<?xml version="1.0" ?><!--XBRL Document Created with Wdesk from Workiva--><!--Copyright 2021 Workiva--><!--r:443d5e88-5850-4a1f-9228-b57ddc845e2a,g:a65d25ab-7691-458e-8a88-830bff861ecb,d:67cddc67dbdb4dd0a10e411cb2ab853f--><html xmlns="http://www.w3.org/1999/xhtml" xmlns:ixt-sec="http://www.sec.gov/inlineXBRL/transformation/2015-08-31" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:dei="http://xbrl.sec.gov/dei/2020-01-31" xmlns:xbrli="http://www.xbrl.org/2003/instance" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:ixt="http://www.xbrl.org/inlineXBRL/transformation/2015-02-26" xmlns:ix="http://www.xbrl.org/2013/inlineXBRL" xml:lang="en-US"><head><meta http-equiv="Content-Type" content="text/html"/>


<title>ensg-20210527</title></head><body><div style="display:none"><ix:header><ix:hidden><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityCentralIndexKey" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl80L2ZyYWc6MGE3N2Y2NmJmZDJhNDdiYzhkMzlmZDE3ZWZiMDFlMTAvdGFibGU6NGJhYzA0ODcxODRlNDdiOWIzNTYwMjljMGY1OTEyZjUvdGFibGVyYW5nZTo0YmFjMDQ4NzE4NGU0N2I5YjM1NjAyOWMwZjU5MTJmNV8xLTEtMS0xLTA_118a148c-e33b-4fd5-bb85-14102610f01b">0001125376</ix:nonNumeric><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:AmendmentFlag" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl80L2ZyYWc6MGE3N2Y2NmJmZDJhNDdiYzhkMzlmZDE3ZWZiMDFlMTAvdGFibGU6NGJhYzA0ODcxODRlNDdiOWIzNTYwMjljMGY1OTEyZjUvdGFibGVyYW5nZTo0YmFjMDQ4NzE4NGU0N2I5YjM1NjAyOWMwZjU5MTJmNV8yLTEtMS0xLTA_9c44f9b5-a4d5-4faf-9c15-0b410245ffca">false</ix:nonNumeric></ix:hidden><ix:references xml:lang="en-US"><link:schemaRef xlink:type="simple" xlink:href="ensg-20210527.xsd"></link:schemaRef></ix:references><ix:resources><xbrli:context id="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527"><xbrli:entity><xbrli:identifier scheme="http://www.sec.gov/CIK">0001125376</xbrli:identifier></xbrli:entity><xbrli:period><xbrli:startDate>2021-05-27</xbrli:startDate><xbrli:endDate>2021-05-27</xbrli:endDate></xbrli:period></xbrli:context></ix:resources></ix:header></div><div id="i67cddc67dbdb4dd0a10e411cb2ab853f_1"></div><div style="min-height:42.75pt;width:100%"><div><span><br/></span></div></div><div style="padding-right:18pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.853%"><tr><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:19.251%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.813%"></td><td style="width:0.1%"></td></tr><tr style="height:3pt"><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td></tr></table></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:14pt;font-weight:700;line-height:120%">UNITED STATES</span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:14pt;font-weight:700;line-height:120%">SECURITIES AND EXCHANGE COMMISSION</span></div><div style="padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">Washington, D.C. 20549</span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:18pt;font-weight:700;line-height:120%">FORM <ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:DocumentType" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8xMTcy_926640e7-c7b1-4f85-92c9-c3c8f010e593">8-K</ix:nonNumeric> </span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">CURRENT REPORT</span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:12pt;font-weight:700;line-height:120%">Pursuant to Section&#160;13 OR 15(d) of The Securities Exchange Act of 1934</span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Date of Report (Date of earliest event reported): <ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt:datemonthdayyearen" name="dei:DocumentPeriodEndDate" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8yMjU_c6b35dd5-d775-4587-8e69-f0b5d22d66cf">May 27, 2021</ix:nonNumeric> </span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#3d6702;font-family:'Times New Roman',sans-serif;font-size:24pt;font-weight:700;line-height:120%">The <ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityRegistrantName" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8xMTY4_3ea44599-6eb9-4ef9-ba24-ed8cefc040d6">Ensign Group, Inc</ix:nonNumeric>.</span></div><div style="padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">(Exact name of registrant as specified in its charter)</span><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.853%"><tr><td style="width:1.0%"></td><td style="width:30.671%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.996%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:13.980%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.703%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:13.687%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.996%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:30.967%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:stateprovnameen" name="dei:EntityIncorporationStateCountryCode" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZWRkZTY1ZDZjNmNmNDAwZWE0YjNmZTc2YWJkODVhYmYvdGFibGVyYW5nZTplZGRlNjVkNmM2Y2Y0MDBlYTRiM2ZlNzZhYmQ4NWFiZl8xLTAtMS0xLTA_ba30b156-81c4-4dba-9cd1-03ab1724f803">Delaware</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="border-bottom:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityFileNumber" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZWRkZTY1ZDZjNmNmNDAwZWE0YjNmZTc2YWJkODVhYmYvdGFibGVyYW5nZTplZGRlNjVkNmM2Y2Y0MDBlYTRiM2ZlNzZhYmQ4NWFiZl8xLTItMS0xLTA_8bea568e-d963-4af8-8899-d706d58eb675">001-33757</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityTaxIdentificationNumber" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZWRkZTY1ZDZjNmNmNDAwZWE0YjNmZTc2YWJkODVhYmYvdGFibGVyYW5nZTplZGRlNjVkNmM2Y2Y0MDBlYTRiM2ZlNzZhYmQ4NWFiZl8xLTYtMS0xLTA_4851bbcb-a379-45db-bbab-3090c4d848ec">33-0861263</ix:nonNumeric></span></td></tr><tr><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(State or other jurisdiction<br/>of incorporation)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Commission File Number)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(IRS Employer Identification No.)</span></td></tr></table></div><div style="text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.707%"><tr><td style="width:1.0%"></td><td style="width:18.254%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:8.870%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.401%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.706%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:15.322%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:15.322%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:15.325%"></td><td style="width:0.1%"></td></tr><tr><td colspan="9" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityAddressAddressLine1" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ODU3NzEzYTA4OGEyNDU5ZGI4MjdjZjBlOWRjNDA1YmIvdGFibGVyYW5nZTo4NTc3MTNhMDg4YTI0NTlkYjgyN2NmMGU5ZGM0MDViYl8wLTAtMS0xLTA_0bb68d13-2b85-45d1-90e1-776f46ebef5a">29222 Rancho Viejo Road, Suite 127,</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="padding:0 1pt"></td></tr><tr><td colspan="6" style="border-bottom:1pt solid #000000;padding:2px 1pt;text-align:right;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityAddressCityOrTown" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ODU3NzEzYTA4OGEyNDU5ZGI4MjdjZjBlOWRjNDA1YmIvdGFibGVyYW5nZTo4NTc3MTNhMDg4YTI0NTlkYjgyN2NmMGU5ZGM0MDViYl8xLTAtMS0xLTA_6f53d6fe-b3dc-468c-b320-c52f2655c510">San Juan Capistrano,</ix:nonNumeric></span></td><td colspan="3" style="border-bottom:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityAddressStateOrProvince" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ODU3NzEzYTA4OGEyNDU5ZGI4MjdjZjBlOWRjNDA1YmIvdGFibGVyYW5nZTo4NTc3MTNhMDg4YTI0NTlkYjgyN2NmMGU5ZGM0MDViYl8xLTItMS0xLTA_3811ce4a-fa39-4646-b2f7-a48fada74545">CA</ix:nonNumeric></span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="9" style="border-bottom:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:EntityAddressPostalZipCode" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ODU3NzEzYTA4OGEyNDU5ZGI4MjdjZjBlOWRjNDA1YmIvdGFibGVyYW5nZTo4NTc3MTNhMDg4YTI0NTlkYjgyN2NmMGU5ZGM0MDViYl8xLTQtMS0xLTA_ae5a19ab-7d37-435d-9c86-0803e95cce6f">92675</ix:nonNumeric></span></td></tr><tr><td colspan="9" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:5pt;font-weight:400;line-height:100%">&#160;</span></td></tr><tr><td colspan="9" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Address of principal executive offices)</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="9" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Zip Code)</span></td></tr></table></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Registrant's telephone number, including area code: </span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">(<ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:CityAreaCode" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8xMTY5_036a8585-eaeb-4df8-b6c2-28a6b057a0b7">949</ix:nonNumeric>) <ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:LocalPhoneNumber" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8xMTcw_66780d5c-ecb1-4384-b1f9-098c8adca746">487-9500</ix:nonNumeric> </span></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Not Applicable</span></div><div style="padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">(Former name or former address, if changed since last report.)</span></div><div style="margin-top:6pt;padding-left:18pt;padding-right:18pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:</span><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.707%"><tr><td style="width:1.0%"></td><td style="width:1.979%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.973%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:94.648%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:boolballotbox" name="dei:WrittenCommunications" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6OTU1YjMyYTFjMjAyNDBiOTgxOGYzMjBhNzk1ZWE1NDMvdGFibGVyYW5nZTo5NTViMzJhMWMyMDI0MGI5ODE4ZjMyMGE3OTVlYTU0M18wLTAtMS0xLTA_19763a4f-2e15-4d8a-a4c5-4ef5f1a28a3d">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Written communications pursuant to Rule&#160;425 under the Securities Act (17 CFR 230.425)</span></td></tr><tr style="height:3pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="6" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:boolballotbox" name="dei:SolicitingMaterial" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6OTU1YjMyYTFjMjAyNDBiOTgxOGYzMjBhNzk1ZWE1NDMvdGFibGVyYW5nZTo5NTViMzJhMWMyMDI0MGI5ODE4ZjMyMGE3OTVlYTU0M18yLTAtMS0xLTA_301c4a9c-0ad5-43ce-a75f-30cf5cf6a270">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Soliciting material pursuant to Rule&#160;14a-12 under the Exchange Act (17 CFR 240.14a-12)</span></td></tr><tr style="height:3pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="6" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:boolballotbox" name="dei:PreCommencementTenderOffer" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6OTU1YjMyYTFjMjAyNDBiOTgxOGYzMjBhNzk1ZWE1NDMvdGFibGVyYW5nZTo5NTViMzJhMWMyMDI0MGI5ODE4ZjMyMGE3OTVlYTU0M180LTAtMS0xLTA_3f2b448c-301e-4b5d-80c7-ea6f99fa7f7d">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Pre-commencement communications pursuant to Rule&#160;14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</span></td></tr><tr style="height:3pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="6" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:boolballotbox" name="dei:PreCommencementIssuerTenderOffer" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6OTU1YjMyYTFjMjAyNDBiOTgxOGYzMjBhNzk1ZWE1NDMvdGFibGVyYW5nZTo5NTViMzJhMWMyMDI0MGI5ODE4ZjMyMGE3OTVlYTU0M182LTAtMS0xLTA_4255ecc3-cb85-4f28-9dfd-3833f53fc7a4">&#9744;</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Pre-commencement communications pursuant to Rule&#160;13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</span></td></tr></table></div><div style="text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:31.063%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:32.818%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:32.819%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:700;line-height:100%">Title of each class</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:700;line-height:100%">Trading Symbol(s)</span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:700;line-height:100%">Name of each exchange on which registered</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:Security12bTitle" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZjY4MTRkYjNlYWIyNDE1MWE4OTc2NDlhOThkNDRmMjcvdGFibGVyYW5nZTpmNjgxNGRiM2VhYjI0MTUxYTg5NzY0OWE5OGQ0NGYyN18xLTAtMS0xLTA_a74a4b1d-f13b-48e5-b3ea-734b54ff6c4f">Common Stock, par value $0.001 per share</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" name="dei:TradingSymbol" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZjY4MTRkYjNlYWIyNDE1MWE4OTc2NDlhOThkNDRmMjcvdGFibGVyYW5nZTpmNjgxNGRiM2VhYjI0MTUxYTg5NzY0OWE5OGQ0NGYyN18xLTEtMS0xLTA_bd293942-ed4d-452b-bc2c-f0e856348f58">ENSG</ix:nonNumeric></span></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:top"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:100%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:exchnameen" name="dei:SecurityExchangeName" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGFibGU6ZjY4MTRkYjNlYWIyNDE1MWE4OTc2NDlhOThkNDRmMjcvdGFibGVyYW5nZTpmNjgxNGRiM2VhYjI0MTUxYTg5NzY0OWE5OGQ0NGYyN18xLTItMS0xLTA_59551844-32a7-48e5-8388-97480f4db791">Nasdaq Global Select Market</ix:nonNumeric></span></td></tr></table></div><div><span><br/></span></div><div style="text-indent:24.75pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%">Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:11pt;font-weight:400;line-height:120%">&#167;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%">230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:11pt;font-weight:400;line-height:120%">&#167;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%">240.12b-2 of this chapter).</span></div><div style="text-indent:24.75pt"><span><br/></span></div><div style="text-indent:24.75pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%">Emerging growth company </span><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:120%"><ix:nonNumeric contextRef="ie3f708a8aefa446e94f3ff60236bb703_D20210527-20210527" format="ixt-sec:boolballotbox" name="dei:EntityEmergingGrowthCompany" id="id3VybDovL2RvY3MudjEvZG9jOjY3Y2RkYzY3ZGJkYjRkZDBhMTBlNDExY2IyYWI4NTNmL3NlYzo2N2NkZGM2N2RiZGI0ZGQwYTEwZTQxMWNiMmFiODUzZl8xL2ZyYWc6ZjY4ZDgyMDY0ZTY2NDUzNDk5M2ZiMTJiYzIwZjIyYWQvdGV4dHJlZ2lvbjpmNjhkODIwNjRlNjY0NTM0OTkzZmIxMmJjMjBmMjJhZF8xMTcx_4e7ca5d8-1d87-4788-a22d-7f16e26ee845">&#9744;</ix:nonNumeric></span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%"> </span></div><div style="text-indent:24.75pt"><span><br/></span></div><div style="text-indent:24.75pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:9pt;font-weight:400;line-height:120%">If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  </span><span style="color:#000000;font-family:'Arial Unicode MS',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#9744;</span><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.853%"><tr><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:19.251%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.812%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:18.813%"></td><td style="width:0.1%"></td></tr><tr style="height:3pt"><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000000;border-top:1pt solid #000000;padding:0 1pt"></td></tr></table></div><div style="margin-top:3pt;text-align:center"><span><br/></span></div><div style="height:42.75pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div><div id="i67cddc67dbdb4dd0a10e411cb2ab853f_7"></div><hr style="page-break-after:always"/><div style="min-height:42.75pt;width:100%"><div><span><br/></span></div></div><div style="margin-top:12pt;padding-right:18pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Item&#160;5.07. Submission of Matters to a Vote of Security Holders.</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%"> </span></div><div><span><br/></span></div><div style="text-align:justify;text-indent:18pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">The 2020 Annual Meeting of Stockholders (the &#8220;Annual Meeting&#8221;) of The Ensign Group, Inc. (the &#8220;Company&#8221;) was held on May 27, 2021.  The number of issued and outstanding shares of the Company&#8217;s common stock entitled to vote at the Annual Meeting was 54,953,285. These shares were issued and outstanding as of April 1, 2021, which was the record date for the Annual Meeting. There were present at the Annual Meeting, either in person or by proxy,</span><span style="color:#ee2724;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%"> </span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">51,260,088 shares of the Company&#8217;s common stock. The matters voted upon at the Annual Meeting and the results of the votes were as follows:</span></div><div><span><br/></span></div><div style="padding-left:36pt;text-indent:-13.5pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">1.</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%;padding-left:6pt">The two nominees named below were elected to serve as Class II directors of the board of directors, to serve until the 2024 Annual Meeting, until a successor is elected and qualified, and the voting rights were as follows:</span></div><div style="margin-top:5pt;text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:84.064%"><tr><td style="width:1.0%"></td><td style="width:27.943%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.669%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:21.682%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.669%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:21.682%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.669%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:21.686%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Nominee</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">For</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Against</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Abstain</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:700;line-height:100%;position:relative;top:-3.5pt;vertical-align:baseline">(a)</span></div></td></tr><tr style="height:3pt"><td colspan="3" style="border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:1pt solid #000000;padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:1pt solid #000000;padding:0 1pt"></td></tr><tr><td colspan="21" style="background-color:#cceeff;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:700;line-height:100%">Class II directors elected for a three-year term</span></td></tr><tr><td colspan="3" style="background-color:#ffffff;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Christopher R. Christensen</span></td><td colspan="3" style="background-color:#ffffff;padding:0 1pt"></td><td colspan="3" style="background-color:#ffffff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">44,728,704</span></td><td colspan="3" style="background-color:#ffffff;padding:0 1pt"></td><td colspan="3" style="background-color:#ffffff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">3,222,695</span></td><td colspan="3" style="background-color:#ffffff;padding:0 1pt"></td><td colspan="3" style="background-color:#ffffff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">5,080</span></td></tr><tr><td colspan="3" style="background-color:#cceeff;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Daren J. Shaw</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">45,014,291</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">2,935,649</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">6,539</span></td></tr><tr><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td></tr></table></div><div><span><br/></span></div><div style="padding-left:36pt;text-align:justify;text-indent:-13.5pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">2.  The selection of Deloitte &amp; Touche LLP as our independent registered public accounting firm for the year ending December 31, 2021 was ratified, and the voting results were as follows:</span></div><div style="margin-top:5pt;text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:79.970%"><tr><td style="width:1.0%"></td><td style="width:31.623%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.714%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:31.623%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.714%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:31.626%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes For</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes Against</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Abstentions</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:700;line-height:100%;position:relative;top:-3.5pt;vertical-align:baseline">(b)</span></div></td></tr><tr><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">49,356,289</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">1,897,891</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">5,908</span></td></tr></table></div><div><span><br/></span></div><div style="padding-left:36pt;text-align:justify;text-indent:-13.5pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">3.  The compensation paid to the company's named executive officers, as disclosed pursuant to Item&#160;402 of Regulation&#160;S-K, including the Compensation Discussion and Analysis, compensation tables and narrative discussion, was approved on an advisory basis, and the voting results were as follows:</span></div><div style="margin-top:5pt;text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:79.970%"><tr><td style="width:1.0%"></td><td style="width:31.623%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.714%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:31.623%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:0.714%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:31.626%"></td><td style="width:0.1%"></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes For</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Votes Against</span></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Abstentions</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:6.5pt;font-weight:700;line-height:100%;position:relative;top:-3.5pt;vertical-align:baseline">(b)</span></div></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td></tr><tr><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">45,462,537</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">2,477,947</span></td><td colspan="3" style="background-color:#cceeff;padding:0 1pt"></td><td colspan="3" style="background-color:#cceeff;border-top:1pt solid #000000;padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">15,995</span></td><td colspan="3" style="display:none"></td><td colspan="3" style="display:none"></td></tr></table></div><div style="text-align:justify"><span><br/></span></div><div style="padding-left:54pt;text-align:justify;text-indent:-18pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:120%">(a)</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:120%;padding-left:8.68pt">The number of Broker non-votes was 3,303,609. Abstentions and broker non-votes are not counted as a vote caste either &#8220;For&#8221; or &#8220;Against&#8221; each nominee&#8217;s election.</span></div><div style="padding-left:54pt;text-align:justify;text-indent:-18pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:120%">(b)</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:8pt;font-style:italic;font-weight:400;line-height:120%;padding-left:8.68pt">Abstentions were counted as shares entitled to vote and had the same effect as votes against the proposal. Broker non-votes were treated as not entitled to vote for purposes of determining approval of this proposal.</span></div><div><span><br/></span></div><div style="margin-top:10pt;padding-right:18pt;text-align:justify;text-indent:22.5pt"><span><br/></span></div><div style="margin-top:10pt;padding-right:18pt;text-align:justify;text-indent:22.5pt"><span><br/></span></div><div><span><br/></span></div><div><span><br/></span></div><div style="height:42.75pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div><div id="i67cddc67dbdb4dd0a10e411cb2ab853f_13"></div><hr style="page-break-after:always"/><div style="min-height:42.75pt;width:100%"><div><span><br/></span></div></div><div style="margin-top:12pt;padding-left:18pt;padding-right:18pt;text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">SIGNATURES</span></div><div style="text-align:center"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#160;</span></div><div style="text-indent:29.25pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.</span></div><div style="text-indent:29.25pt"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">&#160;</span></div><div style="margin-top:5pt;text-align:center"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:100.000%"><tr><td style="width:1.0%"></td><td style="width:47.993%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.613%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:47.994%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:1pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:1pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">THE ENSIGN GROUP, INC.</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">&#160;</span></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:1pt;font-style:italic;font-weight:400;line-height:100%">&#160;</span><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Dated: May 28, 2021</span></div></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:1pt;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">/s/ Chad A. Keetch</span></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:1pt solid #000000;padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Chad A. Keetch</span></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:1pt;font-style:italic;font-weight:400;line-height:100%">&#160;</span></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><span style="color:#000000;font-family:'Times New Roman',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">Chief Investment Officer</span></td></tr></table></div><div><span><br/></span></div><div style="height:42.75pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><span><br/></span></div></div></div></body></html>
[{"type": "8-K", "sequence": "1", "filename": "ensg-20210527.htm", "description": "8-K", "secsgml_size_bytes": 55025}]
{"company-data": {"conformed-name": "ENSIGN GROUP, INC", "cik": "0001125376", "assigned-sic": "8051", "irs-number": "330861263", "fiscal-year-end": "1231"}, "filing-values": {"form-type": "8-K", "act": "34", "file-number": "001-33757", "film-number": "21981007"}, "business-address": {"street1": "29222 RANCHO VIEJO RD.", "street2": "SUITE 127", "city": "SAN JUAN CAPISTRANO", "state": "CA", "zip": "92675", "phone": "(949) 487-9500"}, "mail-address": {"street1": "29222 RANCHO VIEJO RD.", "street2": "SUITE 127", "city": "SAN JUAN CAPISTRANO", "state": "CA", "zip": "92675"}, "former-company": {"former-conformed-name": "ENSIGN GROUP INC", "date-changed": "20000930"}}
ensg-20210527
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934
Date of Report (Date of earliest event reported):
May 27, 2021
The
Ensign Group, Inc
.
(Exact name of registrant as specified in its charter)
Delaware
001-33757
33-0861263
(State or other jurisdiction
of incorporation)
(Commission File Number)
(IRS Employer Identification No.)
29222 Rancho Viejo Road, Suite 127,
San Juan Capistrano,
CA
92675
(Address of principal executive offices)
(Zip Code)
Registrant's telephone number, including area code:
(
949
)
487-9500
Not Applicable
(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Title of each class
Trading Symbol(s)
Name of each exchange on which registered
Common Stock, par value $0.001 per share
ENSG
Nasdaq Global Select Market
Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (
§
230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (
§
240.12b-2 of this chapter).
Emerging growth company
☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
☐
Item 5.07. Submission of Matters to a Vote of Security Holders.
The 2020 Annual Meeting of Stockholders (the "Annual Meeting") of The Ensign Group, Inc. (the "Company") was held on May 27, 2021.  The number of issued and outstanding shares of the Company's common stock entitled to vote at the Annual Meeting was 54,953,285. These shares were issued and outstanding as of April 1, 2021, which was the record date for the Annual Meeting. There were present at the Annual Meeting, either in person or by proxy,
51,260,088 shares of the Company's common stock. The matters voted upon at the Annual Meeting and the results of the votes were as follows:
1.
The two nominees named below were elected to serve as Class II directors of the board of directors, to serve until the 2024 Annual Meeting, until a successor is elected and qualified, and the voting rights were as follows:
Votes
Votes
Nominee
For
Against
Abstain
(a)
Class II directors elected for a three-year term
Christopher R. Christensen
44,728,704
3,222,695
5,080
Daren J. Shaw
45,014,291
2,935,649
6,539
2.  The selection of Deloitte & Touche LLP as our independent registered public accounting firm for the year ending December 31, 2021 was ratified, and the voting results were as follows:
Votes For
Votes Against
Abstentions
(b)
49,356,289
1,897,891
5,908
3.  The compensation paid to the company's named executive officers, as disclosed pursuant to Item 402 of Regulation S-K, including the Compensation Discussion and Analysis, compensation tables and narrative discussion, was approved on an advisory basis, and the voting results were as follows:
Votes For
Votes Against
Abstentions
(b)
45,462,537
2,477,947
15,995
(a)
The number of Broker non-votes was 3,303,609. Abstentions and broker non-votes are not counted as a vote caste either "For" or "Against" each nominee's election.
(b)
Abstentions were counted as shares entitled to vote and had the same effect as votes against the proposal. Broker non-votes were treated as not entitled to vote for purposes of determining approval of this proposal.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
THE ENSIGN GROUP, INC.
Dated: May 28, 2021
/s/ Chad A. Keetch
Chad A. Keetch
Chief Investment Officer