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Exhibit 10.21    
    

***Text
Omitted and Filed Separately

with the Securities and Exchange Commission.

Confidential Treatment Requested

Under 17 C.F.R. Sections 200.80(b)(4)

and 230.406 

 
 

CONSIGNMENT INVENTORY AGREEMENT    
    

This
Agreement ("Agreement") is entered into this September 13, 2004 ("Effective Date") by Varian, Inc., a Delaware corporation, through its Electronics Manufacturing business, with an
office at 615 South River Drive, Tempe, Arizona 85281 ("VEM"), and Cardionet Incorporated, a CA corporation, with an office at 510 Market ST, San Diego, CA 92101 ("Customer"). 

WHEREAS,
VEM and Customer have executed or expect soon to execute a purchase agreement ("Purchase Agreement") under which VEM will manufacture and supply electronics products ("Products") to Customer;
and 

WHEREAS,
Customer may desire to provide VEM on a consignment basis, from time-to-time and at Customer's own expense, certain materials and components to be incorporated into
such Products; and 

WHEREAS,
VEM may, in its discretion, receive and maintain such Customer-furnished materials and components on a consignment basis pending consumption in the manufacturing process, subject to all terms
and conditions of this Agreement. 

NOW
THEREFORE, the Parties hereby agree as follows: 

	1.
	This
Agreement shall begin on the Effective Date and continue until terminated by either Party upon thirty (30) days written notice. Any provision of this Agreement which by its
nature is intended to survive such termination shall do so, including but not limited to paragraphs 4, 6, 8, 11, 12, 13 and 14.

	2.
	VEM
may, from time-to-time and as mutually agreed by the Parties, receive, stock and utilize Customer-owned and furnished material and components ("CFM"). All
such activity shall be exclusively governed by the terms of this Agreement and of the Purchase Agreement, whether or not specifically referenced on any Consignment Order (as defined below) or other
relevant documents.

	3.
	CFM
will be shipped to VEM only pursuant to VEM consignment purchase orders ("Consignment Orders"). Each Consignment Order shall specify the price VEM will pay Customer if and when
such CFM is consumed in VEM's manufacturing process ("Invoice Price").

	4.
	CFM
will be delivered to VEM's facility at [. . . *** . . .] expense.
[. . . *** . . .] shall be responsible for all costs of shipping, handling, and insuring CFM, and
for any applicable duties.

	5.
	VEM
shall have a reasonable period of time, but no less than thirty (30) days, to inspect CFM. VEM may reject and return any defective or non-conforming CFM at
Customer's expense.

	6.
	Customer
warrants that all CFM will be free from defects in materials and workmanship, conform with all applicable specifications, be suitable for the manufacture of Products for
Customer, and be deemed to have been purchased from a Customer approved vendor list (AVL). Customer will repair or replace any defective or non-conforming CFM both before and after its
consumption in the VEM's manufacturing process and [. . . *** . . .]. 

        ***
Confidential Treatment Requested 

	7.
	VEM
will process and control CFM in the same manner as material and components owned by VEM. VEM will use its standard cycle count systems (based upon Invoice Price) for monitoring CFM
after receipt. CFM will be stocked systemically for identification on reports and for process use.

	8.
	Customer
shall retain title and risk of loss for CFM until it is consumed by VEM in the manufacturing process. Customer shall at all times insure CFM for its replacement value. Upon
removal from consignment inventory for consumption in VEM's manufacturing process, title and risk of loss shall pass to VEM.

	9.
	VEM
will provide Customer a list of CFM consumed and remaining CFM consignment inventory on a monthly basis. Customer will invoice VEM for CFM consumed as indicated on the CFM Report.
VEM shall pay Customer the Invoice Price for consumed CFM net 30 of receipt of Customer's correct and complete invoice.

	10.
	VEM
will make commercially reasonable efforts to use CFM for the manufacture of Products under the Purchase Agreement before procuring and utilizing new materials and components for
such manufacture.

	11.
	VEM
will process CFM in accordance with VEM's standard procedures for determining and managing Excess and Obsolete Inventory ("E&O Inventory"). VEM will return CFM to Customer at
Customer's expense in a timely manner if such CFM becomes E&O Inventory, if either Party terminates this Agreement, or upon Customer's request.

	12.
	Neither
Customer nor VEM shall be liable to the other for failure to perform any obligation under this Agreement to the extent such failure to perform is due to labor unrest, riot,
war, fire, accident, weather or other natural disasters, lack of energy supplies, supplier delays, compliance with law, failure to obtain all necessary licenses, permits or approvals after reasonable
efforts, or any unforeseen circumstances or other causes beyond such party's reasonable control.

	13.
	This
Agreement shall be governed and interpreted in accordance with the laws of the State of California, excluding its rules governing conflicts of laws.

	14.
	This
Agreement and the Purchase Agreement set forth the entire agreement between VEM and Customer with respect to their subject matter and supersede all previous written or oral
agreements and understandings. This Agreement and the Purchase Agreement shall be construed so as to be consistent with each other to the maximum extent practicable; however, to the extent of any
conflict, the provisions of the Purchase Agreement shall control. This Agreement may not be amended nor may compliance with any provision herein or therein be waived, except by a written document duly
and validly executed by both parties, or in the case of a waiver, the party waiving compliance. Any part of this Agreement held to be void, invalid or unenforceable shall be treated as severable,
leaving valid the remainder. 

	CUSTOMER:	 	VARIAN, INC.	 
	

By:	

/s/ [Illegible]
	
 	

By:	

/s/ [Illegible]
	

9-13-04
	Title:	SR. V.P. Operations
	 	Title:	Vice President
	 

QuickLinks

Exhibit 10.21

CONSIGNMENT INVENTORY AGREEMENTExhibit 10.42  

$20,000,000.00  

 AMENDMENT NO. 4 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

SABINO LLC, ENSIGN SAN DIMAS LLC, ENSIGN MONTGOMERY LLC,

ENSIGN PALM I LLC, ENSIGN SONOMA LLC, ENSIGN CLOVERDALE LLC,

ENSIGN WILLITS LLC, ENSIGN PLEASANTON LLC,

24TH STREET HEALTHCARE ASSOCIATES LLC,

GLENDALE HEALTHCARE ASSOCIATES LLC,

ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.,

ROSE PARK HEALTHCARE ASSOCIATES, INC.,

LEMON GROVE HEALTH ASSOCIATES LLC,

PRESIDIO HEALTH ASSOCIATES LLC, BELL VILLA CARE ASSOCIATES LLC,

DOWNEY COMMUNITY CARE LLC, COSTA VICTORIA HEALTHCARE LLC,

WEST ESCONDIDO HEALTHCARE LLC, REDBROOK HEALTHCARE ASSOCIATES LLC,

HB HEALTHCARE ASSOCIATES LLC, NORTH MOUNTAIN HEALTHCARE LLC,

PARK WAVERLY HEALTHCARE LLC, SUNLAND HEALTH ASSOCIATES LLC,

VISTA WOODS HEALTH ASSOCIATES LLC, CITY HEIGHTS HEALTH ASSOCIATES LLC,

CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC,

C STREET HEALTH ASSOCIATES LLC, VICTORIA VENTURA HEALTHCARE LLC

RADIANT HILLS HEALTH ASSOCIATES LLC, HIGHLAND HEALTHCARE LLC,

GATE THREE HEALTHCARE LLC, SOUTHLAND MANAGEMENT LLC,

MANOR PARK HEALTHCARE LLC, NORTHERN OAKS HEALTHCARE, INC.,

SALADO CREEK SENIOR CARE, INC., MCALLEN COMMUNITY HEALTHCARE, INC.,

WELLINGTON HEALTHCARE, INC.
  (collectively, "Borrower") 

and

GENERAL ELECTRIC CAPITAL CORPORATION

("Lender") 

Amended
as of August 1, 2007 

AMENDMENT NO. 4 TO AMENDED AND

RESTATED LOAN AND SECURITY AGREEMENT  

        THIS AMENDMENT NO. 4 TO AMENDED AND RESTATED LOAN AND SECURITY AGREEMENT (this
"Amendment") is made as of this 1stday of August 2007, 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, GLENDALE HEALTHCARE
ASSOCIATES LLC, a Nevada limited liability company, ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC., a Nevada corporation,
and ROSE PARK HEALTHCARE ASSOCIATES, INC., a Nevada corporation, LEMON GROVE HEALTH ASSOCIATES
LLC, a Nevada limited liability company, PRESIDIO HEALTH ASSOCIATES LLC, a Nevada limited liability company,  BELL VILLA CARE ASSOCIATES LLC, a Nevada limited liability company, DOWNEY COMMUNITY CARE LLC, a Nevada
limited liability company, COSTA VICTORIA HEALTHCARE LLC, a Nevada limited liability company, WEST ESCONDIDO HEALTHCARE
LLC, a Nevada limited liability company, REDBROOK HEALTHCARE ASSOCIATES LLC, a Nevada limited liability company,  HB HEALTHCARE ASSOCIATES
LLC, a Nevada limited liability company, NORTH MOUNTAIN HEALTHCARE LLC, a
Nevada limited liability company, PARK WAVERLY HEALTHCARE LLC, a Nevada limited liability company, SUNLAND HEALTH ASSOCIATES
LLC, a Nevada limited liability company, VISTA WOODS HEALTH ASSOCIATES LLC, a Nevada limited liability company,  CITY HEIGHTS HEALTH ASSOCIATES
LLC, a Nevada limited liability company, CLAREMONT FOOTHILLS HEALTH ASSOCIATES
LLC, a Nevada limited liability company, C STREET HEALTH ASSOCIATES LLC, a Nevada limited liability company, and  VICTORIA VENTURA HEALTHCARE
LLC, a Nevada limited liability company, RADIANT HILLS HEALTH ASSOCIATES
LLC, a Nevada limited liability company, HIGHLAND HEALTHCARE LLC, a Nevada limited liability company,  GATE THREE HEALTHCARE LLC, a
Nevada limited liability company, SOUTHLAND MANAGEMENT LLC, Nevada limited
liability company, MANOR PARK HEALTHCARE LLC, a Nevada limited liability company, NORTHERN OAKS
HEALTHCARE, INC., a Nevada corporation, SALADO CREEK SENIOR CARE, INC., a Nevada corporation,  McALLEN COMMUNITY HEALTHCARE,
 INC., a Nevada corporation, WELLINGTON HEALTHCARE, INC., a
Nevada corporation (collectively "Borrower"), and GENERAL ELECTRIC CAPITAL CORPORATION, a Delaware
corporation ("Lender"). 

RECITALS

        A.    Pursuant
to that certain Amended and Restated Loan and Security Agreement dated as of March 25, 2004 by and between Borrower and Lender (as amended, modified and
restated from time to time, the "Loan Agreement"), the parties have established certain financing arrangements that allow funds to be borrowed from
Lender in accordance with the terms and conditions set forth in the Loan Agreement. 

        B.    The
parties now desire to amend the Loan Agreement in accordance with the terms and conditions set forth below. 

        NOW, THEREFORE, in consideration of the premises set forth above, the terms and conditions contained in this Amendment, and other good and
valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties have agreed to the following amendments to the Loan Agreement. Capitalized terms used but not defined
in this Amendment shall have the meanings that are set forth in the Loan Agreement. 

        1.    Amendment to Loan Agreement    Section 2.8(a) of the Loan
Agreement is hereby amended by deleting the existing Section 2.8(a) in its entirety and by inserting in lieu thereof the following new Section 2.8(a): 

"(a)    Subject
to Lender's right to cease making Revolving Credit Loans to Borrower upon or after any Event of Default, this Agreement shall be in effect until September 15, 2007,
unless terminated as provided in this Section 2.8 (the "Term"); provided, however, that
notwithstanding anything set forth in this Agreement to the contrary (including, without limitation, Section 6.23), in no event shall Borrower be entitled to terminate this Agreement prior to
the repayment in full of all amounts owed to Lender pursuant to the Real Estate Loan Documents." 

        2.    Confirmation of Representations and Warranties.    Borrower
hereby (a) confirms that all of the representations and warranties set forth in Article IV of the Loan Agreement are true and correct, and (b) specifically represents and warrants
to Lender that it has good and marketable title to all of its respective Collateral, free and clear of any lien or security interest in favor of any other person or entity, except as identified in  Schedule 1.39 and Schedule 4.19 to the Loan Agreement, each as updated, and as otherwise
permitted pursuant to the Loan Agreement. 

        3.    Effective Date.    This Amendment shall be effective Lender's
receipt of this Amendment executed by a duly authorized member and/or officer of each Borrower. 

        4.    Fees and Expenses.    Borrower shall be responsible for the
payment of all costs and expenses incurred by Lender in connection with the preparation of this Amendment including any and all fees and expenses of Lender's in-house counsel. 

        5.    Updated Schedules.    As a condition precedent to Lender's
agreement to enter into this Amendment, and in order for this Amendment to be effective, Borrower shall revise, update and deliver to Lender all Schedules to the Loan Agreement to update all
information as necessary to make the Schedules previously delivered correct. Borrower hereby represents and warrants that the information set forth on the attached Schedules is true and correct as of
the date of this Amendment. The attached Schedules are hereby incorporated into the Loan Agreement as if originally set forth therein. 

        6.    Enforceability.    This Amendment constitutes the legal, valid
and binding obligation of each Borrower and is enforceable against each such Borrower in accordance with its terms. 

        7.    Reference to the Effect on the Loan Agreement.    

        (a)   Upon
the effectiveness of this Amendment, each reference in the Loan Agreement to "this Agreement," "hereunder," "hereof," "herein" or words of similar import shall mean
and be a reference to the Loan Agreement as amended by this Amendment. 

        (b)   Except
as specifically amended above, the Loan Agreement and all other Loan Documents shall remain in full force and effect and are hereby ratified and confirmed. 

        (c)   The
execution, delivery and effectiveness of this Amendment shall not, except as expressly provided in this Amendment, operate as a waiver of any right, power or remedy
of Lender, nor constitute a waiver of any provision of the Loan Agreement or any other documents, instruments and agreements executed or delivered in connection with the Loan Agreement. 

        (d)   This
Amendment (together with any other document executed in connection herewith) is not intended to be, nor shall it be construed as, a novation of the Loan Agreement. 

        8.    Governing Law.    This Amendment shall be governed by and
construed in accordance with the laws of the State of Maryland. 

        9.    Headings.    Section headings in this Amendment are included for
convenience of reference only and shall not constitute a part of this Amendment for any other purpose. 

        10.    Counterparts.    This Amendment may be executed in
counterparts, and such counterparts taken together shall be deemed to constitute one and the same instrument. 

[SIGNATURES
FOLLOW] 

        IN WITNESS WHEREOF, intending to be legally bound, the parties have caused this Amendment to be executed as of the date first written
above. 

	 	 	LENDER:
	

 	
 	
GENERAL ELECTRIC CAPITAL CORPORATION

a Delaware corporation
	 	 	 	 
	

 	
 	

By:	

/s/ JOHN WORDEN

	 	 	Name: John Worden

Title: Authorized Signatory

	 	 	 	BORROWER:
	

ATTEST/WITNESS:	
 	
THE ENSIGN GROUP, INC.

a Delaware corporation
	 	 	 	 	 
	

By: By:	

/s/ ALAN J. NORMAN
 Alan J. Norman

Vice President	
 	

By:	

/s/ CHRISTOPHER R. CHRISTENSEN
 Christopher R. Christensen

President
	

 	

 	
 	
ENSIGN WHITTIER WEST LLC ENSIGN WHITTIER EAST LLC

ENSIGN PANORAMA LLC

LEMON GROVE HEALTH ASSOCIATES LLC

BELL VILLA CARE ASSOCIATES LLC

DOWNEY COMMUNITY CARE LLC

COSTA VICTORIA HEALTHCARE LLC

WEST ESCONDIDO HEALTHCARE LLC

HB HEALTHCARE ASSOCIATES LLC

VISTA WOODS HEALTH ASSOCIATES LLC

CITY HEIGHTS HEALTH ASSOCIATES LLC

C STREET HEALTH ASSOCIATES LLC

VICTORIA VENTURA HEALTH CARE LLC

GATE THREE HEALTHCARE LLC

SOUTHLAND MANAGEMENT LLC

MANOR PARK HEALTHCARE LLC
 each, a Nevada limited liability company
	

ATTEST/WITNESS:	
 	

By:	

The Flagstone Group, Inc.

Its Sole Member
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon Burnam

Treasurer	
 	

By:	

/s/ V. JAY BRADY
 V. Jay Brady

President
	

 	

 	
 	
ENSIGN SANTA ROSA LLC

ENSIGN MONTGOMERY LLC

ENSIGN CLOVERDALE LLC

ENSIGN SONOMA LLC

ENSIGN WILLITS LLC

ENSIGN PLEASANTON LLC
 each, a Nevada limited liability company
	

ATTEST/WITNESS:	
 	

By:	

Northern Pioneer Healthcare, Inc.

Its Sole Member
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon Burnam

Treasurer	
 	

By:	

/s/ CORY E. MONETTE
 Cory E. Monette

President
	 	 	 	 	 

	

 	

 	
 	
ENSIGN SAN DIMAS LLC

ENSIGN PALM I LLC

REDBROOK HEALTHCARE ASSOCIATES LLC

CLAREMONT FOOTHILLS HEALTH ASSOCIATES LLC
 each, a Nevada limited liability company
	

ATTEST/WITNESS:	
 	

By:	

Touchstone Care, Inc.

Its Sole Member
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon Burnam

Treasurer	
 	

By:	

/s/ JOHN ALBRECHTSEN
 John Albrechtsen

President
	

 	

 	
 	
ENSIGN SABINO LLC

24TH STREET HEALTHCARE ASSOCIATES LLC

GLENDALE HEALTHCARE ASSOCIATES LLC

PRESIDIO HEALTH ASSOCIATES LLC

NORTH MOUNTAIN HEALTHCARE LLC

PARK WAVERLY HEALTHCARE LLC

SUNLAND HEALTH ASSOCIATES LLC

RADIANT HILLS HEALTH ASSOCIATES LLC

HIGHLAND HEALTHCARE LLC
 each, a Nevada limited liability company
	

ATTEST/WITNESS:	
 	

By:	

Bandera Healthcare, Inc.

Its Sole Member
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon Burnam

Treasurer	
 	

By:	

/s/ MICHAEL C. DALTON
 Michael C. Dalton

President
	

 	

 	
 	
ATLANTIC MEMORIAL HEALTHCARE ASSOCIATES, INC.

ROSE PARK HEALTHCARE ASSOCIATES, INC.
 each, a Nevada corporation
	

ATTEST/WITNESS:	
 	

 	

 
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon E. Burnam	
 	

By	

/s/ CHRISTOPHER R. CHRISTENSEN
 Christopher R. Christensen

President
	 	 	 	 	 

	

 	

 	
 	
NORTHERN OAKS HEALTHCARE, INC.

SALADO CREEK SENIOR CARE, INC.

MCALLEN COMMUNITY HEALTHCARE, INC.

WELLINGTON HEALTHCARE, INC.
 each, a Nevada corporation
	

ATTEST/WITNESS:	
 	

 	

 
	 	 	 	 	 
	

By:	

/s/ SOON BURNAM
 Soon E. Burnam	
 	

By:	

/s/ CHRISTOPHER R. CHRISTENSEN
 Christopher R. Christensen

President

LIST OF SCHEDULES  

	Schedule 1.39	 	—	 	Permitted Liens
	

Schedule 4.1	
 	

—	
 	

Subsidiaries
	

Schedule 4.5	
 	

—	
 	

Litigation
	

Schedule 4.13	
 	

—	
 	

Non-Compliance with Law
	

Schedule 4.14	
 	

—	
 	

Environmental Matters
	

Schedule 4.15	
 	

—	
 	

Places of Business with patient census
	

Schedule 4.16	
 	

—	
 	

Licenses
	

Schedule 4.17	
 	

—	
 	

Stock Ownership
	

Schedule 4.19	
 	

—	
 	

Borrowings and Guarantees
	

Schedule 4.21	
 	

—	
 	

Trade Names
	

Schedule 4.22	
 	

—	
 	

Joint Ventures
	

Schedule 7.12	
 	

—	
 	

Transactions with Affiliates

SCHEDULES TO AMENDMENT NO. 4 TO

AMENDED & RESTATED LOAN AGREEMENT  

	Sched
 
	 	Description
 
	 	Matters Covered
 

	1.39	 	Permitted Liens:	 	(i)    Landlord's liens, both statutory and contractual, contained in or created by the various leases, security agreement, pledges and related documentation covering the locations described in
Schedule 4.15, but only to the extent that such liens are contractually subordinated to Lender's liens and security interests pursuant to agreements between Lender and such landlords that are satisfactory to Lender
	

 	
 	

 	
 	

(ii)    (a) The lien of the Deed of Trust and Assignment of Rents by and between Ensign Southland LLC as Trustor and Continental Wingate Associates, Inc. as Beneficiary, affecting the California Property and recorded
January 30, 2001 at Document No. 01-0161647 in the office of the Los Angeles County Recorder, securing indebtedness in the original principal amount of $7,455,100, (b) all liens created or extended in connection with that certain Second
Amended and Restated Loan Agreement for a loan in the amount of $64,692,11.67 by and among Valley Health Holdings LLC, Sky Holdings AZ LLC, Terrace Holdings AZ LLC, Plaza Health Holdings LLC, Rillito Holdings LLC, Mountainview Communitycare LLC,
Meadowbrook Health Associates LLC, Cedar Avenue Holdings LLC, Granada Investments LLC, as borrowers, and General Electric Capital Corporation, as lender, dated December 29, 2006; and (c) the lien of the Deed of Trust and Security Agreement
encumbering TEGI subsidiary Cherry Hill Health Holdings, Inc.'s Pacific Care Center facility, Hoquiam, Washington, securing a non-prepayable assumed $2,475,000 loan that existed when the property was acquired in 2006.
	

 	
 	

 	
 	

(iii)    Liens permitted to be created by Sections 6.23 and 7.1(d) of the Loan Agreement.
	

4.1	
 	

Subsidiaries:	
 	

See attached organizational chart for existing subsidiaries of The Ensign Group, Inc.
	

4.5	
 	

Pending or Threatened Litigation:	
 	

There is currently no pending or threatened litigation which the Borrower believes would materially threaten Borrower's viability or ability to repay the Obligations; further, all claims pending or threatened against the Borrower are either covered
by insurance or, to the extent they are not, Borrower believes it has accrued adequate reserves in connection therewith.
	

4.8	
 	

Defaults:	
 	

Relating to the representations in Section 4.8 of the Loan Agreement, and without admitting any default, reference is made to Schedule 4.5 above.
	

4.13	
 	

Non-compliance with Law:	
 	

To the best of the actual knowledge of the officers of Borrower, there does not currently exist any material non-compliance with applicable laws.
	

4.14	
 	

Environmental Matters:	
 	

To the best of the actual knowledge of the officers of The Ensign Group, Inc., there are no material adverse environmental matters associated with any of the properties occupied by TEGI's operating subsidiaries which require remediation or pose a
present threat of material harm or liability.
	

4.15	
 	

Places of Business with patient census:	
 	

See consolidated Schedule 4.15(a)/4.16 and Schedule 4.15(b) at the end of this Exhibit A.
	

4.16	
 	

Licenses:	
 	

The entity which currently holds or possesses the right to use the operating license for each of the facilities is as shown in consolidated Schedule 4.15(a)/4.16.
	 	 	 	 	 

	

4.17	
 	

Stock Ownership:	
 	

See separate Schedule 4.17 at the end of this Exhibit A.
	

4.19	
 	

Borrowings:	
 	

Other than normal trade creditors, some or all of the entities comprising the Borrower are currently indebted to the following creditors in the following manners and amounts:
	

 	
 	

 	
 	

    a.    General Electric Capital Corporation; $20,000,000 Revolving Credit Facility for working capital.
	

 	
 	

 	
 	

    b.    General Electric Capital Corporation; $64,692,111.67 fixed asset loan secured by Deeds of Trust encumbering the assets owned by Valley Health Holdings LLC, Sky Holdings AZ LLC, Terrace Holdings AZ LLC,
 Ensign Highland LLC, Plaza Health Holdings LLC, Rillito Holdings LLC, Mountainview Communitycare LLC, Cedar Avenue Holdings LLC and Granada Investments LLC.
	

 	
 	

 	
 	

    c.    Continental Wingate Associates, Inc.; $7,455,100 HUD-insured Loan secured by a Deed of Trust and Assignment of Rents on Ensign Southland LLC's Southland Care Center & Home facility, Norwalk,
California.
	

 	
 	

 	
 	

    d.    Wells Fargo Bank, N.A.; $2,475,000 loan secured by a Deed of Trust and Security Agreement on Cherry Hill Health Holdings, Inc.'s Pacific Care Center facility, Hoquiam, Washington.
	

4.20	
 	

Labor Disputes:	
 	

A union organizing election was held at Sonoma Healthcare Center in May, 2002 at which a majority of the approximately 60 employees classified as Housekeeping, Laundry and CNAs voted to have union representation from SEIU Local 250. On
August 30, 2004, the National Labor Relations Board certified the union. The union has requested bargaining, and bargaining is ongoing. Operations at the facility and throughout the company have not been materially disrupted by union issues at
any time since the original organizing election.
	

4.22	
 	

Joint Ventures:	
 	

None
	

7.12	
 	

Transactions with Affiliates:	
 	

Pursuant to an internal corporate restructuring the entire equity interests in various operating entities were assigned by The Ensign Group, Inc. to its several regional subsidiaries as set forth on the attached organization chart.
	

 	
 	

 	
 	

Where an affiliate of The Ensign Group, Inc. owns the real property underlying a facility, the real estate holding subsidiary and the operating subsidiary enter into a lease agreement with respect to the facility. The attached organization chart
indicates those instances where TEGI affiliates own the occupied property. The standard lease form used for such affiliate transactions has been reviewed and approved by Lender's counsel in connection with the fixed asset financing referenced in
Schedule 1.39(ii)(b) above.
	

 	
 	

 	
 	

Ensign Facility Services, Inc., a subsidiary of TEGI, has entered into separate Consulting Services Agreements with each of the operating subsidiaries listed in the attached organizational chart, to provide centralized accounting, legal, risk
management, information technology human resources and similar support and services. A standard management fee which does not exceed five percent (5%) of monthly revenues is charged for such services.

—See
Attached Schedules 4.15(a)/4.16, 4.15(b) and 4.17— 

Confidential—Schedule 4.1

The Ensign Group, Inc.

(Delaware Corporation; Qualified in California)  

	The Flagstone Group, Inc.
 
	 	Bandera Healthcare, Inc.
 
	 	Milestone Healthcare, Inc.
 

	
 	
 	

 	
 	

 
	SOUTHERN CALIFORNIA
	 	ARIZONA
	 	UTAH

	Arroyo Vista Nursing Center

City Heights Health Associates LLC

Permunitum LLC*

Atlantic Memorial Healthcare Center

Atlantic Memorial Healthcare Associates, Inc.

Brookfield Healthcare Center

Downey Community Care LLC

Moenium Holdings LLC*

Carmel Mountain. Rehabilitation & Healthcare Center

Bernardo Heights Healthcare, Inc.

CM Health Holdings LLC

Lemon Grove Care & Rehabilitation Center

Lemon Grove Health Associates LLC

Palm Terrace Healthcare & Rehabilitation Center

Gate Three Healthcare LLC

Palomar Vista Healthcare Center

West Escondido Healthcare LLC

Rose Villa Healthcare Center

Bell Villa Care Associates LLC

Moenium Holdings LLC*

Royal Court Healthcare

Ensign Whittier West LLC

Sea Cliff Healthcare Center

HB Healthcare Associates LLC

Shoreline Healthcare Center

Rose Park Healthcare Associates, Inc.

Long Beach Health Associates LLC**

Southland Care Center

Southland Management LLC

Ensign Southland LLC

Victoria Healthcare Center

Costa Victoria Healthcare LLC

Vista Knoll Specialized Care Facility

Vista Woods Health Associates LLC

Permunitum LLC*

Whittier Hills Health Care Center

Ensign Whittier East LLC	 	Catalina Healthcare Center

Presidio Health Associates LLC

Rillito Holdings LLC

Coronado Healthcare Center

North Mountain Healthcare LLC

Adipiscor LLC*

Desert Sky Health and Rehabilitation Center

Glendale Healthcare Associates LLC

Sky Holdings AZ LLC

Desert Terrace Nursing Center

24th Street Healthcare Associates LLC

Terrace Holdings AZ LLC

East Mesa Healthcare Center

Sunland Health Associates LLC

Adipiscor LLC*

Grand Court of Mesa

Brown Road Senior Housing LLC

Moenium Holdings LLC*

Greenfields Assisted Living

Greenfields Assisted Living LLC

Highland Manor Health & Rehabilitation Center

Highland Healthcare LLC

Ensign Highland LLC

North Mountain Medical & Rehabilitation Center

Radiant Hills Health Associates LLC

Valley Health Holdings LLC

Osborn Health and Rehabilitation

RenewCare of Scottsdale, Inc.

Sabino Canyon Rehabilitation and Care Center

Ensign Sabino LLC

Meadowbrook Health Associates LLC

Waverly Park Healthcare Center

Park Waverly Healthcare LLC

Adipiscor LLC*	 	Arlington Hills Healthcare Center

Avenues Healthcare, Inc.

Tenth East Holdings LLC

Draper Rehabilitation and Care Center

South Valley Healthcare, Inc.

Fort Street Health Holdings LLC***

Holladay Healthcare Center

Olympus Health, Inc.

Cottonwood Health Holdings LLC

Mt. Ogden Health & Rehabilitation Center

Washington Heights Healthcare, Inc.

                                IDAHO
 Pocatello Care and Rehabilitation Center

Pocatello Health Services, Inc.

                            Miscellaneous

(Held by The Ensign Group, Inc.)
                        SERVICE
CENTER
 Ensign Facility Services, Inc.

(Nevada Corporation; Qualified in California)
                        SELF-INSURANCE
 Standardbearer Insurance Company, Ltd.

(Cayman Islands Exempted Company)
                        SHELF
ENTITIES
 Bayshore Healthcare, Inc. 

Cardiff Healthcare, Inc. 

East Escondido Healthcare LLC 

Ensign Bellflower LLC 

Ensign Napa LLC 

Hueneme Healthcare, Inc. 

Pomerado Ranch Healthcare, Inc. 

RB Heights Health Holdings LLC 

Regal Road Health Holdings LLC 

South C Health Holdings LLC 

Trousdale Health Holdings LLC 

Walnut Grove Compuscare LLC

                                        K
EY  

Line
1: Facility Name

Line 2: Operating Entity: Held, as represented, by an operating group

Line 3: Holding Entity: All held by The Ensign Group, Inc.

	*
	Master
tenant/sublessor 
	**
	Owns
property adjacent to the facility and will hold the facility property on exercise of option to buy at lease end. 
	***
	Fort
Street has the option to buy the property in January 2008 

Unless
noted otherwise, all entities are organized in Nevada and qualified to do business where located. 

	Keystone Care, Inc.
 
	 	Northern Pioneer Healthcare, Inc.
 
	 	Touchstone Care, Inc.
 

	
 	
 	

 	
 	

 
	TEXAS
	 	NORTHERN CALIFORNIA
	 	SOUTHERN CALIFORNIA

	Cambridge Health & Rehabilitation Center

Richmond Senior Services, Inc.

Golfview Holdings LLC

Cambridge Square Retirement Center

Rosenburg Senior Living, Inc.

Avenue N Holdings LLC

Carrollton Health & Rehabilitation Center

Carrollton Heights Healthcare, Inc.

Trinity Mill Holdings LLC

Lake Village Nursing & Rehabilitation Center

Grand Villa Phx, Inc.

Verde Villa Holdings LLC

Northern Oaks Living & Rehabilitation Center

Northern Oaks Healthcare, Inc.

Salado Creek Living & Rehabilitation Center

Salado Creek Senior Care, Inc.

The Village Care Center

McAllen Community Healthcare, Inc.

Timberwood Nursing & Rehabilitation Center

Livingston Care Associates, Inc.

Polk Health Holdings LLC

Wellington Place Living & Rehabilitation Center

Wellington Healthcare, Inc.

Willow Bend Nursing & Rehabilitation Center

Town East Healthcare, Inc.

Mesquite Health Holdings LLC	 	Cloverdale Healthcare Center

Ensign Cloverdale LLC

Northbrook Nursing & Rehabilitation Center

Ensign Willits LLC

Park View Gardens at Montgomery

Ensign Montgomery LLC

Mountainview Communitycare LLC

Sonoma Healthcare Center

Ensign Sonoma LLC

Summerfield Health Care Center

Ensign Santa Rosa LLC

Ukiah Convalescent Hospital

Ensign Pleasanton LLC

                        WASHINGTON
 Emerald
Hills Healthcare Center

Lynnwood Health Services, Inc.

Snohomish Health Holdings LLC

Pacific Care Center

Hoquiam Healthcare, Inc.

Cherry Health Holdings, Inc.

Park Manor Rehabilitation Center

Manor Park Healthcare LLC

Plaza Health Holdings LLC	 	Arbor Glen Care Center

Ensign San Dimas LLC

Arrow Tree Health Holdings LLC

Brookside Healthcare Center

Redbrook Healthcare Associates LLC

Camarillo Healthcare Center

Camarillo Community Care, Inc.

Granada Investments LLC

Claremont Care Center

Claremont Foothills Health Associates LLC

Permunitum LLC*

Glenwood Care Center

C Street Health Associates LLC

Mission Care Center

Ramon Healthcare Associates, Inc.

Panorama Gardens Nursing & Rehabilitation Center

Ensign Panorama LLC

Premier Care Center for Palm Springs

Ensign Palm I LLC

Upland Rehabilitation and Care Center

Upland Community Care, Inc.

Cedar Avenue Holdings LLC

Victoria Care Center

Victoria Ventura Healthcare LLC

Consolidated Schedule 4.15(a)/4.16

Places of Business with Trade Names and Record Owner Data

(As of June 15, 2007)

(See separate Schedule 4.15(a) for Census Data) 

	Place of Business
 
	 	Address
	 	 
	 	Licensee
	 	Record Owner

	Arbor Glen Care Center	 	1033 East Arrow Highway	 	Glendora, CA 91740	 	Ensign San Dimas LLC	 	Health Care Investors III
	

Arlington Hills Healthcare Center	
 	

165 South 1000 East	
 	

Salt Lake City, UT 84102	
 	

Avenues Healthcare, Inc.	
 	

Tenth East Holdings LLC
	

Arroyo Vista Nursing Center	
 	

3022 45th Street	
 	

San Diego, CA 92105	
 	

City Heights Health Assoc LLC	
 	

OHI Asset (CA), LLC
	

Atlantic Memorial Healthcare Center	
 	

2750 Atlantic Avenue	
 	

Long Beach, CA 90806	
 	

Atlantic Memorial H'care Assoc, Inc.	
 	

RMA Land, LLC
	

Brookfield Healthcare Center	
 	

9300 Telegraph Road	
 	

Downey, CA 90240	
 	

Downey Comm'ty Care LLC	
 	

Healthcare Investors, III
	

Brookside Healthcare Center	
 	

105 Terracina Blvd.	
 	

Redlands, CA 92373	
 	

Redbrook H'care Associates LLC	
 	

James F. Cotter
	

Camarillo Healthcare Center	
 	

205 Granada Street	
 	

Camarillo, CA 93010	
 	

Camarillo Com'ty Care, Inc.	
 	

Granada Investments LLC
	

Cambridge Health & Rehabilitation Center	
 	

1106 Golfview	
 	

Richmond, TX 77469	
 	

Richmond Senior Services, Inc.	
 	

Golfview Holdings LLC
	

Cambridge Square Retirement Center	
 	

2700 Avenue N	
 	

Rosenberg, TX 77471	
 	

Rosenburg Senior Living, Inc.	
 	

Avenue N Holdings LLC
	

Carrollton Health & Rehabilitation Center	
 	

1618 Kirby Road	
 	

Carrollton, TX 75006	
 	

Carrollton Heights Healthcare, Inc.	
 	

Trinity Mill Holdings LLC
	

Claremont Care Center	
 	

219 East Foothill Blvd.	
 	

Pomona, CA 91768	
 	

Claremont F'thills Health Assoc LLC	
 	

OHI Asset (CA), LLC
	

Carmel Mtn Rehab & Healthcare Center	
 	

11895 Avenue of Industry	
 	

San Diego, CA 92128	
 	

Bernardo Heights Healthcare, Inc.	
 	

CM Holdings LLC
	

Catalina Healthcare Center	
 	

2611 North Warren Ave.	
 	

Tucson, AZ 85719	
 	

Presidio Health Associates LLC	
 	

Rillito Holdings LLC
	

Cloverdale Healthcare Center	
 	

300 Cherry Creek Road	
 	

Cloverdale, CA 95425	
 	

Ensign Cloverdale LLC	
 	

James F. Cotter
	

Coronado Healthcare Center	
 	

11411 North 19th Avenue	
 	

Phoenix, AZ 85029	
 	

North Mountain Healthcare LLC	
 	

Coronado Corporation
	

Desert Sky Health & Rehabilitation Center	
 	

5125 North 58th Avenue	
 	

Glendale, AZ 85301	
 	

Glendale H'care Associates LLC	
 	

Sky Holdings AZ LLC
	

Desert Terrace Nursing Center	
 	

2509 North 24th Street	
 	

Phoenix, AZ 85008	
 	

24th Street H'care Assoc LLC	
 	

Terrace Holdings AZ LLC
	

Draper Rehabilitation and Care Center	
 	

12702 South Fort Street	
 	

Draper, UT 84020	
 	

South Valley Healthcare, Inc.	
 	

Lone Peek Properties, Limited Liability Company
	

The Ensign Group, Inc. Ensign Facility Services, Inc.	
 	

27101 Puerta Real, Suite 450	
 	

Mission Viejo, CA 92691	
 	

N/A	
 	

Mission Ridge Associates, L.L.C.
	

East Mesa Healthcare Center	
 	

51 South 48th Street	
 	

Mesa, Arizona 85206	
 	

Sunland Health Associates LLC	
 	

LTC Partners VI, L.P.
	

Emerald Hills Healthcare Center	
 	

5821 188th Street SW	
 	

Lynnwood, WA 98037	
 	

Lynnwood Health Services, Inc.	
 	

Snohomish Health Holdings LLC
	

Glenwood Care Center	
 	

1300 North C Street	
 	

Oxnard, CA 93030	
 	

C Street Health Associates LLC	
 	

Oxnard Investments, L.P.
	

Grand Court of Mesa	
 	

262 East Brown Road	
 	

Mesa, AZ 85201	
 	

Brown Road Sr Housing LLC	
 	

Moenium Holdings LLC
	

Greenfields Assisted Living Community	
 	

723 East 2nd Avenue	
 	

Mesa, AZ 85204	
 	

Greenfields Assisted Livg LLC	
 	

Cascade Gardens Associates, L.P.
	

Highland Manor Health & Rehab Center	
 	

4635 N. 14th Street	
 	

Phoenix, AZ 85014	
 	

Highland Healthcare LLC	
 	

Ensign Highland LLC
	 	 	 	 	 	 	 	 	 

	

Holladay Healthcare Center	
 	

4782 South Holladay Blvd.	
 	

Salt Lake City, UT 84117	
 	

Olympus Health, Inc.	
 	

Cottonwood Health Holdings LLC
	

Lake Village Nursing & Rehab. Center	
 	

169 Lake Park Road	
 	

Lewisville, TX 75057	
 	

Grand Villa PHX, Inc.†	
 	

Verde Villa Holdings LLC
	

Lemon Grove Care & Rehab Center	
 	

8351 Broadway	
 	

Lemon Grove, CA 91945	
 	

Lemon Grove Health Assoc LLC	
 	

MCS PGCH LLC et al
	

Mission Care & Rehabilitation Center	
 	

4800 Delta Avenue	
 	

Rosemead, CA 91770	
 	

Ramon Healthcre Assoc, Inc.	
 	

Rosemead Assisted L.P.
	

Mt. Ogden Health and Rehabilitat'n Center	
 	

375 East 5350 South	
 	

Washington Terr., UT 84405	
 	

Washington H'ts Healthcare, Inc.	
 	

St. Benedict's Hospital
	

North Mountain Medical & Rehab Center	
 	

9155 North 3rd Street	
 	

Phoenix, AZ 85020	
 	

Radiant Hills Health Assoc LLC	
 	

Valley Health Holdings LLC
	

Northern Oaks Living & Rehab Center	
 	

2722 Old Anson Road	
 	

Abilene, TX 79603	
 	

Northern Oaks Healthcare,	
 	

James F. Cotter
	

Northbrook Nursing and Rehab Center	
 	

64 Northbrook Way	
 	

Willits, CA 95490	
 	

Ensign Willits LLC	
 	

James F. Cotter
	

Osborn Health and Rehabilitation	
 	

3333 North Civic Center Plaza	
 	

Scottsdale, AZ 85251	
 	

RenewCare of Scottsdale, Inc.	
 	

Nationwide Health Properties, Inc.
	

Pacific Care Center	
 	

3035 Cherry Street	
 	

Hoquiam, WA 98550	
 	

Hoquiam Healthcare, Inc.	
 	

Cherry Health Holdings, Inc.
	

Palm Terrace Healthcare & Rehab Center	
 	

24962 Calle Aragon	
 	

Laguna Woods, CA 92637	
 	

Gate Three Healthcare LLC	
 	

Laguna Hills Assisted I L.P.
	

Palomar Vista Healthcare Center	
 	

201 North Fig Street	
 	

Escondido, CA 92025	
 	

West Escondido Healthcare LLC	
 	

Neale A. Perkins
	

Panorama Gardens Nursing & Reh Center	
 	

9541 Van Nuys Blvd.	
 	

Panorama City, CA 91402	
 	

Ensign Panorama LLC	
 	

Vannovi Properties, LLC
	

Park Manor Rehabilitation Center	
 	

1710 Plaza Way	
 	

Walla Walla, WA 99362	
 	

Manor Park Healthcare LLC	
 	

Health Care Property Investors, Inc.
	

Park View Gardens at Montgomery	
 	

3751 Montgomery Drive	
 	

Santa Rosa, CA 95405	
 	

Ensign Montgomery LLC	
 	

Mountainview Communitycare LLC
	

Pocatello Care and Rehabilitation Center	
 	

527 Memorial Drive	
 	

Pocatello, ID 83201	
 	

Pocatello Health Services, Inc.	
 	

Portneuf Medical Center
	

Premier Care Center for Palm Springs	
 	

2990 East Ramon Road	
 	

Palm Springs, CA 92264	
 	

Ensign Palm I LLC	
 	

Coachella House, Inc.
	

Rose Villa Healthcare Center	
 	

9028 Rose Street	
 	

Bellflower, CA 90706	
 	

Bell Villa Care Associates LLC	
 	

Healthcare Investors, III
	

Royal Court Healthcare	
 	

12385 E. Washington Blvd	
 	

Whittier, CA 90606	
 	

Ensign Whittier West LLC	
 	

Whittier West, L.L.C.
	

Sabino Canyon Rehab & Care Center	
 	

5830 East Pima	
 	

Tucson, AZ 85712	
 	

Ensign Sabino LLC	
 	

Tucson-Cal Associates, LLC
	

Salado Creek Living & Rehab Center	
 	

603 Corrine	
 	

San Antonio, TX 78218	
 	

Salado Creek Senior Care, Inc.	
 	

James F. Cotter
	

Sea Cliff Healthcare Center	
 	

18811 Florida Street	
 	

Huntington Bch, CA 92648	
 	

HB Healthcare Associates LLC	
 	

Huntington Beach Convalescent Hospital Asset Corporation
	

Shoreline Healthcare Center	
 	

4029 East Anaheim St.	
 	

Long Beach, CA 90804	
 	

Rose Park H'care Associates, Inc.	
 	

Long Beach Health Associates LLC
	

Sonoma Healthcare Center	
 	

1250 Broadway	
 	

Sonoma, CA 95476	
 	

Ensign Sonoma LLC	
 	

James F. Cotter
	

Southland & Southland Living	
 	

11701 Studebaker Road	
 	

Norwalk, CA 90650	
 	

Southland Management LLC	
 	

Ensign Southland LLC
	

Summerfield Healthcare Center	
 	

280 Summerfield Road	
 	

Santa Rosa, CA 95405	
 	

Ensign Santa Rosa LLC	
 	

Summerfield Development Co.
	

Timberwood Nursing & Rehabilit'n Center	
 	

4001 Highway 59 North	
 	

Livingston, TX 77351	
 	

Livingston Care Associates, Inc.	
 	

Polk Health Holdings LLC
	 	 	 	 	 	 	 	 	 

	

Ukiah Convalescent Hospital	
 	

1349 South Dora	
 	

Ukiah, CA 95482	
 	

Ensign Pleasanton LLC	
 	

Ukiah SNF, LLC
	

Upland Rehabilitation & Care Center	
 	

1221 East Arrow Hwy	
 	

Upland, CA 91786-4911	
 	

Upland Comty Care, Inc.	
 	

Cedar Avenue Holdings LLC
	

The Village Care Center	
 	

615 No. Ware Road	
 	

McAllen, TX 78501	
 	

McAllen Comm'ty Healthcare, Inc.	
 	

James F. Cotter
	

Victoria Care Center	
 	

5445 Everglades Street	
 	

Ventura, CA 93003	
 	

Victoria Ventura Healthcare LLC	
 	

SHP Lexington, LLC
	

Victoria Healthcare Center	
 	

340 Victoria Street	
 	

Costa Mesa, CA 92627	
 	

Costa Victoria Healthcare LLC	
 	

Eugene Woods, et al
	

Vista Knoll Specialized Care Facility	
 	

2000 Westwood Road	
 	

Vista, CA 92083	
 	

Vista Woods Health Assoc LLC	
 	

OHI Asset (CA), LLC
	

Waverly Park Healthcare Center	
 	

001 N. Park Avenue	
 	

Tucson, AZ 85719	
 	

Park Waverly Healthcare LLC	
 	

Park Villa Corporation
	

Wellington Place Living & Rehab Center	
 	

1802 So. 31st	
 	

Temple, TX 76504	
 	

Wellington Healthcare, Inc.	
 	

James F. Cotter
	

Whittier Hills Healthcare Center	
 	

10426 Bogardus Avenue	
 	

Whittier, CA 90603	
 	

Ensign Whittier East LLC	
 	

Whittier East, L.L.C.
	

Willowbend Nursing & Rehab. Center	
 	

2231 Highway 80 East	
 	

Mesquite, TX 75150	
 	

Town East Healthcare, Inc.	
 	

Mesquite Health Holdings LLC

Schedule 4.15(b)—Census Data as of 7/25/2007  

	Facility
 
	 	Beds
	 	Census

	The Flagstone Group, Inc. (S.Cal)	 	 	 	 
	Atlantic Memorial	 	100	 	81
	Palm Terrace	 	99	 	84
	Sea Cliff	 	182	 	172
	Sea Cliff ALF	 	84	 	56
	Shoreline	 	75	 	68
	Victoria	 	79	 	74
	Arroyo Vista	 	53	 	48
	Carmel Mountain	 	120	 	105
	Lemon Grove	 	158	 	145
	Palomar Vista	 	74	 	67
	Vista Knoll	 	120	 	104
	Brookfield	 	70	 	66
	Rose Villa	 	53	 	50
	Royal Court	 	162	 	157
	Southland Care	 	120	 	116
	Southland Home	 	70	 	54
	Whittier Hills	 	160	 	151
	 	 	
	 	

	 	 	Subsidiary Totals	 	1779	 	1598
	 	 	
	 	

	Northern Pioneer (N.Cal & WA)	 	 	 	 
	Cloverdale	 	72	 	65
	Northbrook	 	71	 	37
	Park View	 	116	 	101
	Sonoma	 	137	 	111
	Summerfield	 	70	 	59
	Ukiah	 	58	 	52
	Emerald Hills	 	120	 	44
	Pacific Care	 	100	 	75
	Park Manor	 	79	 	64
	 	 	
	 	

	 	 	Subsidiary Totals	 	823	 	608
	 	 	
	 	

	Touchstone (S.Cal)	 	 	 	 
	Arbor Glen	 	95	 	81
	Brookside	 	97	 	90
	Camarillo	 	114	 	79
	Claremont Care	 	99	 	90
	Glenwood	 	99	 	94
	Panorama Gardens	 	149	 	142
	Premier Care	 	99	 	93
	Mission Care	 	58	 	51
	Ventura	 	187	 	151
	Upland Rehab	 	203	 	163
	 	 	
	 	

	 	 	Subsidiary Totals	 	1200	 	1034
	 	 	
	 	

	 	 	 	 	 

	Bandera Healthcare, Inc. (AZ)	 	 	 	 
	Catalina	 	102	 	91
	Sabino Canyon	 	107	 	86
	Waverly Park	 	200	 	96
	Desert Sky	 	186	 	151
	Desert Sky Assisted	 	105	 	82
	East Mesa	 	201	 	148
	Grand Court	 	174	 	168
	Greenfields	 	141	 	95
	Scottsdale	 	120	 	74
	Coronado	 	191	 	175
	Desert Terrace	 	108	 	84
	Highland Manor	 	107	 	77
	North Mountain	 	155	 	151
	 	 	
	 	

	 	 	Subsidiary Totals	 	1897	 	1478
	 	 	
	 	

	Keystone (TX, UT & ID)	 	 	 	 
	Cambridge Health and Rehab	 	118	 	79
	Cambridge Square ALF	 	44	 	37
	Carrollton Healthcare Center	 	108	 	72
	Draper Rehab & Care Center	 	89	 	No Data
	Lake Village	 	120	 	89
	Northern Oaks	 	96	 	84
	Salado Creek	 	124	 	80
	The Village	 	113	 	84
	Timberwood Nursing Home	 	120	 	92
	Wellington Place	 	140	 	86
	Willowbend Nursing & Rehab Ctr	 	162	 	71
	Arlington Hills	 	108	 	61
	Holladay	 	120	 	86
	Mt Ogden	 	108	 	52
	Pocatello Care & Rehab Ctr	 	88	 	66
	 	 	
	 	

	 	 	Subsidiary Totals	 	1658	 	1039
	 	 	
	 	

	 	The Ensign Group, Inc. Totals	 	7357	 	5757
	 	 	
	 	

Exhibit 4.16

FACILITY INFO AT-A-GLANCE  

	FACILITY

	 	Facility Legal Name
	 	PHONE
	 	FAX
	 	ADDRESS
	 	INFO 7/2007

	Arbor Glen Care Center	 	Ensign San Dimas LLC	 	(626) 963-7531	 	(626) 914-7566	 	1033 East Arrow Highway Glendora, CA 91740	 	98 SNF
	

Arlington Hills Healthcare Center	
 	

Avenues Healthcare, Inc.	
 	

(801) 322-5521	
 	

(801) 322-0934	
 	

165 South 1000 East

Salt Lake City, UT 84102	
 	

108 SNF
	

Arroyo Vista Nursing Center	
 	

City Heights Health Assoc LLC	
 	

(619) 283-5855	
 	

(619) 284-6327	
 	

3022 45th Street

San Diego, CA 92105	
 	

53 SNF
	

Atlantic Memorial Healthcare Center	
 	

Atlantic Memorial H'care Assoc, Inc.	
 	

(562) 424-8101	
 	

(562) 424-9041	
 	

2750 Atlantic Avenue

Long Beach, CA 90806	
 	

109 SNF
	

Brookfield Healthcare Center	
 	

Downey Comm'ty Care LLC	
 	

(562) 869-2567	
 	

(562) 869-8788	
 	

9300 Telegraph Road Downey, CA 90240	
 	

70 SNF
	

Brookside Healthcare Center	
 	

Redbrook H'care Associates LLC	
 	

(909) 793-2271	
 	

(909) 792-6477	
 	

105 Terracina Blvd. Redlands, CA 92373	
 	

97 SNF
	

Camarillo Healthcare Center	
 	

Camarillo Com'ty Care, Inc.	
 	

(805) 482-9805	
 	

(805) 388-8242	
 	

205 Granada Street Camarillo, CA 93010	
 	

114 SNF
	

Cambridge Health & Rehabilitation Ctr	
 	

Richmond Senior Services, Inc.	
 	

(281) 344-9191	
 	

(281) 344-9320	
 	

1106 Golfview

Richmond, TX 77469	
 	

118 SNF
	

Cambridge Square Retirement Center	
 	

Rosenburg Senior Living, Inc.	
 	

(281) 344-8444	
 	

(281) 344-1050	
 	

2700 Avenue N

Rosenberg, TX 77471	
 	

44 ALF
	

Carrollton Health & Rehabilitation Ctr	
 	

Carrollton Heights Healthcare, Inc.	
 	

(972) 245-1573	
 	

(972) 245-6082	
 	

1618 Kirby Road

Carrollton, TX 75006	
 	

120 SNF
	

Claremont Care Center	
 	

Claremont F'thills Health Assoc LLC	
 	

(909) 593-1391	
 	

(909) 596-8319	
 	

219 East Foothill Blvd. Pomona, CA 91768	
 	

99 SNF
	

Carmel Mtn Rehab & Healthcare Center	
 	

Bernardo Heights Healthcare, Inc.	
 	

(858) 673-0101	
 	

(858) 673-8320	
 	

11895 Avenue of Industry San Diego, CA 92128	
 	

120 SNF
	

Catalina Healthcare Center	
 	

Presidio Health Associates LLC	
 	

(520) 795-9574	
 	

(520) 321-4983	
 	

2611 North Warren Ave. Tucson, AZ 85719	
 	

102 SNF
	

Cloverdale Healthcare Center	
 	

Ensign Cloverdale LLC	
 	

(707) 894-5201	
 	

(707) 894-9324	
 	

300 Cherry Creek Road Cloverdale, CA 95425	
 	

72 SNF
	

Coronado Healthcare Center	
 	

North Mountain Healthcare LLC	
 	

(602) 256-7500	
 	

(602) 943-7697	
 	

11411 North 19th Avenue Phoenix, AZ 85029	
 	

185 SNF
	

Desert Sky Health & Rehabilitation Ctr	
 	

Glendale H'care Associates LLC	
 	

(623) 931-5800	
 	

(623) 931-8776	
 	

5125 North 58th Avenue Glendale, AZ 85301	
 	

189 SNF

103 ALF
	

Desert Terrace Nursing Center	
 	

24th Street H'care Assoc LLC	
 	

(602) 273-1347	
 	

(602) 273-6260	
 	

2509 North 24th Street Phoenix, AZ 85008	
 	

108 SNF
	

Draper Rehabilitation and Care Center	
 	

South Valley Healthcare, Inc.	
 	

(801) 571-2704	
 	

(801) 571-8921	
 	

12702 South Fort Street Draper, UT 84020	
 	

89 SNF
	

East Mesa Healthcare Center	
 	

Sunland Health Associates LLC	
 	

(480) 832-8333	
 	

(480) 830-2466	
 	

51 South 48th Street

Mesa, Arizona 85206	
 	

188 SNF
	

Emerald Hills Healthcare Center	
 	

Lynnwood Health Services, Inc.	
 	

(425) 776-5512	
 	

(425) 776-3230	
 	

5821 188th Street SW Lynnwood, WA 98037	
 	

95 SNF
	

Glenwood Care Center	
 	

C Street Health Associates LLC	
 	

(805) 983-0305	
 	

(805) 983-2514	
 	

1300 North C Street

Oxnard, CA 93030	
 	

99 SNF
	

Grand Court of Mesa	
 	

Brown Road Sr Housing LLC	
 	

(480) 844-7336	
 	

(480) 844-7045	
 	

262 East Brown Road

Mesa, AZ 85201	
 	

117 ILF

50 SC
	 	 	 	 	 	 	 	 	 	 	 

	

Greenfields Assisted Living Comm'ty	
 	

Greenfields Assisted Livg LLC	
 	

(480) 649-3911	
 	

(480) 649-1330	
 	

723 East 2nd Avenue

Mesa, AZ 85204	
 	

141 ALF
	

Highland Manor Health & Rehab Center	
 	

Highland Healthcare LLC	
 	

(602) 264-9039	
 	

(602) 264-1017	
 	

4635 N. 14th Street

Phoenix, AZ 85014	
 	

107 SNF
	

Holladay Healthcare Center	
 	

Olympus Health, Inc.	
 	

(801) 277-7002	
 	

(801) 272-0622 4782	
 	

South Holladay Blvd.

Salt Lake City, UT 84117	
 	

120 SNF
	

Lake Village Nursing & Rehab. Center	
 	

Grand Villa PHX, Inc.	
 	

(972) 436-7571	
 	

(972) 221-4187	
 	

169 Lake Park Road Lewisville, TX 75057	
 	

120 SNF
	

Lemon Grove Care & Rehab Center	
 	

Lemon Grove Health Assoc LLC	
 	

(619) 463-0294	
 	

(619) 461-1064	
 	

8351 Broadway

Lemon Grove, CA 91945	
 	

158 SNF
	

Mission Care & Rehabilitation Center	
 	

Ramon Healthcre Assoc, Inc.	
 	

(626) 607-2400	
 	

(626) 607-2490	
 	

4800 Delta Avenue Rosemead, CA 91770	
 	

59 SNF
	

Mt. Ogden Health and Rehabilitat'n Ctr	
 	

Washington H'ts Healthcare, Inc.	
 	

(801) 479-5700	
 	

(801) 476-8913	
 	

375 East 5350 South Washington Terr., UT 84405	
 	

108 SNF
	

North Mountain Medical & Rehab Ctr	
 	

Radiant Hills Health Assoc LLC	
 	

(602) 944-1666	
 	

(602) 944-8549	
 	

9155 North 3rd Street Phoenix, AZ 85020	
 	

155 SNF
	

Northern Oaks Living & Rehab Center	
 	

Northern Oaks Healthcare, Inc.	
 	

(325) 676-1677	
 	

(325) 676-3941	
 	

2722 Old Anson Road Abilene, TX 79603	
 	

96 SNF

0 ALF
	

Northbrook Nursing and Rehab Center	
 	

Ensign Willits LLC	
 	

(707) 459-5592	
 	

(707) 459-4727	
 	

64 Northbrook Way

Willits, CA 95490	
 	

72 SNF
	

Osborn Health and Rehabilitation	
 	

RenewCare of Scottsdale, Inc.	
 	

(480) 994-1333	
 	

(480) 990-3895	
 	

3333 North Civic Ctr Plaza Scottsdale, AZ 85251	
 	

130 SNF
	

Pacific Care Center	
 	

Hoquiam Healthcare, Inc.	
 	

(360) 532-7882	
 	

(360) 537-7216	
 	

3035 Cherry Street

Hoquiam, WA 98550	
 	

109 SNF
	

Palm Terrace Healthcare & Rehab Ctr	
 	

Gate Three Healthcare LLC	
 	

(949) 587-9000	
 	

(949) 951-3174	
 	

24962 Calle Aragon

Laguna Woods, CA 92637	
 	

99 SNF
	

Palomar Vista Healthcare Center	
 	

West Escondido Healthcare LLC	
 	

(760) 746-0303	
 	

(760) 738-1749	
 	

201 North Fig Street Escondido, CA 92025	
 	

74 SNF
	

Panorama Gardens Nursing & Reh Ctr	
 	

Ensign Panorama LLC	
 	

(818) 893-6385	
 	

(818) 893-2924	
 	

9541 Van Nuys Blvd. Panorama City, CA 91402	
 	

151 SNF
	

Park Manor Rehabilitation Center	
 	

Manor Park Healthcare LLC	
 	

(509) 529-4218	
 	

(509) 522-1729	
 	

1710 Plaza Way

Walla Walla, WA 99362	
 	

79 SNF
	

Park View Gardens at Montgomery	
 	

Ensign Montgomery LLC	
 	

(707) 525-1250	
 	

(707) 525-0159	
 	

3751 Montgomery Drive Santa Rosa, CA 95405	
 	

122 SNF
	

Pocatello Care and Rehabilitation Ctr	
 	

Pocatello Health Services, Inc.	
 	

(208) 478-3333	
 	

(208) 478-3331	
 	

527 Memorial Drive Pocatello, ID 83201	
 	

88 SNF
	

Premier Care Center for Palm Springs	
 	

Ensign Palm I LLC	
 	

(760) 323-2638	
 	

(760) 323-1723	
 	

2990 East Ramon Road

Palm Springs, CA 92264	
 	

99 SNF
	

Rose Villa Healthcare Center	
 	

Bell Villa Care Associates LLC	
 	

(562) 925-4252	
 	

(562) 925-1130	
 	

9028 Rose Street

Bellflower, CA 90706	
 	

53 SNF
	

Royal Court Healthcare	
 	

Ensign Whittier West LLC	
 	

(562) 693-7701	
 	

(562) 693-6037 12385	
 	

E. Washington Blvd

Whittier, CA 90606	
 	

162 SNF
	

Sabino Canyon Rehab & Care Center	
 	

Ensign Sabino LLC	
 	

(520) 722-5515	
 	

(520) 886-8082	
 	

5830 East Pima

Tucson, AZ 85712	
 	

112 SNF
	

Salado Creek Living & Rehab Center	
 	

Salado Creek Senior Care, Inc.	
 	

(210) 824-7331	
 	

(210) 824-1334	
 	

603 Corrine

San Antonio, TX 78218	
 	

120 SNF
	

Sea Cliff Healthcare Center	
 	

HB Healthcare Associates LLC	
 	

(714) 847-3515	
 	

(714) 847-4315	
 	

18811 Florida Street Huntington Bch, CA 92648	
 	

182 S/I

84 ALF
	

Shoreline Healthcare Center	
 	

Rose Park H'care Associates, Inc.	
 	

(562) 494-4421	
 	

(562) 494-2731	
 	

4029 East Anaheim St.

Long Beach, CA 90804	
 	

75 SNF
	 	 	 	 	 	 	 	 	 	 	 

	

Sonoma Healthcare Center	
 	

Ensign Sonoma LLC	
 	

(707) 938-8406	
 	

(707) 938-4400	
 	

1250 Broadway

Sonoma, CA 95476	
 	

144 SNF
	

Southland & Southland Living	
 	

Southland Management LLC	
 	

(562) 868-9761	
 	

(562) 863-0336	
 	

11701 Studebaker Road Norwalk, CA 90650	
 	

120 SNF

75 ALF
	

Summerfield Healthcare Center	
 	

Ensign Santa Rosa LLC	
 	

(707) 539-1515	
 	

(707) 539-0630	
 	

1280 Summerfield Road Santa Rosa, CA 95405	
 	

70 SNF
	

Timberwood Nursing & Rehabilit'n Ctr	
 	

Livingston Care Associates, Inc.	
 	

(936) 327-4446	
 	

(936) 327-8435	
 	

4001 Highway 59

North Livingston, TX 77351	
 	

120 SNF
	

Ukiah Convalescent Hospital	
 	

Ensign Pleasanton LLC	
 	

(707) 462-8864	
 	

(707) 462-0718 1349	
 	

South Dora

Ukiah, CA 95482	
 	

57 SNF
	

Upland Rehabilitation & Care Center	
 	

Upland Comty Care, Inc.	
 	

(909) 985-1903	
 	

(909) 949-4975	
 	

1221 East Arrow Hwy Upland, CA 91786-4911	
 	

206 SNF
	

The Village Care Center	
 	

McAllen Comm'ty Healthcare, Inc.*	
 	

(956) 664-8900	
 	

(956) 664-8906	
 	

615 No. Ware Road McAllen, TX 78501	
 	

114 SNF
	

Victoria Care Center	
 	

Victoria Ventura Healthcare LLC	
 	

(805) 642-1736	
 	

(805) 639-3198	
 	

5445 Everglades Street Ventura, CA 93003	
 	

188 SNF
	

Victoria Healthcare Center	
 	

Costa Victoria Healthcare LLC	
 	

(949) 642-0387	
 	

(949) 646-0313	
 	

340 Victoria Street

Costa Mesa, CA 92627	
 	

79 SNF
	

Vista Knoll Specialized Care Facility	
 	

Vista Woods Health Assoc LLC	
 	

(760) 630-2273	
 	

(760) 630-0913	
 	

2000 Westwood Road

Vista, CA 92083	
 	

119 SNF
	

Waverly Park Healthcare Center	
 	

Park Waverly Healthcare LLC	
 	

(520) 882-6151	
 	

(520) 620-1547	
 	

2001 N. Park Avenue Tucson, AZ 85719	
 	

200 SNF
	

Wellington Place Living & Rehab Ctr	
 	

Wellington Healthcare, Inc.	
 	

(254) 778-4231	
 	

(254) 778-2877	
 	

1802 So. 31st

Temple, TX 76504	
 	

140 SNF
	

Whittier Hills Healthcare Center	
 	

Ensign Whittier East LLC	
 	

(562) 947-7817	
 	

(562) 943-5347	
 	

10426 Bogardus Avenue Whittier, CA 90603	
 	

160 SNF
	

Willowbend Nursing & Rehab. Center	
 	

Town East Healthcare, Inc.	
 	

(972) 279-3601	
 	

(972) 613-4539	
 	

2231 Highway 80 East Mesquite, TX 75150	
 	

162 SNF

Schedule 4.17 

CONFIDENTIAL

	The Ensign Group, Inc.

Significant Shareholders	 	Balance July 2006	 	 	% Ownership
	

Count	
 	

 	
 	

 	
 	

 	
 
	1	 	Roy Christensen	 	3,910,000	 	22.12	%
	2	 	Christopher R. Christensen and Terri M. Christensen as Co-Trustees of the Christensen Family Trust dated 10/24/05	 	3,893,000	 	22.02	%
	3	 	Gregory K. Stapley & Deborah S. Stapley as Co-trustees of the Stapley Family Trust uad 04/25/06	 	1,180,000	 	6.68	%
	4	 	Jay Brady	 	720,000	 	4.07	%
	5	 	Richard Toolson	 	600,000	 	3.39	%
	6	 	Alan Norman	 	309,000	 	1.75	%
	7	 	Blalack Trust	 	292,000	 	1.65	%
	8	 	Gordon Buechs	 	120,400	 	0.68	%
	9	 	Thomas Maloof	 	120,000	 	0.68	%
	11	 	Cory Monette	 	76,000	 	0.43	%
	12	 	David Sedgwick	 	45,500	 	0.26	%
	13	 	Mike Dalton	 	45,500	 	0.26	%
	14	 	Antoinette Hubenette	 	30,000	 	0.17	%
	15	 	John Albrechtsen	 	24,500	 	0.14	%
	16	 	Barry Port	 	9,500	 	0.05	%
	17	 	Other	 	2,315,200	 	13.10	%
	

 	
 	

Common shares issued	
 	

13,690,600	
 	

 	
 
	

 	
 	

Common shares reserved for issuance under 2001 Incentive Plan	
 	

495,000	
 	

2.80	
%
	

 	
 	

Common shares reserved for issuance under 2005 Incentive Plan	
 	

749,000	
 	

4.24	
%
	

 	
 	

Preferred shares (Common Share equivalent)	
 	

2,741,180	
 	

15.51	
%
	 	 	 	 	
	 	 	 
	 	 	Total Shares Outstanding	 	17,675,780	 	100.00	%

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