0001047469-07-007452 Sample Contracts

THE ENSIGN GROUP, INC. INDEMNIFICATION AGREEMENT
Indemnification Agreement • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • Delaware

THIS INDEMNIFICATION AGREEMENT (this "Agreement") is effective as of , by and between The Ensign Group, Inc., a Delaware corporation (the "Company"), and (the "Indemnitee").

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THE ENSIGN GROUP, INC. RESTRICTED STOCK AWARD AGREEMENT
Restricted Stock Award Agreement • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • Delaware

This RESTRICTED STOCK AWARD AGREEMENT (the "Agreement") is made this day of , , by and between The Ensign Group, Inc., a Delaware corporation (the "Company") and , an individual resident of , ("Participant"). All capitalized terms used herein but not defined herein shall have the meanings given to them in The Ensign Group, Inc. 2007 Omnibus Incentive Plan (the "Plan").

THE ENSIGN GROUP, INC. NON-INCENTIVE STOCK OPTION AGREEMENT
Non-Incentive Stock Option Agreement • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • Delaware

This NON-INCENTIVE STOCK OPTION AGREEMENT (the "Agreement") is made this day of , by and between The Ensign Group, Inc., a Delaware corporation (the "Company") and , an individual resident of , ("Optionee"). All capitalized terms used herein but not defined herein shall have the meanings given to them in The Ensign Group, Inc. 2007 Omnibus Incentive Plan (the "Plan").

AGREEMENT OF PURCHASE AND SALE AND JOINT ESCROW INSTRUCTIONS
Agreement of Purchase and Sale • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • California

This Agreement of Purchase and Sale and Joint Escrow Instructions dated August 31, 2007 ("Agreement") is entered into by and between Ensign Bellflower LLC, a Nevada limited liability company, ("Ensign"), Trousdale Health Holdings LLC, a Nevada limited liability company ("Trousdale"), and Moenium Holdings LLC, a Nevada limited liability company ("Moenium", and together with Ensign and Trousdale, collectively, jointly, and severally, the "Buyer"), and Health Care Investors III, a California general partnership ("HCI") and Health Care Property Investors, Inc., a Maryland corporation dba in Arizona as HC Properties, Inc. ("HCPI", and together with HCI, collectively, jointly and severally, the "Seller").

AMENDMENT NO. 5 TO AMENDED AND RESTATED LOAN AND SECURITY AGREEMENT originally dated as of March 25, 2004 by and among THE ENSIGN GROUP, INC., ENSIGN WHITTIER WEST LLC, ENSIGN WHITTIER EAST LLC, ENSIGN SANTA ROSA LLC, ENSIGN PANORAMA LLC, ENSIGN...
Loan and Security Agreement • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • Maryland

THIS AMENDMENT NO. 5 TO AMENDED AND RESTATED LOAN AND SECURITY AGREEMENT (this "Amendment") is made as of this 13th day of September, 2007 (the "Effective Date"), by and among THE ENSIGN GROUP, INC., a Delaware corporation, ENSIGN WHITTIER WEST LLC, a Nevada limited liability company, ENSIGN WHITTIER EAST LLC, a Nevada limited liability company, ENSIGN SANTA ROSA LLC, a Nevada limited liability company, and ENSIGN PANORAMA LLC, a Nevada limited liability company, ENSIGN SABINO LLC, a Nevada limited liability company, ENSIGN SAN DIMAS LLC, a Nevada limited liability company, ENSIGN MONTGOMERY LLC, a Nevada limited liability company, ENSIGN CLOVERDALE LLC, a Nevada limited liability company, ENSIGN PALM I LLC, a Nevada limited liability company, ENSIGN SONOMA LLC, a Nevada limited liability company, ENSIGN WILLITS LLC, a Nevada limited liability company, ENSIGN PLEASANTON LLC, a Nevada limited liability company, 24th STREET HEALTHCARE ASSOCIATES LLC, a Nevada limited liability company, G

SECOND AMENDMENT TO LEASE (Mission Ridge)
Lease • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities

THIS SECOND AMENDMENT TO LEASE ("Second Amendment") is made and entered into as of the day of October, 2007, by and between MISSION RIDGE ASSOCIATES LLC, a Delaware limited liability company ("Landlord"), and ENSIGN FACILITY SERVICES, INC., a Nevada corporation ("Tenant").

REVOLVING CREDIT NOTE
Revolving Credit Note • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities

FOR VALUE RECEIVED, each of the undersigned THE ENSIGN GROUP, INC., a Delaware corporation, ENSIGN WHITTIER WEST LLC a Nevada limited liability company, ENSIGN WHITTIER EAST LLC, a Nevada limited liability company, ENSIGN SANTA ROSA LLC, a Nevada limited liability company, and ENSIGN PANORAMA LLC, a Nevada limited liability company, ENSIGN SABINO LLC, a Nevada limited liability company, ENSIGN SAN DIMAS LLC, a Nevada limited liability company, ENSIGN MONTGOMERY LLC, a Nevada limited liability company, ENSIGN CLOVERDALE LLC, a Nevada limited liability company, ENSIGN PALM I LLC, a Nevada limited liability company, ENSIGN SONOMA LLC, a Nevada limited liability company, ENSIGN WILLITS LLC, a Nevada limited liability company, ENSIGN PLEASANTON LLC, a Nevada limited liability company, 24th STREET HEALTHCARE ASSOCIATES LLC, a Nevada limited liability company, GLENDALE HEALTHCARE ASSOCIATES LLC, a Nevada limited liability company, ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC., a Nevada corpor

] Shares THE ENSIGN GROUP, INC. COMMON STOCK UNDERWRITING AGREEMENT
Underwriting Agreement • October 5th, 2007 • Ensign Group, Inc • Services-skilled nursing care facilities • New York
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