of common shares. On the same date, he sold 3,690 common shares at a price of $180 per share. After these transactions, he beneficially owned 51,165 shares of Ensign common stock in direct ownership form.

The filing states that the transaction was carried out under a Rule 10b5-1 trading plan adopted on August 14, 2025. The options exercised were originally granted on August 31, 2016 and vested in five equal annual installments.

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)
11/20/2025

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	11/20/2025		M(1)		3,690	A	$15.93	54,855	D
Common Stock	11/20/2025		S(1)		3,690	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)	$15.93	11/20/2025		M(1)			3,690	08/31/2017(2)	08/31/2026	Common Stock	3,690	$0	0	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 August 31, 2016 and vested over 5 equal annual installments.

Remarks:

	/s/ Chad A. Keetch, as power of attorney	11/24/2025
	** 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 transaction did ENSIGN GROUP (ENSG) report in this Form 4?

The President and COO of The Ensign Group, Inc. (ENSG) reported exercising 3,690 employee stock options and selling 3,690 common shares of the company on 11/20/2025.

At what prices were the ENSG option exercise and share sale reported?

The employee stock options were exercised at an exercise price of $15.93 per share, and the 3,690 common shares were sold at a price of $180 per share.

How many ENSIGN GROUP (ENSG) shares does the insider own after the reported trades?

Following the reported transactions, the President and COO beneficially owned 51,165 shares of Ensign Group common stock in direct ownership.

Was the ENSG insider trade made under a Rule 10b5-1 trading plan?

Yes. The filing states the transaction was effected pursuant to a Rule 10b5-1 trading plan that was adopted on August 14, 2025.

When were the ENSG stock options originally granted and how did they vest?

The employee stock options exercised on 11/20/2025 were granted on August 31, 2016 and vested over 5 equal annual installments.

What role does the reporting person hold at ENSIGN GROUP (ENSG)?

The reporting person is an officer of The Ensign Group, Inc., serving as the company’s President and COO.