ENSIGN GROUP INC ENSG
COM · Common Stock · CUSIP 29358P101 · ISIN US29358P1012
- SectorHealth care
- IndustryServices-Skilled Nursing Care Facilities
- HeadquartersSan Juan Capistrano, CA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($29.9m this quarter). Holder counts are more reliable. Shares outstanding: 58.4m as of 2026-04-27, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $201.39. Options: 6 managers hold calls ($59.0m notional), 6 hold puts ($48.1m).
Trends to Q1 2026
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 313 |
| Q4 2022 | 342 |
| Q1 2023 | 341 |
| Q2 2023 | 341 |
| Q3 2023 | 353 |
| Q4 2023 | 374 |
| Q1 2024 | 407 |
| Q2 2024 | 426 |
| Q3 2024 | 472 |
| Q4 2024 | 496 |
| Q1 2025 | 483 |
| Q2 2025 | 492 |
| Q3 2025 | 505 |
| Q4 2025 | 565 |
| Q1 2026 | 576 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q2 2024 | 218 | 186 |
| Q3 2024 | 234 | 206 |
| Q4 2024 | 245 | 219 |
| Q1 2025 | 231 | 252 |
| Q2 2025 | 238 | 232 |
| Q3 2025 | 202 | 254 |
| Q4 2025 | 266 | 216 |
| Q1 2026 | 286 | 251 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q2 2025 | $9.6m | $1.9m | 0.19 |
| Q3 2025 | $21.1m | $2.1m | 0.10 |
| Q4 2025 | $55.0m | $40.3m | 0.73 |
| Q1 2026 | $59.0m | $48.1m | 0.81 |
Biggest buyers
| Van Berkom & Associates Inc. | Added | +412.4k |
| BAILLIE GIFFORD & CO | Added | +256.9k |
| BlackRock, Inc. | Added | +244.2k |
| FMR LLC | Added | +208.3k |
| Candriam S.C.A. | Added | +188.7k |
| GEODE CAPITAL MANAGEMENT, LLC | Added | +188.6k |
| Clearbridge Investments, LLC | Added | +148.2k |
| Bahl & Gaynor LLC | Added | +113.1k |
| D. E. Shaw & Co., Inc. | Added | +73.1k |
| ACADIAN ASSET MANAGEMENT LLC | Added | +70.0k |
Biggest sellers
| WASATCH ADVISORS LP | Reduced | -780.6k |
| FULLER & THALER ASSET MANAGEMENT, INC. | Reduced | -621.5k |
| DIMENSIONAL FUND ADVISORS LP | Reduced | -130.3k |
| RIVERBRIDGE PARTNERS LLC | Reduced | -127.2k |
| WCM INVESTMENT MANAGEMENT, LLC | Reduced | -91.5k |
| Qube Research & Technologies Ltd | Sold out | -87.1k |
| TURTLE CREEK ASSET MANAGEMENT INC. | Reduced | -79.9k |
| Crow's Nest Holdings LP | Reduced | -77.3k |
| VICTORY CAPITAL MANAGEMENT INC | Reduced | -75.7k |
| Owls Nest Partners IA, LLC | Reduced | -75.1k |
Biggest calls
| JANE STREET GROUP, LLC | Reduced | $46.1m228.8k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $8.5m42.4k shares |
| CITADEL ADVISORS LLC | Added | $2.9m14.3k shares |
| IMC-Chicago, LLC | New | $967.2k4.8k shares |
| GROUP ONE TRADING LLC | New | $463.4k2.3k shares |
| SIMPLEX TRADING, LLC | Reduced | $40.3k200 shares |
Biggest puts
| WELLS FARGO & COMPANY/MN | Unchanged | $44.3m220.0k shares |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $1.9m9.2k shares |
| Dockside LLC | New | $800.0k4.0k shares |
| CITADEL ADVISORS LLC | New | $523.9k2.6k shares |
| Point72 Asset Management, L.P. | Unchanged | $322.4k1.6k shares |
| IMC-Chicago, LLC | New | $221.7k1.1k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| BlackRock, Inc. 13G · institution filed 2026-07-28 | 9.1% |
| BAILLIE GIFFORD & CO 13G · institution new · filed 2026-02-09 | 7.9% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-29 | 5.2% |
Fell to 5% or below in the last year: VANGUARD PORTFOLIO MANAGEMENT LLC (4.9%, 2026-07-31; now reported by VANGUARD CAPITAL MANAGEMENT LLC), VANGUARD GROUP INC (0.0%, 2026-03-26; now reported by VANGUARD CAPITAL MANAGEMENT LLC), WASATCH ADVISORS LP (4.9%, 2026-02-10)
Insider purchases and sales in Q1 2026
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q2 2024 | 1 | $18 | 3 | $4.1m | $4.1m |
| Q3 2024 | 0 | — | 4 | $3.6m | $3.6m |
| Q4 2024 | 0 | — | 3 | $658.9k | $658.9k |
| Q1 2025 | 0 | — | 4 | $6.4m | $6.4m |
| Q2 2025 | 0 | — | 3 | $1.8m | $1.8m |
| Q3 2025 | 0 | — | 5 | $2.2m | $2.2m |
| Q4 2025 | 0 | — | 7 | $9.7m | $9.7m |
| Q1 2026 | 0 | — | 8 | $3.4m | $3.4m |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2026-03-02 | SMITH BARRY M Director | Sold plan | $149.1k700 shares |
| 2026-02-20 | Uychiat Pison Marivic Director | Sold plan | $13.7k67 shares |
| 2026-02-19 | Wittekind Beverly B. VP and Chief Legal Officer | Sold plan | $105.1k500 shares |
| 2026-02-19 | Uychiat Pison Marivic Director | Sold plan | $17.5k83 shares |
| 2026-02-17 | Shaw Daren Director | Sold plan | $213.4k1.0k shares |
| 2026-02-09 | Blouin Ann Scott Director | Sold plan | $74.2k375 shares |
| 2026-02-09 | Parkinson Mark Vincent Director | Sold plan | $19.8k100 shares |
| 2026-02-06 | Snapper Suzanne D. CFO, director | Sold plan | $896.8k4.6k shares |
| 2026-02-05 | Snapper Suzanne D. CFO, director | Sold plan | $1.6m8.3k shares |
| 2026-02-02 | SMITH BARRY M Director | Sold plan | $120.1k700 shares |
| 2026-01-21 | Agwunobi John O Director | Sold plan | $26.0k146 shares |
| 2026-01-20 | Agwunobi John O Director | Sold plan | $44.2k246 shares |
| 2026-01-02 | SMITH BARRY M Director | Sold plan | $121.5k700 shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q1 2026
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.03% of their portfolio | 7.4m $1.5bn | Added +244.2k |
| BAILLIE GIFFORD & CO 0.99% of their portfolio | 4.8m $972.5m | Added +256.9k |
| VANGUARD PORTFOLIO MANAGEMENT LLC 0.03% of their portfolio | 3.1m $628.7m | First filing |
| VANGUARD CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 2.6m $522.5m | First filing |
| FMR LLC 0.02% of their portfolio | 2.3m $462.7m | Added +208.3k |
| STATE STREET CORP 0.01% of their portfolio | 2.1m $415.8m | Added +39.5k |
| WASATCH ADVISORS LP 2.75% of their portfolio | 2.1m $414.7m | Reduced -780.6k |
| GEODE CAPITAL MANAGEMENT, LLC 0.02% of their portfolio | 1.7m $340.0m | Added +188.6k |
| Capital Research Global Investors 0.04% of their portfolio | 1.4m $282.5m | Reduced -40.4k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.03% of their portfolio | 1.3m $263.6m | Reduced -24.3k |
| Van Berkom & Associates Inc. 3.43% of their portfolio | 1.0m $209.6m | Added +412.4k |
| DIMENSIONAL FUND ADVISORS LP 0.04% of their portfolio | 960.6k $193.6m | Reduced -130.3k |
| T. Rowe Price Investment Management, Inc. 0.12% of their portfolio | 830.5k $167.3m | Reduced -49.3k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.02% of their portfolio | 780.2k $157.2m | Added +12.5k |
| NORTHERN TRUST CORP 0.02% of their portfolio | 767.2k $154.6m | Reduced -28.3k |
| WELLINGTON MANAGEMENT GROUP LLP 0.03% of their portfolio | 751.1k $151.3m | Reduced -67.4k |
| FRANKLIN RESOURCES INC 0.03% of their portfolio | 656.0k $132.2m | Added +25.6k |
| Copeland Capital Management, LLC 2.66% of their portfolio | 593.4k $119.6m | Reduced -48.0k |
| FULLER & THALER ASSET MANAGEMENT, INC. 0.39% of their portfolio | 573.6k $115.6m | Reduced -621.5k |
| RIVERBRIDGE PARTNERS LLC 2.81% of their portfolio | 569.3k $114.7m | Reduced -127.2k |
| Clark Capital Management Group, Inc. 0.66% of their portfolio | 528.6k $106.5m | Added +14.8k |
| Hood River Capital Management LLC 0.99% of their portfolio | 490.4k $98.8m | Reduced -1.6k |
| MORGAN STANLEY 0.01% of their portfolio | 489.2k $98.6m | Added +47.0k |
| ARROWSTREET CAPITAL, LIMITED PARTNERSHIP 0.05% of their portfolio | 457.7k $92.2m | Added +30.5k |
| Bank of New York Mellon Corp 0.02% of their portfolio | 454.5k $91.6m | Reduced -47.5k |
| GOLDMAN SACHS GROUP INC 0.01% of their portfolio | 437.0k $88.1m | Reduced -54.8k |
| VICTORY CAPITAL MANAGEMENT INC 0.05% of their portfolio | 407.9k $82.2m | Reduced -75.7k |
| VANGUARD FIDUCIARY TRUST CO 0.02% of their portfolio | 399.5k $80.5m | First filing |
| AMERICAN CENTURY COMPANIES INC 0.04% of their portfolio | 375.8k $75.7m | Added +11.7k |
| ENVESTNET ASSET MANAGEMENT INC 0.02% of their portfolio | 357.9k $72.1m | Added +2.9k |
| BANK OF AMERICA CORP /DE/ 0.01% of their portfolio | 347.9k $70.1m | Reduced -25.0k |
| PARADIGM CAPITAL MANAGEMENT INC/NY 2.64% of their portfolio | 342.1k $68.9m | Reduced -2.0k |
| Clearbridge Investments, LLC 0.06% of their portfolio | 318.4k $64.2m | Added +148.2k |
| SEGALL BRYANT & HAMILL, LLC 0.91% of their portfolio | 315.7k $63.6m | Reduced -25.1k |
| Crow's Nest Holdings LP 14.50% of their portfolio | 307.7k $62.0m | Reduced -77.3k |
| Invesco Ltd. 0.01% of their portfolio | 279.3k $56.3m | Reduced -24.9k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 262.1k $52.5m | Reduced -16.9k |
| Candriam S.C.A. 0.27% of their portfolio | 259.9k $52.4m | Added +188.7k |
| TURTLE CREEK ASSET MANAGEMENT INC. 1.94% of their portfolio | 257.2k $51.8m | Reduced -79.9k |
| Nuveen, LLC 0.01% of their portfolio | 253.2k $51.0m | Reduced -14.3k |
| BESSEMER GROUP INC 0.08% of their portfolio | 237.0k $47.7m | Reduced -20.5k |
| Owls Nest Partners IA, LLC 15.88% of their portfolio | 225.2k $45.4m | Reduced -75.1k |
| LOOMIS SAYLES & CO L P 0.06% of their portfolio | 206.1k $41.5m | Reduced -17.2k |
| RAYMOND JAMES FINANCIAL INC 0.01% of their portfolio | 202.9k $40.7m | Reduced -13.1k |
| Bahl & Gaynor LLC 0.20% of their portfolio | 199.1k $40.1m | Added +113.1k |
| SEI INVESTMENTS CO 0.03% of their portfolio | 187.9k $37.9m | Reduced -69.5k |
| EULAV Asset Management 1.21% of their portfolio | 187.8k $37.8m | Added +25.7k |
| FIRST TRUST ADVISORS LP 0.03% of their portfolio | 185.7k $37.4m | Reduced -31.2k |
| ProShare Advisors LLC 0.05% of their portfolio | 183.9k $37.1m | Reduced -38.9k |
| GAGNON SECURITIES LLC 8.36% of their portfolio | 179.7k $36.2m | Reduced -878 |
| RHUMBLINE ADVISERS 0.03% of their portfolio | 177.3k $35.7m | Added +3.6k |
| Mawer Investment Management Ltd. 0.22% of their portfolio | 168.9k $34.0m | Added +42.7k |
| PRINCIPAL FINANCIAL GROUP INC 0.02% of their portfolio | 158.7k $32.0m | Added +4.5k |
| BNP PARIBAS ASSET MANAGEMENT Holding S.A. 0.04% of their portfolio | 153.7k $31.0m | Reduced -5.2k |
| AXIOM INVESTORS LLC /DE 0.33% of their portfolio | 147.0k $29.6m | Reduced -18.0k |
| Russell Investments Group, Ltd. 0.03% of their portfolio | 145.9k $29.4m | Added +4.5k |
| California Public Employees Retirement System 0.02% of their portfolio | 134.7k $27.1m | Reduced -10.9k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.01% of their portfolio | 131.9k $26.6m | Added +2.6k |
| Focus Partners Wealth 0.03% of their portfolio | 131.4k $26.5m | Reduced -2.7k |
| D. E. Shaw & Co., Inc. 0.02% of their portfolio | 128.1k $25.8m | Added +73.1k |
| FORT WASHINGTON INVESTMENT ADVISORS INC /OH/ 0.13% of their portfolio | 119.3k $24.0m | Reduced -43.9k |
| TUDOR INVESTMENT CORP ET AL 0.13% of their portfolio | 119.0k $24.0m | Reduced -10.7k |
| Allspring Global Investments Holdings, LLC 0.04% of their portfolio | 115.8k $23.2m | Reduced -14.0k |
| Swiss National Bank 0.01% of their portfolio | 114.6k $23.1m | Added +800 |
| UBS Group AG 0.00% of their portfolio | 114.3k $23.0m | Added +10.9k |
| ALLIANCEBERNSTEIN L.P. 0.01% of their portfolio | 112.7k $19.6m | Reduced -125 |
| BARCLAYS PLC 0.01% of their portfolio | 108.4k $21.8m | Reduced -19.6k |
| WCM INVESTMENT MANAGEMENT, LLC 0.05% of their portfolio | 107.4k $21.5m | Reduced -91.5k |
| TEACHERS RETIREMENT SYSTEM OF THE STATE OF KENTUCKY 0.15% of their portfolio | 94.8k $19.1m | Added +7.9k |
| Aptus Capital Advisors, LLC 0.16% of their portfolio | 92.7k $18.7m | Reduced -8.5k |
| LPL Financial LLC 0.00% of their portfolio | 90.1k $18.2m | Added +1.9k |
| AQR CAPITAL MANAGEMENT LLC 0.01% of their portfolio | 89.8k $18.0m | Added +61.7k |
| Legal & General Group Plc 0.00% of their portfolio | 81.8k $16.5m | Reduced -12.1k |
| STIFEL FINANCIAL CORP 0.01% of their portfolio | 80.0k $16.1m | Reduced -7.3k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 79.2k $16.0m | Reduced -2.0k |
| CITIGROUP INC 0.01% of their portfolio | 77.0k $15.5m | Added +11.3k |
| WELLS FARGO & COMPANY/MN 0.00% of their portfolio | 72.9k $14.7m | Reduced -37.3k |
| ACADIAN ASSET MANAGEMENT LLC 0.02% of their portfolio | 71.0k $14.3m | Added +70.0k |
| Retirement Systems of Alabama 0.05% of their portfolio | 70.7k $14.2m | Added +1.7k |
| Creative Planning 0.01% of their portfolio | 68.8k $13.9m | Added +7.3k |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.01% of their portfolio | 67.4k $13.6m | Added +12.6k |
| BNP PARIBAS FINANCIAL MARKETS 0.01% of their portfolio | 66.7k $13.4m | Reduced -41.0k |
| RENAISSANCE GROUP LLC 0.56% of their portfolio | 66.6k $13.4m | Added +4.9k |
| NEUBERGER BERMAN GROUP LLC 0.01% of their portfolio | 65.3k $13.2m | Added +54.1k |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP 0.02% of their portfolio | 65.0k $13.1m | Reduced -7.5k |
| MILLENNIUM MANAGEMENT LLC 0.01% of their portfolio | 64.7k $13.0m | Added +63.2k |
| DF DENT & CO INC 0.25% of their portfolio | 64.2k $12.9m | Added +9.8k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 63.9k $12.9m | Reduced -6.7k |
| Bridge City Capital, LLC 3.30% of their portfolio | 59.1k $11.9m | Reduced -1.1k |
| Amundi 0.00% of their portfolio | 58.7k $11.8m | Reduced -1.9k |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND 0.02% of their portfolio | 58.1k $11.7m | Added +12.7k |
| MetLife Investment Management, LLC 0.06% of their portfolio | 58.0k $11.7m | Reduced -126 |
| Curi Capital, LLC 0.20% of their portfolio | 56.7k $11.4m | Added +250 |
| Hound Partners, LLC 1.42% of their portfolio | 55.7k $11.2m | Reduced -9.6k |
| MANUFACTURERS LIFE INSURANCE COMPANY, THE 0.01% of their portfolio | 53.7k $10.8m | Reduced -3.6k |
| OPPENHEIMER ASSET MANAGEMENT INC. 0.12% of their portfolio | 53.7k $10.8m | Reduced -11.4k |
| Gillson Capital LP 0.88% of their portfolio | 53.4k $10.8m | Reduced -17.6k |
| PensionDanmark Pensionsforsikringsaktieselskab 0.10% of their portfolio | 53.1k $10.7m | Added +3.1k |
| NewEdge Wealth, LLC 0.13% of their portfolio | 52.3k $10.5m | Added +22.3k |
| Dorsey Wright & Associates 1.30% of their portfolio | 52.2k $10.5m | Added +20.9k |