Document:

EX-10.7

 Exhibit 10.7 

EMPLOYEE MATTERS AGREEMENT 
 BY
AND BETWEEN THE ENSIGN GROUP, INC. AND 
 CARETRUST REIT, INC. 

 EMPLOYEE MATTERS AGREEMENT 

This EMPLOYEE MATTERS AGREEMENT (this “Agreement”), dated as of
                    , 2014 is by and between THE ENSIGN GROUP, INC., a Delaware corporation (“Ensign”) and CARETRUST
REIT, INC., a Maryland corporation and a direct, wholly owned subsidiary of Ensign (“CareTrust”). Ensign and CareTrust are sometimes referred to herein individually as a “Party,” and collectively as the
“Parties.” 
 WHEREAS, the board of directors of Ensign has determined that it is advisable and in the best interests of
Ensign and its stockholders to reorganize the assets and liabilities of Ensign into two companies: (i) Ensign which, following consummation of the transactions contemplated herein, will own and conduct a healthcare services business; and
(ii) CareTrust which, following consummation of the transactions contemplated herein, will own and conduct a healthcare real estate business; 

WHEREAS, in furtherance thereof, Ensign and CareTrust have entered into that certain Separation and Distribution Agreement dated
                    , 2014 (the “Separation Agreement”); and 

WHEREAS, as contemplated by the Separation Agreement, Ensign and CareTrust desire to enter into this Agreement to provide for the allocation
of assets, Liabilities, and responsibilities with respect to certain matters relating to employees (including employee compensation and benefit plans and programs) between them. 

NOW, THEREFORE, the Parties, intending to be legally bound, agree as follows: 

ARTICLE I 

DEFINITIONS 

Capitalized terms used but not defined herein shall have the meaning ascribed to them in the Separation Agreement. For purposes of this
Agreement the following terms shall have the following meanings: 
 1.1 “CareTrust 401(k) Plan” means the tax-qualified
401(k) defined contribution savings plan to be established by CareTrust or a CareTrust Group member prior to the Effective Time. 
 1.2
“CareTrust Employee,” means any individual who, as of the Effective Time, is either actively employed by or then on a short-term leave of absence from CareTrust or a CareTrust Group member (including maternity, paternity, family,
sick, short-term disability leave, qualified military service under the Uniformed Services Employment and Reemployment Rights Act of 1994, and leave under the Family Medical Leave Act and other approved leaves) or who is so employed by Ensign or an
Ensign Group member and who is primarily engaged in providing services to the CareTrust Business as of the date hereof. A list of the CareTrust Employees is set forth on Schedule 1.2. 

1.3 “CareTrust Health and Welfare Plans” has the meaning set forth in Section 4.1. 

 1.4 “CareTrust Incentive Award Plan” means the CareTrust REIT, Inc. and
CareTrust Partnership, L.P. Incentive Award Plan adopted or to be adopted by CareTrust and CareTrust Partnership, L.P. prior to the Effective Time. 

1.5 “CareTrust Participant” means any individual who is a CareTrust Employee or a Former CareTrust Employee, and any
beneficiary, dependent, or alternate payee of such individual, as the context requires. 
 1.6 “Effective Time” has the
meaning set forth in the Separation Agreement. 
 1.7 “Ensign Defined Contribution Plan” means the Ensign Services, Inc.
401(k) Retirement Savings Plan. 
 1.8 “Ensign Employee” means any individual who, as of the Effective Time, is either
actively employed by or then on a leave of absence from Ensign or an Ensign Group member (including maternity, paternity, family, sick, short-term or long-term disability leave, qualified military service under the Uniformed Services Employment and
Reemployment Rights Act of 1994, and leave under the Family Medical Leave Act and other approved leaves), but does not include any CareTrust Employee. 

1.9 “Ensign Equity-Based Plans” means The Ensign Group, Inc. 2001 Stock Option, Deferred Stock and Restricted Stock Plan, The
Ensign Group, Inc. 2005 Stock Incentive Plan and The Ensign Group, Inc. 2007 Omnibus Incentive Plan, each as amended from time to time. 

1.10 “Ensign Health and Welfare Plans” means the health and welfare plans sponsored and maintained by Ensign or any Ensign
Group member immediately prior to the Effective Time which provide group health, life, dental, accidental death and dismemberment, health care reimbursements, dependent care assistance and disability benefits. 

1.11 “Ensign Option” means an option to purchase shares of Ensign Common Stock granted by Ensign prior to the Effective Time
pursuant to an Ensign Equity-Based Plan. 
 1.12 “Ensign Participant” means any individual who is an Ensign Employee or a
Former Ensign Employee, and any beneficiary, dependent, or alternate payee of such individual, as the context requires. 
 1.13
“ERISA” means the Employee Retirement Income Security Act of 1974, as amended. Reference to a specific provision of ERISA also includes any proposed, temporary, or final regulation in force under that provision. 

1.14 “Former Ensign Employee” means any individual other than a Former CareTrust Employee whose employment with either Party
or any of its respective Subsidiaries and Affiliates terminated for any reason before the Effective Time. 
 1.15 “Former CareTrust
Employee,” means any individual whose employment with either Party or any of its respective Subsidiaries and Affiliates terminated for any reason before the Effective Time, and who was primarily engaged in providing services to the
CareTrust Business as of the date of his or her termination of employment. 

  
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 1.16 “Participating Company” means (a) Ensign and (b) any Person
(other than an individual) that Ensign has approved for participation in, and which is participating in, a Plan. 
 1.17
“Plan,” when immediately preceded by “Ensign,” means any plan, policy, program, payroll practice, on-going arrangement, contract, trust, insurance policy or other agreement or funding vehicle (including an Ensign Health
and Welfare Plan) for which the eligible classes of participants include employees or former employees of Ensign or an Ensign Group member (which may include employees of CareTrust Group members prior to the Effective Time), and when immediately
preceded by “CareTrust,” means any plan, policy, program, payroll practice, on-going arrangement, contract, trust, insurance policy or other agreement or funding vehicle (including a CareTrust Health and Welfare Plan) for which the
eligible classes of participants are limited to employees or former employees (and their eligible dependents) of CareTrust or a CareTrust Group member, but no other Ensign Group member. 

1.18 “Purging Distribution” means the dividend CareTrust will declare to its stockholders, in connection with its election to
be taxed as a real estate investment trust (a “REIT”) for U.S. federal income tax purposes, to distribute any accumulated earnings and profits relating to its real property assets and attributable to any pre-REIT years to comply
with certain REIT qualification requirements. 
 1.19 “Restricted Stock Award,” when immediately preceded by
“Ensign,” means a share of Ensign Common Stock granted by Ensign prior to the Effective Time pursuant to an Ensign Equity-Based Plan which is subject to vesting and forfeiture restrictions and when immediately preceded by
“CareTrust,” means a share of CareTrust Common Stock, which is granted pursuant to the CareTrust Incentive Award Plan as part of the adjustment to Ensign Restricted Stock Awards as set forth in Section 5.2 which is subject to vesting
and forfeiture restrictions. 
 ARTICLE II 

TRANSFER OF CARETRUST EMPLOYEES; GENERAL PRINCIPLES 

2.1 Transfer of Employment of Certain CareTrust Employees. Ensign and CareTrust will cause the employment of each CareTrust
Employee who is not employed by a CareTrust Group member as of the date hereof to be transferred to a CareTrust Group member prior to the Effective Time. Such individuals are separately identified on Schedule 1.2. 

2.2 Assumption and Retention of Liabilities. Ensign and CareTrust intend that employment-related Liabilities associated with
Ensign Participants are to be retained or assumed by Ensign or another Ensign Group member, and employment-related Liabilities associated with CareTrust Participants are to be assumed by CareTrust or another CareTrust Group member, in each case,
except as specifically set forth herein. Accordingly, as of the Effective Time: 
 (a) Ensign or another member of the Ensign Group
hereby retains or assumes and agrees to pay, perform, fulfill, and discharge, except as expressly provided in this Agreement, (i) all Liabilities arising under or related to Ensign Plans, (ii) all employment or service-related Liabilities
with respect to (A) all Ensign Participants and (B) any individual who 

  
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is, or was, an independent contractor, temporary employee, temporary service worker, consultant, freelancer, agency employee, leased employee, on-call worker, incidental worker, or non-payroll
worker or in any other employment or similar relationship primarily connected to Ensign or another Ensign Group member and (iii) any Liabilities expressly transferred to an Ensign Group member under this Agreement; and 

(b) CareTrust or another member of the CareTrust Group hereby retains or assumes and agrees to pay, perform, fulfill, and discharge, except as
expressly provided in this Agreement, (i) all Liabilities arising under or related to CareTrust Plans from and after the Effective Time, (ii) all employment or service-related Liabilities relating to periods from and after the Effective
Time with respect to (A) all CareTrust Participants and (B) any individual who is, or was, an independent contractor, temporary employee, temporary service worker, consultant, freelancer, agency employee, leased employee, on-call worker,
incidental worker, or non-payroll worker or in any other employment or similar relationship primarily connected to CareTrust or another CareTrust Group member and (iii) any Liabilities expressly transferred to a CareTrust Group member under
this Agreement. 
 2.3 CareTrust Participation in the Ensign Plans. Effective as of the Effective Time, each CareTrust Group
member shall cease to be a Participating Company in any Ensign Plan, and Ensign and CareTrust shall take all necessary action before the Effective Time to effectuate such cessation as a Participating Company. 

2.4 Sponsorship of the CareTrust Plans. Effective no later than immediately prior to the Effective Time, Ensign and CareTrust
shall take such actions (if any) as are required to cause CareTrust or another CareTrust Group member to assume sponsorship of, and all Liabilities with respect to, each CareTrust Plan. 

2.5 No Duplication of Benefits; Service and Other Credit. Ensign and CareTrust shall adopt, or cause to be adopted, all reasonable
and necessary amendments and procedures to prevent CareTrust Participants from receiving duplicative benefits from the Ensign Plans and the CareTrust Plans. With respect to CareTrust Employees, each CareTrust Plan shall provide that for purposes of
determining eligibility to participate, vesting, and entitlement to benefits (but not for accrual of pension benefits under any defined benefit pension plan), service prior to the Effective Time with an Ensign Group member shall be treated as
service with the applicable CareTrust Group member. Such service also shall apply for purposes of satisfying any waiting periods, evidence of insurability requirements, or the application of any preexisting condition limitations under any
CareTrust Plan. Each CareTrust Plan shall, to the extent practicable, waive pre-existing condition limitations with respect to CareTrust Employees. CareTrust shall honor any deductible, co-payment and out-of-pocket maximums incurred by the CareTrust
Employees and their eligible dependents under the Ensign Plans in which they participated immediately prior to the Effective Time during the portion of the calendar year prior to the Effective Time in satisfying any deductibles, co-payments or
out-of-pocket maximums under the CareTrust Plans in which they are eligible to participate after the Effective Time in the same plan year in which such deductibles, co-payments or out-of-pocket maximums were incurred. 

  
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 2.6 Reimbursements. From time to time after the Effective Time, the Parties shall promptly
reimburse one another, upon reasonable request of the Party requesting reimbursement and the presentation by such Party of such substantiating documentation as the other Party shall reasonably request, for the cost of any Liabilities satisfied or
assumed by the Party requesting reimbursement or its Affiliates that are made pursuant to this Agreement, the responsibility of the other Party or any of its Affiliates. 

2.7 Approval of Plan. (i) Prior to the Effective Time, Ensign shall cause CareTrust to adopt the CareTrust Incentive Award
Plan and (ii) at or prior to the Effective Time, Ensign and CareTrust shall take all actions as may be necessary to approve the CareTrust Incentive Award Plan in order to satisfy the requirements of the applicable rules and regulations of
the NASDAQ. 
 2.8 Delivery of Shares; Registration Statement. From and after the Effective Time, CareTrust shall have sole
responsibility for delivery of shares of CareTrust Common Stock pursuant to awards issued under a CareTrust Plan in satisfaction of any obligations to deliver such shares under the CareTrust and/or Ensign Plans (including delivery to Ensign
Employees and Former Ensign Employees) and shall do so without compensation from any Ensign Group member. CareTrust shall cause a registration statement on Form S-8 (or other appropriate form) to be filed with respect to such issued or
issuable shares as soon as practicable following the Effective Time and shall cause such registration to remain in effect for so long as there may be an obligation to deliver CareTrust shares under such CareTrust and/or Ensign Plans. Ensign
shall use commercially reasonable efforts to assist CareTrust in completing such registration. CareTrust and Ensign shall cooperate to establish a procedure whereby the other Party shall be promptly informed of the obligation to deliver shares
to a current or Former CareTrust Employee or an Ensign Employee, as the case may be. 
 ARTICLE III 

DEFINED CONTRIBUTION PLAN 

3.1 401(k) Plan. 

(a) Establishment of Plan and Trust. Ensign and CareTrust shall adopt or cause to be adopted the CareTrust 401(k) Plan
and any trust agreements or other plan documents reasonably necessary and shall cause trustees to be appointed for such plan. Such actions shall be completed as soon as practicable following the Effective Time. Such plan shall accept rollovers
from the Ensign Defined Contribution Plan in accordance with its terms and applicable Law. 
 (b) Service Crediting. In
determining whether a CareTrust Employee is vested in his or her account under the CareTrust 401(k) Plan, the CareTrust 401(k) Plan shall credit each CareTrust Employee with all the individual’s service credited under the Ensign
Defined Contribution Plan.  

  
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 ARTICLE IV 

HEALTH AND WELFARE PLANS 

4.1 Cessation of Participation in Ensign Health and Welfare Plans. As soon as practicable following the Effective Time, CareTrust
shall establish health and welfare plans (the “CareTrust Health and Welfare Plans”) for the CareTrust Employees. As of the Effective Time, CareTrust Employees shall cease to participate in the Ensign Health and Welfare
Plans.
 4.2 Allocation of Health and Welfare Plan Liabilities. All outstanding Liabilities relating to, arising out of, or
resulting from health and welfare coverage or claims incurred by or on behalf of CareTrust Employees or their covered dependents under the Ensign Health and Welfare Plans on or before the Effective Time shall be assumed by CareTrust upon the
Effective Time. 
 4.3 Vacation and Paid Time Off. As of the Effective Time, the applicable CareTrust Group Member shall credit
each CareTrust Employee with the unused vacation days and personal and sickness days that such individual has accrued immediately prior to the Effective Time in accordance with the vacation and personnel policies applicable to such employee
immediately prior to the Effective Time; provided, however, that with respect to any CareTrust Employee who does not consent to such treatment in writing, such individual will instead receive a cash payment from Ensign immediately prior to the
Effective Time with respect thereto. To the extent that any such time is credited by CareTrust rather than a cash payment being made with respect thereto by Ensign, Ensign shall provide CareTrust with a lump sum cash amount no later than thirty
(30) days following the Effective Time with a value equal to such credited time. 
 ARTICLE V 

EQUITY COMPENSATION AND OTHER BENEFITS 

5.1 Awards under the Ensign Equity-Based Plans. The treatment of the Ensign Options and Ensign Restricted Stock Awards as set
forth below shall be subject to Section 2.04 of the Tax Matters Agreement between the parties, dated as of the date hereof. 
 (a)
Options. No Options will be held by any CareTrust Employee or Former CareTrust Employee as of the Distribution Date, other than then-vested Ensign Options which remain exercisable for a period of time following such individual’s
termination of employment with Ensign in accordance with the terms of such Options. Each Ensign Option that is outstanding immediately prior to the Distribution Date shall be adjusted in accordance with the equitable adjustment provisions set forth
in the Ensign Equity Plans. 
 (b) Restricted Stock. 

(i) Restricted Stock. No Restricted Stock Awards will be held by any CareTrust Employee or Former CareTrust
Employee as of the Distribution Date. Upon the Effective Time, holders of Ensign Restricted Stock Awards will become entitled to CareTrust Restricted Stock Awards equal to a number of shares of CareTrust Common Stock to which all other holders of
shares of Ensign Common Stock become entitled pursuant to the Distribution. 

  
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 (ii) Restricted Stock Award Terms. 

(1) Service. Each Ensign Restricted Stock Award shall be subject to the same terms and conditions as set
forth in the original Ensign Restricted Stock Award, except as set forth below. Each CareTrust Restricted Stock Award issued pursuant to this Section 5.2(b) shall be subject to the same terms and conditions as set forth in the related
Ensign Restricted Stock Award before the Effective Time, except as set forth below. For purposes of the vesting and termination provisions of the CareTrust Restricted Stock Awards, continued service with an Ensign Group member shall be
considered to be continued service with CareTrust. 
 (2) Purging Distribution. Upon declaration of the
Purging Distribution, holders of CareTrust Restricted Stock Awards will be entitled to receive the Purging Distribution with respect to the CareTrust Common Stock subject to such award on the same date or dates that the Purging Distribution is
payable on CareTrust Common Stock to stockholders of CareTrust generally. 
 (3) Partial Interests in
Shares. To the extent that any adjustment described in this Section 5.2(b) results in any fractional interest in shares, such fractional interest shall be rounded down to the nearest whole share. No fractional interests shall
be payable in cash or otherwise. 
 (c) Administration. Each of Ensign and CareTrust shall establish an appropriate
administration system in order to handle exercises and delivery of shares in an orderly manner and provide reasonable levels of service for equity award holders. 

(d) No Effect on Subsequent Awards. The provisions of this Section 5.2 shall have no effect on the terms and
conditions of equity and equity-based awards granted following the Effective Time by Ensign or CareTrust. 
 ARTICLE VI  

GENERAL AND ADMINISTRATIVE 

6.1 Sharing of Participant Information. To the maximum extent permitted under applicable Law, Ensign and CareTrust shall share,
and shall cause each member of its respective Group to share, with each other and their respective agents and vendors all participant information reasonably necessary for the efficient and accurate administration of each of the Ensign Plans and the
CareTrust Plans. Ensign and CareTrust and their respective authorized agents shall, subject to applicable laws on confidentiality, be given reasonable and timely access to, and may make copies of, all information relating to the subjects of this
Agreement in the custody of the other Party, to the extent necessary for such administration. Until the Effective Time, all participant information shall be provided in the manner and medium applicable to Participating Companies in the Ensign
Plans generally, and thereafter until the time at which the Parties subsequently determine, all participant information shall be provided in a manner and medium that are compatible with the data processing systems of Ensign as in effect as of the
Effective Time, unless otherwise agreed to by Ensign and CareTrust. 

  
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 6.2 Audit Rights with Respect to Information Provided. Each of Ensign and CareTrust,
and their duly authorized representatives, shall have the right to conduct reasonable audits with respect to all information provided to it by the other Party. The Parties shall cooperate to determine the procedures and guidelines for
conducting audits under this Section 6.2, which shall require reasonable advance notice by the auditing Party. The auditing Party shall have the right to make copies of any records at its expense, subject to applicable Law. 

6.3 Fiduciary Matters. Ensign and CareTrust each acknowledge that actions required to be taken pursuant to this Agreement may be
subject to fiduciary duties or standards of conduct under ERISA or other applicable Law, and no Party shall be deemed to be in violation of this Agreement if it fails to comply with any provisions hereof based upon its good faith determination (as
supported by advice from counsel experienced in such matters) that to do so would violate such a fiduciary duty or standard. Each Party shall be responsible for taking such actions as are deemed necessary and appropriate to comply with its own
fiduciary responsibilities and shall fully release and indemnify the other Party for any Liabilities caused by the failure to satisfy any such responsibility. 

6.4 Consent of Third Parties. If any provision of this Agreement is dependent on the consent of any third party (such as a vendor
or Governmental Authority) and such consent is withheld, Ensign and CareTrust shall use commercially reasonable efforts to implement the applicable provisions of this Agreement to the full extent practicable. If any provision of this Agreement
cannot be implemented due to the failure of such third party to consent, Ensign and CareTrust shall negotiate in good faith to implement the provision in a mutually satisfactory manner. The phrase “commercially reasonable efforts” as
used herein shall not be construed to require the incurrence of any non-routine or unreasonable expense or liability or the waiver of any right. 

6.5 Subsequent Transfers of Employment. To the extent that the employment of any individuals transfers between any Ensign Group
member and any CareTrust Group member in the twenty four (24)-month period following the Effective Time, the Parties shall use their reasonable efforts to effect the provisions of this Agreement with respect to the compensation and benefits of such
individuals following such transfer, it being understood that (i) it may not be possible to replicate the effect of such provisions under such circumstances and (ii) neither Ensign nor CareTrust shall be bound by the provisions of this
Section 6.5 to assume any Liabilities or transfer any assets. Notwithstanding to foregoing, for compensation subject to the provisions of Section 409A of the Code, any such subsequent transfer shall be a separation from service from
the applicable employer for purposes of such compensation, and the consequences of such separation from service shall be determined in accordance with the terms of the applicable plan or agreement. 

  
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 ARTICLE VII 

GOVERNING LAW; DISPUTE RESOLUTION 

7.1 Governing Law. This Agreement and the legal relations between the Parties hereto shall be governed by and construed in
accordance with the laws of the State of Delaware, without regard to the conflict of laws rules thereof to the extent such rules would require the application of the law of another jurisdiction. 

7.2 Dispute Resolution. The provisions of Article X of the Separation Agreement shall apply, mutatis mutandis, to all
disputes, controversies or claims (whether arising in contract, tort or otherwise) that may arise out of or relate to, or arise under or in connection with this Agreement or the transactions contemplated hereby. 

ARTICLE VIII 

MISCELLANEOUS 
 8.1
Further Assurances. Subject to the limitations or other provisions of this Agreement, (a) each Party shall, and shall cause the other members of its Group to, use commercially reasonable efforts (subject to, and in accordance with
applicable Law) to take promptly, or cause to be taken promptly, all actions, and to do promptly, or cause to be done promptly, and to assist and cooperate with the other Party in doing, all things reasonably necessary, proper or advisable to carry
out the intent and purposes of this Agreement, including using commercially reasonable efforts to perform all covenants and agreements herein applicable to such Party or any member of its Group and (b) neither Party will, nor will either Party
allow any other member of its Group to, without the prior written consent of the other Party, take any action which would reasonably be expected to prevent or materially impede, interfere with or delay the provision of any Services hereunder.
Without limiting the generality of the foregoing, where the cooperation of third parties would be necessary in order for a Party to completely fulfill its obligations under this Agreement, such Party shall use commercially reasonable efforts to
cause such third parties to provide such cooperation. 
 8.2 Amendments and Waivers. 

(a) Subject to Section 11.1 of the Separation Agreement and Section 8.12 of this Agreement, this Agreement may not be amended except
by an agreement in writing signed by both Parties. 
 (b) Any term or provision of this Agreement may be waived, or the time for its
performance may be extended, by the Party entitled to the benefit thereof and any such waiver shall be validly and sufficiently given for the purposes of this Agreement if it is in writing signed by an authorized representative of such Party. No
delay or failure in exercising any right, power or remedy hereunder shall affect or operate as a waiver thereof; nor shall any single or partial exercise thereof or any abandonment or discontinuance of steps to enforce such a right, power or remedy
preclude any further exercise thereof or of any other right, power or remedy. The rights and remedies hereunder are cumulative and not exclusive of any rights or remedies that either Party would otherwise have. 

  
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 8.3 Entire Agreement. This Agreement, the Separation Agreement, the other Ancillary
Agreements, and the Exhibits and Schedules referenced herein and therein and attached hereto or thereto, constitute the entire agreement and understanding between the Parties with respect to the subject matter hereof and supersede all prior
negotiations, agreements, commitments, writings, courses of dealing and understandings with respect to the subject matter hereof. 
 8.4
Third-Party Beneficiaries. This Agreement is for the sole benefit of the Parties and their permitted successors and assigns and nothing in this Agreement, express or implied, (i) is intended to or shall confer upon any other Person
any legal or equitable right, benefit or remedy of any nature whatsoever under or by reason of this Agreement, (ii) shall confer any right to employment or continued employment for any period or terms of employment, (iii) be interpreted to
prevent or restrict the Parties from modifying or terminating any Ensign Plan or CareTrust Plan or the employment or terms of employment of any Ensign Employee or CareTrust Employee or (iv) shall establish, modify or amend any Ensign Plan or
CareTrust Plan covering an Ensign Participant, CareTrust Participant, any collective bargaining agreements, national collective bargaining agreements, or the terms and conditions of employment applicable to an Ensign Employee or a CareTrust
Employee. 
 8.5 Notices. All notices, requests, permissions, waivers and other communications hereunder shall be provided in
accordance with the provisions of Section 12.8 of the Separation Agreement. 
 8.6 Counterparts; Electronic Delivery. This
Agreement may be executed in multiple counterparts, each of which when executed shall be deemed to be an original, but all of which together shall constitute one and the same agreement. Execution and delivery of this Agreement or any other documents
pursuant to this Agreement by facsimile or other electronic means shall be deemed to be, and shall have the same legal effect as, execution by an original signature and delivery in person. 

8.7 Severability. If any term or other provision of this Agreement or the Exhibits attached hereto is determined by a
nonappealable decision by a court, administrative agency or arbitrator to be invalid, illegal or incapable of being enforced by any rule of law or public policy, all other conditions and provisions of this Agreement shall nevertheless remain in full
force and effect so long as the economic or legal substance of the transactions contemplated hereby is not affected in any manner materially adverse to either Party. Upon such determination that any term or other provision is invalid, illegal or
incapable of being enforced, the court, administrative agency or arbitrator shall interpret this Agreement so as to effect the original intent of the Parties as closely as possible in an acceptable manner to the end that transactions contemplated
hereby are fulfilled to the fullest extent possible. If any sentence in this Agreement is so broad as to be unenforceable, the provision shall be interpreted to be only so broad as is enforceable. 

  
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 8.8 Assignability; Binding Effect. The rights and obligations of each Party under
this Agreement shall not be assignable, in whole or in part, directly or indirectly, whether by operation of law or otherwise, by such Party without the prior written consent of the other Party (such consent not to be unreasonably withheld,
conditioned or delayed) and any attempt to assign any rights or obligations under this Agreement without such consent shall be null and void. Notwithstanding the foregoing, either Party may assign its rights and obligations under this Agreement to
any of their respective Affiliates provided that no such assignment shall release such assigning Party from any liability or obligation under this Agreement. This Agreement shall be binding upon and inure to the benefit of the Parties and their
successors and permitted assigns. 
 8.9 Construction. This Agreement shall be construed as if jointly drafted by the Parties
and no rule of construction or strict interpretation shall be applied against either Party. The Parties represent that this Agreement is entered into with full consideration of any and all rights which the Parties may have. The Parties have relied
upon their own knowledge and judgment. The Parties have had access to independent legal advice, have conducted such investigations they thought appropriate, and have consulted with such other independent advisors as they deemed appropriate regarding
this Agreement and their rights and asserted rights in connection therewith. The Parties are not relying upon any representations or statements made by the other Party, or such other Party’s employees, agents, representatives or attorneys,
regarding this Agreement, except to the extent such representations are expressly set forth or incorporated in this Agreement. The Parties are not relying upon a legal duty, if one exists, on the part of the other Party (or such other Party’s
employees, agents, representatives or attorneys) to disclose any information in connection with the execution of this Agreement or its preparation, it being expressly understood that neither Party shall ever assert any failure to disclose
information on the part of the other Party as a ground for challenging this Agreement. 
 8.10 Performance. Each Party shall
cause to be performed, and hereby guarantees the performance of, all actions, agreements and obligations set forth herein to be performed by any Subsidiary or Affiliate of such Party. 

8.11 Title and Headings. Titles and headings to Sections and Articles are inserted for the convenience of reference only and are
not intended to be a part of or to affect the meaning or interpretation of this Agreement. 
 8.12 Termination. Notwithstanding
any provision to the contrary, this Agreement may be terminated at any time prior to the Effective Time by and in the sole discretion of Ensign without the prior approval of any Person, including CareTrust. In the event of such termination,
this Agreement shall become void and no Party, or any of its officers and directors shall have any liability to any Person by reason of this Agreement. After the Effective Time, this Agreement may not be terminated except by an agreement in
writing signed by each of the Parties. 
 8.13 Survival of Agreements. Except as otherwise contemplated by this Agreement, any
covenants and agreements of the Parties contained in this Agreement shall survive the Effective Time and remain in full force and effect in accordance with their applicable terms. 

[The remainder of this page is intentionally left blank.] 

  
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 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed on the date
first written above by their respective duly authorized officers. 
  

					
	THE ENSIGN GROUP, INC.
			
	By:	 	 	 	 
		 	Name: 	 	Christopher R. Christensen
		 	Title:	 	President and Chief Executive Officer
	
	CARETRUST REIT, INC.
			
	By:	 	 	 	 
		 	Name:	 	Gregory K. Stapley
		 	Title:	 	President and Chief Executive OfficerEX-10.8

 Exhibit 10.8 

CONTRIBUTION AGREEMENT 

DATED AS OF                     ,
2014 
 BY AND AMONG 

THE ENSIGN GROUP, INC., 

CARETRUST PARTNERSHIP, L.P., 

CARETRUST GP, LLC 
 AND

 CARETRUST REIT, INC. 

 TABLE OF CONTENTS 

 

							
	 	  	 	  	Page	 
	 Article I CONTRIBUTION
	  	 	2	  
	 Section 1.01
	  	Contribution of Interests	  	 	2	  
	 Section 1.02
	  	Consideration to Ensign	  	 	2	  
	 Section 1.03
	  	Consideration to CareTrust and the General Partner	  	 	2	  
	 Section 1.04
	  	Further Action	  	 	3	  
	 Section 1.05
	  	Tax Treatment	  	 	3	  
		
	 Article II REPRESENTATIONS AND WARRANTIES OF ENSIGN
	  	 	3	  
	 Section 2.01
	  	Organization and Authority	  	 	3	  
	 Section 2.02
	  	Due Authorization	  	 	3	  
	 Section 2.03
	  	Consents and Approvals	  	 	3	  
	 Section 2.04
	  	No Violation	  	 	3	  
	 Section 2.05
	  	Non-Foreign Person	  	 	4	  
	 Section 2.06
	  	Solvency	  	 	4	  
	 Section 2.07
	  	Litigation	  	 	4	  
	 Section 2.08
	  	Absence of Registration	  	 	4	  
	 Section 2.09
	  	No Injunction	  	 	4	  
	 Section 2.10
	  	Consents, Etc.	  	 	4	  
	 Section 2.11
	  	No Brokers	  	 	4	  
	 Section 2.12
	  	Ownership of Interests	  	 	4	  
	 Section 2.13
	  	Organization and Authority of the Companies	  	 	5	  
	 Section 2.14
	  	Taxes	  	 	5	  
	 Section 2.15
	  	Company Litigation	  	 	5	  
	 Section 2.16
	  	Compliance With Laws	  	 	5	  
	 Section 2.17
	  	Eminent Domain	  	 	5	  
	 Section 2.18
	  	Licenses and Permits	  	 	5	  
	 Section 2.19
	  	Real Property	  	 	6	  
	 Section 2.20
	  	Environmental Compliance	  	 	6	  
	 Section 2.21
	  	Trademarks and Tradenames; Proprietary Rights	  	 	6	  
	 Section 2.22
	  	Condition of Property	  	 	6	  
	 Section 2.23
	  	Leases	  	 	7	  
	 Section 2.24
	  	Tangible Personal Property	  	 	7	  
	 Section 2.25
	  	Service Contracts	  	 	7	  
	 Section 2.26
	  	Existing Loans	  	 	7	  
	 Section 2.27
	  	Real Property Taxes	  	 	8	  
	 Section 2.28
	  	Insurance	  	 	8	  
	 Section 2.29
	  	Exclusive Representations	  	 	8	  
		
	 Article III REPRESENTATIONS AND WARRANTIES OF THE CARETRUST ENTITIES
	  	 	8	  
	 Section 3.01
	  	Organization and Authority	  	 	8	  
	 Section 3.02
	  	Due Authorization	  	 	8	  
	 Section 3.03
	  	Consents and Approvals	  	 	8	  
	 Section 3.04
	  	No Violation	  	 	9	  
	 Section 3.05
	  	Validity of CareTrust Common Stock	  	 	9	  
	 Section 3.06
	  	Litigation	  	 	9	  
	 Section 3.07
	  	Limited Activities	  	 	9	  
	 Section 3.08
	  	No Other Representations or Warranties	  	 	9	  

  
 i 

							
	 Article IV INDEMNIFICATION; DISPUTE RESOLUTION
	  	 	9	  
	 Section 4.01
	  	Indemnification	  	 	9	  
	 Section 4.02
	  	Dispute Resolution	  	 	9	  
		
	 Article V DEFINITIONS
	  	 	10	  
	 Section 5.01
	  	Definitions	  	 	10	  
		
	 Article VI GENERAL PROVISIONS
	  	 	12	  
	 Section 6.01
	  	Amendments and Waivers	  	 	12	  
	 Section 6.02
	  	Entire Agreement	  	 	12	  
	 Section 6.03
	  	Survival of Agreements	  	 	12	  
	 Section 6.04
	  	Third-Party Beneficiaries	  	 	13	  
	 Section 6.05
	  	Notices	  	 	13	  
	 Section 6.06
	  	Counterparts; Electronic Delivery	  	 	13	  
	 Section 6.07
	  	Severability	  	 	13	  
	 Section 6.08
	  	Assignability; Binding Effect	  	 	14	  
	 Section 6.09
	  	Governing Law	  	 	14	  
	 Section 6.10
	  	Construction	  	 	14	  
	 Section 6.11
	  	Performance	  	 	14	  
	 Section 6.12
	  	Titles and Headings	  	 	14	  
	 Section 6.13
	  	Exhibits	  	 	14	  
			
	 EXHIBITS
	  		  			
		
	 Exhibit A:     Property Companies and Properties
	  			
	 Exhibit B:     Operating Companies and Facilities
	  			
	 Exhibit C:     Permitted Liens
	  			
		
	 APPENDIX A – DISCLOSURE SCHEDULE
	  			

  
 ii 

 CONTRIBUTION AGREEMENT 

THIS CONTRIBUTION AGREEMENT is made and entered into as of
                , 2014 (this “Agreement”), by and among The Ensign Group, Inc., a Delaware corporation (“Ensign”), CareTrust
Partnership, L.P., a Delaware limited partnership (the “Operating Partnership”), CareTrust GP, LLC, a Delaware limited liability company (the “General Partner”), and CareTrust REIT, Inc., a Maryland corporation
(“CareTrust,” and together with the Operating Partnership and the General Partner, the “CareTrust Entities”). Ensign, CareTrust, the General Partner and the Operating Partnership are sometimes referred to herein,
individually, as a “Party” and, collectively, as the “Parties.” Capitalized terms used but not otherwise defined herein shall have the respective meanings set forth in Article V. 

RECITALS 
 WHEREAS,
Ensign and CareTrust have entered into a Separation and Distribution Agreement, dated as of                 , 2014 (the “Separation Agreement”),
which provides for (i) the reorganization (the “Reorganization”) of the assets and liabilities of Ensign into two companies: (a) Ensign, which will own and conduct the Ensign Business (as defined in the Separation
Agreement); and (b) CareTrust, which will own and conduct the CareTrust Business (as defined in the Separation Agreement); and (ii) the distribution (the “Distribution”) to the holders of Ensign’s outstanding shares
of common stock, on a pro rata basis, of all of the outstanding shares of common stock of CareTrust so that, following such distribution, Ensign and CareTrust will be two independent, publicly traded companies; 

WHEREAS, Ensign owns all of the outstanding interests (the “Property Company Interests”) in each of the companies listed on
Exhibit A hereto (each, a “Property Company”), each of which owns the property or properties set forth opposite its name on Exhibit A (each, a “Property”); 

WHEREAS, Ensign owns all of the outstanding interests (the “Operating Company Interests”) in each of the companies listed on
Exhibit B hereto (each, an “Operating Company”), each of which operates the independent living facility set forth opposite its name on Exhibit B (each, a “Facility”); 

WHEREAS, pursuant to the Separation Agreement, as part of the Reorganization, Ensign desires to contribute the Property Company Interests and
the Operating Company Interests (collectively, the “Interests”) to CareTrust in exchange for (i)                  shares of common stock,
par value $0.001 per share (“CareTrust Common Stock”), of CareTrust, (ii) the assumption of certain liabilities of Ensign and
(iii) $                 in cash; 
 WHEREAS,
CareTrust desires to contribute (i) 1% of the Interests to the General Partner for further contribution by the General Partner to the Operating Partnership in exchange for units of limited partnership interest in the Operating Partnership
(“OP Units”); and (ii) 99% of the Interests to the Operating Partnership in exchange for OP Units; 
 WHEREAS, to
avoid the inconvenience and expense of multiple transfers, the Parties desire that Ensign contribute all of the Interests directly to the Operating Partnership (the “Contribution”) on the terms and subject to the conditions set
forth herein. 
 NOW, THEREFORE, in consideration of the foregoing and the representations, warranties, covenants and other terms contained
in this Agreement, the Parties, intending to be legally bound hereby, agree as follows: 

  
 1 

 ARTICLE I 

CONTRIBUTION 

Section 1.01 Contribution of Interests. 

(a) Ensign hereby agrees to contribute the Interests to CareTrust. CareTrust hereby agrees to contribute 1% of the Interests to the General
Partner, and 99% of the Interests to the Operating Partnership. The General Partner hereby agrees to contribute such 1% of the Interests to the Operating Partnership. In order to avoid the inconvenience and expense of multiple transfers,
(i) CareTrust hereby directs Ensign to transfer, on its behalf, 99% of the Interests directly to the Operating Partnership, and (ii) CareTrust and the General Partner hereby direct Ensign to transfer, on their behalf, 1% of the Interests
directly to the Operating Partnership. 
 (b) Effective as of the date hereof, (i) Ensign hereby contributes, assigns, transfers,
conveys and delivers to the Operating Partnership, and the Operating Partnership hereby acquires and accepts from Ensign, all of Ensign’s right, title and interest in and to the Interests, together with all rights and claims related thereto as
the sole member of each of the Property Companies and Operating Companies (collectively, the “Companies”), and (ii) the Operating Partnership hereby (x) assumes any and all obligations and liabilities of Ensign as the
owner of the Interests and the sole member of each of the Companies, whether arising under the limited liability company agreement (each, an “LLC Agreement”) of any of the Companies or otherwise, and (y) is admitted to each of
the Companies as its sole member upon its execution of this Agreement, which signifies its agreement to be bound by the terms and conditions of each of the LLC Agreements. 

(c) Immediately following the effectiveness of the assignment and assumption set forth in Section 1.01(a) above, Ensign shall and
does hereby cease to be a member of each of the Companies and shall and does thereupon cease to have or exercise any right or power as a member of any of the Companies. From and after the date hereof, the Operating Partnership is hereby authorized
to make any changes to any LLC Agreement as it determines, in its sole discretion, are appropriate, without the consent or approval of Ensign. Ensign shall promptly deliver, or cause to be delivered, to the Operating Partnership all books and
records and other indicia of ownership with respect to each Company. 
 Section 1.02 Consideration to Ensign. In consideration of the
foregoing contribution, CareTrust shall promptly issue to Ensign              shares of CareTrust Common Stock and
$             in cash. The shares of CareTrust Common Stock to be issued to Ensign shall be issued as uncertificated shares registered in book-entry form. No certificates therefor
shall be distributed. CareTrust shall promptly deliver or cause to be delivered to Ensign an account statement reflecting Ensign’s ownership of such shares of CareTrust Common Stock. 

Section 1.03 Consideration to CareTrust and the General Partner. In consideration of the foregoing contribution, the Operating
Partnership shall promptly issue              OP Units to CareTrust and              OP Units to the General
Partner. The issuance of OP Units to CareTrust and the General Partner shall be evidenced by either an amendment to the Operating Partnership’s Agreement of Limited Partnership or by certificates relating to such OP Units, in either case, as
determined by the Operating Partnership, in such form as shall be reasonably acceptable to CareTrust and the General Partner. The OP Units to be issued to CareTrust and the General Partner pursuant to this Agreement shall have been duly authorized
by the Operating Partnership and, when issued against the consideration therefor, shall be validly issued by the Operating Partnership, free and clear of all Liens created by the Operating Partnership (other than Liens created by the Operating
Partnership Agreement). 

  
 2 

 Section 1.04 Further Action. Each Party shall make, execute, acknowledge and deliver, or
cause to be made, executed, acknowledged and delivered, any such other documents reasonably requested by the other Parties or reasonably necessary or desirable to consummate the transactions contemplated by this Agreement. 

Section 1.05 Tax Treatment. Ensign and CareTrust each intends that the Reorganization and the Distribution shall be treated as a
reorganization within the meaning of Sections 368(a)(1)(D) and 355 of the Code. Each of Ensign and CareTrust shall treat the Contribution as set forth in this Section 1.05 for all U.S. federal income tax purposes. 

ARTICLE II 

REPRESENTATIONS AND WARRANTIES OF ENSIGN 

Ensign hereby represents and warrants to the CareTrust Entities as follows: 

Section 2.01 Organization and Authority. Ensign is a corporation duly organized, validly existing and in good standing under the Laws of
the State of Delaware. Ensign has all requisite power and authority to enter into this Agreement and to carry out the transactions contemplated hereby, and to own, lease or operate its property and to carry on its business as presently conducted
and, to the extent required under applicable Law, is qualified to do business and is in good standing in each jurisdiction in which the nature of its business or the character of its property make such qualification necessary, other than in such
jurisdictions where the failure to be so qualified would not have a Material Adverse Effect. 
 Section 2.02 Due Authorization. The
execution, delivery and performance of this Agreement by Ensign has been duly and validly authorized by all necessary action of Ensign. This Agreement constitutes the legal, valid and binding obligation of Ensign, enforceable against Ensign in
accordance with its terms, subject to applicable bankruptcy, insolvency, moratorium or other similar Law relating to creditors’ rights and general principles of equity. 

Section 2.03 Consents and Approvals. Except as shall have been satisfied on or prior to the date hereof, no consent, waiver, approval
or authorization of, or filing with, any Person or Governmental Authority or under any applicable Law is required to be obtained by Ensign in connection with the execution, delivery and performance of this Agreement, or the transactions contemplated
hereby, except for those consents, waivers, approvals, authorizations or filings, the failure of which to obtain or to file would not have a Material Adverse Effect on Ensign. 

Section 2.04 No Violation. None of the execution, delivery or performance of this Agreement, or the consummation of the transactions
contemplated hereby, does or will, with or without the giving of notice, lapse of time, or both, violate, conflict with, result in a breach of, or constitute a default under or give to others any right of termination, acceleration, cancelation or
other right under (a) any agreement, document or instrument to which Ensign is a party or by which Ensign is bound or (b) any term or provision of any judgment, order, writ, injunction or decree binding on Ensign (or its assets or
properties), except any such breaches or defaults that would not have a Material Adverse Effect on Ensign. 

  
 3 

 Section 2.05 Non-Foreign Person. Ensign is a United States person (as defined in the Code)
and is, therefore, not subject to the provisions of the Code relating to the withholding of sales or exchange proceeds to foreign persons, and is not subject to any state withholding requirements. Ensign has delivered to CareTrust an affidavit
stating under penalty of perjury Ensign’s United States Taxpayer Identification Number and that Ensign is not a foreign person pursuant to Section 1445(b)(2) of the Code and a comparable affidavit satisfying any state withholding
requirements. 
 Section 2.06 Solvency. Ensign has been and will be solvent at all times prior to and after giving effect to the
contribution of the Interests to the Operating Partnership, and the other aspects of the Reorganization and the Distribution. 
 Section
2.07 Litigation. There is no action, suit or proceeding pending or, to Ensign’s knowledge, threatened against Ensign which, if adversely determined, would reasonably be expected to have a Material Adverse Effect on Ensign. 

Section 2.08 Absence of Registration. Ensign acknowledges that the shares of CareTrust Common Stock to be issued to it hereunder have
not been registered under the Securities Act and, therefore, may not be sold unless registered under the Securities Act or an exemption from registration is available. 

Section 2.09 No Injunction. No Governmental Authority has enacted, issued, promulgated, enforced or entered any statute, rule,
regulation, executive order, decree, judgment, injunction or other order (whether temporary, preliminary or permanent), in any case, which is in effect and which prevents or prohibits consummation of any of the transactions contemplated in this
Agreement, and none of the same brought by a Governmental Authority of competent jurisdiction is pending that seeks the foregoing. 

Section 2.10 Consents, Etc. All necessary consents and approvals of Governmental Authorities or third parties (including lenders) for
Ensign to consummate the transactions contemplated hereby have been obtained, except for those the absence of which would not have a Material Adverse Effect on Ensign. 

Section 2.11 No Brokers. Neither Ensign nor any of Ensign’s officers, directors or employees has employed or made any agreement
with any broker, finder or similar agent or any person or firm which will result in the obligation of any CareTrust Entities or any Companies to pay any finder’s fee, brokerage fees or commissions or similar payment in connection with the
transactions contemplated by this Agreement. 
 Section 2.12 Ownership of Interests. Ensign is the owner of the Interests and has the
power and authority to transfer, sell, assign and convey to the Operating Partnership such Interests free and clear of any Liens, except for Permitted Liens, and, upon delivery of the consideration for such Interests as provided herein, the
Operating Partnership will acquire good and valid title thereto, free and clear of any Liens, except for Permitted Liens. Except as provided for or contemplated by this Agreement, there are no rights, subscriptions, warrants, options, conversion
rights, preemptive rights, agreements, instruments or understandings of any kind outstanding (a) relating to the Interests or (b) to purchase, transfer or to otherwise acquire, or to in any way encumber, any of the Interests or any
securities or obligations of any kind convertible into Interests or other equity interests or profit participation of any kind in the Companies. All of the issued and outstanding Interests have been duly authorized and are validly issued, fully paid
and non-assessable. 

  
 4 

 Section 2.13 Organization and Authority of the Companies. Each Company is a limited
liability company duly organized, validly existing and in good standing under the Laws of the State of Nevada. Each Company has all power and authority to own, lease or operate its property and to carry on its business as presently conducted and, to
the extent required under applicable Law, is qualified to do business and is in good standing in each jurisdiction in which the nature of its business or the character of its property make such qualification necessary, except where the failure to be
so qualified would not have a Material Adverse Effect on Ensign or CareTrust. Ensign has provided to CareTrust correct and complete copies of the LLC Agreement and the articles of organization or equivalent organizational document of each Company,
in each case, with all amendments as in effect on the date hereof. None of the Companies has adopted a plan of liquidation, dissolution, merger, consolidation, restructuring, recapitalization or reorganization. 

Section 2.14 Taxes. To Ensign’s knowledge, and except as would not have a Material Adverse Effect on Ensign or CareTrust,
(a) each Company has filed all Tax Returns and reports required to be filed by it (after giving effect to any filing extension properly granted by a Governmental Authority having authority to do so) and all such returns and reports are accurate
and complete in all material respects, and has paid (or had paid on its behalf) all Taxes as required to be paid by it, (b) no deficiencies for any Taxes have been proposed, asserted or assessed against any Company, and no requests for waivers
of the time to assess any such Taxes are pending, (c) Ensign has filed all Tax Returns and reports required to be filed by it with respect to the Properties (after giving effect to any filing extension properly granted by a Governmental
Authority having authority to do so) and all such returns and reports are accurate and complete in all material respects, and has paid (or had paid on its behalf) all Taxes as required to be paid by it with respect to the Properties and (d) no
deficiencies for any Taxes have been proposed, asserted or assessed against Ensign with respect to the Properties, and no requests for waivers of the time to assess any such Taxes are pending. 

Section 2.15 Company Litigation. Except as set forth in Schedule 2.15 to the Disclosure Schedule, there is no material
Action, litigation, claim or other proceeding, either judicial or administrative (including, without limitation, any governmental action or proceeding), pending or, to Ensign’s knowledge, threatened in the last twelve months, against any
Property, Ensign or the Companies. Ensign is not bound by any outstanding order, writ, injunction or decree of any court, Governmental Entity or arbitration against or affecting all or any portion of the Interests, which in any such case would have
a Material Adverse Effect on Ensign or CareTrust. 
 Section 2.16 Compliance With Laws. In connection with the operation of the
Properties and the Facilities, except as set forth in Schedule 2.16 to the Disclosure Schedule, to Ensign’s knowledge, the Properties and the Facilities have been maintained and operated, and on the date hereof are, in compliance in
all material respects with all applicable Laws (including, without limitation, those currently relating to fire, life safety, health codes and sanitation, Americans with Disabilities Act, zoning and building laws) whether Federal, state or local,
foreign, except for Environmental Laws which are addressed solely by Section 2.20. 
 Section 2.17 Eminent Domain. There
is no existing or, to Ensign’s knowledge, proposed or threatened condemnation, eminent domain or similar proceeding, or private purchase in lieu of such a proceeding, in respect of all or any material portion of any of the Properties. 

Section 2.18 Licenses and Permits. Except as set forth in Schedule 2.18 to the Disclosure Schedule, to Ensign’s
knowledge, all licenses, permits and certificates (including certificates of occupancy), required in connection with the ownership, construction, use, occupancy, management, leasing and operation of the Properties and Facilities have been obtained,
are in full force and effect, and are in good standing, except for those licenses, permits and certificates, the failure of which to obtain or maintain in good standing, would not have a Material Adverse Effect on Ensign or CareTrust. 

  
 5 

 Section 2.19 Real Property. Except as described in Schedule 2.19(a) to the
Disclosure Schedule, each of the Property Companies owns each of the Properties set forth opposite its name on Exhibit A, and has good and marketable title in fee simple to such Properties free and clear of all Liens, other than
Permitted Liens. Except as set forth in Schedule 2.19(b) to the Disclosure Schedule, no party to any material agreement affecting the Properties or Facilities has given to Ensign any written notice of any uncured default with respect to
any such material agreement affecting the Properties or Facilities which would have a Material Adverse Effect on Ensign or CareTrust, and no event has occurred or, to Ensign’s knowledge, is threatened, which through the passage of time or the
giving of notice, or both, would constitute a default thereunder which would have a Material Adverse Effect on Ensign or CareTrust or would cause the acceleration of any material obligation of any party thereto or the creation of a Lien upon any
Property, except for Permitted Liens. To Ensign’s knowledge, such agreements are valid and binding and in full force and effect, and such agreements, including all amendments, modifications and supplements, have been delivered or made available
to CareTrust. 
 Section 2.20 Environmental Compliance. Except as may be disclosed in Schedule 2.20 to the Disclosure
Schedule or any environmental reports listed therein (the “Environmental Reports”) (true and correct copies of which have been made available to CareTrust): (a) to Ensign’s knowledge, the Properties are currently being
operated in compliance in all material respects with all Environmental Laws and Environmental Permits; (b) neither Ensign nor any of the Companies have received any written notice from any Governmental Authority or any other Person claiming
that Ensign or any of the Companies is in material violation of, or has any material liability under, any Environmental Laws or Environmental Permits with respect to the Properties; (c) neither Ensign nor any of the Companies is currently
conducting any material remedial action pursuant to Environmental Laws at any Property; (d) except as may be disclosed in Schedule 2.20 to the Disclosure Schedule or the Environmental Reports, to Ensign’s knowledge, there has
been no spill or release of Hazardous Materials at, on, under or upon any of the Properties that would reasonably be likely to result in any material claim under any Environmental Laws or Environmental Permit against Ensign, CareTrust or any of the
Companies. 
 Section 2.21 Trademarks and Tradenames; Proprietary Rights. There are no actions or other judicial or administrative
proceedings against Ensign, the Companies, the Properties or the Facilities pending or, to Ensign’s knowledge, threatened in the last twelve months, that concern any copyrights, copyright application, trademarks, trademark registrations, trade
names, service marks, service mark registrations, trade names and trade name registrations or any trade secrets being indirectly transferred to the Operating Partnership hereunder (the “Proprietary Rights”) and that, if adversely
determined, would have a Material Adverse Effect on Ensign or CareTrust. To Ensign’s knowledge, the current use of the Proprietary Rights does not conflict with, infringe upon or violate any copyright, trade secret, trademark or registration of
any other Person. 
 Section 2.22 Condition of Property. To Ensign’s knowledge, except as listed in Schedule 2.22 to
the Disclosure Schedule (collectively, the “Property Reports”), there is no material defect in the structural condition of any Property, the roof thereon, the improvements thereon, the structural elements thereof and the mechanical
systems thereon (including, without limitation, all HVAC, plumbing, electrical, elevator, security, utility, sprinkler and safety systems), nor any material damage from casualty or other cause, nor any soil condition of any Property that will not
support all of the improvements thereon without the need for unusual or new subsurface excavations, fill, footings, caissons or other installations, except for any such defect, damage or condition that has been corrected or will be corrected in the
ordinary course of the business of the Property as disclosed as part of its scheduled annual maintenance and improvement program. 

  
 6 

 Section 2.23 Leases. A true and complete copy of each lease or occupancy agreement for the
tenants at each Facility (collectively, the “Leases”) has been made available to CareTrust, and, to Ensign’s knowledge, such leases are in full force and effect, except as indicated otherwise in Schedule 2.23 to the
Disclosure Schedule; the Operating Company which is lessor under such Leases has not received any written notice that it is in default of any of its obligations under such Leases beyond any applicable grace period which has not been cured; to
Ensign’s knowledge, except as set forth in Schedule 2.23 to the Disclosure Schedule or the rent roll delivered to CareTrust on the date hereof, no tenant is in default under any Lease. To Ensign’s knowledge, all material obligations
of the lessor under the Leases that have accrued prior to the date hereof have been performed or satisfied. To Ensign’s knowledge, no tenant under any of the Leases is presently the subject of any voluntary or involuntary bankruptcy or
insolvency proceedings. 
 Section 2.24 Tangible Personal Property. The Operating Companies own or lease all of the tangible personal
property constituting “Fixtures and Personal Property” (as defined below) which is used in and necessary to the operation of each of the Facilities. “Fixtures and Personal Property” shall mean all fixtures, furniture,
furnishings, apparatus and fittings, equipment, machinery, appliances, building supplies, tools, and other items of personal property used in connection with the operation or maintenance of the Facilities; excluding, however, all fixtures,
furniture, furnishings, apparatus and fittings, equipment, machinery, appliances, building supplies, tools, and other items of personal property owned by tenants, subtenants, guests, invitees, employees, easement holders, service contractors and
other Persons who own any such property located at the Facilities. Except as set forth in Schedule 2.24 to the Disclosure Schedule, to Ensign’s knowledge, such Fixtures and Personal Property are free and clear of all Liens, other than Liens
pursuant to the agreements pursuant to which such Fixtures and Personal Property are leased and Permitted Liens. 
 Section 2.25 Service
Contracts. Except as set forth in Schedule 2.25 to the Disclosure Schedule, (a) there are no employees of the Companies as of the date hereof, nor (b) service or maintenance contracts affecting any Property or Facility
which are not cancelable upon thirty (30) days’ notice or less or which are for a contract amount greater than $100,000 per annum; true and correct copies of the service, equipment, franchise, operating, management, parking, supply,
utility and maintenance agreements relating to any Property or Facility (the “Service Contracts”) have been made available to CareTrust and the same are in full force and effect and have not been modified or amended except in the
ordinary course of business. To Ensign’s knowledge, no material event of default exists (which remains uncured) under any of the Service Contracts. 

Section 2.26 Existing Loans. Schedule 2.26 to the Disclosure Schedule lists all secured loans presently encumbering the
Properties or Facilities or any direct or indirect interest in any Company and any unsecured loans with respect to which any of the Companies are obligated (the “Existing Loans”), the outstanding aggregate principal balance of which
is approximately $             as of the date hereof. To Ensign’s knowledge, the Existing Loans and the documents entered into in connection therewith (collectively, the
“Loan Documents”) are in full force and effect as of the date hereof. To Ensign’s knowledge, no event of default or event that with the passage of time or giving of notice or both would constitute a material event of default
has occurred as of the date hereof under any of the Loan Documents. True and correct copies of the existing Loan Documents have been made available to CareTrust. Except as set forth on Schedule 2.26, none of the Companies is the holder
of any promissory note or similar debt instrument whether issued by an affiliated entity or third party. 

  
 7 

 Section 2.27 Real Property Taxes. Neither Ensign nor any of the Companies has received any
written notification of any material new or increased general or special Tax assessments for any of the Properties or Facilities except as may be disclosed in the Title Policies. Except as set forth in Schedule 2.27 to the Disclosure
Schedule, each of the Properties is assessed for real property Tax through one Tax bill and each Property is comprised of one or more independent Tax lots. 

Section 2.28 Insurance. Each of the Operating Companies currently has in place public liability, casualty and other insurance coverage
with reputable insurance companies with respect to its Facilities in customary amounts for projects similar to the Facilities in the markets in which such Facilities are located, and in all cases substantially in compliance with the existing
financing arrangements. To Ensign’s knowledge, each of such policies is in full force and effect, and all premiums due and payable thereunder have been fully paid when due. No written notice of cancellation, default or non-renewal has been
received or to Ensign’s knowledge threatened with respect thereto. 
 Section 2.29 Exclusive Representations. Except as set
forth in this Article II, Ensign makes no representation or warranty of any kind, express or implied, in connection with any of the Interests, the Companies, the Properties or the Facilities, and the CareTrust Entities acknowledge that
they have not relied upon any other such representation or warranty. Except as set forth in Article III, Ensign acknowledges that no representation or warranty has been made by the CareTrust Entities with respect to the legal and Tax
consequences of the transfer of the Interests to the Operating Partnership and the receipt of the consideration therefor. Ensign acknowledges that it has not relied upon any other such representation or warranty. 

ARTICLE III 

REPRESENTATIONS AND WARRANTIES OF THE CARETRUST ENTITIES 

The CareTrust Entities hereby represent and warrant to Ensign as follows: 

Section 3.01 Organization and Authority. Each CareTrust Entity is duly organized, validly existing and in good standing under the Laws
of its state of organization. Each CareTrust Entity has all requisite power and authority to enter into this Agreement and to carry out the transactions contemplated hereby, and to own, lease or operate its property and to carry on its business as
presently conducted and, to the extent required under applicable Law, is qualified to do business and is in good standing in each jurisdiction in which the nature of its business or the character of its property make such qualification necessary,
other than in such jurisdictions where the failure to be so qualified would not have a Material Adverse Effect on CareTrust. 
 Section 3.02
Due Authorization. The execution, delivery and performance of this Agreement by the CareTrust Entities has been duly and validly authorized by all necessary action of the CareTrust Entities. This Agreement constitutes the legal, valid and
binding obligation of the applicable CareTrust Entities, enforceable against the CareTrust Entities in accordance with its terms, subject to applicable bankruptcy, insolvency, moratorium or other similar Law relating to creditors’ rights and
general principles of equity. 
 Section 3.03 Consents and Approvals. Except as shall have been satisfied on or prior to the date
hereof, no material consent, waiver, approval or authorization of, or filing with, any Person or Governmental Authority or under any applicable Law is required to be obtained by the CareTrust Entities in connection with the execution, delivery and
performance of this Agreement or the transactions contemplated hereby. 

  
 8 

 Section 3.04 No Violation. None of the execution, delivery or performance of this
Agreement, or the consummation of the transactions contemplated hereby, does or will, with or without the giving of notice, lapse of time, or both, violate, conflict with, result in a breach of, or constitute a default under or give to others any
right of termination, acceleration, cancelation or other right under (a) the organizational documents of the CareTrust Entities, (b) any term or provision of any judgment, order, writ, injunction, or decree binding on the CareTrust
Entities or (c) any other agreement to which any CareTrust Entity is a party. 
 Section 3.05 Validity of CareTrust Common
Stock. The shares of CareTrust Common Stock to be issued to Ensign pursuant to this Agreement have been duly authorized by CareTrust and, when issued against the consideration therefor, will be validly issued by CareTrust, free and clear of all
Liens created by CareTrust (other than Liens created by the organizational documents of CareTrust). 
 Section 3.06 Litigation. There
is no action, suit or proceeding pending or, to the CareTrust Entities’ knowledge, threatened against the CareTrust Entities which, if adversely determined, would reasonably be expected to have a Material Adverse Effect on CareTrust. 

Section 3.07 Limited Activities. Except as described in the Information Statement, the CareTrust Entities and their Subsidiaries have
not engaged in any material business or incurred any material obligations. 
 Section 3.08 No Other Representations or Warranties.
Except as set forth above in this Article III, the CareTrust Entities make no representation or warranty of any kind, express or implied, in connection with the legal and Tax consequences of the transfer of the Interests to the Operating
Partnership and the receipt of the consideration therefor, and Ensign acknowledges that it has not relied upon any other such representation or warranty. Except as set forth in Article II, the CareTrust Entities acknowledge that no
representation or warranty has been made by Ensign with respect to any of the Interests, the Companies, the Properties or the Facilities. The CareTrust Entities acknowledge that they have not relied upon any other such representation or warranty.

 ARTICLE IV 

INDEMNIFICATION; DISPUTE RESOLUTION 

Section 4.01 Indemnification. In the event of any breach of a representation, warranty or covenant of any Party contained in this
Agreement, the other Parties may be entitled to indemnification as and to the extent provided in Article IX of the Separation Agreement. For all Tax purposes other than for purposes of Section 355(g) of the Code, Ensign and CareTrust agree
to treat (i) any payment required by this Agreement (other than payments with respect to interest accruing after the effective time of the Distribution) as either a contribution by Ensign to CareTrust or a distribution by CareTrust to Ensign,
as the case may be, occurring immediately prior to the effective time of the Distribution or as a payment of an assumed or retained liability, and (ii) any payment of interest as taxable or deductible, as the case may be, to the party entitled
under this Agreement to retain such payment or required under this Agreement to make such payment, in either case, except as otherwise required by applicable Law. 

Section 4.02 Dispute Resolution. Any disputes under this Agreement shall be governed by Article X of the Separation Agreement.

  
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 ARTICLE V 

DEFINITIONS 

Section 5.01 Definitions. For purposes of this Agreement, the following terms shall have the following meanings. 

(a) “Affiliate” means, with respect to any specified Person, any other Person that directly, or indirectly through one or
more intermediaries, controls, is controlled by, or is under common control with, the specified Person. For this purpose “control” of a Person means the possession, directly or indirectly, of the power to direct or cause the direction of
the management or policies of such Person, whether through ownership of voting securities, by contract or otherwise. 
 (b)
“Business Day” means a day other than a Saturday, a Sunday or a day on which banking institutions located in the State of California are authorized or obligated by applicable Law or executive order to close. 

(c) “Code” means the Internal Revenue Code of 1986, as amended. 

(d) “Company” means a Property Company or an Operating Company. 

(e) “Disclosure Schedule” means that disclosure schedule attached as Appendix A to this Agreement. 

(f) “Environmental Laws” means all applicable statutes, regulations, rules, ordinances, codes, licenses, permits, orders,
demands, approvals, authorizations and other binding requirements of any Governmental Entity and all applicable judicial, administrative and regulatory decrees, judgments and orders relating to the protection of the environment as in effect on the
Closing Date, including but not limited to the Comprehensive Environmental Response, Compensation and Liability Act (42 U.S.C. Section 9601 et seq.), the Resource Conservation and Recovery Act (42 U.S.C. Section 6901 et seq.), the Clean
Air Act (42 U.S.C. Section 7401 et seq.), the Federal Water Pollution Control Act (33 U.S.C. Section 1251), the Safe Drinking Water Act (42 U.S.C. 300f et seq.), the Toxic Substances Control Act (15 U.S.C. 2601 et seq.), the Endangered
Species Act (16 U.S.C. 1531 et seq.) and the Emergency Planning and Community Right-to-Know Act of 1986 (42 U.S.C. 11001 et seq.), and similar state and local requirements. 

(g) “Environmental Permits” means any and all licenses, certificates, permits, registrations, approvals, authorizations, and
consents that are required pursuant to any Environmental Laws. 
 (h) “Exchange Act” means the Securities Exchange Act of
1934, as amended. 
 (i) “Governmental Authority” means any U.S. federal, state, local or non-U.S. court, government,
department, commission, board, bureau, agency, official or other regulatory, administrative or governmental authority. 
 (j)
“Hazardous Materials” means any petroleum or petroleum products, radioactive materials or wastes, friable asbestos, polychlorinated biphenyls and any other hazardous or toxic substance, material or waste that is prohibited or
regulated, or as to which liability may be imposed, under any Environmental Law. 

  
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 (k) “Information Statement” means the information statement, attached as an
exhibit to the Registration Statement, and any related documentation to be provided to holders of common stock of Ensign in connection with the Distribution, including any amendments or supplements thereto. 

(l) “Law” means any law, statute, ordinance, code, rule, regulation, order, writ, proclamation, judgment, injunction or
decree of any Governmental Authority. 
 (m) “Liens” means all pledges, claims, liens, mortgages, deeds of trust, charges,
restrictions, controls, easements, rights of way, exceptions, reservations, leases, licenses, grants, covenants and conditions, encumbrances and security interests of any kind or nature whatsoever. 

(n) “Material Adverse Effect” with respect to a Person means any material adverse effect on the business, assets, financial
condition, properties or results of operations of such Person or on such Person’s ability to consummate the transactions contemplated by this Agreement. 

(o) “Operating Partnership Agreement” means the agreement of limited partnership of the Operating Partnership, as in effect
from time to time. 
 (p) “Party” or “Parties” has the meaning set forth in the preamble to this
Agreement. 
 (q) “Permitted Lien” means: (i) Liens securing Taxes, the payment of which is not delinquent or may be
paid without interest or penalties or the validity or amount of which is actively being contested in good faith by appropriate proceedings diligently pursued; (ii) zoning laws, building codes, rights-of ways and other land use laws and
ordinances applicable to the Properties that are not violated by the existing structures or present uses thereof or the transfer of the Properties; (iii) carriers’, warehousemen’s, materialmen’s, workmen’s, repairmen’s
and mechanics’ liens, and other similar liens arising or incurred in the ordinary course of business that secure payment of obligations arising in the ordinary course of business not more than 60 days past due or which are being contested in
good faith by appropriate proceedings diligently pursued; (iv) non-exclusive easements for public utilities and other operational purposes and rights-of-ways that do not materially interfere with the current use or value of the Properties; and
(v) all Liens listed on Exhibit C hereto. 
 (r) “Person” means an individual, a partnership, a
corporation, a limited liability company, an association, a joint stock company, a trust, a joint venture, a union, an unincorporated organization or a governmental entity or any department, agency or political subdivision thereof. 

(s) “Registration Statement” means CareTrust’s registration statement on Form 10 (File No. 001-36181) with respect
to the registration under the Exchange Act of the CareTrust Common Stock to be distributed in the Distribution, including any amendments or supplements thereto. 

(t) “Securities Act” means the Securities Act of 1933, as amended, and the rules and regulations promulgated thereunder. 

(u) “Subsidiary” means, with respect to any specified Person, any corporation, partnership, limited liability company, joint
venture or other organization, whether incorporated or unincorporated, of which at least a majority of the securities or interests having by the terms thereof ordinary voting power to elect at least a majority of the board of directors or others
performing similar functions with respect to such corporation or other organization is directly or indirectly owned or controlled by such specified Person or by any one or more of its subsidiaries, or by such specified Person and one or more of its
Subsidiaries. 

  
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 (v) “Tax” or “Taxes” means any and all taxes, charges, fees,
duties, levies, imposts or other assessments imposed by any federal, state, local or foreign Taxing Authority, including, but not limited to, income, gross receipts, excise, property, sales, use, license, capital stock, transfer, franchise, payroll,
withholding, social security, value added and other taxes, and any interest, penalties or additions attributable thereto. 
 (w)
“Tax Return” means any return, declaration, report, claim for refund, or information return or statement related to Taxes, including any schedule or attachment thereto, and including any amendment thereof. 

(x) “Taxing Authority” means any Governmental Authority or any subdivision, agency, commission or authority thereof or any
quasi-governmental or private body having jurisdiction over the assessment, determination, collection or imposition of any Tax (including the United States Internal Revenue Service). 

(y) “Title Policies” means those certain policies of title insurance insuring the Property Companies’ interests in the
Properties. 
 ARTICLE VI 

GENERAL PROVISIONS 

Section 6.01 Amendments and Waivers. 

(a) Subject to Section 11.1 of the Separation Agreement, this Agreement may not be amended except by an agreement in writing signed by
the Parties. 
 (b) Except as otherwise expressly provided by this Agreement, any term or provision of this Agreement may be waived, or the
time for its performance may be extended, by the Party entitled to the benefit thereof and any such waiver shall be validly and sufficiently given for the purposes of this Agreement if it is in writing signed by an authorized representative of such
Party. No delay or failure in exercising any right, power or remedy hereunder shall affect or operate as a waiver thereof; nor shall any single or partial exercise thereof or any abandonment or discontinuance of steps to enforce such a right, power
or remedy preclude any further exercise thereof or of any other right, power or remedy. The rights and remedies hereunder are cumulative and not exclusive of any rights or remedies that any Party would otherwise have. 

Section 6.02 Entire Agreement. This Agreement, the Separation Agreement and the exhibits and schedules referenced herein and therein
and attached hereto or thereto, constitute the entire agreement and understanding between the Parties with respect to the subject matter hereof and supersede all prior negotiations, agreements, commitments, writings, courses of dealing and
understandings with respect to the subject matter hereof. 
 Section 6.03 Survival of Agreements. All representations, warranties,
covenants and agreements of the Parties contained in this Agreement shall survive and remain in full force and effect after the consummation of the transactions contemplated herein. 

  
 12 

 Section 6.04 Third-Party Beneficiaries. Except as otherwise expressly contemplated by this
Agreement, this Agreement is solely for the benefit of the Parties and should not be deemed to confer upon third parties any remedy, claim, liability, reimbursement, cause of action or other right in excess of those existing without reference to
this Agreement. 
 Section 6.05 Notices. All notices, requests, permissions, waivers and other communications hereunder shall be in
writing and shall be deemed to have been duly given (a) five (5) Business Days following sending by registered or certified mail, postage prepaid, (b) when sent, if sent by facsimile or e-mail of a PDF document (with confirmation of
transmission) if sent during normal business hours of the recipient, and on the next Business Day if sent after normal business hours of the recipient, (c) when delivered, if delivered personally to the intended recipient, and (d) one
(1) Business Day following sending by overnight delivery via a national courier service and, in each case, addressed to a Party at the following address for such Party (as updated from time to time by notice in writing to the other Party): 

if to any of the CareTrust Entities, to: 

CareTrust REIT, Inc. 

27101 Puerta Real, Suite 450 

Mission Viejo, CA 92691 

Attention: William M. Wagner 

Email: wwagner@caretrustreit.com 

Facsimile: (949) 540-3002 

if to Ensign, to: 

The Ensign Group, Inc. 

27101 Puerta Real, Suite 450 

Mission Viejo, CA 92691 

Attention: Chad Keetch 

Email: ckeetch@Ensigngroup.net 

Facsimile: (949) 540-1968 

Section 6.06 Counterparts; Electronic Delivery. This Agreement may be executed in multiple counterparts, each of which when executed
shall be deemed to be an original, but all of which together shall constitute one and the same agreement. Execution and delivery of this Agreement or any other documents pursuant to this Agreement by facsimile or other electronic means shall be
deemed to be, and shall have the same legal effect as, execution by an original signature and delivery in person. 
 Section 6.07
Severability. If any term or other provision of this Agreement or the exhibits attached hereto or thereto is determined by a nonappealable decision by a court, administrative agency or arbitrator to be invalid, illegal or incapable of being
enforced by any rule of law or public policy, all other conditions and provisions of this Agreement shall nevertheless remain in full force and effect so long as the economic or legal substance of the transactions contemplated by this Agreement is
not affected in any manner materially adverse to any Party. Upon such determination that any term or other provision is invalid, illegal or incapable of being enforced, the court, administrative agency or arbitrator shall interpret this Agreement so
as to affect the original intent of the Parties as closely as possible in an acceptable manner to the end that the transactions contemplated by this Agreement are fulfilled to the fullest extent possible. If any sentence in this Agreement is so
broad as to be unenforceable, the provision shall be interpreted to be only as broad as is enforceable. 

  
 13 

 Section 6.08 Assignability; Binding Effect. This Agreement shall be binding upon and inure
to the benefit of the Parties and their successors and permitted assigns; provided that the rights and obligations of each Party under this Agreement shall not be assignable, in whole or in part, directly or indirectly, whether by operation
of law or otherwise, by such Party without the prior written consent of the other Parties (such consent not to be unreasonably withheld, conditioned or delayed) and any attempt to assign any rights or obligations under this Agreement without such
consent shall be null and void. Notwithstanding the foregoing, any Party may assign its rights and obligations under this Agreement to any of their respective Affiliates provided that no such assignment shall release such assigning Party from any
liability or obligation under this Agreement. 
 Section 6.09 Governing Law. This Agreement shall be governed by, and construed and
enforced in accordance with, the substantive Laws of the State of Delaware, without regard to any conflicts of law provisions thereof that would result in the application of the Laws of any other jurisdiction. 

Section 6.10 Construction. This Agreement shall be construed as if jointly drafted by the Parties and no rule of construction or strict
interpretation shall be applied against any Party. The Parties represent that this Agreement is entered into with full consideration of any and all rights which the Parties may have. The Parties have relied upon their own knowledge and judgment. The
Parties have had access to independent legal advice, have conducted such investigations they thought appropriate, and have consulted with such other independent advisors as they deemed appropriate regarding this Agreement and their rights and
asserted rights in connection therewith. The Parties are not relying upon any representations or statements made by the other Parties, or such other Party’s employees, agents, representatives or attorneys, regarding this Agreement, except to
the extent such representations are expressly set forth or incorporated in this Agreement. The Parties are not relying upon a legal duty, if one exists, on the part of the other Parties (or any such other Party’s employees, agents,
representatives or attorneys) to disclose any information in connection with the execution of this Agreement or their preparation, it being expressly understood that no Party shall ever assert any failure to disclose information on the part of the
other Parties as a ground for challenging this Agreement. 
 Section 6.11 Performance. Each Party shall cause to be performed, and
hereby guarantees the performance of, all actions, agreements and obligations set forth herein to be performed by any Subsidiary or Affiliate of such Party. 

Section 6.12 Titles and Headings. Titles and headings to Sections and Articles are inserted for the convenience of reference only and
are not intended to be a part of or to affect the meaning or interpretation of this Agreement. 
 Section 6.13 Exhibits and
Schedules. The Exhibits and Schedules attached hereto are incorporated herein by reference and shall be construed with and as an integral part of this Agreement to the same extent as if the same had been set forth verbatim herein. 

[Signature Page Follows] 

  
 14 

 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be signed by their
respective duly authorized officers or representatives, all as of the date first written above. 
  

			
	THE ENSIGN GROUP, INC.
		
	By: 	 	  

		 	Name: Christopher R. Christensen
		 	Title: President and Chief Executive Officer
	
	CARETRUST REIT, INC.
		
	By:	 	  

		 	Name: Gregory K. Stapley
		 	Title: President and Chief Executive Officer
	
	CARETRUST GP, LLC
		
	By:	 	CareTrust REIT, Inc., its sole member
		
	By:	 	  

		 	Name: Gregory K. Stapley
		 	Title: President and Chief Executive Officer
	
	CARETRUST PARTNERSHIP, L.P.
		
	By:	 	CareTrust GP, LLC, its general partner
		
	By:	 	CareTrust REIT, Inc., its sole member
		
	By:	 	  

		 	Name: Gregory K. Stapley
		 	Title: President and Chief Executive Officer

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