FORM 10-Q ☑QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. For the quarterly period ended June30, 2026.OR ☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.For the transition period fromto. Commissionfile number: 001-33757 THE ENSIGN GROUP, INC. (Exact Name of Registrant as Specified in Its Charter) (State or Other Jurisdiction of(I.R.S. EmployerIncorporation or Organization)Identification No.) 29222 Rancho Viejo Road, Suite 127San Juan Capistrano, CA 92675(Address of Principal Executive Offices and Zip Code) (949)487-9500(Registrant’s Telephone Number, Including Area Code)_____________________________ Securities registered pursuant to Section 12(b) of the Act: Trading Symbol(s)ENSG THE ENSIGN GROUP, INC.QUARTERLY REPORT ON FORM 10-QFOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2026TABLE OF CONTENTS PART I. Financial Information Item1. Financial Statements (unaudited):Condensed Consolidated Balance Sheets as of June 30, 2026 and December 31, 20251Condensed Consolidated Statements of Income for the three and six months ended June 30, 2026 and 20252Condensed Consolidated Statements of Stockholders' Equity for the three and six months ended June 30, 2026 and 20253Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2026 and 20255Notes to the Condensed Consolidated Financial Statements7Item2. Management’s Discussion and Analysis of Financial Condition and Results of Operations30Item3. Quantitative and Qualitative Disclosures About Market Risk73Item4. Controls and Procedures74 Item 1. Legal Proceedings74Item 1A. Risk Factors77Item 2. Unregistered Sales of Equity Securities and Use of Proceeds109Item5. Other Information110Item6. Exhibits111Signatures THE ENSIGN GROUP, INC.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF INCOME THE ENSIGN GROUP, INC.UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS THE ENSIGN GROUP, INC.NOTES TO THE UNAUDITED CONDENSED CONSOLIDATED FINANCIAL STATEMENTS(Dollars, shares and options in thousands, except per share data) 1. DESCRIPTION OF BUSINESS The Company—The Ensign Group, Inc. (collectively, Ensign or the Company), is a holding company with no direct operatingassets, employees or revenue. The Company's independent subsidiaries provide health care services across the post-acute carecontinuum and engage in the ownership, acquisition, development and leasing of skilled nursing, senior living and other healthcare-related properties and ancillary businesses. As of June30, 2026, the Company's independent subsidiaries operated 396 facilities andother ancillary operations located in 17 states. The Company's independent subsidiaries have a collective capacity of approximately40,700 operational skilled nursing beds and 3,400 senior living units. As of June30, 2026, the Company's independent subsidiaries operated 254 facilities under long-term lease arrangements and hadoptions to purchase eight of those 254 facilities. The Company's real estate portfolio consists of 181 owned real estate properties, whichincludes 142 facilities operated and managed by the Company's independent subsidiaries, 39 operations leased to and operated bythird-party operators and the Service Center (defined below) location. Of those 39 third-party operations, one senior living operation islocated on the same real estate property as a skilled nursing operation that an independent subsidiary operates. During the six months ended June 30, 2026, the Company expanded its presence with the addition of 21 stand-alone skillednursing operations and two campus operations in four states. These new operations added a total of 2,724 operational skilled nursingbeds and 135 operational senior living units to be operated by the Company's independent subsidiaries. Subsequent to June30, 2026, the Company expanded its presence with the addition of two stand-alone skilled nursing operationsin Texas, and these new operations will add 250 operational skilled nursing beds to be operated by the Company's independentsubsidiaries. The Company's captive real estate investment trust (REIT), Standard Bearer Healthcare REIT, Inc. (Standard Bearer), owns andmanages its real estate business. The REIT structure provides the Company with an efficient vehicle for future acquisitions of propertiesthat could be operated by Ensign's independent subsidiaries or other third parties. Standard Bearer has elected to be taxed as a REIT forU.S. federal income tax purposes. Refer to Note 6,Standard Bearerfor additional information on Standard Bearer. To support its growth efforts and operational needs, the Company maintains a centralized support structure through its ServiceCenter and captive insurance subsidiary, which provide essential services and risk management to its wholly-owned independentsubsidiaries. Certain of the Company’s wholly-owned independent subsidiaries, collectively referred to as the Service Center, provi