144 0001212067 XXXXXXXX LIVE 0001125376 ENSIGN GROUP, INC 001-33757 29222 RANCHO VIEJO RD. SUITE 127 SAN JUAN CAPISTRANO CA 92675 (949) 487-9500 SMITH BARRY M Director Common Fidelity Brokerage Services LLC

900 Salem Street Smithfield RI 02917

700 128989.00 57924783 12/01/2025 NASDAQ Common 10/15/2021 Restricted Stock Vesting Issuer N 106 10/15/2021 Compensation Common 07/15/2022 Restricted Stock Vesting Issuer N 10 07/15/2022 Compensation Common 07/15/2023 Restricted Stock Vesting Issuer N 292 07/15/2023 Compensation Common 07/15/2024 Restricted Stock Vesting Issuer N 292 07/15/2024 Compensation N Barry M. Smith

29222 Rancho Viejo Road Suite 127 San Juan Capistrano CA 92675

Common 09/02/2025 700 120442.00 Barry M. Smith

29222 Rancho Viejo Road Suite 127 San Juan Capistrano CA 92675

Common 10/01/2025 700 120400.00 Barry M. Smith

29222 Rancho Viejo Road Suite 127 San Juan Capistrano CA 92675

Common 11/03/2025 700 126448.00 12/01/2025 07/31/2024 /s/ Audrey McMillen, as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Barry Smith