The Ensign Group, Inc. (Ensign) is a provider of nursing and rehabilitative care services through the operation of facilities located in California, Arizona, Texas, Washington, Utah and Idaho. During the year ended December 31, 2008, the Company owned or leased 63 facilities. Its facilities provide a spectrum of skilled nursing, physical, occupational and speech therapies, and other rehabilitative and healthcare services and, in certain facilities, assisted living services, for both long-term residents and short-stay rehabilitation patients. The facilities have a collective capacity of over 7,600 skilled nursing, assisted living and independent living beds. As of December 31, 2008, Ensign owned 32 of its facilities and operated an additional 31 facilities under long-term lease arrangements. Effective October 1, 2009, The Ensign Group, Inc. acquired Golden Acres, an operating skilled nursing and independent living campus, as well as a separate hospice business, both in Dallas, Texas.