Document:

Sixth Amendment to Master Lease dated December 8, 2008

 Exhibit 10.53 
 SIXTH AMENDMENT TO MASTER LEASE 
 THIS SIXTH AMENDMENT TO MASTER LEASE (the
“Amendment”) is made and entered into and effective as of December 8, 2008 (the “Effective Date”), by and among HCP, INC., a Maryland corporation (formerly known as Health Care Property Investors, Inc.) (“HCP”),
HEALTH CARE PROPERTY PARTNERS, a California general partnership (“HCPP”) and TEXAS HCP HOLDING, L.P., a Delaware limited partnership (“THCP,” and together with HCP and HCPP, collectively, as their interest may appear,
“Lessor”), on the one hand, and KINDRED NURSING CENTERS EAST, L.L.C., a Delaware limited liability company (“Kindred East”), KINDRED NURSING CENTERS WEST, L.L.C., a Delaware limited liability company (“Kindred West”),
KINDRED NURSING CENTERS LIMITED PARTNERSHIP, a Delaware limited partnership (“Kindred Centers”), KINDRED HOSPITALS LIMITED PARTNERSHIP, a Delaware limited partnership (“Kindred Hospitals”), and TRANSITIONAL HOSPITALS CORPORATION
OF WISCONSIN, INC., a Wisconsin corporation (“THCW” and together with Kindred East, Kindred West, Kindred Centers and Kindred Hospitals, collectively, and jointly and severally, “Lessee”), with respect to the following:

 RECITALS 
 A.
Lessor is the “Lessor” and Lessee is the “Lessee” pursuant to that certain Master Lease dated as of May 16, 2001 (the “Original Lease”), as amended by that certain First Amendment to Master Lease dated as of
August 1, 2001 (the “First Amendment”), that certain Second Amendment to Master Lease effective as of July 1, 2003 (the “Second Amendment”), that certain Third Amendment to Master Lease dated as of June 30, 2004
(the “Third Amendment”), that certain Fourth Amendment to Master Lease effective as of March 1, 2006 (the “Fourth Amendment”), and that certain Fifth Amendment to Master Lease effective as of January 31, 2007 (the
“Fifth Amendment” and together with the First Amendment, the Second Amendment, the Third Amendment, and the Fourth Amendment collectively, the “Prior Amendments”). The Original Lease together with the Prior Amendments are
collectively referred to herein as the “Lease.” The Lease covers the Land, Leased Improvements, Related Rights and Fixtures of twelve (12) separate health care Facilities, all as more particularly described in the Lease. All terms
used in this Amendment with initial capital letters and not defined herein shall have the meanings given to such terms in the Lease. 
 B.
Due to a scrivener’s error, the legal description attached to the Fifth Amendment as Exhibit A-11 [Dallas, TX Facility] was incorrect and Lessor and Lessee now desire to amend the Lease to replace such Exhibit A-11 in its entirety
to correct such error, but only upon the terms and conditions set forth herein. 
  

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 AGREEMENT 
 IN CONSIDERATION OF the foregoing Recitals and the mutual promises and covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, Lessor and
Lessee agree as follows: 
 1. Correction to Legal Description of Dallas, TX Facility. The legal description in Exhibit A-11 attached
to the Fifth Amendment is hereby replaced, in its entirety, with Exhibit A-11 attached to this Amendment. 
 2. Governing Law.
THIS AMENDMENT WAS NEGOTIATED IN THE STATE OF CALIFORNIA, WHICH STATE THE PARTIES AGREE HAS A SUBSTANTIAL RELATIONSHIP TO THE PARTIES, THE LEASE AND TO THE UNDERLYING TRANSACTION EMBODIED HEREBY. ACCORDINGLY, IN ALL RESPECTS THE LEASE, AS HEREBY
AMENDED (AND ANY AGREEMENT FORMED PURSUANT TO THE TERMS HEREOF) SHALL BE GOVERNED BY, AND CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE INTERNAL LAWS OF THE STATE OF CALIFORNIA (WITHOUT REGARD OF PRINCIPLES OR CONFLICTS OF LAW) AND ANY APPLICABLE
LAWS OF THE UNITED STATES OF AMERICA, EXCEPT THAT ALL PROVISIONS OF THE LEASE, AS HEREBY AMENDED, RELATING TO THE CREATION OF THE LEASEHOLD ESTATE AND ALL REMEDIES SET FORTH IN ARTICLE XVI OF THE LEASE RELATING TO RECOVERY OF POSSESSION OF THE
LEASED PROPERTY OF ANY FACILITY (SUCH AS AN ACTION FOR UNLAWFUL DETAINER OR OTHER SIMILAR ACTION) SHALL BE CONSTRUED AND ENFORCED ACCORDING TO, AND GOVERNED BY, THE LAWS OF THE STATE IN WHICH THE LEASED PROPERTY OF SUCH FACILITY IS LOCATED.

 3. Full Force and Effect; Counterparts; Facsimile Signatures. Except as hereby amended, the Lease shall remain in full force and
effect. This Amendment may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute a single instrument. Delivery of an executed counterpart of a signature page to this Amendment
via telephone facsimile transmission shall be as effective as delivery of a manually executed counterpart of this Amendment. 
 [Signature
Page Follows] 
  

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 IN WITNESS WHEREOF, Lessor and Lessee have executed this Amendment as of the Effective Date. 

 

											
		 	LESSOR:	 	HCP, INC., a Maryland corporation
				
		 		 	By:	 	/s/ Brian J. Maas
		 		 	Its:	 	Senior Vice President
			
		 		 	 HEALTH CARE PROPERTY PARTNERS,
 a California
general partnership

				
		 		 	By:	 	 HCP, INC., a Maryland corporation,
 its
Managing General Partner

					
		 		 		 	By:	 	/s/ Brian J. Maas
		 		 		 	Its:	 	Senior Vice President
			
		 		 	 TEXAS HCP HOLDING, L.P.,
 a Delaware limited
partnership

				
		 		 	By:	 	 TEXAS HCP G. P., INC.,
 a Delaware
corporation, its General Partner

					
		 		 		 	By:	 	/s/ Brian J. Maas
		 		 		 	Its:	 	Senior Vice President

  

 S-1 

											
		 	LESSEE:	 	 KINDRED NURSING CENTERS EAST, L.L.C.,
 a
Delaware limited liability company

				
		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 	Its:	 	Vice President of Facilities & Real Estate Development
				
		 		 	By:	 	/s/ Richard E. Myers
		 		 	Its:	 	Real Estate Counsel
			
		 		 	 KINDRED NURSING CENTERS WEST, L.L.C.,
 a
Delaware limited liability company

				
		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 	Its:	 	Vice President of Facilities & Real Estate Development
				
		 		 	By:	 	/s/ Richard E. Myers
		 		 	Its:	 	Real Estate Counsel
			
		 		 	 KINDRED NURSING CENTERS LIMITED
 PARTNERSHIP,
a Delaware limited partnership

				
		 		 	By:	 	 Kindred Healthcare Operating, Inc.,
 its
general partner

					
		 		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 		 	Its:	 	Vice President of Facilities & Real Estate Development
					
		 		 		 	By:	 	/s/ Richard E. Myers
		 		 		 	Its:	 	Real Estate Counsel

  

 S-2 

											
		 	LESSEE (continued):	 	 KINDRED HOSPITALS LIMITED PARTNERSHIP,
 a
Delaware limited partnership

				
		 		 	By:	 	Kindred Hospitals West, LLC, a Delaware limited liability company, its general partner
					
		 		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 		 	Its:	 	Vice President of Facilities & Real Estate Development
					
		 		 		 	By:	 	/s/ Richard E. Myers
		 		 		 	Its:	 	Real Estate Counsel
			
		 		 	TRANSITIONAL HOSPITALS CORPORATION OF WISCONSIN, INC., a Wisconsin corporation
				
		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 	Its:	 	Vice President of Facilities & Real Estate Development

  

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 CONSENT, REAFFIRMATION AND AGREEMENT OF GUARANTORS 
 The undersigned Guarantors hereby (i) consent to the foregoing Sixth Amendment to Master Lease, (ii) reaffirm to Lessor that their obligations
under the Guaranty remain in full force and effect with respect to the Lease, as amended hereby and (iii) agrees that (A) its obligations under the Guaranty shall extend to Lessee’s duties, covenants and obligations pursuant to the
Lease, as hereby amended, and (B) the Guaranty as hereby reaffirmed and extended shall be for the benefit of each party comprising Lessor under the Lease, as hereby amended. 
  

											
			
		 		 	 KINDRED HEALTHCARE, INC.,
 a Delaware
corporation

				
		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 	Its:	 	Vice President of Facilities & Real Estate Development
				
		 		 	By:	 	/s/ Richard E. Myers
		 		 	Its:	 	Real Estate Counsel
			
		 		 	 KINDRED HEALTHCARE OPERATING, INC.,
 a
Delaware corporation

				
		 		 	By:	 	/s/ Douglas L. Curnutte
		 		 	Its:	 	Vice President of Facilities & Real Estate Development
				
		 		 	By:	 	/s/ Richard E. Myers
		 		 	Its:	 	Real Estate Counsel

  

 S-4 

 EXHIBIT A-11 
 Legal Description Of The Land Of The Dallas, Texas Facility 
 (Facility No. 4610)

 Real property in the County of Dallas, State of Texas, described as follows: 
 Being Lot 8, in Block 7503, of VENCOR HOSPITAL ADDITION, as Addition to the City of Dallas, Dallas County, Texas, according to the Map thereof recorded in Volume 97203, Page 992, of the Map records of Dallas County,
Texas, and being more particularly described on as follows: 
 Being situated in the City of Dallas and being partly in the Daniel Barrow Survey, Abstract
No. 177 and the Heirs of James M. Houx Survey, Abstract No. 579; being all of that certain tract of land described in a Correction Cash Warranty Deed from Vencor Operating, Inc. to Vencor Hospitals Limited Partnership, dated
October 30, 1998 and recorded in Volume 98213, Page 7177 of the Deed Records of Dallas County, Texas and same being legally described as Lot 8, Block 7503, Vencor Hospital Addition, according to the plat thereof filed October 17, 1997 and
recorded in Volume 97203, Page 00992, Deed Records of Dallas County, Texas (“D.R.D.C.T.”); said tract being more particularly described as follows; 
 Beginning at the Southwest end of a right-of-way corner clip between the North line of Stults Road (60 foot wide right-of-way) and the West line of Greenville Avenue (100 foot wide right-of-way), a 1/2 inch diameter iron rod with red
plastic cap stamped RPLS-4701 found for corner; 
 Thence: North 88 degrees 54 minutes 17 seconds West, along the South line of said Lot 8 and the North line
of Stults Road, a distance of 229.54 feet to the Southwest corner of said Lot 8 and the Southeast corner of Lot 9E, Block 7503 of New Mt. Zion Baptist Church Addition No. 2, according to the plat thereof recorded in Volume 94164, Page 01917,
D.R.D.C.T., a 1/2 inch diameter iron rod with yellow plastic cap stamped Bowden-4775, found for corner; from which, a 5/8 inch diameter iron rod with yellow plastic cap stamped KSC-4019, found at the intersection of the North line of Stults Road
with the East line of Shepherd Road, bears North 88 degrees 54 minutes 17 seconds West, a distance of 230.0 feet; a found 1/2 inch diameter iron rod with yellow plastic cap stamped West-682, bears North 00 degrees 15 minutes 00 seconds East, a
distance of 0.30 feet; and a found 1/2 inch diameter iron rod, bears South 78 degrees 42 minutes 58 seconds East, a distance of 0.60 feet; 
 Thence: North
00 degrees 15 minutes 00 seconds East, along the common line of said Lot 8 and said Lot 9E, a distance of 556.05 feet to a 1 inch diameter iron pipe found for the Northwest corner of said Lot 8 and the Southwest corner of that certain called 2.66
acre tract described in a deed to Gold Claw Properties, Inc. recorded in Volume 91172, Page 2902, D.R.D.C.T.; 
 Thence: South 73 degrees 21 minutes 44
seconds East, along the common line of said Lot 8 and said 2.66 acre tract, a distance of 392.33 feet to the West line of the above mentioned Greenville Avenue, a 1/2 inch diameter iron rod with red plastic cap stamped RPLS-4701, found for the
Northeast corner of said Lot 8; 
  

 A-11 

 Thence: South 17 degrees 12 minutes 28 seconds West, along the East line of said Lot 8 and the West line of said
Greenville Avenue, a distance of 459.30 feet to the Northeast end of the above mentioned right-of-way corner clip, a 1/2 inch diameter iron rod with red plastic cap stamped RPLS-4701, found for corner; 
 Thence: South 54 degrees 09 minutes 05 seconds West, along said right-of-way corner clip, a distance of 15.98 feet to the Point of Beginning and containing 3.641 acres
of land, more or less. 
  

 A-11Form of Kindred Healthcare, Inc. Non-Qualified Stock Option Grant Agreement

 Exhibit 10.64 
 NON-QUALIFIED 
 STOCK OPTION GRANT AGREEMENT 
 THIS AGREEMENT, made as of this      day of         ,
20     between Kindred Healthcare, Inc. (the “Company”) and                      (the
“Participant”). 
 WHEREAS, the Company has adopted and maintains the Kindred Healthcare, Inc. 2001 Stock Incentive Plan, Amended
and Restated (the “Plan”) to promote the interests of the Company and its Affiliates and stockholders by providing the Company’s key employees, who are largely responsible for the management, growth and protection of the business of
the Company, incentives and rewards to encourage them to continue in the employ of the Company. 
 WHEREAS, the Plan provides for the grant
to Participants in the Plan of non-qualified stock options to purchase shares of Common Stock of the Company. 
 NOW, THEREFORE, in
consideration of the premises and the mutual covenants hereinafter set forth, the parties hereto hereby agree as follows: 
 1. Grant of
Options. Pursuant to, and subject to, the terms and conditions set forth herein and in the Plan, the Company hereby grants to the Participant a non-qualified stock option (the “Option”) with respect to
                     (            ) shares of Common Stock of the Company.

 2. Grant Date. The Grant Date of the Option hereby granted is         
    , 20    . 
 3. Incorporation of Plan. All terms, conditions and
restrictions of the Plan are incorporated herein and made part hereof as if stated herein. If there is any conflict between the terms and conditions of the Plan and this Agreement, the terms and conditions of this Agreement, as interpreted by the
Committee, shall govern. All capitalized terms used and not defined herein shall have the meanings given to such terms in the Plan. 
 4.
Exercise Price. The exercise price of each share underlying the Option hereby granted is $        . 
 5. Vesting Date. 
 (a) Except as provided in Section 5(b) and Section 6, the Option shall
become exercisable as follows: 
 (i)              of the Options shall
vest on             . 
 (ii) An additional
             Options shall vest on             . 

 (iii) An additional             
Options shall vest on             . 
 (iv) An additional
             Options shall vest on             . 
 (b) Notwithstanding the foregoing, in the event of a Change in Control or the death or Disability of the Participant while employed with the Company, the
Option shall immediately become fully exercisable. 
 6. Expiration Date. Subject to the provisions of the Plan and the terms of this
Agreement, the Option shall expire on              ,         . In addition, the following shall apply to the Option: 

(i) In the event that the employment of the Participant with the Company shall terminate for any reason other than Disability, Retirement, Cause or
death (A) the Option, to the extent that it is exercisable at the time of such termination, shall remain exercisable for 90 days after such termination, at which time the Option shall expire, and (B) the Option, to the extent that it is
not exercisable at the time of such termination, shall expire at the commencement of business on the date of such termination; provided, however, that the Option shall not be exercisable after the expiration of its term. 
 (ii) In the event that the employment of the Participant with the Company shall terminate on account of the Retirement of the Participant, (A) the
Participant shall be entitled to exercise the Option to the extent that the Option is exercisable at the time of such termination, for two years after Retirement, and (B) the Option, to the extent that it is not exercisable at the time of such
termination, shall expire at the commencement of business on the date of such termination; provided, however, that the Option shall not be exercisable after the expiration of its term. 
 (iii) In the event that the employment of the Participant with the Company shall terminate on account of the Disability or death of the Participant, the
Option shall become immediately exercisable and the Participant shall be entitled to exercise the Option at any time within two years after the date of death or determination of Disability; provided, however, that the Option shall not
be exercisable after the expiration of its term. 
 (iv) In the event of the termination of the Participant’s employment for Cause, the
Option shall expire at the commencement of business on the date of such termination. 
 7. Exercise Procedure. Vested portions of the
Option may be exercised, in whole or in part, by delivery to the Company’s principal office of a written notice of exercise, to the attention of the Corporate Secretary, no less than three (3) business days in advance of the effective date
of the proposed exercise (the “Exercise Date”), setting forth the number of shares of Common Stock with respect to which the Option is to be exercised, the Grant Date of the Option and the Exercise Date and accompanied by full payment of
the exercise price and all applicable withholding taxes. Applicable withholding taxes shall be calculated based on the excess of the Fair Market Value of the shares of Common Stock over the exercise price as of the Exercise Date. 
  

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 8. Adjustment Upon Changes in Common Stock. 
 (a) In the event of any change in the capitalization of the Company or other corporate change or transaction involving the Company or its securities, the
Committee shall make equitable adjustments in the number and class of shares subject to the Options outstanding on the date on which such change occurs and in the exercise price of any such Options. 
 (b) In the event of (i) a dissolution or liquidation of the Company, (ii) a sale of all or substantially all of the Company’s assets,
(iii) a merger or consolidation involving the Company in which the Company is not the surviving corporation or (iv) a merger or consolidation involving the Company in which the Company is the surviving corporation but the holders of shares
of Common Stock receive securities of another corporation and/or other property, including cash, the Committee shall either: 
 (i) cancel
each Option outstanding immediately prior to such event (whether or not then exercisable), and, in full consideration of such cancellation, pay to the Participant an amount in cash for each share subject to the Option, the excess of (A) the
value of the property (including cash) received by the holder of a share of Common Stock as a result of such event over (B) the exercise price of such Option; or 
 (ii) provide for the exchange of each Option outstanding immediately prior to such event (whether or not then vested or exercisable) for an option, a stock appreciation right or a share of restricted stock with
respect to, as appropriate, some or all of the property which a holder of the number of shares of Common Stock subject to such Option would have received in such transaction and, incident thereto, make an equitable adjustment in the exercise price
of the option or stock appreciation right, and/or the number of shares or amount of property subject to the option, stock appreciation right or share of restricted stock, or, if appropriate, provide for a cash payment to the Participant in partial
consideration for the exchange of the Option. 
 9. Construction of Agreement. Any provision of this Agreement (or portion thereof)
which is deemed invalid, illegal or unenforceable in any jurisdiction shall, as to that jurisdiction and subject to this section, be ineffective to the extent of such invalidity, illegality or unenforceability, without affecting in any way the
remaining provisions thereof in such jurisdiction or rendering that or any other provisions of this Agreement invalid, illegal, or unenforceable in any other jurisdiction. No waiver of any provision or violation of this Agreement by the Company
shall be implied by the Company’s forbearance or failure to take action. 
 10. Delays or Omissions. No delay or omission to
exercise any right, power or remedy accruing to any party hereto upon any breach or default of any party under this Agreement, shall impair any such right, power or remedy of such party nor shall it be 

  

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construed to be a waiver of any such breach or default, or an acquiescence therein, or of or in any similar breach or default thereafter occurring nor shall
any waiver of any single breach or default be deemed a waiver of any other breach or default theretofore or thereafter occurring. Any waiver, permit, consent or approval of any kind or character on the part of any party of any breach or default
under this Agreement, or any waiver on the part of any party or any provisions or conditions of this Agreement, shall be in writing and shall be effective only to the extent specifically set forth in such writing. 
 11. Limitation on Transfer. During the lifetime of the Participant, the Option shall be exercisable only by the Participant. The Option shall not
be assignable or transferable other than by will or by the laws of descent and distribution and in accordance with the Plan. 
 12.
Integration. This Agreement, and the other documents referred to herein or delivered pursuant hereto which form a part hereof contain the entire understanding of the parties with respect to its subject matter. There are no restrictions,
agreements, promises, representations, warranties, covenants or undertakings with respect to the subject matter hereof other than those expressly set forth herein and in the Plan. This Agreement, including without limitation the Plan, supersedes all
prior agreements and understandings between the parties with respect to its subject matter. 
 13. Counterparts. This Agreement may be
executed in two or more counterparts, each of which shall be deemed an original, but all of which shall constitute one and the same instrument. 
 14. Governing Law. This Agreement shall be governed by and construed and enforced in accordance with the laws of the State of Delaware without regard to the provisions governing conflict of laws. 
 15. Participant Acknowledgment. The Participant hereby acknowledges receipt of a copy of the Plan. The Participant hereby acknowledges that all
decisions, determinations and interpretations of the Committee in respect of the Plan, this Agreement and the Option shall be final and conclusive. 
  

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 IN WITNESS WHEREOF, the Company has caused this Agreement to be duly executed by its duly authorized
officer and said Participant has hereunto signed this Agreement on his own behalf, thereby representing that the Participant has carefully read and understands this Agreement and the Plan as of the day and year first written above. 
  

			
	KINDRED HEALTHCARE, INC.
	
	  

	By:	 	Richard A. Lechleiter
	Title:	 	Executive Vice President and Chief
		 	Financial Officer
	
	  

	Name of Individual

  

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