The Ensign Group, Inc. provides health care services in the post-acute care continuum and other ancillary businesses. The company operates in two segments, Skilled Services and Real Estate. The company offers skilled services, which include short and long-term nursing care services for patients with chronic conditions, prolonged illness, and the elderly; and physical, occupational, and speech therapies and other rehabilitative and healthcare services. It also provides standard services, such as room and board, special nutritional programs, social, recreational, entertainment, and other services. In addition, the company offers senior living, as well as mobile diagnostics services; leases real estate properties; and provides other ancillary services consisting of digital x-ray, ultrasound, electrocardiogram, laboratory, sub-acute, and patient transportation services to people in their homes or at long-term care facilities. As of April 4, 2022, it operated 252 healthcare facilities in Arizona, California, Colorado, Idaho, Iowa, Kansas, Nebraska, Nevada, South Carolina, Texas, Utah, Washington, and Wisconsin. The company was incorporated in 1999 and is based in San Juan Capistrano, California.

The Ensign Group, Inc.

Initial Statement of Beneficial Ownership

Insider	Title	Transaction Type	Shares Traded	% of Shares Traded	% Chg. in Shares	End of Filing Shares	Price	Transaction Value	Filing Date	Transaction Date
Barry Morgan Smith	Lead Independent Director Show All	Automatic Disposition (Automatic Disposition)	-700.0	-0.001217%	-2.8%	24.4K	184.3 - 184.3	-129.0K	03 Dec 2025	01 Dec 2025 - 01 Dec 2025
Barry Morgan Smith	Lead Independent Director Show All	Sale	-700.0	—	—	—	184.3 - 184.3	-129.0K	01 Dec 2025	01 Dec 2025 - 01 Dec 2025
Spencer W. Burton	President & COO Show All	Derivative Exercise and Sale (Derivative Exercise and Sale)	-3.7K	-0.006415%	—	51.2K	15.9 - 180.0	-605.4K	24 Nov 2025	20 Nov 2025 - 20 Nov 2025
Spencer W. Burton	President & COO Show All	Sale	-3.7K	—	—	—	180.0 - 180.0	-664.2K	20 Nov 2025	20 Nov 2025 - 20 Nov 2025
Spencer W. Burton	President & COO Show All	Derivative Exercise and Sale (Derivative Exercise and Sale)	-8.1K	-0.014096%	—	51.2K	15.9 - 180.0	-1.3M	19 Nov 2025	17 Nov 2025 - 18 Nov 2025
Spencer W. Burton
Daren J. Shaw
Spencer W. Burton
Daren J. Shaw
Spencer W. Burton
Barry R. Port
Barry R. Port
Barry R. Port
Suzanne D. Snapper
Marivic Uychiat
Marivic Uychiat
Marivic Uychiat
John O. Agwunobi
Barry R. Port
Suzanne D. Snapper
Chad A. Keetch
Spencer W. Burton
Marivic Uychiat
John O. Agwunobi
Barry Morgan Smith
Barry Morgan Smith
Barry Morgan Smith
Ann Scott Blouin
Daren J. Shaw
Swati Bargotra Abbott